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Examinando Investigación por Programa "Enfermería"
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- ÍtemApplication of Probability Theory and S/K Proportions to Diagnose Cardiotocography in 20 Minutes(Universidad Cooperativa de Colombia, 2021-05-22) Villamizar Osorio, Magda Liliana; Páez Páez, Jaime AlbertoIn this paper, it was wanted to verify the clinical applicability of a physical-mathematical methodology developed in the context of probability theory and entropy S/k proportions to evaluate antepartum cardiotocography in 20 minutes. For this, 100 cardiotocography records were collected from women in the last trimester of gestation, the values of the minimum and maximum fetal heart rate were taken for 10 seconds, the number of repetitions of each frequency, the values of its probability and the values of the S/k proportions. To verify the diagnostic capacity of the methodology, the sensitivity, specificity, and the Kappa coefficient of the physical-mathematical method were calculated with respect to the clinical gold standard by means of a blind study. It was found for the reactive tracings, values of the S/k proportions between -1.9603 to -1.7125 were obtained, while for the non-reactive traces these values ranged from -2.3838 to -1.0576. The sensitivity and specificity values were 100% and the Kappa coefficient was 1. Thus, it was concluded that the clinical applicability of a physical-mathematical methodology that can diagnose reactive from non-reactive cardiotocography traces in 20 minutes was verified, suggesting its diagnostic utility in real time
- ÍtemCreación y validación de un instrumento de valoración cardiopulmonar para Enfermería(Universidad Cooperativa de Colombia Facultad de Enfermería, Campus Bucaramanga, 2021-02-14) María Andreina Pulido Montes, 1 Luz Mileyde Jaimes Rojas, 1Marisela Márquez Herrera,; Fabio Alberto Camargo Figuera3; Marisela Márquez Herrera; Luz Mileyde Jaimes Rojas; Diana Isabel Cáceres Rivera
- ÍtemCuidado en salud de la niñez ámbito cultural familiar en Girón, Santander(UNIVERSIDAD COOPERATIVA DE COLOMBIA, 2022-11-15) Laguado Jaimes Elveny; Lady Johana Pereira Moreno; Magda Liliana Villamizar OsorioEarly childhood care highlights challenges for families as young children are exposed to factors that influence their growth and development during this period. In addition, cultural practices in social and family environments also have an impact on the health and well-being of children. The objective of this research was to understand the meanings construyected by families regarding early childhood health care in the Families in Action social program. A qualitative study using an interpretative eth-nography that included ten families with children from the Municipality of Girón, Santander. The fin-dings confirmed that early childhood care within families has a cultural component in accordance with transgenerational beliefs and customs. The female caregiver is dominant in these practices along with intrafamily agreements to improve coexistence and strengthen the social development of children
- ÍtemEfficacy and Safety of Text Messages Targeting Adherence to Cardiovascular Medications in Secondary Prevention: TXT2HEART Colombia Randomized Controlled Trial(Universidad Cooperativa de Colombia Facultad de Enfermería, Campus Bucaramanga, 2021-07-03) Anderson Bermon, Ana Fernanda Uribe; Paula Fernanda Pérez-Rivero, David Prieto-Merino; Jose Federico Saaibi, Federico Arturo Silva; Diana Isabel Cáceres
- ÍtemFactors associated with nursing workload in three intensive care units(Universidad Cooperativa de Colombia Facultad de Enfermería, Campus Bucaramanga, 2021-03-23) Diana Isabel Cáceres Rivera; Claudia Consuelo Torres; Luis Alberto López Romero
- ÍtemFatiga por compasión y factores relacionados en enfermeras de cuidados intensivos: Un estudio multicéntrico(Universidad Cooperativa de Colombia Facultad de Enfermería, Campus Bucaramanga, 2021-06-16) Diana Isabel Cáceres Rivera; Claudia Consuelo Torres; Luis Alberto López Romero
- ÍtemHospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research(Universidad Cooperativa de Colombia Campus Santa Marta, Facultad de Enfermería, 2020-04-13) Palmieri, Patrick; Leyva-Moral, Juan; Camacho-Rodriguez, Doriam; Granel-Jimenez, Nina; Ford, Eric; Mathieson, Kathleen; Leafman, JoanBackground: The Hospital Survey on Patient Safety Culture (HSOPSC) is widely utilized in multiple languages across the world. Despite culture and language variations, research studies from Latin America use the Spanish language HSOPSC validated for Spain and the United States. Yet, these studies fail to report the translation method, cultural adaptation process, and the equivalence assessment strategy. As such, the psychometric properties of the HSOPSC are not well demonstrated for cross-cultural research in Latin America, including Peru. The purpose of this study was to develop a target-language HSOPSC for cross-cultural research in Peru that asks the same questions, in the same manner, with the same intended meaning, as the source instrument. Methods: This study used a mixed-methods approach adapted from the translation guideline recommended by Agency for Healthcare Research and Quality. The 3-phase, 7-step process incorporated translation techniques, pilot testing, cognitive interviews, clinical participant review, and subject matter expert evaluation. Results: The instrument was translated and evaluated in 3 rounds of cognitive interview (CI). There were 37 problem items identified in round 1 (14 clarity, 12 cultural, 11 mixed); and resolved to 4 problems by round 3. The pilot-testing language clarity inter-rater reliability was S-CVI/Avg = 0.97 and S-CVI/UA = 0.86; and S-CVI/Avg = 0.96 and S-CVI/UA = 0.83 for cultural relevance. Subject matter expert agreement in matching items to the correct dimensions was substantially equivalent (Kappa = 0.72). Only 1 of 12 dimensions had a low Kappa (0.39), borderline fair to moderate. The remaining dimensions performed well (7 = almost perfect, 2 = substantial, and 2 = moderate). Conclusions: The HSOPSC instrument developed for Peru was markedly different from the other Spanish-language versions. The resulting items were equivalent in meaning to the source, despite the new language and different cultural context. The analysis identified negatively worded items were problematic for target-language translation. With the limited literature about negatively worded items in the context of cross-cultural research, further research is necessary to evaluate this finding and the recommendation to include negatively worded items in instruments. This study demonstrates cross-cultural research with translated instruments should adhere to established guidelines, with cognitive interviews, based on evidence-based strategies.
- ÍtemImportancia del Sitio de Terminación de la Vena Cefálica del Antebrazo(Universidad Cooperativa de Colombia Facultad de Enfermería, Campus Bucaramanga, 2021-04-03) Edgar Giovanni Corzo Gómez; Diana Isabel Cáceres Rivera; Luis Alberto López Romero; Rocío Calderón Mortigo
- ÍtemMEDICIÓN DE LA CULTURA DE SEGURIDAD DEL PACIENTE EN PROFESIONALES DE SALUD DE ATENCIÓN PRIMARIA(Universidad Cooperativa de Colombia Campus Santa Marta, Facultad de Enfermería, 2020-01-24) Camacho-Rodriguez, Doriam
- ÍtemPhysical and mathematical evaluation of fetal cardiotocography using a methodology based on probability and entropy(Universidad Cooperativa de Colombia, 2021-06-04) Villamizar, Magda Liliana Villamizar Osorio; Páez Páez, Jaime AlbertoAbstract—the behavior of fetal heart rate in antepartum cardiotocography traces has been evaluated using a methodology based on the theory of probability and entropy, with which it is possible to quantify how much far away is the abnormal fetal heart rate from normal. Objective: to confirm through a blind study the clinical applicability of a mathematical diagnosis based on probability and the entropy S/k ratio designed to evaluate the cardiotocographic tracing. Methodology: 90 cardiotocographic tracings were taken with a duration of 20 minutes. Then, the frequency of occurrence of the maximum and minimum values of the fetal heart rate was calculated in 10-second intervals. Subsequently, the probability and the S/k ratio of each trace were evaluated. Finally, a mathematical diagnosis was obtained to distinguish normal from abnormal fetal cardiac dynamics. Results: the values of the S/k ratio for the reactive traces varied between -1.9415 to -1.7170 and between -2.3152 and -1.2789 for the non-reactive ones, respectively. Sensitivity and specificity values were both 100% for diagnosing normality and disease with a Kappa coefficient of one. Conclusion: the clinical applicability of the diagnostic parameters of the physical-mathematical methodology was confirmed, by differentiating normal from abnormal states in groups of cardiotocography traces in 20 minutes.
- ÍtemRiesgo de padecer diabetes mellitus tipo 2 en una población adulta del Caribe colombiano(Universidad Cooperativa de Colombia Campus Santa Marta, Facultad de Enfermería, 2021-12-28) Campo-Torregroza, Etilvia; Castro-Calvo, Milagro; Apreza-Valdes, Gabriel; Camacho – Rodríguez, Doriam
- ÍtemSignificado de la promoción de la salud ambiental infantil para profesionales de enfermería de Colombia(Universidad Cooperativa de Colombia Campus Santa Marta, Facultad de Enfermería, 2022-04-25) Camacho-Rodríguez, Doriam; Evies-Ojeda, Ani
- ÍtemThe meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry(Universidad Cooperativa de Colombia Campus Santa Marta, Facultad de Enfermería, 2021-01-28) Pardell-Dominguez, Lidia; Palmieri, Patrick; Dominguez-Cancino, Karen; Camacho-Rodriguez, Doriam; Edwards, Joan; Watson, Jean; Layva-Moral, JuanBackground: Sexual health is a multidimensional phenomenon constructed by personal, social, and cultural factors but continues to be studied with a biomedical approach. During the postpartum period, a woman transitions to mother, as well as partner-to-parent and couple-to-family. There are new realities in life in the postpartum period, including household changes and new responsibilities that can impact the quality of sexual health. This phenomenon is understudied especially in the context of Spain. The purpose of this study was to describe the lived experience of postpartum sexual health among primiparous women giving birth in Catalonia (Spain). Methods: This was a phenomenological study with a purposive sample of primiparous women. Data was collected through semi-structured interviews until saturation. Analysis followed Colaizzi’s seven-step process with an eighth translation step added to limit cross-cultural threats to validity. Also, the four dimensions of trustworthiness were established through strategies and techniques during data collection and analysis. Results: Ten women were interviewed from which five themes emerged, including: Not feeling ready, inhibiting factors, new reality at home, socio-cultural factors, and the clinician within the health system. Returning to sexual health led women to engage in experiential learning through trial and error. Most participants reported reduced libido, experienced altered body image, and recounted resumption of sexual activity before feeling ready. A common finding was fatigue and feeling overloaded by the demands of the newborn. Partner support was described as essential to returning to a meaningful relationship. Discussions about postpartum sexual health with clinicians were described as taboo, and largely absent from the care model. Conclusion: Evidence-based practices should incorporate the best evidence from research, consider the postpartum sexual health experiences and preferences of the woman, and use clinician expertise in discussions that include the topic of postpartum sexual health to make decisions. As such, human caring practices should be incorporated into clinical guidelines to recognize the preferences of women. Clinicians need to be authentically present, engage in active communication, and individualize their care. More qualitative studies are needed to understand postpartum sexual health in different contexts, cultures, and countries and to identify similarities and differences through meta-synthesis