RESUMEN
El estudio tiene como objetivo describir las estrategias de afrontamiento del personal de enfermería ante la muerte del paciente pediátrico en los Servicios de Cuidados Críticos y Hemato-Oncología. El trabajo de investigación es de tipo cuantitativo, descriptivo, transversal, aplicado a 32 enfermeros/ as que desempeñan su labor en el Servicio de Cuidados Críticos y Hemato-Oncología de un Hospital pediátrico público, por medio de un cuestionario basado en la Escala de Medición del Proceso de Afrontamiento y Adaptación de Callista Roy. De acuerdo con los resultados, se obtuvo que los enfermeros/as poseen una alta capacidad para afrontar la muerte con un 75%. En el presente estudio se observó que el personal de enfermería posee alto grado de capacidad de afrontamiento ante la muerte del paciente pediátrico en el Servicio de Cuidados Críticos y Hemato-oncología de un Hospital Pediátrico público de Corrientes[AU]
The objective of the study is to describe the nursing staff's coping strategies when faced with the death of a pediatric patient in the Critical Care and Hemato-Oncology Services. The research work is quantitative, descriptive, cross-sectional, applied to 32 nurses who carry out their work in the Critical Care and Hemato-Oncology Service of a public pediatric Hospital, by means of a questionnaire based on the Measurement Scale of the Coping and Adaptation Process by Callista Roy. According to the results, it was obtained that the nurses have a high capacity to face death with 75%. In the present study, it was observed that the nursing staff has a high degree of capacity to cope with the death of the pediatric patient in the Critical Care and Hemato-oncology Service of a public Pediatric Hospital in Corrientes[AU]
O objetivo do estudo é descrever as estratégias de enfrentamento da equipe de enfermagem frente ao óbito de um paciente pediátrico nos Serviços de Terapia Intensiva e Hemato- Oncologia. A pesquisa é quantitativa, descritiva, transversal, aplicada a 32 enfermeiros que realizam seu trabalho no Serviço de Terapia Intensiva e Hemato-Oncologia de um Hospital Público Pediátrico, por meio de um questionário baseado na Escala de Medição do Processo de Enfrentamento e Adaptação, de Callista Roy. De acordo com os resultados, obteve-se que os enfermeiros possuem alta capacidade de enfrentamento à morte com 75%. No presente estudo, observou-se que a equipe de enfermagem possui alto grau de capacidade para lidar com a morte do paciente pediátrico no Serviço de Terapia Intensiva e Hemato-oncologia de um Hospital Pediátrico Público de Corrientes[AU]
Asunto(s)
Humanos , Masculino , Femenino , Pacientes , Adaptación Psicológica , Modelos de Enfermería , Muerte , Personal de Enfermería , Cuidados Críticos , Enfermeras PediátricasRESUMEN
In 2005 the government of Chile passed comprehensive health reform. The law mandated coverage by public and private health insurers for selected medical interventions related to fifty-six priority diseases and conditions. This paper presents previously unpublished evidence on various consequences of the reform. It also presents a first, partial evaluation of the reform's impact on access to care, treatment outcomes, hospitalization rates, and medical leave rates for six chronic diseases. For some of those diseases, such as hypertension, types 1 and 2 diabetes, and depression, we find that the reform was linked to growing access to services and increased coverage. For those diseases and for childhood epilepsy and HIV/AIDS, the hospital case-fatality rate dropped.
Asunto(s)
Reforma de la Atención de Salud/legislación & jurisprudencia , Accesibilidad a los Servicios de Salud , Hospitalización/tendencias , Cobertura del Seguro/legislación & jurisprudencia , Mortalidad/tendencias , Chile , Femenino , Humanos , MasculinoRESUMEN
This paper analyzes the rationale for, and costs associated with, the control and elimination of neglected tropical diseases (NTDs) in Latin America and the Caribbean. It also estimates the magnitude of potential health gains. The results suggest that lymphatic filiariasis, onchocerciasis, and trachoma can be feasibly and affordably eliminated by 2020, at a total cost of US$128 million. Control of other NTDs could produce important reductions in prevalence and incidence, along with other social and economic benefits. In particular, controlling soil-transmitted helminths (roundworm and hookworm, for example) would produce total costs of $41 million between now and 2020.