Torres Quintana A, Icart Isern MT, Esquinas López C
Rev Enferm
· 2015 Sep · PMID 26738228
UNLABELLED: INTRODUCTION. The objective is to determine whether laterality-location inside shopping cures three health resources (gauze, bandages and physiological sera [PS] from 10 cc) influences the amount of material...UNLABELLED: INTRODUCTION. The objective is to determine whether laterality-location inside shopping cures three health resources (gauze, bandages and physiological sera [PS] from 10 cc) influences the amount of material consumed in the Cabinet of Hemodialysis of the Fundaci6 Puigvert. METHODOLOGY: Quasi-experimental study with no control group post test type. The sample consisted of thirty expert nurses (non-probability convenience sampling). The study was conducted between March and August 2014. For two months, the three medical devices remained on the right side of the carriage cures for two months in the middle and finally two months on the left side. The analysis was performed using SPSS statistical software, for all tests a significance level < .005 was used. RESULTS: Average age of 40.4 years and a mean old in the Cabinet of 14 years. Increased consumption and gauze PS is observed when the products are placed on the right side of center but is not significant (p > .005). Dressings consumption is higher on the right than in the center (p < .001). The consumption of the three health products is lower on the left side of the truck when placed in the center (p <.001) or right side (p < .001). CONCLUSIONS: The laterality-location has a direct influence on the consumption of medical supplies. Consumption on the left side is less than in the center and on the right side. The laterality-location is a good management strategy.
UNLABELLED: The amount of chronic health problems in students is increasing with the time (food allergies, diabetes mellitus...). The presence of a school nurse in the educational sites could be the key to control this k...UNLABELLED: The amount of chronic health problems in students is increasing with the time (food allergies, diabetes mellitus...). The presence of a school nurse in the educational sites could be the key to control this kind of health issues. OBJECTIVE: Overhaul the function of a possible nurse in the schools of our region, with the target of trying to control and prevent diabetes mellitus and other illnesses. METHODOLOGY: We have reviewed the figure of a school nurse and the diabetes care in non-university schools, using scientific sources of information and the own experience. RESULTS: Many countries of the European environment are performing really important activities which have their benefits on the students'health; using the figure of a school nurse. However, the presence of this person is generally not constant in the educational sites, and requires some improvements. CONCLUSIONS: We must promote the establishment of school nurses in Spain so that we can take care and prevent many health problems which mostly affect youth and childhood.
Raya Tena A, Falder Serna I, Fernández Linares EM
… +1 more, Casañas Sánchez R
Rev Enferm
· 2015 Oct · PMID 26685568
OBJECTIVE: To analyze the impact of psycho-educational groups for patients with mild/moderate depression in relation to attendance in primary care consultations, the consumption of anxiolytics and antidepressants and the...OBJECTIVE: To analyze the impact of psycho-educational groups for patients with mild/moderate depression in relation to attendance in primary care consultations, the consumption of anxiolytics and antidepressants and the number of days of temporary disability of patients who performed the intervention group versus those not performed. METHOD: Controlled, longitudinal, prospective cohorts in 13 primary care teams of Barcelona city randomized trial. 232 patients, 120 intervention group and 112 in the control group. The study variables were: sex, age, marital status, nationality, education level, employment status, consumption of anxiolytics and/or antidepressants, number of working days, depressive symptoms, quality of life, co-morbidity and attendance in consulting physician and primary care nurse. RESULTS: 69.7% of the total sample were healthy persons frequenting the control group and intervention in the nursing represented a reduction of 2 points in the average number of visits made during the pre-intervention year and the year after the intervention. This was not affected attendance in the control group and in visits to the family doctor. A reduction was observed in the number of casualties of those who have made thegroup intervention. CONCLUSIONS: The psychoeducational group intervention for patients with mild/moderate depression makes decrease the assistance frequency of the patients to nurse consultory. Patients who have assisted to psychoeducational group intervention tend to apply less for the medical leave.
INTRODUCTION: Current medicine tends to dehumanize the end of life process, which contributes to generate certain ethical conflict to nurse staff MATERIAL AND METHOD: The major scientific datadas research. RESULTS: The f...INTRODUCTION: Current medicine tends to dehumanize the end of life process, which contributes to generate certain ethical conflict to nurse staff MATERIAL AND METHOD: The major scientific datadas research. RESULTS: The four main ethical conflicts detected are: decisions making, communicating information, futile treatments and hydration and artificial feeding. DISCUSSION: The nurses suffer moral distress with ethical conflicts by the obligation of safeguard the dignity and rights of their patients. CONCLUSIONS: The lack of training and experience to treat ethical problems contribute to increase nurse disconfort.
Prieto Robles C, Argibay Lago A, Hernanz Del Río A
… +2 more, Rodríguez Castaño IM, Fernández-Rodríguez D
Rev Enferm
· 2015 Oct · PMID 26685566
OBJECTIVE: Therapeutic hypothermia (TH) is recommended to improve survival and neurologic prognosis in sudden cardiac arrest (SCA) survivors. There are few data aboutglycemic levels in these patients. The aim of this stu...OBJECTIVE: Therapeutic hypothermia (TH) is recommended to improve survival and neurologic prognosis in sudden cardiac arrest (SCA) survivors. There are few data aboutglycemic levels in these patients. The aim of this study is to evaluate the glycemic control using a specific protocol in this group ofpeople. METHOD: A retrospective analysis of the patients receiving TH in our institution, between January 2010 and March 2013,. was performed. Baseline characteristics, in-hospital prognosis and glycemic levels during different stages of the TH were analyzed. RESULTS: From a total of 55 patients suffering a SCA, 49 patients underwent TH and received a specific insulin protocol. The mean age was 57.5 ± 12.8 years, the main cause of SCA was ischemic (76%) and ventricular fibrillation was the most frequent first rhythm detected (55%). Regarding glycemic alterations as each stage of TH, a high rate of glycemic alteration was observed in the induction stage, decreasing after starting the insulin protocol (induction stage: 95.9%; maintenance stage: 89.8%; rewarming stage: 69.4%; p = 0.001). With respectto clinicresults, there were low rates of severe hypoglycemia (12%), in-hospital mortality (20%) and anoxic encephalopathy (27%), with a high rate of infections (75%). CONCLUSIONS: The implementation of a specific insulin protocol in patients receiving TH contributes to improve the blood glucose levels. Further studies are needed to evaluate the clinical impact of these protocols in this group ofpatients.
The exercise of nursing and medicine is a gratifying work for the one who exercises it, though, sometimes, the daily reality of the hospitals and the peculiarity of the sector cause that the sanitary personnel presents p...The exercise of nursing and medicine is a gratifying work for the one who exercises it, though, sometimes, the daily reality of the hospitals and the peculiarity of the sector cause that the sanitary personnel presents pictures of stress with more assiduity that another type of professionals, what produces the appearance and the development of the symptoms associated to burnout syndrome. Later, we will try to analyze the principal reasons for which this syndrome appears, the consequences and, very specially, the measures of prevention and treatment.
Revista ROL de Enfermería was the first journal of nurses and adressed to nursing published with the birth of Spanish democracy, indexed soon Medline/PubMed. This paper analyzes the changes in the structure and function...Revista ROL de Enfermería was the first journal of nurses and adressed to nursing published with the birth of Spanish democracy, indexed soon Medline/PubMed. This paper analyzes the changes in the structure and function of the magazine. Highlights two facts. The journal ROL expresses the transformation of the new universitary nursing, and how was adapting to scientific standards: although not increased the number of original articles, was normalizing their structure, bibliography or citations pattern, and also the scientific writing style.
Martinez López C, Martinez de Pinillos RL, Pereira Torres AI
… +5 more, San Pedro AI, Heras Agudo D, Robledo González A, Olmo Alonso C, Trujillo Orcha N
Rev Enferm
· 2015 Oct · PMID 26685563
It is after the implementation of the new nursing evaluation/ planning care registers (PCE) in the medical record and the updating of the document/circuit of the All-clear Ensuing Care Report (ICCA) with NANDA, NOC, NIC...It is after the implementation of the new nursing evaluation/ planning care registers (PCE) in the medical record and the updating of the document/circuit of the All-clear Ensuing Care Report (ICCA) with NANDA, NOC, NIC (NNN) in the first months of the year 2013, that we are contemplating the fulfillment of a descriptive/cross-section study so as to know diagnostics, results and nursing interventions upon discharge of high-risk chronically ill patients and qualitatively in medical hospitalization units and in palliative care. The results obtained at a quantitative level, with an implementation degree of 83 and 94 per cent, respectively, are extremely encouraging. Regarding the quality of care planning, we have identified for the first time in our hospital both the NANDA, the NOC and NIC with the prevalence degree in the units studied.
Vaccines are an extraordinary instrument of immunization of the population against infectious diseases. Around them there are many ethical issues. One of the most debated is what to do with certain groups opposition to v...Vaccines are an extraordinary instrument of immunization of the population against infectious diseases. Around them there are many ethical issues. One of the most debated is what to do with certain groups opposition to vaccination of their children. States have managed in different ways the conflict between the duty of vaccination and the refusal to use vaccines: some impose the vaccination and others simply promote it. In this article we deal with which of these two approaches is the most suitable from an ethical and legal point of view. We stand up for the second option, which is the current one in Spain, and we propose some measures which should be kept in mind to improve immunization programs.
INTRODUCTION: Urinalysis using reactive strip is a commonly used in clinical practice. Although mainly indicated as first step test when a urine infection it suspected, it may also be a helpful tool in the management of...INTRODUCTION: Urinalysis using reactive strip is a commonly used in clinical practice. Although mainly indicated as first step test when a urine infection it suspected, it may also be a helpful tool in the management of a wide range of disorders. DEVELOPMENT: Standard urine test strips may comprise of up to 10 different chemical pads or reagents (leukocytes, nitrites, pH, glucose, proteins, ketones, bilirubin, urobilinogen, density and blood) that allow a qualitative and semiquantitative analysis of a urine sample. The test method consists of immersing the strip completely in a well-mixed sample of urine and left to stand for the time necessary for the reactions to occur (which is variable depending on the manufacturer). Finally the colors that appear are compared against a specific chromatic scale provided. Several factors may influence the results causing a significant number of false positives and negatives. Such limitations should always be taken into account when reading the test. DISCUSSION: Despite clinical features lead to the suspicion of an infection, urine test strips is a fast screening test that may reinforce the diagnosis. The combination of dysuria, frequency and emergency, hematuria, pain and sensibility in the pelvis reaches a positive predictive value to identified a urine infection of 90 %. When only dysuria and emergency or high frequency are present, the such probability diminishes to 70-80%, and, when dysuria is the only symptom, it drops to 25%. CONCLUSIONS: Despite urine test strips is a fast, easy and cheap method for the diagnosis and follow-up of several diseases, results are fairly heterogeneous and may be influenced by external factors. Therefore a cautious interpretation if advised. Sensibility and specificity of urine test strips is widely variable (S 46%-86% and E 17%-93%). Although the highest diagnostic values are obtained at primary care centers, where such tests are routinely used in a diverse population, the number of false positives is still high. This issue should be taken into account and a proper differential diagnosis of a positive result is mandatory in all cases. More studies are needed to assess the real sensibility and specificity of urinary reactive strips.