Trabajos de Titulación - Sede Azogues - Enfermería
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/91
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Examinando Trabajos de Titulación - Sede Azogues - Enfermería por Asesores "Yambay Bautista, Xavier Rodrigo"
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Ítem Acceso Abierto Aspectos ético-legales en el cuidado de enfermería.Revisión sistematica(Universidad Católica de Cuenca., 2025-07-16) Vélez Timbi, Nicole Lizbeth; Yambay Bautista, Xavier Rodrigo; 0106146244Background: Ethical-legal aspects are fundamental to nursing practice, as they ensure the quality of care, the protection of patient rights, and professional responsibility. Objective: To analyze the ethical-legal aspects of nursing care through a systematic review based on PRISMA 2020 guidelines. Methods: A systematic review was conducted to analyze the ethical and legal aspects in nursing. Studies published between 2015 and 2024 in English, Spanish, and Portuguese were included; non-peer-reviewed publications were excluded. The search was carried out in PubMed, Scopus, SciELO, and LILACS using MeSH/DeCS terms. The selection process included three phases: identification, screening, and inclusion, which were documented using the PRISMA diagram. Relevant data were extracted in Excel, and a narrative synthesis of the main findings was elaborated. Results: Twenty-one studies were included, addressing three main areas: bioethical principles, regulatory frameworks, and ethical dilemmas. Uneven application of bioethical principles was observed, influenced by the level of training and institutional support. Legal frameworks, especially in Latin America, were found to be fragmented and outdated. Ethical dilemmas were frequent in critical contexts where institutional guidance was scarce. Conclusions: Ethics in nursing requires a comprehensive approach that integrates practical training, current regulations, and organizational structures that support clinical decision-making. It highlights the need for policies that strengthen the ethical and legal components of nursing practice. Keywords: bioethics, nursing ethics, legal standards.Ítem Acceso Abierto Diseño y validación del Inventario de Riesgo Biopsicosocial para personal de enfermería (IRBSEN)(Universidad Católica de Cuenca., 2024) Saltos Reinoso , Walter Fabian; Yambay Bautista, Xavier Rodrigo; 0303139307Objective: This study aimed at designing and validating an instrument to measure biopsychosocial risk in nursing staff. Methodology: The validation of the content was conducted through the judgments of five experts, and then a confirmatory factor analysis was performed to validate the structure of the questionnaire, composed of 12 items, and the McDonald omega coefficient to assess its reliability, in a sample of 207 participants working as nursing staff in health facilities in five Ecuadorian cities. Results: The factor analysis revealed that a second-order one-factor model with three dimensions (biological, psychological, and social) had a better fit than a single-factor model, with fit indicators within desirable values: X2 /g.l.b= 1.72; p-value= 0.221; RMSEA= 0.059; SRMR= 0.074; CFI= 0.99; TLI= 0.987. The omega coefficient was 0.90, indicating high internal consistency. Conclusion: The instrument demonstrated a robust and reliable structure to measure biopsychosocial risk in nursing staff, with an adequate representation of the three dimensions and high precision in measuring the construct. Keywords: Instrument validity; biopsychosocial risk; internal consistency; construct