Morales García, Wilter Eyvi Mardel

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Morales García, Wilter Eyvi Mardel
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  • Publicacion
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    Adaptation and Validation of a Self-Assessment Work Performance Scale for Nursing Staff
    (2024-07-11)
    Morales Garcia, Wilter Charming  
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    Sairitupa Sanchez, Liset Zenaida  
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    Morales García, Wilter Eyvi Mardel  
    Introduction: work performance in nursing is crucial for the effectiveness of health services and the quality of patient care. Factors affecting this performance include work motivation, organizational culture, institutional support, and working conditions. The need for accurate tools to measure work performance in specific contexts, such as nursing in Peru, is imperative, especially given the increased demands and pressures brought about by the COVID-19 pandemic. Objective: this study aims to adapt and validate a Short Version of the Self-Assessment Work Performance Scale for Peruvian nursing staff, ensuring its relevance and psychometric accuracy in this specific context. Method: an instrumental design was used with convenience sampling, selecting 409 Peruvian nurses (M=20,22, SD=2,6). The scale, composed of 10 items, was adapted to Spanish and evaluated through confirmatory factor analysis. Reliability measures such as Cronbach's alpha and McDonald's omega were employed, along with invariance analysis to ensure the scale's consistency across sexes. Results: the factor structure confirmed the construct validity of the scale with a good fit in the unifactorial models (χ² = 139,820, df = 35, p < ,001, CFI = 0,94, TLI = 0,93, RMSEA = 0,07, SRMR = 0,03). Reliability was high, with Cronbach's alpha and McDonald's omega of 0,92 for the general model. The scale demonstrated full measurement invariance across sexes, reinforcing its applicability in gender-divided populations. Conclusions: the scale is a valid and reliable tool for assessing work performance in nursing staff in Peru. Its ability to adequately reflect the specific conditions and challenges of this professional group ensures its utility in the continuous improvement of health service quality and effective management of nursing staff in diverse and demanding contexts
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    Effects of HPV 16 in women with cervical cancer: A narrative review
    (2026-01-01)
    Mundaca Ruiz, Iris
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    Bardales Pérez, Beky
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    Roldán Tananta, Helen
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    Tello Satalaya, Ruth
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    Tuanama Rodríguez, Liz
    Objective: to identify associated factors and clinical factors in patients with diabetes.Method: literature review based on a narrative synthesis.Data sources: Scopus, Science direct, Web of sciencie, Google scholar, PubMed and SciELO.Data selection: The documents were selected and analyzed under a critical review of the literature taking into account the inclusion and exclusion criteria.Results: a corpus of 17 articles was analyzed, of which 7 performed quantitative analyses, 2 retrospective cohort studies, 3 observational studies, 1 experimental methodology study, 1 cross-sectional study, 1 systematic review and 2 descriptive studies.The population studied in the articles includes various categories: women between 30 and 65 years old, adolescents and adults over 60 years old, women attending gynecological check-ups, indigenous women from rural and urban areas and women with prevalence of cervical cancer and other types of carcinomas, in addition to studies for the development of prophylactic vaccines.The studies were carried out in various countries: 2 Turkey, 1 Spain, 1 Chile, 3 Ecuador, 3 China, 1 Indonesia, 1 Mexico, 1 Argentina, 2 Colombia, 1 Italy, each providing a unique perspective to the research.Negative cytology was analyzed in three articles highlighting its presence in healthy women carrying the Human Papillomavirus.Seven articles were also identified that address the prevalence and types of HPV, two that point to factors associated with the development of cervical cancer, and six that address high-and low-grade lesions.Regarding socioeconomic status, 12 articles were conducted in populations in low-income countries, only three were from high-income countries, and one was from a middle-income country.Conclusion: the review showed that HPV type 16 is strongly associated with cervical cancer, with significant impacts in diverse populations and socioeconomic contexts.The studies highlight severe symptoms and high mortality, highlighting the need to strengthen prevention and treatment, especially in resource-limited countries.
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    Hospital-acquired pneumonia: a narrative review
    (2026-01-01)
    Morales Garcia, Wilter Charming  
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    Alvarez Manrique, Victor Daniel  
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    Morales García, Wilter Eyvi Mardel  
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    Vásquez Lomas, Katherin Anais
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    Tangoa Pérez, Susy Caroly
    Objective: to conduct a literature review on hospital-acquired pneumonia through factors, treatment, and prevention.Method: as data sources, Scopus, SciELO, PubMed, Google Scholar were used.Data selection: Documents were selected and analyzed under a critical literature review, considering inclusion and exclusion criteria.Results: a corpus of 19 articles was analyzed, including 6 retrospective studies, 4 systematic reviews, 3 prospective studies, 2 narrative studies, 2 cross-sectional studies, 1 qualitative study, 1 observational study, 1 meta-analysis, one multiple logistic regression analysis, one longitudinal study, one analytical review, one phase III trial, one literature review, and one quantitative study.The population studied included pediatric patients, young people, adults, and the elderly.The studies were conducted in various countries, such as Spain, China, Mexico, Brazil, Canada, the Philippines, the United States, India, Egypt, Peru, France, Romania, Italy, Argentina, Oman, and the Czech Republic, each of which contributed a unique perspective to the research.Two articles addressed neurological factors, 11 focused on manifestations, and 6 dealt with predictive factors.The clinical condition of the patients in the studies, 8 articles analyzed the results of acute ischemic stroke (AIS), severe TBI, craniofacial trauma, moderate TBI, chest trauma, pulmonary contusion, acute diseases, hip fracture, chronic lung disease, periodontal disease, poor oral health, and comorbidities in terms of socioeconomic status.The studies were conducted in countries with diverse resources and incomes, reflecting improved access to effective diagnosis of hospital-acquired pneumonia.Conclusion: NIH and its mortality rate are associated with different factors, with timely diagnosis and appropriate treatment being essential to avoid complications.The collaboration of nursing staff and multidisciplinary collaboration is highlighted to achieve better control and reduce the incidence of nosocomial infections.
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    Influence of Attitude toward Artificial Intelligence (AI) on Job Performance with AI in Nurses
    (2025-01-13)
    Morales Garcia, Wilter Charming  
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    Sairitupa Sanchez, Liset Zenaida  
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    Flores-Paredes, Alcides
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    Morales García, Wilter Eyvi Mardel  
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    Gutierrez-Caballero, Fernando N.
    AI has revolutionized the workplace, significantly impacting the nursing profession. Attitudes toward AI, defined as workers’ perceptions and beliefs about its utility and effectiveness, are critical for its adoption and efficient use in clinical settings. Factors such as age, marital status, and education level may influence this relationship, affecting job performance. This study examines the influence of attitude toward AI on job performance with AI among Peruvian nurses, while also assessing how sociodemographic characteristics moderate this relationship. A descriptive cross-sectional design was used with a sample of 249 Peruvian nurses aged 24 to 53 years (M = 35.58, SD = 8.3). Data were collected using two validated scales: the Brief Artificial Intelligence Job Performance Scale (BAIJPS) and the Attitude toward Artificial Intelligence Scale (AIAS-4). Descriptive statistics, Pearson correlations, and multiple linear regression were applied. A significant positive correlation was found between attitude toward AI and job performance with AI (r = 0.43, p < 0.01). Age (β = -0.177, p < 0.05), divorced marital status (β = -8.144, p < 0.01), and having a bachelor’s degree (β = -3.016, p < 0.05) were negatively associated with job performance, while being from the Selva region had a positive effect (β = 4.182, p < 0.05). A favorable attitude toward AI positively influences nurses’ job performance, highlighting the need for interventions that enhance AI perception. Age, marital status, and education moderate this relationship, suggesting AI adoption strategies should be tailored to different demographic groups.
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    Crohn’s disease: a narrative review
    (2026-01-01)
    Morales Garcia, Wilter Charming  
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    Alvarez Manrique, Victor Daniel  
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    Morales García, Wilter Eyvi Mardel  
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    Vargas Ruiz, Piero Alexander
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    Pisco Salas, Bilha Raquel
    Objective: to conduct a literature review of Crohn's disease based on its causes, risks, and treatments.Method: a literature review based on narrative and systematic synthesis.
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    Resilience and stress as predictors of work engagement: the mediating role of self-efficacy in nurses
    (2023-08-15)
    Cabrera-Aguilar, Elard
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    Zevallos-Francia, Margarita
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    Morales García, Wilter Eyvi Mardel  
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    Ramírez‐Coronel, Andrés Alexis
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    Morales-García, Sandra B.
    Background: Nurses face high levels of stress and work demands, which can affect their work engagement and psychological well-being. Resilience and self-efficacy have been identified as important resources to improve nurses' adaptation and work engagement. Objective: This study aimed to evaluate the mediating role of self-efficacy in the relationship between resilience and stress on work engagement in Peruvian nurses. Methods: A cross-sectional design was used, and data were collected from a sample of 459 nurses. Self-report questionnaires were administered to measure self-efficacy, resilience, stress, and work engagement. SEM analyses were performed to examine the relationship between these variables, and a mediation analysis was conducted to evaluate the role of self-efficacy as a mediator in the relationship between resilience, stress, and work engagement. Results: The results indicated a positive relationship between resilience, self-efficacy, and work engagement, as well as a negative relationship between stress and work engagement. Additionally, self-efficacy mediated the relationship between resilience and work engagement, as well as the relationship between stress and work engagement in nurses. Conclusion: Personal resources such as self-efficacy are a key factor in the relationship between resilience (work resources), stress (work demands), and work engagement of Peruvian nurses. Strengthening self-efficacy and resilience can improve work engagement and personal satisfaction of nurses. Hospital administrators and nursing managers should consider the importance of resilience, stress, work engagement, and self-efficacy in registered nurses and develop effective strategies to improve them. This can have a positive impact on the quality of care provided to patients and on the job satisfaction of nurses.
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    Mpox: Transmission, clinical manifestations, prevention, and treatment – a narrative review
    (2025-02-18)
    Sandoval-Urbano, Erica
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    Pimentel-Betancourt, Jhonny E.
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    Lozano-Gutierres, Kelita M.
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    Julca-Cano, Mirian
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    Alvarez Manrique, Victor Daniel  
    Objective:To identify the transmission methods, symptoms, complications, prevention, and treatment associated with Mpox. Design:Literature review based on a narrative synthesis. Data Sources:Web of Science, Google Scholar, Scielo, ScienceDirect, Redalyc, and Scopus. Study Selection:Documents were selected and analyzed through a critical literature review, considering inclusion and exclusion criteria. Results:A literature review was conducted with a corpus of 17 articles, including 11 narrative reviews, 2 systematic reviews, and 4 statistical analyses. Mpox is more prevalent among children, adults, pregnant women, and homosexual and bisexual individuals. The regions with the highest outbreak incidence are Asia, South America, Europe, the United States, and especially West and Central Africa, where it is endemic. Clinical conditions associated with Mpox include fever, skin rashes, abdominal pain, and meningitis, and it is strongly linked to HIV. Most reported cases have been among lower-class individuals, with some from the middle class. Conclusions: The Mpox virus is transmitted through various means, primarily contact, bodily fluids, and sexual relations between men. It significantly affects children and pregnant women and presents a range of symptoms, with skin lesions being the most frequent, followed by fever, headaches, oral lesions, and others. If left untreated or inadequately managed, it can lead to severe complications, with HIV-positive individuals and immunocompromised patients at the highest risk. Pneumonia can be fatal in severe cases. Good personal hygiene is recommended, and although there are no approved vaccines for Mpox, Tecovirimat and Brincidofovir show potential for approval in case of future outbreaks.
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    Predictors of Intention to Vaccinate Against COVID-19 in a Peruvian Sample
    (2022-01-01)
    Morales Garcia, Wilter Charming  
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    Huancahuire Vega, Salomon  
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    Saintila, Jacksaint  
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    Morales García, Wilter Eyvi Mardel  
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    Fernández-Molocho, Lili
    Background: Vaccination against COVID-19 is considered one of the most effective strategies to control this global public health crisis. However, vaccine hesitancy is one of the main threats to mitigating the pandemic. The present study aimed to identify predictors of intention to vaccinate against COVID-19 in 3 geographical regions of Peru. Methods: An online analytical cross-sectional study was conducted. Participants were selected by non-probability convenience sampling and size was estimated using the online statistical calculator proposed by Soper. A total of 529 Peruvian nationals completed the questionnaires. Student’s t-test and Fisher’s F test (ANOVA) were used. A significance level of .05 was considered. Results: Face-to-face work (β = 2.037, P < .001), fear of COVID-19 (β = .461, P < .001), vaccine confidence (β = 2.881, P < .001) and trust in health care institutions (β = .432, P < .01) predict a higher intention to receive the vaccine. However, the variables perception of a worldwide conspiracy (β = −1.900, P < .001), and practice Protestant religion (β = −2.274, P < .001) predict negatively their acceptance. Conclusion: Several positive predictors of intention to vaccinate against COVID-19 have been identified. However, having a perception of a global conspiracy and practice Protestant religion are shown to be risk variables for vaccine acceptance. Therefore, there is a need to develop strategies to ensure high uptake and success of COVID-19 vaccination campaigns.
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    Influence of Self-Efficacy in the Use of Artificial Intelligence (AI) and Anxiety Toward AI Use on AI Dependence Among Peruvian University Students
    (2025-01-12)
    Morales Garcia, Wilter Charming  
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    Sairitupa Sanchez, Liset Zenaida  
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    Flores-Paredes, Alcides
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    Pascual-Mariño, Jai
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    Morales García, Wilter Eyvi Mardel  
    Background: The advancement of artificial intelligence (AI) in education has transformed the way students interact with technological tools, creating new challenges related to self-efficacy, anxiety, and AI dependence. Self-efficacy refers to one's confidence in their ability to use AI, while AI-related anxiety pertains to the fear or concern when interacting with these systems. These variables can influence technological dependence, affecting academic performance and emotional well-being. Objective: This study aims to examine the influence of self-efficacy in AI use and anxiety toward AI on AI dependence among Peruvian university students. Methods: A descriptive cross-sectional study was conducted with 528 Peruvian university students aged 18 to 37 years (M = 19.00, SD = 3.84). Scales were used to measure AI self-efficacy, anxiety toward AI, and AI dependence. Correlation and multiple regression analyses were applied to identify predictors of technological dependence. Results: The results showed that AI self-efficacy was positively correlated with AI anxiety (r = 0.43, p < .01) and AI dependence (r = 0.61, p < .01). Anxiety also significantly correlated with AI dependence (r = 0.71, p < .01). Multiple regression analysis revealed that both AI anxiety (β = 1.131, p < .001) and AI self-efficacy (β = 0.610, p < .001) predicted AI dependence. Additionally, business administration students exhibited greater dependence compared to students from other fields (β = 1.025, p < .05). Conclusions: Students with higher self-efficacy in AI use tend to utilize AI more frequently but also experience greater anxiety and dependence on AI. Educational interventions should focus on reducing AI-related anxiety to prevent excessive dependence, especially among students.
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    Professional Quality of Life and Job Stress among Nurses in COVID-19 Areas
    (2024-01-01)
    López Mamani, Enoc Tito
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    Arévalo Ipanaqué, Janet Mercedes  
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    Meneses la Riva, Monica Elisa  
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    Morales Garcia, Wilter Charming  
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    Cabanillas Chavez, Maria Teresa  
    Background: the COVID-19 pandemic has posed unprecedented challenges in the healthcare field, notably affecting nursing professionals working in critical areas. These challenges have impacted their professional quality of life (PQoL) and increased job stress levels, which are crucial for both the well-being of healthcare personnel and the quality of care provided to patients. Objective: this study aims to explore the relationship between professional quality of life and job stress among nurses at a medium-complexity hospital in Lima, Peru, during the COVID-19 pandemic. Methods: a quantitative, non-experimental, cross-sectional, correlational methodology was used, with a non-probabilistic sample of 59 nurses. Data were collected through online questionnaires assessing PQoL and job stress, using validated tools such as the Nursing Stress Scale and the PQoL-35 Questionnaire. Results: the majority of participants (69,5 %) perceive their PQoL as good, highlighting high levels of intrinsic motivation and perceived quality of life. In contrast, workload was the most negatively valued aspect. Job stress was perceived as low overall, and a moderate positive correlation between PQoL and job stress (r = 0,517; p < 0,05) was found, suggesting that better working conditions could improve PQoL. Workload was identified as a significant factor of job stress. Conclusions: despite the challenges imposed by the pandemic, nurses maintain a positive perception of their PQoL, especially in terms of intrinsic motivation and perceived quality of life. However, workload is highlighted as a critical factor of job stressBackground: the COVID-19 pandemic has posed unprecedented challenges in the healthcare field, notably affecting nursing professionals working in critical areas. These challenges have impacted their professional quality of life (PQoL) and increased job stress levels, which are crucial for both the well-being of healthcare personnel and the quality of care provided to patients. Objective: this study aims to explore the relationship between professional quality of life and job stress among nurses at a medium-complexity hospital in Lima, Peru, during the COVID-19 pandemic. Methods: a quantitative, non-experimental, cross-sectional, correlational methodology was used, with a non-probabilistic sample of 59 nurses. Data were collected through online questionnaires assessing PQoL and job stress, using validated tools such as the Nursing Stress Scale and the PQoL-35 Questionnaire. Results: the majority of participants (69,5 %) perceive their PQoL as good, highlighting high levels of intrinsic motivation and perceived quality of life. In contrast, workload was the most negatively valued aspect. Job stress was perceived as low overall, and a moderate positive correlation between PQoL and job stress (r = 0,517; p < 0,05) was found, suggesting that better working conditions could improve PQoL. Workload was identified as a significant factor of job stress. Conclusions: despite the challenges imposed by the pandemic, nurses maintain a positive perception of their PQoL, especially in terms of intrinsic motivation and perceived quality of life. However, workload is highlighted as a critical factor of job stress
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