19 research outputs found
Atenci贸n de enfermer铆a a la persona con deterioro de la comunicaci贸n
En el presente material se presenta el Diagn贸stico propio de enfermer铆a sobre el deterioro de la comunicaci贸n verbal. El objetivo de este material es presentar las principales caracter铆sticas as铆 como las actividades de enfermer铆a a llevar a cabo en personas y sus familias que presentan dicho diagn贸stico
Valoraci贸n de enfermer铆a del Patr贸n cognitivo-perceptivo
En el presente material se abordan los conceptos clave, componentes y factores que afectan en el patr贸n cognitivo-perceptivo. Adem谩s, se presenta de manera detallada la valoraci贸n de enfermer铆a del mismo en personas adultas
Atenci贸n de enfermer铆a a una persona con dolor
En el presente material se expone el dolor como un diagn贸stico propio de la disciplina de enfermer铆a. Es un diagn贸stico transversal que se aborda a lo largo de la atenci贸n de enfermer铆a a la persona adulta. En este material se presentan las caracter铆sticas de los diferentes tipos de dolor as铆 como el abordaje propio de enfermer铆a para paliar el dolor en pacientes y sus familias
Tele-enfermer铆a en pacientes cr贸nicos: revisi贸n sistem谩tica
Para proporcionar un cuidado individualizado e
integral a los pacientes que conviven con un proceso
cr贸nico se aboga en la actualidad por el uso de nuevas tecnolog铆as, como la tele-enfermer铆a. El objetivo
es identificar las principales caracter铆sticas de la teleenfermer铆a, as铆 como las barreras y facilitadores para
su implantaci贸n. Revisi贸n sistem谩tica de las bases de
datos PubMed, Cochrane Library, Cinhal, Psycinfo, Cuiden, Dialnet y Scielo entre 2008 y 2019. Los 34 art铆culos
seleccionados identificaron el soporte virtual, el seguimiento telef贸nico y los dispositivos electr贸nicos como
principales caracter铆sticas de la tele-enfermer铆a, el perfil del paciente (no joven, con nivel socioecon贸mico y
educativo bajo) y la resistencia de los profesionales de
enfermer铆a fueron las barreras identificadas, mientras
que la nueva era tecnol贸gica se identific贸 como un
facilitador para su implementaci贸n. Proporcionar una
mayor formaci贸n entre los profesionales de enfermer铆a
para dar a conocer las principales caracter铆sticas de la
tele-enfermer铆a es fundamental para su aceptaci贸n e integraci贸n y, consecuentemente, su implantaci贸n en la
pr谩ctica cl铆nica diaria.At present there is a strong case for using new technologies, such as tele-nursing, to provide individualised
and integral care to patients who live with a chronic
process. The aim is to identify the main characteristics
of tele-nursing and the factors that facilitate and hinder
its implantation. Systematic review of the following databases: PubMed, Cochrane Library, Cinhal, Psycinfo,
Cuiden, Dialnet and Scielo during the 2008-2019 period.
The 34 articles selected identified virtual support, telephone monitoring and electronic devices as the main
characteristics of tele-nursing; the patient鈥檚 profile
(not young, with a low socio-economic and educational
level) and the resistance of the nursing professionals
were the barriers identified; while the new technological age was identified as a factor facilitating its implementation. The provision of greater training for nursing
professionals to make them aware of the main characteristics of tele-nursing is essential for its acceptance
and integration and consequent implantation in daily
clinical practice
Factores del entorno de trabajo que influyen en la ocurrencia de errores de administraci贸n de medicaci贸n
Fundamento. La incidencia de errores de administraci贸n de medicaci贸n (EAM) es alta y costosa para pacientes e instituciones sanitarias. En su ocurrencia intervienen factores humanos y del entorno de trabajo.
El objetivo de este trabajo es identificar los factores del
entorno de trabajo que se relacionan con la ocurrencia
de EAMs en el 谩mbito hospitalario.
Metodolog铆a. Se llev贸 a cabo una revisi贸n narrativa
de la literatura. Se incluyeron 8 art铆culos tras revisar
las bases de datos MEDLINE, CINAHL y COCHRANE LIBRARY, durante el periodo 2002-2012.
Resultados. Las distracciones e interrupciones, la sobrecarga de trabajo, el dise帽o de las unidades y las caracter铆sticas del material han sido destacados entre los
factores del entorno de trabajo que intervienen en la
ocurrencia de errores de administraci贸n de medicaci贸n.
Conclusiones. La creaci贸n de artefactos organizacionales para reducir las interrupciones; la implicaci贸n del
paciente en la administraci贸n de medicaci贸n; la introducci贸n de nuevas tecnolog铆as y la mejora del etiquetado de los medicamentos puede ayudar a reducir la
incidencia de errores de administraci贸n de medicaci贸n.
Para avanzar en la identificaci贸n y gesti贸n de factores
precursores de errores de administraci贸n de medicaci贸n se recomienda la realizaci贸n de estudios de cohortes prospectivas o revisiones.Background. The incidence of medication administration errors (MAE) is high and costly for patients and
health institutions. Human factors and factors relating
to the work context intervene in their occurrence. The
aim of this article is to identify the role of factors in the
work setting related to occurrence of MAEs in the hospital field.
Methods. A narrative review of the literature. Eight
articles were included following a review of MEDLINE,
CINAHL and COCHRANE LIBRARY databases for the
2002-2012 period.
Results. Distractions and interruptions, work overload,
design of units and characteristics of the material stood
out amongst the work context factors intervening in the
occurrence of medication administration errors.
Conclusions. The creation of organizational artefacts
to reduce interruptions; patient involvement in medication administration; the introduction of new technologies and improving the labelling of medications can
help reduce the incidence of medication administration
errors. To advance in identifying and managing factors that are precursors of medication administration
errors, we recommend the carrying out of studies or
reviews of prospective cohorts
Rasch analysis of the living with chronic illness scale in Parkinson's disease
Background Neurologists play an essential role in facilitating the patient's process of living with Parkinson's disease (PD). The Living with Chronic Illness Scale-PD (LW-CI-PD) is a unique available clinical tool that evaluates how the patient is living with PD. The objective of the study was to analyse the LW-CI-PD properties according to the Rasch model. Methods An open, international, cross-sectional study was carried out in 324 patients with Parkinson's disease from four Latin American countries and Spain. Psychometric properties of the LW-CI-PD were tested using Rasch analysis: fit to the Rasch model, item local independency, unidimensionality, reliability, and differential item functioning by age and gender. Results Original LW-CI-PD do not fit Rasch model. Modifications emerged included simplifying the response scale and deleting misfit items, the dimensions Acceptance, Coping and Integration showed a satisfactory fit to the Rasch model, with reliability indices greater than 0.70. The dimensions Self-management and Adjustment to the disease did not reach fit to the Rasch model. Conclusion Suggestions for improving the LW-CI-PD include a multidimensional and shorter scale with 12 items grouped in three subscales with a simpler response scheme. The final LW-CI-PD Scale version is a reliable scale, with good internal construct validity, that provides Rasch transformed results on linear metric scale
A pilot study on the Spanish version of the Psychosocial Adjustment to Illness Scale (PAIS鈥怱R) with carers of people with Parkinson's disease
Aim: To report the cross-cultural adaptation and pilot study of the ongoing validation of the Spanish version of the Psychosocial Adjustment to Illness Scale with carers of people with Parkinson's disease.
Design: Cross-cultural adaptation and pilot study with a cross-sectional validation design of the Spanish version of the Psychosocial Adjustment to Illness Scale - Carers.
Methods: Twenty-one carers of people with Parkinson's disease from a Primary Care practice in Spain were recruited and completed the PAIS-Carers, the SF-36 Health Survey, the Brief COPE Inventory and an assessment form. SPSS 23.0 was used to determine viability/acceptability and preliminary aspects of internal consistency of the instrument.
Results: Five of the seven domains presented floor effect (71.42%), and only one presented ceiling effect (14.28%). The internal consistency of the scale and domains showed acceptable values (over 0.7). The content validity of the Spanish version seemed satisfactory with positive comments in general from participants
Implementation of a multidisciplinary psychoeducational intervention for Parkinson's disease patients and carers in the community: study protocol
Background: Parkinson鈥檚 disease progressively limits patients at different levels and as a result family members play
a key role in their care. However, studies show lack of an integrative approach in Primary Care to respond to the
difficulties and psychosocial changes experienced by them. The aim of this study is to evaluate the effects of a
multidisciplinary psychoeducational intervention focusing on improving coping skills, the psychosocial adjustment
to Parkinson鈥檚 disease and the quality of life in patients and family carers in a Primary Care setting.
Methods: This quasi-experimental study with control group and mixed methods was designed to evaluate a
multidisciplinary psychoeducational intervention. Based on the study power calculations, 100 people with
Parkinson鈥檚 disease and 100 family carers will be recruited and assigned to two groups. The intervention group will
receive the ReNACE psychoeducational intervention. The control group will be given a general educational
programme. The study will be carried out in six community-based health centres. The results obtained from the
two groups will be collected for evaluation at three time points: at baseline, immediately after the intervention and
at 6 months post-intervention. The results will be measured with these instruments: the Quality of Life Scale PDQ39 for patients and the Scale of Quality of Life of Care-givers SQLC for family carers, and for all participants the
Psychosocial Adjustment to Illness scale and the Brief COPE Inventory. Focus groups will be organised with some
patients and family carers who will have received the ReNACE psychoeducational intervention and also with the
healthcare professionals involved in its development.
Discussion: An important gap exists in the knowledge and application of interventions with a psychosocial
approach for people with PD and family carers as a whole. This study will promote this comprehensive approach in
Primary Care, which will clearly contribute in the existing knowledge and could reduce the burden of PD for
patients and family carers, and also in other long-term conditions
Valoraci贸n de enfermer铆a del Patr贸n cognitivo-perceptivo
En el presente material se abordan los conceptos clave, componentes y factores que afectan en el patr贸n cognitivo-perceptivo. Adem谩s, se presenta de manera detallada la valoraci贸n de enfermer铆a del mismo en personas adultas