[Care plan versus care protocol. Comparative analysis in patients subjected to cardiac catheterism]. / Plan de cuidados frente a protocolo asistencial. Análisis comparativo en pacientes sometidos a cateterismo cardíaco.

The nursing product marks the present and future of the nursing staff. The tools used in the nursing staff should be complete and favor their work. The importance of the cares, during the stay of the patients in the intensive care units, is justified by the obtaining of results and some levels of quality that are adequate for the health care setting. The project aims to know the efficacy of the registered nursing care procedure, care plan or care protocol in an intensive care unit, with a system of computerized clinical records. The resulting information shows a value for the time dedicated to work with the plan greater than that used with the protocol (p = 0.01). In turn, the quality indicators used in both systems are graded as acceptable, although they obtain better results in the care plan. The nursing staff that participate in the study consider that the utility of the care plan in the unit is limited or null for 42.9% and 21.4%, respectively. It should be remembered that the work system in forced in the unit for the nursing care is a care protocol In conclusion, we state that the care plan has better quality in the records than the care protocol, while it requires greater time to fill out the nursing records.

Plan de cuidados frente a protocolo asistencial. Análisis comparativo en pacientes sometidos a cateterismo cardíaco / Care plan versus care protocol. Comparative analysis in patients subjected to cardiac catheterism

El producto enfermero marca la actualidad y futuro de la enfermería. Las herramientas que emplea la enfermería deben ser completas y favorecer su trabajo. La importancia de los cuidados, durante la estancia del paciente en las unidades de cuidados intensivos, se justifica mediante la obtención de unos resultados y de unos niveles de calidad adecuados a su entorno sanitario. El proyecto tiene como objetivo conocer cuál es la eficacia del procedimiento asistencial de enfermería registrado, plan de cuidados o protocolo asistencial, en una unidad de cuidados intensivos, con un sistema de registro clínico informatizado. La información resultante muestra un valor para el tiempo destinado al trabajo con el plan superior al empleado con el protocolo (p = 0,01). A la vez, los indicadores de calidad utilizados en ambos sistemas se califican como aceptables, aunque obtienen mejores resultados en el plan de cuidados. La enfermería que participa en el estudio, opina que la utilidad del plan de cuidados en la unidad es escasa o nula para el 42,9 y el 21,4%, respectivamente. Conviene recordar, que el sistema de trabajo vigente en la unidad para la asistencia de enfermería, es el protocolo asistencial. En conclusión, el plan de cuidados presenta mejor calidad en los registros que el protocolo asistencial, a la vez que requiere una mayor inversión de tiempo para cumplimentar los registros de enfermería

The nursing product marks the present and future of the nursing staff. The tools used in the nursing staff should be complete and favor their work. The importance of the cares, during the stay of the patients in the intensive care units, is justified by the obtaining of results and some levels of quality that are adequate for the health care setting. The project aims to know the efficacy of the registered nursing care procedure, care plan or care protocol in an intensive care unit, with a system of computerized clinical records. The resulting information shows a value for the time dedicated to work with the plan greater than that used with the protocol (p = 0.01). In turn, the quality indicators used in both systems are graded as acceptable, although they obtain better results in the care plan. The nursing staff that participate in the study consider that the utility of the care plan in the unit is limited or null for 42.9% and 21.4%, respectively. It should be remembered that the work system in forced in the unit for the nursing care is a care protocol In conclusion, we state that the care plan has better quality in the records than the care protocol, while it requires greater time to fill out the nursing records

[Job stressors and satisfaction in the nursing staff of a critical unit]. / Estresores laborales y satisfacción en la enfermería de una unidad de críticos.

OBJECTIVES: The objectives of our study were: to identify the stressor agents of the nursing staff according to the sociodemographical and professional characteristics; to know if the frequency of exposure to job stressors is modified based on sociodemographical characteristics; and to know if there is a relationship between job stress and satisfaction. MATERIAL AND METHOD: The study sample was made up of 71 nurses (N) and 48 nursing assistants (NA). Information was collected with a self-administrated questionnaire. Satisfaction was assessed with the Warr, Cook and Wall survey and job stressors with the <> Demographic and professional variables were collected. RESULTS: The percentage of responses was 88.2%. Mean stress in SD was significantly higher than in the NA, 38 (10.7) and 27.9 (9.2) respectively; p < 0.001. The stressor mean is higher based on age and type of contract in both categories. We have not found any differences in relationship to satisfaction. Both categories identified as main stressors those related with the patient's suffering, death and job excess. CONCLUSIONS: 1) The most frequently identified job stressors in both categories are those related with patient suffering, death and job excess. 2) The Ns have a significantly greater exposure to job stressors. 3) Young age and insecurity in the job increase exposure to job stressors. 4) We have not found any relationship between the job stressors and satisfaction.

Estresores laborales y satisfacción en la enfermería de una unidad de críticos / Job stressors and satisfaction in the nursing staff of a critical unit

Objetivos. Los objetivos de nuestro estudio han sido: identificar los agentes estresores del personal de enfermería, según sus características sociodemográficas y profesionales; conocer si la frecuencia de exposición a estresores laborales se modifica en función de las características sociodemográficas, y conocer si hay relación entre el estrés laboral y la satisfacción. Material y método. La muestra de estudio ha sido 71 enfermeras/os (DE) y 48 auxiliares de enfermería(AE). La información se recogió mediante un cuestionario autoadministrado. La satisfacción se valoró mediante la encuesta de Warr, Cook y Wall, y los estresores laborales mediante la escala Nursing Stress Scale. Se recogieron variables demográficas y profesionales. Resultados. El porcentaje de respuesta fue del 88,2%. La media de estrés en DE fue significativamente más alto que en AE, 38 (10,7) y 27,9 (9,2),respectivamente; p < 0,001. La media de estresores es más alta en función de la edad y el tipo de contrato en ambas categorías. No hemos encontrado diferencias con relación a la satisfacción. Ambas categorías identificaron como principales estresores los relacionados con el sufrimiento del paciente, la muerte y la sobre carga de trabajo. Conclusiones. 1) Los estresores laborales mas frecuentemente identificados en ambas categorías, son los relacionados con el sufrimiento del paciente, la muerte y la sobrecarga de trabajo. 2) Las DE tienen de forma significativa una mayor exposición a estresores laborales. 3) La juventud y la inseguridad en el puesto de trabajo aumentan la exposición a estresores laborales. 4) No hemos encontrado relación entre los estresores laborales y la satisfacción

Objectives. The objectives of our study were: to identify the stressor agents of the nursing staff according to the socio demographical and professional characteristics; to know if the frequency of exposure to job stressors is modified based on socio demographical characteristics; and to know if there is a relationship between job stress and satisfaction. Material and method. The study sample was made up of 71 nurses (N) and 48 nursing assistants (NA). Information was collected with a self-administrated questionnaire. Satisfaction was assessed with the Warr, Cook and Wall survey and job stressors with the «Nursing Stress Scale.» Demographic and professional variables were collected. Results: The percentage of responses was 88.2%. Mean stress in SD was significantly higher than in the NA, 38(10.7) and 27.9 (9.2) respectively; p < 0.001. The stressor mean is higher based on age and type of contract in both categories. We have not found any differences in relationship to satisfaction. Both categories identified as main stressors those related with the patient’s suffering, death and job excess. Conclusions. 1) The most frequently identified job stressors in both categories are those related withpatient suffering, death and job excess. 2) The Ns have a significantly greater exposure to job stressors. 3) Young age and insecurity in the job increase exposure to job stressors. 4) We have not found any relation ship between the job stressors and satisfaction

[Nursing records: conventional versus computerized. Critical care unit]. / Registros de enfermería: convencional frente a informatizado. Unidad de cuidados críticos.

In these recent years, electronic clinical data systems have been incorporated into the daily nursing work for the use of records in the hospitalization units. Between 2001 and 2002, the computer program that has presently become the work tool in the Critical Unit I was designed. This project aims to know the opinion of the nursing staff on the use of the computerized record versus the previous pen and paper. The surveys designed were filled out by 90.5% of the unit staff and it was found that for nursing group, the computerized record is a better work system than the pen and paper. Further, the computerized record is characterized by being more complete, by making it possible to better gather the work and by adjusting more reliably to the nursing work. In conclusion, we would say that the perception of nursing after the initiation of the clinical record computerized system is that it has improved versus the pen-paper. The perception of the time aimed at filling out the records is greater, although paradoxically, it generates more time for the patient's care according to the staff opinion. Even so, it is considered to be a good work system.