Pilot Testing and Psychometric Validation of the Nijmegen Professionalism Scale for Spanish Nursing.

BACKGROUND AND PURPOSE: Professional commitment is frequently used as a humanistic care indicator. Thus, it is important to design and validate a tool which is able to measure professional commitment of nurses in Spain. In this study we aimed to analyze the psychometric properties of the Nijmegen Professionalism Scale for Spanish (NPS-S) nursing in order to verify its validity and reliability. METHODS: We undertook the pilot testing and psychometric validation of the NPS-S. A total sample of 249 nursing professionals from a variety of areas of expertise took part in this study. The STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Statement was used for reporting this research. RESULTS: The NPS-S achieved a high degree of content validity, construct validity, internal consistency, temporal stability, and usability; this version is, thus, equivalent to the Nijmegen Professionalis Scale in its original version. IMPLICATIONS FOR PRACTICE: Based on the results obtained from the validation of this tool, it is possible to affirm that the NPS-S is an effective instrument for measuring professional commitment in this population. The NPS-S will evaluate and thus contribute to the promotion of professional commitment in Spanish nursing. Additionally, it will serve to establish correlations between professional commitment and other variables including quality of care and patient satisfaction. Future studies should analyze the evaluation capacity of this tool.

Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls.

Falls in the elderly are one of the main geriatric syndromes and a clear indicator of fragility in the older adult population. This has serious consequences, leading to an increase in disability, institutionalization and death. The purpose of this cross-sectional study was to analyze the prevalence of risk of falling and associated factors in a population of 213 non-institutionalised, able older adults with a history of falling in the previous year. We used the following assessment tools: Questionnaire of the WHO for the study of falls in the elderly, Geriatric Depression Scale and Tinetti's Gait and Balance Assessment Tool. Age, using ambulatory assistive devices, polymedication, hospital admission following a fall and depression were significantly associated with risk of falling. In order to prevent fall reoccurrence, community-based fall prevention programs should be implemented.

La comunicación enfermera con el paciente en situación terminal / Nurse communication with patients in terminal fase. bibliographic review

Introducción. La comunicación constituye una necesidad humana básica, y durante el proceso de terminalidad se considera una herramienta terapéutica fundamental. En el ámbito enfermero constituye un elemento definitorio de la calidad de los cuidados muy importante. Sin embargo, pese a considerarse los problemas comunicativos como la principal fuente de estrés en los profesionales sanitarios de Cuidados Paliativos, y ser la comunicación una de las necesidades más valoradas por los pacientes al final de sus días, en la actualidad la consecución de una comunicación eficaz con estos pacientes sigue siendo una meta a alcanzar. objetIvo. Realizar una revisión bibliográfica narrativa sobre los aspectos que la literatura considera más relevantes en el proceso de comunicación con el paciente en situación terminal, en el ámbito de la enfermería española. Metodología. Se realizó una búsqueda sistemática de los estudios publicados desde enero de 2006 hasta enero de 2016, en las bases de datos siguientes: DIALNET, PUBMED, IBECS, CUIDEN, SCIELO, ENFISPO, COCHRANE PLUS, IME, WEB OF SCIENCE, MEDES, LILACS, MEDLINE y SCOPUS, usando los descriptores "Cuidados paliativos", "Enfermería oncológica", "Terminal" y "Comunicación". Asimismo, se realizó una búsqueda manual de documentos extraídos de artículos principales, guías clínicas, manuales y libros. desarrollo. Finalmente se seleccionaron 26 documentos, generándose 4 categorías de análisis; comunicación eficaz, decir o no la verdad, la conspiración del silencio y formación en habilidades comunicativas. conclusIones. Este trabajo muestra los resultados hallados a través de una revisión narrativa y categoriza los temas más importantes de la comunicación con el paciente terminal en el ámbito enfermero

IntroductIon. Communication is a basic human need, and during the end-of-life stage it is considered a fundamental therapeutic tool. In the field of nursing, it is a defining element in the quality of care which is very important. It is one of the most valued needs for the patients at the end of their days, however the communicative problems are considered one of the main sources of stress by Palliative Care health professionals. Hence, the achievement of an effective communication with these patients remains as a goal to be achieved. objectIve. To perform a narrative bibliography review. Focusing on the aspects that the literature considers most relevant in the process of communication with the patient in terminal phase, in the scope of Spanish nursing. Methodology. A systematic search of the studies published from January 2006 to January 2016 was carried out in the following databases: DIALNET, PUBMED, IBECS, CUIDEN, SCIELO, ENFISPO, COCHRANE PLUS, IME, WEB OF SCIENCE, MEDES, LILACS, MEDLINE and SCOPUS, using the descriptors "Palliative care", "Nursing oncology", "Terminal" and "Communication". Also, a manual search of documents extracted from the main articles, clinical guides, manuals and books was carried out. Development. Finally, 26 documents were selected, generating 4 categories of analysis; Effective communication, truth-telling, conspiracy of silence, and communication skills training. conclusIons. This study shows the results found in the narrative review and categorizes the most important communication with the terminal-phase patient in the field of nursin

English-to-Spanish Translation of the Nijmegen Professionalism Scale.

BACKGROUND AND PURPOSE: The aim of this investigation was to perform the cross-cultural and linguistic translation and adaptation of the Nijmegen Professionalism Scale for Spanish nursing. Originally designed by Tromp et al. (2010) for its use by general practitioners, the new Spanish version of this tool assesses professional commitment, allowing for the comparison, prevention, association, and longitudinal monitoring of commitment among nursing professionals. METHODS: The linguistic translation from English to Spanish was performed using the translation-back-translation method; the process of cross-cultural adaptation to the Spanish nursing context was carried out following the recommendations given by a panel of experts comprised of 24 practicing nurses with different professional backgrounds. The data for the feasibility study were collected between December 2015 and January 2016. RESULTS: The original English version of the instrument contains 106 items and was originally developed for assessing professional behavior of general practitioner trainees; the new version, with a significant reduction in the initial number of items, comprises 49 items and is now ready for pilot testing and validation in our context. IMPLICATIONS FOR PRACTICE: The Nijmegen Professionalism Scale in its Spanish version will act not only as a tool for measuring professional commitment among Spanish nurses but also as a motivational resource and means for reflection which will, in turn, increase the quality of the care provided by these professionals.

A concept analysis of professional commitment in nursing.

BACKGROUND: The concept of professional commitment is being widely studied at present. However, although it is considered an indicator for the most human part of nursing care, there is no clear definition for it, and different descriptors are being used indiscriminately to reference it. OBJECTIVE: The aim of this study is to clarify the concept of professional commitment in nursing through the Rodgers' evolutionary concept analysis process. DESIGN: Systematic search using English and Spanish descriptors and concept analysis. Studies published between 2009 and June 2015, front-to-back analysis of the Nursing Ethics journal and manual check of articles cited in studies related to the Nijmegen Professionalism Scale. RESEARCH DESIGN: The procedure of concept analysis developed by Rodgers was used. ETHICAL CONSIDERATIONS: Although the topic was not labeled as sensitive and subject to ethical approval, its realization was approved by the Ethical Committee of Clinical Research of Aragon (CEICA) approved the study on 18 March 2015 and also careful procedures have been followed according to ethics expressed in the Declaration of Helsinki. FINDINGS AND DISCUSSION: A total of 17 published studies. A clear definition of the concept was made, and surrogate terms, concept dimension, differential factors related to the concept, sociocultural variations and consequences for nursing practice were identified. CONCLUSION: There is a need for continuous advancement in the development of the concept, specific actions to encourage this and the improvement of evaluation methods for its study.

[CONSEQUENCES OF FALLS IN A GERIATRIC NURSING CENTER FOR VALID. DESCRIPTIVE STUDY]. / Consecuencias de las caídas en un centro geriátrico para ancianos válidos. ESTUDIO DESCRIPTIVO.

OBJECTIVE: To address the immediate consequences produced in the falls suffered by valid institutionalized elderly population' in the last twelve months. METHOD: A cross sectional study, by personal interview. Simple random sampling was performed. The study area corresponded to a private nursing home. The measuring instruments used in the study were the Mini Mental State Examination Lobo (MEC-35, 1979) to initially assess the level of cognitive development elderly study participants, and the WHO questionnaire for the study of falls in the elder 1989. RESULTS: Of the 21 drops produced in the last twelve months was found that 61.9% of falls were female, compared to 38.1% who relapsed in males. 52.4% of falls are not caused any consequences. 28.6% of falls caused superficial injuries and/or bruises, while the proportion of fractures corresponded to 19% for both sexes. Most of the falls did not produce immediate consequences whose percentage was 52.4% of cases. Second are superficial wounds and/or bruises with 28.6% and finally fractures with a ratio of 19%. CONCLUSIONS: The investigators considered the necessity of involvement of health professionals and the implementation ofpreventive strategies that can reduce the prevalence of falls. Thiswill successfully improve the quality of life of the elderly.

Consecuencias de las caídas en un centro geriátrico para ancianos válidos. Estudio descriptivo / Consequences of falls in a geriatric nursing center for valid. Descriptive study

Objetivo. Conocer las consecuencias inmediatas producidas en las caídas que sufre la población anciana válida institucionalizada en los últimos doce meses. Método. Estudio descriptivo trasversal, mediante entrevista personal. Se realizó un muestreo aleatorio simple. El ámbito de estudio correspondió a un centro geriátrico privado. Los instrumentos de medida utilizados en el estudio fueron el Mini Examen Cognoscitivo de Lobo (MEC-35, 1979) para valorar inicialmente el nivel cognitivo de los ancianos participantes en el estudio, y el cuestionario de la OMS para el estudio de caídas en el anciano 1989. Resultados. De las 21 caídas producidas en los últimos doce meses se comprobó que el 61.9 % de ellas correspondieron al sexo femenino, frente al 38.1 %, que recayeron en el sexo masculino. En el 52.4 % de los casos, las caídas no ocasionaron ninguna consecuencia. El 28.6 % de las caídas ocasionaron heridas superficiales o contusiones, mientras que la proporción de fracturas correspondió a un 19 % para ambos sexos. La mayoría de las caídas no produjeron consecuencias inmediatas (el 52.4 % de los casos). En segundo lugar, encontramos las heridas superficiales o contusiones, con un 28.6 %, y finalmente las fracturas, con una proporción del 19 %. Conclusiones: Los investigadores del estudio consideran necesario la implicación de los profesionales sanitarios y la implementación de estrategias preventivas que logren disminuir la prevalencia de caídas. Esto permitirá mejorar satisfactoriamente la calidad de vida de nuestros mayores (AU)

Objective. To address the immediate consequences produced in the falls suffered by valid institutionalized elderly population in the last twelve months. Method. A cross sectional study, by personal interview. Simple random sampling was performed. The study area corresponded to a private nursing home. The measuring instruments used in the study were the Mini Mental State Examination Lobo (MEC- 35, 1979) to initially assess the level of cognitive development elderly study participants, and the WHO questionnaire for the study of falls in the elder 1989. Results. Of the 21 drops produced in the last twelve months was found that 61.9 % of falls were female, compared to 38.1 % who relapsed in males. 52.4 % of falls are not caused any consequences. 28.6 % of falls caused superficial injuries and/or bruises, while the proportion of fractures corresponded to 19 % for both sexes. Most of the falls did not produce immediate consequences whose percentage was 52.4 % of cases. Second are superficial wounds and/or bruises with 28.6 % and finally fractures with a ratio of 19 %. Conclusions. The investigators considered the necessity of involvement of health professionals and the implementation of preventive strategies that can reduce the prevalence of falls. This will successfully improve the quality of life of the elderly (AU)

[GUIDE TO DEVELOPING A RESEARCH PROJECT. PART TWO]. / Guía de elaboración de un proyecto de investigación. Segunda parte.

This work aims to develop a practical guide to writing a research project.

[GUIDE TO DEVELOPING A RESEARCH PROJECT. PART ONE]. / Guía de eLaboración de un proyecto de investigación. PRIMERA PARTE.

This work aims to develop a practical guide to writing a research project.

Guía de elaboración de un Proyecto de investigación. Primera parte / Guide to developing a research Project. Part one

Este trabajo tiene como objetivo elaborar una guía práctica para redactar un proyecto de investigación (AU)

This work aims to develop a practical guide to writing a research Project (AU)

Análisis bioético de la generación de «bebés medicamento» / Bioethical analysis of the generation of saviour sibling

Se denominan 'bebés medicamento' a, los niños concebidos con el propósito de que sean donantes compatibles para salvar, por medio de la determinación del antígeno leucocitario humano (HLA) de embriones, a un hermano que sufre una enfermedad congénita inmunitaria. Toda esta situación actual genera varios interrogantes éticos sobre el 'uso' o 'utilidad' de estas nuevas técnicas, el presente estudio pretende analizar las cuestiones bioéticas generadas más relevantes (AU)

The so‐called saviour sibling are those babys that were conceive with the purpose to become in compatible donor to save a sibling with immune congenital diseases through the identification of the human leukocyte antigen (HLA). In this entire new frame has born an ethical debate about the use of these techniques. This study tries to analyze the main bioethical question that this new situation provokes (AU)

Epidemiología de caídas en la población anciana española no institucionalizada. Revisión sistemática 2014 / Epidemiology of falls in the non-institutionalized spanish elderly population, systematic review 2014

Objetivo. Identificar publicaciones científicas sobre las caídas en la población anciana española no institucionalizada y resumir los hallazgos de los estudios que examinaron la incidencia, los factores de asociados y las consecuencias de las caídas en la población geriátrica española mayor o igual a 65 años no institucionalizada. Material y método. Revisión sistemática de estudios observacionales epidemiológicos en España, con registro de caídas, con temporalidad retrospectiva y publicados como artículos científicos entre los años 2003 y 2014 inclusive. La búsqueda de artículos se efectuó en julio de 2014, con límite de idioma y año de publicación, en las bases electrónicas PubMed, Dialnet, RedALyC, SciELO, Enfispo y Google Scholar. Resultados. La frecuencia de caídas registradas varió del 14.9 % al 66.2 %. La media de la ingesta de fármacos/día se encontraba entre 2.7 a 4.5 fármacos/día. El miedo a caer que presentaba la población anciana no institucionalizada se encontraba entre un 44.7 % y un 49.4 %. La gran mayoría de las caídas se produjeron en el ámbito domiciliario, y se hallaron porcentajes de entre el 55.1 % y el 61 %. Entre un 30 % y un 55.1 % de las personas que sufrieron caídas mantuvieron un contacto sanitario de forma inmediata, y la prevalencia de fracturas se situó entre un 0 % y un 26.1 %. Conclusión. Se puede confirmar que la prevalencia de caídas en la población anciana española es elevada, por lo que se aprecia la necesidad de nuevas investigaciones (AU)

Objective. To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the consequences of the falls in the geriatric Spanish population aged 65 years and over who lives institutionalized in our country. Material and method. Systematic review of the epidemiological observational studies in Spain, with recording of falls, with temporary retrospective and published as scientific articles between the years 2003 and 2014 included. The articles search took place in July 2014, with the limit of language and publication year, in the electronic databases PubMed, Dialnet, RedALyC, SciELO, Enfispo and Google Scholar. Results. The percentage of people who suffered falls depending on the publication year. The frequency of falls recorded varied from 14.9 % to 66.2 %. The mean intake of daily drugs was between 2.7 to 4.5 drugs per day. The fear of falling that had the elderly population non-institutionalized was between 44.7 % and 49.4 %. The vast majority of falls occurred at home, with percentages between 55.1 % and 61 %. Between 30 % and 55.1 % of people who suffered falls maintained health care contact immediately and the fractures prevalence was between 0 % and 26.1 %. Conclusion. It can be confirmed that the falls prevalence in the spanish elderly population is high, so the need of new researches are appreciated (AU)

La ética del cuidado y su aplicación en la profesión enfermera / A ética do cuidado e sua aplicação na profissão de enfermagem / The ethics of caring and its application in nursing profession

Este trabajo tiene como objetivo analizar la utilidad de la ética del cuidado en la profesión enfermera. Para ello será necesario definir los conceptos de "cuidado" y "ética del cuidado" y analizar la posible aplicación práctica de la ética del cuidado en el ámbito de la enfermería española. Se utilizó el método analítico-sintético; revisión bibliográfica, lectura comprensiva, reflexión personal, definición de conceptos y método comparativo.

This article has as aim to analyze the usefulness of the ethics of caring in nursing profession. For this it will be necessary to define the concepts of "caring" and "ethics of caring" and analyze the possible practical application of ethics of caring in the nursing field of Spain. The analytic-synthetic method, bibliography review, comprehensive reading, personal reflection, definition of concepts and comparative method were used.

Este trabalho tem como objetivo analisar a utilidade da ética do cuidado na profissão de enfermagem. Para isso será necessário definir os conceitos de "cuidado" e "ética do cuidado" e analisar a possível aplicação prática da ética do cuidado no âmbito da enfermagem espanhola. Utilizou-se método analítico-sintético; revisão bibliográfica, leitura compreensiva, reflexão pessoal, definição de conceitos e método comparativo.

Los familiares que habitan con enfermos cardiacos de Huesca, ¿están preparados para hacer frente a una parada cardiorrespiratoria? / Relatives who live with heart patients Huesca are they prepared to face a cardiac arrest?

Objetivo: Describir si los familiares que habitan con enfermos cardiacos, poseen los conocimientos suficientes para hacer frente a una parada cardiaca extrahospitalaria (PCEH). Métodos: Estudio descriptivo, transversal. La población a estudio estuvo compuesta por los familiares de los pacientes ingresados en el Servicio de Cardiología del Hospital San Jorge de Huesca, en los meses de septiembre y octubre de 2014. Las variables fueron recogidas con un cuestionario estructurado de elaboración propia. Resultados: El total de los participantes fue de 177. El 61% eran mujeres, la edad media fue de 55,63 años. El 26,6% había presenciado una PCEH, el 20,9% había realizado un curso de reanimación cardiopulmonar (RCP), el 36,7% sabría reconocer personas con riesgo de sufrir una parada cardiaca, el 56,5% conocía el número del Servicio de Emergencias Médicas (SEM), el 9,6% tenía los conocimientos suficientes para iniciar maniobras de RCP, el 98,3% creía que era importante tener conocimientos sobre RCP y el 72,9% participaría en cursos de formación. Conclusiones: Los familiares que habitan con enfermos cardiacos no poseen los conocimientos suficientes para hacer frente a una PCEH y por ello es de vital importancia que se incrementen los esfuerzos en la creación de estrategias dirigidas a desarrollar los dos primeros y fundamentales eslabones de la cadena de supervivencia (AU)

Objective: To describe if people who lives with cardiac patients, possess the sufficient knowledge to confront out of hospital cardiac arrest. Methods: A descriptive crossover study. The population to study was composed by the family of the patients hospitalized in the Service of Cardiology of San Jorge Hospital in Huesca, in September and October, 2014. The variables were gathered by a structured questionnaire of own production. Results: The total of the participants was 177: 61% was women; the middle ages were 55,63 years. 26,6% had witnessed a out of hospital cardiac arrest , 20,9% had realized a course of cardiopulmonary resuscitation, 36,7 % would be able to recognize people at the risk of suffering a heart arrest, 56,5% knew the Service of Medical Emergencies number, 9,6% had the sufficient knowledge to initiate manoeuvres of cardiopulmonary resuscitation, 98,3% was thinking that it was important to have knowledge cardiopulmonary resuscitation and 72,9% would take part in training courses. Conclusions: The person who lives with cardiac patients, do not possess the sufficient knowledge to face out of hospital cardiac arrest and for that it is really important increase the efforts in the creation of strategies directed to develop the two first and fundamental links of the chain of survival (AU)

Consideraciones éticas al final de la vida (II): conflictos de valores en torno a la comunicación y los cuidados enfermeros próximos a la agonía / No disponible

No disponible

[EPIDEMIOLOGY OF FALLS IN THE NON-INSTITUTIONALIZED SPANISH ELDERLY POPULATION, SYSTEMATIC REVIEW 2014]. / Epidemiología de caídas en la población anciana española no institucionalizada: REVISIÓN SISTEMÁTICA 2014.

UNLABELLED: OBJECTIVE To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the consequences of the falls in the geriatric spanish population aged 65 years and over who lives institutionalized in our country. MATERIAL AND METHOD: Systematic review of the epidemiological observational studies in Spain, with recording of falls, with temporary retrospective and published as scientific articles between the years 2003 and 2014 included. The articles search took place in July 2014, with the limit of language and publication year, in the electronic databases PubMed, Dialnet, RedALyC, SciELO, Enfispo and Google Scholar. RESULTS: The percentage of people who suffered falls depending on the publication year. The frequency of falls recorded varied from 14.9 % to 66.2 %. The mean intake of daily drugs was between 2.7 to 4.5 drugs per day. The fear of falling that had the elderly population non-institutionalized was between 44.7 % and 49.4 %. The vast majority of falls occurred at home, with percentages between 55.1 % and 61 %. Between 30 % and 55.1 % of people who suffered falls maintained health care contact immediately and the fractures prevalence was between 0 % and 26.1 %. CONCLUSTON: It can be confirmed that the falls prevalence in the spanish elderly population is high, so the need ofnew researches are appreciated.

Prevalencia del Síndrome del Burnout en el personal de enfermería del Servicio de Cardiología, Neumología y Neurología del Hospital San Jorge de Huesca / Prevalence of burnout syndrome in nurses of the Cardiology, Pneumology and Neurology, Hospital San Jorge of Huesca

El objetivo fue determinar la prevalencia del Síndrome del Burnout en el personal de enfermería del Servicio de Cardiología, Neumología y Neurología del Hospital San Jorge de Huesca. Se realizó un estudio descriptivo transversal, las variables sociodemográficas se recogieron mediante un cuestionario de elaboración propia, el Síndrome de Burnout se midió mediante el Maslach Burnout Inventory, en su versión validada en español. El total de los participantes fue de 22. La edad media fue de 40,8 años. El 36,4 % trabaja en el servicio de Cardiología, el 31,8% en Neumología y el 31,8% en Neurología (Área de Ictus). La prevalencia del Síndrome de Burnout fue del 31,81%. No se encontraron diferencias estadísticamente significativas de padecimiento del síndrome según la edad, ni entre el personal de enfermería dedicado al servicio de Neurología (Área de Ictus) y resto de unidades (p=0,630) (AU)

The objective was to determine the prevalence of burnout syndrome in nurses of the Cardiology, Pneumology and Neurology, Hospital San Jorge of Huesca. We performed a cross - sectional study, the sociodemographic variables were collected using a specifically designed questionnaire, the burnout syndrome was measured by the Maslach Burnout Inventory in its validated Spanish version. The total number of participants was 22. The average age was 40.8 years, 36.4% work in the service of Cardiology, 31,8% of Pneumology and 31,8% of Neurology (Ictus Area). No significant statistically differences were found of syndrome disease by age or between nursing staff dedicated to serving Neurology (Ictus Area) and other units (p = 0.630) (AU)

[GUIDE DEVELOPMENT OF A PROCESS MODEL OF NURSE APPLYING VIRGINIA HENDERSON AND TAXONOMY NANDA]. / Guía de elaboración de un proceso enfermero aplicando el modelo de Virginia Henderson y la taxonomía NANDA.

This study aims to develop a practical guide to applying the nur- sing model recognized Virginia Henderson NANDA taxonomy and nursing process.

Habilidades de comunicación como herramienta útil para la prevención del síndrome de burnout / Communicating skills as a useful tool for preventing burnout syndrome

El “burnout“ o síndrome de desgaste profesional, es un constructo utilizado para describir un estado psicológico que aparece tras un periodo prolongado de exposición a factores de riesgo psicosocial. Enfermedades degenerativas, sida, insuficiencias específicas orgánicas(renal, cardiaca, hepática, etc.), además de enfermedades oncológicas, están claramente relacionadas, sobre todo en sus últimas fases, con una mayor demanda de atención y soporte a la que los profesionales deben responder. El tipo de pacientes, así como la carga emocional de las situaciones de los últimos días y la elaboración del proceso de morir, hacen que los profesionales de la salud sean personas más propensas a sufrir este síndrome de agotamiento. Se han detectado tres grandes grupos de factores de riesgo relacionados con la aparición de este síndrome. Los factores relacionados con aspectos del ambiente laboral y los factores personales han tenido más relevancia en la mayoría de las investigaciones, siendo los factores de relación con el paciente menos considerados hasta el momento. El objetivo de este trabajo es aportar algunas habilidades comunicativas básicas que sirvan como recurso para la mejora de estas relaciones entre profesionales y pacientes (AU)

Burnout or professional burnout syndrome is a construct employed to describe a psychological state which arises following a long period of exposure to psychosocial risk factors. Degenerative diseases, AIDS, specific organ insufficiencies (renal, cardiac, hepatic, etc.) in addition to oncological diseases are clearly related, most especially in the final stages, to a greater demand for care and support to which the professionals must provide a response. The type of patients as well as the emotional burden of the situations during the final days and preparing for the dying process make healthcare professionals more prone to experiencing this burnout syndrome. Three major sets of risk factors related to the onset of this syndrome have been detected. The factors related to aspects of the working environment and the personal factors have been found to be of greater importance in most of the research conducted, the factors involved in the relationship with the patient being considered of lesser importance to date. The purpose of this study is to furnish some basic communicating skills to serve as a resource for improving these relationships between professionals and patients (AU)

Efectividad del programa de ayuda al triaje (Web_e-PAT v3.5) en el Hospital San Jorge de Huesca / Effectiveness of the Triage Aid Programme (Web_e-PAT v3.5) at the Hospital San Jorge in Huesca

Objetivo: evaluar la efectividad de la implantación del programa de ayuda al triaje (Web_e-PAT v3.5) en el Hospital San Jorge de Huesca a través del índice de ingresos, el tiempo de estancia en Urgencias y el consumo de recursos. Material y método: estudio de intervención antes-después tras la implementación del sistema de triaje español con la ayuda del programa informático Web_e-PAT v3.5. Se utilizaron indicadores indirectos o sustitutos de gravedad como variables de resultado: índice de ingreso, tiempo de estancia en el servicio de Urgencias y consumo de pruebas diagnósticas. Para el contraste de hipótesis se utilizaron las pruebasT de Student, U de Mann-Whitney y ji cuadrado. Resultados: se atendieron 2.973 pacientes en el servicio en el periodo de pre-intervención (año 2008) y 3.000 en el de post-intervención (año 2009). La estancia media en el servicio aumentó en el segundo periodo de 161,78 a 168,40 minutos, así como el índice de ingreso hospitalario (en 2008, 31,2% y en 2009, 32,6%), aunque fueron cambios estadísticamente significativos. Se produjo una reducción significativa (p < 0,027) en el uso de pruebas electrocardiográficas. Conclusiones: la implantación del programa de ayuda al triaje en el Hospital San Jorge no ha logrado una reducción significativa en todas las variables de resultado estudiadas (solo en la solicitud de pruebas electrocardiográficas), pero se observaron disminuciones en el consumo de otras pruebas diagnósticas que, junto a la mayor ventaja del triaje y la clasificación inmediata del paciente a la llegada al servicio, hacen del triaje un instrumento imprescindible tanto para controlar la gestión y la calidad como para aumentar la satisfacción de los pacientes (AU)

Objective: To evaluate the effectiveness of the implementation of the Triage Aid Programme (Web_e-PAT v3.5) at the San Jorge Hospital, Huesca through the admission rate, length of stay in the ER and resource consumption. Material and methods: Before-after intervention after the implementation of Spanish triage system with the help of software v3.5 Web_e-PAT. We used indirect indicators or proxies of severity as outcome variables: admissions ratio, length of stay in the emergency room and use of diagnostic tests. For hypothesis testing the Student t test, Mann-Whitney U and chi-square were used. Results: 2,973 patients were treated in the service in the pre-intervention period (year 2008) and 3,000 in the post-intervention period (year 2009). The average length of stay in the service increased in the second period from 161.78 to 168.40 minutes, as did the hospitalization rate (in 2008, 31.2% and in 2009, 32.6%), although changes were statistically significant. There was a significant reduction (p <0.027) in the use of electrocardiographic tests. Conclusions: the implementation of triage aid programme at the Hospital San Jorge has not achieved a significant reduction in all outcome variables studied (only in the requests for electrocardiographic tests), but there were decreases in the use of other diagnostic tests, which together with the greater advantage of immediate triage and patient classification upon arrival at the service, make the triage an essential tool both to control management and quality as well as to increase patient satisfaction (AU)