RESUMO
El objetivo del documento es definir nuevas funciones, atribuciones y responsabilidades a nivel nacional, departamental y distrital de la DGE y las otras Direcciones en relación a la epidemiolog1a, definir compotencias intrainstitucionales e interinstitucionales, contar con un organigrama de funcionamiento acorde con un Ministerio de Salud en el marco de la descentralización y la epidemiología del siglo XXI.
Assuntos
Humanos , Masculino , Feminino , Epidemiologia , Reestruturação Hospitalar/métodos , Reestruturação Hospitalar/normas , Reestruturação Hospitalar , BolíviaRESUMO
This study intended to empower the nursing staff through training and reorganization of neurosurgical unit. The subjects were all the unit staff [20 physicians, 18 nurses, 4 auxiliary personnel and 34 patients]. The study was done in 3 phases: An assessment phase, to inspect the physical set up, equipment used, facilities, unit's staff opinions, suggestions, patient's condition, nurses knowledge, performance and level of anxiety using Taylor anxiety scale and Phaneuf scale to measure the quality of care that patient receives; the experimental phase, that was based on the input from the assessment phase, a program for reconstruction of the unit and upgrading knowledge and performance of the staff was developed and implemented for 10-month period; the evaluation phase in which correlation was done between results of the assessment phase and post program implementation. There was improvement regarding staff knowledge and performance as well as patients condition with an interesting finding which showed marked increase of the nurses' anxiety level post the implementation of the program which can be attributed to increase level of responsibility. This paper showed that through empowerment of the nurses productivity increased, functions improved and the patients received higher quality care