Accesibilidad de las mujeres sordas al sistema público sanitario del País Vasco / Accessibility of deaf women to the public health system of the Basque Country (Spain)

OBJETIVO: Explorar cuáles son las percepciones y las vivencias de las mujeres sordas en relación con la accesibilidad al Sistema de Salud Público Vasco (Osakidetza). Como objetivo secundario, explorar la experiencia de estas mujeres acerca de la violencia de género. MÉTODO: Estudio cualitativo con diseño exploratorio. La selección de las informantes se realizó mediante muestreo intencional. Se invitó a participar a mujeres sordas a través de la Federación de Personas Sordas de Euskadi. Se desarrollaron cuatro grupos de discusión entre octubre de 2013 y julio de 2014, con una duración media de 90-120 minutos. Estos grupos fueron grabados en vídeo para su posterior transcripción literal, en la que participó el Servicio de Intérpretes de Lengua de Signos de Euskadi. Se realizó un análisis temático. RESULTADOS: Surgen tres categorías principales: 1) sentimientos de discriminación y limitación del principio de autonomía; 2) barreras y facilitadores en la accesibilidad al sistema sanitario; y 3) vulnerabilidad de las mujeres sordas como consecuencia de la falta de comunicación. CONCLUSIONES: Las mujeres sordas continúan presentando dificultades para el acceso al sistema sanitario en nuestro contexto. Los resultados de este estudio pueden ser un punto de partida para el desarrollo de políticas sanitarias y de protocolos institucionales

OBJECTIVE: To explore what are the perceptions and experiences of deaf women in relation to accessibility to the Basque Public Health System (Osakidetza). As a secondary objective, explore the experience of these women about gender violence. METHOD: A qualitative study with exploratory design is developed. The selection of the informants was carried out through intentional sampling. Deaf women were invited to participate through the Federation of Deaf People of the Basque Country. Four discussion groups were developed between October 2013 and July 2014, with duration of 90-120 minutes. The discussion groups were recorded in video for their later literal transcription in which the service of interpreters of sign language of Euskadi participated. Thematic analyses carried out. RESULTS: Three main categories arise: 1) feelings of discrimination and limitation of the principle of autonomy; 2) barriers and facilitators in the accessibility to the health system; and 3) vulnerability of deaf women as a result of the lack of communication. CONCLUSIONS: Nowadays, deaf women continue having difficulties in accessing to the health system in our context. The results of this study can be the starting point for the development of health policies and institutional protocols

[Accessibility of deaf women to the public health system of the Basque Country (Spain)]. / Accesibilidad de las mujeres sordas al sistema público sanitario del País Vasco.

OBJECTIVE: To explore what are the perceptions and experiences of deaf women in relation to accessibility to the Basque Public Health System (Osakidetza). As a secondary objective, explore the experience of these women about gender violence. METHOD: A qualitative study with exploratory design is developed. The selection of the informants was carried out through intentional sampling. Deaf women were invited to participate through the Federation of Deaf People of the Basque Country. Four discussion groups were developed between October 2013 and July 2014, with duration of 90-120minutes. The discussion groups were recorded in video for their later literal transcription in which the service of interpreters of sign language of Euskadi participated. Thematic analyses carried out. RESULTS: Three main categories arise: 1) feelings of discrimination and limitation of the principle of autonomy; 2) barriers and facilitators in the accessibility to the health system; and 3) vulnerability of deaf women as a result of the lack of communication. CONCLUSIONS: Nowadays, deaf women continue having difficulties in accessing to the health system in our context. The results of this study can be the starting point for the development of health policies and institutional protocols.

Satisfacción de las enfermeras de Osakidetza con las aplicaciones móviles para el cuidado enfermero / Satisfaction among Osakidetza nurses with mobile applications for nursing care

OBJETIVO: explorar la satisfacción de las enfermeras de Osakidetza con las aplicaciones informáticas móviles para el cuidado enfermero, así como su valoración sobre la formación recibida para su utilización, la facilidad de su uso, las características de la información gestionada y el impacto sobre el cuidado del paciente. MÉTODO: estudio descriptivo transversal. Población objeto de estudio: enfermeras de Osakidetza que trabajaban con aplicaciones informáticas móviles. VARIABLES: sociodemográficas y laborales, de usabilidad, formación y soporte recibidos, impacto, satisfacción con las aplicaciones móviles incluidas. Fueron recogidas mediante cuestionario diseñado adhoc. Se realizó un análisis estadístico descriptivo y un análisis bivariantes, mediante el test Chi cuadrado. RESULTADOS: se recibieron 518 cuestionarios (33,5%). El 37,8% refirió satisfacción a nivel general con las aplicaciones utilizadas, el 27,2% mayor agilidad al efectuar el trabajo con tableta y el 36,1% una mejor realización del trabajo. La aplicación con mayor satisfacción fue la que facilita el registro de constantes (61,8%). Un 74,8% refirió impacto positivo sobre la seguridad del paciente. Se encontraron diferencias estadísticamente significativas según la función desempeñada (mayor satisfacción en las enfermeras gestoras; p= 0,023), según nivel de utilización en la vida diaria (mayor satisfacción en utilización media y alta; p= 0,036), y en función del turno de trabajo (mayor satisfacción en turno fijo; p= 0,021). CONCLUSIONES: el nivel de satisfacción con las aplicaciones móviles para el cuidado es discreto. Para conocer el impacto de estas herramientas y la satisfacción general con ellas, se recomienda ser valoradas cuando el despliegue realizado en las organizaciones esté consolidado

OBJECTIVE: to explore the satisfaction among Osakidetza nurses with the mobile applications for nursing care, as well as their evaluation of the training received for their use, ease of use, characteristics of the information managed, and impact on patient care. METHOD: a descriptive cross-sectional study. Population object of the study: Osakidetza nurses working with mobile applications. VARIABLES: sociodemographical and occupational, usability, training and support received, impact, satisfaction with the mobile applications included; these were collected through a questionnaire designed ad hoc. Descriptive statistical analysis was conducted, as well as bivariate analysis, through Chi Square Test. RESULTS: in total, 518 questionnaires (33.5%) were received; 37.8% reported overall satisfaction with the applications used, 27.2% reported that working with the tablet was faster, and 36.1% stated that their work was better conducted. The application with the highest satisfaction level was the one that provides vital sign records (61.8%); 74.8% of participants reported a positive impact on patient safety. Statistically significant differences were found depending on the role played (higher satisfaction among nurse managers; p= 0.023), according to the level of use in daily life (higher satisfaction in medium and high use; p= 0.036), and based on the working shift (higher satisfaction in regular shifts: p= 0.021). CONCLUSIONS: there is a moderate level of satisfaction with mobile applications for patient care. In order to understand the impact of these tools and the overall satisfaction with them, it is recommended to assess them once the display conducted in agencies has been firmly established