Guerrero-Gonzalez, Jhon Paul https://orcid.org/0000-0002-0797-8103
Simbaña-Rivera, Katherine https://orcid.org/0000-0002-8130-5361
Solís-Cárdenas, Diana Jeanneth https://orcid.org/0000-0003-2278-4435
Ayala-Calderón, Lesly Natalia https://orcid.org/0000-0001-6587-7338
Andrade-Travez, Katherine https://orcid.org/0000-0002-3618-9584
Leal-Medina, Ivelin Alejandra https://orcid.org/0000-0003-1246-1480
Guerrero González, Joseph Ariel https://orcid.org/0009-0000-1561-8223
Endara-Mina, Jesús https://orcid.org/0000-0001-8255-2199
Revelo-Motta, Grace Elizabeth https://orcid.org/0000-0002-6448-0440
Ríos-Quituizaca, Paulina https://orcid.org/0000-0002-1597-3812
Piedra-Andrade, Jefferson Santiago https://orcid.org/0000-0003-3003-065X
Funding for this research was provided by:
Pontificia Universidad Católica del Ecuador
Article History
Received: 6 June 2025
Accepted: 12 July 2025
First Online: 16 August 2025
Declarations
:
: The study was reviewed and approved by the Research Ethics Committee on Human Subjects at Hospital General San Francisco de Quito (CEISH-HGSF); Approval Code: HREC-HGSF-2024–019. All participants provided digital informed consent before questionnaire access and were informed that all survey data and interview recordings and data collected would be kept private, ensuring adherence to Helsinki Declaration principles (autonomy, justice, beneficence) and current national regulations.
: Not applicable.
: The authors declare no competing interests.