Scipedia: Revista de Salud, Ciencia y Tecnología

Validation of an instrument on safe perinatal practices in the COVID-19 context

Scipedia content — Fri, 04 Nov 2022 13:23:08 +0100

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.

Oxygen administration for the prevention of retinopathy in prematurity: knowledge and care of the nursing staff

Scipedia content — Fri, 04 Nov 2022 13:22:56 +0100

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.

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.

Internal consistency analysis of a nursing registry model

Scipedia content — Fri, 04 Nov 2022 13:22:47 +0100

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.

Leadership styles and organizational climate perceived by the nursing staff of a public hospital in the city of Bahía Blanca

Scipedia content — Fri, 04 Nov 2022 13:22:36 +0100

Introduction: Leading in Health implies the ability to improve a service through different actors and through changes that benefit the population.

Objective: to describe the perception of leadership styles and organizational climate perceived by the nursing staff of a public hospital in the city of Bahía Blanca.

Methodology: An observational, descriptive, cross-sectional, descriptive study was conducted from May to June 2021 in a public hospital in the city of Bahía Blanca, Argentina. The sample consisted of 70 nursing professionals.

Results: From the sociodemographic point of view, the prevalence of the female sex stands out, 50% of the respondents were between 23 and 37 years of age; similar values were found in the group of Bachelor's Degree in Nursing among the academic degrees. When the behavior of the questionnaires on Leadership and Organizational Climate was analyzed, 10 of 12 indicators had neutral values; it is noteworthy that there were no indicators with negative values on average. Pearson's correlation coefficient was analyzed, as well as the level of statistical significance in each of the cases.

Conclusions: The population studied was characterized by a female prevalence, young with nursing degree training and less than 10 years of work. The study found a close relationship between leadership and organizational climate, although respondents reported neutrality in the overall perception of these two dimensions.

Does mobbing impact on witnesses?: An observational study in the nursing staff of a hospital in Buenos Aires

Scipedia content — Fri, 04 Nov 2022 13:22:20 +0100

Introduction: Mobbing is a set of unacceptable behaviors and practices, aimed at, causing or likely to cause physical, psychological, sexual or economic harm, and includes gender-based violence and harassment.

Objective: To analyze the impact of mobbing on witnesses and its relationship to job performance.

Methodological design: an observational, descriptive, cross-sectional, descriptive study was carried out in a hospital in the Buenos Aires suburban area. The sample consisted of 64 nursing professionals. Four evaluation instruments were used.

Results: In the sample studied, 51.6% had been victims of mobbing, 79.68% had witnessed this type of act and 37.5% reported that they currently feel harassed or psychologically bullied at work. The mean score obtained in the HPT-R was 65.51±25.96. The results show that witnesses suffer significantly more stress symptoms than non-witnesses. Witnesses presented higher means for the vast majority of the stress symptoms analyzed. When ANOVA test was applied, it was found that those who were witnesses had higher number of stress symptoms, HPT-R scores and lower professional performance.

Conclusions: Witnesses of psychological harassment at work had a higher perception of stress symptoms than those who did not, in addition to a higher overall score of perceived harassment and lower job performance.

Work fatigue and absenteeism in the nursing staff

Scipedia content — Fri, 04 Nov 2022 13:22:11 +0100

Introduction: Nursing professionals are exposed to mental workload constantly to situations that generate burdens as a consequence of the physical, mental, emotional and economic effort of care and other sociodemographic and occupational factors.

Objective: to describe the association between work fatigue and absenteeism in nursing staff of a private institution in the city of Buenos Aires.

Methods: A descriptive, cross-sectional study was carried out in a private institution of the Autonomous City of Buenos Aires from February to April 2022. The sample consisted of 60 nurses, selected by non-probabilistic convenience sampling. This research was developed with the application of the Swedish Occupational Fatigue Inventory (SOFI) questionnaire, contextualized and validated in Spanish.

Results: The sample consisted of 65% of the female sex. The mean age was 39.22±11.59. Of the professionals, 46.7% had a nursing degree. In relation to absence from work during the last 12 months, this was evidenced in 56.7% of the sample; and the average number of days of absence from work during the last 12 months was 15.85±40.63.

Conclusions: In conclusion, the present work highlights the need to take into consideration the study of mental workload and fatigue in the nursing profession, according to the working conditions within the nursing staff.

Historia y Filosofía de la Ciencia en Latinoamérica

Scipedia content — Fri, 04 Nov 2022 13:21:53 +0100

Introduction: The countries of Latin America have a common history in which they share languages, roots and traditions, and this is a major milestone in their unique way of progress.

Objective: To characterise the communication patterns and impact of Latin American scientific output in the category “History and Philosophy of Science”.

Methods: A bibliometric study was conducted where the documents belonging to the category "History and Philosophy of Science" from the period between 1996 and 2016 were analysed, using as tools Scival and Scimago Country and Journal Rank.

Results: While the regional scientific output showed an annual growth, especially after 2009, this growth was less noticeable at a global level, which indicates the scientific community’s interest towards this type of studies. More than half of the documents were cited, with a citation average of 28 cites per document. More than 30% of the communications involved international collaboration. Different studies have proven that the works which involved collaboration had a greater impact, at the expense of their visibility.

Conclusions: The analysis of the Latin-American field of History and Philosophy of Science is characterised by a sustained growth, with Brazil as its greater producer. The region has high indicators for scientific leadership and citation. They show their potential based on the recovery of the historical memory of Latin-American people in a new context related to the recognition of scientific heritage as an essential part of our people’s culture, economy, politics and society.

Nursing management and leadership in the Hospital Infection Committee of the Manuel Sanguinetti Regional Hospital

Scipedia content — Fri, 04 Nov 2022 13:21:08 +0100

Introduction: An infection control committee is an instance formed by trained professionals committed to patient safety.Objective: to describe the knowledge, attitudes and practices of the nursing staff regarding the functioning of the Infection Committee, as well as the management and leadership of the nursing representative.Methods: An observational, descriptive and cross-sectional study was carried out at the Manuel Sanguinetti Regional Hospital, Comodoro Rivadavia, Chubut (Argentina), in July 2020. The sample consisted of 131 nurses. To obtain data, a perception questionnaire on knowledge, attitudes and practices was applied.Results: 17.6% of professionals with staff in charge. The majority belong to the female gender (87%). The predominant age range was between 36 and 45 (42.7%), with the longest seniority in the hospital being between 5 and 10 years (35.9%). 90% consider that the ECI should establish a network with the hierarchical personnel and the rank and file. 82% respond positively on that the C.I. is integrated by a multidisciplinary group and its purpose is the prevention of hospital infections.Conclusions: Despite the overall knowledge that exists about nosocomial infections, ICs and the role of the nurse in infection control, deficiencies were detected in the knowledge regarding the involvement of the committee in training on the use of the epidemiological method and providing directives to the committee. There is no basis for the election of the nursing representative within the committee.

Patient safety and evidence-based nursing practice environment public institution in the province of Chubut, Argentina

Scipedia content — Fri, 04 Nov 2022 13:20:14 +0100

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.

Omitted nursing care and its reasons in a public institution in the province of Chubut, Argentina

Scipedia content — Fri, 04 Nov 2022 13:20:05 +0100

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.

Scientific production on patient safety in the field of nursing in Latin America

Scipedia content — Fri, 04 Nov 2022 13:19:56 +0100

Patient safety is a priority in health care centers, where the nursing professional's focus is on direct patient care without the intention of committing adverse events, committing to focused and safe care free of incidents, but these can be modified if there is no culture of quality care. A descriptive bibliometric study was carried out in the Scopus database, in publications between January 2000 and December 2020; with the aim of characterizing the scientific production on patient safety in the area of Nursing in Latin America. A total of 939 documents were recovered. The scientific production had a marked growth after 2007, 97.8 of the documents were citable documents, the language with the highest number of articles and citations per document was English with 872 documents and 16.3 citations per document respectively. A significant positive correlation was found between the indicators of collaboration and scientific visibility. It is concluded that Latin American scientific production on patient safety in the nursing area is characterized by a tendency towards growth in volume, with a marked decrease in scientific impact. High producers such as Brazil and Mexico stand out, however, there is a low Latin American scientific leadership, highlighting the need to strengthen research in this thematic area in the region, as a way of recognizing the importance of safe and quality care as a basis for nursing practice.

Chronology and sequence of permanent dental eruption in children from 5 to 12 years of age

Scipedia content — Fri, 04 Nov 2022 13:20:51 +0100

Background: Tooth eruption is the movement of teeth through the bone and overlying mucosa to emerge and function in the oral cavity.Aim: To characterize the variability in the sequence and chronology of eruption of the permanent dentition in children aged 5 to 12 years.Method: A descriptive observational cross-sectional study was carried out in the "Briones Montoto" Primary School of the municipality of Guanabacoa, in the period between September 2019 and June 2020. The universe was constituted by 239 children and to determine the chronology of dental eruption, a sample of 216 children who attended classes on the day of the evaluation were taken, who fulfilled the inclusion and exclusion criteria.Results: At 5 years of age, most of the children were found with their primary dentition completed, representing 61.5%, at 6 years of age 85.5% presented all the incisors plus the first molar and 57.1% of the total studied at the age of 11 years had all the permanent teeth up to the second molar, with a predominance of the female sex, which represented 66.7%.Conclusions: There is an advance in the sequence and chronology of permanent dental eruption in this school, becoming more evident in the female sex with the central incisor being the first tooth to erupt before the first molar.

Nursing organization and management in the practice of blood sample collection

Scipedia content — Fri, 04 Nov 2022 13:19:08 +0100

Laboratory testing of blood samples is essential for the diagnosis and treatment of patients. This article aims to describe preanalytical errors in the clinical laboratory from a nursing management approach. Diagnostic tests are clinical decision support tools. Their use is said to be adequate or appropriate if the result answers the question that the clinician had asked himself before its request and, at the same time, if it helps him to decide some therapeutic action that benefits the patient. Venous blood collection is one of the most frequent nursing interventions in the ED, as well as a conclusive diagnostic test to establish a clinical judgment. Laboratory results have been estimated to affect up to 70% of the medical diagnosis, thus impacting the course of treatment and prognosis of patients. Therefore, it is necessary to have excellent quality control throughout the laboratory process to ensure that the results released to the clinician are reliable and truthful. In the pre-analytical process there is a wide variety of errors, these errors cover several areas; those related to the blood test request, i.e., that it is inadequate or incorrectly performed, lost or misidentified.

Perception of communication channels and their relationship with organizational strategies in nursing services

Scipedia content — Fri, 04 Nov 2022 13:17:42 +0100

Background: Organizations are structured by interdepartmental areas that work interconnected and are seen as open systems in the communication process, surviving in a complex environment.Aim: To describe the perception of internal communication channels and their relationship with organizational strategies. Methods: Observational, descriptive, cross-sectional study in March 2021 in nursing services of the Instituto Privado Especializado en Oncología Alexander Fleming. The sample consisted of 112 nurses. It was used as an instrument to determine the perception of internal organizational communication, dimensioning its variables.Results: The average age was 39.25±7.88 years, female sex (81.3%), professional level of graduates. The communication channels, both written and oral, were perceived as "Good" (P < 0.001). The average evaluation of the strategic criteria was "Fair" according to the instrument. There was a significant difference in how the communication flow between professional levels was perceived (P=0.036), despite the fact that their average evaluation was "Good", mainly affecting services where hospitalizations are not performed. Conclusions: In this study it was found that communication was centered in an institution with a decentralized structure, finding young adult nurses, mostly of the female sex, of licensed professional level and who work mainly in services that do not handle hospitalization. The written channels of communication are (e-mail, requests, letters, memos, mural) and oral (telephone, meetings, conferences, meetings), both with perceptions categorized as good.

Valvular Prostheses Dysfunction

Scipedia content — Fri, 04 Nov 2022 13:22:02 +0100

Prosthetic heart valve dysfunction can provoke the appearance of symptoms or signs or completely asymptomatic being. A typical symptom of malfunction of the heart valves is the heart failure, with one of its more common symptoms the dyspnea. The substitution of the heart valves with mechanical or biological prosthesis can cause a heart dysfunction. There was carried out a review with the objective to describe the main causes and the handling of the prosthetic heart valve dysfunction. In patient with valve substitution can appear failure, either for intrinsic or extrinsic dysfunction, being these last ones those of more incidence. The handling from the clinical point of view and the medical treatment precocious is fundamental pillars to elevate the patients' quality life. The surgery is generally reserved to patient with recurrence or severe complications.

Salud, Ciencia y Tecnología (Health, Science and Technology): a space for scientific communication with an interdisciplinary approach

Scipedia content — Fri, 04 Nov 2022 13:21:41 +0100

COVID-19, or severe acute respiratory syndrome type 2 coronavirus (SARS-CoV-2), is transmitted through large droplets generated during coughs and sneezes by symptomatic patients, but can also occur in asymptomatic individuals and before onset. of symptoms. Dental services are not unrelated to the COVID-19 pandemic. This article describes some considerations based on dental care in the context of the COVID-19 pandemic. In the scenario we live in today, a lot of uncertainty is generated in the decision-making process. We are aware that the extreme dynamics of the outbreak and the relative speed of information gathering can determine a sudden change of opinion and recommendations for the prevention of SAR-CoV-2 infection in the setting of dental care. Stomatology professionals are extremely exposed to the risk of SAR-CoV-2 infection, so it is necessary to take proactive and preventive measures as a pillar to contain the spread of the virus.

COVID-19: a challenge for stomatological services

Scipedia content — Fri, 04 Nov 2022 13:21:32 +0100

Argentine higher education in the COVID-19 pandemic and in the post-pandemic period

Scipedia content — Fri, 04 Nov 2022 13:21:23 +0100

The closure of higher education educational centers, including higher education institutions, was one of the first measures taken by the Argentine National Government to prevent the spread of the new SARS-CoV-2 coronavirus. This article addresses some strategies related to teaching in higher education carried out during the COVID-19 pandemic in Argentina, as well as future projections or recommendations that could be derived in the post-pandemic stage with the aim of having strategies of coping with similar situations. The pandemic generated a deep reflection on institutional educational practices in the country, in particular, regarding their pedagogical sufficiency to take on the challenges of training mediated by technological resources. Virtual education implies extra work for the teacher, not only because of the preparation of materials, but also because of the need to always be available to hundreds of students. In the case of higher education, current reality has shown that, although some careers or subjects are practically impossible to do in virtual mode, in others it is feasible and even practical; The need arises then to review the curricular networks in the universities. Not only teachers, but also students, should be willing to change traditional models of education and find more participatory roles, so that this situation, a product of the health crisis, translates into a positive change in the educational processes of education. Argentine superior that is maintained in time.

Nasal Obstructive Syndrome: a mini-review

Scipedia content — Fri, 04 Nov 2022 13:20:23 +0100

In chronic nasal obstructive syndrome, mucosal desiccation occurs, causing cilia to be damaged and becoming more susceptible to infection and altering pulmonary function. A bibliographic review was carried out including 28 documents, with the aim of describing the main elements of Nasal Obstructive Syndrome in pediatric patients. Nasal Obstructive Syndrome is considered worldwide one of the most frequent diseases in children and adolescents. Nasal obstruction is a symptom that is frequently presented in dentistry. It manifests as a discomfort, which manifests as a sensation of insufficient airflow through the nose. There are anatomical, physiological and neurological/iatrogenic factors that can cause nasal obstruction. Therefore, it is always pertinent to perform a detailed anamnesis and a thorough physical examination of each patient to properly diagnose the cause of their nasal obstruction, keeping in mind the premise that it is a multifactorial disease.

Productivity and impact of Cuban hospitals in Scopus between 1996 and 2016

Scipedia content — Fri, 04 Nov 2022 13:20:42 +0100

Background: today, the university hospital is not only a teaching and care center, but also a fundamental and irreplaceable nucleus of knowledge production in the health area. The final results of such research, both health and economic, ensure that the care process offered can be increasingly based on scientific evidence. Aim: to characterize the communication patterns and impact of scientific production in Cuban hospitals.Methods: a bibliometric study was conducted on the articles that presented authorship with affiliation to Cuban hospitals, published in journals indexed in Scopus in the period between 1996 and 2016. Co-occurrence matrices for the analysis of social networks between authors and terms were analyzed. Results: 6420 documents were identified, of which 95.90 % (6 157 documents) were citable, especially the original articles with 85.59 %. Of the publications, 65.58% were concentrated in 23 national journals, the remaining 34.42% were published in 136 foreign journals. The most productive institutions were identified, headed by the Clinical Surgical Hospital "Hermanos Ameijeiras" with 994 documents. A total of 38941 citations were accumulated, with an h-index of 80.Conclusions: Cuban hospital scientific production was mainly concentrated in local journals, sustained growth both in productivity indicators and in visibility, the latter mainly at the expense of articles in English.

Work absenteeism and motivation in nursing in the Latin American context: a panoramic review

Scipedia content — Fri, 04 Nov 2022 13:19:32 +0100

Background: Motivation is the force that drives the worker to perform certain actions or behaviors that meet organizational aims. Absenteeism is the result of a lack of motivation, or of certain unforeseen circumstances that cause the nurse not to attend work. Aim: to describe the scientific knowledge on absenteeism and motivation in nursing in the Latin American context.Material and Methods: A panoramic review was carried out using the scoping review methodology. The PRISMA methodology was used.Results: 132 references were found, of which 91 were eliminated because they were not empirical articles, did not address the aim of the review or did not have the full text. Finally, 12 articles were included. The factors described as causes of absenteeism globally were interpersonal relationships, physical and emotional demands, seniority, age, ergonomic aspects, work shift, especially the night shift, work overload, family demands, job satisfaction, organizational aspects, salary, interpersonal relationships and work environment. The variation of the absenteeism rate in was on average 38% with a standard deviation of 23.47%, a minimum of 18% and maximum at 74.29%.Conclusions: The analysis of the literature allowed elucidation of the different causal factors of absenteeism behavior based on the assumption that in many cases absenteeism is the result of a series of causal factors rather than the response to only one of them.

Role of protease inhibitors in the pathogenesis of alcoholic neuropathy

Scipedia content — Fri, 04 Nov 2022 13:19:44 +0100

Background: Alcoholic neuropathy is a common complication among patients with alcohol abuse disorder. It is often asymptomatic and the frequency of occurrence varies. We propose that the deficit of protease inhibitors could be a causal factor of alcoholic neuropathy. If this is true, it would contribute to understanding of the pathophysiology, explain variability in individual response, and explain variability in individual response, and facilitate the search for prevention therapy.Development: Alcoholic neuropathy is characterized by a pattern of symmetrical polyneuropathy with great involvement of the lower extremities. The mechanisms of axonal degeneration due to alcohol consumption are still unclear. It is known that alcohol inhibits protection mechanisms of the nervous system. Here, we discuss that the deficit of protease inhibitors could be a causal factor in the pathogenesis of alcoholic neuropathy. If this is true, it would contribute to an understanding of the pathophysiology, explain variability in individual response, and facilitate the search for prevention therapy.Conclusions: The protease inhibitors play a significant role in the origin of peripheral neuropathies. There is strong evidence to suggest that proteases and their inhibitors are related to processes that allow the development and maintenance of peripheral nerves, and alterations in their proportions favor the development of anomalies in such structures. The mechanisms through which these molecules trigger the disease are unclear in most cases. An increase in the number of investigations in this area would undoubtedly contribute to preventing and combating a disease which strikes a significant number of people.

Continuing education in the current context, approach from the nursing perspective

Scipedia content — Fri, 04 Nov 2022 13:07:04 +0100

Continuing education in nursing are those educational activities planned, to build the base of knowledge and experiences in order to reinforce practice, education, administration, research and theoretical development, with a view to improving the quality of care for the user. Of the health. Health institutions must undertake educational actions in order to stimulate the growth of their health personnel so that they can meet the demands of being human. Continuing education in nursing constitutes a growing need that becomes more accentuated with the increase in professional demands. Andragogy is the method that best suits the characteristics of teaching environments for continuing education. The factors that most influence the participation of nurses in these activities are the support of their supervisors and the availability of adequate continuing education programs.

Leadership style and organizational performance indicators from the nursing staff's perspective

Scipedia content — Fri, 04 Nov 2022 13:20:32 +0100

Background: Leadership in nursing has been widely discussed over time as a necessary professional competence and a field of action that should be exercised by these professionals. Aim: to analyze leadership styles and organizational outcome indicators from the point of view of the nursing staff of a public hospital in the Autonomous City of Buenos Aires.Methodological design: A cross-sectional descriptive study was carried out. The sample consisted of 83 nursing professionals, selected by non-probabilistic convenience sampling. Data collection was performed using the MLQ 5x, which was validated in content and construct.Results: 77.1 % of the respondents were women, with a mean age of 40 ± 9.44; and 9.23 ± 7.25 years of work; 74.7 % performed a care function. Transformational (4.07 ± 0.55) and transactional (3.99 ± 0.62) leadership styles have similar averages. According to the relationship between sociodemographic variables and leadership styles and their dimensions, no significant differences were found between men and women. In relation to organizational outcome variables, it is evident that extra effort is often more present in women, however, no significant differences were found between both groups.Conclusions: Leadership in nursing is considered essential. This, according to the results, is exercised by the nursing staff within their work team, regardless of age, years of work, type of organization, area of work or function performed.

Nursing organization and management in the practice of blood sample collection

Scipedia content — Fri, 04 Nov 2022 13:19:18 +0100

Background: Venous blood collection is one of the most frequent nursing interventions in the emergency department, as well as a conclusive diagnostic test to establish clinical judgment.Aim: To describe factors affecting nursing organization and management in the practice of blood sampling.Methodology: The design was quantitative, observational, descriptive, cross-sectional, and included 50 nursing professionals from the neonatal and pediatric intensive care unit of a private hospital institution in the Autonomous City of Buenos Aires, from August 2019 to January 2020.Results: 80% of the respondents reported that there were no protocols or guidelines on blood collection for the laboratory. Most of the respondents (62%) were dissatisfied with the service provided by the laboratory. A statistically significant correlation was found between the time elapsed from obtaining the blood sample until the laboratory staff comes to pick them up, and the time taken by the laboratory to report the result of the analysis (r = 0.8857; P<0.0001; 95% CI r = 0.7717 to 0.9446).Conclusions: The need for standardization of the procedure is supported through a correct protocol that minimizes potential failures and allows the nursing professionals of the institution to homogenize knowledge, raising the quality of care and reducing health costs. The research identifies a lack of knowledge of the essential aspects of the preanalytical phase, which could affect the quality of the results provided by the clinical laboratory.