[Cross-Cultural Adaptaton and Validation of the Attitudes Towards Men in Nursing Scale (ATMINS)]. / Adaptación y validación de un cuestionario para medir las actitudes y percepciones hacia los hombres enfermeros.

Introduction: Aiming at detecting possible causes for the lack of male nursing professionals, Bartfay et al. developed a questionnaire named Attitudes Towards Men in Nursing Scale (ATMINS), which they tested a university in Ontario, Canada. Objective: Achieve a cross-cultural adaptation and validation of the Attitudes Towards Men in Nursing Scale (ATMINS), in order to evaluate if results achieved using a Spanish sample are comparable with the Canadian study's results. Participantsm, Materials, and Method: Participants were recruited in universities of Alicante and Donostia (Basque Country). To assure voluntary participation in the study, all candidates were informed about the objective of the study and giving enough time to read the questionnaire. The questionnaire used was the Attitudes Toward Men in Nursing Scale (ATMINS), translated to Spanish. The Spanish version of the ARMINS scale was handed over to a total of 142 students from the Nursing Universities of Alicante and Donostia. Time needed to fill the questionnaires didn't exceed 5 minutes in any case, and no difficulty was observed during implementation. After testing the scale, an internal consistency analysis was performed using Cronbach's Alpha with correction by eliminating items. Validation of construct was done via Exploratory Factorial analysis with Varimax rotation. Results: The results show a reliability which does not reach a moderate degree. Eliminating item 6 in all subsamples, as well as the total sample suppressing any of the other 5 items, increases internal consistency. The exploratory factorial analysis supports a bi-factorial structure of the questionnaire with very high saturation on each factor and a negative charge inside factor 2 for item 6. The negative charge of item 6 keeps the saturation (0.717) after its inversion. By performing an internal consistency analysis taking only into account items of factor 1, the scale's consistency improves with results close to 0.70. Conclusion: The revised scale is a tool which enables easy and fast application. It is valid for the Spanish sample and provides an acceptable internal consistency. The results obtained in both universities in Spain and in Canada are comparable.

Registros de enfermería. ¿cuestión de tiempo?

La importancia de los registros de actividad como herramienta de gestión es indiscutible, pero suele suceder que su cumplimiento no refleja, a juicio de los profesionales, la actividad real que éstos desarrollan. La falta de tiempo, la inconcreción de los indicadores utilizados, la ausencia de indicadores específicos, entre otros, son algunos de los argumentos utilizados para justificar la deficiente calidad de los registros y su consecuente mala utilización como herramienta para la adecuada gestión de los recursos. Ante esta situación, desde la Dirección de Enfermería de AP del Área 17 se elabora consensuada un modelo de registro de actividades de enfermería en el que se recogen aquellos indicadores que los profesionales consideran necesarios para conocer su verdadera actividad (tiempo fuera de jornada laboral, altas y bajas en consultas de enfermería, causas de las bajas en programas, etc.).Durante 6 meses (de noviembre de 2000 a abril de 2001) se recogen los nuevos registros y se procede a su procesamiento y valoración. De los datos obtenidos se puede concluir que se registra poco y mal, una asignatura pendiente para las enfermeras que demuestra que no depende de la implantación de nuevos instrumentos, sino de la implicación de los profesionales en su cumplimentación. Por otra parte, si se tuviese que realizar una valoración objetiva de los datos, ésta sería la de que se trabaja poco y mal, lo que no coincide con la percepción, subjetiva, de los profesionales, lleva en sentido contrario. En cualquier caso, cabe destacar la inquietud mostrada por los profesionales para mejorar lo que sin duda resulta una herramienta imprescindible de la gestión, como son los registros de actividad, que deben conducir a plantear nuevas estrategias (AU)

[Report to nurses about a patient admission. A specific method of coordination]. / Informe de enfermería al ingreso (I.E.I.). Instrumento específico de interrelación.

The need to have an adequate and efficient continuity regarding each patient's treatment is not questioned at present; however, this need, in many situations, continues to be a pending subject for the health care system in general and for different professional associations in particular. Nursing is not exempt from this problem and in fact there already have been instances of coordination which attempt to alleviate this problem such as through the emission of documents like the Nurses' Report for the Medical Release Certificate which allows professionals at both levels of attention, primary care and specialized, to maintain a set level of communication and information among themselves. Nevertheless, there still are no known instances about the establishment of a Report to Nurses Upon Admission of a Patient to a Unit; thus, we can state that an efficient two-way communication circuit has not yet been completed. The Report to Nurses Upon Admission of a Patient to a Unit is designed to be the method through which Specialized Care nurses obtain information about a patient who is admitted to their unit directly from the professional who has been caring for this patient until that moment, in other words, the Primary Health Care Unit nurse. As part of a ten year-old project to coordinate different health sections, this Report of Nurses Upon Admission of a Patient to a Unit is described in this article. This project has been implemented in Health Area Number 17 in the Valencia Autonomous Region. It is one of the methods which have been used to coordinate the relationship among nurses in primary health care centers and specialized units.