Evaluación de competencias específicas de profesionales de enfermería en la atención al neonato crítico / Assessment of Specific Competencies of Nursing Professional in the Care of the Critical Neonate

Introducción: La evaluación de las competencias específicas del profesional de enfermería en la atención al neonato crítico permite diagnosticar su nivel de desarrollo para proponer alternativas que dinamicen la superación profesional en las Unidades de Cuidados Intensivos Neonatales. Objetivo: Evaluar las competencias específicas de los profesionales de enfermería a cargo de la atención al neonato crítico en las Unidades de Cuidados Intensivos Neonatales. Métodos: Estudio descriptivo-observacional, participaron 161 profesionales de enfermería de Unidades de Cuidados Intensivos Neonatales de Santiago de Cuba, de enero 2017 a enero 2018. Las competencias fueron evaluadas a partir de una parametrización para descomponer la variable en dimensiones e indicadores, se aplicaron tres instrumentos evaluativos al universo de profesionales y se realizó una triangulación metodológica a partir de los resultados de las dimisiones obtenidos por los instrumentos. Resultados: Las dimensiones de mayores afectaciones fueron la clínico-quirúrgica y la actualización científica. En la triangulación metodológica se obtuvo 4,17 de media ponderada, significa que la variable se encuentra afectada con un nivel medio de desarrollo. Conclusiones: La evaluación de las competencias permitió declarar que la variable evaluada se encuentra en un nivel medio de desarrollo. Del análisis de los indicadores se obtuvo un inventario de problemas y potencialidades que justifican una propuesta metodológica que dinamice la superación profesional para el desarrollo de las competencias específicas de profesionales de enfermería para la atención al neonato crítico(AU)

Introduction: The assessment of the nursing professional's specific competencies in the care of the critical neonate allows to diagnose their level of development in view of proposing alternatives that boost professional improvement in neonatal intensive care units. Objective: To assess the specific competencies of nursing professionals in charge of critical neonate care in neonatal intensive care units. Methods: Descriptive-observational study, 161 nursing professionals from the Neonatal Intensive Care Units of Santiago de Cuba participated, from January 2017 to January 2018. The competencies were assessed based on a parameterization for decomposing the variable into dimensions and indicators. Three assessment instruments were applied to the study group of professionals and a methodological triangulation was carried out based on the dimensional results obtained by the instruments. Results: The most affected dimensions were the clinical-surgical and scientific update. In the methodological triangulation, 4.17 was obtained as weighted average, which means that the variable is affected with a medium level of development. Conclusions: The assessment of the competences allowed to declare that the assessed variable is in a medium level of development. From the analysis of the indicators, an inventory of problems and potentialities was obtained that justify a methodological proposal that stimulates the professional improvement for the development of the specific competencies of nursing professionals for the care of the critical neonate(AU)

Quality Improvement Initiative to Improve the Screening Rate of Retinopathy of Prematurity in Outborn Neonatal Intensive Care Graduates

Objective: To improve the screening rate of Retinopathy of prematurity (ROP) in theoutborn neonatal intensive care unit, using the quality improvement method. Methods:40 neonatal nurses, 89 parents from an outborn neonatal intensive care unit of a tertiary-carehospital were included in the study between May 2017 and March 2018. Universal samplingmethod was used. Results: In 345 neonates, ROP screening rate increased from 10.7%in the pre-intervention phase to 45.5% and 87.3% in the intervention and post-interventionphase, respectively. Conclusion: Point of care quality improvement (POCQI) methodcan be effectively used to improve ROP screening rate in outborn neonates.

Stress due to End-of-Life Care, Coping Strategies, and Psychological Well-being among Nurses in Neonatal Intensive Care Units

PURPOSE: This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being. METHODS: A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0. RESULTS: The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association. CONCLUSION: In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

Psychometric evaluation of the Inventory of Core Competency for Neonatal Nurses / 中国实用护理杂志

Objective To evaluate the psychometric characteristics of the Inventory of Core Competency for Neonatal Nurses,and identified its applicability. Methods A total of 147 neonatal nurses from January 2017 to March 2017 were recruited using convenience sampling method.The Inventory of Core Competency for Neonatal Nurses was used to investigate. Results The difficulty scores of the items were 0.618-0.756 and their discrimination correlation coefficients were 0.314-0.712, all P < 0.01. The content validity index of the inventory was 0.936.Six factors were extracted after exploratory factor analysis,and their cumulative contribution was 68.7%.The results of confirmatory factor analysis were as follows:x2/df was 3.957, standardized residual root mean square was 0.043, root mean square error approximation was 0.047, incremental fitness index was 0.965,comparative fitness index was 0.971.The total scale Cronbach alpha was 0.874,and the retest reliability was 0.912. Conclusions The validity and reliability of the Inventory of Core Competency for Neonatal Nurses support the use of it in neonatal nurses.