García-Hernández MN, Fraga-Hernández ME, Aguirre-Jaime A
Rev Enferm
· 2015 Jun · PMID 26591940
OBJECTIVE: To value the degree of completion of VEUPAP record, the level of satisfaction of the accompanists otcrilaren witn nursing care and nurse satisfaction. DESIGN: Descriptive study. There was valued the cumpliment...OBJECTIVE: To value the degree of completion of VEUPAP record, the level of satisfaction of the accompanists otcrilaren witn nursing care and nurse satisfaction. DESIGN: Descriptive study. There was valued the cumplimentation of record of global and specific form by nurse according to defined quality criteria. The satisfaction of the accompanists was valued by the AMABLE questionnaire, the nurses satisfaction with the use of VEUPAP by the CSLPS-EAP and the personal accomplishment in the work by the MBI in his validated Spanish version. RESULTS: 266 VEUPAP cases were evaluated. The general compliance of the items exceeds 95 (92-98) %, except for three items. Completion of protocols fever, respiratory distress, gastrointestinal, and abdominal pain is 95 (92-98) %, 93(90-96) %, 90 (86-94) %--and 67 (61-73) % respectively. More than 95 (93-97) % users referring to be satisfied with the nurses attention. The 100 (100-100) % of the nurses are very satisfied with their tasks and activities and personal accomplishment they get, 88(84-92) % with the quality of patient care and achievement of objectives. All feel quite satisfied with their degree of autonomy. Job instability represents 50(44-56) % of dissatisfaction. The EE is low for 94% of nurses and a medium for 6%, the DP high for 17% and low for 13% and the PA low for 53% and medium for 47%. CONCLUSIONS: Quality of registration, user satisfaction and the nurse who provides care satisfaction are three cornerstones of pediatric emeraency care. VEUPAP impacts positively on these three aspects.
OBJECTVE: The aim of this study was to assess the attitude of nurse assistants, nurses, physicians, and lab technicians about advanced management of medical waste. METHODS: Cross-sectional study of Attitude and explanato...OBJECTVE: The aim of this study was to assess the attitude of nurse assistants, nurses, physicians, and lab technicians about advanced management of medical waste. METHODS: Cross-sectional study of Attitude and explanatory variable degree of concordance between Attitude, Knowledge, and Risk Perception. The sample size was 176 health professionals from three hospitals in,the Barcelona area. A questionnaire of 44 items with responses measured on a Likert scale type questions and free and spontaneous association and incomplete sentences was used. RESULTS: Mean Attitude of health professionals surveyed was 4.40, with a standard deviation of 0.4 on a scale of 1-5, where 1 is considered a very negative and five a very positive Attitude. According to the values obtained with the Professional Category, the nurse assistants had an average value of 4.45 in Attitude, followed by nurses (4.36), physicians (4.27), and lab technicians (4.47). In the Pearson correlation, coefficients between Attitude, Risk Perception, Global Assessment, and level of Knowledge, values of r = 0.172 andp = 0.023 were obtained, r = -0.156 and p = 0.039 and r = 0.013 and p = 0.865 respectively. The mean values of the variables Knowledge, Risk Perception, Attitude, and Overall Rating were significantly different (ANOVA) in Knowledge level, according to Professional Category and Welfare Service, but not in other categories. CONCLUSIONS: The results of the current study suggest that health professionals generally have a very positive Attitude towards the management of medical waste. A significant relationship between Attitude and Risk Perception and Overall Rating was observed. In terms of the analysis of Variance, there was a significant difference in the level of Knowledge according to the Professional Category and the Assistance Service.
Mosquera Pan L, Onandia Garate M, Luces Largo AM
… +1 more, Bouza ET
Rev Enferm
· 2015 Jun · PMID 26591938
In primitive cultures, women chose to give birth in upright positions such as squatting or sitting, because these positions stimulate a physiological birth. In this way, in order to make easier the delivery support tools...In primitive cultures, women chose to give birth in upright positions such as squatting or sitting, because these positions stimulate a physiological birth. In this way, in order to make easier the delivery support tools such as birthing chair (BC) are discovered. Later, with the medicalization of childbirth, the lithotomy position was introduced as standard practice, with the aim of promoting comfort to the birth attendant. Currently, this position is still prevalent in the hospital environment. The World Health Organization recommendations, stresses the importance of providing impartial information on birthing positions to women, so that she will decide how to give birth without professional influence as a limiting factor in maternal posture. The aim of this review is to make known the utility of the BC, the advantages and disadvantages associated with it, to make it an available resource in vertical childbirth. The BC is a low rise seat horseshoe shaped stable and sturdy structure, and sitting in the chair women acquire squatting position, considered the most natural. The BC is considered a useful tool for childbirth upright. Giving birth using the BC seems to be protective against episiotomies and Kristeller maneuver, provides comfort and empowerment of women and helps them to have a more positive birth experience.
Marina Fernández R, Ginés Mateos G, Arco Pérez MC
… +2 more, Nuevo Gayoso M, Faura Vendrell T
Rev Enferm
· 2015 Jun · PMID 26591937
Total knee arthroplasty (TKA) is a surgery consisting on the artificial joint replacement, due to a traumatic injury or a degenerative process or arthrosis. This surgery causes an important pain to patients, and sometime...Total knee arthroplasty (TKA) is a surgery consisting on the artificial joint replacement, due to a traumatic injury or a degenerative process or arthrosis. This surgery causes an important pain to patients, and sometimes affects negatively on their recovery. The choice of the prostheses will depend on the anatomical features of the patient and the surgeon criterion. The concept of a "rapid recovery surgery" was introduced in 1997 by Khelet and meant the beginning of the Fast Track model or the Rapid Recovery (RR) linked to an accelerated rehabilitation, an early discharge and the optimization of all the aspects of pre, intra and post-operative patient experience. Fast recovery is a surgical process which aims to achieve maximum autonomy of the patient through education, pain control and early mobilization. The key of the rapid recovery is to get the involvement of the patient thanks to the empowerment, which means a preoperative patient education that will help to reduce anxiety and it will make easier to engage in their own recovery. Furthermore the patient will take part of an effective post-operative physical therapy, using all the necessary tools to increase their ability to manage their own health problems. The empowerment of these patients is part of the Nursing Model in the Hospital Clinic de Barcelona (HCB), adopted by the Nursing Management in December of 2012. In Catalonia, until the start of the RR surgery, 14,132 interventions in 2008 where done by TKA conventional surgery, needing subsequent conventional hospitalization. This article describes the care and outcomes of nurse interventions, defined in the RR of TKA clinical way, which is focused on the pain's minimization and the impact on patients' mobilization. It was performed in a monographic unit from a tertiary-level hospital in Barcelona in 2013.
Nursing process has been influenced and modified throughout history by different factors, as familiar, social and cultural aspects. Basically, the vocation has made nursing a tremendously servile and dedicated profession...Nursing process has been influenced and modified throughout history by different factors, as familiar, social and cultural aspects. Basically, the vocation has made nursing a tremendously servile and dedicated profession, which is drowning out its initiative and its innovation. Protectionist influences towards the profession, are the main barrier to the innovation, effective leadership and to different ways of thinking. Furthermore, the professional silence and the obedience to other disciplines, have slowed professional progress and the visibility of patient care. Nowadays, more than before, there is clearly perceived in the nursing staff a sense of helplessness and legally defenceless. At the same time, a lack of professional ideology and a sense of underused and undervalued profession. This undermines the development of innovation and effective leadership. Besides, it must be taken into account that the inviolability of personal approach and the invisibility of our profession are related to the professional silence. This fact has a direct effect on nurse's leadership team.
Resilience is a dynamic and evolving process, that varies according to the circumstances, the features of the trauma, the context, the stage of life in which the person is, culture and learning we had. Largely depends on...Resilience is a dynamic and evolving process, that varies according to the circumstances, the features of the trauma, the context, the stage of life in which the person is, culture and learning we had. Largely depends on the art of extending the arm to ask for help and also the art to attempt it with significant relationships. From the belief that the nursing profession is called to provide resilience tutoring, we review the keys by which we consider these professionals potential resilience tutors.
Dominguez Álvarez R, Calderón Carrasco J, García Colchero F
… +2 more, Postigo Mota S, Alburquerque Medina E
Rev Enferm
· 2015 Jan · PMID 26540909
OBJECTVE: To achieve well-being in patients in Palliative Care is required to know which are the most common symptoms, which are the drugs used for relief, which are the routes of administration of drugs that are suitabl...OBJECTVE: To achieve well-being in patients in Palliative Care is required to know which are the most common symptoms, which are the drugs used for relief, which are the routes of administration of drugs that are suitable, how effective the drugs are and what incompatibilities, interactions and adverse effects occur. The aim of this article is to review the relevant issues in the management of the drugs commonly used by nursing in Palliative Care and presenting recommendations to clinical practice. METHODOLOGY: Management interventions drugs for nurses in Palliative Care recommended by the scientific literature after a search of Scopus, CINAHL, Medline, PubMed, UpToDate and Google Scholar are selected. RESULTS: The oral route is the choice for patients in palliative situation and subcutaneous route when the first is not available. The symptoms, complex, intense and moody, should be systematically reevaluated by the nurse, to predict when a possible decompensation of it needing extra dose of medication. DISCUSSION: Nurses must be able to recognize the imbalance of well-being and act quickly and effectively, to get relief to some unpleasant situations for the patient as the pain symptoms, dyspnea or delirium. For the proper administration of rescue medication, the nurse should know the methods of symptomatic evaluation, pharmacokinetics and pharmacodynamics of drugs, the time intervals to elapse between different rescues and nccocc rocnnnco t thocm
The aim of this article is known through literature review the existence or absence of gender bias in the exercise of the nursing profession in two specific problems such as cardiovascular disease (CVD) and panic attacks...The aim of this article is known through literature review the existence or absence of gender bias in the exercise of the nursing profession in two specific problems such as cardiovascular disease (CVD) and panic attacks. We want to know how these biases might be impacting clinical diagnosis and health care received by men and women. A search was performed in Medline, Psicodoc, Psycinfo and Cuiden under keywords: "gender bias", "gender differences", "nursing", "healthcare", acardiovascular disease), "anxiety", selected from a total of25 items are allowed to offer a global view on possibles gender bias in the performance of the health professions in the two pathology understudy
Fernández Blanco R, Díez Rodríguez C, Garcia Pozo AM
… +5 more, Moro Tejedor MN, Pérez Martín L, Suero Dominguez M, Ramos Alonso E, De Miguel Díez J
Rev Enferm
· 2015 Jan · PMID 26540907
INTRODUCTION: Chronic Obstructive Pulmonary Disease (COPD) is a condition which requires, among others, the administration of bronchodilators and anti-inflammatory drugs to control the disease. They help to keep the airw...INTRODUCTION: Chronic Obstructive Pulmonary Disease (COPD) is a condition which requires, among others, the administration of bronchodilators and anti-inflammatory drugs to control the disease. They help to keep the airways clear and prevent the buildup of fluid and mucus. Inhalation is the most widely used form of administrating the medication because of its local and rapid action which normally is done by aerosol therapy. The objective of this study is to evaluate the effectiveness of two aerosol methods in clearing the airways of COPD patients, admitted with an exacerbation due to their disease. It also aims to evaluate its effects on the length of stay, oxygen saturation, dyspnea, autonomy and complications. METHODS: Randomized clinical trial. Traditional method (control group) and positive expiratory vibrating device (intervention group): two ways to deliver aerosol were compared. The following outcome variables were considered: length of stay, days of fever, oxygen saturation, need for NIV or VM, the basic activities of daily living index autonomy (Barthel), dyspnea (Borg scale) and peak-flow. RESULTS: 39 patients were included. Regarding hospital stay, patients in the intervention group spend an average of one day less in hospital. Also in this group there were fewer readmissions. No statistically significant differences were found in the remaining variables. CONCLUSIONS: The inhalation treatment with a vibrating device with positive exhalation, appears to reduce the length of stay and prevent readmissions. It is important to continue research on non-pharmacological interventions as to achieve the prevention of relapses.
INTRODUCTION: The hospitalization of the sick person in the family creates anxiety, stress, etc... The families in this situation have no tools to face reality and ignore their needs. OBJECTIVE: To identify the relations...INTRODUCTION: The hospitalization of the sick person in the family creates anxiety, stress, etc... The families in this situation have no tools to face reality and ignore their needs. OBJECTIVE: To identify the relationship between family needs and nursing interventions. METHODS: We conducted a literature review in the databases Pub-Med, CINAHL, Cuidatge, Cuiden and ScienceDirect. After including items that meet the selection criteria were selected 18 items RESULTS AND DISCUSSION: In selected items were analyzed the necessities generated by the hospitalization of a family member in the ICU, performances, interventions and proposals for improvement that are proposed to meet the needs and constraints and reluctance that occur in practice. CONCLUSIONS: Although the literature identifies the needs of the family, the problems encountered and solutions proposed, the nurses do not integrate these needs into their operations.
Sánchez Sánchez MJ, Alonso Vargas I, Duarte Santamaría Y
… +1 more, Fargus Alpuente M
Rev Enferm
· 2015 Jan · PMID 26540905
Breast cancer is the most common malignancy in women. The surgical approach is one of the cornerstones in the treatment of this disease. One of the complications of surgery is postoperative seroma. Despite not being a se...Breast cancer is the most common malignancy in women. The surgical approach is one of the cornerstones in the treatment of this disease. One of the complications of surgery is postoperative seroma. Despite not being a serious complication, for women it is, and involves discomfort, more hospital visits and sometimes delay of adjuvants treatments.
Guix Comellas EM, Force Sanmartín E, Rozas Quesada L
… +1 more, Noguera Julian A
Rev Enferm
· 2015 Jan · PMID 26540904
INTRODUCTION: Tuberculosis (TB) remains a major cause of morbidity and mortality in many countries. This involves a serious public health problem. Adherence to TB treatment is a cornerstone for the control of this diseas...INTRODUCTION: Tuberculosis (TB) remains a major cause of morbidity and mortality in many countries. This involves a serious public health problem. Adherence to TB treatment is a cornerstone for the control of this disease. DEVELOPMENT: Globally, there are major differences between countries as to the prevalence, incidence and mortality tuberculosis. Spain has a incidence rate higher than that of other countries in their socio-economic background. Treatment is prolonged, with significant side effects. Adherence to treatment is essential to be effective, prevent drug resistance and disease control. Children are more vulnerable to developing the disease than the rest of the population. Several direct and indirect methods measure the adherence to treatment, but none is ideal. Some socio-demographic risk factors that influence on adherence are described (immigration...). In addition, there are another more specific child factors to have been add. CONCLUSIONS: The literature reviewed highlights the importance of proper monitoring of patients to increase adherence to TB treatment. The role of the nurse and their interventions are very important.