ABSTRACT
The hospital emergency department (ED) has become the gateway to the health system during thefirst COVID-19 wave. The objective of this study is to describe the behaviour of claims in the first yearof the pandemic, comparing them with the previous year. Method: Retrospective descriptive study of thecomplaints addressed to the ED of the Nuestra Señora de Candelaria University Hospital Complex(CHUNSC) during the years 2019 and 2020. The variables studied were: the number of claims receivedat the CHUNSC and at the ED and of the latter: year, month, dimensions, reasons, professional category,sex, relationship of the claimant and the number of emergencies attended. Results: 347 claims from theED and 6259 from the CHUNSC were analyzed, with the average for 2019 being higher than that of 2020. The most requested dimension in the ED is health care assistance and the reason for dissatisfactionfor the provision of care. The professional category with more claims is health care staff and the userhimself, is the one who claims the most. Conclusions: the number of claims has decreased in the firstyear of the pandemic but the dimension has not changed, nor the reason in relation to the previous year. (AU)
El servicio de urgencias hospitalario (SUH) es la puerta de entrada al sistema sanitario de lospacientes COVID-19. El objetivo de este estudio es describir el comportamiento de las reclamaciones enel primer año de pandemia, comparándolas con el año anterior. Método: Estudio descriptivo retrospectivode las reclamaciones dirigidas al SUH del Complejo Hospitalario Universitario Nuestra Señora deCandelaria (CHUNSC) durante los años 2019 y 2020. Las variables estudiadas fueron: número dereclamaciones recibidas en el CHUNSC y en el SUH y de estas últimas: año, mes, dimensiones, motivos,categoría profesional, sexo, parentesco del reclamante y número de urgencias atendidas. Resultados: seanalizaron 347 reclamaciones del SUH y 6259 del CHUNSC, siendo la media del 2019 mayor que la de2020. La dimensión más reclamada en el SUH, es la asistencial y el motivo la insatisfacción por laprestación de la asistencia, la categoría profesional más demandada es la sanitaria y el propio usuario, esel que más reclama. Conclusiones: el número de reclamaciones, ha disminuido en el primer año depandemia pero no ha variado la dimensión, ni el motivo en relación al año anterior. (AU)
O pronto-socorro hospitalar (DE) é a porta de entrada do sistema de saúde para pacientes comCOVID-19. O objetivo deste estudo é descrever o comportamento dos sinistros no primeiro ano dapandemia, comparando-os com o ano anterior. Método: Estudo descritivo retrospectivo das queixasdirigidas ao SU do Complexo Hospitalar Universitário Nuestra Señora de Candelaria (CHUNSC) duranteos anos de 2019 e 2020. As variáveis estudadas foram: número de queixas recebidas no CHUNSC e noSU e do último: ano, mês, dimensões, motivos, categoria profissional, sexo, parentesco do reclamante enúmero de emergências atendidas. Resultados: foram analisadas 347 reclamações do PS e 6259 doCHUNSC, sendo a média de 2019 superior à de 2020. A dimensão mais solicitada no PS é o atendimentoe o motivo é a insatisfação com o atendimento, a categoria profissional mais demandado é o serviço desaúde e o próprio usuário é quem mais reclama. Conclusões: o número de sinistros diminuiu no primeiroano da pandemia mas a dimensão não mudou, nem o motivo em relação ao ano anterior. (AU)
Subject(s)
Humans , Coronavirus Infections/epidemiology , Pandemics , Patient Satisfaction , Emergency Medical Services/history , Emergency Medical Services/statistics & numerical data , Spain , Retrospective Studies , Epidemiology, DescriptiveABSTRACT
BACKGROUND: The field of specific healthcare for transgender people has not been included in the official curriculum of professionals. This causes a lack of knowledge that can be presumed to become a barrier to healthcare. Currently, different methodologies are emerging to achieve meaningful learning for students and professionals. The objective of this study was to evaluate the increase in the level of knowledge of final-year nursing students, applying methodological strategies such as problem-based learning (PBL) and film-forum. METHODS: 59 nursing students were randomly assigned to two intervention groups (G1 = 31 and G2 = 28), and another 57 were assigned to the control group (without specific classes or workshops on the subject of the study). The intervention consisted of a specific training course on transgender issues (TGSC&W, TransGender Specific Course and Workshop), where the type of meaningful learning strategy used depended on the group (G1 = film-forum and G2 = PBL). The study was carried out at the Faculty of Nursing Nuestra Señora de Candelaria of the Canary Islands Health Service. The randomization was done by blindly choosing a computer-generated code. RESULTS: The main outcome was based on 116 participants, comparing their level of knowledge before and after the workshop. The comparison by pairs shows that there were statistically significant differences (p = 0.000) between those undergoing the methodological interventions and the control group. Statistical significance between film-forum and PBL was not obtained (p = 1.000): Both methodologies increased the level of knowledge, but there was no significant difference between them. The means for satisfaction with the learning methodology used did not show statistically significant differences. CONCLUSION: The workshop carried out was highly effective and significant in terms of increasing knowledge. No significant differences were observed in the level of knowledge, or in the degree of satisfaction, between the two methodologies used (PBL and film-forum).
