Martín-Espinosa NM, Píriz-Campos RM, Cordeiro R
… +3 more, Muñoz Bermejo L, Casado Verdjo I, Postigo Mota S
Rev Enferm
· 2016 May · PMID 27405149
Home accidents are more common in the elderly and they can have serious consequences to the injured person's health. At home, chances to suffer accidents of any type are higher, because it's the place where old people sp...Home accidents are more common in the elderly and they can have serious consequences to the injured person's health. At home, chances to suffer accidents of any type are higher, because it's the place where old people spend most of their daily time. It is important to point out that a high percentage of domestic accidents could be easily avoided by taking some simple cautions. The main aim of this paper is to know how we can prevent most common domestic accidents in the aged population: falls, burnings, poisonings and fire prevention.
OBJECTIVE: A key element to promote the compliance of hand hygiene (HH) among health care workers (HCWs) is to analyze their perceptions of it. Our objective was to evaluate the beliefs and perceptions that nursing stude...OBJECTIVE: A key element to promote the compliance of hand hygiene (HH) among health care workers (HCWs) is to analyze their perceptions of it. Our objective was to evaluate the beliefs and perceptions that nursing students have on HH. METHOD: A cross-sectional study was performed during the 2011-2012 school year. It included all enrolled nursing students from a Spanish University. The information was obtained by a self-administered questionnaire, which assessed the importance of HH to control nosocomial infections (NI), beliefs (by Hand Hygiene Beliefs Scale-HHBS) and perceptions of the importance given to HH in the curriculum (by Hand Hygiene Importance Scale-HHIS). Associations were analyzed using logistic regression. RESULTS: 146 students of the 270 (54.1%) completed the questionnaire. Assessing the importance of HH as NI control measure ranged from 4 to 10 points (median = 9). The more agreement HHIS item was to consider HH as an important part of the curriculum (76.1%), while HHBS item was to believe that hands washing after going to the toilet reduces the transmission of infectious diseases (100%). Importance of HH to control NI valued with > 9 points was associated with the agreement to consider it as an relevant part of the curriculum (OR:2.5), and to believe that HCWs play an important role in preventing NI (OR: 4.3). CONCLUSIONS: HH was rated as an important NI control measure. Educational programs should be carried out at universities to students do HH, whether they observe poor compliance among HCWs in their practices.
We are living in a time with a lot of changes in which health organizations have more challenges to face. One of them is to recognize, strengthen, develop and retain the talent they have. Competency-based human resources...We are living in a time with a lot of changes in which health organizations have more challenges to face. One of them is to recognize, strengthen, develop and retain the talent they have. Competency-based human resources management is emerging as a tool that contributes to achieve that aim. Competencies from the generic or characteristic perspective: personality traits, values and motivations, which are deeply rooted in the person. Through elaborating a competencies map for the organization, and identifying the job competencies profile, above all in key jobs, the employees know what it is going to expect from them. After, detect and cover the learning needs, it is possible to achieve better adjust between worker-job. The nursing unit manager is a key job because it is a link between management team and nursing team. The way that it is performed, it will have impact on the quality of care and its team motivation. So, the most adequate person who covers this job would have a part of knowledge, skills, attitudes and compatible interests with her job. Competency-based management helps identify both the potential and learning needs to performing this job.
Garrido López M, Luque León M, Mayoral César V
… +1 more, Casado Fernández LE
Rev Enferm
· 2016 May · PMID 27405146
BACKGROUND: The neonatal infection by Streptococcus group B is one of the main causes of neonatal morbi-mortality rate. For this reason a screening is made to each pregnant woman in order to detect its presence, and if i...BACKGROUND: The neonatal infection by Streptococcus group B is one of the main causes of neonatal morbi-mortality rate. For this reason a screening is made to each pregnant woman in order to detect its presence, and if it was the case, to apply an antibiotic treatment during labour. The aim of this study was to know the prevalence of this Streptococcus in the pregnant women from Melilla, as well as the differences according to culture and age. METHOD: A descriptive cross-sectional study located in the Hospital Comarcal from Melilla. RESULTS: The sample is taken from 280 women: 194 are from Muslim culture (69.3%), 68 are from Christian culture (24.3%) and 18 women from unknown cultures (6.4%). Also it is known that 78 of them are 25 years old or less (27.85%), 158 are between 26 and 34 years old (56.42%) and 44 are 35 years old or more (15.71%). CONCLUSIONS: The prevalence of vagino-rectal colonization by Streptococcus group B in the pregnant women from Melilla is within the national estimated figures, however it is different if they are from Muslim or Christian culture, being higher in the Muslim population. On one hand both prevalences are within the national statistics, and on the other hand it is observed that there is not any difference according to age.
INTRODUCTION: Helicobacter pylori infection is the main risk factor for developing gastric cancer, with the influence of genetic, toxic and dietary factors. It is the fourth most common cancer and the second most deadly...INTRODUCTION: Helicobacter pylori infection is the main risk factor for developing gastric cancer, with the influence of genetic, toxic and dietary factors. It is the fourth most common cancer and the second most deadly worldwide, so its prevention is important specially focusing on dietary habits, to be approached from the primary care setting. AIM: Evaluate the influence of diet on the primary prevention of gastric cancer in patients with Helicobacter pylori infection. METHODS: Systematic review, the keywords "Helicobacter pylori", "diet" and "stomach neoplasms" were previously selected from the DeCS and MeSH structured vocabulary. Sources of primary and secondary databases were consulted, limits were established. RESULTS: H. pylori infection and dietary factors may act synergistically in the development of gastric cancer and some cooking practices. Dietary factors may increase the risk of gastric cancer like the high consumption of salt, salty foods, saturated fat, red and processed meats, while fruits and vegetables may be considered as a protective factor, especially the high consumption of Allium and the cruciferous family. CONCLUSIONS: The lifestyle and dietary habits may influence the development of gastric cancer, especially in patients with H. pylori infection. Decreasing consumption of salty, processed, smoked or pickled foods, red meat and saturated fat, avoiding toxins, and carrying out a diet rich in fruits and vegetables, in addition to eradicating the bacteria, can be considered the most effective preventive strategy against the risk of developing gastric cancer.
Decrease blood loss associated with the analytical laboratory is a determinant of safety and quality in the preanalytical phase, in order to achieve an optimal level of care, where nurses have leading role to be responsi...Decrease blood loss associated with the analytical laboratory is a determinant of safety and quality in the preanalytical phase, in order to achieve an optimal level of care, where nurses have leading role to be responsible for the care of the critically ill patient.
Velarde-García JF, González-Cervantes S, Meneses-Monroy A
… +3 more, Tovar-Reinoso A, Cardenete-Reyes C, Palacios-Ceña D
Rev Enferm
· 2016 May · PMID 27405143
The therapeutic limitation is a relatively common in Intensive Care Units practice. There are different types of therapeutic limitation, and the patient can be classified according to measures likely to withdraw or not s...The therapeutic limitation is a relatively common in Intensive Care Units practice. There are different types of therapeutic limitation, and the patient can be classified according to measures likely to withdraw or not start. Among such measures include removal of stand mechanical ventilation with the analgesia and sedation applied to the end of life of the patient.
Grau Giner A, Fornieles Moreira M, Márquez Mora M
… +3 more, Moragas Bayés N, Rodríguez Ruiz MJ, Gisbert Cases Á
Rev Enferm
· 2016 May · PMID 27405141
INTRODUCTION: Healthcare personnel is especially vulnerable to the risks derived from their job. The complexity that has the care of patients with Ebola justifies the study of the perception of risk of such professionals...INTRODUCTION: Healthcare personnel is especially vulnerable to the risks derived from their job. The complexity that has the care of patients with Ebola justifies the study of the perception of risk of such professionals. OBJECTIVE: To know the perception of risk in the nursing staff that takes care of patients suspected of suffering the Ebola virus. MATERIAL AND METHODS: Transversal study carried out in the Hospital Clinic of Barcelona. 19 professionals of nursing staff that attended suspected Ebola patients were included in the study. The data was collected through a questionnaire of dimensional evaluation of the perceived risk along with sociodemographic variables and a subsequent statistics analysis. RESULTS: A percentage of 68% of the nursing staff refereed having a high level of knowledge of the risk associated with the factor of this study. A percentage of 42% determined that there was a very high possibility of being harmed. A percentage of 63% considered that the most harmful consequences would appear in short term, and finally a percentage of 48% considered that there was a very high risk of accident or illness associated to the factor of this study, whereas a percentage of 5% considered the risk to be very low. CONCLUSIONS: The answers obtained showed not only that nursing staff had a very high level of knowledge regarding the risk associated to the factor of this study, but also that the emotional fear was very high.
Muñoz Bermejo L, Postigo Mota S, Martín Espinosa NM
… +3 more, Piriz-Campos RM, Casado Verdejo I, de Llanos Peña F
Rev Enferm
· 2016 · PMID 29584393
The ageing of the population is a reality in our society nowadays. The aging process changes increase the probability that health problems occur. This fact involves that the needs of care demanded by the population incre...The ageing of the population is a reality in our society nowadays. The aging process changes increase the probability that health problems occur. This fact involves that the needs of care demanded by the population increase too. The care for the elderly generally are provided in home environments, where often, the primary caregiver is another old person. In this sense, must be taken into account that this stage of life, the old age, although there has been important improvements in the quality of life and in the resolution of health problems, presents certain limitations refers to physical and mental declines that affect to the functional capacity of elderly caregivers. For this reason, it is necessary to carry out a comprehensive geriatric assessment to identify unresolved needs and establish care strategies required to attend their demands for care.
Chronic kidney disease (CKD) is a disease with a high prevalence in our environment, and those suffering the disease should be as clear as possible that renal replacement therapy (RRT) may better suit your lifestyle. It...Chronic kidney disease (CKD) is a disease with a high prevalence in our environment, and those suffering the disease should be as clear as possible that renal replacement therapy (RRT) may better suit your lifestyle. It is important that the patient has enough information about the techniques that can be accessed in a clear manner, so as to evaluate the different possibilities, advantages and disadvantages. The timing on this election is crucial and stressful for the patient's life, not only by the effects of the disease itself, but also by the assimilation of a new lifestyle that should keep the rest of it. This work was done thinking about the need for patients and health professionals in acquiring a holistic and comprehensive understanding of all the features that can have both peritoneal dialysis (PD) and hemodialysis (HD); form own patient factors (diet, family environment, etc.) related to nurses (care, information provided, etc.) without forgetting the conditions outside the patient and the nurse as they can be structural and economic aspects.
Freire Barja N, Luces Lago AM, Mosquera Pan L
… +1 more, Tizón Bouza E
Rev Enferm
· 2016 · PMID 29584391
INTRODUCTION: The obstetric violence (OV) is the type of violence perpetrated against the pregnant woman through acts such as lack of respect to her autonomy and her freedom to decide. The increasing medicalization of th...INTRODUCTION: The obstetric violence (OV) is the type of violence perpetrated against the pregnant woman through acts such as lack of respect to her autonomy and her freedom to decide. The increasing medicalization of the labour process, seems to be associated to this type of violence. OBJECTIVE: Our objective is to provide health professionals with the necessary knowledge to be able to inform their patients about their rights and recognize those situations that can imply violence during the care process. MATERIAL AND METHODS: The literature search was conducted in the following databases: PubMed, Cochrane Database of Systematic Reviews, EMBASE, Joanna Briggs Institute, UpToDate and CUIDEN. The search was limited to articles published during the last five years. The next medical subject heading were used both in English and Spanish: "humanizing delivery", "obstetrics", "medicalization" and "violence". RESULTS: The performance of harmful practices and the unjustified medicalization of the labour process represent a potential damage to pregnant women by action, violating their rights as a result. To prevent and eradicate this, new lines of less interventionist work are being proposed. CONCLUSION: As health professionals we should promote the humanization of labour and informs women about the existent legislation, protocols and guidelines that offer adequate information based on the latest evidence and promote their advance role as patients. The health institutions are responsible for initiating this change, by implementing protocols to guide the practice of the health professionals involved in the care of women during labour. These protocols should be based on the WHO recommendations.
Sorli Latorre D, Rubio Lahoz N, Sorli Latorre P
… +1 more, Aguilar Palacio I
Rev Enferm
· 2016 · PMID 29583175
OBJECTIVE: To explore the use of health services in the Spanish population, according health insurance. METHODS: A cross-sectional study using data from the Spanish National Health Survey 2011-2012 was conducted. 21 007...OBJECTIVE: To explore the use of health services in the Spanish population, according health insurance. METHODS: A cross-sectional study using data from the Spanish National Health Survey 2011-2012 was conducted. 21 007 people were included. Among individuals with health coverage, three groups were differentiated: people with public, private and mixed insurance. Univariate and bivariate analyses were developed to know health services and bivariate analyses were developed to know health services use differences by health insurance. RESULTS: 83.5 % of the population reported only a public coverage, 2.5 % has only private insurance and 14 % was enrolled in both forms. Individuals with public coverage visited with higher frequency the general physician (81.9 %), while those with only private insurance visited a specialist in the highest proportion (65.6 %). Individuals with only public health coverage presented the longest waiting times, for both programmed hospitalization and medical attention. In general terms, people with double coverage showed the greatest participation in preventive activities. CONCLUSIONS: Public coverage is the most important coverage of the Spanish population. Different use of health resources were observed according to health insurance.
Padilla Just MN, Ots Ruiz AC, González Larriba M
… +3 more, Burgos Díaz C, Baeza Zanella E, Fabrellas Pabrés N
Rev Enferm
· 2016 · PMID 29583174
INTRODUCTION: The emergency centers for primary care (CUAP, for its acronym in Spanish) are created in order to address low and medium emergency pathologies. Nurses resolve low emergency acute minor illness, through perf...INTRODUCTION: The emergency centers for primary care (CUAP, for its acronym in Spanish) are created in order to address low and medium emergency pathologies. Nurses resolve low emergency acute minor illness, through performance algorithms which increase their resolutions. OBJECTIVES: The main objective is to describe acute minor illness in adults solved by nurses at the Manso CUAP trough performance algorithms. JUSTIFICATION: The involvement of nurses in the care for acute minor illness at the CUAPs strengthens their service portfolio and places them at the gateway of the health system. Performance algorithms provide nurses with the ability to manage up to the end the resolution of the user's demand. MATERIAL AND METHOD: Data collection was carried out for 6 months, during increased pressure flows, analyzing the use of 20 performance algorithms. Data was extracted from computerized medical records. RESUTLS: Health problems were solved in 1575 patients with an average age of 40 years. The consultations most frequently resolved by the nurses were: injuries (27%), application of techniques (20 %) and health education (13 %). CONCLUSIONS: The use of performance algorithms for decision-making is effective for acute minor illness nurse care. Health education can solve a high performance of queries.
A teenager with a problem of substance abuse or dependence to social media does not usually realize and tends to minimize the consequences, until the problems related to its use and consumption appear. We may understand...A teenager with a problem of substance abuse or dependence to social media does not usually realize and tends to minimize the consequences, until the problems related to its use and consumption appear. We may understand that this is a sick person who needs help and with full right to be assisted without any restrictions. During the health care activities with these patients, professionals are often involved in situations in which decision-making does not involve just assessing health aspects, but also the legal and ethical implications. Thus, we deal with some ethical issues that affect to our activity and the quality of care.
This article invites us to think about the learning process, giving special attention to what we do not know, the recognition of ignorance, and the activation of the desire to learn. It proposes to revisit the mental pat...This article invites us to think about the learning process, giving special attention to what we do not know, the recognition of ignorance, and the activation of the desire to learn. It proposes to revisit the mental patterns that might interfere with the learning process. To go beyond the Newton thought and to develop instead a thinking process that can be dual and quantic, which allows us to elucidate and comprehend complex situations.
BACKGROUND: Although sick people are exempted from performing Ramadan, it is estimated that approximately 50 million people with diabetes mellitus (DM) fast during this month. OBJECTIVE: To explore the relationship betwe...BACKGROUND: Although sick people are exempted from performing Ramadan, it is estimated that approximately 50 million people with diabetes mellitus (DM) fast during this month. OBJECTIVE: To explore the relationship between Ramadan and DM in adult Muslim population as well as management and recommendations from literature related with this issue. METHOD: A narrative review was carried out in PubMed, Cochrane and Cuiden, databases, using controlled and free language for the period 2009-2014, and language filters (Spanish and English). Content analysis of selected documents in order to find emerging thematic categories was conducted. RESULTS: The results have been organized into five thematic categories: the desire for Ramadan; changes that occur in the body by fasting; complications from fasting; control of DM during fasting; knowledge of healthcare professional. CONCLUSION: Those believers who wish to take part in Ramadan and suffering DM, have to go to their health care professional before performing because, although people with good control can perform the fast, the treatment must be individualized, considering the composition and amount of food they are going to eat.