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2.
Arch. prev. riesgos labor. (Ed. impr.) ; 22(4): 165-170, oct.-dic. 2019. tab
Artigo em Espanhol | IBECS-Express | ID: ibc-FGT-2498

RESUMO

Objetivo: El objetivo de este estudio es analizar los valores de la ansiedad estado y ansiedad rasgo en un grupo de enfermeras especia-listas en ginecología y obstetricia (matronas) con respecto enfermeras asistenciales no especialistas. Métodos: Se realizó un estudio descriptivo transversal, utilizando el cuestionario de ansiedad estado-rasgo (State-Trait Anxiety Inventory STAI), en un grupo de enfermeras no especialistas (n=96) y matronas (n = 63) que desarrollan su actividad asistencial en hospitales del Servicio Madrileño de Salud en España. Resultados: La ansiedad estado fue similar en las enfermeras no especialistas (5,01 ± 1,62) y en las matronas (5,17 ± 1,75). La ansiedad rasgo fue menor en las matronas (3,46 ± 1,58) que en el grupo de enfermeras no especialistas (4,36 ± 2,84), presentando éstas últimas mayo-res niveles de ansiedad habitual como rasgo de personalidad (p = 0,013).Conclusiones: Las matronas pueden presentar una mejor adaptación al estrés derivado de su trabajo que las enfermeras no especialistas, pudiendo estar relacionado con la posible mayor seguridad en el desarrollo de las funciones asistenciales en enfermería


Objective: We analyzed state anxiety and trait anxiety in a population of nurses specialising in gynecology and obstetrics (nurse mid-wives) and a group of generalist nurses. Methods: Cross-sectional descriptive study using the State-Trait Anxiety Inventory questionnaire (STAI), administered to a group of non-specialist nurses (n = 96) and nurse midwives (n = 63) who practice in the Madrid Health Service of Spain. Results: State anxiety was similar in generalist nurses and in midwives (5,01 ± 1,62 and 5,17 ± 1,75, respectively). Levels of trait anxiety were lower in nurse midwives (3,46 ± 1,58) than in the non-specialist group (4,36 ± 2,84), with the latter presenting higher levels of habitual anxiety as a personality trait (p = 0,013).Conclusion: Nurse midwives may adapt better to the stress derived from their work than generalist nurses. This could be attributed to the greater training and safety that specialties provide for the development of nursing care functions

3.
Arch Prev Riesgos Labor ; 22(4): 165-170, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31633889

RESUMO

OBJECTIVE: We analyzed state anxiety and trait anxiety in a population of nurses specialising in gynecology and obstetrics (nurse midwives) and a group of generalist nurses. METHODS: Cross-sectional descriptive study using the State-Trait Anxiety Inventory questionnaire (STAI), administered to a group of non-specialist nurses (n=96) and nurse midwives (n=63) who practice in the Madrid Health Service of Spain. RESULTS: State anxiety was similar in generalist nurses and in midwives (5,01±1,62 and 5,17±1,75, respectively). Levels of trait anxiety were lower in nurse midwives (3,46±1,58) than in the non-specialist group (4,36±2,84), with the latter presenting higher levels of habitual anxiety as a personality trait (p=0,013). CONCLUSION: Nurse midwives may adapt better to the stress derived from their work than generalist nurses. This could be attributed to the greater training and safety that specialties provide for the development of nursing care functions.

4.
Artigo em Inglês | MEDLINE | ID: mdl-31635037

RESUMO

INTRODUCTION: The approach and use of the term "humanization" is very much present in healthcare. However, instruments for measuring the concept of the humanization of care are yet to be designed and developed. OBJECTIVE: The main objective of this study was to evaluate and validate the Healthcare Professional Humanization Scale (HUMAS) for nursing professionals. METHOD: The sample was made up of 338 adults, who were nurses working at health centers and hospitals, and aged between 22 and 56. RESULTS: The results of the analyses confirm that the Healthcare Professional Humanization Scale (HUMAS) has an adequate construct validity and reliability, and defines the humanization of care as a multidimensional construct, made up of five factors: Affection, Self-efficacy, Emotional understanding, Optimistic disposition and Sociability. CONCLUSIONS: The new HUMAS scale may be an easily administered and coded instrument for approaching the humanization of care, not only in research, but also in practice.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Inquéritos e Questionários/normas , Adulto , Inteligência Emocional , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Otimismo , Psicometria , Reprodutibilidade dos Testes , Autoeficácia
6.
J Clin Med ; 8(6)2019 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-31238559

RESUMO

Potentially inappropriate medications are associated with polypharmacy and polypathology. Some interventions such as pharmacotherapy reviews have been designed to reduce the prescribing of inappropriate medications. The objective of this study is to evaluate how effective a decision-making support tool is for determining medication appropriateness in patients with one or more chronic diseases (hypertension, dyslipidaemia, and/or diabetes) and polypharmacy in the primary care setting. For this, a quasi-experimental study (randomised, controlled and multicentre) has been developed. The study compares an intervention group, which assesses medication appropriateness by applying a decision support tool, with a control group that follows the usual clinical practice. The intervention included a decision support tool in paper format, where participants were informed about polypharmacy, inappropriate medications, associated problems and available alternatives, as well as shared decision-making. This is an informative guide aimed at helping patients with decision-making by providing them with information about the secondary risks associated with inappropriate medications in their treatment, according to the Beers and START/STOPP criteria. The outcome measure was the proportion of medication appropriateness. The proportion of patients who confirmed medication appropriateness after six months of follow-up is greater in the intervention group (32.5%) than in the control group (27.9%) p = 0.008. The probability of medication appropriateness, which was calculated by the proportion of drugs withdrawn or replaced according to the STOPP/Beers criteria and those initiated according to the START criteria, was 2.8 times higher in the intervention group than in the control group (OR = 2.8; 95% CI 1.3-6.1) p = 0.008. In patients with good adherence to the treatment, the percentage of appropriateness was 62.1% in the shared decision-making group versus 37.9% in the control group (p = 0.005). The use of a decision-making support tool in patients with potentially inappropriate medications increases the percentage of medication appropriateness when compared to the usual clinical practice.

7.
Enferm. clín. (Ed. impr.) ; 27(4): 251-255, jul.-ago. 2017. graf
Artigo em Espanhol | IBECS | ID: ibc-164781

RESUMO

Hoy en día resulta imprescindible la implementación de sistemas de gestión de calidad en el entorno sanitario, sin embargo esto no es posible sin el apoyo de las direcciones de los centros sanitarios, puesto que son estas las que deben diseñar y trasladar las estrategias a los profesionales sanitarios. En este artículo se ha planteado el presentar la gestión de calidad desde las Direcciones de Enfermería, centrándose en las aplicaciones del ciclo de mejora continua, constituir grupos de mejora, implementar sistema de monitorización y la aplicación de modelos externos de calidad (como EFQM o ISO). Todo lo anterior y su implementación, redundará en la seguridad del paciente puesto que un adecuado sistema de gestión de calidad permitirá eliminar, reducir y mitigar los resultados adversos evitables, generados como consecuencia del proceso de atención, además de promocionar las prácticas seguras (AU)


Nowadays the implementation of effective quality management systems and external evaluation in healthcare is a necessity to ensure not only transparency in activities related to health but also access to health and patient safety. The key to correctly implementing a quality management system is support from the managers of health facilities, since it is managers who design and communicate to health professionals the strategies of action involved in quality management systems. This article focuses on nursing managers’ approach to quality management through the implementation of cycles of continuous improvement, participation of improvement groups, monitoring systems and external evaluation quality models (EFQM, ISO). The implementation of a quality management system will enable preventable adverse effects to be minimized or eliminated, and promote patient safety and safe practice by health professionals (AU)


Assuntos
Humanos , Gestão da Segurança/organização & administração , Gestão da Qualidade , Processo de Enfermagem/organização & administração , Regulação e Fiscalização em Saúde , Segurança do Paciente/normas , Modelos Organizacionais , Padrões de Prática em Enfermagem , Papel do Profissional de Enfermagem , Melhoria de Qualidade/organização & administração
8.
Enferm Clin ; 27(4): 251-255, 2017.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28595820

RESUMO

Nowadays the implementation of effective quality management systems and external evaluation in healthcare is a necessity to ensure not only transparency in activities related to health but also access to health and patient safety. The key to correctly implementing a quality management system is support from the managers of health facilities, since it is managers who design and communicate to health professionals the strategies of action involved in quality management systems. This article focuses on nursing managers' approach to quality management through the implementation of cycles of continuous improvement, participation of improvement groups, monitoring systems and external evaluation quality models (EFQM, ISO). The implementation of a quality management system will enable preventable adverse effects to be minimized or eliminated, and promote patient safety and safe practice by health professionals.


Assuntos
Segurança do Paciente/normas , Gestão da Qualidade Total , Humanos , Melhoria de Qualidade
9.
Metas enferm ; 19(3): 21-26, abr. 2016. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-153591

RESUMO

Objetivos: analizar el nivel de ansiedad en las enfermeras del Servicio Madrileño de Salud, determinar si existen diferencias en cuanto a la ansiedad-estado y ansiedad rasgo entre enfermeras gestoras y clínicas, y detectar la influencia de factores sociolaborales en la ansiedad. Método: estudio descriptivo transversal realizado en profesionales de Enfermería con desempeño clínico y de gestión, en los hospitales públicos del Servicio Madrileño de Salud. Como herramienta para medir la ansiedad se utilizó el State-Trait Anxiety Inventory (STAI) de Spielberger. Se calcularon índices de estadística descriptiva y análisis bivariante mediante la prueba T de Student o la prueba U de Mann-Whitney. Resultados: fueron estudiadas 184 enfermeras de las cuales 96eran asistenciales y 88 eran gestoras. No se observaron diferencias estadísticamente significativas para la ansiedad estado, mientras que para la ansiedad rasgo se encontró una diferencia significativa (p= 0,018), siendo menor en los enfermeros gestores. Conclusiones: la ansiedad estado y rasgo en las enfermeras/os hospitalarias del Servicio Madrileño de Salud es inferior a la media poblacional española; además la ansiedad rasgo de las enfermeras gestoras es menor significativamente que la de las enfermeras clínicas, lo que podría indicar una mayor tolerancia y resistencia al estrés en este grupo (AU)


Objectives: to analyze the level of anxiety among nurses in the Healthcare System of Madrid, to determine if there are differences between State Anxiety and Trait Anxiety between manager and clinical nurses, and to detect the influence of socio-occupational factors on anxiety. Method: a transversal descriptive study conducted with nursing professionals with clinical and management performance, in the public hospitals of the Healthcare System of Madrid. The State-Trait Anxiety Inventory by Spielberger was used as a tool to measure anxiety. The rates of descriptive statistics and bivariate analysis were calculated through Student’s T test or Mann-Whitney’s U Test. Results: the study included 184 nurses; 96 of them worked inpatient care, and 88 were managers. No statistically significant differences were observed for State Anxiety, while a significant difference (p= 0.018) was found for Trait Anxiety, which was lower in manager nurses. Conclusions: state and Trait Anxiety in hospital nurses from the Healthcare System of Madrid is lower than the mean level among the Spanish population; besides, the Trait Anxiety in manager nurses is significantly lower than that of Clinical Nurses, which could indicate a higher tolerability and resistance to stress among this group (AU)


Assuntos
Humanos , Feminino , Ansiedade/epidemiologia , Transtornos de Ansiedade/epidemiologia , Estresse Psicológico/epidemiologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Epidemiologia Descritiva , Administração dos Cuidados ao Paciente/tendências
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