Abstract

Introduction: The care of the pregnant woman, her family and the newborn in the context of a pandemic, is located in a place of vulnerability of rights, due to different dimensions that causes not being able to predict how she will present childbirth and even more if it produces a premature birth, because not all hospital institutions currently comply with the right of childbirth respected and the right of the patient.

Aim: to analyze the internal consistency and reliability of an instrument on safe perinatal practices in the COVID-19 context.

Methods: A descriptive, cross-sectional study was carried out in a public institution of the Autonomous City of Buenos Aires in the period September-October 2021. The sample consisted of 37 nurses. An instrument composed of 35 items was used that was organized in four dimensions. After applying the data collection instrument in the selected sample, the construct validation was carried out by analyzing the factors and verifying the internal consistency using Cronbach's alpha.

Results: The analysis of internal consistency (reliability) was carried out through Cronbach's Alpha. The descriptive results with the 35 items showed a variance of each item of 4.980; a total variance of 24.088, with a total Cronbach's Alpha of 0.817, showing that the instrument presents internal consistency.

Conclusions: The results show that the proposed instrument has good validity and reliability and that it can be used to evaluate safe perinatal practices in the COVID-19 context.

Abstract

Background: Patient care is the core of the nursing profession, which can be defined as: an activity that requires personal and professional values to preserve, restore and care for life from the nursing-patient relationship.Aim: to describe the prevalence and reasons for the omission of nursing care, according to the perception of the nursing staff of a hospital in the province of Chubut in Argentina.Methods: Descriptive, cross-sectional observational study conducted with 76 nursing professionals. Data were collected using the MISSCARE instrument.Results: 76 nursing professionals participated in the study, 75% were female, with a median age of 40.5 years (IIQ: 36), mean 41.02 (SD: 7.6), ranging from 29 to 60 years. Nursing care that obtained the highest prevalences of omission were participation in the interdisciplinary team discussion of patient care, if present (75.0 %), walking three times a day or as prescribed (61.8 %), sitting the patient out of bed (52.6 %), requests for administration of prescribed medications Y/N are attended within fifteen minutes.Conclusions: This study highlighted the fact that omission of care is a real and frequent phenomenon. The most frequent reasons for omission of nursing care were related to human resources and material resources. These reasons are centered on managerial and systemic failures, which should be analyzed and corrected in favor of patient safety.

Abstract

Background: Patient safety, as a key aspect of quality of care, has become a priority aim of quality management in health systems.Aim: to analyze the relationship between patient safety and the evidence-based nursing practice environment.Methods: cross-sectional study, in 72 nursing professionals working in a public hospital in Chubut. The Nursing Works Index Nursing Practice Environment Scale and the Hospital Survey on Patient Safety Culture were used.Results: The survey included 73.6 % women and 26.4 % men, with an average age of 41.1 years (± 7.6), ranging from 29 to 60 years. Fifty percent of the sample had a professional nursing degree, 41.7% had a bachelor's degree in nursing and 8.3% had a master's degree. When analyzing the correlation between HSOPSC score and NWI nursing practice environment, a significant correlation was found (r=0.4984; P<0.0001). Conclusions: The patient safety culture is in average indicators, in this sense it is necessary to carry out improvement actions on systematic approaches to errors, in professional teams and in administration, are priorities to strengthen patient safety in the hospital. A statistically significant positive correlation was found, which means that the better the evidence-based nursing practice environment, the greater the patient safety culture.

Abstract

Introduction: Nursing records are part of the clinical history of the patient and give testimony of the activity that nursing provides to the patient, of their actions with him, both in the diagnosis, the treatment as well as in his evolution, supporting himself in the process of nursing care in a rational and systematic way, thereby enhancing the quality of nursing care and becoming the proof of the care provided to the patient. Objective: to analyze the internal consistency of a nursing registry model in a public hospital in the suburbs of Buenos Aires. Methods: A descriptive, cross-sectional study was carried out in the Coronary Unit of a public institution in the August-October 2021 period. The sample consisted of 64 nurses. After applying the data collection instrument in the selected sample, the construct validation was carried out by analyzing the factors and verifying the internal consistency using Cronbach's alpha. Results: The analysis of internal consistency was carried out through Cronbach's Alpha. The descriptive results with the 22 items showed a variance of each item of 3.856, a total variance of 26.816, with a Cronbach's Alpha of 0.895, showing that the instrument presents internal consistency. Conclusions: The validated Clinical Nursing Record format represents an improvement strategy to increase the quality of care. In it, information about the care provided to patients is recorded in an orderly and holistic manner.

Abstract

Introduction: Retinopathy of prematurity (ROP) is an alteration of the blood vessels of the immature retina, which appears in premature newborns during the first weeks of life, and causes ocular alterations that partially or totally impede visual development. Objective: to analyze the relationship between the level of knowledge about oxygen administration and nursing care for the prevention of retinopathy of the premature neonate. Methods: an observational, descriptive, cross-sectional study was carried out between the months of July-October 2021 in the Neonatology service of a health institution of the Autonomous City of Buenos Aires. The sample consisted of 32 nurses.&nbsp; Results: A prevalence of the female sex was evidenced with 78.1%. The average age was 44.09 ± 13.12, with the mode at 50. 46.9% of the respondents had a Bachelor's degree in Nursing. 43.75% of those surveyed obtained at least 60% of the correct answers. 68.75% of the sample met all the indicators in the checklist of nursing records. Conclusions: In light of these results, we can affirm that the institution does not have a trained staff that allows the development of a nursing role for the prevention of retinopathy, however, the quality of the nursing records was not deficient, which that did not have a significant correlation between the level of knowledge and the quality of the records.

Abstract

Introduction: The care of the pregnant woman, her family and the newborn in the context of a pandemic, is located in a place of vulnerability of rights, due to different dimensions that causes not being able to predict how she will present childbirth and even more if it produces a premature birth, because not all hospital institutions currently comply with the right of childbirth respected and the right of the patient. Aim: to analyze the internal consistency and reliability of an instrument on safe perinatal practices in the COVID-19 context. Methods: A descriptive, cross-sectional study was carried out in a public institution of the Autonomous City of Buenos Aires in the period September-October 2021. The sample consisted of 37 nurses. An instrument composed of 35 items was used that was organized in four dimensions. After applying the data collection instrument in the selected sample, the construct validation was carried out by analyzing the factors and verifying the internal consistency using Cronbach's alpha. Results: The analysis of internal consistency (reliability) was carried out through Cronbach's Alpha. The descriptive results with the 35 items showed a variance of each item of 4.980; a total variance of 24.088, with a total Cronbach's Alpha of 0.817, showing that the instrument presents internal consistency. Conclusions: The results show that the proposed instrument has good validity and reliability and that it can be used to evaluate safe perinatal practices in the COVID-19 context.

Abstract

Introduction: The Protocols of protection for hemato-oncological patient care are based on the adequacy of existing and scientifically validated scales.Objective: To describe the advances related to the implementation of protection protocols for the care of hemato-oncological patients from the point of view of Nursing Leadership in the services of the FUNDALEU Foundation.Methods: A non-experimental, observational, descriptive and cross-sectional study was conducted in May 2020.Results: In terms of sociodemographic variables, the sample was represented mostly by women, aged between 38 and 45 years, graduates who have worked for more than 7 years in the service. Regarding the means recorded for different aspects of knowledge of protocols adapted for patients in the institution, it is worth noting that all of them were positive. It was found that for the three items (cytopenia, mental status and sensory deficit) the ANOVA test had statistical significance (p<0.001) between these groups. With the assessment of the fall risk protocol, the corresponding care can be planned and carried out (p < 0.001).Conclusions: there are no difficulties in terms of knowledge about the use of the care protocol for hemato-oncological patients. The nursing attitudes point out as difficulties that the items cytopenia, mental status and sensory deficit are not sufficient, so that sometimes the updates with respect to the fall risk protocol are not up to date.