Atención de enfermería a la persona con deterioro de la comunicación

En el presente material se presenta el Diagnóstico propio de enfermería sobre el deterioro de la comunicación verbal. El objetivo de este material es presentar las principales características así como las actividades de enfermería a llevar a cabo en personas y sus familias que presentan dicho diagnóstico

Valoración de enfermería del Patrón cognitivo-perceptivo

En el presente material se abordan los conceptos clave, componentes y factores que afectan en el patrón cognitivo-perceptivo. Además, se presenta de manera detallada la valoración de enfermería del mismo en personas adultas

Atención de enfermería a una persona con dolor

En el presente material se expone el dolor como un diagnóstico propio de la disciplina de enfermería. Es un diagnóstico transversal que se aborda a lo largo de la atención de enfermería a la persona adulta. En este material se presentan las características de los diferentes tipos de dolor así como el abordaje propio de enfermería para paliar el dolor en pacientes y sus familias

Physical activity and mental health experiences of people living with long term conditions during COVID-19 pandemic:A qualitative study

Introduction: regular physical activity is a strategy that is effective in the physical management of long term conditions. The COVID-19 pandemic, led to disruption of physical activity routines for many people with long term conditions. It is important, to understand the experiences of people with long term conditions regarding physical activity during COVID-19 to enable future identification of strategies to mitigate the impact of restrictions on health.Objective: to explore perceptions and experiences of people with long term conditions of the impact of the UK Government physical distancing restrictions on their physical activity participation during the COVID-19 pandemic.Methods: a qualitative study, with in depth videoconference semi-structured interviews were conducted between January and April 2022, with 26 adults living with at least one long term condition in the UK. Data were managed in analytical matrices within Excel and data analysis was conducted using thematic analysis.Results. Two main themes were developed, explaining how participants managed their physical activity during COVID19 lockdowns, and based on those experiences, what they considered should be in place should another lockdown occur:1) COVID-19 and physical activity: Losses, opportunities and adapting to new formats; and 2) Micro, meso, and macro contexts: creating the right conditions for physical activity support in future pandemics.Conclusions: this study provides information on how people with long term conditions managed their condition during the COVID-19 pandemic and generates new understanding of how physical activity routines changed. These findings will be used to inform stakeholder engagement meetings with individuals with long term conditions and local, regional, and national policy makers, to co-produce recommendations that will help people living with long term conditions remain active during and after COVID-19 and other pandemics.<br/

Tele-enfermería en pacientes crónicos: revisión sistemática

Para proporcionar un cuidado individualizado e integral a los pacientes que conviven con un proceso crónico se aboga en la actualidad por el uso de nuevas tecnologías, como la tele-enfermería. El objetivo es identificar las principales características de la teleenfermería, así como las barreras y facilitadores para su implantación. Revisión sistemática de las bases de datos PubMed, Cochrane Library, Cinhal, Psycinfo, Cuiden, Dialnet y Scielo entre 2008 y 2019. Los 34 artículos seleccionados identificaron el soporte virtual, el seguimiento telefónico y los dispositivos electrónicos como principales características de la tele-enfermería, el perfil del paciente (no joven, con nivel socioeconómico y educativo bajo) y la resistencia de los profesionales de enfermería fueron las barreras identificadas, mientras que la nueva era tecnológica se identificó como un facilitador para su implementación. Proporcionar una mayor formación entre los profesionales de enfermería para dar a conocer las principales características de la tele-enfermería es fundamental para su aceptación e integración y, consecuentemente, su implantación en la práctica clínica 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’s 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

Correction:Physical activity and mental health experiences of people living with long term conditions during COVID-19 pandemic: A qualitative study

Notice of republication This article was republished on March 14 th, 2024, to correct the author list and add Danielle Lambrick and James Faulkner as the third and fourth authors respectively. Please download this article again to view the correct version. The originally published, uncorrected article and the republished, corrected articles are provided here for reference. (PLoS ONE (2023) 18: 7 (e0285785) DOI: 10.1371/journal.pone.0285785)</p

Factores del entorno de trabajo que influyen en la ocurrencia de errores de administración de medicación

Fundamento. La incidencia de errores de administración de medicación (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 ámbito hospitalario. Metodología. Se llevó a cabo una revisión narrativa de la literatura. Se incluyeron 8 artículos 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 diseño de las unidades y las características del material han sido destacados entre los factores del entorno de trabajo que intervienen en la ocurrencia de errores de administración de medicación. Conclusiones. La creación de artefactos organizacionales para reducir las interrupciones; la implicación del paciente en la administración de medicación; la introducción de nuevas tecnologías y la mejora del etiquetado de los medicamentos puede ayudar a reducir la incidencia de errores de administración de medicación. Para avanzar en la identificación y gestión de factores precursores de errores de administración de medicación se recomienda la realización 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

Living with Chronic Illness Scale: International validation through the classic test theory and Rasch analysis among Spanish-speaking populations with long-term conditions

Background: The Living with Chronic Illness (LW-CI) Scale is a comprehensive patient-reported outcome measure that evaluates the complex process of living with long-term conditions. Objective: This study aimed to analyse the psychometric properties of the LW-CI scale according to the classic test theory and the Rasch model among individuals living with different long-term conditions. Design: This was an observational, international and cross-sectional study. Methods: A total of 2753 people from six Spanish-speaking countries living with type 2 diabetes mellitus, chronic obstructive pulmonary disease, chronic heart failure, Parkinson's disease, hypertension and osteoarthritis were included. The acceptability, internal consistency and validity of the LW-CI scale were analysed using the classical test theory, and fit to the model, unidimensionality, person separation index, item local independency and differential item functioning were analysed using the Rasch model. Results: Cronbach's α for the LW-CI scale was .91, and correlation values for all domains of the LW-CI scale ranged from .62 to .68, except for Domain 1, which showed correlation coefficients less than .30. The LW-CI domains showed a good fit to the Rasch model, with unidimensionality, item local independency and moderate reliability providing scores in a true interval scale. Except for two items, the LW-CI scale was free from bias by long-term condition type. Discussion: After some adjustments, the LW-CI scale is a reliable and valid measure showing a good fit to the Rasch model and is ready for use in research and clinical practice. Future implementation studies are suggested. Patient and Public Contribution: Patient and public involvement was conducted before this validation study - in the pilot study phase.Ministry of Science, Innovation and University, Spanish Government; FEDER/ Ministerio de Ciencia, Innovación y Universidades – Agencia Estatal de Investigación/ Proyecto, Grant/Award Number: CSO2017–82691‐RS