Identificación de las competencias específicas de los profesionales de enfermería en la atención al neonato en estado grave / Identification of the specific competences of the nursing professionals in the care to the severely ill neonate

Se realizó un estudio observacional y descriptivo en los profesionales a cargo de la atención al neonato en estado grave en las unidades de cuidados intensivos neonatales de la provincia de Santiago de Cuba, en el Hospital General Docente Enrique Cabrera de La Habana y el Centro Regional de Cirugía Neonatal del Hospital Pediátrico Docente de Holguín, durante el 2017, con vistas a caracterizarles según criterios establecidos al respecto, efectuar la selección de los expertos en el tema para determinar las competencias específicas de estos profesionales. La muestra inicial quedó constituida por los 43 profesionales que cumplían estrictamente los criterios, a los cuales se les aplicó un test de autovaloración para identificar sus coeficientes de conocimiento, de argumentación y de competencia; de esta manera quedaron seleccionados como expertos 38 profesionales con coeficientes medio y alto, los cuales participaron en un taller de socialización y expusieron las competencias específicas de los enfermeros en la atención al neonato en estado grave, las que serán validadas en otra fase de la investigación

An observational and descriptive study was carried out in the professionals in charge of the care to the severely ill neonates from intensive care units of Santiago de Cuba province, at Enrique Cabrera Teaching General Hospital from Havana and the Regional Center for Surgery in Neonates from Holguín Teaching Pediatric Hospital, during the 2017, with the aim of characterizing them according to established criteria on this respect, to make the selection of the experts in the topic to determine the specific competences of these professionals. The initial sample was constituted by the 43 professionals who fulfilled the criteria strictly, to whom a self-evaluation test was applied to identify their knowledge, argument and competence coefficients; in this way 38 professionals were selected as experts with middle and high coefficients, who participated in a socialization workshop, where they exposed the specific competences of the male nurses in the care to the severely ill neonate, which will be validated in another phase of the investigation

A Survey of the Nursing Interventions Performed by Neonatal Nursing Unit Nurses Using the NIC / 아동간호학회지

The purpose of this study was to identify nursing interventions performed by neonatal nursing unit nurses. For data collection this study used the taxonomy of Nursing Intervention Classification(NIC : 486 nursing intervention) which was modified by McCloskey & Bulecheck(2000). The new 58 nursing interventions was translated into Korean, and then modified by pannel group, which consist of clinical experts and nursing scholars and finally the 419 nursing interventions was selected. The data were collected from 112 nurses. 168 nursing interventions were performed at least monthly by 50% or more of the nurses. The high frequency of performed nursing interventions were Family domain. 37 nursing interventions were performed at least once a day. The nursing interventions receiving the highest item mean score were neonatal care, neonatal monitoring, phototherapy; neonate, bottle feeding and temperature regulation. 56 nursing interventions were rarely performed by 90% or more of the nurses. Most of them were in the behavioral domain. The rarely used interventions were urinary bladder training, art therapy, religious addiction prevention, religious ritual enhancement and bladder irrigation. Therefore, neonatal nursing units nurses used interventions in the Physiological: basic domain most often on a daily basis and the interventions in the behavioral domain least often. These findings will help in building of a standardized language for the neonatal nursing units and enhance the quality of nursing care. Further study will be needed to classify each intervention class and nursing activity and validate NIC in pediatric care unit.