Ciencias de la Salud
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Item FACTORES QUE INFLUYEN EN EL DESEMPEÑO DE LAS PRÁCTICAS CLÍNICAS EN ESTUDIANTES DE ENFERMERÍA(2025-06-17) Sanmartin Rodriguez Karina Beatriz; Herrera López José Luis; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de EnfermeríaNursing is a profession dedicated to the care, attention and promotion of the integral health of the family, so it is considered that the health professional should manage the level of stress from their academic training and clinical practices, so that in the future they know how to deal with various emergency situations and learn to reduce the stress caused by the workload. The general objective of this research was to identify the factors that influence the performance of clinical practices in nursing students at the Technical University of Ambato. The research study had a quantitative approach, nonexperimental design, descriptive scope and cross-sectional cohort, for which 213 students were surveyed during the period May 2024 – September 2024, who perform their clinical practices and who were legally enrolled in the Nursing Career of the Technical University of Ambato. From the findings it is necessary to identify that “lack of competence”, “contact with suffering”, “helplessness and uncertainty”, “not controlling the relationship with the patient”, “harming oneself in the relationship with the patient”, “the patient seeks an affective relationship” and “overload” presented a mean >1.50 which corresponds to mild stress.Item AVANCES DE LA INTELIGENCIA ARTIFICIAL Y SUS APLICACIONES EN EL CAMPO DE LA ENFERMERÍA(2025-06-17) Toapanta Guano, Belgica Guadalupe; Guarate Coronado, Yeisy Cristina; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de EnfermeríaIntroduction: Artificial intelligence is rapidly transforming the field of nursing; adoption of artificial intelligence-based technologies has increased by 50% in the last 5 years, promising to improve efficiency and quality of care. Objective: To analyze the advances of artificial intelligence and its applications in the field of nursing. Methods: Systematic review in databases such as Scielo, PubMed and Google Scholar. The total number of articles was 996, of which 37 articles were selected by applying the inclusion and exclusion criteria, using the PRISMA flowchart. Results: The sample was represented by 37 articles, of which 23 were in PubMed, 11 in Google Scholar and 3 articles in SciELO. Discussion: AI is applied in three main areas: nursing education, hospital setting and health systems. Of note is the use of simulators, intelligent tutors and adaptive learning platforms. In the hospital setting, AI has improved patient monitoring, medication administration and clinical decision making. In healthcare systems, AI has optimized information management and readmission prediction. Conclusion: AI advances in nursing are focused on education, patient care and healthcare management. However, it is crucial to address the associated ethical and privacy challenges, as well as to ensure continuing education of professionals in these areas.Item CUIDADOS PALIATIVOS PEDIÁTRICOS SEGÚN EL MODELO DE MARJORY GORDON: REVISIÓN SISTEMÁTICA(2025-06-17) Vilca Ruiz Joselyn Mayerli; Fernández Nieto Miriam Ivonne; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de EnfermeríaIntroduction: The main objective of pediatric palliative care is to improve the quality of life of children and their families by alleviating the physical, emotional, social and spiritual suffering associated with serious illness. In order to provide adequate care, nursing staff must perform a first-line assessment that is appropriate, and this is what the theorist Marjory Gordon proposes, which she offers to assess with the eleven functional patterns. Objective: To analyze the studies carried out on pediatric palliative care according to Marjory Gordon's model. Methodology: This is a qualitative, retrospective research, through a systematic review using the documentary technique to collect information in different scientific databases such as Google Scholar, Pub Med, Scielo and Dialnet. In addition, Boolean operators such as "AND", "OR" and "NOT" were used, and the PRISMA statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was used to obtain information. Results: 103 articles were located, which were discarded due to their similarity. We were left with 54 documents, of which 5 met the inclusion criteria, which were articles in English and Spanish, published from 2020 to 2024. The studies mentioned that functional patterns are used for care in clinical practice. Conclusion: Studies showed that nursing theories in palliative practice highlight Jean Watson's Theory of Humanized Care, which allows for interventions that are tailored to the needs of the pediatric patient and family.Item PROFILAXIS DEL TROMBOEMBOLISMO VENOSO EN LA UNIDAD DE CUIDADOS INTENSIVOS-ESTRATEGIAS ACTUALES Y PERSPECTIVAS FUTURAS: REVISIÓN SISTEMÁTICA(2025-06-17) Chicaiza Chisag, Bryan Iván; Quenorán Almeida, Verónica Sofia; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de EnfermeríaIntroduction: Venous Thromboembolism (VTE) represents one of the main risks for patients in Intensive Care Units (ICU). The systematic implementation of prophylactic measures significantly reduces morbidity and mortality rates due to this preventable complication. The nursing professional plays a crucial role in the prevention of VTE by planning and executing interventions to reduce this event. Method: Systematic review based on the PRISMA method, using databases such as: PubMed, Elsevier, Cochrane Library in English, Spanish and Portuguese between the years 2018-2024. Results: Adherence to protocols can face several challenges in clinical practice. These challenges include the high workload of nursing staff, variability in team training and experience, and resistance to change in the implementation of new practices. Addressing these barriers is crucial to ensure effective prevention and improve outcomes in critically ill patients. Conclusion: Despite the variability in the quality of the evidence, the need for additional research on the role of combined modalities is emphasized, particularly in subgroups with different levels of patient risk and the impact of nursing staff management. Future study approaches should be successful in providing clinicians with stronger evidence to make more informed decisions based on the individuality of each patient.Item FACTORES QUE INFLUYEN EN LA SATISFACCIÓN DE LOS PACIENTES EN LA ATENCIÓN DE ENFERMERÍA – UNA REVISIÓN DE LA LITERATURA(2025-06-17) Moreta Puca, Luis Fernando; Manzano Quisimalin, Devora Estefanía; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de EnfermeríaSatisfaction can be defined as the difference that exists between the expectations presented by the patient with the perception or care they truly received. This concept is highly complex since it is directly related to a number of factors, including: experiences that has been previously received, expectations, lifestyle, socioeconomic level and very important values, the health system focuses exclusively on user satisfaction since it is an indication of comfort, permanence, control and implies greater demand for services. A bibliographic review is carried out where information was collected and a documentary technique was used, through scientific search engines available on the web, such as articles and publications of a scientific nature that correspond to databases such as: Scielo, PubMed, ScienceDirect, ResearchGate. Allowing an answer to the research question: What are the factors that influence patient satisfaction with nursing care? The PRISMA 2020 methodology was used for literature reviews. Finally, it was shown that in more developed countries, adequate infrastructure, sufficient personnel; They have a better perception by patients of the care provided, while developing countries, which do not have adequate infrastructure or sufficient personnel, obtain a lower rating with the degree of care.Item INTEGRIDAD ACADÉMICA EN LOS ESTUDIANTES DE ENFERMERÍA DE UNA UNIVERSIDAD ECUATORIANA(2025-06-17) Moreta Verdesoto Dayana Maribel; Rojas Conde Luis Geovanny; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de EnfermeríaIntroduction: In educational practice, the level of academic integrity within the university community of the nursing program is essential because it identifies dishonesty as an ethical issue that affects both the educational environment and society.General Objective: To evaluate the state of academic integrity among nursing students at an Ecuadorian university. Methodology: A quantitative study was conducted with observable and measurable variables, using a descriptive scope and a cross-sectional design to identify academic integrity in 132 nursing students at an Ecuadorian university. To this end, a modified version of the Information Technology Attitude Scale developed by Etter et al. (2002) was used, along with an additional knowledge section based on the academic integrity policy of West Virginia University (2012). This combined instrument became the Online Learning Knowledge and Attitudes Survey (SOLKA), which had a Cronbach's alpha of 0.93. Results: The study analyzed 132 students, of whom 128 participated. Sociodemographic data on gender, age, and ethnicity were collected, with a majority of female participants (82.8%) and a high percentage of mestizo students (89.1%). Through a questionnaire, it was found that, although most students disapprove of plagiarism, some consider certain practices acceptable. The study highlights the need for clearer education on academic ethics and the importance of establishing policies that promote integrity in the educational environment. Conclusion: Academic dishonesty, particularly plagiarism, is an increasing problem in education, especially in the training of healthcare professionals. While many students disapprove of plagiarism, some consider it acceptable in certain contexts. It is crucial to implement clear academic integrity policies and promote comprehensive ethical education to train responsible professionals committed to quality in their practice.Item CONOCIMIENTO DE LOS ESTUDIANTES DE ENFERMERÍA SOBRE LOS FUNDAMENTOS DE LOS CUIDADOS PALIATIVOS(2025-06-16) Ayala Torres, Melanie Yajaira; Moyano Calero, Willian Eudrillir; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Carrera de EnfermeríaPalliative care represents a holistic methodology in medical practice, designed to improve the quality of life of people suffering from serious or terminal conditions by relieving pain and other physical ailments while offering emotional, psychological, social and spiritual assistance to both the patient and their families. Objective. To evaluate the level of knowledge about palliative care possessed by nursing students from the Technical University of Ambato. Methodology. Quantitative approach, non-experimental-cross-sectional design and descriptive scope. The population was 133 seventh semester students of the Nursing Degree, from which a sample of 70 students was determined by a simple random probabilistic sampling type, to whom the questionnaire "Palliative Care Quiz for Nurses" was applied. This questionnaire evaluates the level of knowledge about palliative care, consists of 20 items with dichotomous answers. Results. 74.3% of the participants have sufficient knowledge about palliative care, of which 76.1% are women. Pain and symptom management (74.3%) and Philosophy and principles (62.9%) are the dimensions with the most correct answers. However, the Psychological and spiritual dimension (41.3%) becomes the dimension with the least correct answers. Pain treatment is the most understood dimension. Conclusion. Although students show favorable attitudes, it is still essential to increase their academic training in the philosophical and psychosocial dimensions of palliative care.Item ACTITUD DE LOS ESTUDIANTES DE LA CARRERA DE ENFERMERÍA HACIA LAS TERAPIAS ALTERNATIVAS Y COMPLEMENTARIAS(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-09-03) Pujos Cedeño, Josselyn Zuley; Jiménez Peralta, Ana LuciaIntroduction: The use of alternative and complementary therapies has been increasing over the years in Ecuador and in the world with the advent of favorable health policies towards the use of these practices, due to this growing interest it has been included in health programs. nursing training, therefore, this study aims to describe the attitudes of nursing students at the Technical University of Ambato in relation to alternative and complementary therapies Method: Cross-sectional descriptive observational study, with a population of 341 students and worked with a sample of 126 nursing students. Results: To obtain the results, the Complementary and Alternative Medicine health beliefs questionnaire (CHBQ) was applied. Massage, spirituality/prayer and meditation were the most used therapies among students. 64.3% of students use the Internet as the main source of obtaining information about alternative and complementary therapies. A greater proportion of nursing students with positive attitudes towards alternative and complementary therapies was evident. Conclusion: Nursing students reported a positive attitude towards alternative and complementary therapiesItem ESCENARIOS VIRTUALES EN ENFERMERÍA PARA MEJORAR LA FORMACIÓN CLÍNICA EN LOS ESTUDIANTES(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-03) Pombosa Bravo, Brenda Brigitte; Herrera López, José LuisBackground: The evaluation of the effectiveness of virtual scenarios in the clinical development of nursing students will bring significant changes in education, especially if it refers to the practical part, since in this case it will provide the knowledge demanded by each student and will favor the clarification of doubts in a more effective and almost real way. (2) Methods: Research with a quantitative approach, descriptive scope and crosssectional observational design. (3) Results: Through the application of a survey for nursing students of basic training in which 4 parameters were analyzed in a survey of 16 questions, the same in which questions about the application of virtual scenarios to improve their clinical training were addressed. (4) Conclusion: Virtual reality effectively improves knowledge in nursing education because it is more effective than other methods of education in the areas of skills, satisfaction, confidence and performance time.Item LIDERAZGO DE ENFERMERÍA EN EL ÁREA HOSPITALARIA: UN ENFOQUE DE CAMBIO(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-03) Quispe Jiménez, Gloria Estefanía; Chipantiza Córdova, Tannia ElizabethLeadership is one of the key elements to achieve equitable, humane and efficient nursing care models. Under this context, this research was developed with the objective of determining the type of leadership exercised by nursing staff in the hospital area of the Nuestra Señora de la Merced Municipal Hospital, this with the purpose of diagnosing leadership actions that could contribute or in turn harm performance and job satisfaction in the institution, for this purpose a quantitative, correlational, observational and transversal design methodology was used, which included to a total of 19 nursing professionals with different academic achievements and a minimum professional experience of 3 years. The Blake and Mouton Leadership Styles Test was used as a data collection tool, which was applied virtually. According to the research findings, most of the staff perceive that there is a team leader and to a lesser extent authoritarianism is appreciated, a situation that is highly significant because it shows that the nursing leader maintains a balance between the development of specific tasks at the healthcare level and interpersonal relationships with other professionals in the institution.