Examinando por Materia "Estrategias de Salud"

Mostrando 1 - 20 de 25

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Adherence factors involved in the treatment of cancer patients
(Universidad Privada Norbert Wiener, 1905-07-09) Saravia Reyes, Mabel Magaly; Vilca Huallanca, María Esperanza; Gamarra Bustillos, Carlos
Objective: Determine the adherence factors that intervene in the treatment of cancer patients. Methodology: It is a systematic review in different Medline databases - Pubmed, Lilacs, Scielo and Science direct, following the PICO format, the inclusion criteria were: scientific articles published between 2006 and 2016 in Spanish and English, with selection final of 12 articles. Results: Of the 12 articles reviewed, 100% (12/12 articles) that intervened were the sociocultural factor, which had 59% (7/12), while the factor of adverse effects to treatment had 50% (6/12) and the economic factor has 17% (2/12). The quality of the articles was mostly moderate at 75% (9/12). In the most searched articles it was in the country of Nigeria (3/12) with 25.6%, in which the dimension that most intervened for non-adherence to treatment was the economic factor. Conclusions: The associated adherence factor was, according to this review, multifactorial and involves sociocultural factors, adverse effects of treatment, and economic factors. Strategies and alternatives must be generated to develop early interventions that allow for better therapeutic adherence in cancer patients.
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Anxiety and depression in the ICU nursing staff of a reference hospital in the northern cone of Lima, 2021
(Universidad Privada Norbert Wiener, 2021-09-26) Medina Suarez, Henry Luciano; Fernández Rengifo, Werther Fernando
Introduction: In the world, the catastrophe situation due to the Covid19 pandemic is affecting the mental health of nursing staff and subjecting them to high levels of anxiety that can trigger depressive symptoms with severe consequences for their health, a situation that leads us to rethink prevention and control strategies, for which it is necessary to have evidence that allows these efforts to be guided. Objective: to establish the relationship between anxiety and depression in the nursing staff of the intensive care unit of a reference hospital in the northern cone of Lima, 2021. Methods: the study will be observational, descriptive, correlational and cross-sectional. The population and census sample will be made up of all the nursing staff who work in the intensive care unit of the Cayetano Heredia national hospital in the northern cone of Lima. The sample will be taken between July and August 2021 using two highly reliable questionnaires such as the Generalized Anxiety Disorder Scale and the Generalized Depression Disorder Scale, which will collect data to be processed using non-invasive tests. parametric tests to establish the relationship between both variables in order to predict depression in our staff.
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Aspects related to effective communication between nurses and patients' families
(Universidad Privada Norbert Wiener, 1905-07-09) Buendia Rojas, Claudio Dionisio; Chávez Pajuelo, Miriam Francisca; Gómez Gonzales, Walter Edgar
Objectives: Determine the aspects related to effective communication between the nurse and the patients' families in the area. Methodology/Methods: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using Jover's evaluation to identify their level of evidence. Results: In the final selection, 10 articles were chosen, we found that 40% (04) correspond to Spain, with 40% (04) we find Colombia, while with 10% (01) we find Peru and Mexico respectively. The majority of Cross-Sectional studies have been studied, with 90%, mainly in the countries of Spain, Colombia, Peru and Mexico. And with 10% we have quasi-experimental studies belonging to Spain. Where the aspects related to effective communication of the nurse with the family members considered in the majority of the articles analyzed were: Verbal aspects (Strategies to facilitate understanding), Non-verbal aspects (social skills), heterogeneous positions on the presence of the family , the identification of the nurse and finally the instrumental aspects. Conclusions: It was evident in the reviewed research that to carry out effective communication it is necessary to consider the aspects of communication.
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Degree of dependence of the elderly hemodialysis patient and the overload of the main caregiver in the national renal health center Essalud, 2021
(Universidad Privada Norbert Wiener, 2021-02-24) Llontop Gonzales, Jimmy Hans; Fernández Rengifo, Werther Fernando
The study will provide knowledge regarding the honesty of the qualitative and quantitative situation of the level of dependency of the elderly patient and the level of overload of the main caregiver, which will allow establishing strategies that contribute to reducing the level of overload.
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Describe the influence of the consumption of phytochemicals in skin cancer.
(Universidad Privada Norbert Wiener, 2021-02-26) Huanqui Santiago, Jorge Alberto; Bohórquez Medina, Andrea Lisbet
Skin cancer is a group of neoplastic diseases that originate from the development of cancer cells in some layer of the skin and as a result of exposure to external elements that harm and generate alterations in the DNA. On the other hand, phytochemicals are secondary metabolites processed by plants whose function is to protect plants from infections, excessive radiation, predators, water or salt stress, in addition to providing color and flavor to fruits and vegetables. The present research entitled “Critical review: influence of phytochemical consumption on skin cancer”, aimed to describe the influence of phytochemical consumption on skin cancer. The NuBe methodology was used, which allowed a search for articles related to the problem in various databases, considering articles published from 2014 to the present, selecting 32 articles and of which a review titled “An update” was selected. on the role of dietary phytochemicals in human skin cancer: new knowledge about molecular mechanisms” and which was analyzed by the CASPe method, resulting in a level of evidence I and a strong recommendation level. The study addresses the various phytochemicals found in foods and the anti-inflammatory, antioxidant and anti-cancer properties they have.
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Determining factors of anemia in 6-month-old infants who attend the growth and development clinic at the Viña San Francisco health post, Santa Anita district, Lima 2019
(Universidad Privada Norbert Wiener, 2020-12-20) Villamar Arce, Sheila Yallily; Fernández Rengifo, Werther Fernando
Introduction: The World Health Organization (WHO) states that anemia affects around 800 million children and women in the world. In Peru, iron deficiency anemia is a serious public health problem affecting 46.6% of children. children at very early ages between 6 months and the first year of life, this situation being the same as that observed in the growth and development clinic of the Viña San Francisco health facility in the Santa Anita district, where the percentage of Anemia in 6-month-old infants reaches 39.8%, a figure that remains high in the first half of 2019 despite the health intervention strategies carried out to reduce cases of anemia in the target population. Objective: Describe the determining factors of anemia in 6-month-old infants. Method: The study has a quantitative approach, descriptive, cross-sectional and prospective, presenting a single main variable, the techniques used were documentary analysis and the interview and the instruments used were the monitoring sheet and the questionnaire applied to the mothers of 6-month-old infants with anemia, the population being the total number of infants, which was 27, constituting a census. Results: During the study period, it was identified that, of the total number of infants with anemia, 70.3% had mild anemia, 25.9% had moderate anemia and 3.7% had severe anemia, with the female sex prevailing with 59.2%. Regarding the determining factors of anemia, present: 25.9% of mothers had a history of anemia during pregnancy, it was identified that 85.1% of infants received iron supplementation at the health facility with timely initiation of the supplement and of them 51.7% consumed it in less than 2 months and 56.5% did not consume it daily, with poor adherence to prophylactic treatment. Regarding the type of feeding, 51.8% of the infants did not receive exclusive breastfeeding, its varieties being mixed, artificial breastfeeding and consumption of cow's milk. 1 infant with a history of prematurity and 2 infants with low birth weight were identified; however, none received prophylactic iron supplementation. 55.5% of infants had their complete vaccination for their age, 70.3% of infants did not have complete growth and development controls for their age. In relation to prevalent diseases, 44.4% of infants with anemia presented diarrheal disease and respiratory infections and of them 3 infants were hospitalized. It has been identified that more than 70% of mothers of infants are unaware of the consequences of anemia during pregnancy, the irreversible effects suffered by the child with anemia in their adult life and the areas of psychomotor development that are affected in the child. with anemia. Conclusions: From the results obtained, it is concluded that the majority of infants in the study had mild or slight anemia, with a predominance of the female sex. A good percentage of the infants began iron supplementation in a timely manner at the health facility. However, More than half of them did not comply with the treatment on a regular basis, identifying difficulties in adherence to treatment. Likewise, infants with a history of prematurity and low birth weight were found who did not receive supplementation despite being infants with a risk factor for anemia, it was found that half of the infants with anemia did not receive exclusive breastfeeding until 6 months, being essential for the prevention of the disease, there is non-compliance with the vaccination schedule and growth and development controls in the infants under study, conditioning the risk of suffering from prevalent diseases such as diarrhea and respiratory infections, as is the case, and at the same time losing the possibility of receiving growth controls and timely nutritional evaluation, it has also been identified that most of mothers interviewed, are unaware of the consequences of anemia in children, which could lead to non-compliance with basic nutritional care in the infant by parents from conception.
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Effective coping strategies to reduce burnout syndrome in nurses working in the emergency department
(Universidad Privada Norbert Wiener, 2020-10-25) Huidobro Rojas, Angela Karina; Ramos Estrella, Yissela; Basurto Santillán, Ivan Javier
Objective: Systematize evidence on effective coping strategies to reduce Burnout syndrome in nurses who work in emergency services. Materials and Methods: the design used for this work was the systematic review, based on the GRADE evaluation system, which gives the possibility of evaluating the quality of the evidence of the articles chosen from the following databases: Cochrane Library , British Medical Journal, PubMed, Lancet, Wiley Online Library, Epistemonikos and Elsevier. Results: The review of the articles showed that: 40% correspond to a systematic review, 30% to an integration review, 10% to a systematic review and meta-analysis, 10% to a narrative review and 10% to a bibliographic review. On the other hand, 70% found effective coping strategies to reduce Burnout syndrome in nurses who work in emergency services, while 30% did not find such strategies. Conclusions: Based on the review of the 10 articles, it was found that 7/10 evidenced effective coping strategies to reduce Burnout syndrome in nurses who work in emergency services, while 3/10 did not find such strategies.
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Effective strategies to improve communication among health personnel in a surgical center
(Universidad Privada Norbert Wiener, 1905-07-09) Huarcaya Vaca, Clarissa Domitila; Chung Luna, Jackeline; Remuzgo Artezano, Anika
This is a systematic review of 10 scientific articles that respond to articles published in Spanish, English and Portuguese no older than 5 years. Data collection was carried out through a bibliographic review of both national and international research articles. and where they were found in the following databases Scielo, Pubmed, Elsevier, Scielo, BvsPeru, Lilacs. The main theme was effective strategies to improve communication among surgical center health personnel; Of all the articles that were found, the most important ones were included according to the level of experience and the least relevant ones were excluded. The selected articles were subjected to critical reading, using the grade system to assign the strength of recommendation.
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Effective strategies to strengthen growth and development in children
(Universidad Privada Norbert Wiener, 1905-07-09) Pereyra Campos, Cynthia Karin; Krederdt Araujo, Sherin Luz
Objective: Systematize the best evidence in already completed research; That is, to what extent the research found adds new knowledge to the central question. Material and methods: Information was collected from different articles according to the level of evidence and degree of recommendation. Thus, descriptive and correlational studies were selected. Results: The factors that intervene in the non-attendance of the CRED control of the boy and girl, the mothers and/or caregivers report that the nursing staff is insufficient and they have difficulties with the hours of care, with the waiting time, diversity of tasks of the home. Conclusions: It is detailed that in the range of 4 to 8%, fathers, mothers, caregivers have difficulties taking their children to the CRED due to work schedules, leaving their children in the care of minors, due to ignorance of the importance of the CRED, generating a significant gap between the children who attend the CRED and those who do not attend, which could be decisive, so that the children do not reach optimal development, causing them to be limited in their cognitive development and school performance, limiting their possibilities to access other levels of education, and with low economic productivity when they reach the adult stage of life. This is why it is essential to generate effective strategies to strengthen the growth and development of children; it is necessary to involve the person, family and community in this context, to preserve family health in the population.
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Effectiveness in the communicational nursing strategy directed to the family to improve the care of the adult patients of the intensive care unit
(Universidad Privada Norbert Wiener, 2018-12-16) Dávila Pineda, Stephany Karolin; Ancajima Encalada, Natalie Jaqueline; Bonilla Asalde, César Antonio
Materials and Methods: The systematic review of 10 articles focused on the effectiveness of nursing communication strategies aimed at the family to improve the care of adult patients in the intensive care unit were found in the following databases: Pubmed, Scielo, Epistemonikos, all of which were analyzed using the GRADE scale to determine their strength and quality of evidence. Results: According to the study design, 50% were systematic reviews, 10% were randomized controlled trials, and 40% were descriptive studies. The evidence found shows that 40% (n=40/10) indicated effectiveness in the nursing communication strategy aimed at the family to improve the care of adult patients in the intensive care unit, while 60% (n=60/10) suggested that the nursing communication strategy aimed at the family should be improved to enhance the care of adult patients in the intensive care unit. Conclusion: It was concluded that 4 out of 10 authors indicated that there is effectiveness in the nursing communication strategy aimed at the family to improve the care of adult patients in the intensive care unit. It was also concluded that 6 out of 10 authors suggested that the nursing communication strategy aimed at the family should be improved to enhance the care of adult patients in the intensive care unit.
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Effectiveness of alcohol gel for hand disinfection among healthcare workers
(Universidad Privada Norbert Wiener, 2019-06-30) Marín Tello, Magali Lizeth; Vargas Puclla, Luz; Rivera Lozada De Bonilla, Oriana
Objective: Systematize the effectiveness of the use of alcohol gel for hand disinfection in health personnel. Material and Method: Quantitative study, systematic review. The population consisted of 25 reviewed articles, of which only 10 scientific articles were selected, located in scientific pages such as Pubmed, Cochrane, Scielo and Google academic. All examined according to the Grade scale, allowing their strength and quality of evidence to be defined. The 100% quantitative study (n=10/10) according to the methodological design (4/10) are quasi-experimental, (5/10) experimental and (1/10) systematic review. The countries where the investigations were carried out correspond to Colombia 10%, Korea 10%, Iran 10%, Guatemala 10%, United States 20%, Israel 10%, Mexico 10% and Brazil 20% Results: The review was carried out at 100% ( n=9/10) of the scientific articles examined showed the total effectiveness of the use of alcohol gel for hand disinfection in health personnel and (n= 1/10) shows weakness in its results due to some factors that altered the results (application technique, amount of alcohol gel and drying time.) Conclusions: After having investigated the 10 selected articles on the subject, it is concluded that 90% respond affirmatively about the effectiveness of the use of alcohol gel for hand disinfection in health personnel and only 10%, one could say, do not give full confirmation due to poor handling of the technique, insufficient amount of alcohol gel and drying time. what is needed for such aseptic practice.
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Effectiveness of implementation strategies to improve adherence to care protocols in emergency services
(Universidad Privada Norbert Wiener, 2019-09-22) Ramos Cavero, Carla Vanessa; Chipa Quispe, Lisbeth; Matta Solis, Hernán Hugo
Objective: Systematize evidence on the effectiveness of implementation strategies to improve adherence to care protocols in emergency services. Material and methods: Systematic review, use of the GRADE evaluation system. Databases: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo. The search has been carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. 30% (3/10) of the articles reviewed correspond to the USA and Australia respectively, and 20% (2/10) correspond to Holland, Canada and England respectively. Results: 70% (07/10) of the evidence indicates that the implementation of strategies is effective in improving adherence to protocols in the emergency service, and 30% (3/10) indicates that there is insufficient information, heterogeneity of data and the need to adequately verify scientific articles to determine the effectiveness of implementation strategies in improving adherence to care protocols in emergency services. Conclusions: 7 out of 10 evidence demonstrate that implementation strategies are effective in improving adherence to protocols in emergency services, and 3 out of 10 evidence demonstrate that there is insufficient information, heterogeneity of data and the need to verify scientific articles in a manner adequate to determine the effectiveness of the topic under study.
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Effectiveness of interventions to increase influenza vaccination coverage in health workers
(Universidad Privada Norbert Wiener, 2020-01-25) Márquez Bustamante, Vivian Fiorella; Diaz Gómez, Leyla Haydee; Matta Solis, Hernán Hugo
Objective: Systematize evidence on the effectiveness of intervention strategies to increase vaccination coverage in health workers. Methodology: Systematic review of observational, descriptive design, using the Grade evaluation method to establish the level of evidence, located in information sources: Scielo, Epistemonikos, Pubmed. Results: Of the 10 articles, 90% (n=9/10) agree that, in order to increase vaccination coverage of health personnel, it should be established as mandatory. However, only 10% (n=1/10) of the articles reviewed show that the interventions do not cause the expected impact, with the educational interventions not showing any effectiveness. Causing influenza vaccination coverage to remain low. Other studies mention that vaccination was successful thanks to the use of free mobile devices, weekly promotional emails and raffles for health workers. Conclusions: According to the evidence reviewed, 9/10 articles indicate that the most effective intervention strategy to increase vaccination coverage in health workers is the mandatory policy. In 3/10 of the 10 articles they show that education combined with mandatory vaccination increases vaccination coverage.
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Effectiveness of surgical staff teamwork strategies to improve patient safety
(Universidad Privada Norbert Wiener, 2021-12-12) Bernales Cotaquispe, Antuanet Rosario; Pretell Aguliar, Rosa María
Objective: to systematize the effectiveness of surgical staff teamwork strategies to improve patient safety. Methodology: systematic review; 10 articles from international scientific journals are considered, using GRADE evaluation to identify their level of evidence. Of 10 articles correspond; 70% systematic review, 10% quasi-experimental study, 10% descriptive cross-sectional study, 10% meta-analysis. Results: Of 10 articles reviewed; 20% (2) teamwork evaluation identifies failures and weaknesses that affect safety. 20% (2) communication is a strength to improve teamwork. 20% (2) safe surgery checklists improve compliance with safety measures. 10% (1) effective performance is key because it uses clinical guideline recommendations to encourage the use of strategies and interventions. 10% (1) educational sessions are consistent with previous research on practices to improve teamwork. 10% (1) The safety attitude that could improve the patient safety culture. 10% (1) training with simulators corrects surgical errors, improving results and patient safety. Conclusion: Of 10 articles reviewed, 10 of 10 show the effectiveness of surgical staff teamwork to improve patient safety.
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Factors associated with the abandonment of exclusive breastfeeding in mothers of children under six months old who attend the growth and development service in an essalud hospital, Lima
(Universidad Privada Norbert Wiener, 2020-12-27) Huerta Quispe, Katherine Eva; Pretell Aguilar, Rosa María
Breast milk is the best and only food that every child under 6 months should receive. As recommended by the World Health Organization. Breast milk contains nutrients, vitamins, minerals, water, necessary for the proper growth of the child. In addition to protecting it from allergies and helping to strengthen the mother-child bond. There are various factors that could influence the abandonment of exclusive breastfeeding; social and cultural factors and their relationship between them will be investigated. The present academic work is a quantitative, cross-sectional and correlational study. Its population would be made up of 80 mothers of children under 6 months old who attend the growth and development service of the Essalud Hospital, Lima. What we seek is to demonstrate what are the factors associated with the abandonment of breastfeeding. Its results will allow the creation or search for strategies to strengthen breastfeeding, for the benefit of mother and child.
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Level of knowledge about self-care of the adult patient with a central venous catheter receiving hemodialysis treatment at the Nordial Callao Clinical Center – 2020
(Universidad Privada Norbert Wiener, 2020-11-29) Pablo Huamaccto, Giovana Angelica; Avila Vargas Machuca, Jeannette Giselle
The study will provide knowledge regarding the honesty of the qualitative and quantitative situation of knowledge of the level of self-care of patients with CVC, which will allow establishing a baseline in the implementation of strategies that contribute to self-care adherence in patients with CVC in treatment.
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Level of self-care practices in patients receiving treatment against tuberculosis in a primary care center in San Juan de Miraflores
(Universidad Privada Norbert Wiener, 2020-10-04) Alvarado Tafur, Dina Fortunata; Uturunco Vera, Milagros Lizbeth
The care of people is carried out in permanent interaction, and the scientific knowledge of nursing professionals who directly express the educational and supervision strategies to the person in need of care is essential. The efficiency and effectiveness of its functions depends on this, both in the human aspect and in compliance with the procedures to be carried out with the patient and family. TB alters the quality of life of users. Likewise, when diagnosed it represents great changes in their lifestyle for the user: a costly increase in economic spending and psychological changes, as well as for the family and the State. Furthermore, users require special care regarding TB, as they are considered a labile and risk group, so it is essential to safeguard their full well-being. It is vitally important to determine the level of self-care practices in patients receiving treatment against tuberculosis. The study will help lay the foundations for future research, with the results obtained we will be able to identify what or which areas we must reinforce during patient education, likewise during treatment supervision it will allow us to focus on the precise care that helps to have success of the treatment and with the contributions provided, reduce abandonment rates.
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Lifestyle of older adults who go to a health center in Lima, 2020
(Universidad Privada Norbert Wiener, 2021-06-14) Velez Villacorta, Erica Stefany; Mori Castro, Jaime Alberto
Lifestyle is the result of a person's customs and habits which is influenced by the social, cultural, political and economic environment. Worldwide, populations are aging rapidly and there must be public policies and health guidelines focused on healthy and active aging. In health establishments, the person in charge of the life stage of the elderly is the nurse and the work must be carried out under a scientific foundation and based on theories, such as that of Dorotea Orem in this case. The objective is to determine what the lifestyles of older adults are like, seen from their dimensions of nutrition, activity and exercise, stress management, interpersonal support, self-actualization and health responsibility. The information obtained will encourage the development of strategies and activities. preventive - promotional aimed at this age group. It will have a quantitative, cross-sectional approach, a simple random probabilistic sampling will be used and a lifestyle scale questionnaire will be applied, by Walker E and collaborators, it is divided into six dimensions, diet, activity and exercise, stress management, interpersonal support, self-realization and responsibility in health and is made up of 25 items.
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Occupational stress and coping strategies of nurses in the medicine service (third floor) at Guillermo Almenara Irigoyen Hospital
(Universidad Privada Norbert Wiener, 2015) Castilla Aburto, Justina Victoria; Remigio Silva, Edwin David; Chávez Flores, Erik Mario
The origin of this work is to understand the level of work-related stress in nurses in the Medicine service, a service in which they are constantly exposed to strong emotions, tensions, and risks due to the nature of the patients who come to this service. If we add inadequate working conditions to this, these factors collectively generate "work-related stress," which affects their productivity, leading to poor quality nursing care. The objective of the study is to determine the level of work-related stress and the coping strategies of nurses in the Medicine service (third floor) at the Guillermo Almenara Irigoyen National Hospital. The study is quantitative, descriptive, cross-sectional, and non-experimental in design. The sample consists of 41 nurses from the Medicine service at the Guillermo Almenara Irigoyen Hospital. The instruments used were a Likert-type scale to measure stress and a coping strategies inventory developed by the author Nancy Rondoy, which were subjected to reliability testing. For the Likert-type scale, the Cronbach's Alpha coefficient was used, with a result of Alpha = 0.99, indicating reliability. For validity, Pearson’s correlation coefficient was applied, resulting in a correlation coefficient of R > 0.20, which indicates validity. Similarly, the Coping Strategies Inventory was validated through expert judgment (9 judges), which allowed adjustments to be made according to their suggestions, with a result of p < 0.05, indicating significance. The results were as follows: The majority of nurses (53.7%) presented a medium level of work-related stress. When analyzing the results by dimension, a medium level of work-related stress was also found in the physical, psychological, and social dimensions (61%, 61%, and 53.7%, respectively). 56% of the nurses in the Medicine service (third floor) at the Guillermo Almenara Irigoyen Hospital had a moderately adequate level of coping strategies. Of these, 56% of the nurses had a moderately adequate level of physiological coping strategies, 48% had an adequate level of cognitive coping strategies, and 43% had a moderately adequate level of behavioral coping strategies.
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Parental parenting styles in children under 5 years of age who attend the growth and development clinic of the Chorrillos military polyclinic, 2020
(Universidad Privada Norbert Wiener, 2020-10-04) Mendoza Espinoza, Lila; Uturunco Vera, Milagros Lizbeth
The study of parenting is essential to understand the process of socialization and child development, focusing on the bond between the child and the guardian. This research is related to determining common parenting styles in military families. Therefore, it is vitally important to determine whether future parenting methods are really related to the inappropriate behavior of adolescents, it is important that parents identify and understand their parenting methods established in the family and thus avoid social problems, emotional, mental and cognitive development problems in children. The results obtained will directly benefit nursing graduates of the second specialty, the nursing staff who work at the Chorrillos military polyclinic and the multidisciplinary health team (psychologist, social worker, family doctor, etc.). They will work with intervention strategies such as seminars, conferences, workshops, etc. About good parenting styles and importance, attitudes towards parenting and emotional intelligence, as well as improving communication channels in the family and how it will benefit the children of the military family including father, mother, siblings, relatives and main caregivers.