Tesis de Maestría

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Browsing Tesis de Maestría by Author "Merchán, María Gerardina"

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    Actitudes y aptitudes de los profesionales de enfermería en la promoción de la salud de acuerdo al modelo de Nola Pender, Cantón Cañar 2022
    (Universidad de Cuenca, 2023-10-20) Guamán Álvarez, Ana Lucía; Merchán, María Gerardina
    Back Background: in public health settings, the role of nursing in health promotion and prevention has made a difference in the health team; possibly due to their training and the attitudes and aptitudes for their performance in the areas of the first level of care using various health promotion methodologies; within the framework of a biologic, curative, medicalized system. Objective: to describe the attitudes and skills of nursing professionals in health promotion according to the Nola Pender model in Cantón Cañar 2022. Methodological design: qualitative-ethnographic study, voluntary convenience sampling, under the criterion of theoretical saturation by snowball, applying semi-structured interviews to 9 nursing professionals from the first level of care district 03D02, parliaments that were categorized and coded using Atlas.ti (v.22). Results: 43 codes emerged grouped into themes: 1 nursing action in health promotion, 2. Pender model in the community context focused on promotion, and 3. interventions based on comprehensive health needs; three categories encompass the study phenomenon: attitudes, aptitudes and health promotion. Conclusions: nursing professionals from the Canton of Cañar show outstanding attitudes and skills related to health promotion, using the Pender model as a reference, highlighting that they are positive when changing behaviors in the population; and negative due to limitations in the environment due to lack of recognition; This observed reality shows that nursing is fully aware of its responsibility in health care.
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    Determinantes sociales en el autocuidado del adulto mayor que asiste al Centro de Salud N-13-Guayaquil 2022
    (Universidad de Cuenca, 2023-07-19) Quijije Diaz, Rina Vanessa; Merchán, María Gerardina
    Background: the self-care of the elderly is developed within the framework of the social determinants that generate ways of life in the different aspects of their daily lives, these impact people's lives, identifying the forms of self-care in specific groups and their environment contributes to the knowledge of the concrete reality, to raise the quality of health and socioeconomic care by families, community and state institutions. Objective: to identify the social determinants in the self-care of the elderly. Methodology: it was of a quantitative, descriptive, field type; Two structured surveys were used: Socioeconomic Level Stratification and the Lawton and Brody Scale. We worked with a sample of 150 older adults. The data were tabulated through descriptive statistics, presented in frequency tables, and analyzed based on the study objectives. Results: the study group is mostly in the 60-69 age range, women have a 2:1 relationship with men; unemployment involves the majority, their socioeconomic condition is negatively affected, they do not have the necessary resources for daily sustenance; there is dependence on their relatives to carry out self-care activities, which generates feelings of guilt when considering themselves "a burden for others". Conclusions: the study group is located mostly in the "lower middle" socioeconomic scale, leading them to develop dependency, limiting their self-care capacity, which increases with the aging process that decreases their physical (strength, skills) and cognitive capacity.