ABSTRACT
A 12-hour training program was delivered to the professionals of a nephrology department. Contents of the course were about difficult communication skills in health care interactions. Counselling was the relational methodology instructed. The objective was to assess changes in attitudes in relation with bioethics principles and knowledge. Variables were measured before and after the training program. Sample was composed by 76 professionals (57% nurses, 26% auxiliary nurses y 17% nephrologists) for knowledge and 27 professionals for variable attitudes. Considering the total sample, results show changes in implication with bioethics principles (p <0.05) and knowledge (p <0.001). There are differences related to the kind of profession. Nurses benefit more from the training program attending in the variable knowledge (p <0.001).
Subject(s)
Counseling/education , Decision Making , Health Personnel/education , Nephrology , Adult , Female , Humans , Interdisciplinary Communication , Male , Middle Aged , Young AdultABSTRACT
Los profesionales sanitarios del servicio de nefrología de un hospital de tercer nivel recibieron entrenamiento en comunicación terapéutica mediante un curso de 12 horas centrado en el instrumento terapéutico conocido como Counselling. El objetivo fue evaluar cambios en actitudes en relación con los principios bioéticos y en conocimientos sobre comunicación y gestión emocional. Las variables evaluadas se midieron antes y después de la implantación del curso. La muestra estaba formada por 76 profesionales (un 57% profesionales de enfermería, un 26% auxiliares y un 17% médicos especialistas en nefrología) para la variable conocimientos y por 27 profesionales para la variable de actitudes. Considerando la muestra total, en los resultados se observan cambios en implicación con los principios bioéticos (p <0,05) y conocimientos (p <0,001). Se observan diferencias en función de la profesión y son los profesionales de enfermería quienes más se benefician del curso en el área de conocimientos (p <0,001) (AU)
A 12-hour training program was delivered to the professionals of a nephrology department. Contents of the course were about difficult communication skills in health care interactions. Counselling was the relational methodology instructed. The objective was to assess changes in attitudes in relation with bioethics principles and knowledge. Variables were measured before and after the training program. Sample was composed by 76 professionals (57% nurses, 26% auxiliary nurses y 17% nephrologists) for knowledge and 27 professionals for variable attitudes. Considering the total sample, results show changes in implication with bioethics principles (p <0.05) and knowledge (p <0.001). There are differences related to the kind of profession. Nurses benefit more from the training program attending in the variable knowledge (p <0.001) (AU)
Subject(s)
Humans , Decision Making , Nephrology/ethics , Bioethics/education , Decision Support Techniques , Evaluation of the Efficacy-Effectiveness of InterventionsABSTRACT
Chronic kidney disease is associated with a wide range of stressful situations causing important physical and psychological repercussions. It is not usual that psychology professionals are active members of the nephrology teams. In consequence, these alterations are not properly assisted. Our aim is to present the introduction process of a psychologist in a nephrology department and its preliminary results. We designed a clearly defined introduction process, starting with a therapeutic communication training program for all the staff. In the model we have priorized pre-emptive interventions in order to promote the adaptation process, far from simple psychological symptom control. It is assumed the binomial patient-family as the major objective for care, choosing an interdisciplinary approach. We worked more from a health psychology perspective than from a mental health perspective. Over the year 2008 the number of patients assisted by the psychologist were 571 (mean 48 patients/month). The total number of interventions was 1,022. Majority of cases (45.2%) were derived from the advanced chronic kidney disease program, mostly related to demands about emotional impact of renal replacement therapy commencement. Others were: suspect of depression episode, adherence, primary caregiver emotional overwhelming, bereavement, anxiety and support in decision making process. This experience is a stimulus for the integral approach of the renal patient.
Subject(s)
Hospital Departments/organization & administration , Interdisciplinary Communication , Kidney Diseases/psychology , Nephrology/organization & administration , Patient Care Team , Psychology , Anxiety/etiology , Anxiety/therapy , Bereavement , Counseling , Decision Making , Depression/etiology , Depression/therapy , Hospitals, University/organization & administration , Humans , Interprofessional Relations , Kidney Diseases/therapy , Models, Theoretical , Program Evaluation , Renal Replacement Therapy/psychology , SpainABSTRACT
La insuficiencia renal es una enfermedad que genera un amplio rango de situaciones estresantes, que ocasionan trastornos tanto de tipo físico como psicológico. Es anecdótico que profesionales de la psicología sean miembros activos de los equipos de nefrología, por lo que dichas necesidades pueden no ser atendidas adecuadamente. Nos proponemos describir el proceso de incorporación de este profesional en un servicio de nefrología y presentar resultados preliminares de su actividad. El proceso se inició con un programa formativo en comunicación difícil. En el modelo elegido se prioriza el trabajo preventivo; se trata de facilitar los procesos de adaptación más allá del mero control de síntomas psicológicos; se asume como prioridad asistencial el binomio paciente familia y se opta por un estilo de relación sinérgica interdisciplinaria. Se trabaja más desde la perspectiva de la psicología de la salud que desde la óptica de la salud mental. A lo largo del año 2008 el número de pacientes atendidos por el psicólogo ha sido de 571 (media de 48pacientes al mes). El número total de intervenciones fue de 1.022. La mayoría de los casos atendidos en consulta(45,2%) procedían de la consulta de enfermedad renal crónica avanzada (ERCA). Otros motivos de derivación fueron: sospecha de depresión, cumplimiento, sobrecarga del cuidador principal, duelo, ansiedad y apoyo en la toma de decisiones. Este tipo de experiencias son un estímulo para el abordaje integral del paciente con enfermedad renal (AU)
Chronic kidney disease is associated with a wide range of stressful situations causing important physical and psychological repercussions. It is not usual that psychology professionals are active members of the nephrology teams. Inconsequence, these alterations are not properly assisted. Our aim is to present the introduction process of a psychologist in a nephrology department and its preliminary results. We designed a clearly defined introduction process, starting with a therapeutic communication training program for all the staff. In the model we have priorized pre-emptive interventions in order to promote the adaptation process, far from simple psychological symptom control. It is assumed the binomial patient-family as the major objective for care, choosing an interdisciplinary approach. We worked more from a health psychology perspective than from a mental health perspective. Over the year 2008 the number of patients assisted by the psychologist were 571 (mean 48 patients/month). The total number of interventions was 1,022. Majority of cases (45.2%)were derived from the advanced chronic kidney disease program, mostly related to demands about emotional impact of renal replacement therapy commencement. Others were: suspect of depression episode, adherence, primary caregiver emotional overwhelming, bereavement, anxiety and support in decision making process. This experience is a stimulus for the integral approach of the renal patient (AU)
