Enfermeria Clinica最新文献_第10页

Caracterización del patrón de consumo de alcohol de los pacientes ingresados en una unidad de hospitalización 住院病人酒精消费模式的特征

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2024-08-03 DOI: 10.1016/j.enfcli.2024.06.009

Alicia María Bueno-Hernández, María Carmen Muñoz-Pérez, María Gema González-García, Cristina Márquez-Palanco, Gemma Cuadrado-Céspedes, Vicenta García-Borrero

Objectives

To determine the pattern of alcohol consumption, the sociodemographic, habit and clinical profile of the patients admitted and to explore the usefulness of the Alcohol Use Disorders Identification Test (AUDIT) questionnaire for detecting alcohol consumption in the Digestive Unit of the Juan Ramón Jiménez University Hospital (HUJRJ) of Huelva.

Methods

Cross-sectional observational analytical quantitative study. A total of 150 participants were recruited.

Results

According to AUDIT, 36% of the patients had a low-risk profile, 17.3% of the patients had risky consumption and 8.6% had harmful consumption or were possibly dependent. 28% reported never consuming alcohol and 10% were confirmed ex-consumers. There was a significant association (p< 0.01) between the pattern of alcohol consumption and the variables employment status, smoking, use of other drugs and diagnosis at discharge. The variables age (p 0.015), sex (p 0.011) and number of diagnostic tests during admission (p 0.025) were not significant. A significant difference (p< 0.01) was observed between men and women with a risky consumption profile in the work situation variable. Of the risk consumers, 23.1% had alcoholic liver disease.

Conclusions

Stratification of patients admitted to the HUJRJ according to alcohol consumption through AUDIT has revealed different sociodemographic, habit and clinical profiles. The detection of the pattern of alcohol consumption in Specialized Care by nurses could improve the care strategy for these patients.

目的了解胡安Ramón金姆涅斯大学医院（HUJRJ）消化科住院患者的饮酒模式、社会人口学特征、饮酒习惯和临床特征，探讨酒精使用障碍鉴定问卷（AUDIT）在检测患者饮酒情况中的应用价值。方法横断面观察分析定量研究。总共招募了150名参与者。结果36%的患者为低危型，17.3%的患者为高危型，8.6%的患者为有害型或可能依赖型。28%的人报告从未饮酒，10%的人证实曾经饮酒。有显著的关联(p<；酒精消费模式与就业状况、吸烟、使用其他药物和出院诊断之间的差异为0.01)。入院时年龄（p 0.015）、性别（p 0.011）和诊断检查次数（p 0.025）的差异无统计学意义。显著差异(p<；在工作环境变量中，有风险消费特征的男性和女性之间观察到0.01)。在高危人群中，23.1%患有酒精性肝病。结论通过审计对HUJRJ根据饮酒情况对患者进行分层，揭示了不同的社会人口学、习惯和临床特征。通过对专科护理中酒精消费模式的检测，可以改善对这些患者的护理策略。

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引用次数: 0

Participación política enfermera para garantizar unos cuidados excelentes: una llamada a la acción 护理政治参与以确保优质护理：行动呼吁

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2025-01-30 DOI: 10.1016/j.enfcli.2025.502195

Hildegart González-Luis

引用次数: 0

Formación sobre Enfermería del Trabajo en estudiantes de Enfermería. Situación actual en universidades de España 为护理专业学生提供职业护理培训。西班牙大学现状

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.1016/j.enfcli.2024.08.003

Ester Amores-Lizcano , Cristina Romero-Blanco , Pedro García-Martínez

Objective

To analyse the implementation of subjects and knowledge related to Occupational Nursing (ON) in undergraduate nursing education.

Method

National multicentre study by means of an integrative review of the curricula of the Bachelor's Degree in Nursing compiled in 2023 from the Ministry of Universities. Duplicate curricula linked to the same university were eliminated. Subjects with specific occupational nursing competencies were identified. In curricula without specific subjects, a reverse search was carried out in the teaching guides of subjects linked to ON. The variables studied were: occupational nursing competences, training credits, optional/compulsory, academic year.

Results

123 centres offering the Bachelor's Degree in Nursing were identified, 31 were eliminated due to duplication of curriculum. Of the total, 21 (22.82%) offered subjects with ON competences, taught in the 2 nd year (n = 3), 3 rd year (n = 7) and 4 th year (n = 11). The teaching load of the subjects was 6 ECTS (n = 10), 3 ECTS (n = 8), 4 ECTS (n = 2) and 4.5 ECTS (n = 1). The subjects were optional in 95.24% (n = 20). 7 centres were found to include ON competences in other subjects: a) ‘Community Nursing’ (n = 3), b) ‘Public Health’ (n = 5), c) ‘Management and Quality’ (n = 1).

Conclusions

Training in ON is very heterogeneous. It would be necessary to unify training plans for the development of ON.

目的分析本科护理教育中职业护理相关学科和知识的实施情况。方法通过对2023年教育部编制的护理学士学位课程进行综合评价，进行全国多中心研究。同一所大学的重复课程已被取消。确定具有特定职业护理能力的受试者。在没有特定科目的课程中，在与ON相关的科目的教学指南中进行反向搜索。研究的变量包括：职业护理能力、培训学分、选修/必修、学年。结果共发现123所护理学士学位中心，31所因课程重复而被淘汰。其中，21所（22.82%）开设了具有ON能力的课程，分别在第二年（n = 3）、第三年（n = 7）和第四年（n = 11）授课。教学负荷分别为6 ECTS （n = 10）、3 ECTS （n = 8）、4 ECTS （n = 2）和4.5 ECTS （n = 1）。选修科目占95.24% （n = 20）。发现有7个中心在其他科目中包含了护士的能力：a)“社区护理”（n = 3）， b)“公共卫生”（n = 5）， c)“管理和质量”（n = 1）。护士的结论非常不一致。为了网络的发展，有必要统一培训计划。

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引用次数: 0

Alcance de práctica de las enfermeras de hospitalización médico-quirúrgica y unidades de cuidados intensivos 内外科住院部和重症监护室护士的执业范围。

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2024-07-09 DOI: 10.1016/j.enfcli.2024.06.004

Amaia Saralegui-Gainza , Nelia Soto-Ruiz , Paula Escalada-Hernández , Cristina García-Vivar , Leticia San Martín-Rodríguez

Aim

To analyze the scope of nursing practice in medical-surgical and intensive care units in the Spanish context and its relationship with individual characteristics of nurses and their work environment.

Methods

A cross-sectional observational study was carried out in 29 medical-surgical hospitalisation units and 5 intensive care units for adults in the public network of Navarre. The main variable, nurses’ scope of practice, was measured using the Spanish version of the D’Amour questionnaire. Descriptive and inferential statistics were used to analyse the data, with a significance level of 0.05.

Results

A total of 310 nurses participated in the study, and the results showed acceptable levels of nursing scope of practice. Age and working in intensive care units were significant factors in identifying differences in nurses’ scope of practice activities. The correlation analysis revealed a statistically significant association between age and the likelihood of expressing lower scores in the dimension «Patient- and family-centered care.» In contrast, younger nurses exhibited significantly lower scores in the «Quality of care and patient safety» dimension.

Conclusions

To address the shortage of nurses in health systems, it is essential to understand the scope of nursing practice. The challenge is not only to increase the number of nurses but also to ensure that they are working in the full range of their professional roles.

目的分析西班牙背景下内科外科和重症监护病房的护理实践范围及其与护士个人特征和工作环境的关系。方法在纳瓦拉公共网络的29个内科外科住院单位和5个成人重症监护单位进行横断面观察研究。主要变量是护士的执业范围，使用西班牙版的D ' amour问卷进行测量。采用描述统计和推理统计对数据进行分析，显著性水平为0.05。结果共有310名护士参与本研究，结果均达到护理执业范围可接受水平。年龄和在重症监护室工作是确定护士实践活动范围差异的重要因素。相关分析显示，年龄与在“以患者和家庭为中心的护理”维度中表达较低得分的可能性之间存在统计学上显著的关联。相比之下，年轻护士在“护理质量和患者安全”维度上的得分明显较低。结论要解决卫生系统护士短缺问题，必须了解护理实践的范围。我们面临的挑战不仅是增加护士的人数，而且还要确保她们在其专业角色的全部范围内工作。

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引用次数: 0

Satisfacción percibida y cuidado humanizado de enfermería en pacientes quirúrgicos en un hospital público del Perú 秘鲁公立医院外科病人的满意度和人性化护理

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2024-08-20 DOI: 10.1016/j.enfcli.2024.06.008

Isabel Natividad Urure Velazco , Luisa Antonia Pacheco Villa García , Karen Leticia Llerena Ururi , Pedro Luis Berrocal Pacheco

Introduction

Humanized care is the first aspect to consider to satisfy the surgical patient who will be or has undergone a surgical intervention.

Objetive

Determine the relationship that exists between perceived satisfaction and humanized nursing care in surgical patients in a public hospital in Peru.

Method

Descriptive, observational, correlational study, with a quantitative approach, with probabilistic sampling of 241 surgical patients. A validated questionnaire adapted to our reality was used, reporting a Cronbach Alpha coefficient of 0.890 (satisfaction) and 0.904 (humanized nursing care), presenting 36 multiple choice questions.

Results

The age group of 18-29 years predominated in 26.6% (n = 64), with the average age X = 42.6 years with a DS of 14.47, female sex with 55.2% (n = 133), single marital status 48.5% (n = 117) and secondary education level was 60.2% (n = 145). The majority of patients were satisfied with the care received, reporting 84.6% (n = 204), also found in the dimensions: Humane 81.8% (n = 197), timely 78.8% (n = 190) and safe 80.1% (n = 193). The perceived humanized nursing care was good 81.3% (n = 196), it was also evident in the dimensions: Phenomenological 78.4% (n = 189), interaction 75.9% (n = 183), scientific 61, 8% (n = 149) and human needs (82.2%) (n = 198).

Conclusions

A moderate correlation was found between the variables, behaving in a moderately positive manner, that is, the higher the level of satisfaction, the higher the level of humanized nursing care in the surgical patient, and vice versa.

要使即将或已经接受手术干预的患者满意，首先要考虑的是人性化护理。目的探讨秘鲁某公立医院外科病人感知满意度与人性化护理之间的关系。方法描述性、观察性、相关性研究，采用定量方法，对241例手术患者进行概率抽样。采用了一份符合我们实际情况的有效问卷，Cronbach Alpha系数为0.890（满意度）和0.904（人性化护理），共36道选择题。结果18-29岁年龄组占26.6% (n = 64)，平均年龄为42.6岁，DS为14.47，女性占55.2% (n = 133)，单身婚姻状况占48.5% (n = 117)，中等教育程度占60.2% （n = 145）。大多数患者对所接受的护理满意，报告84.6% (n = 204)，在维度上也发现：人性化81.8% (n = 197)，及时性78.8% （n = 190）和安全性80.1% （n = 193）。对人性化护理的满意度为81.3% (n = 196)，在现象学维度78.4% （n = 189）、互动维度75.9% （n = 183）、科学维度61.8% （n = 149）、人性需求维度82.2% （n = 198）。结论各变量之间呈中等正相关，即满意度越高，手术患者的人性化护理水平越高，反之亦然。

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引用次数: 0

Nota de editor 编辑说明

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2025-01-30 DOI: 10.1016/S1130-8621(24)00166-9

引用次数: 0

Bienestar, burnout y sueño del personal de enfermería de Urgencias en turnos de 12 horas 12小时轮班急诊护士的福利、倦怠和睡眠

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.1016/j.enfcli.2024.08.002

Indalecio Miguel Sánchez Onrubia , Ernesto José Resta Sánchez , Tamara Cabañero Contreras , Ana Belén Perona Moratalla , Milagros Molina Alarcón

Objective

To know job satisfaction, work-family balance, sleep quality, and burnout in nursing staff after the introduction of the 12-hour rotating shift in the emergency department of a tertiary hospital.

Method

Cross-sectional observational design carried out in February 2023 for the first collection (T1) and October 2023 for the second collection (T2) in emergency nursing staff. Sociodemographic data, work and family reconciliation, job satisfaction, degree of burnout, and sleep quality were collected.

Results

In T1, 66.7% (74) of professionals answered, with an average age of 44.72 years (SD:10.60). 50% were on a 12-hour shift. In T2, 91.9% (102) of professionals answered, with an average age of 44.75 years (SD11.07). 54.9% were on a 12-hour shift. 71.2% in T1 and 66.7% in T2 were somewhat or very satisfied with the flexibility of their work schedules. 8.9% in T1 and 10.3% had a high overall burnout. In T1, the average global PSQI score was 7.66 (SD:3.82) and in T2 it was 8.46 (SD:4.05). Significant differences were found in terms of work and family reconciliation between the different rotating shifts analyzed (p< 0.05), and not significant for the rest of the variables.

Conclusions

Emergency nursing staff prefer 12-hour shifts as they facilitate work-family reconciliation and do not negatively affect sleep, burnout, or job satisfaction.

目的了解某三级医院急诊实行12小时轮班制后护理人员的工作满意度、工作家庭平衡、睡眠质量及倦怠程度。方法采用横断面观察设计，于2023年2月对急诊护理人员进行第一次收集（T1）和第二次收集（T2）。收集社会人口学数据、工作与家庭和谐度、工作满意度、倦怠程度和睡眠质量。结果T1中有66.7%（74人）的专业人员回答，平均年龄为44.72岁（SD:10.60）。50%的人轮班12小时。在T2中，91.9%（102名）的专业人士回答，平均年龄为44.75岁（SD11.07）。54.9%的工人轮班12小时。71.2%的T1和66.7%的T2对工作时间的灵活性比较满意或非常满意。8.9%的T1和10.3%的整体倦怠程度较高。T1期PSQI评分为7.66 (SD:3.82)， T2期为8.46 （SD:4.05）。在工作和家庭和谐方面，不同轮班的分析发现显著差异(p<；0.05)，其余变量不显著。结论急诊护理人员更喜欢12小时轮班，因为这有利于工作与家庭的协调，而且不会对睡眠、倦怠和工作满意度产生负面影响。

{"title":"Bienestar, burnout y sueño del personal de enfermería de Urgencias en turnos de 12 horas","authors":"Indalecio Miguel Sánchez Onrubia , Ernesto José Resta Sánchez , Tamara Cabañero Contreras , Ana Belén Perona Moratalla , Milagros Molina Alarcón","doi":"10.1016/j.enfcli.2024.08.002","DOIUrl":"10.1016/j.enfcli.2024.08.002","url":null,"abstract":"<div><h3>Objective</h3><div>To know job satisfaction, work-family balance, sleep quality, and burnout in nursing staff after the introduction of the 12-hour rotating shift in the emergency department of a tertiary hospital.</div></div><div><h3>Method</h3><div>Cross-sectional observational design carried out in February 2023 for the first collection (T1) and October 2023 for the second collection (T2) in emergency nursing staff. Sociodemographic data, work and family reconciliation, job satisfaction, degree of burnout, and sleep quality were collected.</div></div><div><h3>Results</h3><div>In T1, 66.7% (74) of professionals answered, with an average age of 44.72 years (SD:10.60). 50% were on a 12-hour shift. In T2, 91.9% (102) of professionals answered, with an average age of 44.75 years (SD11.07). 54.9% were on a 12-hour shift. 71.2% in T1 and 66.7% in T2 were somewhat or very satisfied with the flexibility of their work schedules. 8.9% in T1 and 10.3% had a high overall burnout. In T1, the average global PSQI score was 7.66 (SD:3.82) and in T2 it was 8.46 (SD:4.05). Significant differences were found in terms of work and family reconciliation between the different rotating shifts analyzed (p<0.05), and not significant for the rest of the variables.</div></div><div><h3>Conclusions</h3><div>Emergency nursing staff prefer 12-hour shifts as they facilitate work-family reconciliation and do not negatively affect sleep, burnout, or job satisfaction.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 1","pages":"Article 102141"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143170408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mejorar la atención neuropediátrica y la descentralización de la atención médica en Nicaragua mediante la implementación de un programa educativo. Estudio preexperimental 通过实施一项教育计划，改善尼加拉瓜的儿科神经护理和医疗保健分散化。实验前研究

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 Epub Date: 2024-07-25 DOI: 10.1016/j.enfcli.2024.06.011

Jean Rémy Mongbet-Ayouné , Giancarlo Lucchetti , Bárbara Badanta

Objective

To improve and decentralize neuropediatric healthcare in Nicaragua by implementing an education program.

Method

This study is carried out as an international cooperation proyecto between September 2018 and June 2019. It has a pre-experimental and before-after design (on a single group) of the implementation of an education program. A total of 19 pediatrics and 6 nurses participated in a training program, and neuropediatric healthcare services were decentralized from the National Children's Hospital in Managua (La Mascota) to 19 regional and departmental hospitals in Nicaragua.

Results

For the implementation of this education program, nine Indicadors were measured during the training process and at the end of the proyecto and different results were obtained. The neuropediatric care, that was totally centered in a single hospital, has suffered drastic changes, increasing the number of electroencephalographs and follow up of patients in the regional hospitals, while reducing external consultations and waiting time for consultations in the central hospital. Likewise, a neuropediatric network was established, training was provided, and brochures were developed, resulting in an improving satisfaction of families with the care provided for their children.

Conclusions

Our results revealed the real-life effectiveness of this education program in improving neuropediatric care in Nicaragua, supporting nonspecialized pediatricians and nurses for acting as decentralizing agents. The proposal reinforces universal access to basic health by focusing on different social determinants and may serve as a model to other low-income countries.

目的通过实施一项教育计划，改善和分散尼加拉瓜的神经儿科保健。方法本研究作为国际合作项目，于2018年9月至2019年6月进行。它具有教育计划实施的预实验和前后设计（针对单个群体）。共有19名儿科护士和6名护士参加了培训方案，神经儿科保健服务从马那瓜（拉马斯科塔）的国家儿童医院下放到尼加拉瓜的19个地区和省级医院。结果针对该教育计划的实施，在培训过程中和项目结束时对9项指标进行了测量，并获得了不同的结果。完全以一家医院为中心的神经儿科护理发生了巨大变化，增加了地区医院的脑电图检查和患者随访次数，同时减少了在中心医院就诊的外部会诊和等待时间。同样，建立了一个神经儿科网络，提供了培训，编写了小册子，使家庭对其子女得到的照顾越来越满意。结论我们的研究结果显示了该教育项目在改善尼加拉瓜神经儿科护理方面的实际效果，支持非专业儿科医生和护士作为分散代理人。该建议侧重于不同的社会决定因素，从而加强普遍获得基本保健，并可作为其他低收入国家的典范。

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引用次数: 0

Desarrollo y Validación de una propuesta de Carta de Derechos y Compromisos de los ciudadanos frente a la e-salud 制定和验证拟议的《公民权利和电子保健承诺宪章

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 Epub Date: 2024-10-28 DOI: 10.1016/j.enfcli.2024.06.012

Fernando Campaña-Castillo , Olga Paloma-Castro , José Manuel Romero-Sánchez

Background

There is a new technological paradigm in health care which has been reinforced following the outbreak of the Covid-19 pandemic. Technological innovations create both challenges and opportunities to which citizens, healthcare professionals, and healthcare organizations must adapt to this reality. Although most health services have charters of citizens’ general rights and commitments, there is no specific charter concerning eHealth.

Objectives

To develop and validate a proposal of a minimum set of citizens’ rights and commitments to e-Health.

Methods

Experts in a discussion group developed a charter composed of twenty items, ten rights and ten commitments to e-Health. Two rounds of consensus were necessary to obtain a final version of the charter. The twenty items were validated for content and assessed for appropriateness, relevance, and understandability using an internet-based 2-round Delphi approach in which 134 experts, patients and healthcare professionals participated. They rated the assessed attributes for each item on a 5-point Likert scale for consensus. The content validity index was calculated with kappa statistic, a consensus measure of inter-rater agreement.

Results

In the first round, 18 items were validated, leaving only two commitments with unacceptable indices. Both were modified using the experts’ contributions and entered a second round of evaluation, after which the indices met the established requirements.

Conclusions

A proposal for a chart of patient rights and commitments to eHealth was developed and showed adequate content validity and inter-observer reliability. This chart is expected to become a starting point for the debate on the role of technology in the way patients, professionals, and health services interact in the current context.

背景医疗保健领域出现了一种新的技术模式，这种模式在 Covid-19 大流行爆发后得到了加强。技术创新既带来了挑战，也带来了机遇，公民、医疗保健专业人员和医疗保健组织必须适应这一现实。尽管大多数医疗服务机构都有关于公民一般权利和承诺的章程，但却没有关于电子医疗的具体章程。方法专家们在一个讨论小组中制定了一份章程，其中包括二十个项目，十项权利和十项电子医疗承诺。宪章的最终版本需要经过两轮协商一致。134 名专家、患者和医疗保健专业人员参与了这两轮德尔菲法，对这 20 个项目的内容进行了验证，并对其适当性、相关性和可理解性进行了评估。他们采用 5 点李克特量表对每个项目的评估属性进行评分，以达成共识。结果在第一轮中，有 18 个项目通过验证，只有两项承诺的指数无法接受。结果第一轮验证了 18 个项目，只有两项承诺的指数无法接受，根据专家的意见对这两项承诺进行了修改，并进行了第二轮评估，之后这两项承诺的指数符合既定要求。在当前情况下，该图表有望成为讨论技术在患者、专业人员和医疗服务互动方式中的作用的起点。

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引用次数: 0

Identidad profesional y desempeño: el complejo desequilibrio entre esfuerzo y recompensa 职业认同与绩效：努力与回报之间的复杂权衡

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 Epub Date: 2024-11-27 DOI: 10.1016/j.enfcli.2024.11.001

Ester Arimon-Pagès

引用次数: 0