Factores que influyen en la calidad de la aplicación de la estrategia de AIEPI por el personal de enfermería del puesto de salud El Progreso durante el II semestre 2015

La Atención Integral a las Enfermedades Prevalentes en la Infancia (AIEPI), es una estrategia elaborada para erradicar la morbi- mortalidad infantil donde la calidad de la aplicación de esta estrategia, es una de las formas de maximizar los beneficios para la salud de los infantes. La temática de este estudio está basado en la calidad de la aplicación de la estrategia AIEPI por el personal de enfermería del puesto de salud el Progreso del Municipio de Matagalpa durante el segundo semestre 2015, mediante el cual se da a conocer la caracterización demográfica del personal de enfermería en estudio. Las principales conclusiones son: caracterizar al personal de enfermería del puesto de salud el Progreso el cual cumple de acuerdo al perfil académico que orienta las normas, cuentan con suficiente experiencia laboral y con accesibilidad a su centro de trabajo ,Se identificó que los factores que afectaron en la calidad de la aplicación de la estrategia AIEPI fueron: la demanda de pacientes, la falta de recursos humanos y la falta de recursos materiales, Se determinó que el personal de enfermería es competente para el cumplimiento del abordaje de la estrategia AIEPI

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries