Nuevo informe de alta de enfermería de cuidados intensivos: grado de satisfacción y cumplimentación de los colectivos implicados / New nursing discharge report in intensive care unit: satisfaction and cumplimentation degree of the involved groups

Objetivos. Determinar si el nuevo informe de alta de enfermería mediante el programa Aurora 2003® aporta más información acerca de el paciente que el antiguo en la Unidad de Cuidados Intensivos (UCI) del Hospital General Universitario de Alicante, y establecer el grado de satisfacción de los profesionales que lo utilizan. Método. Se analizó la información presente en los nuevos informes emitidos durante 1 año, se comparó con la que aportaba el antiguo documento y se determinó el grado de satisfacción de los profesionales de enfermería de plantas y UCI con el nuevo informe a los 6 meses y al año de su puesta en marcha. Resultados. Se emitieron 565 informes: 473 (84%) con el programa Aurora® y 92 (16%) en el impreso antiguo. Para las variables presentes en ambos informes, la cumplimentación fue superior en los informes nuevos. Tras 6 meses de funcionamiento del nuevo informe, el 85% de los profesionales de planta y el 73,4% de UCI afirmaron que éste era mejor o mucho mejor que el antiguo; al año, el 91% de profesionales de planta y el 68% de UCI continuó afirmando lo mismo. El 86% de las/os enfermeras/os de UCI utilizó el programa Aurora® habitualmente. Conclusiones. El nuevo informe de alta de enfermería es más completo que el antiguo y se califica como mejor o mucho mejor por el 91% de profesionales de planta y el 68% de UCI

Objectives. To evaluate whether the new nursing discharge report with the Aurora 2003® computer application provides more information on the patient than the previous discharge report in the intensive care unit (ICU) of the General University Hospital in Alicante (Spain), and to determine nurses´ degree of satisfaction with the new report. Method. New nursing discharge reports produced over a 1-year period were analyzed. The information contained in both documents (the old and the new) was compared. The degree of satisfaction with the new report among nurses, both on the ward and in the ICU, was determined 6 months and 1 year after it was introduced. Results. There were 565 nursing discharge reports: 473 (84%) with the Aurora® program and 92 (16%) with the old report. Among the variables present in both records, information was more complete in the new reports. Six months after the introduction of the new report, 85% of the nurses on the ward and 73.4% of those in the ICU believed that the new report was better or much better than the previous one; 1 year later, 91% of nurses on the ward and 68% of those in the ICU had the same opinion. Eighty-six percent of the nurses in the ICU routinely used the Aurora program. Conclusions. The new nursing discharge report provides more complete information than the previous report. Ninety-one percent of nurses on the ward and 68% of those in the ICU consider it to be better or much better than the previous report

[Intensive care nursing discharge reports in Spain: present situation and analysis]. / Informes de alta de enfermería de cuidados intensivos en España: situación actual y análisis.

OBJECTIVES: To determine the ICUs of Spain that fill out nursing discharge report, analyze what information they supply and know how the information on the patients is provided by the ICUs that do not use this record. MATERIAL AND METHODS: Observational descriptive study. The nursing discharge reports issued by the ICUs were analyzed. For the units that did not fill them out, it was documented how they provided information on the patient to the ward. RESULTS: A total of 259 ICU (83%) responded and 176 (68%) filled out the nursing discharge report, which was sent with the patient's history in all the units. A total of 99% of the reports included information on the eating and elimination needs and 7% on living according to beliefs in their structure. One hundred percent requested information on the perception/control and nutritional/metabolic patterns; 1% on sexuality/reproduction. Forty three (54%) of the 79 ICU (30%) that did not fill out a nursing discharge report accompanied the patient to the ward and gave an oral report. In all, 242 ICU (93%) provided information to the ward professionals added to that contained in the clinical history. CONCLUSIONS: a) the nursing professionals in a significant number of intensive care units filled out a discharge report when the patient was transferred to the ward; b) assessment of basic biological aspects prevailed in these reports over psychological and socioculture aspects; c) the units that did not fill out a discharge report accompany the patient to the ward or give a report by telephone of the patient's situations to the destination ward; and d) most of the ICUs guarantee the continuity of nursing cares when the patient is discharged, either by filling out a nursing discharge report, accompanying the patient to the ward or calling by telephone to the ward's professionals.

[Practical nursing guide in the critical patient]. / Guía práctica de enfermería en el paciente crítico.

UNLABELLED: Nursing staff that have recently arrived to the ICU, nurses and students, may feel anxiety and fear due to lack of skill and/or knowledge of the techniques, the service's organization and the diseases treated. OBJECTIVES: 1. To know the intensive care aspects that pose greater difficulties to the professionals newly incorporated into the ICU of the Hospital General Universitario of Alicante 2. To provide these professionals with a written guide that responds to the needs and situations that they face day to day. 3. Inform the nursing students, prior to the onset of their practice activities in the ICU, on a combination of basic procedures that make it possible to take better advantage of them. 4. Communicate and facilitate access to the information contained in the guide to the maximum. MATERIAL AND METHODS: The professional workers who had recently received their degress and who worked in the ICU during the summery were surveyed to determine the techniques or procedures that posed the greatest difficulties. A <> was designed in paper and electronic form. RESULTS: The respiratory, Swan-Ganz catheter, defibrillation, cardiac arrhythmias and insertion of temporal pacemakers were the subjects posing the greatest difficulty. A total of 92% of the colleagues would re-chose their practices in the ICU; 33% liked working as a team most. CONCLUSIONS: 1. The technology used in the ICU poses problems for the recently arrived colleagues. 2. The guide may be used by the new professionals and students as work tool and contribute to communication between the university and the hospital. 3. The use of Internet to communicate the work done by the Nursing professionals offers great advantages and should be used as one more tool.

Caso clínico: niña con síndrome de distrés respiratorio agudo / Clinical case report: female child with an acute respiratory distress syndrome

El síndrome de distrés respiratorio agudo es una enfermedad muy grave que pone en peligro la vida de niños de cualquier edad. Presentamos el caso de una niña de 16 meses que desarrolló un distrés a partir de una neumonía y fue atendida en nuestra Unidad de Cuidados Intensivos Pediátricos. Se describen los problemas detectados, se ponen en marcha las actividades necesarias para resolverlos y, finalmente, se evalúan los resultados

Acute respiratory distress syndrome is a very serious illness that endangers the life of children of any age. We present the case of a 16 month old baby girl that developed the distress syndrome following pneumonia and who was treated in our Paediatric Intensive Care Unit. The problems observed and the necessary actions taken to resolve such problems are described. Lastly, an evaluation of the outcome is presented

Informes de alta de enfermería de cuidados intensivos en España: situación actual y análisis / ICU Nursing discharge report is a useful record to guarantee the continuity of cares on the patient's discharge

El informe de alta de enfermería de unidad de cuidados intensivos (UCI) es un registro que se utiliza para garantizar la continuidad de los cuidados al alta del paciente. Objetivos: Determinar las UCI de España que cumplimentan informe de alta de enfermería, analizar qué información aportan éstos y conocer cómo las UCI que no utilizan este registro transmiten la información acerca del paciente. Material y métodos: Estudio descriptivo observacional. Se analizaron los informes de alta de enfermería emitidos por las UCI. Para las unidades que no lo cumplimentaban se documentó cómo facilitaban a planta información acerca del paciente. Resultados: Respondieron 259 (83%) UCI. 176 (68%) cumplimentaban informe de alta de enfermería, que se enviaba con la historia del paciente en todas las unidades. El 99% de los informes recogía en su estructura información acerca de las necesidades de alimentación y eliminación y el 7% acerca de vivir según creencias. El 100% solicitaba información sobre los patrones de percepción/control y nutricional/metabólico; el 1% sobre sexualidad/reproducción. De las 79 (30%) UCI que no cumplimentaban informe de alta de enfermería, en 43 (54%) acompañaban al paciente a planta y daban un relevo oral. En total 242 (93%) UCI transmiten información añadida a la que contiene la historia clínica a los profesionales de planta. Conclusiones: a) en un número importante de unidades de cuidados intensivos los profesionales de enfermería cumplimentan un informe de alta a la salida del paciente a planta; b) en estos informes predomina la valoración de aspectos biológicos básicos sobre los psicológicos y socioculturales; c) en las unidades que no cumplimentan informe de alta, acompañan al paciente a planta o bien informan por teléfono de la situación del paciente a la planta de destino, y d) la mayoría de UCI garantiza la continuidad en los cuidados de enfermería al alta del paciente, bien sea cumplimentando un informe de alta de enfermería, acompañando al paciente a planta o llamando por teléfono a los profesionales de ésta

Objectives: To determine the ICUs of Spain that fill out nursing discharge report, analyze what information they supply and know how the information on the patients is provided by the ICUs that do not use this record. Material and methods: Observational descriptive study. The nursing discharge reports issued by the ICUs were analyzed. For the units that did not fill them out, it was documented how they provided information on the patient to the ward. Results: A total of 259 ICU (83%) responded and 176 (68%) filled out the nursing discharge report, which was sent with the patient's history in all the units. A total of 99% of the reports included information on the eating and elimination needs and 7% on living according to beliefs in their structure. One hundred percent requested information on the perception/control and nutritional/metabolic patterns; 1% on sexuality/reproduction. Forty three (54%) of the 79 ICU (30%) that did not fill out a nursing discharge report accompanied the patient to the ward and gave an oral report. In all, 242 ICU (93%) provided information to the ward professionals added to that contained in the clinical history. Conclusions: a) the nursing professionals in a significant number of intensive care units filled out a discharge report when the patient was transferred to the ward; b) assessment of basic biological aspects prevailed in these reports over psychological and socioculture aspects; c) the units that did not fill out a discharge report accompany the patient to the ward or give a report by telephone of the patient's situations to the destination ward; and d) most of the ICUs guarantee the continuity of nursing cares when the patient is discharged, either by filling out a nursing discharge report, accompanying the patient to the ward or calling by telephone to the ward's professionals

Guía práctica de enfermería en el paciente crítico / Practical nursing guide in the critical patient

El personal de enfermería recién llegado a la unidad de cuidados intensivos (UCI) -enfermeras y alumnos-, puede sentir ansiedad y miedo por falta de destreza y/o conocimiento de las técnicas, organización propia del servicio y patologías tratadas. Objetivos. 1. Conocer los aspectos de cuidados intensivos que plantean mayores dificultades a los profesionales de nueva incorporación en la UCI del Hospital General Universitario de Alicante. 2. Proporcionar a estos profesionales una guía escrita que responda a las necesidades y situaciones que afrontan en su día a día. 3. Dar a conocer a los alumnos de enfermería, previo al inicio de sus prácticas en UCI, un conjunto de procedimientos básicos que haga posible un mejor aprovechamiento de éstas. 4. Difundir y facilitar al máximo el acceso a la información contenida en la guía. Material y métodos. Se encuestó a los profesionales recién diplomados que trabajaron durante el verano en UCI para determinar las técnicas o procedimientos que les plantearon mayores dificultades. Se diseñó una «Guía práctica de enfermería en el paciente crítico» en formatos papel y electrónico. Resultados. El respirador, el catéter de Swan-Ganz, la desfibrilación, las arritmias cardíacas y la inserción de un marcapasos temporal fueron los temas que plantearon mayor dificultad. El 92% de los compañeros volverían a elegir sus prácticas en UCI; al 33% lo que más le gustó fue el trabajo en equipo. Conclusiones. 1. La tecnología empleada en UCI plantea problemas a los compañeros recién llegados.2. La guía se puede utilizar por los nuevos profesionales y estudiantes como herramienta de trabajo y contribuir a la comunicación entre la universidad y el hospital. 3. El uso de Internet para la difusión de los trabajos realizados por profesionales de enfermería ofrece grandes ventajas y debe ser utilizado como una herramienta más

Nursing staff that have recently arrived to the ICU, nurses and students, may feel anxiety and fear due to lack of skill and/or knowledge of the techniques, the service’s organization and the diseases treated. Objectives. 1. To know the intensive care aspects that pose greater difficulties to the professionals newly incorporated into the ICU of the Hospital General Universitario of Alicante 2. To provide these professionals with a written guide that responds to the needs and situations that they face day to day. 3.Inform the nursing students, prior to the onset of their practice activities in the ICU, on a combination of basic procedures that make it possible to take better advantage of them. 4. Communicate and facilitate access to the information contained in the guide to the maximum. Material and methods. The professional workers who had recently received their degress and who worked in the ICU during the summery were surveyed to determine the techniques or procedures that posed the greatest difficulties. A «practice nursing guide in the critical patient» was designed in paper and electronic form. Results. The respiratory, Swan-Ganz catheter, defibrillation, cardiac arrhythmias and insertion of temporal pacemakers were the subjects posing the greatest difficulty. A total of 92% of the colleagues would re-chose their practices in the ICU; 33% liked working as a team most. Conclusions. 1. The technology used in the ICU poses problems for the recently arrived colleagues.2. The guide may be used by the new professionals and students as work tool and contribute to communication between the university and the hospital. 3. The use of Internet to communicate the work done by the Nursing professionals offers great advantages and should be used as one more tool