Introduction: Stigma towards people with mental disorders hinders access to and the quality of healthcare globally. Reducing this situation among healthcare professionals requires specific interventions. Objective: To evaluate the effectiveness of an anti-stigma intervention program for patients with mental disorders at a CESFAM in Biobío. Materials and Methods: A quantitative, analytical, pre-experimental, and longitudinal study was conducted with 40 healthcare professionals selected using stratified random sampling. Participants with more than one year of experience, direct contact with users, and who had attended at least one workshop were included. Those with justified absenteeism from work were excluded. The WHO-HC questionnaire was administered in January 2024 (pre-intervention) and June 2024 (post-intervention). The educational intervention was conducted between March and June 2024. Student’s T-test, Wilcoxon’s W test, ANOVA, Games-Howell post-hoc tests, and Spearman’s Rho coefficient were used for the analysis. Results: The sample consisted predominantly of women (72.5 %) and professionals aged 30-39 (45 %). The mean questionnaire score was 46.2 (SD ± 8.30) at pre-intervention, remaining unchanged at post-intervention (SD ± 9.4). No statistically significant differences were found in the post-intervention questionnaire. Conclusion: No reduction in stigma was evident after the intervention. Differences in stigmatizing attitudes were observed based on age and social class, indicating an increase in stigmatizing attitudes associated with years of service; this suggests the use of more targeted approaches to address the problem.

Introduction: Dysfunctional family processes are associated with negative outcomes in the school performance of children and adolescents, as well as in behavioral and health aspects of their lives. Objective: To develop the nursing process in the care of the families of Nursing students. Materials and Methods: Through a descriptive study, families were assessed using family health instruments (genogram, family APGAR, and ecomap). The North American Nursing Diagnosis Association domain assessment taxonomy, the nursing intervention classification, and the nursing outcome classification were then used for diagnosing, developing and implementing a care plan according to their needs. Results: A total of 101 families were assessed with an average of 3.6 ± 1.1 persons per family, of which 71.3% resided in Cali. Most of the families were nuclear (84.1%), and the most frequent life cycle was expansion (58.4%). The most frequent nursing diagnosis was dysfunctional family processes, with a perception of family dysfunction being around 39.6%; it was identified that as the family moves forward through the successive stages of the life cycle, the members’ perception of family dysfunction increases (p = 0.0176). Another diagnosis was impaired social interaction. The nursing care plan included family support, promotion of family unity, empowerment of socialization, and social skills. Conclusions: The nursing process for the care of families was developed; families expressed satisfaction with the process and willingness to strengthen their self-care based on the tools received.

Introduction: Hypodermoclysis is an alternative method for administering medications and fluids. From this perspective, decision-making tools are useful for systematizing care. Objective: To develop and validate the content and appearance of an algorithm to guide eligibility for hypodermoclysis in adult patients. Materials and methods: Methodological study, developed between April and December 2020, in two stages: Construction of the algorithm and validation of content and appearance. In the first stage, a scoping review was constructed to identify and map the evidence on the eligibility/indication criteria for adult patients to use hypodermoclysis. In the second stage, the Delphi technique was used to evaluate the tool. The consensus among the judges was measured by the content validity coefficient. The item with more than 80% agreement was considered valid. Results: The algorithm uses three dimensions to assess the eligibility criteria for the use of hypodermoclysis in adults, focusing on the main absolute contraindications, such as anasarca, severe thrombocytopenia, and whether there is a need for rapid volume replacement. The content validation reached a total value of 0.95, while the appearance was 0.93, both in Delphi II. After the proposed changes, 100% of the judges recommended the use of the algorithm. Conclusions: The instrument produced and validated in this study constitutes a safe tool for care, because it reinforces the use of evidence-based praxis, as it is an instrument capable of bringing the theoretical field closer to the practical.

Introduction: COVID-19 manifests with acute symptoms. After coronavirus infection, they may persist or new ones may emerge, compromising functional capacity and self-care. This condition has been named “acute post-COVID-19 syndrome”. Objective: To evaluate functional capacity and self-care in post-COVID-19 patients. Materials and methods: This is a descriptive and exploratory study, which evaluated 53 medical records of patients receiving care in a Functional Recovery Program for acute post-COVID-19 syndrome, conducted at a public university, from August 2022 to August 2023. A descriptive and association analysis was performed using Pearson’s Chi-squared or Fisher’s exact nonparametric tests, with a significance level of 5 % (p < 0.05). Results: Most participants were female, aged over 50 and receiving home care during the infection. Associations were found between the length of hospitalization (p = 0.03), having a history of surgery (p = 0.01), and a medium self-care capacity (p = 0.04) with the functional capacity to perform instrumental activities of daily living (IADL). Conclusion: Post-COVID-19 syndrome is associated with medium self-care capacity and partial dependence in terms of IADLs. The finding contributes to the development of health education and care strategies aimed at providing recovery.

The world population is facing one of the greatest threats to the survival of all species. Climate change is affecting people’s health and represents a challenge for the Nursing professionals who are called to work in transdisciplinary teams to evaluate the impact of this phenomenon on human health, to promote healthy environments, to mitigate and adapt the health sector, as well as its impact of the population affected by extreme weather events.

Introduction: The need for care has increased exponentially in recent years, along with chronic noncommunicable diseases. Caregivers have been predominantly women, although in recent years there has been an increase in the number of men assuming this role. Each of them approaches caregiving differently, shaping their caregiving experience differently from one another. Objective: To identify, through scientific evidence, the meaning of being a caregiver for men and women who assume this role. Methodology: This is an integrative literature review of articles published from 2012 to 2023, following Whittemore and Knafl’s proposal. Keywords in Spanish, English, and Portuguese were used. The databases searched were Scopus, CINAHL, Web of Science, Ovid, and PubMed. Twenty-four articles that met the inclusion criteria were analyzed. Results: The following themes emerged: “Losses and limitations due to the caregiver’s role,” “Feelings experienced by the caregiver,” “Caregiving as an act of love,” and “Transcendence of care: between spirituality and religiosity.” Conclusions: It was found that men focus their care on the person’s comfort, cleanliness, and medication, while women provide care focused on continuous emotional support, assuming this commitment at all times and places, building an experience of care aimed at “always being aware.” In both genders, the onset of stress, loss of meaning in life, and negative feelings are highlighted.

The nursing meta-paradigm and its concepts have been previously discussed, but the debate has centered on the concepts rather than the strategies for its implementation. This editorial proposes to broaden the debate regarding the meta-paradigm’s use for the nursing professional and the discipline with its respective contributions to knowledge, practice, and research.

Introduction: Hypertensive disorders of pregnancy represent a maternal and perinatal health problem. Therefore, it is important to identify the beliefs preceding the determinants of health behaviors during pregnancy. Objective: To identify the salient beliefs in the intention for self-care behaviors when facing hypertensive disorders in pregnant women. Materials and Methods: A descriptive study with a quantitative approach guided by the Theory of Planned Behavior. Each questionnaire was designed and its semantic validity was assessed. The sample was convenience one and included 114 pregnant women enrolled in prenatal control at a health institution from Piedecuesta, Santander, who answered the questionnaire via telephone calls between January and February of 2022. Data analysis was descriptive, resorting to absolute and relative frequencies. Results: The positive behavioral beliefs were focused on the mother’s proper nutrition, the baby’s healthy growth and development, disease prevention and control during pregnancy, the mother’s relaxation and peace of mind, and blood pressure control and monitoring. Regarding normative beliefs, health personnel, mothers, husbands, and family members exert positive influences on each behavior. The following were acknowledged among the control beliefs: visiting family members promotes the practice of physical exercises; at the nutritional level, there is a habit of preferring low-salt preparations; both family and social support and habit and preference favor the consumption of fruit, vegetables, legumes and meats; lack of habit avoids the consumption of fats, flours, sugars, caffeine, alcohol, and cigarettes; purchase power favors calcium intake; taking a previous shower promotes rest and sleep, and going to pharmacies allows controlling blood pressure. Conclusions: Identifying the salient beliefs allowed determining those that need to be reinforced, negotiated, or restructured in achieving self-care behaviors when facing hypertensive disorders in pregnancy.

Objectives: To describe and correlate burden and social support in low-income caregivers of chronic patients. Material and methods: A descriptive and cross-sectional study was conducted with 170 low-income family caregivers of people with chronic diseases who answered a survey on sociodemographic and care variables, in addition to the Zarit scale to measure burden and the MOS questionnaire on perceived social support. The analysis was performed using descriptive and differential statistics. Results: Most caregivers were female, and the predominant kinship was father-son. A significant and negative correlation (rs = -.307, p < 0.001) was identified between the caregivers’ burden and perceived social support, as well as a significant and positive correlation (rs = 0.278, p < 0.01) between the time devoted to care and the caregivers’ burden. Conclusions: Low-income family caregivers require more social support to reduce the burden levels.