Review of the allocation criteria for heart transplant in Spain in 2023. SEC-Heart Failure Association/ONT/SECCE consensus document.

Heart transplant (HT) remains the best therapeutic option for patients with advanced heart failure (HF). The allocation criteria aim to guarantee equitable access to HT and prioritize patients with a worse clinical status. To review the HT allocation criteria, the Heart Failure Association of the Spanish Society of Cardiology (HFA-SEC), the Spanish Society of Cardiovascular and Endovascular Surgery (SECCE) and the National Transplant Organization (ONT), organized a consensus conference involving adult and pediatric cardiologists, adult and pediatric cardiac surgeons, transplant coordinators from all over Spain, and physicians and nurses from the ONT. The aims of the consensus conference were as follows: a) to analyze the organization and management of patients with advanced HF and cardiogenic shock in Spain; b) to critically review heart allocation and priority criteria in other transplant organizations; c) to analyze the outcomes of patients listed and transplanted before and after the modification of the heart allocation criteria in 2017; and d) to propose new heart allocation criteria in Spain after an analysis of the available evidence and multidisciplinary discussion. In this article, by the HFA-SEC, SECCE and the ONT we present the results of the analysis performed in the consensus conference and the rationale for the new heart allocation criteria in Spain.

[Patient satisfaction with emergency care nurses]. / Satisfacción de los pacientes de urgencias con los cuidados enfermeros.

OBJECTIVE: To measure the overall satisfaction of patients with nursing care during their stay in the emergency unit, evaluating the satisfaction with specific professional skills and the degree of information provided by nurses at discharge. METHOD: A descriptive cross-sectional study conducted at the Ramon y Cajal University Hospital. The subjects of study are those patients who come to the emergency unit and met the inclusion criteria. A mean of 840 people were seen weekly, and it was estimated to collect 200 questionnaires over a period of one week. The questionnaire was self-administered. The variables analyzed were: clinical, sociodemographic, satisfaction and problem solving. The instrument used was the Consumer Emergency Care Satisfaction Scale (CECSS). The Statistical analysis was performed using SPSS 16.0 software package. Categorical variables are expressed in absolute and relative frequency; and continuous variables are expressed as the mean and the standard deviation. Asymmetric behavioral variables are described by their median, the interquartile interval and the non-parametric test of Kruskal-Wallis. RESULTS: We surveyed 200 patients and we studied 198 patients who expressed high levels of overall satisfaction and satisfaction with professional competence. The degree of information at discharge is the dimension worst noted. No association was found between patient satisfaction and sociodemographic variables. The satisfaction was higher in patients who returned home than in those who were admitted in the hospital, the dimension of information at discharge being very significant. CONCLUSIONS: We need to improve the information provided by the nursing staff to patients at discharge.

Satisfacción de los pacientes de urgencias con los cuidados enfermeros / Patient satisfaction with emergency care nurses

Objetivos. Medir la satisfacción general de los pacientes con los cuidados enfermeros, concretamente la satisfacción con las competencias profesionales y con el grado de información aportado por los enfermeros al alta, durante su estancia en el servicio de urgencias. Método. Estudio descriptivo y transversal, realizado en el Hospital Universitario Ramón y Cajal. Los sujetos de estudio son aquellos que acuden al servicio de urgencias y cumplen los criterios de inclusión. Semanalmente son atendidas una media de 840 personas, se estimó recoger 200 cuestionarios en una semana. El cuestionario es autoadministrado. Las variables analizadas son clínicas, sociodemográficas, de satisfacción y valoración de solución del problema. Método. El instrumento utilizado es la Consumer Emergency Care Satisfaction Scale. El análisis estadístico se llevó a cabo con el SPSS 16.0. Las variables categóricas se expresan en frecuencias absolutas y relativas, y las variables continuas como media y desviación estándar. Las variables de comportamiento asimétrico se describen con su mediana, el intervalo intercuartílico y el test no paramétrico de Kruskall-Wallis. Resultados. Se han encuestado 200 pacientes y se estudiaron 198. Han expresado altos niveles de satisfacción general y satisfacción con la competencia profesional. La dimensión peor valorada es la información al alta. No existe asociación entre la satisfacción con variables sociodemográficas. La satisfacción fue mayor para los pacientes que regresaron a su domicilio frente a los que ingresaron en hospitalización, esto fue más significativo en la dimensión de información al alta. Conclusiones. Debemos mejorar la información aportada por el personal de enfermería al paciente en el momento del alta(AU)

Objective. To measure the overall satisfaction of patients with nursing care during their stay in the emergency unit, evaluating the satisfaction with specific professional skills and the degree of information provided by nurses at discharge. Method. A descriptive cross-sectional study conducted at the Ramon y Cajal University Hospital. The subjects of study are those patients who come to the emergency unit and met the inclusion criteria. A mean of 840 people were seen weekly, and it was estimated to collect 200 questionnaires over a period of one week. The questionnaire was self-administered. The variables analyzed were: clinical, sociodemographic, satisfaction and problem solving. The instrument used was the Consumer Emergency Care Satisfaction Scale (CECSS). The Statistical analysis was performed using SPSS 16.0 software package. Categorical variables are expressed in absolute and relative frequency; and continuous variables are expressed as the mean and the standard deviation. Asymmetric behavioral variables are described by their median, the interquartile interval and the non-parametric test of Kruskal-Wallis. Results. We surveyed 200 patients and we studied 198 patients who expressed high levels of overall satisfaction and satisfaction with professional competence. The degree of information at discharge is the dimension worst noted. No association was found between patient satisfaction and sociodemographic variables. The satisfaction was higher in patients who returned home than in those who were admitted in the hospital, the dimension of information at discharge being very significant. Conclusions. We need to improve the information provided by the nursing staff to patients at discharge(AU)

Liderazgo en grupos de trabajo enfermeros. Percepciones / Leadership in Nursing Working Groups. Perceptions

Objetivos. Conocer la conducta de liderazgo que perciben los presidentes de los grupos de trabajo y sus colaboradores. Analizar los estilos de liderazgo comparando las conductas percibidas. Método. Estudio descriptivo transversal. Población: presidentes de los grupos de trabajo y miembros de éstos. Instrumento: cuestionario compuesto por 82 ítems con 5 opciones de respuesta. Variables analizadas: conductas del líder, estilos de liderazgo, esfuerzo extra, efectividad y satisfacción. Resultados. En el grupo de investigación el estilo más identificado por los miembros del grupo fue el transformacional y el más identificado por el líder fue el transaccional. En el grupo de protocolos el liderazgo más identificado por ambos fue el transformacional. En el grupo de calidad no se identificó claramente ningún tipo de liderazgo. En los 3 grupos los porcentajes que determinan el esfuerzo extra, la efectividad y la satisfacción fueron muy elevados. Discusión. Es importante prestar atención a los estilos de liderazgo de los diferentes gestores de unidades o de grupos, dado que es un elemento dinamizador importante en las organizaciones(AU)

Aims.To identify leadership behavior as perceived by the heads and members of working groups and to analyze leadership styles by comparing the perceived behaviors. Method. Cross sectional study. Population: heads and members of working groups. Instrument: 82-item questionnaire with 5 possible responses. Variables analyzed: behaviors of the heads, leadership styles, extra effort, effectiveness and satisfaction. Results. In the investigation group, the style most frequently identified by the group's members was the transformational style and that identified by the head was the transactional style. In the protocol group, the leadership style most frequently identified by both the head and members was the transformational style. In the quality group, no type of leadership was clearly identified. In the three groups, the percentages identifying extra effort, effectiveness and satisfaction were very high. Discussion. Paying attention to the leadership style of the managers of units or groups is important, since this factor is a strong dynamic element in organizations(AU)

[Leadership in nursing working groups. Perceptions]. / Liderazgo en grupos de trabajo enfermeros. Percepciones.

AIMS: To identify leadership behavior as perceived by the heads and members of working groups and to analyze leadership styles by comparing the perceived behaviors. METHOD: Cross sectional study. POPULATION: heads and members of working groups. INSTRUMENT: 82-item questionnaire with 5 possible responses. Variables analyzed: behaviors of the heads, leadership styles, extra effort, effectiveness and satisfaction. RESULTS: In the investigation group, the style most frequently identified by the group's members was the transformational style and that identified by the head was the transactional style. In the protocol group, the leadership style most frequently identified by both the head and members was the transformational style. In the quality group, no type of leadership was clearly identified. In the three groups, the percentages identifying extra effort, effectiveness and satisfaction were very high. DISCUSSION: Paying attention to the leadership style of the managers of units or groups is important, since this factor is a strong dynamic element in organizations.