Interpretive Autoethnography as a Methodology to Promote Well-Being Among Qualitative Women Researchers in Chilean Academia Pamela Zapata-Sepúlveda, Mirliana Ramírez-Pereira, Gabriela Rubilar Cultural Studies Critical Methodologies, 2026 This article emerges from a collaborative autoethnographic exercise carried out by three Chilean women scholars who, from different territories and trajectories, reflect on how neoliberal policies, audit culture, and gender inequalities shape their experiences in higher education. Through personal narratives, we illuminate the intersections between our professional and affective lives—motherhood, singlehood, caregiving, writing, intellectual work, and silencing. We question how well-being can be sustained in contexts marked by constant demands, performance-based surveillance, and the erasure of emotional life. By positioning ourselves as the subject of study through interpretive autoethnography, we seek to narrate our lived experiences and critically connect them with the structural conditions that shape them. While this writing is not intended as a path to individual healing or a substitute for collective transformation, it offers an ethical and political space that sustains us—and enables us to imagine other ways of inhabiting academia: more humane, more just, and more our own.
Experiences of traditional Aymara midwives: A contribution to cultural heritage in a cross-border region of Northern Chile Pamela Zapata-Sepúlveda, Ximena Vega-Donoso, Idalia Lázaro-Paco, María Paz Terraza-Ahumada, Mirliana Ramírez-Pereira Desde El Sur, 2026 Este artículo examina las experiencias de las parteras tradicionales aymaras (usuyiris) en la región fronteriza de Arica y Parinacota, ubicada en el extremo norte de Chile. El objetivo fue identificar y sistematizar sus prácticas medicinales ancestrales relacionadas con el embarazo, parto y puerperio, con el propósito de validarlas y poner en valor los saberes ancestrales. Con un enfoque cualitativo dentro de un paradigma pospositivista, el estudio empleó la etnografía focalizada como marco metodológico y realizó entrevistas semiestructuradas a cuatro parteras adultas mayores. Los hallazgos revelan un profundo conocimiento ancestral transmitido oralmente y mantenido a través de la práctica intergeneracional. Las usuyiris abordan las dimensiones físicas, emocionales y espirituales del cuidado, ya que mantienen una fuerte conexión con la naturaleza y el entorno circundante. El estudio destaca la importancia de reconocer estas prácticas como patrimonio cultural inmaterial, apoyar su preservación y promover un modelo de salud intercultural para diversas comunidades.
Perceptions of Healthcare Professionals and Caregivers on the Use of Opioids: Cultural Aspects in a Rural Context in Uruguay Natalie Figueredo-Borda, Mirliana Ramírez-Pereira, Selene Nurczyk-Iorio Omega United States, 2025 A qualitative study using in-depth interviews was conducted to identify the level of knowledge, beliefs, and perceptions of family members and healthcare workers regarding the use of morphine as a pain treatment for individuals at the end of life. The study included healthcare professionals and caregivers of individuals who had died from serious illnesses affiliated with a rural health center in an inland city in the western region of Uruguay between August 2021 and June 2022. The findings may contribute to understanding the determinants that influence opioid use in healthcare centers lacking access to specialized palliative care. Additionally, the results could support decision-making processes regarding the indication, administration, and acceptance of pain medication by healthcare professionals and families of patients with advanced chronic progressive conditions.
End-of-life Palliative Care: Lived Experiences and Beliefs of Healthcare Professionals with a Focused Ethnography Approach Micaela Reich, Natalie Figueredo-Borda, Mirliana Ramírez-Pereira Salud Ciencia Y Tecnologia, 2025 Introduction: This study explores the experiences and beliefs of healthcare professionals working in end-of-life palliative care in Catalonia, Spain. Recognizing the complex emotional, psychological, and ethical challenges they face, the research aims to deepen understanding of the facilitators and barriers within their clinical practices.Objective: The aim of this research was to explore the lived experiences and beliefs of end-of-life palliative care professionals in a palliative care Unit in Catalunya, Spain.Methods: A qualitative approach was used, focusing on focused ethnography to capture the nuanced realities of healthcare dynamics in palliative care. Seven healthcare professionals (six nurses and one physician) from a public hospital’s palliative care unit participated. Data were collected through in-depth interviews and analyzed via thematic coding to identify recurring themes and subthemes.Results: Analysis revealed two primary themes: "Beliefs associated with palliative care clinical practice" and "Lived experiences of working in palliative care." Each theme encompassed individual and interpersonal factors. Key facilitators included coping strategies and teamwork, while barriers involved emotional stress, proximity to death, and resource limitations.Conclusion: The findings underscore the need for institutional support to address the psychological and practical challenges in palliative care. By acknowledging the multifaceted demands on these professionals, targeted interventions can enhance both professional resilience and patient care quality. Further, the study highlights the importance of comprehensive, empathetic training to improve the social visibility and understanding of the psychosocial aspects of end-of-life care
Lived experience of patients who are victims of motorcycle traffic accidents treated in hospitals in Managua, Nicaragua Erick Alexander de Jesús Chamorro Segovia, Karen Vanessa Herrera Castro, Mirliana Ramírez-Pereira, Natalie Figueredo-Borda Salud Ciencia Y Tecnologia, 2025 Introduction: traffic accident victims experience changes ranging from mild to moderate and severe in their daily lives from the moment the event occurs, resulting in an adjustment due to the personal and social/family impact generated. Objetive: the objective of this study was to explore how they construct and make meaning of their reality based on their lived experience.Methodology: a qualitative research study was conducted under the constructivist paradigm with a phenomenological approach, based on Van Manen's hermeneutic phenomenology. The aim was to understand the lived experience of 10 hospitalized patients due to traffic accident injuries, in terms of their Lived Body, Lived Time, Lived Human Relationships, and Lived Space.Results: motorcycles were the vehicles involved in all the accidents. Victims suffer physical and psychological impacts, feeling vulnerable and powerless when confronted with their altered bodies, the limitations they perceive in the moment, and those they fear for the future. Families are also affected psychologically, economically, and in terms of work. Medical attention was directed towards physical and functional aspects.Conclusion: understanding the lived experiences of patients who are victims of traffic accidents allows for the identification of areas for improvement to strengthen prevention measures and comprehensive care for victims and their families. A more holistic approach is needed that includes psychological support for the affected individuals and their families.
The Contribution of Education to the Correction of Preanalytical Errors in Laboratory Testing: A Systematic Review Francisca Sepúlveda Maturana, Ignacio Azocar González, María Loreto González González, Claudia Azocar González, Mirliana Ramírez-Pereira Salud Ciencia Y Tecnologia, 2025 Introduction: laboratory medicine generates clinical information by analyzing various analytes in body fluids. This process requires trained personnel capable of developing strategies to prevent errors that could compromise patient safety. Recent studies highlight the importance of training and the implementation of protocols to reduce these errors.Objective: to identify available evidence on the contribution of education to correcting preanalytical errors in clinical laboratory testing.Method: a systematic review was conducted using Google Scholar and PubMed, including articles in English, Spanish, and Portuguese published between 2020 and 2024. Only peer-reviewed journal articles were considered.Results: three main thematic categories were identified: Impact of Training in Laboratory Settings, Educational Interventions on Preanalytical Errors, and Methodologies to Reduce Preanalytical Errors Linked to Education.Conclusion: Reducing preanalytical errors in the laboratory depends on continuous training and protocol adherence. Initial and ongoing education is key to improving sample quality and patient safety.
Implementation of Good Practice Guidelines for Person-and Family-Centered Care in Primary Health Care in Chile María José Vásquez Mayr, Amalia Silva Galleguillos, Mirliana Ramírez-Pereira, Valeria Díaz Videla, Angélica Villamán Guajardo, et al. Health Leadership and Quality of Life, 2025 Introduction: Person- and family-centered care has become a fundamental pillar of Primary Health Care (PHC), promoting active participation, effective communication, and respect for autonomy. In this context, an implementation experience with the Registered Nurses' Association of Ontario (RNAO) Good Clinical Practice Guidelines (GCPG) was developed in a health center in Chile. Objective: To analyze the experience with the implementation of the GCPG "Person- and Family-Centered Care" at the Dr. Fernando Monckeberg Family Health Center (CESFAM). Methodology: A single-case study design was used. Data were collected through documentary analysis. The process was carried out in three phases, ensuring ethical feasibility and a thorough understanding of the phenomenon. Results: Three key GCPG recommendations were prioritized. Multi-format educational resources, a "Comprehensive Care Card," and a user satisfaction survey were developed. Eighty-two percent of staff were trained, and the survey was administered in 46 % of ECICEP check-ups. Ninety-six percent of respondents positively evaluated the care, with scores of 6 or 7 on a scale of 1 to 7. Discussion: Experience shows that it is possible to implement person-centered strategies in PHC, using evidence-based guidelines adapted to the local context. Challenges were identified, particularly with the coverage of user assessments. Conclusions: the intervention allowed for the integration of person-centered practices in a concrete and measurable way, generating valuable learning for future implementations in similar contexts.
Perception of the use of evidence in nursing, primary health care, Peñaflor, Chile. Mixed study Amalia Silva Galleguillos, María José Vásquez Mayr, Valeria Díaz Videla, Mirliana Ramírez-Pereira, Esmérita Opazo-Morales, et al. Salud Ciencia Y Tecnologia, 2025 Introduction: Evidence-Based Nursing is essential in Primary Health Care, but its implementation in Chile remains limited. Objective: To identify attitudes, knowledge, skills and perceptions of Primary Health Care nurses regarding the use of this tool in their professional practice. Method: Concurrent mixed study, with nursing professionals from the Doctor Fernando Monckeberg Family Health Center, a universe of fifteen nurses. The Clinical Effectiveness and Evidence-Based Practice Questionnaire was applied, an ad-hoc instrument with variables such as age, gender, years of professional practice, internet use, training, and English proficiency. Semi-structured interviews were used for qualitative analysis, with prior signing of informed consent. Results: The fourteen participants (93.3%) were women, mean age 34.5 years, 20% declared training in Evidence-Based Nursing in the last 2 years, 47% applied it in their work environment. In the analysis of the Instrument, the total mean was 5.6. The “Attitude” dimension had the highest score, 6.6. The qualitative analysis established four categories, three meta-inferences: Attitudes towards Evidence-Based Nursing and its impact on Practice, Training and Knowledge, Related Skills and Professional Practice. Conclusion: Attitudes towards Evidence-Based Nursing are favorable, nurses face practical obstacles that limit its application. Adequate training and nursing leadership are essential to overcome these barriers.
Perceptions of Chilean older people regarding the use of digital social networks and their relationship with subjective well-being, in the context of the SARS CoV-2 pandemic Risti Revista Iberica De Sistemas E Tecnologias De Informacao, 2022
