Introducción: La interacción de los estudiantes de enfermería con los enfermeros clínicos en su lugar de práctica influye en su proceso de aprendizaje, generando posibles modelos mentales de atención que muy probablemente serán replicados cuando los estudiantes egresen. Objetivo: Comprender la experiencia del profesional de enfermería en su relación con el estudiante durante su práctica clínica. Metodología: Estudio cualitativo fenomenológico, con muestreo por bola de nieve, hasta llegar a saturación de datos. Colecta de datos mediante entrevista no estructurada a profundidad, las entrevistas fueron grabadas y transcritas literalmente para el análisis. Resultados: Participaron 19 enfermeros (4 hombres y 15 mujeres) y se identificaron dos categorías: estar-con y coexistiendo con los estudiantes. Conclusiones: El profesional de enfermería considera que los estudiantes deben comprender y trabajar de manera colaborativa para aprovechar su experiencia y conocimientos, evitar las criticas destructivas, así como respetar la individualidad. Una buena relación entre estudiantes y enfermeros clínicos podría llevar a un mejor aprovechamiento de la práctica.

Introduction: The burden of nursing care has not been defined as a theoretical or operational concept. However, several studies have demonstrated its impact on the quality of care, the increase in adverse events, and the health of nursing staff. Objective: To analyze the attributes, factors, antecedents, and consequences associated with the concept of 'burden of nursing care' in order to clarify its meaning. Materials and Methods: A concept analysis was conducted using Walker and Avant's methodological proposal, which examines a concept's defining characteristics and attributes. Results: The burden of nursing care is the relation between the needs of patients and the time available for direct care, management, and education activities. Both intrinsic and extrinsic patient factors can influence the patient's level of dependency and needs, increasing nursing interventions and hours of care, thereby intensifying the burden of care. Discussion: The burden of nursing care involves patient-centered care with adequate resources. The burden of nursing care demands planning and leadership from nurses. A lack of competencies and experience, combined with institutional inflexibility, increases the burden of nursing care, leading to dissatisfaction and adverse events. Conclusions: The burden of nursing care is a concept that is epistemically grounded in the interactive-integrative view because it focuses on meeting patients' needs through nursing interventions for direct care, management, and education.

BACKGROUND: Type 2 diabetes (T2D) is one of the most prevalent chronic diseases in the world and represents one of the main risk factors for cardiovascular diseases. The evidence suggests that inadequate self-care behavior among patients with chronic diseases might negatively affect their health-related quality of life (HRQoL); however, the evidence in older adults with diabetes is inconclusive, and the information is scarce in the Mexican context. Therefore, this study aimed to determine self-care behavior and HRQoL in Mexican older adults with T2D and evaluate the association between both variables. MATERIALS AND METHODS: An analytical cross-sectional design was used. Participants (n = 300) were recruited at six senior centers in Hidalgo, Mexico. The Self-Care Capacity and Perception Test for Older Adults and the brief version of the World Health Organization Quality of Life Scale (WHOQOL-BREF) were used to assess self-care behavior and HRQoL, respectively. The associations between the variables of interest were evaluated by logistic regression models adjusted for confounders. RESULTS: Older adults with inadequate self-care behavior were more likely to have poor HRQoL in all domains of the WHOQOL-BREF: physical health [adjusted odds ratio (aOR) = 4.10; 95% CI = 1.59, 10.57], psychological health (aOR = 6.98; 95% CI = 2.41, 20.19), social relationships (aOR = 7.02; 95% CI = 2.64, 18.67), and environmental health (aOR = 4.25; 95%CI = 1.43, 11.50). Partially adequate self-care behavior also showed a significant association with poor HRQoL. CONCLUSION: Self-care behavior was independently associated with HRQoL in Mexican older adults with T2D. Thus, it is important to plan awareness-raising interventions to improve self-care behaviors in older adults with chronic conditions.

La enfermedad de Alzheimer (EA) se conforma de un grupo de trastornos de progresión de la memoria principalmente, pero con afecciones en otras funciones cognitivas que llevan a un declive funcional que resta autonomía de forma progresiva en las personas que la padecen. Desde el diagnóstico de Alzheimer en el adulto mayor, el cuidado se ve explícito, iniciando una serie de cambios en la familia, las cuales van desde el asumir un nuevo rol, hasta transiciones emocionales y económicas. El cuidador difícilmente es atendido, la mayoría de las estrategias de cuidado van orientadas en capacitar al cuidador para el cuidado. Existen varias técnicas no farmacológicas como la arteterapia, sin embargo, se orientan en el paciente que padece la enfermedad no en el cuidador. La arteterapia puede ser implementada por el personal de enfermería a fin de potenciar la comunicación y expresión de las emociones de las personas cuidadoras, por ello el objetivo es proponer una intervención de enfermería basada en arteterapia para cuidadores de adultos mayores con Alzheimer.

Background The study of spirituality has gained importance, as it correlates with mental health and coping strategies, particularly at times of vulnerability. Spirituality could therefore contribute to the development of interventions to improve people’s quality of life. Experts often base the development of interventions and treatments on instruments measuring constructs such as spiritual well-being, which requires validated, reliable instruments. Objective. This scoping review sought to summarize the evidence in the literature on the instruments available to assess spirituality in different groups and evaluate the content and psychometric properties of these instruments. Method. A search was conducted on PubMed, Virtual Health Library (VHL), Elsevier, Springer, Scopus, and Google Scholar databases, using a combination of keywords such as “spirituality,” “validation study,” and “psychometrics.” The search was restricted to studies published in English and Spanish from January 2013 to March 2023. Results. Sixty-four studies were included in this review. Two categories of analysis were established, the first being constructs related to spirituality and instruments for their measurement, in which a total of 22 conceptual constructs were found. The second was the validity and reliability of the instruments, in which it was found that most studies only assessed construct validity. Discussion and conclusion. Given the complexity of the phenomenon, many instruments lack conceptual boundaries, resulting in similarities between items in instruments measuring different constructs. Determining the attributes and dimensions for the accurate measurement of spirituality is essential.

AIM: To analyze the evidence available on foot reflexology with application of caring consciousness to reduce pain in older adults METHODS: Integrative review carried out in Medline/PubMed, CINAHL, EBSCO Host, SCOPUS, Web of Science, and EMBASE databases using the MESH terms “Aged,” “Pain,” “Musculoskeletal manipulations,” “Nursing,” and “Nursing theory.” in English, Spanish, Portuguese, and French published between 2012 and 2022. The selected studies were exported to Rayyan software and evaluated by title and abstract; after reading the full text, were analyzed according to the PRISMA guide checklist. RESULTS: In this study, 497 articles were found, 4 were selected. 75% of the studies were based on the Ingham method of reflexology. The elements that demonstrate caring consciousness and enhance the healing effect of the therapy were foot grooming, use of essential oils, implementation of relaxation techniques, description of pressure points and combining other therapies. In 75% of the cases, foot reflexology was effective to reduce pain. CONCLUSION: Those authors who apply caring consciousness in the technique of reflexology obtained more significant results in the reduction of pain. The incorporation of external elements shows the intention of nursing to enhance the effects of the therapy, as well as the search for connection with the elderly. Cite this article as: Rosas-Cervantes, E., Jiménez-González, M.J., Rodrigues, R.A.P., Fernandes, D., Aya-Roa, K.J. (2024). Foot reflexology with caring consciousness to reduce pain in older adults: an integrative review. Florence Nightingale Journal of Nursing, 32(2), 190-197.