Revista Rol de Enfermeria最新文献

{"title":"[Implementing Telemedicine, EHealth and Telephonic Nursing Assistance in Spain].","authors":"José Antonio Sarria Guerrero,&nbsp;Eva Maria Guix Comellas,&nbsp;María Isla Pera","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Tele-Health or eHealth are defined as diversified health services provided remotely by a team of professionals using ICT (Information and Communication Technology) to improve the health of a user or population.</p><p><strong>Development: </strong>The development of ICT during the 2000 and 2010 decades allowed for a wider applicability of these services. Techniques like teleradiology and telepathology appeared. Tele-nursing began to be practiced through teleconsultations. Tele-nursing emerged from consulting telephone nurses in the United Kingdom and Canada. In 2005, the WHO established the Global eHealth Observatory to review the benefits of ICT. Currently in Spain, 061 Cat Salut Respon, managed by nurses, gives coverage to Catalonia through its website, telephone, email or chat. In Andalusia, Salud Responde is a service and information center providing citizens with remote healthcare.</p><p><strong>Conclusions: </strong>Health systems offer services through multichannel schemes and specific applications (apps) improving accessibility anytime, anywhere, provided with internet connection. The involvement of nurses in eHealth programs, such as telenurses, is increasingly spreading in Spain, mirroring the trend at an international level.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 4","pages":"14-8"},"PeriodicalIF":0.1,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36589869","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":"[Predicting Care and Repercussions for Caregivers of Surgical Patients at Home].","authors":"Emilia Chirveches Pérez,&nbsp;José Roca Closa,&nbsp;Emma Puigoriol Juvanteny,&nbsp;Immaculada Úbeda-Bonet,&nbsp;Mireia Subirana Casacuberta,&nbsp;Maria Teresa Moreno Casbas","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the correlation between the state of health, knowledge, and social support of surgical patients' caregivers at home, with the intensity of nursing care and its consequences.</p><p><strong>Methods: </strong>A longitudinal observational study with follow-up at admission, discharge and 10 days following discharge at home, held in the surgical hospitalization unit at the Vic University Hospital, (Barcelona). A non-randomized and consecutive sample of 317 informal caregivers of surgical patients with abdominal surgery was included in the study. The characteristics of caregivers were studied using the Nursing Outcomes Classification indicators. The intensity of nursing care, consequences and impact on patient quality of life was evaluated through the validated ICUB97-R questionnaire.</p><p><strong>Results: </strong>Most of the caregivers were women, with an average age of 52,9 ± 13,7years, with no previous experience as caregivers. The greatest intensity of care and impact was observed on caregivers who attended dependent and/or cancer diagnosed patients at home, dedicating the largest time to provide care (p < 0,005). Predictor variables for the occurrence of consequences during convalescence at home were emotional health satisfaction, routine activity disruption, fear, sleep pattern and being a dependent patient.</p><p><strong>Conclusions: </strong>Emotional health satisfaction, routine activity disruption, fear, sleep pattern and being a dependent patient before surgery are strong predictive variables for the occurrence of consequences on caregivers during convalescence at home. There is a significant negative correlation between punctuations in the ICUB97-R questionnaire and the Nursing Outcomes Classification indicators.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 4","pages":"56-64"},"PeriodicalIF":0.1,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36550228","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":"[Influence of Conveen® Optima in the Life of a Male with Incontinence].","authors":"Xana Asenjo Rubio,&nbsp;Jairo Ramos Ramos Pazos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Urinary incontinence is one of the most influential factors which negatively affect patients' quality of life suffering from spinal cord injury. It affects their self-esteem, interpersonal and work relations, their independence, together with their leisure and free time activities. Urine collectors are among the products that contribute to improve the autonomy and quality of life of patients with urinary incontinence. A simple functioning device which can be determinant in achieving that urinary incontinence has an almost nil impact in the life of a patient with spinal cord injury. Choosing the right product is the key to success and the reason why we introduce Conveen® Optima, analyzing the manifold factors directly or indirectly related to the use of this collector.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 4","pages":"8-12"},"PeriodicalIF":0.1,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36589867","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":"[Construction of an Instrument of Risk Assessment and Injury Severity for the Diaper Area in Infants: RDIC-lac].","authors":"María Noelia García Hernández,&nbsp;Virginia García Moreno,&nbsp;Vinita Mahtani Chugani,&nbsp;María Concepción García Andrés","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To design an instrument to measure impairment of skin integrity in the diaper area of infants and severity of injury for the prevention and management of irritative diaper dermatitis.</p><p><strong>Methodology: </strong>Design in 3 phases: 1) comprehensive review and critical appraisal of literature to design the preliminary content of the instrument; 2) critical evaluation of initial proposal by an expert group (nursing and pediatric medicine) with opinion survey and ad hoc questions; 3) content analysis using data tabulation for the modification and final design of the instrument.</p><p><strong>Setting: </strong>Primary Care Management of Tenerife.</p><p><strong>Results: </strong>In the 1st phase a proposed instrument is designed: two groups of risk factors (10 modulators risk and 9 high risk); and a severity scale with 5 aspects to assess including 4-5 items each (depth, location, extension, type of injury, signs of infection). The 2nd phase involved 19 professionals. A Tabulation of the data grouped into add or omit factors was used. The 3rd phase ends with a modified version of the instrument: 10 modulating factors, 5 of hig risk and 4 items for each aspect to assess severity.</p><p><strong>Discussion-conclusions: </strong>The scarce bibliography found and absence of similar tools explain the design. The next phase will be the validation of RDIC-lac instrument.</p><p><strong>Clinical relevance: </strong>Susceptibility to prevent skin lesions in the diaper area in the pediatric age.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 4","pages":"20-6"},"PeriodicalIF":0.1,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547729","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":"[Cross-Cultural Adaptaton and Validation of the Attitudes Towards Men in Nursing Scale (ATMINS)].","authors":"M D Burguete Ramos,&nbsp;E J Sáez Álvarez,&nbsp;A Giménez Ledo,&nbsp;J R Martínez Riera","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Aiming at detecting possible causes for the lack of male nursing professionals, Bartfay et al. developed a questionnaire named Attitudes Towards Men in Nursing Scale (ATMINS), which they tested a university in Ontario, Canada.</p><p><strong>Objective: </strong>Achieve a cross-cultural adaptation and validation of the Attitudes Towards Men in Nursing Scale (ATMINS), in order to evaluate if results achieved using a Spanish sample are comparable with the Canadian study's results.</p><p><strong>Participantsm, materials, and method: </strong>Participants were recruited in universities of Alicante and Donostia (Basque Country). To assure voluntary participation in the study, all candidates were informed about the objective of the study and giving enough time to read the questionnaire. The questionnaire used was the Attitudes Toward Men in Nursing Scale (ATMINS), translated to Spanish. The Spanish version of the ARMINS scale was handed over to a total of 142 students from the Nursing Universities of Alicante and Donostia. Time needed to fill the questionnaires didn't exceed 5 minutes in any case, and no difficulty was observed during implementation. After testing the scale, an internal consistency analysis was performed using Cronbach's Alpha with correction by eliminating items. Validation of construct was done via Exploratory Factorial analysis with Varimax rotation.</p><p><strong>Results: </strong>The results show a reliability which does not reach a moderate degree. Eliminating item 6 in all subsamples, as well as the total sample suppressing any of the other 5 items, increases internal consistency. The exploratory factorial analysis supports a bi-factorial structure of the questionnaire with very high saturation on each factor and a negative charge inside factor 2 for item 6. The negative charge of item 6 keeps the saturation (0.717) after its inversion. By performing an internal consistency analysis taking only into account items of factor 1, the scale's consistency improves with results close to 0.70.</p><p><strong>Conclusion: </strong>The revised scale is a tool which enables easy and fast application. It is valid for the Spanish sample and provides an acceptable internal consistency. The results obtained in both universities in Spain and in Canada are comparable.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 4","pages":"48-54"},"PeriodicalIF":0.1,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36589874","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":"[Influence of Family in the Patient with Neurological Pathology and Acute Confusional Syndrome].","authors":"M Luisa Gómez Gómez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Summary: </strong>Given the type of pathology and age of patients in the inpatient unit of Neurology, Hospital de Cabueñes (Gijon), acute confusional syndrome (ACS) is very common in this service.</p><p><strong>Objective: </strong>To determine the influence of the family, within the limits of the hospital, in patients with neurological disease suffering from SCA.</p><p><strong>Methodology: </strong>A prospective, observational, descriptive study of 53 patients with neurological disease that suffered from SCA was performed. The study variables were: disorientation, agitation, medication, effectiveness, and body grip on each shift with and without family. All those patients suffering from any dementia or psychiatric problem before entering were discarded.</p><p><strong>Results: </strong>The mean age of the patients was 83 years old. The most common pathology was ICTUS. The patients with family were 47.4% versus 52.6% without family in three shifts. 70.3% of the patients became disoriented with family; for patients without family the percentage increased up to 83.8%. As far as nervousness is concerned, 11.4% of the patients with family experienced this behaviour in the three shifts; no-family patients suffering from nervousness were 29.4%. Medication was administered to 33% of the patients with family, and to 44% of no-family patients. The effectiveness was 66.5% for patients with family and 48% for no-family patients. The use of body grip in the three shifts was 7.6% for patients with family and 64.5% for no-family patients.</p><p><strong>Conclusions: </strong>Family has a beneficial effect on neurological patients with ACS, specially by reducing the use of mechanical restraint, helping to preserve the dignity of elderly patients in an adverse environment such as a hospital.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 4","pages":"41-6"},"PeriodicalIF":0.1,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36589873","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":"Tools to Face Burnout in Nursing: Social Support, Resilience and Coping Strategies.","authors":"Óscar Arrogante Maroto,&nbsp;Eva G Aparicio-Zaldívar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To establish the differences in social support, resilience, coping, and three burnout dimensions (emotional exhaustion, depersonalization, and reduced personal accomplishment) among special units nursing and nursing staff of others hospital services; as well as to determine psychological variables that predict burnout in these professionals.</p><p><strong>Method: </strong>Correlational and cross-sectorial study. A sample of 133 nursing professionals from University Hospital of Fuenlabrada (Madrid) took part in the study, of whom 61 worked in special units and 72 in wards. Instruments: Maslach Burnout Inventory-Human Services Survey (MBI-HSS), Social Support Subscale, 10-Item CD-RISC (resilience), Brief-Cope (coping), and sociodemographic variables.</p><p><strong>Results: </strong>No differences were found in any assessed psychological variables as regards hospital service worked in. Social support, resilience and coping strategies determined three burnout dimensions: social support (β = -0.21, support coping (β = -0.22) and disengagement coping (β = 0.22) predicted emotional exhaustion; resilience (V = -0.22) and disengagement coping (β = 0.30) predicted depersonalization; and engagement coping (β = -0.55) predicted reduce personal accomplishment.</p><p><strong>Conclusions: </strong>Differences in burnout, social support, resilience and coping strategies are not determined by hospital service. Social support, resilience, engagement coping, and support coping (adaptives) constitute three tools to face burnout in nursing. These tools could be developed by specific programs from universities and health institutions to improve nursing clinical practice.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 3","pages":"10-17"},"PeriodicalIF":0.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36542136","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":"[Body Image Disturbances in Burned People: Nurse's Approach].","authors":"Marta Martín Parra","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The nursing diagnosis Body image disturbance is present in al the burned people. The approach of this diagnosis is a nursing responsibility, so nurses must carry out the assessment of the functional pattern Self-perception-Self-concept knowing in depth the concepts of \"self-concept\" and \"self-esteem\".</p><p><strong>Aims: </strong>To identify the most effective nursing interventions to address the Body image disturbance.</p><p><strong>Method: </strong>A literature review has been made consulting the following databases PubMed, CINAHL, Cuiden, COCHRANE and PsychInfo. The main selected articles have been: randomized clinical trials, descriptive studies and literature reviews.</p><p><strong>Results: </strong>The proposed nursing care plan is based on a focused assessment of the functional pattern Self-perception-Self-concept using the Satisfaction With Appearance Scale and applying the nursing inverventions: Cognitive restructuring and Body image enhancement.</p><p><strong>Conclusions: </strong>Both assessment and interventions have shown to be based on evidence and being an effective way to take care of the Body image disturbance in the burned person.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 3","pages":"20-6"},"PeriodicalIF":0.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36542139","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":"[Validation of the Nursing Assessment System of the Pediatric Primary Care Emergency: VEUPAP].","authors":"María Noellia García Hernández,&nbsp;Armando Aguirre-Jaime","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Measure the validity, reliability and consistency of two alternative diagnostic systems, Nurse Pediatric Emergency Assessment for Primary Care system (VEUPAP) and web_e-PAT®, using expert pediatricians judgment as a gold standard.</p><p><strong>Material and methods: </strong>Random sample of 300 children aged 0-14 years treated at the Pediatric Urgency Service Dr. Jaime Chaves in Santa Cruz de Tenerife between March 2009 and March 2010. Demographics data, time, presentation of complications and referrals to high, triage results according VEUPAP and web_e-PAT®, medical discharge and interview results to escort the child report, were registered. Sensitivity, specificity, frequency of false positive and negative predictive values of results, their concordance with the gold standard, and reliability of both methods, were estimated.</p><p><strong>Results: </strong>VEUPAP offers better values that web_e-PAT® with sensitivity 94% (95% Cl: 91-97%) vs. 36% (95% Cl: 31-41%), specificity 93(90-96)% vs. 87(83-91)%, positive predictive value of 89 (86-92)% vs. 63(58-68)%, and negative 96(94-98)% vs. 69(64-74)%, yield a4 vs. 3 times more, according to expert pediatrician 84(80-88)5 vs. 12(9-15)% reliability and 64(59-69)% vs. 59(54-63)% according to the weighted kappa Cohen (p < 0.001). Three levels lower and upper of triage discrepancies do not occur with any of the systems, the discrepancy in lower and upper triage at 2 levels do not occur with VEUPAP and is 14% and 4% respectively with web_e-PAT® (p = 0.032-0.045). Most of the discrepancies occur with triage level 1 being for VEUPAP 2-8% and 10-36% for web_e-PAT® (p < 0.001). The time consumption for both systems reached significance only for priority level 3: 4 (2-7) vs. 4 minutes (2-14), respectively (p = 0.044).</p><p><strong>Conclusions: </strong>VEUPAP is a homogeneous and systematic objective tool. The characteristics of accuracy, validity, accuracy, reliability, usefulness and ease of use make it suitable to assessment and classification pediatric patients in primary care emergency.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 3","pages":"28-30, 33-37."},"PeriodicalIF":0.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36591089","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":"[Impact of Infection Prevention Program Central Venous Catheter in Intensive Care Units].","authors":"Pilar Ordóñez Rufat,&nbsp;Victoria Polit Martínez,&nbsp;Rosa Escofet Gómez,&nbsp;Gemma Martínez Estalella","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The channeling of central venous catheters (CVC) is a technique used in intensive care units (ICUs) but it doesn't come without the risk of infection in the placement and subsequent handling.</p><p><strong>Objective: </strong>Evaluate the effectiveness of a prevention of infection following the introduction of new multifactorial strategies in the prevention program Central line-associated bloodstream infection (CLABSI) at ICU.</p><p><strong>Methodology: </strong>Comparative descriptive study in two periods, including all patients admitted in multipurpose ICUs of a tertiary hospital 2014. We analyzed 2014 data compared with 2013, to test the impact of new measures CRB prevention program. Variables: number of catheters, number of infections/1000 catheter days and path. Actions carried out were: prospective surveillance of the incidence rate, sequential program multifactorial prevention implementation of different measures, checklist for insertion of new catheters, introduction of weekly monitoring compliance, reporting episodes team are, continuing education for sanitary personal and implementation of the semipermeable transparent dressings with chlorhexidine gel.</p><p><strong>Results: </strong>The overall incidence density rate decreased from 3.1 episodes/1000 catheter days in 2013 to 2.3 episodes/1000 catheter days in 2014, improving in different units. The utilization ratio of the different accesses was: 35% humeral; 33% jugular; 25% subclavian; 10% femoral, and 13% hemodialysis catheter.</p><p><strong>Conclusions: </strong>The new measures applied to reduce the bacteremia have allowed a decrease in the rate of infection, what brings closer to the objective of the Bacteremia Zero program.</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 3","pages":"39-42"},"PeriodicalIF":0.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547769","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}