[Work environment and patient safety: data comparison between Seneca and RN4CAST projects]. / Entorno laboral y seguridad del paciente: comparación de datos entre los estudios SENECA y RN4CAST.

OBJECTIVE: To analyze the relationship between the work environment and burnout of nurses and the quality of care for patient safety at the Spanish National Health System Hospitals included in SENECA and RN4CAST studies. METHOD: Descriptive study with a secondary analysis that compares data of 984 patient records, 1469 patient, and 1886 professional surveys from SENECA project, with 2139 nurses' surveys from RN4CAST study, in 24 hospitals. Adverse events data related to care, and patient's and professional's perception of safety were compared with work environment (measured by the Nursing Work Index) and burnout (measured by Maslach Burnout Inventory). RESULTS: There was a statistically significant relation of pain with «Staffing and resource adequacy¼ (r=-0,435, p=0,03) and nosocomial infection with «Nursing foundations for quality of care¼ (r=-0,424; p=0,04) and «Nurse participation in hospital affairs¼ (r=-0,516, p=0,01) of the Nursing Work Index. The hospital classification obtained from the Nursing Work Index was associated with the patients' perception of safety (r=0,66, p<0,01). Professionals' perception of participation in patient safety issues was associated with the five factors of the Nursing Work Index (r ∈ [|0,41|-|0,78 |], p<0,046) and with Maslach emotional exhaustion (r=-0,518, p=0,01). CONCLUSIONS: The organizations that foster a supportive work environment will have patients that perceive safer care. In addition, proper resource management could decrease the occurrence of adverse events such as pain.

El factor de impacto: ¿un criterio justo de excelencia investigadora en enfermería? / No disponible

La enfermería afronta en España un punto de inflexión por la ampliación de su horizonte académico. Para poder afianzar su existencia y su evolución, debe fortalecer su base científica. Los indicadores bibliométricos informan de forma cuantitativa sobre la producción, transmisión y consumo de información científica, siendo el indicador bibliométrico más aceptado internacionalmente el factor de impacto (FI), instrumento para comparar revistas y evaluar la importancia relativa de una revista dentro de un mismo campo científico. Su cálculo es posible consultando bases de datos que registren los trabajos publicados en las principales revistas. Thomson Scientific analiza la producción de las revistas con este fin y clasifica anualmente las revistas por su FI, convirtiéndose en el referente por excelencia de la evaluación de la producción científica. Un artículo publicado en una revista que no forme parte de dicha corriente no puede considerarse a priori como de menor calidad. Dado que pocas publicaciones científicas de enfermería están indizadas, tienen un FI bajo, son casi exclusivamente anglosajonas y de los EEUU, esto dificulta la publicación en revistas de FI a los profesionales de enfermería, y más si estos no son anglosajones. El FI de las revistas constituye cada vez más un criterio de peso para la asignación de recursos. En España, se encuentra entre los criterios de evaluación del Fondo de Investigación Sanitaria (FIS), de la ANECA (Agencia Nacional de Evaluación de la Calidad y Acreditación) y de la Comisión Nacional Evaluadora de la Actividad Investigadora. Ha habido varias propuestas de índices alternativos al FI, que permitieran evaluar la excelencia científica de las revistas y trabajos publicados. Para el campo de la enfermería y de los cuidados, lo más relevante es que la generación de conocimiento pueda fortalecer la disciplina y tener una repercusión social capaz, en última instancia, de mejorar los cuidados y la salud de la población a la que atienden estos profesionales. Se plantea la necesidad de un indicador bibliométrico que incorpore la repercusión social y clínica de los hallazgos de la investigación, tenga en cuenta el campo de conocimiento, la función del investigador en este, reste importancia al idioma de publicación del trabajo y premie la difusión a la audiencia que más se pueda beneficiar de los hallazgos (AU)

Nursing in Spain is now reaching a turning point due to the expansion of its academic horizons. In order to consolidate its existence and development, it must strengthen its scientific base. Bibliometric indicators report in a quantitative way on the production, transmission and consumption of scientific information, with the impact factor (IF) being the most internationally accepted bibliometric indicator. This is a tool that compares journals and assesses the relative importance of a journal within a scientific field, and its calculation is possible by consulting certain databases recording papers published in the major journals. Thomson Scientific analyzes the production of journals for this purpose, and annually ranks journals by their IF. It has become the benchmark for excellence in the evaluation of scientific production. An article published in a journal without an IF should not be judged in advance to be of lower quality. Given that few nursing publications are indexed, have a low IF, are almost exclusively English-speaking and from the U.S., this makes publishing more difficult in IF journals for nursing professionals, especially if they are not English-speaking. The journal's IF where the author publishes has become an increasingly strong criterion for resources allocation. In Spain, it is among the evaluation criteria of the Health Research Fund (FIS), the ANECA (National Agency for Quality Assessment and accreditation) and at the National Commission for the Assessment of Research. There have been several proposals for alternative indices to the IF, aimed at assessing the scientific excellence of the journals and papers published. In the nursing and care field, what is most relevant is that the generation of knowledge strengthens the discipline, and has a social impact capable, ultimately, of improving the care and health of the population these professionals serve. This raises the need for a bibliometric indicator, which incorporates the social and clinical research findings, considers the field of knowledge and the researcher's role in it, that reduces the importance of the publication language, and leads to the dissemination to an audience that may benefit more from the findings (AU)

[The impact factor: a fair measure of research excellence in nursing?]. / El factor de impacto: un criterio justo de excelencia investigadora en enfermería?

Nursing in Spain is now reaching a turning point due to the expansion of its academic horizons. In order to consolidate its existence and development, it must strengthen its scientific base. Bibliometric indicators report in a quantitative way on the production, transmission and consumption of scientific information, with the impact factor (IF) being the most internationally accepted bibliometric indicator. This is a tool that compares journals and assesses the relative importance of a journal within a scientific field, and its calculation is possible by consulting certain databases recording papers published in the major journals. Thomson Scientific analyzes the production of journals for this purpose, and annually ranks journals by their IF. It has become the benchmark for excellence in the evaluation of scientific production. An article published in a journal without an IF should not be judged in advance to be of lower quality. Given that few nursing publications are indexed, have a low IF, are almost exclusively English-speaking and from the U.S., this makes publishing more difficult in IF journals for nursing professionals, especially if they are not English-speaking. The journal's IF where the author publishes has become an increasingly strong criterion for resources allocation. In Spain, it is among the evaluation criteria of the Health Research Fund (FIS), the ANECA (National Agency for Quality Assessment and accreditation) and at the National Commission for the Assessment of Research. There have been several proposals for alternative indices to the IF, aimed at assessing the scientific excellence of the journals and papers published. In the nursing and care field, what is most relevant is that the generation of knowledge strengthens the discipline, and has a social impact capable, ultimately, of improving the care and health of the population these professionals serve. This raises the need for a bibliometric indicator, which incorporates the social and clinical research findings, considers the field of knowledge and the researcher's role in it, that reduces the importance of the publication language, and leads to the dissemination to an audience that may benefit more from the findings.