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1.
Enferm. clín. (Ed. impr.) ; 29(6): 328-335, nov.-dic. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-184652

RESUMO

Objetivo: Analizar la distribución de competencias avanzadas en enfermeras especialistas y enfermeras de práctica avanzada y evaluar su asociación con algunas características de su perfil profesional. Método: Estudio transversal analítico multicéntrico. Se incluyeron enfermeras que ejercían como Enfermeras de Práctica Avanzada y enfermeras Especialistas. Se midió su nivel de competencias avanzadas percibidas, así como variables de caracterización profesional. Resultados: Doscientas setenta y siete enfermeras participaron (149 ejercían práctica avanzada y 128 especialistas), con una media de 13,88 (11,05) años como especialista y 10,48 (5,32) años como Enfermera de Práctica Avanzada. Un 28,8% tenía nivel de máster o doctorado. El 50,2% ejercía en atención primaria, el 24,9% en hospitales y el 22,7% en salud mental. El nivel global autopercibido fue elevado en las distintas competencias, siendo las dimensiones más bajas las de investigación, práctica basada en la evidencia, gestión de la calidad y seguridad y liderazgo y consultoría. Las Enfermeras de Práctica Avanzada obtuvieron mayor nivel competencial de forma global y en las dimensiones de liderazgo y consultoría, relaciones interprofesionales, gestión de cuidados y promoción de salud. No hubo diferencias en función de la experiencia o la posesión de nivel de máster o de doctorado. En las Enfermeras de Práctica Avanzada el contexto de práctica no influía en los niveles competenciales, aunque en las enfermeras especialistas sí, a favor de las que ejercían en salud mental. Conclusiones: Las enfermeras especialistas y de práctica avanzada tienen competencias distintas que deberían ser gestionadas adecuadamente para el desarrollo de los servicios enfermeros avanzados y especializados


Objective: To analyse the distribution of advanced competences in specialist nurses and advanced practice nurses and to evaluate their association with some characteristics of their professional profile. Method: Multicentre analytical cross-sectional study. Nurses who worked as advanced practice nurses and specialist nurses were included. Their level of perceived advanced competences was measured, as well as sociodemographic and professional characterization variables. Results: A total of 277 nurses participated (149 practised as advanced practice nurses and 128 as specialists), with an average of 13.88 (11.05) years as a specialist and 10.48 (5.32) years as an advanced practice nurse. In the sample, 28.8% had a master's or doctorate level qualification, 50.2% worked in Primary Care, 24.9% in hospitals and 22.7% in Mental Health. The self-perceived global level was high in the different competences, the lowest dimensions being research, evidence-based practice, quality and safety management and leadership and consulting. The advanced practice nurses obtained a higher level of competence globally and in the dimensions of leadership and consulting, interprofessional relations, care management, and health promotion. There were no differences based on experience or possession of a master's degree or doctorate. In the advanced practice nurses, the practice context did not influence competence levels, although in the specialist nurses it did, in favour of those practicing in Mental Health. Conclusions: Specialist and advanced practice nurses have different competences that should be adequately managed for the development of advanced and specialist nursing services


Assuntos
Humanos , Competência Profissional , Papel do Profissional de Enfermagem , Enfermeiras Clínicas/organização & administração , Liderança , Enfermeiras Clínicas/normas , Estudos Transversais
2.
Enferm. clín. (Ed. impr.) ; 29(6): 370-375, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184658

RESUMO

Los sistemas sanitarios tienen la responsabilidad de dar respuesta a las nuevas necesidades de salud de la población, que se caracterizan por factores como el envejecimiento, la cronicidad y/o las situaciones de dependencia y que requieren de cuidados de calidad, especializados y adaptados a diferentes ámbitos donde la atención se presta, cuidados ofertados por profesionales formados y cada vez más cualificados para mejorar los resultados en salud de las personas que cuidan. En el año 2016, en Andalucía se publica el marco normativo por el que se crea la categoría profesional estatutaria de enfermero/a especialista, entre las que se incluye la especialidad de Enfermería de Salud Mental en el Servicio Andaluz de Salud. En el ámbito de la Salud Mental, el desarrollo de este marco normativo y la definición y ocupación de puestos permitirá al sistema sanitario conjugar el papel de las enfermeras especialistas con el de las enfermeras que prestan cuidados generales, enfermeras de Grado, en pro de avanzar en la mejor respuesta a las necesidades de salud de la ciudadanía en este ámbito de atención. El desarrollo de la especialidad podrá suponer un valor añadido tanto para la mejora de los resultados en salud de las personas con problemas de salud mental como para mejorar la calidad asistencial, la eficiencia y la sostenibilidad de los sistemas sanitarios


Health systems have a responsibility to respond to the new health needs of the population, which are characterized by factors such as aging, chronicity and/or dependency situations and which requires quality and specialized care adapted to different areas where care is provided, care offered by trained and increasingly qualified professionals to improve the health outcomes of the caregivers. In 2016, in Andalusia the regulatory framework by which is created the statutory professional category of nurse/specialists is published, including the specialty of Mental Health Nursing in the Andalusian Health Service. In the field of Mental Health, the development of this normative framework and the definition and occupation of positions, will allow the health system to combine the role of nurse specialist nurses with that of nurses who provide general care, registered nurses, in order to advance in the best response to the health needs of citizens in this area of care. The development of the specialty will be an added value both to improve the health outcomes of people with mental health problems, and to improve the quality of care, efficiency and sustainability of health systems


Assuntos
Humanos , Especialidades de Enfermagem , Enfermagem Psiquiátrica/métodos , Enfermagem em Saúde Comunitária/métodos , Enfermagem em Saúde Comunitária/organização & administração , Saúde Mental , Sistemas de Saúde/organização & administração
3.
Enferm Clin ; 29(6): 370-375, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31668452

RESUMO

Health systems have a responsibility to respond to the new health needs of the population, which are characterized by factors such as aging, chronicity and/or dependency situations and which requires quality and specialized care adapted to different areas where care is provided, care offered by trained and increasingly qualified professionals to improve the health outcomes of the caregivers. In 2016, in Andalusia the regulatory framework by which is created the statutory professional category of nurse/specialists is published, including the specialty of Mental Health Nursing in the Andalusian Health Service. In the field of Mental Health, the development of this normative framework and the definition and occupation of positions, will allow the health system to combine the role of nurse specialist nurses with that of nurses who provide general care, registered nurses, in order to advance in the best response to the health needs of citizens in this area of care. The development of the specialty will be an added value both to improve the health outcomes of people with mental health problems, and to improve the quality of care, efficiency and sustainability of health systems.

4.
Enferm Clin ; 29(6): 328-335, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31640941

RESUMO

OBJECTIVE: To analyse the distribution of advanced competences in specialist nurses and advanced practice nurses and to evaluate their association with some characteristics of their professional profile. METHOD: Multicentre analytical cross-sectional study. Nurses who worked as advanced practice nurses and specialist nurses were included. Their level of perceived advanced competences was measured, as well as sociodemographic and professional characterization variables. RESULTS: A total of 277 nurses participated (149 practised as advanced practice nurses and 128 as specialists), with an average of 13.88 (11.05) years as a specialist and 10.48 (5.32) years as an advanced practice nurse. In the sample, 28.8% had a master's or doctorate level qualification, 50.2% worked in Primary Care, 24.9% in hospitals and 22.7% in Mental Health. The self-perceived global level was high in the different competences, the lowest dimensions being research, evidence-based practice, quality and safety management and leadership and consulting. The advanced practice nurses obtained a higher level of competence globally and in the dimensions of leadership and consulting, interprofessional relations, care management, and health promotion. There were no differences based on experience or possession of a master's degree or doctorate. In the advanced practice nurses, the practice context did not influence competence levels, although in the specialist nurses it did, in favour of those practicing in Mental Health. CONCLUSIONS: Specialist and advanced practice nurses have different competences that should be adequately managed for the development of advanced and specialist nursing services.

5.
Enferm. clín. (Ed. impr.) ; 29(2): 83-89, mar.-abr. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-182597

RESUMO

Los cambios socio-demográficos y epidemiológicos de nuestro entorno se caracterizan por el aumento del envejecimiento, la cronicidad, las comorbilidades y, con ello, una escalada progresiva de la demanda de cuidados. Estas nuevas demandas y expectativas de la ciudadanía se acompañan de una evolución de los sistemas sanitarios (avances tecnológicos, complejidad del entramado asistencial, recursos limitados), la necesidad de desarrollar nuevos roles y competencia en cuidados, junto a la oportunidad que supone el pleno desarrollo académico del grado y posgrado de Enfermería. Es por todo ello que, en la actualidad, se hace necesario reorientar los modelos de cuidados para lograr una atención sanitaria más ágil, eficiente y de calidad, adaptada a las necesidades y expectativas de la ciudadanía y a la sostenibilidad de los sistemas sanitarios. El Sistema Sanitario Público de Andalucía (SSPA) ha desarrollado, en las últimas décadas, diferentes roles enfermeros que incluyen nuevas competencias, con el objetivo de dar respuestas a las necesidades de la ciudadanía. El objetivo de este artículo es presentar cómo se ha venido configurando un marco de desarrollo competencial de las enfermeras y enfermeros en el SSPA, en el que se integran además las competencias de avance en cuidados y los perfiles avanzados de práctica (especialidades de Enfermería y Enfermería de Práctica Avanzada)


The socio-demographic and epidemiological changes of our environment are characterized by an increase in aging, chronic illness, comorbidities and with it, a progressive escalation of the demand for care. These new demands and expectations of citizenship are accompanied by an evolution of health systems (technological advances, complexity of the healthcare network, limited resources), the need to develop new roles and competence in care, together with the opportunity that full academic development implies: Nursing undergraduate and posgraduate degrees. This is why, at present, it is necessary to reorient care models in order to achieve health care for more agile, efficient and better quality care processes, adapted to the needs and expectations of citizens and to the sustainability of health systems. The Public Health System of Andalusia (SSPA) has developed, in recent decades, different nursing roles that include new competences, with the aim of responding to the needs of citizens. The objective of this article is to present how the competences development framework of nurses has been configured in the SSPA, which also integrates advanced skills in care and advanced practice profiles (Clinical Nurse Specialists and Advanced practice nurses)


Assuntos
Humanos , Prática Avançada de Enfermagem , Papel do Profissional de Enfermagem , Competência Profissional , Setor Público , Espanha
6.
Enferm Clin ; 29(2): 83-89, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30799095

RESUMO

The socio-demographic and epidemiological changes of our environment are characterized by an increase in aging, chronic illness, comorbidities and with it, a progressive escalation of the demand for care. These new demands and expectations of citizenship are accompanied by an evolution of health systems (technological advances, complexity of the healthcare network, limited resources), the need to develop new roles and competence in care, together with the opportunity that full academic development implies: Nursing undergraduate and posgraduate degrees. This is why, at present, it is necessary to reorient care models in order to achieve health care for more agile, efficient and better quality care processes, adapted to the needs and expectations of citizens and to the sustainability of health systems. The Public Health System of Andalusia (SSPA) has developed, in recent decades, different nursing roles that include new competences, with the aim of responding to the needs of citizens. The objective of this article is to present how the competences development framework of nurses has been configured in the SSPA, which also integrates advanced skills in care and advanced practice profiles (Clinical Nurse Specialists and Advanced practice nurses).


Assuntos
Competência Clínica , Assistência à Saúde , Educação em Enfermagem , Saúde Pública , Prática Avançada de Enfermagem , Humanos , Espanha
11.
Enferm. clín. (Ed. impr.) ; 26(1): 85-90, ene.-feb. 2016. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-149199

RESUMO

El objeto del artículo es fundamentar la necesidad de un cambio de la atención, basado en la cooperación entre los que prestan la atención y los que la reciben. Este artículo desarrolla los factores decisivos para el cambio: la cooperación participada, la referencia en la gestión de casos, el concepto de recuperación y la atención terminal, la reducción del sufrimiento y el valor del cambio reflejado en el «todos ganan». En cada uno de ellos se realiza un cuestionamiento de la situación actual, un análisis metodológico y la aportación de instrumentos y consecuencias del cambio. Finalmente, se incorpora el recurso del «itinerario de atención compartida» como una de las formas de llevar estos cambios a la realidad de la atención en el día a día (AU)


The purpose of this article is to support the need for a change of care, based on cooperation between those who provide care and those who receive it. This article develops the decisive factors for change: the investee cooperation, the reference in case management, the concept of recovery and terminal care, the reduction of suffering and the value of change reflected in the ‘win-win’. In each of them a questioning of the current situation, a methodological analysis and an input of tools and consequences of the change is made. To conclude, the article incorporates the ‘itinerary of shared care’ as a resource and one of the ways to bring these changes to the reality of day-to-day care (AU)


Assuntos
Humanos , Atenção à Saúde , /métodos , Relações Médico-Paciente , Participação do Paciente/métodos , Cuidadores/educação , Tomada de Decisões
13.
Enferm Clin ; 26(1): 85-90, 2016.
Artigo em Espanhol | MEDLINE | ID: mdl-26553866

RESUMO

The purpose of this article is to support the need for a change of care, based on cooperation between those who provide care and those who receive it. This article develops the decisive factors for change: the investee cooperation, the reference in case management, the concept of recovery and terminal care, the reduction of suffering and the value of change reflected in the 'win-win'. In each of them a questioning of the current situation, a methodological analysis and an input of tools and consequences of the change is made. To conclude, the article incorporates the 'itinerary of shared care' as a resource and one of the ways to bring these changes to the reality of day-to-day care.


Assuntos
Administração de Caso , Continuidade da Assistência ao Paciente , Assistência Terminal , Comunicação , Humanos
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