[SANITARY WASTE IN THE HOSPITAL SETTING: ATTITUDE OF HEALTH PROFESSIONALS TOWARD ADVANCED MANAGEMENT OF SANITARY WASTE]. / Residuos sanitarios en el ámbito hospitalario (y 3).

OBJECTVE: The aim of this study was to assess the attitude of nurse assistants, nurses, physicians, and lab technicians about advanced management of medical waste. METHODS: Cross-sectional study of Attitude and explanatory variable degree of concordance between Attitude, Knowledge, and Risk Perception. The sample size was 176 health professionals from three hospitals in,the Barcelona area. A questionnaire of 44 items with responses measured on a Likert scale type questions and free and spontaneous association and incomplete sentences was used. RESULTS: Mean Attitude of health professionals surveyed was 4.40, with a standard deviation of 0.4 on a scale of 1-5, where 1 is considered a very negative and five a very positive Attitude. According to the values obtained with the Professional Category, the nurse assistants had an average value of 4.45 in Attitude, followed by nurses (4.36), physicians (4.27), and lab technicians (4.47). In the Pearson correlation, coefficients between Attitude, Risk Perception, Global Assessment, and level of Knowledge, values of r = 0.172 andp = 0.023 were obtained, r = -0.156 and p = 0.039 and r = 0.013 and p = 0.865 respectively. The mean values of the variables Knowledge, Risk Perception, Attitude, and Overall Rating were significantly different (ANOVA) in Knowledge level, according to Professional Category and Welfare Service, but not in other categories. CONCLUSIONS: The results of the current study suggest that health professionals generally have a very positive Attitude towards the management of medical waste. A significant relationship between Attitude and Risk Perception and Overall Rating was observed. In terms of the analysis of Variance, there was a significant difference in the level of Knowledge according to the Professional Category and the Assistance Service.

[New technologies and nursing. Use and perception of primary health care nurses about electronic health record]. / Enfermería y nuevas tecnologías: historia clínica electrónica.

OBJECTIVE: To analyze the nurses make use of electronic health records (EHR) and assess their perception of it. METHOD: A descriptive cross-sectional observational study was conducted in 2010 analyzing the nurses' perceptions of adult and pediatric consultations of primary health care teams in Baix Llobregat (Catalonia) in which the EHR is used. The study variables were: registration of care, continuity of care, training, usability and sociodemographic composition of the sample. The statistical analysis was descriptive. RESULTS: Nurses agree that EHR provides "continuity of care" in relation to nursing care (mean 2.03, Sd.0.83) and overall (mean 2.19, 5d.0.83). Show indifference to the "usability" of the EHR (mean 3.26, Sd.0.5), to facilitate the "record information" (mean 2.69, Sd.0.68) and the need for "training" in the use of EHR (mean 2.6, 5d.0.59). It has been found that with increasing age of the nurse, it shows more agreement that the EHR provides greater continuity of care overall. The average ratings of the continuum of care nurse, recording of information, continuity of care in general are greater the lead time using the EHR. CONCLUSIONS: The nurses' perceptions regarding the EHR are positive in that it provides continuity of care and to exchange information on patient health data.

[Telecare, one care vision]. / Telecuidado: una visión asistencial.

Information and communication techniques represent a double challenge for nursery. This techniques provide the chance to improve the patient-sanitary professional relationship, promoting situations where the patient plays an active part in its own therapeutic process, and on the other hand arise the need to be ready for this technologic setting. The incorporation of the information and communication techniques will represent a new approach to the therapeutic relationship, that has to be used to consolidate the role of the nursery in front of the patient. Telecare offers services regarding health promotion, prevention and illness recovery based on information and communication techniques.