Visual assessment in an industrial environment: a training experience in nursing

  • Nereyda Hernández Nava Universidad Autónoma de San Luis Potosí
  • Rosa Eréndira Fosado Quiroz Universidad Autónoma de San Luis Potosí
  • Luis Felipe Fabela Sánchez Instituto Mexicano del Seguro Social
  • Alejandro Martínez Ramírez Universidad Autónoma de San Luis Potosí

Abstract

This study described an educational intervention developed in an industrial setting by five undergraduate nursing students from a public university in San Luis Potosí, in the city of Matehuala, during the 2023–2024 period. Action research using a participatory approach was implemented to strengthen clinical competence in visual assessment through an ocular screening program focused on the early detection of visual alterations and the promotion of eye health. The design was structured in three phases: (1) initial diagnosis and student training; (2) application of visual screening tests among workers; and (3) qualitative analysis of the formative experience. Training included ocular anatomy, examination techniques, instrument handling, interpretation of findings, and referral criteria, supported by two questionnaires administered via Microsoft Forms. Students conducted screening tests using Snellen charts, perimetry, and fundus examination in selected cases, along with a structured clinical history. A total of 104 workers were assessed, 66.35% from production areas, with a mean age of 31.5 years; 22 had chronic degenerative diseases. Fifty percent reported visual problems and 76% experienced symptoms such as tearing, dry eye, or itching; only 18 used corrective lenses. Ergonomic factors related to lighting, posture, and screen exposure were also identified. The results revealed clinical needs within the working population and areas for improvement in professional training. The intervention strengthened students’ clinical judgment and observational competencies and supported the systematic and early integration of ophthalmic content and situated practice into the nursing curriculum.

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References

Acevedo Gamboa, F. E. (2025). Experiencia basada en simulación en enfermería: Una mirada desde la didáctica. Revista Repertorio de Medicina y Cirugía, 34(2), 216–223. https://revistas.fucsalud.edu.co/index.php/repertorio/article/view/1623

Ahmed, S. K., Mohammed, R. A., Nashwan, A. J., Ibrahim, R. H., Abdalla, A. Q., Ameen, B. M. M., & Khdhir, R. M. (2025). Using thematic analysis in
qualitative research. Journal of Medicine, Surgery, and Public Health, 6, 100198. https://doi.org/10.1016/j.glmedi.2025.100198

Alharbi, A., Nurfianti, A., Mullen, R. F., McClure, J. D., & Miller, W. H. (2024). The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: A systematic review. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-06080-z

Almeyda Hernández, W. G. (2024). Salud ocular: Conocimiento y su cuidado en estudiantes de enfermería de una universidad pública de Ica [Tesis de licenciatura, Universidad Nacional San Luis Gonzaga]. Repositorio Institucional. https://repositorio.unica.edu.pe/items/b6dab56f-dc6b-4835-909b-ec67a33152e8

Álvarez, L. M. (2022). Influencia del entorno de práctica de enfermería en el desempeño laboral. Salud, Ciencia y Tecnología, 2, 63. https://doi.org/10.56294/saludcyt202263

Alves, M., Asbell, P., Dogru, M., Giannaccare, G., Grau, A., Gregory, D., Kim, D. H., Marini, M. C., Ngo, W., Nowinska, A., Saldanha, I. J., Villani, E., Wakamatsu, T. H., Yu, M., & Stapleton, F. (2023). TFOS lifestyle report: Impact of environmental conditions on the ocular surface. The Ocular Surface, 29, 1–52. https://doi.org/10.1016/j.jtos.2023.04.007

Baum, F., MacDougall, C., & Smith, D. (2006). Participatory action research. Journal of Epidemiology and Community Health, 60(10), 854–857. https://doi.org/10.1136/jech.2004.028662

Bisso, C., Narváez, J., Sepúlveda, T., & Torrealba, A. (2020). Conocimiento de los profesionales de la salud frente a la atención de personas en situación de discapacidad auditiva o visual. Revista Confluencia, 3(2), 156–160. https://doi.org/10.52611/confluencia.num2.2020.482

Ccami-Bernal, F., Soriano-Moreno, D. R., Romero-Robles, M. A., Barriga-Chambi, F., Tuco, K. G., Castro-Diaz, S. D., Nuñez-Lupaca, J. N., Pacheco-Mendoza, J., Galvez-Olortegui, T., & Benites-Zapata, V. A. (2023). Prevalence of computer vision syndrome: A systematic review and meta-analysis. Journal of Optometry, 17(1), 100482. https://doi.org/10.1016/j.optom.2023.100482

Díaz Jurado, L. C., Cedeño Tapia, S. J., Escalona Márquez, L. N., Reimundo Acosta, E. G., Fernández Nieto, M. I., & Rodríguez-Carrillo, R. O. (2023). Guías y videos de simulación clínica para el aprendizaje autónomo de enfermería. Revista Habanera de Ciencias Médicas, 22(2), e0013. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2023000200013

Flatela, L., & Xulu-Kasaba, Z. (2024). Assessing eye health knowledge and practices amongst primary health care nurses in a rural district, South Africa (Version 1; peer review: 3 approved with reservations). F1000Research, 13, 1530. https://doi.org/10.12688/f1000research.159132.1

Gassas, R. S., & Ahmed, M. E. (2024). How nurses perceive the gap between knowledge and practice. Enfermería Clínica, 34(2), 120–129. https://doi.org/10.1016/j.enfcle.2024.02.002

Ghattas, A. H. S. (2025). Effect of eye care clinical guidelines training on nurses’ knowledge, attitude, and practice and eye complications among critically ill patients: Pre and post-study design. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03390-5

Gu, Y., Cao, K., Li, A., Wang, J., Guo, Y., Hao, Y., Tian, L., & Jie, Y. (2024). Association between sleep quality and dry eye disease: A literature review and meta-analysis. BMC Ophthalmology, 24(1). https://doi.org/10.1186/s12886-024-03416-7

Gungor, S., Andı, S., Akçoban, S., & Tosun, B. (2025). Knowledge, attitudes and practices of intensive care nurses regarding eye care. Journal of Clinical Nursing, 34(11), 4747–4756. https://doi.org/10.1111/jocn.17733

Hernández-Llamas, S., Paz-Ramos, A. K., Marcos-Gonzalez, P., Amparo, F., & Garza-Leon, M. (2020). Symptoms of ocular surface disease in construction workers: Comparative study with office workers. BMC Ophthalmology, 20(1). https://doi.org/10.1186/s12886-020-01548-0

International Agency for the Prevention of Blindness, & International Labour Organization. (2023). Eye health and the world of work. https://www.iapb.org/es/learn/knowledge-hub/elevate/work-and-economic-growth/eye-health-and-economic-development/

Khoshakhlagh, A. H., Malakoutikhah, M., Park, J., Kodnoueieh, M. D., Boroujeni, Z. R., Bahrami, M., & Ramezani, F. (2024). Assessing personal protective equipment usage and its correlation with knowledge, attitudes, performance, and safety culture among workers in small and medium-sized enterprises. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-19517-3

Lami, S., & Ayed, A. (2023). Predictors of nurses’ practice of eye care for patients in intensive care units. SAGE Open Nursing, 9, 1–6. https://doi.org/10.1177/23779608231158491

López Briceño, S. Y., Corona Vargas, A., & Morales Camacho, Á. I. (2021). Conocimiento del personal de enfermería en los cuidados oftálmicos de los pacientes de terapia intensiva adultos. International Journal of Advanced Multidisciplinary Research, 8(12), 29–37. https://ijarm.com/pdfcopy/2021/dec2021/ijarm4.pdf

Martín-Prieto, S., Alvarez-Peregrina, C., Thuissard-Vasallo, I., Catalina-Romero, C., Calvo-Bonacho, E., Villa-Collar, C., & Sánchez-Tena, M. Á. (2021). Evolución de lesiones oculares en el trabajo en las comunidades autónomas españolas en el periodo 2008–2018. Archivos de Prevención de Riesgos Laborales, 24(2), 17–29. https://doi.org/10.12961/aprl.2021.24.02.03

Morales León, J. E., Romero-Díaz de León, L., Sánchez Muñoz, C. E., & Guerrero Melo Samper, A. (2022). Agudeza visual: Revisión y actualización. Lux Médica, 17(50). https://doi.org/10.33064/50lm20223433

Najaffard, N., Mohammadi, A., Mojtahedzadeh, R., & Zarei, A. (2024). E-portfolio as an effective tool for improvement of practitioner nurses’ clinical competence. BMC Medical Education, 24, 114. https://doi.org/10.1186/s12909-024-05092-z

Organización Mundial de la Salud. (2023). Manual para la implementación del tamizaje visual y ocular. https://www.who.int/es/publications/m/item/vision-and-eye-screening-implementation-handbook--information-sheet

Ramada-Rodilla, J. M., Domenech, B., Ronda-Pérez, E., Sánchez-Brau, M., Tauste, A., & Seguí-Crespo, M. (2025). Pantallas digitales y salud visual en el trabajo: Un riesgo emergente que exige acción inmediata. Archivos de Prevención de Riesgos Laborales, 28(3), 10–14. https://doi.org/10.12961/aprl.2025.28.03.01

Reddy, P. A., Congdon, N., MacKenzie, G., Gogate, P., Wen, Q., Jan, C., Clarke, M., Kassalow, J., Gudwin, E., O’Neill, C., Jin, L., Tang, J., Bassett, K., Cherwek, D. H., & Ali, R. (2018). Effect of providing near glasses on productivity among rural Indian tea workers with presbyopia (PROSPER): A randomised trial. The Lancet Global Health, 6(9), e1019–e1027. https://doi.org/10.1016/S2214-109X(18)30329-2

Saifan, A., Devadas, B., Daradkeh, F., Abdel-Fattah, H., Aljabery, M., & Michael, L. M. (2021). Solutions to bridge the theory-practice gap in nursing education in the UAE: A qualitative study. BMC Medical Education, 21(1). https://doi.org/10.1186/s12909-021-02919-x

Secretaría del Trabajo y Previsión Social. (2008). Norma Oficial Mexicana NOM-025-STPS-2008, condiciones de iluminación en los centros de trabajo. Diario Oficial de la Federación. https://www.dof.gob.mx/normasOficiales/3581/stps/stps.htm

Sharbini, S., Hashim, S. B. H., Abdul-Mumin, K. H., & McKenna, L. (2025). Ophthalmic care education and training in nursing: A scoping review. Nurse Education Today, 144, 106484. https://doi.org/10.1016/j.nedt.2024.106484

Universidad Autónoma de San Luis Potosí, Unidad Académica Multidisciplinaria Región Altiplano. (2020). Espacio de formación: Anatomía I (Licenciatura en Enfermería) [Programa de asignatura]. https://www.uamra.uaslp.mx/ProgramasAcademicos/Detalle/96#gsc.tab=0

Wei, F., Kao, L., Chang, C., & Chung, J. (2025). Enhancing nursing education through e-portfolios: Evaluating the impact on learning effectiveness, self-efficacy, and job satisfaction of NPGY trainees. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-025-07497-w

World Health Organization. (2024). SPECS 2030 initiative. https://www.who.int/initiatives/specs-2030

Zhang, Y., Li, C., Zhou, Y., & Yu, X. (2025). Knowledge, attitudes and practices of critical care nurses regarding eye care across 17 hospitals: A multicentre cross-sectional survey. Nursing in Critical Care, 30, e70120. https://doi.org/10.1111/nicc.70120

Zhao, W., Xu, M., Tian, Q., Han, Y., Wang, Z., & Zhang, W. (2024). The impact of simulation-based learning on nursing decision-making ability: A meta-analysis. Clinical Simulation in Nursing, 93, 101576. https://doi.org/10.1016/j.ecns.2024.101576
Published
2026-03-15
How to Cite
Hernández Nava, N., Fosado Quiroz, R. E., Fabela Sánchez, L. F., & Martínez Ramírez, A. (2026). Visual assessment in an industrial environment: a training experience in nursing. RIDE Revista Iberoamericana Para La Investigación Y El Desarrollo Educativo, 16(32). https://doi.org/10.23913/ride.v16i32.2883
Section
Scientific articles