Evaluation of job satisfaction in nursing staff of the Dr. Gustavo Domínguez General Hospital, Ecuador

Introduction: personal satisfaction is related to how people see their work, as well as their attitudes towards it. This entity depends on internal and external factors to the worker. Nursing staff, due to the characteristics of the profession, find themselves in many situations. sometimes subjected to situations that cause dissatisfaction with their work environment. This study was conducted with the aim of evaluating job satisfaction in nursing workers.Methods: a descriptive, observational, cross-sectional study was conducted on 73 nurses from the Dr. Gustavo Dominguez Hospital, Ecuador. A survey was applied using a Google Forms form, consisting of 23 questions structured into the following factors: supervision exercised by their superiors; the physical work environment; material benefits; intrinsic to the work; remuneration, basic benefits, and interpersonal relationships.Results: males predominated (46.7%), 39.7% were “very dissatisfied” with personal relationships with supervisors, 42.5% were “quite dissatisfied with the physical environment”, only 4.1% were “very satisfied” with salary and career advancement opportunities, and 28.8% rated intrinsic job satisfaction as “quite dissatisfied”.Conclusions: The presence of job dissatisfaction was identified in more than half of the nursing staff surveyed, with a higher negative assessment of the physical environment and intrinsic satisfaction. The above findings could be interpreted as an indicator of poor functioning and management of services in the institution

Prevention and health promotion: A strategy for linking academia with society

Introduction: Health promotion, as defined by the WHO, aims to strengthen individual and community capacities to improve social, environmental, and economic conditions, achieving a comprehensive impact to prevent disease onset, slow its progression, and minimize its consequences. In Latin America, Primary Health Care (PHC) policies have been promoted since 1986, despite challenges related to equity and sustainability. In Ecuador, following the COVID-19 pandemic, the Ten-Year Health Plan 2022-2031 was implemented as a public policy to establish objectives, strategies, and goals for improving population health. Aligned with this initiative, PUCESE has developed programs to promote health through its community outreach efforts. Method: This study employed a cross-sectional, descriptive, and retrospective analysis of data recorded in Excel, which included the total number of interventions and anonymized information about the project beneficiaries. Results: A total of 2,591 residents from northern communities in the province of Esmeraldas benefited from a single medical care intervention. This intervention identified key health conditions and facilitated the development of individualized and collective promotion and prevention measures tailored to the population’s needs. Conclusions: Community outreach initiatives strengthen public health policies and foster strategic partnerships to ensure access to basic services, reducing morbidity and mortality. Human-centered PHC enhances prevention and improves quality of life through integrated care networks. Moreover, promoting healthy habits and addressing social determinants of health are vital to combating poverty, inequality, and malnutrition, thereby contributing to the development of just and sustainable societies

Effectiveness of diet therapy compared to medical pharmacological treatment for iron deficiency anemia in residents of the temporary shelter in the Jesús del Gran Poder neighborhood, aged 18 to 75 years, Santo Domingo

Introduction: food plays an essential role in the incorporation of iron, a mineral necessary for the growth and development of the body. Diet therapy is applied to people who suffer from a disease; in this case, iron deficiency anemia, consisting of a decrease in hemoglobin levels in the blood due to iron deprivation.Objective: to determine the effectiveness of diet therapy compared to pharmacological treatment to treat iron deficiency anemia in people from the Jesús del Gran Poder neighborhood, in the period February-May, Santo Domingo 2021Methods: quasi-experimental longitudinal study, for data collection a sociodemographic data sheet was used and a blood count was performed to corroborate the diagnosis. The sample was divided into a control and experimental group, each group of 15 participants. The control group was given 50 g of oral iron, once a day, and the experimental group received diet therapy workshops for three months.Results: at the end of the treatment, the results of the intervention showed that 53% of the experimental group had moderate anemia and 47% had mild anemia, while 80% of the control group had anemia and 20% had mild anemia. After the intervention, 100% of both groups significantly overcame anemia, demonstrating the effectiveness of the experimental treatment.Conclusions: a decrease in iron deficiency anemia was obtained compared to the control sample; although the difference between the levels was not significant, there was an efficacy in the application of the natural treatment

Prevalence of intestinal parasitosis in children aged 0 to 10 years from a rural area in Esmeraldas, Ecuador

Introduction: Intestinal parasitosis is an infection of the digestive tract caused by protozoa and helminths, transmitted by contaminated water and food, contact with infected soil or from person to person. It represents a public health problem, with high prevalence in children, especially in tropical and subtropical areas. Factors such as poverty, lack of hygiene and limited access to drinking water favor its spread. In Latin America, the prevalence ranges between 20-80%, with an impact on child development. In Ecuador, it mainly affects children due to immunological immaturity and poor sanitary conditions. The aim is to know the prevalence in the Tachina parish to reinforce control strategies, promoting hygiene, sanitation and deworming campaigns to reduce infection and improve child health. Methods: The study has a cross-sectional, descriptive, and retrospective approach of anonymized data descriptively analyzed in SPSS 20.7. Results: 445 children from 0 to 10 years old were analyzed, with greater representation of the 5–10-year-old group (55%). Parasitosis affected 69% of cases, predominating in the 5-10 age group (67%). Polyparasitism was more frequent (59%) than monoparasitism (41%). Protozoa were the most common parasites, with Entamoeba coli standing out (30%). Among helminths, Ascaris lumbricoides was the most prevalent (59%). Conclusions: The results highlight the high parasitic load in children, with a predominance of polyparasitism, possibly due to inadequate hygiene habits or lack of access to drinking water. Therefore, it is recommended to reinforce education in personal hygiene and healthy habits in schools and communities

Quality of nursing care for patients

Introduction: quality of care refers to services linked to nursing, so specific care has been designed for each patient. It is the discipline that governs the relationship between nurse and patientObjective: to characterize the quality of nursing care towards patients.Method: a review of the available bibliography in databases such as SciELO, Scopus and ClinicalKey was carried out, from which a total of 16 related articles were consulted, empirical methods such as logical history and analysis and synthesis were used.Results: nursing has been one of the most rewarding and important careers throughout the decades. Humanized care is essential for health care. Furthermore, it is based on treating patients with empathy and respect. The quality of care argues that it is the reflection of patient satisfaction and dissatisfaction towards the problems or benefits observed in medical institutions, nursing care is to generate adequate care for the well-being and recovery of the patient. Different care techniques are carried out, such as care and health practicesConclusions: in general terms, the quality of nursing care has proven to be essential in the entire field of medical care, both in general and emergency areas or other specialized areas. Its importance is evident in many ways, both practical and theoretical

Psychiatric comorbidity in hospitalized patients evaluated by psychiatric consultation in a Brazilian tertiary hospital: A study protocol

Introduction: The prevalence of mental disorders in the general population has been increasing in recent years, with the incidence of these diseases being even higher in hospitalized populations. The rates of depression in these patients are four to five times higher than in the general population. In this regard, it is important to understand the incidence of psychiatric disorders in different sectors of tertiary hospitals to recognize, locate, and treat the main pathologies and provide better medical care to hospitalized patients. Objective: To assess the prevalence of psychiatric disorders and the demographic profile of patients hospitalized in a tertiary hospital in Brazil who underwent psychiatric consultation. Method: This is an observational, descriptive, analytical, and retrospective study that will be conducted through the collection of patient records via psychiatric consultation, gathering demographic data and hospitalization-related data such as the origin of admission, primary diagnosis, psychiatric diagnosis, proposed treatment, among others. Conclusion: The identified challenges include the underutilization of psychiatric consultations and variability in the protocols adopted. Improving services requires data uniformity and proper diagnosis to optimize hospital care quality and reduce costs

Professional role during Nursing Care for the postpartum woman with a risk approach

Introduction: The postpartum period is a stage in a woman\u27s life in which the risks of developing complications are high, and where nursing plays a leading role. However, in the context where the research is being carried out, no research has been identified related to a characterization of the professional role during nursing care in the postpartum period with a risk approach.Objective: To characterize the professional role during nursing care for postpartum women with a risk focus at the Tobati District Hospital, 2024.Methods: Non-experimental research, descriptive in scope with a quantitative approach. The survey was used as an empirical method validated in the study. Universe comprised 28 nursing professionals, from which a sample of 24 professionals was obtained through an intentional non-probabilistic sampling by criteria that represent 85.7% of the universe. The ethical principles of the research were taken into account, the subjects investigated accepted their voluntary participation and were informed of the possibility of abandoning the study when they considered it.Results: The knowledge dimension, physical and emotional changes, human needs reach a weighted index of 4.31, 4.04, 4.19 respectively, which favors an assessment of the professional role during Nursing Care for the postpartum woman with a risk approach as appropriate.Conclusions: The results reveal that the professional role during Nursing care with a risk approach reaches an adequate value, when considering the dimensions identified in the operationalization process of the variable

Nursing Leadership in the Arab World: Challenges and Opportunities for Success

Background: Nursing leadership in the Arab world is essential for improving healthcare outcomes, enhancing nurse performance, and ensuring efficient service delivery. However, nurse leaders in the region face significant challenges, including workforce shortages, gender disparities, inadequate leadership training, and policy restrictions.Objective: This study examines the challenges and opportunities for nursing leadership in the Arab world, emphasizing strategies to enhance leadership capacity and foster sustainable growth.Methods: A comprehensive analysis of existing literature was conducted to identify key barriers to nursing leadership, including cultural norms, regulatory constraints, and resource limitations. Additionally, opportunities such as leadership training, gender inclusivity, and policy reforms were explored.Results: Findings indicate that nurse leaders struggle with workforce instability due to high turnover rates and reliance on expatriate nurses. Gender disparities limit female career advancement, while insufficient leadership education restricts professional growth. Hierarchical resistance to change further hinders leadership effectiveness. However, opportunities exist in expanding leadership education, promoting gender equity, and strengthening policy frameworks. Transformational leadership approaches, inter professional collaboration, and technological integration can enhance leadership effectiveness.Conclusion: Strengthening nursing leadership requires targeted reforms, including investment in education, mentorship programs, and regulatory improvements. Encouraging gender inclusivity, research initiatives, and digital learning platforms can drive long-term progress. Addressing these challenges will improve patient care, workforce stability, and healthcare system resilience across the Arab world

Control and inspection of prescription drugs, narcotic drugs, psychotropic substances and others with similar effects

Introduction: The appropriate use of medications has emerged as a crucial public health issue, given that misuse can have serious repercussions on people\u27s health and finances. This phenomenon requires a multidisciplinary approach involving sectors such as education, economics, and social communication, due to associated risk factors such as work-related stress and anxiety. Objective: To describe the control and oversight of prescription drugs, narcotics, psychotropic substances, and other substances with similar effects. Development: The paper highlights the need for a solid legal framework and ongoing training for health professionals in best practices. Collaboration between government agencies, health institutions, and community organizations is essential to address the problem of substance abuse. Furthermore, the paper emphasizes the importance of evidence-based protocols and guidelines to guide prescribers in making appropriate decisions. Conclusions: Despite efforts, significant challenges persist in the regulation and oversight of medications. It is essential to promote education and ethics in prescribing, as well as to establish pharmacy and therapeutics committees to improve the quality of health care. The availability of reliable information is key to ensuring safe and effective use of medications.

Immune thrombocytopenia a key piece of the puzzle for the diagnosis of atypical systemic lupus erythematosus in critically ill patients. Case report

Introduction: immune thrombocytopenia (ITP) is an autoimmune disorder characterized by autoantibody-mediated destruction of platelets, resulting in low platelet count and increased risk of bleeding, and may be an initial manifestation of systemic lupus erythematosus (SLE), especially in patients with findings suggestive of autoimmunity.Clinical Case: a 52-year-old male presented with fever, hematuria, generalized petechiae (including mucous membranes), myalgia, mucosal bleeding, oliguria progressive to anuria, and severe arterial hypertension. Initial studies revealed severe anemia, severe thrombocytopenia, and acute kidney injury, which led to his admission to the Intensive Care Unit (ICU). Complementary studies showed positive ANA, low complement (C3, C4), and positive anti-Ro, while anti-dsDNA antibodies, ANCA, and markers of antiphospholipid syndrome were negative. Imaging revealed pulmonary edema with mild alveolar hemorrhage and renal ultrasound findings consistent with active lupus nephritis. These findings raised the possibility that severe thrombocytopenia was a prelude to SLE. After initial treatment refractory, the patient was escalated to rituximab, with a favorable response without complications, which allowed discharge from the ICU.Conclusions: this case highlights the importance of considering SLE in patients with refractory thrombocytopenia without apparent cause, even in men, and underlines the need for a multidisciplinary approach for timely diagnosis and treatment, thus preventing serious complications