Episode Summary

Acompaña a la Dra. Camila Takao Lopes mientras entrevista a la Dra. Hortensia Castañeda-Hidalgo, una figura destacada en la educación y práctica de la enfermería. Descubre el recorrido internacional de la Dra. Castañeda-Hidalgo en el ámbito de la enfermería, sus perspectivas sobre la importancia del pensamiento crítico en la formación de enfermeros y los esfuerzos de colaboración detrás de su exitoso libro sobre el proceso de enfermería.

Takeaways:

• La trayectoria educativa de la Dra. Castañeda-Hidalgo desde México hasta Japón y España.
• Los desafíos y logros de integrar el pensamiento crítico en la educación de enfermería.
• Reflexiones sobre la creación e impacto de su libro sobre el proceso de enfermería.
• La relevancia de los modelos estandarizados de atención de enfermería en México.

About Our Guest: 

Hortensia Castañeda-Hidalgo

BSN, M ED, MSN, PhD in Health Sciences from the University of Alicante in

Spain.

Nursing professor

Translator for the Latin American edition of the Nursing Diagnoses

taxonomy.

About NANDA:

Welcome to The NANDACast, the podcast where nursing knowledge meets practice!  

Created for clinical nurses, educators and nursing students, this podcast dives into the heart of evidence-based nursing diagnoses and their critical role in delivering safe, effective, and patient-centered care. 

Brought to you by NANDA International, we’re here to facilitate the development, refinement, and use of standardized nursing diagnostic terminology. Our mission? To provide the tools and insights nurses need to communicate their clinical decisions, determine interventions, and improve patient outcomes. 

Whether you’re a seasoned nurse navigating complex care environments, a student preparing for the challenges of the profession - or an educator working to support student learning, The NANDACast delivers practical knowledge, expert conversations, and inspiration to elevate your practice and amplify your impact. 

Join us as we explore the power of words, the strength of knowledge, and the future of nursing. Let’s define the profession together—one diagnosis at a time.

Welcome to Nanda Kest. I Dr. Camila Takao-Lopez, Director of the International Diagnostic and Professor of the São Paulo in Brazil. Thank you for your participation. Today we are by Dr. Hortência Castañeda Hidalgo. Dr. Hortência is a professor of nursing in Tampico, Mexico.

Presidente de Nanda Internacional y coautora de un libro reciente sobre razonamiento clínico con la doctora Nora Hilda González-Quirarte. El libro se llama Proceso de Enfermería, una guía teórica y práctica para responder a las necesidades de salud y es publicado en español. Doctora Hortensia, muchas gracias por estar conmigo hoy.

It an honor for me to be here with you this afternoon. Thank you

¿Podría contarnos un poco sobre tu trayectoria profesional?

Of thanks for the question. I studied nursing in Mexico, my degree in nursing, but then I got a scholarship to be in the University in Tokyo, Japan, where I a specialty in surgical Then I returned to Mexico to work, but later I started studying a master's in higher education here at the university.

and then I another scholarship to study a master's in Nursing Sciences at the Autonomous of Nuevo León. And, finishing that master's degree, I started a business to be participate in a doctoral program at the University of Alicante in Spain, where I my degree as a doctor. Fortunately, I had the opportunity to have two scholarships to do two postdoctoral

One at the University of Emory in Atlanta, United States, and the other in Quito, Ecuador, by the Pan American Health Organization. Among other courses to continue updating, but let's say that is the trajectory of my professional

And well, we that is really a very international since her formation. We've known other now, but I've asked I would to know if you any concerns or objections to use of the nurse's when you started teaching.

Yes, of first, the students wanted to on a biologic and they were determined to change and take into consideration that the critical thinker has to use his thinking to observe the patient, identify himself and truly interact with the patient. Not only go to the expert and observe the indications and execute them. And I explained to

that this was a professional in infirmary. A professional in the infirmary has his own and is in real contact with the patients. Well, it was a bit difficult for the teachers to work with the infirmary and to start diagnosing. But once the whole university this learning process, first the teachers and then the students,

The knowledge and strategy to teach so now we are very used to it at the university, in my country, Mexico. Everyone knows when we talking about the infirmary when we talking about standardized of infirmary and when we talking about international NANDA, at least it seems to that in Latin it is something very daily, very well

and particularly welcome. Suddenly, the use, already in the clinical maybe there is still some resistance to use it.

In another episode of Nanda Kest with Dr. Rita Hengo, we have also a little bit about our experiences with teaching, about the diagnosis of infirmity and a little bit about how, addition to a common that we with other topics, for example, we also a process of convincing students.

Sometimes also from our colleagues, from other professionals who are already in clinical who perhaps have learned during their training. So in addition to a teaching also have a challenge of convincing. Could you share an example of a time when as a teacher you had difficulties?

to even more students appreciate the importance of the nurse to represent the knowledge of our discipline.

Yes, it is important for to of the pharmacological or physiological of the patient's It is correct, is very good, it is important. However, we have to turn to the patient as the person who requires care and the person who demands attention and professional

So the dilemma was to teach them how professional for the disease may on elements that are more human, closer to the person, and if it the science of disease in sense of understanding why that person is in a certain situation, that we are to solve with some administrative of the institution in collaboration with other health

but the independent of the disease has to continue marking the disease as a science and as a profession that has its own alignments, has its own theoretical its scientific because we are the nurses who have to keep saying If we don't say it, it's possible that no one else it. So, students also to be taken to the field of the philosophical profession of the disease.

But that is only when we, the professors, understand these philosophical of the profession of nursing and above all this humanistic of caring and that we have to do something very important, is to how to the appropriate knowledge to be serve others. In case of universities, the professors have the appropriate knowledge to serve the students.

In the case of nurses in the clinical and community I the appropriate knowledge to serve the patients who require care in hospital.

I really liked your answer. Thank you much. I was thinking that the International of Nurses has recently the definition of nursing and in to maintaining the definition the collaborative of the profession, there is also an approach to the autonomous and independent of our profession that

that you have mentioned to us. And about your book, what led you and Dr. Nora Gonzalez to write this book about the process of the infirmary?

Thank you for question. We are very in talking about the because it has been a very important for education in the disease not only in Mexico. The book has been a success of sales in Spain and in Spanish-speaking of American continent. Originally when we were starting to enter this moment a little dark of humanity that was the confinement by the pandemic, by COVID-19.

Dr. Nora González also started her management as coordinator of Grupo México in network with Nanda International. So we thought that we should also take of opportunity that there were people who were confined but who wanted to continue studying. So we a diploma in which fortunately we have brilliant teachers, including Dr. Ataka, and the diploma

This was to be online. Fortunately, we had a of people who attended the invitation and came to study it. But we realized that the content was very valuable to just stay there in the diploma. And Dr. Nora González, since she was very young and learned the process of nursing, she thought that having a book in which the process of nursing was in a didactic way so that students

they inclined to read and study and that it was not something boring or something that seemed far from learning. So she developed the contents of the book, we thought about who could be the possible authors of the various chapters and I fortunately already had a lot of contact with the publisher in the Seville, thanks to I translated the book Diagnostics of Nurses.

for Spanish-speaking in the American I asked the publisher if they would interested in having a book like this. She said, you have to do a project, and she us the funding for the project. She said, of I'm sending you because I know you and that's how I with you. So she sent us a document. We thought was easy to develop the project, but truth is that it was a bit complicated and there was...

to many questions that we not have been prepared for yet. However, we worked on it and we did the project, we sent it, and she told me, we are going to consult with our bosses, With the highest-ranking And later they said yes, they agreed to develop the contents and they sent us some particular that we had to respect as authors. And finally, we out

the of the chapters that worked by authors in different countries of the continent. It was also a very exciting because at the same time that we the chapters for the diploma, we were working on the chapters of the So we were lucky to have co-authors who were brilliant and who did things very well. Some were so brilliant and did things not well either, in such a way that the publishing house

to the knowledge of what is being presented in the chapters. So the book, fortunately, the publisher has responded in the sense of accompanying us when we are going to a presentation. The bookmakers or the publisher themselves send books there so that can be purchased by the people who attend the academic and scientific in which participate, well various authors who are in the book.

So we are very happy. book surely still has a to live And surely at some point we will go to the second edition with some things that we can add or change. Science evolves, taxonomies evolve. So we don't know at what point we would have to make changes to continue updating, but so that students, nurses and teachers can continue to count on this tool.

didactics that have been very useful so far.

And for our Spanish-speaking you can buy this wonderful book published by El Seguir in Amazon or in Vital Source in their shelves. I have the version of Vital Source. And I'm from Brazil and I'm not Spanish-speaking. So those who speak Portuguese can have their copy of these sources. Dr. Hortensia, if you could make sure that each reader of your book took a lesson, what would

Thanks

Well, would for you all to chapter 1, which talks about critical Because from there, that's the chapter I wrote, from there we can change some of paradigms we have in which people had to memorize everything. Or that the of the disease was to write many things in an file. And that's the So the request and recommendation would be...

I the chapter first with a of enthusiasm and a lot of to learn to change the paradigms of thought and to approach the process of infirmity in a scientific and useful during your work as a infirmity

Dr. Hortencia, you actively in ensuring that diagnosis, interventions and results the disease are mandatory for the nurses in Mexico. Why did you this so important and what would you the nurses if they asked you why it so important?

Fortunately, my country, in 2018, the Permanent Infectious the General Disease that the department that regulates the entire aspect of disease in the country, issued and published a document called the care When it was published, Nora and I realized that there were some details that were correct and that had to be So...

We insist that, indeed, the national care should be and it is clearly that we work as a methodological in the process of disease. And for that need a taxonomy, is the taxonomy of diagnoses. And obviously we to choose the international taxonomy, in virtue of which is most complete, most updated

and that has shown in many of his diagnoses and cases that almost all them, there are certain levels of evidence in which the reason why this type in virtue of the fact are bibliographic that support everything that is in taxonomy. In such a way that when we realized these situations, I dedicated to looking for

to the people in charge of this department, the General of the Hospital, but was not easy and it was fast either. However, I did give and precisely because persisted in the search, one day I had an and they contacted me, they said yes, get to work and get to correct things. And then I invited Dr. Nora González to come work with me.

the of care and really here in the nation it was like a huge in which everyone was realizing that there was a document that was updated that the errors that the big team that made the first model It seems to that having a model is very important. If you had errors, had to correct them, nothing more. But, in addition, had to include and implement some

actualizations that were not contained in that model and that also give nurses other tools, other scientific to be to take of professionally. In Mexico there is the official Mexican 019 that indicates, it is a document that indicates in an obligatory that nurses must work with a process of infirmary. Then in the care that we write it says how it done.

because in the norm it tells that have to do it. In the model said how to do it. And then, with the book, think it is complement to say how the disease and how is executed in practice. So these three documents can be a final that is very powerful and very useful and very practical, updated, very updated all to be to work as professional

We aware that the care model can be modified and updated is possible that other people will be but for now the model is still in effect, the second edition is the one used in the country. There is a very long to be to continue training all nurses to use the care but the recommendation would be that everyone read it. The care is a free consultation

in the General Disease in Mexico. There can download the PDF I'm sure that this care can serve as for other Spanish-speaking on the continent because it has many scientific elements that are universal, not only for this country. So the recommendation would that you can consult the of care to also give yourself great ideas and some development strategies

of how implement a of infirmary in the professional

Muchas gracias por tu respuesta. Estamos casi al final de nuestro tiempo. Entonces me gustaría saber si tendrías algún consejo final para nuestros oyentes de hoy.

Yes, I would to remind you that nurses are always in training, it seems that we are studying one thing after another after another, but that's how is because, as I said earlier, science advances. So I would to invite everyone to continue reading, to continue updating and to continue looking for those tools that are more practical, more useful, more updated, to be to the profession from an ethical view, but also

And remember that nursing is the best qualified in the world. So students have chosen the best career and nurses in the profession, I am grateful to be a nurse and thank much for the interview.

Gracias a ti. Gracias por acompañarnos en el NandaCast. Espero que hayan disfrutado de mi conversación con la doctora Hortensia Castañeda, quien asumió la presidencia de Nanda Internacional en junio de 2025 en nuestra conferencia en Lisboa. No olviden suscribirse a nuestro boletín informativo en www.nanda.org y seguirnos en LinkedIn, Instagram y Facebook.

Hasta la próxima, sigamos definiendo el conocimiento de enfermería, un concepto a la vez.