The 21st century has seen several infectious disease outbreaks that have turned into epidemics and pandemics including Severe Acute Respiratory Syndrome (SARS) which began in Asia in 2003 (Poon,

Objective Integration of environmentally sustainable digital health interventions requires robust evaluation of their carbon emission life-cycle before implementation in healthcare. This scoping review surveys the evidence on available environmental assessment frameworks, methods, and tools to evaluate the carbon footprint of digital health interventions for environmentally sustainable healthcare. Materials and Methods Medline (Ovid), Embase (Ovid). PsycINFO (Ovid), CINAHL, Web of Science, Scopus (which indexes IEEE Xplore, Springer Lecture Notes in Computer Science and ACM databases), Compendex, and Inspec databases were searched with no time or language constraints. The Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA_SCR), Joanna Briggs Scoping Review Framework, and template for intervention description and replication (TiDiER) checklist were used to structure and report the findings. Results From 3299 studies screened, data was extracted from 13 full-text studies. No standardised methods or validated tools were identified to systematically determine the environmental sustainability of a digital health intervention over its full life-cycle from conception to realisation. Most studies (n = 8) adapted publicly available carbon calculators to estimate telehealth travel-related emissions. Others adapted these tools to examine the environmental impact of electronic health records (n = 2), e-prescriptions and e-referrals (n = 1), and robotic surgery (n = 1). One study explored optimising the information system electricity consumption of telemedicine. No validated systems-based approach to evaluation and validation of digital health interventions could be identified. Conclusion There is a need to develop standardised, validated methods and tools for healthcare environments to assist stakeholders to make informed decisions about reduction of carbon emissions from digital health interventions.

Nurses need to have sufficient competencies in nursing informatics to be able to provide safe and efficient care. The Self-Assessment of Nursing Informatics Competencies Scale (SANICS) has been developed and validated as a self-report measure of informatics competencies in Western settings. In this work, we describe the ongoing study that aims to validate and translate SANICS into the Mexican setting.

Diabetic foot affects nearly 6% of people living with Type 2 diabetes (T2D). It is also the most common complication of T2D and is associated with infection, ulceration. eHealth facilitation of Non-communicable diseases management has the potential to increase self-care and engage patients. The aim of this study is to develop an eHealth intervention to prevent diabetic foot.

Introducción: El nivel de Adopción del Rol Materno (ARM) en madres adolescentes es esencial, dado que durante esta etapa las funciones de responsabilidad y decisión no están completamente desarrolladas y pueden afectar el cuidado del bebé. La teoría de la ARM de Ramona Mercer fundamenta este trabajo. Objetivo: Adaptar la Escala de ARM de Garrido y Marchan para probar la validez y confiabilidad en adolescentes mexicanas. Métodos: Análisis estadístico descriptivo e inferencial. Diseño secuencial exploratorio, se realizó adecuación semántica; validación con 10 jueces expertos; prueba piloto realizada en 30 madres adolescentes; la versión final del instrumento se aplicó en 90 madres entre 10-19 años de edad. El anonimato, la confidencialidad y el consentimiento informado fueron considerados. Resultados: Las palabras dar de lactar se reemplazó por dar pecho. Mediante el análisis por jueces se obtuvo el Índice de Validez por Ítem: 7; Criterio de Validez: 12.9%; Índice de Validez de Contenido: 8.7. En la prueba piloto no hubo cambios. En la prueba utilizando la versión final del instrumento, madres con edad promedio de 17.2 ±1.6, el alpha de Cronbach fue 0.824. Discusión: La versión validada de la escala muestra ser sólida en el contexto mexicano y refuerza la escala original dada la adición de los puntos de corte para identificar el nivel de ARM en mujeres adolescentes durante el puerperio inmediato. Conclusiones: La Escala de ARM de Garrido y Marchan es válida y confiable en madres adolescentes mexicanas, esta herramienta puede fortalecer las intervenciones de enfermería para mejorar resultados de salud.