Population aging is and will be a reality that should be paid attention to, not only because of the progressive increase in their share, but also because of the growing numbers of people living in dependency and, by exte...Population aging is and will be a reality that should be paid attention to, not only because of the progressive increase in their share, but also because of the growing numbers of people living in dependency and, by extension, human and technical qualification as it is required by the nurse who takes care of them. Patients in Spain have gone from being passive recipients of health care to be a key part of the healthcare system, with health professionals being increasingly aware of this situation. The development of legislation on autonomy and rights of people contributed to that sick people are being better informed, and can participate in their health process. Nurses act on the basis of both the Spanish Legislation and the Code of Ethics of the Spanish Nursing, where key guidelines for ethical and legal performance of nurse are compiled. Nurses provide information on health status on a daily basis and as a consequence have to face major ethical dilemmas very often. As a general premise flight ends should be clear. Ends, such as the malfeasance produced the so-called information obstinacy (report a negative diagnosis or prognosis to a patient who does not want to know), as the conspiracy of silence in front of a patient who wants to be informed. Therefore, communication on the state of health of a person, in most cases, makes it easier so you can take appropriate measures to ensure the success of treatment and care or acceptance of their situation.
INTRODUCTION: The purpose of this study is to find the user opinion regarding the active patient dynamics, to analyze if the users think that their knowledge increased after taking part in the group education and to dete...INTRODUCTION: The purpose of this study is to find the user opinion regarding the active patient dynamics, to analyze if the users think that their knowledge increased after taking part in the group education and to determine if they think that what they have learnt will help them modify their daily habits. MATERIAL AND METHODS: Phenomenological qualitative study. Participants: patients older than 14 years of age without cognitive impairment. Registering techniques: survey and field notes. The software NVIVO was used to analyze the results. RESULTS: The active patient dynamics were positively valued by the participants, specially the following categories: attention, participation, personal resolutions, opinions, suggestions and recommendations. 74% of participants deemed their knowledge to have increased substantially and 52% expressed that the lessons learnt will help them modify their daily habits. DISCUSSION AND CONCLUSIONS: The Spanish department of health has a strategy to empower patients to take a more active role in their health through the Active Patient Therapy. This study concurs with it and it is positively valued by the users. This type of education is increasingly demanded and the nursing community is an ideal position to enlighten the population. The majority of participants thought that the lessons learnt will help them modify their daily habits. It would be interesting to analyze the realization of those resolutions in other workshops or as a follow-up in the nursing consults to reach healthy goals.
OBJECTIVE: To know the level and characteristics of social skills (SS) in nursing students from the Escuela Universitaria de Enfermería of Huesca (EUEH) during undergraduate training and its relationship with personal, e...OBJECTIVE: To know the level and characteristics of social skills (SS) in nursing students from the Escuela Universitaria de Enfermería of Huesca (EUEH) during undergraduate training and its relationship with personal, educational and employment variables. METHOD: A descriptive cross-sectional study was conducted on 126 students enrolled in the course 2012-2013. As an evaluation instrument the Social Skills Scale of Gismero [1] was used. RESULTS: The overall level of SS is 96.15 (SD = 12.06), which is in the 75th percentile of the sample scales of the Social Skills Scale. The Students of the second course are significantly more skilled (< 0.005) in dimension "defend their rights" (DII), with a score of 15.17 (SD = 1.95). In the students under 21 years, are significant differences <0.033) for the dimension "express requests' (DV) with result of 14.82 (SD = 2.73). Students without prior experience, with health scores of 14.84 (SD = 2.76), show significant differences (<0.002) in expression of requests (DV). CONCLUSIONS: The overall level of SS of our students is superior to the sample scales of the Social Skills Scale. In the assessment of Social Skills, deficits do not appear in any of the evaluated dimensions. The SS taken together have not been modified by the variables analyzed; only have responded to the effect of variables "grade", "age' and "previous experience", DII ("ability to defend their rights") and DV ("ability to express requests").
Santos Laraña MÁ, Errea Rodríguez M, Cabasés Hita JM
… +1 more, Ordóñez Iriarte L
Rev Enferm
· 2016 Sep · PMID 30252183
From the hypothesis that the exclusive use of monetary incentives may undermine intrinsic motivation of health professionals, causing the opposite effect to that intended, this paper analyzes the factors that are associa...From the hypothesis that the exclusive use of monetary incentives may undermine intrinsic motivation of health professionals, causing the opposite effect to that intended, this paper analyzes the factors that are associated with intrinsic motivation of professionals responsible for nursing management. To this end, we designed a questionnaire on Work Motivation in Nursing Management based on Intrinsic Motivation Inventory (IMI), which was distributed at the National Conference of Supervisors of Nursing (Bilbao, 2010). After analyzing the results, we obtained a motivational profile that can guide health managers in the redesign of a system of incentives that, aligned with professional values, influence the efficient performance of health workers, and to invest in a new type of capital that we call "motivational capital".
Rodríguez Martín D, Echeverría Vallejo T, Menjón Beltrán A
… +3 more, Rodríguez Vicente S, Colas Lombardia N, Echarte M
Rev Enferm
· 2016 Sep · PMID 30251815
Gender violence is a serious problem as well as its serious consequences for women health. This fact contributes to a huge public health problem. Gender violence takes on different ways; being sexual assaults is one of t...Gender violence is a serious problem as well as its serious consequences for women health. This fact contributes to a huge public health problem. Gender violence takes on different ways; being sexual assaults is one of these. Nursing staff plays a central role in addressing cases of acute sexual assault. The aim of this article is to present the role of nursing staff in acute sexual assault. Thus, a number of recommendations are made both from nursing's autonomous role as nursing's collaboration role. The most interesting issue of this article is that it can be used as a guide for nursing staff about what to do in sexual assault cases.
OBJECTIVE: To know the perception of the work environment climate among the health staff between all the surgical areas at Hospital Universitari Vall d'Hebron (HUVH). DESIGN: Observational, descriptive and transversal re...OBJECTIVE: To know the perception of the work environment climate among the health staff between all the surgical areas at Hospital Universitari Vall d'Hebron (HUVH). DESIGN: Observational, descriptive and transversal research. STUDY SETTING: The HUVH's four surgical areas in 2014. STUDY SUBJECTS: HUVH's surgical block of health healthcare professionals. 138 questionnaires were delivered, 88 of which could actually be considered valid and thus taken into account in the present study. VARIABLES: Sex gender, age professional status, workplace, years, worked in the surgical area (AQ), and career level. The perception of social climate with the WES scale was assessed performed after a descriptive analysis of the variables, mean and SD or median and minimum/maximum according to their distribution and qualitative variables with absolute frequencies and percentages. Kruskal Wallis and ANOVA for the association between the variables of interest were calculated. RESULTS: Stability is almost the same in all four areas, slightly higher in the outpatient surgery unit (OS) and slightly more discomfort is perceived in the mother and child area (MCA). There is no relationship between the workplace and autonomy (F = 0.1; p = 0.959), organization (F = 0.94; p = 0.424), clarity (F = 0.03; p = 0.992), monitoring (F = 0.56; p = 0.64) and innovator (F =1.13; p = 0.34). Post hoc Scheffé test for relations were reviewed. CONCLUSIONS: There is more involvement in the MCA than in the general (GA) and trauma (TRA). There are more cohesion in MCA that OS and TRA and also more in GA that TRA. The least support is perceived in the trauma area. Less pressure is perceived and comfort is higher among OS workers.
Sánchez Morago SG, Migallón Buitrago ME, Villafranca Casanoves A
… +2 more, Torres Martín FA, García Schiaffino Mdel C
Rev Enferm
· 2016 Jun · PMID 27548993
INTRODUCTION: The electrocardiogram (ECG) is a noninvasive technique to perform simple, economical, reproducible and provides valuable information that can be used to make the diagnosis of the patient and to guide clinic...INTRODUCTION: The electrocardiogram (ECG) is a noninvasive technique to perform simple, economical, reproducible and provides valuable information that can be used to make the diagnosis of the patient and to guide clinical decisions. It is a diagnostic test used frequently as it can be done quickly, since it is done with a laptop and generally is always possible implementation in any field either primary care, specialty outpatient care. The diagnosis made by the ECG is considered valid in clinical practice, but is only effective if the electrodes are placed in the correct anatomical locations, if the hoses are properly attached to the electrodes, the registry maintains a good quality (the filters are used appropriate, interference and electrical noise are avoided) and ECG compares made by the same registration system (ECG 5 or 10 lead) for determining evolutionary changes (to determine changes in the ST segment during myocardial ischemia or assess the changes caused by reperfusion therapies). OBJECTIVE: To review the most common errors in electrocardiography, which are related to inappropriate placements of shunts, cross or exchange of patch cords limb leads, records of poor quality and comparisons of ECG serials made with different acquisition systems (10 vs 5 lead). CONCLUSIONS: We make the recommendations to prevent and avoid these scams that can lead to diagnosis and treatment with adverse outcomes for the patient.
Pellicer García B, Delgado Sevilla D, Juárez Vela R
… +3 more, García Moyano LM, Arbués Enrique R, Guerrero Portillo S
Rev Enferm
· 2016 Jun · PMID 27548992
OBJECTIVE: To address the immediate consequences produced in the falls suffered by valid institutionalized elderly population' in the last twelve months. METHOD: A cross sectional study, by personal interview. Simple ran...OBJECTIVE: To address the immediate consequences produced in the falls suffered by valid institutionalized elderly population' in the last twelve months. METHOD: A cross sectional study, by personal interview. Simple random sampling was performed. The study area corresponded to a private nursing home. The measuring instruments used in the study were the Mini Mental State Examination Lobo (MEC-35, 1979) to initially assess the level of cognitive development elderly study participants, and the WHO questionnaire for the study of falls in the elder 1989. RESULTS: Of the 21 drops produced in the last twelve months was found that 61.9% of falls were female, compared to 38.1% who relapsed in males. 52.4% of falls are not caused any consequences. 28.6% of falls caused superficial injuries and/or bruises, while the proportion of fractures corresponded to 19% for both sexes. Most of the falls did not produce immediate consequences whose percentage was 52.4% of cases. Second are superficial wounds and/or bruises with 28.6% and finally fractures with a ratio of 19%. CONCLUSIONS: The investigators considered the necessity of involvement of health professionals and the implementation ofpreventive strategies that can reduce the prevalence of falls. Thiswill successfully improve the quality of life of the elderly.
Pain is one of the most feared symptoms of cancer. Bad pain not properly relieved contributes to the suffering of the patient and family. This may encourage them to seek additional complementary and alternative therapies...Pain is one of the most feared symptoms of cancer. Bad pain not properly relieved contributes to the suffering of the patient and family. This may encourage them to seek additional complementary and alternative therapies, such as the one in our literature review. Reiki is understood as a healing method that uses universal energy to achieve balance and harmony of body, mind and soul, through the laying on of hands. Reiki is a relatively new the rapyin relation to the relief of the symptoms of cancer. In fact, there are still a few articles in this field. Currently, the authors explore the evidence on the effectiveness of Reiki in relation to cancer pain and symptom control. Due to the increased interest deposited in Reiki by the health professionals--especially for oncology professionals--to relieve the symptoms of cancer, there has been a synthesis of recent studies to provide the evidence so far. After our literature review, we can conclude that there is insufficient evidence on the effectiveness of Reiki in relieving the cancer's symptoms due to the small sample size used, the paucity of studies and the abandonment of the study participants and others.
The new technologies have brought with them a change in the way of communication. The access to information through the Internet is continuous, to the point that, in some cases, it has become into an addiction. Through t...The new technologies have brought with them a change in the way of communication. The access to information through the Internet is continuous, to the point that, in some cases, it has become into an addiction. Through this article, we would try to analyze from the biologic point of view as the psychological and social ones, the pathologies that have emerged due to the excessive use of the ICTs.
Castaño García T, Vega Díaz C, Cernuda Martínez JA
Rev Enferm
· 2016 Jun · PMID 27548989
The effects of disasters on physical health tend to be well-known, with short, medium and long term sequelae. On the other hand, not always is have recognized in the same way the effects on mental health, despite having...The effects of disasters on physical health tend to be well-known, with short, medium and long term sequelae. On the other hand, not always is have recognized in the same way the effects on mental health, despite having shown that, in situations of disaster or catastrophe there is a psychological signs of suffering increase and increases to a certain extent the psychiatric morbidity and other problem social. It is estimated that between a third and half of the exposed population, it suffers from some psychological manifestation. It has been erroneously thought that children and adolescents, not suffering with the same intensity of especially traumatic situations. In fact it was presumed, given their reactions so different from that of adults, had some protection. Currently, this has denied and minors are considered to be a group of high risk in cases of disasters and emergencies. Investigations carried out, demonstrate that in children and adolescents, the psychological sequels tend to be frequent and affect directly to the physical, mental and social development. Natural disasters are unexpected situations that will produce a serie of emotional reactions of diverse severity in their survivors, especially children, one of the most vulnerable groups due to a less understanding of what happened and difficulty expressing what they feel, having a personality still developing, and so directly affecting their physical, mental and social development. Therefore suffering the emotional scars, they will take longer to resolve and have a lifetime to live with them. These consequences should be treated by a corresponding community nurse and sometimes, depending on the severity and persistence (more than 3 months), a referral will be made to a qualified mental health professional, taking into account a number of recommendation and assesment canons. Parents or tutors with health professionals have an important role in the recovery of their children and their reactions will be very influenced by these firts. In recent years the interest has increased by the impact of the disaster on the mental health of affected populations and currently has become evident the need for a comprehensive approach that transcends disease care and repair of material damage.
OBJECTIVE: To characterize the specificities of aging in Portugal and Spain, in contrast to the reality of nineteen countries of the European Union. METHODOLOGY: The senior condition is characterized in different dimensi...OBJECTIVE: To characterize the specificities of aging in Portugal and Spain, in contrast to the reality of nineteen countries of the European Union. METHODOLOGY: The senior condition is characterized in different dimensions: health status, the level of wellbeing, conviviality and sense of loneliness. For that we have analyzed the results of the European Social Survey, round 5. RESULTS: In Portugal, compared to Spain, it has been identified in the elderly population: greater financial difficulties, poorer perceived health status and wellbeing but, simultaneously, less limitation in performing activities of daily life. Respecting to con- viviality, Portugal and Spain are distinct from other populations of the European reality analyzed, with a high frequency of con- vivial activities. CONCLUSION: In conclusion it was found the existence of national characteristics that suggest the existence of social and cultural factors that determine the experience of aging.