ABSTRACT
El desarrollo acelerado de la revolución científico-técnica y su repercusión en el campo de la salud pública, unido a la necesidad de un constante perfeccionamiento del grado de competencia profesional, ha marcado el desarrollo de la especialidad de Oftalmología. Fusionado a ella ha fomentado su avance indiscutible la enfermera, quien ha ocupado un rol protagónico en las diferentes áreas asistenciales de la especialidad, con una visión actual y contemporánea del cuidado como proceso de gestión, adjudicado a las nuevas tendencias de calidad hospitalaria, para cumplimentar los objetivos de trabajo del Ministerio de Salud Pública cubano en función de garantizar la satisfacción de los pacientes y familiares que demandan atención especializada. En Cuba, el Instituto Cubano de Oftalmología "Ramón Pando Ferrer", centro rector metodológico de la especialidad, ha mantenido por más de diez años consecutivos el sello de excelencia del Departamento de Enfermería, el cual ha ofertado una atención holística al paciente con afectación visual, razón por la cual se realiza el presente trabajo, cuya finalidad es resaltar la importancia de la calidad del cuidado del enfermero en la especialidad de Oftalmología(AU)
The accelerated development of the scientific and technological revolution and its impact on the field of public health, together with the need for constant improvement in the degree of professional competence, has marked the development of the specialty of ophthalmology. Associated with it, nurses have promoted their unquestionable progress, and have thus occupied a leading role in the different care areas of the specialty, with a current and contemporary vision of care as a management process, contributing with the new hospital quality trends to complete the working objectives of the Cuban Ministry of Public Health, in view of guaranteeing the satisfaction of patients and family members who demand specialized care. In Cuba, Ramón Pando Ferrer Cuban Institute of Ophthalmology, the methodological governing center of the specialty, has maintained, for more than ten consecutive years, the seal of excellence of the Nursing Department, which has offered holistic care to the patient with visual impairment, the reason why this work is carried out, whose purpose is to highlight the importance of the quality of nursing care in the specialty of ophthalmology(AU)
Subject(s)
Humans , Total Quality Management , Nursing Care/methodsABSTRACT
Estudo descritivo-exploratório conduzido junto a 411 pacientes e seus acompanhantes com o propósito de examinar a percepção e nível de satisfação de ambos quanto ao atendimento das necessidades de cuidados durante o período de hospitalização e, também, verificar a associação deste nível com variáveis sociodemográficas e características da hospitalização e da unidade. Na coleta de dados foi utilizado instrumento autoadministrado. O escore de satisfação dos pacientes/acompanhantes variou de 3,6(0,4) a 4,6(0,4). As necessidades emocionais e espirituais (81 e 82%), segurança (83 e 67%) e atenção (87 e 61%) foram as mais atendidas. Encontrou-se associação entre satisfação e algumas variáveis sociodemográficas e características da hospitalização. De maneira geral, os pacientes e seus acompanhantes mostraram-se satisfeitos com o atendimento das necessidades de cuidados, porém algumas áreas importantes apresentaram déficit de satisfação demandando maior atenção da equipe de enfermagem.
This is a descriptive-exploratory study conducted with 411 patients and their companions in order to examine their perception and level of satisfaction regarding the meeting of their care needs during hospitalization and to verify the association of this level with the socio-demographic variables and the characteristics of hospitalization and unit. A self-administered instrument was used for data collection. The patient/companion satisfaction score ranged from 3.6(0.4) to 4.6(0.4). The emotional and spiritual (81 and 82%), safety (83 and 67%), and care needs (87 and 61%) were the most met. An association was found between satisfaction and some socio-demographic variables and characteristics of hospitalization. Overall, patients and their companions were satisfied with their care; however, some important areas presented satisfaction deficits requiring more attention from the nursing team.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Quality of Health Care , Patient Satisfaction , Needs Assessment/statistics & numerical data , Nursing CareABSTRACT
The purpose of this paper is to provide a clear definition of nursing care quality that contributes to the formulation, application, and measurement of quality nursing outcomes for patients, organisations, and nursing staff. It also indicates the manner in which, by using the definition, empirically based operational definitions can be developed for different operational environments and settings. The study employed a concept analysis methodology to extract terms, attributes, antecedents, and consequences (outcomes) from relevant literature databases. The analysis identified nine attributes: nurse competency performance, met nursing care needs, good experiences for patients, good leadership, staff characteristics, preconditions of care, physical environment, progress of nursing process, and cooperation with relatives. Antecedences include nurse-staffing levels, positive practice environment, and nursing turnover. Consequences include patient safety, patient satisfaction, nursing outcomes, nurse satisfaction, and budget management. Because of the breadth and depth of modern nursing practice, further research and development of the concept is required.
ABSTRACT
The purpose of this literature review is to explore the relationship between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality through a consideration of what is meant by perceptions of nursing care quality. Different people define nursing care quality in many ways. It is complex, multi-faceted and multi-dimensional, and attempts to assess, monitor, evaluate and improve nursing care quality have evolved over a number of years. Of particular interest is the way in which changes in nurse staffing, nurse job satisfaction, nurse practice environment, and burnout may affect the quality of nursing care delivery. A search was conducted using the CINAHL, Medline and Embase databases, HINARI, Science Direct, Google, and PubMed. The terms searched included quality of health care; nursing care quality; nurse job satisfaction; nurse practice environment; burnout; and nurse staffing. Papers were included for their relevance to the field of enquiry. The original search was conducted in 2003 and updated in 2004. Quality of care is a complex, multi-dimensional concept, which presents researchers with a challenge when attempting to evaluate it. Many different tools have assessed nursing care quality. In addition, the review found that there were relationships between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care qualit.
ABSTRACT
Esta investigación se desarrolló con el objetivo de determinar la validez y la confiabilidad del cuestionario que mide la satisfacción del paciente con la calidad del cuidado de enfermería (PSNCQQ). Es un estudio de tipo metodológico, a través de 5 etapas. La primera comprendió la revisión de la literatura. La segunda describió el proceso de traducción. En la tercera, se realizo una prueba de campo para ajuste con el fin de argumentar la comprensibilidad de los ítems, con una muestra heterogénea de 384 personas, los hallazgos generaron modificaciones en el cuestionario, específicamente relacionados con palabras y frases. Posteriormente se realizó la validez de contenido, con el juicio de expertos, obteniéndose un CVR: 0.94. Se realizo la medición de la confiabilidad, con una población de prueba de 347 pacientes, alfa Crombach, 0.94. Se concluyó que el PSNCQQ es válido y confiable para la población Colombiana, se recomienda realizar estudios complementarios para la medición de la validez de constructo.
This study was developed in order to determine the validity and reliability of the questionnaire measuring patient satisfaction with the quality of nursing care (PSNCQQ). This study is methodological, through 5 stages. The first involved the review of the literature. The second described the translation process. In the third, we made a field test to adjust to argue the comprehensibility of the items, with a heterogeneous sample of 384 people, the findings led to changes in the questionnaire, specifically related to words and phrases. Later the content validity, with expert opinion to give a CVR: 0.94. We performed the measurement of reliability, with a test population of 347 patients, Cronbach alpha, 0.94. It was concluded that PSNCQQ is valid and reliable for the Colombian population; further studies are recommended for measuring the construct validity