Objective: To determine the relationship between psychosocial risk factors and professional satisfaction of workers working in oncology and palliative care units in a region of Chile. Material and Method: Non experimental, cross-sectional, correlational study with quantitative approach. In the last semester of 2016, the census of health workers was carried out, using an instrument composed of three parts for data collection: a) bio-sociodemographic history, b) SUSESO-ISTAS 21 questionnaire for psychosocial risks, and c) for work satisfaction. International bioethical principles were respected throughout the research. Results: There is a relationship with statistical significance (p≤0,05) between psychosocial risks and job satisfaction at work, the dimension of psychosocial risk with higher risk is psychological demand (x:11,24; DP: 3,06) and dual presence (x: 3,23; DP: 1,90) and the factor in which less satisfaction is perceived is the physical work environment (x: 4,32 DP: 1,77). Conclusion: With the results obtained, it can be affirmed that the workers who work in oncologic units and perceive greater psychosocial risk at work present less satisfaction at work, which can impact on the quality of assistance.

Introducción: La comunicación entre enfermero y paciente que se encuentra en unidades críticas con compromiso vital está limitada por la sedación, ventilación mecánica, y presencia de tubo endotraqueal, interfiriendo en la entrega de cuidados. Objetivo: analizar en la literatura científica publicada cómo se efectúa la comunicación entre el paciente adulto críticamente enfermo y profesionales de enfermería. Metodología: Revisión integrativa de diversas bases de datos. En el análisis crítico, 13 artículos cumplieron los criterios de inclusión. Como criterio de exclusión se consideraron los artículos desarrollados en usuarios pediátricos y otros servicios de hospitalización. Resultados: de la revisión surgieron tres temáticas, a) Métodos de comunicación paciente crítico-enfermero b) Percepción del paciente sobre la comunicación enfermero-paciente c) Factores limitantes en la comunicación enfermero- paciente crítico. Conclusiones: Se concluye que las actividades asistenciales de enfermería en estas unidades se centran casi en su totalidad en acciones biomédicas, relegando a un segundo plano aspectos emocionales. Existe una necesidad de desarrollar habilidades de comunicación para garantizar que todo enfermero que trabaja con pacientes críticamente enfermos, sean capaces de generar una comunicación efectiva con el paciente y su entorno, actuando como agentes de cambio para fortalecer el cuidado de manera holística y humanizada.

Introduction: Artificial Intelligence (AI) encompasses technologies such as machine learning and neural networks, with applications across various fields. The World Health Organization recognizes its potential to enhance healthcare, yet emphasizes the need to address ethical considerations in its implementation. In nursing, AI has the potential to increase autonomy and efficiency in care, though its use remains limited and poorly understood within the profession.Objective: To analyze the use of AI in nursing by evaluating its impact on care functions, administrative tasks, educational activities, and research.Methods: A literature review was conducted, including original articles, reviews, and bibliometric studies. The research focused on AI applications across the four primary functions of nursing.Results: AI has demonstrated benefits in predictive analytics and improving patient care efficiency, as well as in administrative management and patient classification. In education, generative AI facilitates the development of educational materials, although it presents risks of bias. In research, AI serves as an assistant in data search and analysis, despite facing ethical and methodological challenges.Conclusions: AI has the potential to significantly transform nursing practice, enhancing both the quality and efficiency of care. However, its integration necessitates careful management to address its limitations and ensure a positive impact in the field.

Objetivo principal: Reflexionar sobre las barreras para la implementación y uso de la Enfermería basada en evidencia por parte de los profesionales de enfermería. Metodología: Artículo de reflexión, desde un análisis crítico de la literatura. Resultados principales: Se evidenció interés de utilizar la Enfermería basada en evidencia, sin embargo, existen limitaciones como falta de conocimiento en investigación, restringiendo la capacidad de adoptar decisiones con pensamiento crítico, asociado al escaso tiempo, y poco apoyo organizacional limitando la participación de los usuarios en la toma de decisiones. Conclusión: Los profesionales de enfermería deben realizar un esfuerzo con los centros formadores para desarrollar la habilidad de tomar decisiones escuchando la opinión de los usuarios, desarrollando el pensamiento crítico y juicio clínico por medio de investigaciones que sean difundidas en la comunidad para ser incorporadas por los profesionales que se desempeñan entregando cuidados. Objective: Reflect on the impediments generated in the execution and usage of evidence-based nursery-by-nursery professionals Methods: A reflective article based on a critical analysis of literature. Results: The analysis revealed an interest in implementing evidence-based nursery. However, there are limitations such as the lack of knowledge about investigation, which restricts the capacity to adopt an autonomous decision and critical thinking. This is associated with both work burden and the precarious organizational support that restraints the users’ participation in decision-making. Conclusions: The nursery professionals are able to identify deficiencies to incorporate evidence-based nursery into their practices. They have to work closely with training centers to enhance the ability of decision making by listening to the users' opinions, developing both critical thinking and clinical judgment in the researches to be presented to the community by the professionals in charge of care delivery.

Con el desarrollo de estudios en el área, surgieron conceptos como “factores de riesgo psicosocial” (peligros psicosociales) y “riesgos psicosociales”, los cuales según la OIT se utilizan indistintamente por parte de la comunidad científica³, lo que se condice con lo descrito por Crocce Carlotto PA, et al⁴, quienes manifiestan que los factores, factores de riesgo, riesgos, condiciones psicosociales de trabajo y factores de estrés, han sido utilizados como sinónimos. En este sentido, se ha descrito que los riesgos psicosociales son complejos y que todavía no hay una definición aceptada⁵.

Introduction: The "INTEGRA" methodology represents an updated approach for integrative reviews, emphasizing the quality of outcomes in response to a need expressed by the scientific community.Objective: To present the INTEGRA methodology and provide guidelines and recommendations for its application.Methods: This methodological study was conducted in two stages: a) Development of the guideline and b) Analysis. The study was carried out by a team of experts from Chile, Colombia, Mexico, Costa Rica, and Brazil, who met at least one of the following criteria: a) holding a doctoral degree or being a doctoral candidate with experience in conducting literature reviews; b) having experience in developing reviews for or with professionals in clinical-care settings, policymakers, government agencies, or other decision-makers.Results: The "INTEGRA" methodology consists of seven stages: 1. (I) Idea or study problem; 2. (N) Narrowing down the inquiry or objective; 3. (T) Targeting the search strategy; 4. (E) Execution or implementation of the search; 5. (G) Grading and quality control of the results; 6. (R) Reviewing the results; 7. (A) Analysis and discussion.Conclusions: The application of the "INTEGRA" methodology will provide authors with guidelines for developing integrative reviews and improving the quality of contributions in this field.