Objective. To describe the construction and validationprocess of a Model of professional practice of schoolnursing for Colombia. Methods. Study under theapproach of “methodological research in nursing” carriedout by the Colombian network of school nursing, withthe participation of 26 nurses from different institutionsin a research developed in three stages: revision ofantecedents, identification and prioritizing of assumptionsto construct the model, and validation of the preliminaryproposal with the participants and with a group of experts. Results. The study presents the components that werepart of the construction of the model of professionalpractice of school nursing for Colombia, which includesthe four meta-paradigmatic elements of this professionaldiscipline: the receptor of care, the context, nursing, andhealth, as well as the prioritized assumptions that indicatehow these elements interact in achieving the student´s wellbeing and that of the education community. It includes the report from a focalvalidation group with the participants in which they summarize as education andhealth: a care bond, and the concept by experts on such. Conclusion. The Model of professional practice of school nursing for Colombia: education and health:a care bond, constructed in participative manner with nurses experts in the fieldand validated with theoretical experts complies with the international guides forthe design of this type of theoretical construction and permits guiding the caregoals of students, maintain the autonomy of the nurses and their interprofessionalparticipation in this field.

El objetivo del presente artículo es determinar el bienestar espiritual (BE) del personal de enfermería y su aporte ético a la humanización en salud. El método seguido corresponde al enfoque cuantitativo, descriptivo, transversal. El muestreo es no probabilístico, constituido por 148 enfermeros de dos instituciones de salud de la ciudad de Bogotá (A y B). Se aplicó instrumento SHALOM-3 para medir el bienestar espiritual (disonancia y armonía) en los dominios personal, trascendental, ambiental y comunal. En cuanto a los resultados, la evaluación del BE mostró un alto porcentaje de armonía en las dos instituciones; sin embargo, se encontraron porcentajes de disonancia en la institución B, en los dominios trascendental (16 % vs 22 %), ambiental (12 % vs 19 %) y personal (11% vs 18%). Se destaca la importancia del Bienestar Espiritual para la humanización de los servicios de salud en el ámbito hospitalario, dado que contribuye a la mejora continua y a la garantía de calidad, preocupaciones relevantes para la bioética en el estudio del clima ético en las instituciones de salud.

Objective. This work sought to describe the meaningof receiving artificial nutritional support in people in thepostoperative period of abdominal surgery. Methods.This was a qualitative study of grounded theory, followingthe guidelines by Corbin and Strauss. The informationwas collected through 26 in-depth interviews with 21participants, interned in a tier III health care hospital inthe city of Tunja, Colombia. Results. The study describesfour categories, which account for the way in which theperson experiences physical, physiological, emotional,and social changes when receiving artificial nutritionalsupport. The categories include stopping eating andbecoming artificially fed, decreasing the ability to moveto recover movement, experiencing the difficulty of having artificial nutritional support, and reaching the disease to transform life. The dataanalysis shows that the basic surgical pathology and the artificial nutritional supportare sudden events that fragment the daily life of the person. These individualsdemand the mobilization of religious, family, and social resources to strengthen theperson’s internal and external environment and, thus, achieve the health situation. Conclusions. The analysis of the meanings shows how the person reflects andinterprets the reality of receiving artificial nutritional support, an event that hasimplicit physical discomfort, emotional changes, and physical appearance, whichare determinants in the behavior and practice of artificial nutrition. However,artificial nutritional support becomes for the person an alternative to live and recoverthe state of health.

Hospitalization due to non-transmissible chronic disease (NTCD) affects people and health institutions negatively. Healthcare systems need integral strategies to minimize this impact. Objective To determine the effect of an anticipated care plan, structured around hospital discharge (PC-AH-US), regarding the caregiving load of people with NTCD residing in Colombia, 2019–2021. Method This is a quasi-experimental study with pre- and post-intervention measurements. It includes 1170 participants who represented 585 chronic disease patient–caregiver pairs. We compared the PC-AH-US intervention, to the regular intervention. Results The PC-AH-US intervention group showed better results in all dimensions when compared to the regular intervention group: Awareness 8.7 (SD: 0.7) and 6.8 (SD: 1.7); Acknowledgement of their unique conditions 11.3 (SD: 1.0) and 9.4 (SD: 1.8); Capacity to fulfill care tasks 8.8 (SD: 0.7) and 7.5 (SD: 1.5); Wellbeing 11.4 (SD: 0.90) and 8.87 (SD: 2.3); Anticipation 5.88 (SD: 0.4) and 4.7 (SD: 1.1) and Support Network 11.4 (SD: 0.8) and 9.9 (SD: 2.5). Conclusion The PC-AH-US intervention group showed a statistically significant decrease in the caregiving load for people with NTCD ( p < 00). There were no significant institutional differences in readmissions or deaths. The PC-AH-US intervention backs institutional policies meant to care for people with NTCD.