Enfermeria clinica (English Edition)最新文献

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.

Objective: The aim of this study was to examine the effect of the nursing process applied by using standard nursing terminologies on colonoscopy preparation of outpatients on bowel cleansing.

Methods: The sample of the prospective, single-blind, randomized controlled study consisted of 116 patients (intervention n = 57, control n = 59). Both groups were interviewed face to face one week before the procedure day, nursing diagnoses were determined individually, and nursing outcome scales were employed as a baseline assessment. In the intervention group, the nursing process was applied to the patients with standard nursing terminology, training was given with an information booklet, and then the preparation instructions were reminded through telephone calls, text messages and instant messages. The adequacy of bowel cleansing was evaluated by the endoscopist using Boston Bowel Preparation Score (BBPS) who blindly performed the procedure for both groups.

Results: The mean BBPS score of the intervention group was 7.00 ± 1.43, and the control group was 4.16 ± 2.15. A significant difference found between the rates of adequate preparation in the intervention group (82.5%) and in the control group (16.9%) (P < .05). A significant difference was found after the intervention in terms of nursing outcome scales (P < .05).

Conclusions: According to the study adequate preparation for the colonoscopy procedure can be achieved by applying the nursing process based on NANDA-I, NOC and NIC.

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.

Objective: To know job satisfaction, work-family balance, sleep quality, and burnout in nursing staff after the introduction of the 12-h 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-h 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-h 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<.05), and not significant for the rest of the variables.

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

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 five 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.

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

Method: This study was carried out as an international cooperation proyecto between September 2018 and June 2019. It was 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.

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 2nd year (n = 3), 3rd year (n = 7) and 4th 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.