Degree of satisfaction of women treated with reconstruction and dermopigmentation of the nipple-areola complex after breast reconstruction.

OBJECTIVE: To evaluate the degree of satisfaction of women treated with dermopigmentation and reconstruction of the Areola-Nipple Complex (ANC) after breast reconstruction, as well as their demographic profile and clinical-evolutionary characteristics. METHODS: Descriptive observational study including 128 women treated with dermopigmentation after oncologic breast reconstruction during 2018. In 2021 they were administered an adapted satisfaction questionnaire, which contains 27 items and categorizes satisfaction from 1-5, in addition other clinical-evolutionary and demographic variables were collected. RESULTS: Mean age was 51 (±9) years, 89.1% had previously undergone PDA reconstruction. Mean satisfaction with dermopigmentation was 4.4 (±0.88) and 3.79 (±1.06) for PDA reconstruction. Complications were rare, but 54.5% (n = 54) of the patients reported that the CAP reconstruction did not offer the expected projection, 91.6% (n = 98) that the color had faded and 51.4% (n = 55) would choose permanent tattooing. It was perceived that, the higher the satisfaction of the CAP, the higher the satisfaction of dermopigmentation, while the older the age and previous chemotherapy treatment the lower the color durability (p value ≤ 0.05). CONCLUSIONS: Patients who underwent reconstructive breast surgery show a high degree of satisfaction with dermopigmentation and surgical reconstruction of the PDA, but reiterate the low projecticity of the dermopigmentation and the surgical reconstruction of the PDA, but reiterate the low degree of satisfaction with the dermopigmentation.

Complicaciones relacionadas con la traqueotomía en pacientes pos-COVID-19 tratados con distintos dispositivos de oxigenoterapia / Tracheostomy-related complications in post-COVID-19 patients treated with different oxygen therapy devices

Objetivo: conocer las complicaciones relacionadas con la traqueotomía en pacientes pos-COVID-19 tratados con distintos dispositivos de oxigenoterapia y los factores asociados. Métodos: se llevó a cabo un estudio observacional retrospectivo en pacientes adultos portadores de una traqueotomía pos-COVID-19, que estuvieron ingresados en la Unidad de Semicríticos de Neumología del Hospital Universitario de Bellvitge (Madrid, España), de agosto de 2021 a mayo de 2022. Variables: sociodemográficas, clínicas, comorbilidades, relacionadas con la traqueotomía y sistemas de oxigenación, complicaciones. Se realizó análisis descriptivo y comparación de variables para identificar factores de riesgo asociados a dichas complicaciones.Resultados: se incluyeron a 28 pacientes. El 85,7% fue hombre. La mediana de edad fue de 65,50. La mediana de días de ingreso en UCI fue de 61,5 días. Las principales comorbilidades: hipertensión arterial (42,9%) y diabetes (35,7%). El 78,6% llevaba dispositivo alto flujo. El 32,1% presentó complicaciones relacionadas con el manejo de la traqueotomía. Las complicaciones más frecuentes fueron la presencia de tapón mucoso (33,3%) y la alteración en la consistencia de secreciones (33,3%). Presentaron más complicaciones los hombres que las mujeres (88,9% vs.11,1%), los pacientes con antecedentes de hábito tabáquico (66,7% vs. 33,3%, p= 0,028). Los pacientes que eran portadores de un dispositivo de alto flujo no presentaron casi ninguna complicación (94,7% frente a 5,3%, p= 0,007). Conclusiones: el uso de dispositivos de oxigenoterapia que incorporen humidificación activa y control de la temperatura es una alternativa útil para reducir las complicaciones asociadas a la pérdida de esta función fisiológica de la anatomía nasofaríngea en los pacientes con traqueotomía.(AU)

Objectives: to understand tracheostomy-related complications in post-COVID-19 patients treated with different oxygen therapy devices and their associated factors.Methods: an observational retrospective study was conducted in adult patients with post-COVID-19 tracheostomy, who were hospitalized at the Respiratory Semi-critical Care Unit of the Bellvitge University Hospital (Barcelona, Spain), from August 2021 to May 2022. The variables were: sociodemographic, clinical, comorbidities, associated with tracheostomy and oxygenation systems, complications. Descriptive analysis was conducted, as well as comparison of variables in order to identify the risk factors associated with said complications. Results: the study included 28 patients; 85.7% were male. Their median age was 65.50. The median number of hospitalization days at ICU was 61.5 days. Their main comorbidities: hypertension (42.9%) and diabetes (35.7%). High-flow devices were used by 78.6% of patients; 32.1% of them presented complications associated with tracheostomy management. The most frequent complications were the presence of mucous plug (33.3%) and an alteration in consistency of secretions (33.3%). Male patients presented more complications than female patients (88.9% vs.11.1%), as well as patients with a smoking history (66.7% vs. 33.3%, p= 0.028). Patients who were carriers of high-flow devices presented almost no complications (94.7% vs. 5.3%, p= 0.007). Conclusions: the use of oxygen therapy devices incorporating active humidification and temperature control is a useful option in order to reduce those complications associated with the loss of this physiological function of the nasopharyngeal anatomy in patients with tracheostomy.(AU)

Satisfaction of intensive care unit patients linked to clinical and organisational factors: A cross-sectional multicentre study.

BACKGROUND: The satisfaction of critical care patients with the nursing care they receive is a key indicator of the quality of hospital care. OBJECTIVES: The objectives of this study were to analyse the level of satisfaction of critical care patients in relation to the nursing care received and to determine the relationship between the level of satisfaction and sociodemographic, clinical, and organisational variables. DESIGN: This was a prospective, descriptive correlational study. SETTING AND METHODS: The population consisted of all patients discharged from the intensive care units (ICUs) of 19 hospitals in Spain between December 2018 and December 2019. The level of satisfaction was measured using the validated Nursing Intensive Care Satisfaction Scale, and sociodemographic, clinical, and organisational data were collected. RESULTS: Participants' mean age (n = 677) was 59.7 (standard deviation: 16.1), and 62.8% of them were men (n = 426). Satisfaction with the nursing care received was 5.66 (SD: 0.68) out of a possible 6. The score for overall satisfaction presented statistically significant relationships with the hours of mechanical ventilation (p = 0.034), with the participant's perception of own health status (p = 0.01), with the participant's perceived degree of own recovery (p = 0.01), with the hospital's complexity level (p = 0.002), with the type of hospital (p = 0.005), and with the type of ICU (p = 0.004). Finally, the logistic regression model shows that the Nursing Intensive Care Satisfaction Scale score was not linked to age or sex but did have a statistically significant relationship with the perceived degree of recovery (p < 0.001) and the type of ICU (p=<0.001). The variables that predicted satisfaction were age, degree of recovery, and the type of ICU. CONCLUSION: Several studies show that patient satisfaction is related to the patient's perceived health status and perceived degree of recovery, a finding that is confirmed in our study. Our study moves beyond these outcomes to show that the hours of mechanical ventilation and the characteristics of the hospital also have a significant relationship with patients' satisfaction.

Impact of dysphagia and malnutrition on the survival of hospitalized patients.

INTRODUCTION: Oropharyngeal dysphagia (OD) and malnutrition (MN) are highly prevalent among hospitalized patients, with significant clinical repercussions. OBJECTIVES: To assess the prevalence, survival and factors associated with OD and MN in hospitalized patients with a high risk of OD. METHODS: A cross-sectional observational study with 82 patients aged ≥70 years and with the possibility of oral feeding admitted in 4 services of a third level hospital during 3 months. The Nutritional Risk Screening 2002 test (NRS-2002) was performed to detect nutritional risk and the volume-viscosity screening test (V-VST) for OD evaluation. Data were collected on the clinical suspicion of OD, days of hospital stay, the number of readmissions and other socio-demographic data. RESULTS: 50.6% had OD and 51.9% MN. In 48.8%, there was underdiagnosis of OD. The median number of days of admission was higher among patients with MN (19.5 days vs 13 days, p = 0.02). Of the total readmissions, 70.8% had MN compared to 29.2% that did not (p = 0.03). Survival among patients who did not survive one year after admission was lower when OD was given (Sig. = 0.04). CONCLUSIONS: More than half of the population studied has OD, as well as DN, which increases the rate of readmission and decreases survival at the year of admission. Although there are specific screening methods, their use is not widespread, making it difficult to diagnose OD and its therapeutic intervention.

Incidencia de complicaciones y factores de riesgo asociados en pacientes intervenidos de neumonectomía / Incidence of complications and associated risk factors in patients undergoing pneumonectomy

Objetivo: conocer la incidencia de complicaciones e identificar los factores de riesgo asociados a complicaciones post-operatorias desarrolladas tras una neumonectomía.Método: se llevó a cabo un estudio observacional retrospectivo, cuya muestra se obtuvo del total de pacientes, mayores de 18 años, que estuvieron hospitalizados en el Servicio de Neumología y Cirugía Torácica del Hospital Universitario de Bellvitge (Barcelona), entre enero de 2016 y junio de 2020, que habían sido intervenidos de neumonectomía (derecha o izquierda). Variables de estudio: complicaciones durante la hospitalización, comorbilidades y factores de riesgo, además de otras variables demográficas y clínicas. Los datos se recogieron mediante una revisión de historias clínicas electrónicas. Se realizó análisis descriptivo y analítico. Se consideró significativa la diferencia si p< 0,05.Resultados: se incluyeron 24 pacientes, 75% varones (n=1 8). El 46% era fumador. La edad media (rango intercuatílico) fue de 66 (62-74) años. Las principales comorbilidades identificadas fueron: hipertensión arterial (46%; n= 11), diabetes mellitus (25%; n= 6) y EPOC (25%; n= 6). 83% (n= 20) intervenidos mediante toracotomía. 79% (n= 19) sometidos a neumonectomía izquierda y 42% (n= 10) con complicaciones post-operatorias. La complicación con mayor incidencia fue la arritmia cardiaca (17%; n= 4). La neumonectomía derecha se asoció con la aparición de complicaciones (p= 0,05). La media de días de estancia hospitalaria fue mayor en el grupo con complicaciones (9,5 frente a 7; p= 0,005).Conclusión: se detectaron complicaciones post-operatorias en cuatro de cada diez sujetos, siendo la más frecuente la arritmia cardiaca. La neumonectomía derecha se asoció significativamente a la aparición de complicaciones.(AU)

Objective: to understand the incidence of complications, and identify the risk factors associated with post-surgical complications developed after pneumonectomy.Method: a retrospective observational study was conducted; the sample was obtained from the group of >18-year-old patients hospitalized at the Pulmonology and Thoracic Surgery Unit of the Hospital Universitario de Bellvitge (Barcelona), between January, 2016 and June, 2020, who had undergone pneumonectomy (right or left). Study variables: complications during hospitalization, comorbidities and risk factors, besides other demographical and clinical variables. Data were collected through review of electronic clinical records. Descriptive and analytical analysis was conducted. The difference was considered significant if p< 0.05.Results: the study included 24 patients: 75% were male (n=1 8); 46% were smokers; and their mean age (interquartile range) was 66 (62-74) years. The main comorbidities detected were: hypertension (46%; n= 11), diabetes mellitus (25%; n= 6) and COPD (25%; n= 6); 83% (n= 20) underwent thoracotomy, and 79% (n= 19) underwent left pneumonectomy; 42% (n= 10) presented post-surgical complications. The complication with the highest incidence was cardiac arrythmia (17%; n= 4). Right pneumonectomy was associated with the development of complications (p= 0,05). The mean hospital stay was higher in the group with complications (9.5 vs. 7 days; p= 0.005).Conclusion: post-surgical complications were detected in 4 out of each ten subjects; the most frequent was cardiac arrythmia. Right pneumonectomy was significantly associated with the development of complications.(AU)

Lenguajes enfermeros estandarizados y planes de cuidados. Percepción de su empleo y utilidad en atención primaria / Standardized nursing languages and care plans. Perception of use and utility in primary healthcare

OBJETIVO: Identificar la opinión de las enfermeras de atención primaria sobre el uso y la utilidad de los planes de cuidados y los lenguajes estandarizados tradicionales en la práctica asistencial. DISEÑO: Estudio descriptivo, transversal, multicéntrico. EMPLAZAMIENTO: Equipos y dispositivos de atención primaria en Cataluña. PARTICIPANTES: Se estimó una muestra necesaria de 1.668 enfermeras y se aplicó una técnica de muestreo consecutivo. INTERVENCIONES: Cuestionario de acceso on-line con preguntas sobre la percepción de facilidad, utilidad y uso de los planes de cuidados y los lenguajes estandarizados tradicionales. Mediciones: Estadísticos descriptivos con proporciones, medidas de tendencia central y de dispersión. La significación estadística se estableció si p ≤ 0,05. RESULTADOS: Se analizaron 1.813 cuestionarios. Las participantes opinaron que los planes de cuidados tienen un valor añadido medio, aunque su uso es con frecuencia incorrecto. Refirieron un nivel de conocimientos adecuado sobre los lenguajes estandarizados, y en su mayoría (81%) opinaron que son difíciles de emplear en la práctica y que son poco útiles para representar la prestación de cuidados y sus resultados (78%). Independientemente de su nivel académico y de los años de experiencia, valoraron como insuficiente la claridad (p = 0,058), facilidad de uso (p = 0,240) y utilidad de los lenguajes estandarizados (p = 0,039). CONCLUSIONES: Las enfermeras urgen a introducir cambios en el uso de los planes de cuidados, incluyendo el cambio de lenguaje, para mejorar los datos y la información que revierta positivamente la prestación de cuidados para la mejora de los resultados de salud de las personas beneficiarias de los servicios de atención primaria

OBJECTIVE: To identify opinions of Primary Healthcare nurses on the use and usefulness of standardised nursing care plans and traditional nursing language systems in the practice settings. DESIGN: Multicentre, observational, cross-sectional study. SETTING: Primary Healthcare centres in Catalonia. PARTICIPANTS: Sample size was estimated at 1,668 registered nurses. Consecutive sampling was applied. INTERVENTIONS: On-line survey containing questions on ease, usefulness, and use of nursing care plans and standardised nursing language systems. Measurements: Descriptive statistics, including percentages, central tendency, and dispersion measures. Statistical significance was set at P ≤ .05. RESULTS: The final analysis included 1,813 questionnaires. Participants stated that care plans have a medium added value, however their use is frequently incorrect. They stated to have a fair level of knowledge on traditional standardised nursing languages, and most were of the opinion that these languages are difficult to use in practice (81%) and not useful to represent nursing care provision and its outcomes (78%). Regardless of their education level and years of experience, the participants assessed as insufficient the clarity (P = .058), ease of use (P = .240), and usefulness (P = .039) of these language systems in practice. CONCLUSIONS: Nurses say that urgent changes are required in the use of care plans. This includes changing the language systems, and improving data and information that positively impacts on the provision of nursing care, as well as to enhance the health outcomes of the individuals receiving Primary Healthcare services

Actividad y resultados del Grupo de Investigación Enfermera (GRIN), Instituto de Investigación Biomédica de Bellvitge (IDIBELL) / Activity and outcomes of the Nursing Research Group (GRIN), Bellvitge Institute for Biomedical Research (IDIBELL)

Este artículo presenta la composición, líneas de investigación y evolución del grupo de investigación enfermera (GRIN) vinculado al Instituto de Investigación Biomédica de Bellvitge (IDIBELL). Las líneas principales de investigación van dirigidas a la prestación de cuidados enfermeros y su impacto en los resultados de salud de los pacientes y familias, orientándose principalmente en la investigación en cuidados a poblaciones vulnerables, enfermos críticos, pacientes crónicos complejos y personas en extremos de edad, en las siguientes áreas de interés: i) promoción de la salud; ii) innovaciones tecnológicas, sistemas de información e inteligencia artificial para la salud; iii) desarrollo metodológico, ético y social de los cuidados; iv) gestión de cuidados y resultados sensibles a la práctica enfermera; v) cribado, detección precoz y prevención de complicaciones y discapacidades. Actualmente el grupo está formado por 33 enfermeras/os, que pertenecen a cuatro hospitales y la Universidad de Barcelona, siendo el 48% doctores y el 36% doctorandos. El grupo ha producido más de 150 publicaciones científicas en siete años, de las cuales, durante el último año, el 50% fue en Q1 y el 20% en Q2, además destacando que el 60% de los proyectos obtuvo algún tipo de financiación durante el último año. El grupo de investigación está acreditado como grupo preconsolidado por la Agencia de Gestión de Ayudas Universitarias y de Investigación (AGAUR) de la Generalitat de Cataluña

This article presents the composition, lines of research and evolution of the nursing research group (GRIN) linked to the Bellvitge Institute for Biomedical Research (IDIBELL). The main lines of research are targeted to the provision of nursing care and its impact on health outcomes for patients and relatives; it is particularly oriented towards research in care for vulnerable populations, critical patients, complex chronic patients, and people with extreme ages, within the following areas of interest: i) health promotion; ii) technological innovations, information systems and artificial intelligence for health; iii) methodological, ethical and social development of care; iv) management of care and nursing-sensitive outcomes; v) screening, early detection and prevention of complications and disabilities. Currently, the group is formed by 33 nurses from four hospitals and the University of Barcelona; 48% of its members are doctors and 36% are doctoral candidates. The group has published over 150 scientific articles in seven years; during the last year, 50% of these were in Q1 and 20% in Q2. It should also be highlighted that 60% of projects obtained some type of funding during the past year. The research group is accredited as a preconsolidated group by the Agency for Management of University and Research Grants (AGAUR) of the Generalitat of Catalonia

[Standardized nursing languages and care plans. Perception of use and utility in primary healthcare]. / Lenguajes enfermeros estandarizados y planes de cuidados. Percepción de su empleo y utilidad en atención primaria.

OBJECTIVE: To identify opinions of Primary Healthcare nurses on the use and usefulness of standardised nursing care plans and traditional nursing language systems in the practice settings. DESIGN: Multicentre, observational, cross-sectional study. SETTING: Primary Healthcare centres in Catalonia. PARTICIPANTS: Sample size was estimated at 1,668 registered nurses. Consecutive sampling was applied. INTERVENTIONS: On-line survey containing questions on ease, usefulness, and use of nursing care plans and standardised nursing language systems. MEASUREMENTS: Descriptive statistics, including percentages, central tendency, and dispersion measures. Statistical significance was set at P≤.05. RESULTS: The final analysis included 1,813 questionnaires. Participants stated that care plans have a medium added value, however their use is frequently incorrect. They stated to have a fair level of knowledge on traditional standardised nursing languages, and most were of the opinion that these languages are difficult to use in practice (81%) and not useful to represent nursing care provision and its outcomes (78%). Regardless of their education level and years of experience, the participants assessed as insufficient the clarity (P=.058), ease of use (P=.240), and usefulness (P=.039) of these language systems in practice. CONCLUSIONS: Nurses say that urgent changes are required in the use of care plans. This includes changing the language systems, and improving data and information that positively impacts on the provision of nursing care, as well as to enhance the health outcomes of the individuals receiving Primary Healthcare services.

Accuracy and completeness of records of adverse events through interface terminology. / Precisión y exhaustividad del registro de eventos adversos mediante una terminología de interfase.

OBJECTIVE: To determine what adverse events, including pressure ulcers, infection of the surgical site and aspiration pneumonia, nurses record in clinical histories, in terms of diagnostic accuracy and completeness, through ATIC. METHOD: Observational, descriptive, cross-sectional, multicenter study of 64 medical-surgical and semi-critical units of two university hospitals in Catalonia, Spain, during 2015. The diagnostic accuracy was assessed by means of the correspondence between the event declared in the Minimum Basic Data Set and the problem documented by the nurse. The record was considered complete when it contained the risk of the event, prescriptions of care and a record of the evolution. RESULTS: The sample evaluated included 459 records. The accuracy results of pressure ulcers are highly correlated between the nursing diagnosis recorded and that declared in the Minimum Basic Data Set. The accuracy in surgical site infection is moderate, and aspiration resulting in pneumonia is very low. The completeness of results is remarkable, except for the risk of bronchoaspiration. CONCLUSION: The adverse event recorded by nurses with greatest accuracy is pressure ulcers.

Precisión y exhaustividad del registro de eventos adversos mediante una terminología de interfase / Precisão e exaustividade no registro de eventos adversos usando uma terminologia de interface / Accuracy and completeness of records of adverse events through interface terminology

RESUMEN Objetivo: Determinar qué registran las enfermeras en la historia clínica mediante ATIC, sobre los eventos adversos: úlceras por presión, infección del sitio quirúrgico y aspiración con resultado de neumonía, en términos de precisión diagnostica y exhaustividad. Método: Estudio observacional, descriptivo, transversal, y multicéntrico de 64 unidades médico-quirúrgicas y semicríticos de dos hospitales universitarios de Cataluña, España, durante el año 2015. La precisión diagnóstica se evaluó mediante la correspondencia entre el evento declarado en el Conjunto Mínimo Básico de Datos y el problema documentado por la enfermera. La exhaustividad se consideró cuando el registro contenía el riesgo del evento, prescripciones de cuidados y registro de la evolución. Resultados: La muestra evaluada fue de 459 registros. Los resultados de precisión de úlceras por presión muestran una elevada correspondencia entre el diagnóstico enfermero registrado y el declarado en el Conjunto Mínimo Básico de Datos. La precisión en la infección del sitio quirúrgico es moderada, y la aspiración con resultado de neumonía muy baja. Los resultados de exhaustividad son notables, excepto el riesgo de broncoaspiración. Conclusión: El evento adverso que registran las enfermeras con mayor precisión es la úlcera por presión.

RESUMO Objetivo: Determinar quais informações são registradas pelas enfermeiras nos registros eletrônicos por meio da terminologia ATIC, sobre os eventos adversos: úlceras de pressão, infecção de sítio cirúrgico e aspiração com resultado de pneumonia, em termos de precisão diagnóstica e de exaustividade. Método: Estudo observacional, descritivo, transversal e multicêntrico de 64 unidades médico cirúrgicas e semicríticas de dois hospitais universitários da Catalunha, Espanha, durante o ano 2015. A precisão diagnóstica foi avaliada pela correspondência entre o evento indicado no Conjunto Mínimo Básico de Dados e o registro de problemas documentados pela enfermeira. A exaustividade foi considerada quando o registro continha a identificação do risco do evento, as prescrições de cuidados e o registro da evolução. Resultados: A amostra avaliada foi de 459 registros. Os resultados em termos de precisão de úlceras de pressão mostram uma alta correlação entre o diagnóstico de enfermagem registrado e o diagnóstico declarado no Conjunto Mínimo Básico de Dados. A precisão na infecção de sítio cirúrgico é moderada, e a aspiração com resultado de pneumonia é muito baixa. Os resultados de exaustividade são notáveis, salvo o risco de broncoaspiração. Conclusão: O evento adverso que as enfermeiras registram com maior precisão é a úlcera de pressão.

ABSTRACT Objective: To determine what adverse events, including pressure ulcers, infection of the surgical site and aspiration pneumonia, nurses record in clinical histories, in terms of diagnostic accuracy and completeness, through ATIC. Method: Observational, descriptive, cross-sectional, multicenter study of 64 medical-surgical and semi-critical units of two university hospitals in Catalonia, Spain, during 2015. The diagnostic accuracy was assessed by means of the correspondence between the event declared in the Minimum Basic Data Set and the problem documented by the nurse. The record was considered complete when it contained the risk of the event, prescriptions of care and a record of the evolution. Results: The sample evaluated included 459 records. The accuracy results of pressure ulcers are highly correlated between the nursing diagnosis recorded and that declared in the Minimum Basic Data Set. The accuracy in surgical site infection is moderate, and aspiration resulting in pneumonia is very low. The completeness of results is remarkable, except for the risk of bronchoaspiration. Conclusion: The adverse event recorded by nurses with greatest accuracy is pressure ulcers.

Una terminología interfase como eje de unos cuidados seguros. Nivel de conocimiento y de comprensión de intervenciones enfermeras ATIC(R) / Interface terminology as an axis for safe care: on line questionnaire about knowledge and understanding of ATIC(R) nursing interventions

Introducción. Los lenguajes enfermeros deben contribuir a obtener datos precisos y fiables que faciliten una comunicación eficaz y garanticen unos cuidados seguros. Las terminologías de interfase, como ATIC(R), surgen para complementar las terminologías de referencia y orientan su desarrollo hacia su uso en la práctica clínica. Además, contribuyen a proporcionar información en relación con los conceptos que representan los cuidados con suficiente especificidad clínica que conlleva a un mejor entendimiento entre los miembros del equipo asistencial. Objetivo. Evaluar el nivel de conocimiento y comprensión de las enfermeras acerca de las intervenciones de vigilancia y control de la terminología ATIC(R). Material y métodos. Estudio descriptivo, observacional, transversal y multicéntrico, mediante un cuestionario electrónico validado. Los datos recogidos se analizaron utilizando estadística descriptiva e inferencial. Resultados. Un 85 % de las enfermeras evalúan favorablemente su nivel de conocimientos sobre las intervenciones de vigilancia y control de la terminología ATIC(R). El 51.8 % refiere un nivel de conocimiento superior y el 32.8 % adecuado. Se identificaron diferencias significativas respecto el nivel de conocimientos y el tiempo de uso de ATIC(R), el lugar de trabajo o la asistencia a sesiones clínicas de cuidados (SCS). La evaluación de la comprensión indica que más del 95 % de las participantes tienen una comprensión elevada (75.8 %) o moderada (20.1 %). Además, se identificaron diferencias significativas en relación con la utilización de ATIC(R) durante más de 1 año y la asistencia a SCC. Conclusiones. Las enfermeras que utilizan la terminología ATIC(R) en los registros electrónicos de salud tienen un elevado nivel de conocimiento y comprensión de las intervenciones de vigilancia y control. Las enfermeras entienden los conceptos de forma clara y precisa, lo que contribuye a establecer la fiabilidad del eje de intervención de esta terminología en términos de usabilidad y aumenta la seguridad del proceso de prestación de cuidados (AU)

Introduction. Nursing languages should contribute to obtain ccurate and reliable data to ease effective communication and ensure patients’ safety. Interface terminologies like ATIC(R), arise to complement reference terminologies and are intended to guide their use in clinical settings. Moreover, these terminologies provide information regarding healthcare concepts with sufficient clinical specificity, leading to a better understanding among healthcare team members. Objective. To evaluate nurses’ level of knowledge and understanding in clinical settings surveillance and control interventions of ATIC terminology(R). Materials and methods. A descriptive, observational, cross-sectional, multicenter study was performed administering a validated electronic questionnaire. Collected data was analyzed using descriptive and inferential statistics. Results. 85 % of nurses favorably assessed their knowledge level about surveillance and control interventions of ATIC terminology (R). Higher levels were achieved by 51.8 % and 32.8 % scored as adequate level. Significant differences were found in knowledge level and length of use of terminology, as well as workplace and attendance to clinical care sessions (CCS). The evaluation of understanding indicates that over 95 % of participants have high (75.8 %) or moderate (20.1 %) understanding levels. Furthermore, we found significant differences in relation to the level of understanding and length of time using ATIC(R) (more than 1 year) together with attendance to CCS. Conclusions. Nurses that use the ATIC Terminology© in electronic health records have a high knowledge and understanding level of surveillance and control interventions. Nurses understand the concepts clearly and accurately, what might be considered as an indirect measurement for reliability of the ATIC intervention axis in terms of usability, enhances at the same time safety in the provision process of care (AU)

Surveillance nursing diagnoses, ongoing assessment and outcomes on in-patients who suffered a cardiorespiratory arrest.

Objective The purposes of this study were to examine the frequency of surveillance-oriented nursing diagnoses and interventions documented in the electronic care plans of patients who experienced a cardiac arrest during hospitalization, and to observe whether differences exist in terms of patients' profiles, surveillance measurements and outcomes. Method A descriptive, observational, retrospective, cross-sectional design, randomly including data from electronic documentation of patients who experienced a cardiac arrest during hospitalization in any of the 107 adult wards of eight acute care facilities. Descriptive statistics were used for data analysis. Two-tailed p-values are reported. Results Almost 60% of the analyzed patients' e-charts had surveillance nursing diagnoses charted in the electronic care plans. Significant differences were found for patients who had these diagnoses documented and those who had not in terms of frequency of vital signs measurements and final outcomes. Conclusion Surveillance nursing diagnoses may play a significant role in preventing acute deterioration of adult in-patients in the acute care setting.

Surveillance nursing diagnoses, ongoing assessment and outcomes on in-patients who suffered a cardiorespiratory arrest / Diagnósticos de enfermagem de vigilância, avaliação contínua e resultados em pacientes que sofreram uma parada cardiorrespiratória / Diagnósticos enfermeros de vigilancia, evaluación en curso y resultados en pacientes hospitalizados que sufrieron paro cardiorrespiratorio

ABSTRACT Objective The purposes of this study were to examine the frequency of surveillance-oriented nursing diagnoses and interventions documented in the electronic care plans of patients who experienced a cardiac arrest during hospitalization, and to observe whether differences exist in terms of patients' profiles, surveillance measurements and outcomes. Method A descriptive, observational, retrospective, cross-sectional design, randomly including data from electronic documentation of patients who experienced a cardiac arrest during hospitalization in any of the 107 adult wards of eight acute care facilities. Descriptive statistics were used for data analysis. Two-tailed p-values are reported. Results Almost 60% of the analyzed patients' e-charts had surveillance nursing diagnoses charted in the electronic care plans. Significant differences were found for patients who had these diagnoses documented and those who had not in terms of frequency of vital signs measurements and final outcomes. Conclusion Surveillance nursing diagnoses may play a significant role in preventing acute deterioration of adult in-patients in the acute care setting.

RESUMO Objetivo Determinar a frequência de registro eletrônico de diagnósticos e intervenções de vigilância no plano de cuidados para pacientes que sofreram uma parada cardíaca durante a admissão e avaliar se existem diferenças com base no perfil do paciente, medidas de monitoramento e resultados. Método Estudo descritivo, observacional, retrospectivo, transversal, que incluiu dados dos registros eletrônicos de pacientes internados em uma das 107 unidades de oito hospitais de cuidados agudos. Para análise dos dados foram utilizados estatísticos descritivos. Os valores de p foram relatados em dois ramos. Resultados Foram obtidos dados de 492 documentos de enfermagem de pacientes que sofreram uma parada cardíaca. Quase 60% dos prontuários eletrônicos incluídos na análise continham um ou mais diagnósticos de vigilância. Diferenças significativas foram encontradas entre os pacientes com e sem registro desses diagnósticos, no que se refere à frequência das medições dos sinais vitais e aos resultados finais. Conclusão Os diagnósticos de vigilância podem desempenhar um papel importante na prevenção de deterioração aguda em pacientes adultos hospitalizados.

RESUMEN Objetivo Los objetivos de este estudio fueron examinar la frecuencia de los diagnósticos enfermeros basados en la vigilancia y las intervenciones documentadas en los planes de asistencia mediante sistema informático de pacientes que pasaron por paro cardiaco durante estancia hospitalaria y observar si existen diferencias en términos de perfil de los pacientes, medidas de vigilancia y resultados. Método Descriptivo, observacional, retrospectivo, transversal, randomizado, incluyendo datos de documentación informática de pacientes que pasaron por paro cardiaco durante estancia hospitalaria en cualquiera de las 107 alas adultas de las ocho instalaciones de cuidados intensivos. Las estadísticas descriptivas fueron utilizadas para los análisis de datos. Valores P bilaterales fueron relatados. Resultados Casi el 60% del los pacientes analizados por la gráfica electrónica tuvieron diagnóticos enfermeros de vigilancia representados en los planes de cuidados informatizados. Fueron encontradas diferencias significativas en pacientes que tuvieron dichos diagnósticos documentados y los que no los tuvieron en términos de frecuencia de mediciones de señales vitales y resultados finales. Conclusión Los diagnósticos enfermeros de vigilancia pueden jugar un rol significativo en la prevención del deterioro agudo de pacientes adultos hospitalizados en las unidades de cuidados intensivos.

Detección de necesidades educativas al alta en pacientes con neumonía adquirida en la comunidad / Detection of educational needs at hospital discharge in patients with community-acquired pneumonia

OBJETIVO: identificar las necesidades educativas al alta en pacientes con neumonía adquirida en la comunidad (NAC). MÉTODO: revisión narrativa en la que se realiza una búsqueda bibliográfica de la literatura publicada, desde el año 2000 hasta la actualidad, en las bases de datos Pubmed, CINAHL, Cuiden y Cochrane Library Plus. La búsqueda se efectuó utilizando el lenguaje controlado MeSH, mediante las siguientes palabras clave en inglés: community-acquired pneumonia, patient discharge. Fueron aceptados los artículos que analizaban el consumo de recursos sanitarios posterior al alta hospitalaria (reingresos, consultas a urgencias o mortalidad) y los conocimientos de los pacientes ingresados con NAC. RESULTADOS: fueron analizados 22 estudios que examinaban el consumo de recursos sanitarios posterior al alta hospitalaria (reingresos, consultas a urgencias o mortalidad) y los conocimientos de los pacientes ingresados con NAC. Las principales necesidades educativas del paciente hospitalizado con NAC son las relativas a: hidratación, adherencia al tratamiento farmacológico y vacunas indicadas, conocimiento y control de la enfermedad, actividad física progresiva, abandono de hábitos tóxicos y manejo de las comorbilidades. CONCLUSIONES: las necesidades educativas detectadas deben incluirse en programas educativos previos al alta hospitalaria en pacientes con NAC para mejorar el manejo de la enfermedad y disminuir el consumo de recursos sanitarios posterior al alta

OBJECTIVE: to identify the educational needs at hospital discharge in patients with Community-Acquired Pneumonia (CAP). METHOD: a narrative review where a bibliographic search was conducted on published literature, from year 2000 to the present day, in the Pubmed, CINAHL, Cuiden and Cochrane Library Plus databases. The search was conducted using the MeSH controlled vocabulary, through the following key words in English: community-acquired pneumonia, patient discharge. Articles were accepted on Use of Healthcare Resources after Hospital Discharge (re-hospitalizations, visits to the Emergency Unit or mortality), and knowledge of patients hospitalized with CAP. RESULTS: 22 studies were analyzed, which examined the use of healthcare resources after hospital discharge (re-hospitalizations, visits to the Emergency Unit or Mortality), and the level of knowledge of patients hospitalized with CAP. The main educational needs of patients hospitalized with CAP were those associated with hydration, adherence to pharmacological treatment, and vaccine indications, awareness and monitoring of the disease, progressive physical activity, giving up toxic habits, and management of comorbidities. CONCLUSIONS: the educational needs detected must be included in educational programs previous to hospital discharge in patients with CAP, in order to improve the disease management, and reduce the use of healthcare resources after discharge