ABSTRACT
INTRODUCTION: Vertical immersion induces a variety of physiological responses in different body systems, depending on the properties of fluid mechanics, which are the basis that underpins aquatic therapy programs in different pathologies. AIM: To perform a systematic review to analyze and describe the effects that vertical immersion produces on the nervous system in healthy subjects. SUBJECTS AND METHODS: A systematic search of the existing literature was conducted in the databases BRAIN, PubMed, PEDro and Web of Science. Quality was methodologically assessed using the CASPe guideline and the level of evidence was categorized using the Oxford scale. A total of 12 articles were included, with a score range of 7-10 according to CASPe, levels of evidence 1b-2b and grade of recommendation B. RESULTS: All studies showed positive results to the different forms of exposure of vertical immersion in water and the summation of the stimuli used; no adverse effects were reported in any case. CONCLUSIONS: The vertical immersion in the water generates positive effects on cerebral blood flows, cortical activation, executive functions and the production of neurotrophins in healthy subjects.
TITLE: Efectos de la inmersion vertical en el agua sobre el sistema nervioso: revision sistematica.Introduccion. La inmersion vertical induce una variedad de respuestas fisiologicas en diferentes sistemas corporales, dependiendo de las propiedades de la mecanica de fluidos, las cuales son la base que sustenta los programas de terapia acuatica en diferentes patologias. Objetivo. Realizar una revision sistematica para analizar y describir los efectos que la inmersion vertical produce en el sistema nervioso en sujetos sanos. Sujetos y metodos. Se llevo a cabo una busqueda sistematica de la bibliografia existente en las bases de datos BRAIN, PubMed, PEDro y Web of Science. Se evaluo metodologicamente la calidad mediante la guia CASPe y el nivel de evidencia se categorizo mediante la escala Oxford. Se incluyo un total de 12 articulos, con un rango de puntuacion de 7-10 segun CASPe, niveles de evidencia 1b-2b y grado de recomendacion B. Resultados. Todos los estudios mostraron resultados positivos a las diferentes formas de exposicion de la inmersion vertical en el agua y a la suma de estimulos empleados, sin referir efectos adversos en ningun caso. Conclusiones. La inmersion vertical en el agua genera efectos positivos sobre los flujos circulatorios cerebrales, la activacion cortical, las funciones ejecutivas y la produccion de neurotrofinas en sujetos sanos.
Subject(s)
Immersion , Nervous System Physiological Phenomena , Adaptation, Physiological , Adult , Brain/physiology , Cerebrovascular Circulation/physiology , Evoked Potentials, Motor , Executive Function/physiology , Exercise , Humans , Hydrotherapy , Nerve Growth Factors/physiology , Research Design , WaterABSTRACT
Background. The medical record represents the transcript of the pathologic narrative of a patient. Our aims were: to identify the most common abbreviations present in medical records; to identify discouraged abbreviations; to identify polysemic abbreviations; and to show the distribution of the abbreviations according to the type of ward (medical-surgical). Methods. An observational, descriptive and retrospective study by auditing the digital clinical records of patients discharged from FuenlabradaUniversityHospital in 2013 was conducted. Abbreviations in discharge reports and medical order prescriptions present in 78 medical records, corresponding to 39 men and 39 women of different services, were reviewed. Results. All medical records showed abbreviations. The mean of abbreviations in each medical record was 38.9±17.7. Medical records showed 688 different abbreviations, which were repeated up to a total of 3,038 times. The most frequent abbreviations were HTA (n=98; 3.23%), AP (n=89; 2.93%). Twenty-eight abbreviations considered unsafe appeared and were repeated 646 times. The most frequent included SC (n=63; 9.75%), ui (n=49; 7.59%), > (n=38; 5.88%), mcg (n=36; 5.57%). Twenty-three polysemic abbreviations were also identified, the most frequent being H (n=117; 12.81%), MC (n= 109; 11.94%), MP (n=99; 10.84%). Finally, medical wards had 1,866 abbreviations and surgical 1,172 (P <0.001). Conclusions. All medical records revised included unsafe abbreviations. The use of unsafe abbreviations was common among medical services.
Subject(s)
Abbreviations as Topic , Medical Records/standards , Patient Discharge Summaries/standards , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Fundamento: La historia clínica es la transcripción del relato patográfico del paciente. Los objetivos de este trabajo fueron: identificar las abreviaturas más frecuentes presentes en la historia clínica, identificar las abreviaturas desaconsejadas, identificar abreviaturas polisémicas, y describir su distribución según servicio (médico-quirúrgico). Material y métodos: Estudio observacional, descriptivo y retrospectivo mediante auditoría de historia clínica digitalizada de pacientes dados de alta del hospital Universitario Fuenlabrada en el año 2013. Se revisaron las abreviaturas de los informes de alta y las órdenes de prescripción en 78 historias clínicas (39 hombres y 39 mujeres) de diferentes servicios. Resultados: El 100% de las historias revisadas presentaron abreviaturas (media: 38,95; DS 17,7). Se encontraron 688 abreviaturas diferentes, que se repetían hasta llegar a un total de 3.038. Las más frecuentes fueron: HTA (n=98; 3,23%), AP (n=89; 2,93%), SC (n=63; 2,07%). Se identificaron 28 abreviaturas desaconsejadas, repitiéndose 646 veces. Las más frecuentes fueron: SC (n=63; 9,75%), ui (n=49; 7,59%), > (n=38; 5,88%), mcg (n=36; 5,57%). Se identificaron 23 abreviaturas polisémicas, siendo las más frecuentes: H (n=117; 12,81%), MC (n= 109; 11,94%), MP (n=99; 10,84%). Finalmente, los servicios médicos presentaron 1.866 abreviaturas y los quirúrgicos 1.172 (p<0,001). Conclusiones: Todas las historias clínicas presentaron abreviaturas de riesgo, y el uso de abreviaturas desaconsejadas fue habitual en los servicios de medicina (AU)
Background: The medical record represents the transcript of the pathologic narrative of a patient. Our aims were: to identify the most common abbreviations present in medical records; to identify discouraged abbreviations; to identify polysemic abbreviations; and to show the distribution of the abbreviations according to the type of ward (medical-surgical). Methods: An observational, descriptive and retrospective study by auditing the digital clinical records of patients discharged from Fuenlabrada University Hospital in 2013 was conducted. Abbreviations in discharge reports and medical order prescriptions present in 78 medical records, corresponding to 39 men and 39 women of different services, were reviewed. Results: All medical records showed abbreviations. The mean of abbreviations in each medical record was 38.9±17.7. Medical records showed 688 different abbreviations, which were repeated up to a total of 3,038 times. The most frequent abbreviations were HTA (n=98; 3.23%), AP (n=89; 2.93%). Twenty-eight abbreviations considered unsafe appeared and were repeated 646 times. The most frequent included SC (n=63; 9.75%), ui (n=49; 7.59%), > (n=38; 5.88%), mcg (n=36; 5.57%). Twenty-three polysemic abbreviations were also identified, the most frequent being H (n=117; 12.81%), MC (n= 109; 11.94%), MP (n=99; 10.84%). Finally, medical wards had 1,866 abbreviations and surgical 1,172 (P <0.001). Conclusions: All medical records revised included unsafe abbreviations. The use of unsafe abbreviations was common among medical services (AU)
Subject(s)
Humans , Male , Female , Adult , Abbreviations as Topic , Drug Prescriptions/standards , Medical Records/legislation & jurisprudence , Medical Records/standards , Patient Discharge/legislation & jurisprudence , Patient Discharge/standards , Patient Safety/legislation & jurisprudence , Patient Safety/standards , Retrospective Studies , Observational Study , Hospitals, University/organization & administration , Hospitals, University/statistics & numerical data , 28599ABSTRACT
El delirium tiene una elevada incidencia en las unidades de cuidados intensivos y se encuentra infradiagnosticado e infratratado. Objetivo: Describir las experiencias de las enfermeras de la UCI de adultos en la identificación y aplicación de las medidas no farmacológicas para la prevención y tratamiento del delirium. Método: Estudio cualitativo fenomenológico, mediante grupos de discusión. Criterio de inclusión: enfermeras de UCI con un año o más de experiencia. Muestreo: por propósito y técnica de bola de nieve. Recogida de datos: grupos de discusión que se transcribieron para su análisis. Se realizó análisis temático de los textos. Resultados: Cuatro temas identificados: a) la estructura física y social de la UCI; b) la implicación de la familia; c) la necesidad de formación de los profesionales sanitarios; y d) favorecer el ciclo sueño-vigilia. Conclusiones: Controlar el medio ambiente de la UCI para hacerlo más amigable, modificar la rutina de trabajo para favorecer el descanso, implementar acciones de formación y flexibilizar el horario de visitas
The incidence of delirium in intensive care units is high and it has been under diagnosed and under-treated. Objective: To describe the experiences of ICU nurses in the identification and application of non-pharmacological treatments. Method: A qualitative phenomenological research study was performed, based on focus groups. Inclusion criteria: ICU nurses with one year of more of experience were included. Sample Purpose and snowball technique. Data collection: Data from the focus groups were transcribed for analysis and a thematic analysis of the texts was performed. Results: Four themes were identified: a) the physical and social structure of the ICU b) family involvement, c) need for training of health professionals, and d) encouraging the sleep-wake cycle. Conclusions: It is necessary to control the ICU environment to make it more friendly, to change the routine work to promote relaxation, implement training activities and to make visiting hours flexible
Subject(s)
Humans , Critical Care/methods , Nursing Care/methods , Patient-Centered Care/methods , Confusion/prevention & control , Intensive Care Units/organization & administration , Environmental Exposure/prevention & control , Nursing Process/organization & administration , Focus Groups , Patient Safety/standards , Confusion/nursingABSTRACT
UNLABELLED: The incidence of delirium in intensive care units is high and it has been under-diagnosed and under-treated. OBJECTIVE: To describe the experiences of ICU nurses in the identification and application of non-pharmacological treatments. METHOD: A qualitative phenomenological research study was performed, based on focus groups. INCLUSION CRITERIA: ICU nurses with one year of more of experience were included. Sample Purpose and snowball technique. DATA COLLECTION: Data from the focus groups were transcribed for analysis and a thematic analysis of the texts was performed. RESULTS: Four themes were identified: a) the physical and social structure of the ICU b) family involvement, c) need for training of health professionals, and d) encouraging the sleep-wake cycle. CONCLUSIONS: It is necessary to control the ICU environment to make it more friendly, to change the routine work to promote relaxation, implement training activities and to make visiting hours flexible.
Subject(s)
Delirium/nursing , Acute Disease , Adult , Delirium/prevention & control , Female , Humans , Intensive Care Units , Male , Surveys and Questionnaires , Syndrome , Young AdultABSTRACT
ResumenEl lenguaje estandarizado de la enfermería es un instrumento que permite integrar un marco teórico de identificación de problemas, intervenciones y resultados en los cuidados. Su utilización en diversos medios asistenciales es variada. En el caso de las unidades de cuidados intensivos es preciso estudiar las implicaciones que tiene la integración de este lenguaje en las enfermeras.ObjetivoDescribir el significado del lenguaje estandarizado NANDA-NIC-NOC para las enfermeras que trabajan en las Unidades de Cuidados Intensivos madrileñas (UCIM).MétodoEstudio cualitativo fenomenológico. Criterio de inclusión: enfermeras de UCIM con un año o más de experiencia que en el momento del estudio estuvieran trabajando en UCIM.MuestreoPor propósito y técnica de bola de nieve.Recogida de datosEntrevistas no-estructuradas, documentos personales (cartas, diarios). Se grabaron las entrevistas y se transcribieron palabra por palabra para su posterior análisis.AnálisisPropuesta de Giorgi. Identificación de unidades de significado, grupos de significado comunes y temas.Resultados3 temas construyen el significado de las enfermeras de cuidados intensivos; Vivir integrando 2 caras de la misma moneda, vivir una imposición conceptual, y vivir una oportunidad de desarrollo y autonomía profesional.ConclusionesExiste una distancia en la teoría del lenguaje y su aplicación en la clínica. Las enfermeras refieren sentir una imposición conceptual de un determinado lenguaje. Esto crea la construcción de una jerarquía entre enfermeras basada en el uso de NANDA-NIC-NOC. Aun así, el lenguaje estandarizado es vivido como una oportunidad de desarrollo profesional (AU)
AbstractNursing standardized language is a tool that makes it possible to integrate a theoretical framework of problem identification, interventions and outcomes in care. Its use in the difference care settings is varied. In the case of intensive care units, it is necessary to study the implications that integration of this language would have in nursing area.ObjectiveTo describe the meaning of standardized NANDA-NIC-NOC language for the nurses working in Intensive Care Units in Madrid.MethodA phenomenological qualitative study was conducted. Inclusion criteria: ICU in Madrid of nurses with one year or more experience at the time of the study who were working in the ICU.SamplePurposive and Snowball sampling technique.Data collectionUnstructured interviews, personal documents (letters, diaries). Interviews were recorded and transcribed verbatim for later analysis.AnalysisGiorgi proposal. Identifying meaning units, groups of common senses and themes.ResultsThree themes made up the meaning of standardized language in intensive care nursing. "Living integrating 2 sides of the same coin", "living a conceptual imposition", and "living a development opportunity and professional autonomy".ConclusionsThere is a gap in the theory of language and its clinical application. Nurses report feeling imposition of a specific conceptual language. This creates the construction of a hierarchy between nurses based on the use of NANDA-NIC-NOC. Even so, the standardized language is experienced as a professional development opportunity (AU)
Subject(s)
Humans , Current Procedural Terminology , Critical Care/standards , Nursing Diagnosis/standards , Nursing Care/standards , Education, Nursing/trendsABSTRACT
UNLABELLED: Nursing standardized language is a tool that makes it possible to integrate a theoretical framework of problem identification, interventions and outcomes in care. Its use in the difference care settings is varied. In the case of intensive care units, it is necessary to study the implications that integration of this language would have in nursing area. OBJECTIVE: To describe the meaning of standardized NANDA-NIC-NOC language for the nurses working in Intensive Care Units in Madrid. METHOD: A phenomenological qualitative study was conducted. INCLUSION CRITERIA: ICU in Madrid of nurses with one year or more experience at the time of the study who were working in the ICU. SAMPLE: Purposive and Snowball sampling technique. DATA COLLECTION: Unstructured interviews, personal documents (letters, diaries). Interviews were recorded and transcribed verbatim for later analysis. ANALYSIS: Giorgi proposal. Identifying meaning units, groups of common senses and themes. RESULTS: Three themes made up the meaning of standardized language in intensive care nursing. "Living integrating 2 sides of the same coin", "living a conceptual imposition", and "living a development opportunity and professional autonomy". CONCLUSIONS: There is a gap in the theory of language and its clinical application. Nurses report feeling imposition of a specific conceptual language. This creates the construction of a hierarchy between nurses based on the use of NANDA-NIC-NOC. Even so, the standardized language is experienced as a professional development opportunity.
Subject(s)
Critical Care , Nursing Diagnosis , Vocabulary, Controlled , Adult , Humans , Middle Aged , Spain , Young AdultABSTRACT
ResumenEl empleo de metodología cualitativa ha ido incrementándose a lo largo de los últimos años. El empleo de sus diferentes orientaciones teoricometodológicas hace necesario que se determinen las características de los diseños cualitativos a la hora de desarrollar protocolos de investigación y proyectos.ObjetivosMostrar los pasos para la elaboración de un protocolo de investigación fenomenológica.Método y conclusionesEl desarrollo de un protocolo de investigación fenomenológico presenta una serie de pasos y elementos que deben ser congruentes. Principalmente, la pregunta de investigación con la propuesta cualitativa adecuada. Esta aproximación metodológica determinará los datos, el método de recogida y su análisis. Los estudios fenomenológicos están dirigidos a estudiar la experiencia vivida respecto a una enfermedad o circunstancia por el propio protagonista de la experiencia(AU)
AbstractThe use of qualitative methodology has been increasing over recent years. The application of different theoretical and methodological qualitative approaches makes it necessary to identify the characteristics of qualitative designs when developing research protocols and projects.ObjectivesTo show the steps for the development of a phenomenological research protocol.Method and conclusionsDeveloping a phenomenological research protocol entails a series of steps and elements that must be consistent, this mainly being the development of the research question with an adequate qualitative proposal. This methodological approach will determine the data, the method of collection and analysis. The phenomenological studies are aimed at studying the experience of the patient regarding a disease or circumstance(AU)
Subject(s)
Nursing Research/methodsABSTRACT
The use of qualitative methodology has been increasing over recent years. The application of different theoretical and methodological qualitative approaches makes it necessary to identify the characteristics of qualitative designs when developing research protocols and projects. OBJECTIVES: To show the steps for the development of a phenomenological research protocol. METHOD AND CONCLUSIONS: Developing a phenomenological research protocol entails a series of steps and elements that must be consistent, this mainly being the development of the research question with an adequate qualitative proposal. This methodological approach will determine the data, the method of collection and analysis. The phenomenological studies are aimed at studying the experience of the patient regarding a disease or circumstance.
Subject(s)
Nursing Research/methodsABSTRACT
La apertura de un nuevo hospital lleva consigo gran cantidad de recursos; humanos, materiales, económicos y entre ellos la gestión de los supervisores de enfermería. La realización de una planificación exhaustiva a corto-medio plazo es esencial para que su personal y la unidad de la que es responsable puedan adaptarse de manera eficaz y flexible a todos los cambios, imprevistos y continuas modificaciones que en un hospital se realizan en el momento de su apertura. Se describen medidas a implantar por el supervisor en los elementos o sistemas claves para formar una Unidad de enfermería, destacando la importancia del personal y del papel del supervisor en la generación de un personal motivado, flexible y vinculado al nuevo hospital y a la unidad a la que pertenecen (AU)
This work presents the activities and actions to be carried out by a nursing supervisor in each of the basic elements which support a unit, explaining the measures adopted in detail, as well as focusing interest on the management of human resources. On the whole, it describes the prior planning and implementation of management skills as a basis for the optimum development of a nursing unit in a health centre (AU)
Subject(s)
Humans , Nursing , Nursing, Supervisory , Nursing Care/organization & administration , Employee Incentive Plans , Health Policy, Planning and ManagementABSTRACT
Debido al incremento de las necesidades de la población en materia de salud y a la creciente apertura de centros hospitalarios, con este trabajo se pretende mostrar los elementos necesarios para el desarrollo de una Unidad de Enfermería en la apertura de un hospital de nueva creación, independientemente del tipo de gestión utilizada. Para ello se describen aquellos elementos o subsistemas imprescindibles que dan forma a una Unidad de Enfermería. Explicando sus contenidos, relaciones entre los subsistemas imprescindibles que dan forma a una Unidad de Enfermería. Explicando sus contenidos, relacikones entre los subsistemas/elementos y sus características. Resaltando la importancia del modelo de gestión y liderazgo elegido por el supervisor en el momento de la apertura. Dando como resultados la creación de una Unidad de Enfermería flexible, capaz de adaptarse a las necesidades del hospital del que forma parte, en la apertura y facilitando la adaptación de los miembros del equipo de enfermería que están asignados a ella
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