Melba J. Moreland Lewis MSN, CCRC, Cindy Kohtz EdD, MSN, RN, CNE, Sheryl Emmerling PhD, NEA-BC, Mary Fisher MA, MSN, RN, NEA-BC, Jeremy Mcgarvey MS
{"title":"Control del dolor e intervenciones no farmacológicas","authors":"Melba J. Moreland Lewis MSN, CCRC, Cindy Kohtz EdD, MSN, RN, CNE, Sheryl Emmerling PhD, NEA-BC, Mary Fisher MA, MSN, RN, NEA-BC, Jeremy Mcgarvey MS","doi":"10.1016/j.nursi.2019.05.014","DOIUrl":"10.1016/j.nursi.2019.05.014","url":null,"abstract":"<div><h3>Objetivo</h3><p>Evaluar el uso y el conocimiento global de las intervenciones farmacológicas entre enfermeras clínicas, así como la eficacia del tratamiento para el dolor en un centro médico de atención terciaria.</p></div><div><h3>Métodos</h3><p>En este estudio descriptivo se utilizaron métodos cuantitativos y recogida de datos transversales involucrando un muestreo de conveniencia de enfermeras. Se utilizó la triangulación con tres métodos de recopilación de datos distintos para otorgarle más rigor (v. el cuadro <em>Definición de términos</em>).</p></div><div><h3>Resultados</h3><p>Todos los participantes utilizaron una o más intervenciones no farmacológicas. Las intervenciones más utilizadas fueron posicionar y cambiar de posición (97%), aplicación de frío o calor (95,6%) y distracción (92,7%). Las intervenciones menos utilizadas fueron las prácticas espirituales (20,6%), la neuroestimulación eléctrica transcutánea (10,3%) y el masaje superficial (32,4%).</p></div><div><h3>Conclusión</h3><p>Este estudio proporcionó un primer avance del uso de intervenciones no farmacológicas por enfermeras clínicas e identificó oportunidades para investigaciones futuras y para la formación de estudiantes de enfermería y enfermeras en la práctica. Como las enfermeras creen que no han recibido suficiente formación en métodos no farmacológicos para el tratamiento del dolor, deberían recibir más educación para evaluar y entender el dolor de manera integral, así como el uso de intervenciones no farmacológicas<sup>1</sup>.</p></div>","PeriodicalId":100975,"journal":{"name":"Nursing (Ed. espa?ola)","volume":"36 3","pages":"Pages 55-58"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130369540","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}
{"title":"Un estudio piloto sobre el tratamiento no farmacológico del delírium","authors":"Emily Hanes BSN, RN, Elise Colancecco MSN, RN","doi":"10.1016/j.nursi.2019.03.003","DOIUrl":"10.1016/j.nursi.2019.03.003","url":null,"abstract":"","PeriodicalId":100975,"journal":{"name":"Nursing (Ed. espa?ola)","volume":"36 2","pages":"Pages 9-10"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126711016","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}
{"title":"Mejorar la educación al paciente sobre su medicación","authors":"Brooke Talbot RN","doi":"10.1016/j.nursi.2019.03.016","DOIUrl":"https://doi.org/10.1016/j.nursi.2019.03.016","url":null,"abstract":"","PeriodicalId":100975,"journal":{"name":"Nursing (Ed. espa?ola)","volume":"36 2","pages":"Pages 51-52"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136408241","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}
Kathleen Peterson PhD, RN, PCPNP-BC, Paula Barbel PhD, RN, PNP
{"title":"Prevención de la alergia al cacahuete en niños: observar las evidencias","authors":"Kathleen Peterson PhD, RN, PCPNP-BC, Paula Barbel PhD, RN, PNP","doi":"10.1016/j.nursi.2019.03.007","DOIUrl":"10.1016/j.nursi.2019.03.007","url":null,"abstract":"","PeriodicalId":100975,"journal":{"name":"Nursing (Ed. espa?ola)","volume":"36 2","pages":"Pages 19-21"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117348836","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}
{"title":"Alternativas de formación de posgrado para enfermeras con el título de grado","authors":"Patricia Reid Ponte DNSC, RN, NEA-BC, FAAN","doi":"10.1016/j.nursi.2019.03.015","DOIUrl":"10.1016/j.nursi.2019.03.015","url":null,"abstract":"","PeriodicalId":100975,"journal":{"name":"Nursing (Ed. espa?ola)","volume":"36 2","pages":"Pages 49-50"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132759033","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}
Mercedes Marraco-Boncompte, Blanca Isabel Lorente-Roda, María Echamendi-Hernández, Alicia Yagüe-Gastón, Itziar Martínez-Arangoa, Marta Lerín-Lebrero
{"title":"Incorporación de la técnica ecoguiada en la inserción periférica de vías centrales: un nuevo reto para enfermería en cuidados intensivos","authors":"Mercedes Marraco-Boncompte, Blanca Isabel Lorente-Roda, María Echamendi-Hernández, Alicia Yagüe-Gastón, Itziar Martínez-Arangoa, Marta Lerín-Lebrero","doi":"10.1016/j.nursi.2019.03.017","DOIUrl":"10.1016/j.nursi.2019.03.017","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the results of the incorporation of ultrasound guided technique for peripherally inserted central catheters (PICC) in a polivalent intensive care unit.</p></div><div><h3>Methods</h3><p>Descriptive and comparative observational study. 140 cases were included. Demographic data, type of catheter, use of ultrasound or not, description of the procedure and main complications were collected.</p><p>In the descriptive statistics, frequency distributions were performed for qualitative data, and mean and standard deviation for the quantitative variables.</p></div><div><h3>Results</h3><p>72.9% male and 27.1% female patients. Average age: 63.43 years. 94.5% successful peripheral inserted central catheter (PICC's) insertion. Ultrasound guided technique was used in 48%. The main reason for its use was a difficult venous access or visualization (39%). There were no significant differences between ultrasound guided puncture and blind punture regarding the complications: phlebitis (1.4% vs 2.8%), infections (0.7% vs 0%) and bacteremia (0% vs 0.7%).</p></div><div><h3>Conclusions</h3><p>The results obtained show that PICC's placement in our intensive care unit is a procedure with high percentage of success and very low incidence of infections, and with positive results after the incorporation of the ultrasound for difficult venous access.</p></div>","PeriodicalId":100975,"journal":{"name":"Nursing (Ed. espa?ola)","volume":"36 2","pages":"Pages 53-57"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125020370","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}