ABSTRACT
Objetivo: identificar el perfil del usuario que acude a la consulta de acogida de Enfermería, el motivo de la visita, la resolución de la misma y la satisfacción por parte del paciente. Como objetivo secundario se planteó analizar el cambio experimentando en las visitas espontáneas que lleva a cabo la enfermera de guardia, tras la implantación de la consulta de Enfermería de acogida. Material y método: estudio descriptivo transversal. La población objeto de estudio fueron los usuarios que acudían al centro de Raval Nord. Se eligió sistemáticamente una de cada tres visitas de lunes a viernes, a las que se aplicaba los criterios de inclusión y exclusión, durante los meses de abril a octubre de 2009. Variables de estudio: sexo, edad, país de procedencia, número de visitas previas del paciente, motivo de consulta (patología aguda, agudización patología crónica, otros), duración de la visita, intervención enfermera, satisfacción del usuario. También se cuantificó el número de visitas espontáneas que llevó a cabo la enfermera de guardia durante los meses de abril a octubre de 2008 y las realizadas por la enfermera de acogida con el nuevo rol durante el período de estudio. Resultados: 85 visitas analizadas, 47,1% hombres y 52,9% mujeres, media de edad 53,4 años. El 64,9% autóctonos y el 34,1% extranjeros. 47,6% no ha sido visitado por la enfermera en el último año. El motivo de visita: 60,7%patología aguda. Tiempo medio de la visita: 14 minutos. La resolución por parte de la enfermera es superior al 60%. Incremento relativo del 61% de visitas realizadas por la enfermera a partir de la nueva organización. Conclusiones: la resolución por parte de la enfermera es alta y la satisfacción del usuario también. Cambiar el acceso de la población a la consulta, para gestionar la demanda, optimiza la función de la enfermera (AU)
Objective: to identify the profile of the user who presents to the Host Nursing consultation office, the reason for the visit, the resolution of it and the satisfaction of the patient. A secondary objective was to analyze the change in the number of spontaneous visits undertaken by the nurse on duty, following the introduction of Host Nursing consultation. Material and methods: cross sectional descriptive study. The study population were users who presented to the health center of Raval Nord , one out of three visits from Monday to Friday was chosen systematically to which inclusion and exclusion criteria were applied during the months from April to October 2009. Study variables: sex, age, national origin, number of previous visits of the patient, reason for visit (acute disease, chronic disease exacerbations, others), duration of visit, nursing intervention, user satisfaction. We also measured the number of spontaneous visits conducted by the nurse on duty during the months of april to october 2008 and those made by the host nurse in her new role during the study period. Results: 85 visits analyzed, 47,1% men and 52,9% female, mean age 53,4years. 64,9% nationals and 34,1% foreigners. 47.6% has not been visited by the nurse in the last year. The reason for visit: 60,7% acute pathology. Average time of visit 14 minutes. Resolution by the nurse is over 60%. Relative increase of 61% of visits by the nurse as of the date of the new organisation. Conclusions: resolution of the visit by the nurse is high and so is customer satisfaction. Changing the population's access to consultation, to manage demand, optimizes the role of the nurse (AU)
Subject(s)
Humans , Nursing Care/trends , Nursing Service, Hospital/statistics & numerical data , Nursing Diagnosis/organization & administration , Patient Satisfaction/statistics & numerical data , Nurse's Role , Epidemiology, DescriptiveABSTRACT
OBJECTIVE: To explore self-perceived health in women aged more than 75 years old living alone who received home care, as well as their satisfaction with social services. METHOD: A qualitative study was performed. Through a descriptive analysis of discursive content, we identified the opinions of a group of women who had become almost invisible because of their isolation. The textual data obtained from the 8 interviewees were transcribed and analyzed using a content analysis approach. We then used the Atlas-ti program to generate the results. RESULTS: We observed that the initial home care received by the interviewees was diverse and complementary, and that in most cases these women had physical handicaps, felt alone, had low self-esteem, and were despaired of the future. These women were generally satisfied with the health services provided, although they had serious difficulties in expressing their needs. Finally, by way of conclusion, we believe that while legislative measures are being taken to provide solutions that go beyond simply containing the problem, nursing professionals should remain alert and establish channels to mobilize resources that could provide answers quickly and effectively.
