Ismael Traba Outes

Clinical communication in oncology has become a central component of supportive cancer care, with direct implications for symptom management, psychosocial distress, decision-making, caregiver support, survivorship, and palliative transitions. This bibliometric analysis examined 949 documents indexed in the Web of Science Core Collection between 1976 and 2025 in order to map the field’s intellectual structure, publication profile, and thematic development. The study combined PRISMA-guided corpus construction with bibliometric techniques including co-citation analysis, thematic clustering, and strategic mapping. The results show sustained growth across five decades, but also a distributed publication profile, moderate international collaboration, and only partial integration across citation communities. A major transition occurred between 2005 and 2007, when communication began to be framed less as information transfer and more as a therapeutic and relational component of care. Within this structure, narrative medicine remains visible mainly as a conceptual orientation rather than as a consolidated methodological line. Thematic development is stronger in psychosocial, patient-centered, and palliative communication than in digitally mediated, developmentally specific, participatory, or structurally informed approaches. Overall, the findings position oncology communication as an established but still uneven component of supportive care, with practical implications for multidisciplinary teams in nursing, psycho-oncology, social work, and palliative care.

Urban tourism destinations increasingly rely on specialized segments such as wine tourism. However, limited research examines how electronic word-of-mouth (e-WOM) and personal recommendations jointly influence destination loyalty through experiential and relational pathways in urban settings. This study develops and tests an integrative model linking e-WOM to destination loyalty through experience, trust, and satisfaction as mediating mechanisms, grounded in social exchange theory and expectancy-disconfirmation theory. Data were collected from 326 tourists visiting Jerez de la Frontera (Spain) via intercept surveys at transportation terminals and analyzed using structural equation modelling with maximum likelihood estimation and bootstrapping. All nine hypothesized relationships were positive and significant, collectively accounting for 89.3% of the variance in destination loyalty. Satisfaction emerged as the strongest predictor of loyalty, far exceeding the direct effects of experience and trust, while e-WOM exerted the strongest influence on experience. Indirect effects confirmed that e-WOM influences loyalty through experience and trust pathways. This research provides the first model integrating pre-visit communication influences with experiential and relational constructs to explain destination loyalty in an urban context. Findings indicate that urban destinations should prioritize visitor satisfaction as the primary loyalty driver, while strategically managing digital reputation and ensuring alignment between online recommendations and actual destination experiences.

Purpose: This study develops an integrated multimodal framework to analyse how Spanish art museums coordinate textual discourse, audiovisual representation and engagement on Instagram.Methodology: A quantitative content analysis was applied to 3,646 posts published by 12 museums between 1 May 2025 and 1 May 2026. Textual and audiovisual categories, post formats and normalised engagement were examined using descriptive statistics, chi-square tests, Cramer’s V, Kruskal-Wallis and Mann-Whitney U tests.Results: Communication centres on collections, artworks, artists, heritage and cultural programming, while audiovisual content privileges artworks, exhibition spaces and museographic resources. Videos/reels and carousels display greater representational diversity and higher median engagement than single images.Conclusions: The persistence of artworks and spaces across thematic axes reveals a heritage-centred institutional logic. Analysing captions and multimedia as an integrated unit exposes modal alignments and asymmetries hidden in single-mode or metric-based studies, while identifying participation, innovation and backstage representation as areas for strategic development.

En el contexto universitario actual, la inteligencia artificial (IA) se consolida como un recurso transversal que transforma los hábitos de estudio y el acceso al conocimiento. Este estudio analiza su integración en el aprendizaje a partir de un cuestionario estructurado aplicado a estudiantes de grado. Se analizan frecuencia de uso, herramientas preferidas y percepciones sobre su impacto. Los resultados revelan un uso operativo generalizado y escasa aplicación estratégica. Mediante análisis de clústeres, se identificaron perfiles diferenciados de apropiación. Se concluye que es necesario promover un uso más ético, crítico y pedagógicamente orientado de estas tecnologías en la educación superior.