Resumen: Este artículo estudia las prácticas comunicativas del movimiento Pueblos Unidos de la Cuenca La Antigua por los Ríos Libres, en Veracruz, México. El objetivo es identificar elementos clave de la perspectiva cultural local que sostuvieron la resistencia colectiva contra el despojo territorial y la destrucción ambiental. Tras analizar las estrategias y los mensajes desplegados en protestas públicas, se describe el papel de la comunicación en la estructuración y el fortalecimiento de la movilización social basada en valores colectivos sobre el territorio; entre estos valores se encuentran la identidad biocultural, la defensa de la forma de vida local y los derechos ambientales.

Abstract: This paper studies the communicative practices of the movement United Peoples of the La Antigua Basin for Free Rivers in Veracruz, Mexico. Its aim is to identify key elements of the local cultural perspective that underpinned collective resistance against territorial dispossession and environmental destruction. After analyzing the strategies and messages deployed in public protests, it describes the role of communication in structuring and strengthening social mobilization based on collective values about the territory; these values include biocultural identity, the defense of the local way of life, and environmental rights.

Resumen: Esta investigación tiene por objetivo analizar el liderazgo en un escenario post COVID-19 en el sector de salud pública, en los hospitales de La Serena y Coquimbo, en la región de Coquimbo (Chile). Se propone un modelo relacional con catorce hipótesis, utilizando ecuaciones estructurales a través del método de mínimos cuadrados parciales. Los resultados muestran que la calidad del servicio es consecuencia de la influencia positiva, directa e indirecta de la comunicación efectiva y el empoderamiento del equipo de trabajo, donde su varianza es explicada en un 53.4%, mientras que el desarrollo organizacional tiene una incidencia de 43.8% y 53.1%, respectivamente. Se concluye que es importante incentivar el desarrollo de un liderazgo empático dentro de las organizaciones de salud pública y sus equipos de trabajo, no solo para una buena atención dirigida a los pacientes y familias, sino también como un medio para lograr elevar la reputación institucional.

Abstract: This research study aims to analyze leadership in a post COVID-19 scenario in the public health sector, in the hospitals of La Serena and Coquimbo, from the Coquimbo region (Chile). A relational model with fourteen hypotheses is proposed, using structural equations through the partial least squares method. The results show that service quality is a consequence of the positive, direct, and indirect influence of effective communication and work team empowerment, where its variance is explained by 53.4%, while organizational development has an incidence of 43.8% and 53.1%, respectively. It is concluded that it is important to encourage the development of empathetic leadership within public health organizations and their work teams, not only for good care directed to patients and families, but also as a means to raise institutional reputation.

ABSTRACT Introduction: in the teaching-learning process the student is not an isolated person, his activity is developed through communication and exchange of information with his classmates, the teacher and the environment; conditions that favour collaborative learning. Objective: to describe the characteristics of the teaching-learning process based on collaborative learning. Methods: a search for information was carried out in the PubMed/MedLine, SciELO and Scopus databases, as well as in the ClinicalKeys services and the Google Scholar search engine. Original articles and systematic reviews written in the last five years, in Spanish or English, were selected. Development: the aspiration to comprehensively train the medical sciences student is inserted in the context of the transformations of the improvement of the educational system in Cuba, and the active teaching methods. The teaching-learning process of the subject of clinical pharmacology should be imbued with the active teaching method. The proposal made for the solution of the social problem identified, starts from considering the causes that generate it, as well as the social consequences of the same, an important role has the social responsibility of the researcher. Conclusions: pedagogical alternatives are needed to achieve a change in the conduction of the teaching-learning process. In collaborative learning, cognitive, affective, relational and motivational processes are put into action. This implies taking advantage of autonomous work, developing the cognitive independence and professional competences of teachers and creativity, with the aim of achieving improvement in the methods and forms of the process under analysis.

RESUMEN Introducción: en el proceso enseñanza-aprendizaje el estudiante no es una persona aislada, su actividad se desarrolla a través de la comunicación e intercambio de información con sus compañeros, el profesor y el entorno; condiciones que favorecen el aprendizaje colaborativo. Objetivo: describir las características del proceso enseñanza aprendizaje basado en el aprendizaje colaborativo. Métodos: se realizó una búsqueda de información en las bases de dato PubMed/MedLine, SciELO y Scopus, así como en los servicios ClinicalKeys y el buscador Google Académico. Se seleccionaron los artículos originales y revisiones sistemáticas redactados en los últimos cinco años, en idioma español o inglés. Desarrollo: la aspiración de formar integralmente al estudiante de las ciencias médicas se inserta en el contexto de las transformaciones del perfeccionamiento del sistema educativo en Cuba, y los métodos activos de enseñanza. Al proceso de enseñanza- aprendizaje de la asignatura farmacología clínica debe imprimírsele el método activo de enseñanza. La propuesta que se realiza para la solución del problema social identificado, parte de considerar las causas que lo generan, así como las consecuencias sociales del mismo, un papel importante tiene la responsabilidad social del investigador. Conclusiones: se necesitan alternativas pedagógicas para lograr un cambio en la conducción del proceso de enseñanza-aprendizaje. En el aprendizaje colaborativo se ponen en acción procesos cognitivos, afectivos relacionales y motivacionales. Esto implica aprovechar el trabajo autónomo, desarrollar la independencia cognoscitiva y las competencias profesionales de los profesores y la creatividad, con el objetivo de alcanzar el mejoramiento en los métodos y formas del proceso objeto de análisis.

Resumen El presente trabajo pretende demostrar, a través de un estudio de caso, las necesidades de aprendizaje en una asignatura práctica perteneciente al grado de Comunicación Audiovisual de la Universidad Complutense de Madrid, para comprobar las posibilidades que ofrece el autoaprendizaje como complemento a la formación presencial. El principal objetivo del estudio es analizar la percepción del alumnado sobre la adquisición de conocimientos a través de estrategias de autoaprendizaje dentro de la asignatura tecnológica experimental denominada "Edición y Postproducción". Para ello se ha realizado una investigación cuantitativa, exploratoria, descriptiva y relacional con una muestra de 154 participantes, según un cuestionario con tres categorías de análisis centrado en: 1) formación y aprendizaje, 2) dedicación y métodos de trabajo, y 3) resolución y ayuda complementaria. Los resultados obtenidos permiten extraer conclusiones sobre la idoneidad del proceso formativo actual, las necesidades que implican el aprendizaje y la utilidad de un sistema formativo de autogestión para complementar la formación presencial. demostrar caso Madrid presencial Edición Postproducción. Postproducción . Postproducción" cuantitativa exploratoria 15 participantes 1 2 3 complementaria actual

Resumo Este artigo pretende demonstrar, através de um estudo de caso, as necessidades de aprendizagem numa disciplina prática pertencente ao curso de Comunicação Audiovisual da Universidade Complutense de Madrid, a fim de verificar as possibilidades oferecidas pela auto-aprendizagem como complemento da formação em sala de aula. O objetivo principal do estudo é analisar a percepção dos alunos sobre a aquisição de conhecimentos através de estratégias de auto-aprendizagem na disciplina tecnológica experimental denominada "Edição e Pós-produção". Para o efeito, foi realizada uma investigação quantitativa, exploratória, descritiva e relacional com uma amostra de 154 participantes, segundo um questionário com três categorias de análise centradas em: 1) formação e aprendizagem, 2) dedicação e métodos de trabalho e 3) resolução e ajuda complementar. Os resultados obtidos permitem tirar conclusões sobre a adequação do processo de formação atual, as necessidades de aprendizagem e a utilidade de um sistema e formação autogerido para complementar a formação presencial. demonstrar caso Madrid autoaprendizagem auto aula Edição Pósprodução. Pósprodução Pós produção . Pós-produção" efeito quantitativa exploratória 15 participantes 1 2 3 atual presencial Pós-produção

Abstract The aim of this paper is to present, through a case study, the learning needs in a practical subject included in the Audiovisual Communication degree at the Complutense University of Madrid. The aim is to verify the possibilities offered by self-learning as a complement to classroom teaching. The main objective of the study is to analyse the students’ perception of the acquisition of knowledge through self-learning strategies within the experimental technological subject called "Editing and Postproduction". For this purpose, a quantitative, exploratory, descriptive and relational research has been carried out with a sample of 154 participants, according to a questionnaire with three categories of analysis focused on: 1) training and learning, 2) commitment and working methods, and 3) resolution and additional help. The results will allow conclusions to be drawn about the adequacy of the current training process, the learning needs and the usefulness of a self-management training system as a complement to classroom training. present Madrid selflearning self teaching students Editing Postproduction. Postproduction . Postproduction" purpose quantitative exploratory 15 participants on 1 2 methods 3 help process selfmanagement management

Abstract The low participation of women in the field of Information and Communication Technologies (ICT) continues to be a relevant issue globally due to persistent gender disparities in this sector. Explanations for this phenomenon demonstrate that it is a multifaceted issue involving individual, relational, and structural aspects of gender roles. At the national level, despite women constituting more than 60% of enrollments in tertiary education, their presence in key careers for the ICT sector barely reaches 23% (CUTI, 2019). This work seeks to identify explanatory factors for the low participation of women in Computing-related careers. To achieve this, first, a review and categorization of specialized literature at the international level are proposed. Secondly, an analysis will be conducted on the perception of qualified informants regarding the causes of underrepresentation of women in computer-related careers at the national level. The combination of these two analytical approaches enables the generation of relevant evidence regarding the manifestation of gender barriers in different educational stages, throughout the lifespan, and at various levels, from the individual to the structural. The obtained results have the potential to contribute to the design of policies aimed to address gender inequalities in the ICT sector.

Resumen La escasa participación de mujeres en el ámbito de las Tecnologías de la Información y la Comunicación (TIC) sigue siendo un tema relevante a nivel global debido a las persistentes disparidades de género en este sector. Las explicaciones a este fenómeno señalan que es resultado de múltiples causas que abarcan aspectos individuales, interpersonales y estructurales de los roles de género. A nivel nacional, a pesar de que las mujeres constituyen más del 60% de las matrículas en la educación terciaria, su presencia en las carreras fundamentales para el sector TIC apenas alcanza el 23% (CUTI, 2019). Este trabajo busca identificar los factores explicativos sobre la baja participación de las mujeres en las carreras relacionadas con la computación. Para ello, primero se realiza una revisión y categorización de la literatura especializada a nivel internacional. En segundo lugar, se lleva a cabo un análisis de la percepción de informantes calificadas sobre las causas de la subrepresentación de mujeres en las carreras relacionadas con la computación a nivel nacional. La combinación de estos dos enfoques analíticos permite problematizar y sintetizar la influencia de los roles de género como factores explicativos en las distintas etapas educativas y a lo largo del curso de vida. Los resultados obtenidos tienen el potencial de contribuir al diseño de políticas destinadas a abordar las desigualdades de género en el sector de las TIC.

Resumo A baixa participação das mulheres no campo das Tecnologias da Informação e Comunicação (TIC) continua sendo um tema relevante globalmente devido às persistentes disparidades de gênero neste setor. As explicações para esse fenômeno indicam que é resultado de múltiplas causas que abrangem aspectos individuais, interpessoais e estruturais dos papéis de gênero. Em nível nacional, apesar de as mulheres constituírem mais de 60% das matrículas no ensino superior, sua presença em carreiras fundamentais para o setor de TIC mal ultrapassa os 23% (CUTI, 2019). Este trabalho busca identificar os fatores explicativos para a baixa participação das mulheres em carreiras relacionadas à computação. Para isso, primeiro propõe-se realizar uma revisão e categorização da literatura especializada em nível internacional. Em segundo lugar, será realizado uma análise da percepção de informantes qualificadas sobre as causas da sub-representação de mulheres nas carreiras relacionadas à computação em nível nacional. A combinação dessas duas abordagens analíticas possibilita a geração de evidências relevantes sobre a manifestação das barreiras de gênero nas diferentes etapas educacionais, ao longo do curso da vida e em diferentes níveis, desde o individual até o estrutural. Os resultados obtidos têm o potencial de contribuir para o desenho de políticas destinadas a abordar as desigualdades de gênero no setor de TIC.

Resumen: Este escrito forma parte de un proyecto de investigación UBACyT radicado en la Facultad de Psicología, UBA. Su objetivo es indagar en los procesos de transformación llevados adelante en prácticas participativas que articulan salud mental y comunicación en un Hospital monovalente de salud mental de la Ciudad de Buenos Aires durante la pandemia por COVID-19. Se trata de un estudio cualitativo, exploratorio y descriptivo que toma como objeto de indagación las prácticas desarrolladas por la Organización Civil La Colifata desde la perspectiva de sus actores. Se tomaron entrevistas en profundidad y se realizó un conversatorio con integrantes de los equipos de coordinación. El proceso de sistematización del material recogido utilizó técnicas de análisis de contenido. Como resultados se presenta una caracterización de la experiencia y las principales transformaciones en contexto de pandemia, incorporando obstáculos, aprendizajes y fortalezas. Se discute la dimensión vincular y su relación con la perspectiva de cuidados, así como lo significativo del sostenimiento de una dimensión deseante y creativa en la experiencia estudiada. Se concluye que dicha perspectiva vincular y el fortalecimiento de una red de cuidados significativa se han constituido en elementos clave para el sostenimiento de actividades en contexto de excepcionalidad.

Abstract: This text is part of a research project funded by UBACyT and conducted at the Faculty of Psychology, UBA. Its objective is to investigate the transformation processes carried out in participatory practices that articulate mental health and communication in a Psycho-assistance Hospital in the City of Buenos Aires during the COVID-19 pandemic. This is a qualitative, exploratory, and descriptive study that takes as its object of inquiry the practices developed by the Civil Organization La Colifata from the perspective of its actors. In-depth interviews were conducted, and a conversation was held with members of the coordination teams. The process of systematizing the collected material used content analysis techniques. The results present a characterization of the experience and the main transformations in the context of the pandemic, incorporating obstacles, learning, and strengths. The relational dimension and its relationship with the perspective of care are discussed, as well as the significance of sustaining a desiring and creative dimension in the studied experience. It is concluded that this relational perspective and the strengthening of a significant care network have become key elements for the sustainability of activities in exceptional contexts.

Resumo: Este texto faz parte de um projeto de pesquisa financiado pela UBACyT e realizado na Faculdade de Psicologia, UBA. Seu objetivo é investigar os processos de transformação realizados em práticas participativas que articulam saúde mental e comunicação em um Hospital Psicoassistencial da Cidade de Buenos Aires durante a pandemia por COVID-19. Trata-se de um estudo qualitativo, exploratório e descritivo que tem como objeto de investigação as práticas desenvolvidas pela Organização Civil La Colifata a partir da perspectiva de seus atores. Foram realizadas entrevistas em profundidade e uma conversa com membros das equipes de coordenação. O processo de sistematização do material coletado utilizou técnicas de análise de conteúdo. Os resultados apresentam uma caracterização da experiência e as principais transformações no contexto da pandemia, incorporando obstáculos, aprendizados e pontos fortes. É discutida a dimensão relacional e sua relação com a perspectiva de cuidado, bem como a importância de manter uma dimensão desejante e criativa na experiência estudada. Conclui-se que essa perspectiva relacional e o fortalecimento de uma rede de cuidados significativa se tornaram elementos-chave para a sustentabilidade das atividades em contextos excepcionais.

Abstract Scientific activity and its products have assumed the role of mediating devices in the digital information and knowledge network, which requires new forms of mediation, new mediating agents, new skills, and new habits of producing, accessing, and disseminating research. The objective of this theoretical essay is the interpretative analysis of the information regime of contemporary scientific communication, through the Latourian approach, considering the challenges and opportunities of digital technologies in the contemporary context. Different perspectives on the process of knowledge construction are discussed, and above all, the role of the scientist in the face of the new configurations of the current context of the scientific revolution, based on the conceptual relationships and historical milestones of scientific communication, especially with regard to open access. The discussion points to multiple mediations when the research itself can also be a mediation device, an element that integrates a complex network in which humans and non-humans are, simultaneously, actors, mediators, and information intermediaries. It is concluded that the relational notion approach to the information regime of the digital information and knowledge network expands the scope of analysis beyond exclusively human interactions in science communication, contributing to a more holistic and precise view of the complex networks that influence and shape scientific and social practices. agents skills producing accessing communication discussed all revolution access device nonhumans non simultaneously actors mediators intermediaries practices

Resumo A atividade científica e seus produtos têm assumido o papel de dispositivos mediadores na rede digital de informação e conhecimento, o que exige novas formas de mediação, novos agentes mediadores, novas competências, novos hábitos de produzir, acessar e disseminar pesquisas. O objetivo deste ensaio teórico é a análise interpretativa do regime de informação da comunicação científica contemporânea, por meio da abordagem latouriana, considerando os desafios e as oportunidades das tecnologias digitais no contexto contemporâneo. Discute-se as diferentes perspectivas sobre o processo de construção do conhecimento, sobretudo, o papel do cientista frente às novas configurações do atual contexto da revolução científica, a partir das relações conceituais e marcos históricos da comunicação científica, em especial, no que tange ao acesso aberto. A discussão aponta para uma mediação múltipla, quando a própria pesquisa pode ser também um dispositivo de mediação, elemento que integra uma rede complexa na qual humanos e não-humanos são, de forma simultânea, atores, mediadores e intermediários da informação. Conclui-se que a abordagem da noção relacional para o regime de informação da rede digital de informação e conhecimento amplia o escopo de análise para além das interações exclusivamente humanas na comunicação da ciência, contribuindo para uma visão mais holística e precisa das redes complexas que influenciam e moldam as práticas científicas e sociais. competências produzir pesquisas contemporânea latouriana contemporâneo Discutese Discute se sobretudo especial aberto múltipla nãohumanos não são simultânea atores Concluise Conclui ciência sociais

BACKGROUND: The significance of the context, or the environment, is pivotal in influencing the practices of management accounting OBJECTIVES: This article aims to explore the significance, methods and challenges of accounting information exchange in buyer-supplier collaborations METHOD: In buyer-supplier collaborations, data are gathered from 13 semi-structured interviews and 250 questionnaires. The analysis is conducted using SPSS version 25, employing non-parametric Kruskal-Wallis test and content analysis techniques RESULTS: Respondents recognise its benefits but prefer informal communication. Challenges such as diverse systems and mistrust hinder formal sharing. Despite obstacles, informal channels remain effective, although concerns about data leakage persist, leading to a conservative approach CONCLUSION: In the Egyptian textile supply chain, members prioritise individual goals over collective ones. Informal methods, such as backdoor access, facilitate accounting information sharing among buyer-supplier partnerships. Formal sharing protocols are lacking, with limited one-way technical data exchange. Trust issues and data security concerns persist. Despite the absence of formal disclosure, cost estimations remain feasible. The company adopts a conservative approach, limiting access to records in most cases CONTRIBUTION: In essence, the article not only sheds light on the complexities and nuances surrounding accounting information sharing in the textile supply chain but also emphasises the resilience of informal communication channels in overcoming challenges. As the industry navigates these dynamics, recognising the importance of relational ties and informal exchanges could be pivotal in fostering a more efficient and collaborative supply chain ecosystem

BACKGROUND: The near-miss approach assumes that mothers facing life-threatening conditions such as severe pre-eclampsia and postpartum haemorrhage share common risk factors. Among these women, those who survive (near-miss cases) can offer insights into the determinants, providing valuable lessons for understanding underlying factors AIM: To investigate elements of continuity and coordination leading to obstetric near misses SETTING: A major referral hospital and its referral pathway in Kenya METHODS: Explanatory sequential mixed-methods design RESULTS: Near-miss survivors had lower continuity and coordination of care indices during antenatal visits (COCI = 0.80, p = 0.0026), (modified continuity of care index [MCCI] = 0.62, p = 0.034), and those with non-life-threatening morbidity in the first trimester were more likely to experience a near miss (aOR = 4.34, p = 0.001). Facilities in the western region had a higher burden of near misses compared to the Eastern region. Qualitatively, three deductive themes were identified: sequential coordination, parallel coordination and continuity, along with factors classified as access. In mixed integration, poor continuity indices were explained by quality of interpersonal relationships and woman centredness. Poor coordination was explained by inadequate teamwork between providers in referring and referral facilities and between primary health facilities and the community. Higher near-miss rates in the western region resulted from differences in human and physical resources CONCLUSION: Promoting woman-centred care, teamwork, improving communication and introducing innovative coordination roles like case and care managers can enhance continuity and coordination of maternal healthcare CONTRIBUTIONS: This study contributes to our understanding of the challenges of continuity and coordination in maternal healthcare in resource-poor settings by applying the WHO operationalisation of continuity and coordination using mixed methodology

PURPOSE: Responsible leadership has gained significant attention in contemporary management scholarship. Despite significant advances made in the burgeoning corpus of knowledge, a paucity of studies focusses on developing economies with a dearth of studies underscoring specifically the public sector DESIGN/METHODOLOGY/APPROACH: A qualitative research methodology was implemented and operationalised by means of a policy analysis. Ascribed to leadership activities within the public sector being linked to policy directives, a policy document analysis was deemed an appropriate approach. Content analysis was utilised as a data analytical method which consists of a systematic evaluation of the content of written or verbal communication for the purpose of identifying themes FINDINGS/RESULTS: Findings are captured in a conceptual framework, which infers that leadership in the context of the public sector is consistent with the tenets of responsible leadership. Themes that emerged from the analysis include leadership antecedents, leadership roles, motivational drivers, and responsibility towards internal and external stakeholders. Leadership antecedents include psychological characteristics, aptitude and conative orientation. Normative, relational and operational roles were evidently stimulated by normative and intrapsychic motivation PRACTICAL IMPLICATIONS: The contribution relates to how responsible leadership in terms of theoretical tenets and practical applicability might support policy makers and public sector leaders to improve the implementation of the National Development Plan (NDP) as a societal meta-framework for sustainable development in a multi-stakeholder context ORIGINALITY/VALUE: A dearth of research focuses on responsible leadership in the context of a developmental state especially theorising within the public sector indicative of the originality of the research

This article examines the church as a trinitarian hermeneutical community through the insights of Vanhoozer and the speech act theory. Vanhoozer explained that through the speech act theory, the church should accept the Bible as a communication act of the Triune God and interpret the Triune God in it, and the church should live a life representing the Triune God. This article agrees with his argument, but as there is a point to revise and supplement his discussion from the speech act theory, it re-examines the church as a trinitarian interpretive community. This explains the unification of the epistemological (revelational), ontological and relational perspectives of the Triune God by not separating the immanent Trinity from the economic Trinity. Also, Trinitarianism as a communicator is used to account for the relationship and activity of the Triune God's perichoresis in the church community and the church in the interpretive community. CONTRIBUTION: This article engages the church as a trinitarian hermeneutical community of Vanhoozer, and it redeems and reconsiders his argument in the speech act theory. By explaining the communication behaviour of the Trinity and the church, it describes the activities of the Triune God and the appearance of the church, living and working in the church community

Resumo Este estudo objetivou compreender o processo de comunicação de más notícias na perspectiva de residentes de medicina. Trata-se de uma pesquisa qualitativa, exploratória e descritiva, realizada com 12 residentes de medicina que estão se especializando em Clínica Médica em um hospital do sul do Brasil. Os dados foram coletados através de entrevista semiestruturada e analisados por meio de análise de conteúdo. Os resultados foram agrupados em quatro categorias: concepção e comunicação de más notícias, formação profissional, critérios utilizados para a comunicação de más notícias e desdobramentos do processo de comunicação. A transmissão de más notícias foi descrita como complexa, devido aos aspectos emocionais associados, exigindo preparação e competência do profissional. A formação médica, na perspectiva dos residentes, foi considerada insuficiente na capacitação para comunicar más notícias. Isso foi justificado pelo enfoque prioritário ao conhecimento técnico-científico no currículo, em detrimento dos aspectos subjetivos da relação médico-paciente-família. Diante dessa dificuldade, a racionalização foi identificada como a estratégia de enfrentamento psicológico comumente usada pelos entrevistados para a manutenção da objetividade e o controle dos próprios sentimentos. Uma formação humanística em medicina busca integrar os aspectos emocionais e relacionais aos conhecimentos biomédicos, o que se configura um investimento complexo e desafiador, mas eminentemente necessário.

Abstract This study aimed to understand the process of communicating bad news from the perspective of medical residents. This is a qualitative, exploratory and descriptive research carried out with 12 medical residents who are specializing in Medical Clinic in a hospital in the south of Brazil. Data were collected through a semi-structured interview and analyzed through content analysis. The results were grouped into four categories: conception and communication of bad news, professional training, criteria used to communicate bad news and unfolding of the communication process. The transmission of bad news was described as complex, due to the emotional aspects associated, requiring professional preparation and competence. Medical training, from the residents' perspective, was considered insufficient in the capacity to communicate bad news. This was justified by the priority focus on technical-scientific knowledge in the curriculum, to the detriment of the subjective aspects of the doctor-patient-family relationship. Faced with this difficulty, rationalization was identified as the psychological coping strategy commonly used by the interviewees, to maintain objectivity and control their own feelings. Humanistic training in medicine seeks to integrate the emotional and relational aspects of biomedical knowledge, which constitutes a complex and challenging investment, but eminently necessary.

Resumen La lectoescritura posibilita la comunicación e interacción de las personas con el mundo. En el caso de estudiantes de educación media superior, esta actividad se refleja en el rendimiento escolar y es fundamental para adquirir otros aprendizajes. Cuando el estudiante no ha desarrollado correctamente esta habilidad, se convierte en un problema que afecta todas sus dimensiones relacionales. Por este motivo se planteó identificar las principales dificultades que enfrenta el alumnado en relación con los códigos de lectoescritura en educación media superior, así como el contexto de producción de los escritos. La metodología se basó en el enfoque cualitativo de carácter exploratorio, utilizando el método de análisis de contenido. La información se obtuvo mediante la recolección de 100 documentos elaborados por 20 estudiantes de primer año de educación media superior de una institución privada del Estado de Puebla. El análisis y categorización de los escritos se realizó con el software ATLAS.ti versión 9.0.7. Los resultados que se muestran en este trabajo parten del análisis de tres textos de producción estudiantil: cuaderno de viaje, ensayo y anecdotario. Se concluye que las prácticas de lectoescritura muestran los rasgos que definen las competencias comunicativas asimiladas en el transcurso de la vida escolar, su funcionamiento y cómo se relacionan los y las estudiantes con la sociedad. Lo que permite reflexionar sobre el diseño de nuevas estrategias de enseñanza-aprendizaje de la lectoescritura.

Abstract Reading and writing enable communication and interaction between people and the world. In the case of high school students, this activity is reflected in school performance and is essential for acquiring knowledge. When students have not developed this skill correctly, it becomes a problem that affects all their relational dimensions. For this reason, it was proposed to identify the main difficulties faced by students in relation to literacy codes in high school, as well as the context of production of the writings. The methodology was based on the exploratory qualitative approach, using the content analysis method. The information was obtained from one hundred documents written by twenty first-year high school students from a private institution in the State of Puebla. The analysis and categorization of the writings was carried out with ATLAS.ti software, 9.0.7 version. The results shown in this paper are based on the analysis of three types of texts produced by the students: travelogue, essay, and anecdote paper. It is concluded that such literacy practices give proof of the abilities that define the communicative competences assimilated during school life, how they function and how students relate to society. This makes it possible to think about designing new teaching-learning strategies for literacy.

Abstract Background: Assessing patient satisfaction allows obtaining relevant indicators to implement strategies for improving the quality of care and, consequently, patient satisfaction. Objective: To identify patients’ perceived satisfaction with nursing care and assess its association with sociodemographic and professional variables. Methodology: Analytical, cross-sectional, and exploratory study with a quantitative approach. The Escala de Satisfação do Cidadão face aos Cuidados de Enfermagem (Citizen Satisfaction with Nursing Care Scale) was applied to a sample of 100 patients in a medical-surgical emergency unit. Results: The mean perceived satisfaction was 217 ± 57.8. In this sample, 41.8% of participants had high perceived satisfaction, 23.2% had moderate perceived satisfaction, and 35.3% had low perceived satisfaction. A statistically significant correlation was found between satisfaction and education level: participants with lower education levels had higher perceived satisfaction (239 ± 60.8). Conclusion: Technical, relational, and communication skills training is important to improve the quality of care and increase satisfaction with nursing care at an individual and institutional level.

Resumen Marco contextual: La evaluación de la satisfacción de los usuarios permite obtener indicadores importantes para poner en marcha estrategias que promuevan la atención sanitaria y, con ello, la satisfacción. Objetivo: Identificar la percepción de la satisfacción de los usuarios con respecto a los cuidados de enfermería y evaluar su relación con las variables sociodemográficas y profesionales. Metodología: Estudio transversal, analítico, exploratorio y cuantitativo basado en la aplicación de la Escala de Satisfacción del Ciudadano frente a los Cuidados de Enfermería (ESCCE) en una muestra de 100 usuarios de un servicio de urgencias médico-quirúrgicas. Resultados: Se obtuvo una puntuación media de satisfacción percibida de 217 ± 57,8. También se observó que el 41,8% de la muestra tenía una percepción de satisfacción elevada, el 23,2% una satisfacción moderada y el 35,3% una satisfacción baja. Se encontró una relación estadísticamente significativa con la variable nivel de estudios: los encuestados con menor nivel de estudios tenían una mayor percepción de satisfacción (239 ± 60,8). Conclusión: Los resultados sugieren que es relevante la formación en competencias técnicas, relacionales y de comunicación, como estrategias para promover el cuidado y la satisfacción, a nivel individual e institucional, respecto a los cuidados de enfermería.

Resumo Enquadramento: A avaliação da satisfação dos utentes permite obter indicadores importantes para implementar estratégias promotoras de cuidados de saúde, e como tal, de satisfação. Objetivo: Identificar a perceção de satisfação dos utentes relativamente aos cuidados de enfermagem e, avaliar a sua relação com as variáveis sociodemográficas e profissionais. Metodologia: Estudo transversal analítico, exploratório, de cariz quantitativo, a partir da aplicação da Escala de Satisfação do Cidadão face aos Cuidados de Enfermagem (ESCCE), numa amostra de 100 utentes, numa urgência médico-cirúrgica. Resultados: Obteve-se uma pontuação média de perceção de satisfação de 217 ± 57,8. Constatou-se ainda que 41,8% da amostra, apresentou uma perceção elevada de satisfação, 23,2% moderada e 35,3% de baixa satisfação. Verificou-se uma relação estatística significativa com a variável habilitações literárias: os respondentes com menor nível de habilitação, apresentaram uma perceção de satisfação mais elevada (239 ± 60,8). Conclusão: Os resultados sugerem a pertinência em formação de competências técnica, relacional e comunicacional, como estratégias promotoras dos cuidados, e de satisfação, ao nível individual e institucional relativamente aos cuidados de enfermagem.

This quantitative study examines the student's perception of what their relationship with their lecturers should be to enhance higher education teaching and learning, as well as students' success. The finding of the study reveals the students' perception and expectations of a lecturer's role in maintaining good pedagogical relations at the higher-education level. These roles were framed within four cardinal themes: students' academic development, social relationships, respect and trust, and the ethics of care. The finding also reveals that the students hold substantial expectations of the lecturers to take a lead in driving social relationship. The student does not only expect the lecturer to pay attention to his or her academic progress, moral and personal development but also to care, respect, trust and even the student's non-academic activities and goals are considered to be the lecturer's prerogative. The study recommends institutional strategies for promoting effective teaching and learning through relational pedagogy drive, reduction of large-size classes, raising student voice and well-being, and establishing ethics of care or caring culture as an integral part of the Institution's teaching philosophy. The study argues that the mainstream pedagogical relationship serves as a constructive way of understanding decolonialism in Africa, as well as an antidote to the persevering colonial infrastructures found in higher education.