Información enfermera en las unidades de cuidados intensivos españolas: ¿rol formal o informal? Estudio multicéntrico

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-10-01 DOI:10.1016/j.enfi.2021.10.002

J. Valls-Matarín PhD. MSR.RN, M. del Cotillo-Fuente MSR.RN

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引用次数: 0

Abstract

Objectives

To evaluate the brochure provided to relatives on admission to Spanish Intensive Care Units (ICU) regarding nursing information.

Methodology

Descriptive, cross-sectional, multicentre study from September-December 2019. A total of 280 adult ICUs were included, according to the list of the Spanish Society of Intensive Care. The brochure was requested through personal contact, phone call, twitter, or hospital website.

Analyzed variables

Hospital (public/private), university (yes/no), visiting (open/closed), medical and nurse information. Descriptive statistics and X² test (relations nurse information and other variables).

Results

Data were collected from 228 ICU(81.4%), of which 25(11%) did not have a brochure. A total of 77.8% were public and 49.8% university hospitals. Of the hospitals, 94.1% had closed visiting hours, although 42.4% supplemented it with flexible. All the hospitals included daily medical information with an established timetable, 21.7%(n = 44) contained nurse information, 27.3% with established hours and 38.6% during visits. Of the nursing information, 79.5% referred to care, 29.5% to needs, 13.6% to well-being, 15.9% to the patient's condition, 11.4% to the environment, 9.1% to observations, and 29.5% to clarifications. A total of 17.2% of all ICU offered to collaborate in care. Of the brochures with nurse information, 90.9% were public hospitals and 9.1% were private (P = .02). Of the hospitals, 65.9% were university compared to 34.1% who were not (P = .02).

Conclusions

While medical information is consistently reflected in all brochures, only a few contain nursing information with generic and non-homogeneous and specific content. These results contrast with the reality of the ICU, where the nurse is the professional with the greatest contact with the family. The official provision of nursing information occurs more frequently in public and university hospitals. It is necessary to standardise this information, since as a responsible part of the care process, nurses must communicate their care in a formal manner, and thus help make their work visible.

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西班牙重症监护病房的护士信息:正式还是非正式的角色?研究multicéntrico

目的评价西班牙重症监护病房(ICU)患者家属入院时提供的护理信息手册。方法:2019年9月至12月进行描述性、横断面、多中心研究。根据西班牙重症监护协会的名单，共有280名成人重症监护病房被纳入其中。这本小册子是通过个人联系、电话、推特或医院网站索取的。分析变量:医院(公立/私立)、大学(是/否)、就诊(开放/关闭)、医疗和护士信息。描述性统计和X2检验(护士信息与其他变量的关系)。结果228家ICU(81.4%)收集数据，其中25家ICU(11%)没有宣传册。公立医院77.8%，大学医院49.8%。94.1%的医院实行封闭就诊时间，42.4%的医院实行弹性就诊时间。所有医院均包含有确定时间表的日常医疗信息，21.7%(n = 44)包含护士信息，27.3% (n = 44)包含有确定的工时信息，38.6%在就诊时包含。护理信息中，79.5%为护理信息，29.5%为需求信息，13.6%为幸福感信息，15.9%为患者状况信息，11.4%为环境信息，9.1%为观察信息，29.5%为澄清信息。共有17.2%的ICU提供合作护理。在有护士信息的宣传册中，公立医院占90.9%，私立医院占9.1% (P = 0.02)。65.9%为大学医院，34.1%为非大学医院(P = 0.02)。结论医学信息在所有手册中反映一致，但只有少数手册包含护理信息，内容具有共性和非同质性。这些结果与ICU的现实情况形成对比，在ICU中，护士是与家庭接触最多的专业人员。在公立医院和大学医院，官方提供护理信息的情况更为频繁。有必要将这些信息标准化，因为作为护理过程中负责任的一部分，护士必须以正式的方式传达他们的护理，从而有助于使他们的工作可见。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.