Personalización de cuidados hospitalarios y su efecto sobre la relación de confianza enfermera-paciente / Personalized nursing care in hospital and its effects on the patient-nurse trust relationship

Objetivos: Conocer el grado de implementación de un modelo de personalización de cuidados en 4 hospitales del Servicio Andaluz de Salud y determinar si existe relación entre este modelo y la percepción de confianza en la enfermera por parte del paciente. Método Estudio transversal, que incluyó a pacientes dados de alta durante 12 meses en unidades de 4 hospitales públicos organizadas según el modelo de Personalización de Cuidados del Servicio Andaluz de Salud (basado en el modelo Enfermería Primaria). La implementación del modelo se evaluó mediante el Índice de Personalización de Cuidados (IPC), tipo informe de usuario, y la percepción de confianza mediante una pregunta realizada simultáneamente con el IPC. El análisis incluyó estadística descriptiva, test de Chi cuadrado, regresión logística simple y multivariante, estratificando y sin estratificar por unidades hospitalarias. Resultados Se incluyeron 817 pacientes. La implementación del modelo de personalización de cuidados osciló entre el 62 y el 79%. El valor del IPC presenta una fuerte asociación con la percepción de confianza del paciente en la enfermera: por cada aumento en un punto del IPC, la probabilidad de percibir confianza aumenta entre un 50 y un 130% (0,12 < r2 > 0,58). Conclusión La implementación del modelo a estudio se realizó en un porcentaje bastante alto en las unidades quirúrgicas y aceptable en las unidades médicas. Se ha constatado la influencia de la personalización de los cuidados, medida mediante el IPC, sobre la confianza que el paciente tiene en la enfermera que lo cuida. Esta confianza es la base de una relación terapéutica (AU)

OBJETIVES: To determine the level of implementation of an inpatient personalized nursing care model in four hospitals of the Andalusian Health Service, and to determine if there is an association between this model and the perception of trust in the nurse by the patient. METHOD: An observational cross-sectional study included the patients discharged during a period of 12 months from hospital wards that used the Inpatient Personalized Nursing Care Model of the Andalusian Health Service (based on Primary Nursing Model). The level of implemention was evaluated using the Nursing Care Personalized Index (IPC), made by «patient report» methodology, and the nurse-patient trust relationship was evaluated at the same time as the IPC. Statistical analysis included descriptive data analysis, Chi-squared test, and bivariate and multivariate logistic regression, with and without stratifying by hospitals wards. RESULTS: A total of 817 patient were included. The implementation of the inpatient personalized nursing care model varied between 61 and 79%. The IPC values showed a strong association with the nurse-patient trust relationship, and that for each point increase in the IPC score, the probability of a nurse-patient trust relationship increased between 50 and 130% (0.120.58).CONCLUSION: The implementation of a personalized nursing care model in the wards studied was higher in the surgicals wards and at regular level in medical wards. Furthermore, the influence of the inpatient personalized nursing care model on the nurse-patient trust relationship has been demonstrated using the IPC model. This trust is the main component for the establishment of a therapeutic relationship (AU)

[Personalized nursing care in hospital and its effects on the patient-nurse trust relationship]. / Personalización de cuidados hospitalarios y su efecto sobre la relación de confianza enfermera-paciente.

OBJETIVES: To determine the level of implementation of an inpatient personalized nursing care model in four hospitals of the Andalusian Health Service, and to determine if there is an association between this model and the perception of trust in the nurse by the patient. METHOD: An observational cross-sectional study included the patients discharged during a period of 12 months from hospital wards that used the Inpatient Personalized Nursing Care Model of the Andalusian Health Service (based on Primary Nursing Model). The level of implemention was evaluated using the Nursing Care Personalized Index (IPC), made by «patient report¼ methodology, and the nurse-patient trust relationship was evaluated at the same time as the IPC. Statistical analysis included descriptive data analysis, Chi-squared test, and bivariate and multivariate logistic regression, with and without stratifying by hospitals wards. RESULTS: A total of 817 patient were included. The implementation of the inpatient personalized nursing care model varied between 61 and 79%. The IPC values showed a strong association with the nurse-patient trust relationship, and that for each point increase in the IPC score, the probability of a nurse-patient trust relationship increased between 50 and 130% (0.120.58). CONCLUSION: The implementation of a personalized nursing care model in the wards studied was higher in the surgicals wards and at regular level in medical wards. Furthermore, the influence of the inpatient personalized nursing care model on the nurse-patient trust relationship has been demonstrated using the IPC model. This trust is the main component for the establishment of a therapeutic relationship.

Prevenir complicaciones circulatorias. Plan de cuidados estandarizados / Standardized treatment plan to prevent. Circulatory complications

Se plantea la necesidad de estandarizar los cuidados básicos a los pacientes encamados para evitar las complicaciones circulatorias. Si protocolizamos las intervenciones enfermeras en el manejo de este tipo de pacientes y las actividades derivadas de las mismas, podremos actuar precozmente para conseguir nuestro objetivo. Proponemos el siguiente Plan de Cuidados Estandarizado siempre teniendo en cuenta que se trata de un protocolo específico de cuidados, apropiado para pacientes encamados con riesgo de padecer complicaciones circulatorias. No hay que olvidar que los planes de cuidados estandarizados nos servirán como modelo, pero que necesariamente tendremos que personalizarlos con cada paciente(AU)

The authors present the necessity to standardize basic treatment protocols for bedridden patients in order to avoid circulatory complications. If we set up protocols for nursing treatment when dealing with this type of patients and the activities derived from this care, we can act precociously to achieve our objective. The authors propose the following Standardized Treatment Plan bearing in mind that this is a protocol for a specific situation, appropriate for bedridden patients who suffer the risk of circulatory complications. One should not forget that standardized treatment plans serve as a model, but it is necessary for nurses to personalize each plan for each patient(AU)

[Standardized treatment plan to prevent circulatory complications]. / Prevenir complicaciones circulatorias. Plan de cuidados estandarizados.

The authors present the necessity to standardize basic treatment protocols for bedridden patients in order to avoid circulatory complications. If we set up protocols for nursing treatment when dealing with this type of patients and the activities derived from this care, we can act precociously to achieve our objective. The authors propose the following Standardized Treatment Plan bearing in mind that this is a protocol for a specific situation, appropriate for bedridden patients who suffer the risk of circulatory complications. One should not forget that standardized treatment plans serve as a model, but it is necessary for nurses to personalize each plan for each patient.