ABSTRACT
Para operativizar el documento "L'atenció d'Infermería a l'Atenció Primària" (Institut Català de la Salut), se creó un grupo de trabajo cuyo objetivo fue analizar la actividad en la consulta de enfermería y consensuar cuál debería ser el contenido de la visita al paciente crónico, así como en qué circunstancias podríamos hablar de alta. Se diseña un algoritmo de seguimiento planteado en dos fases: inicial y de seguimiento. En ambas se aplica el proceso de enfermería, planteando la actuación de enfermería desde el rol autónomo y el de cooperación. Se concluye que el alta será de procesos concretos y no de cuidados de enfermería (AU)
Subject(s)
Humans , Chronic Disease/nursing , Nursing Care/methods , Nursing, Team , SpainABSTRACT
OBJECTIVE: To evaluate the attitudes, knowledge and training needs for primary care health professionals (PCP) dealing with HIV/AIDS infection. DESIGN: An observational, crossover study. SETTING: primary care: health districts in the Ciutat Vella health area of the city of Barcelona. PARTICIPANTS: 34 nursing professionals and 32 general practitioners. INTERVENTIONS: A validated questionnaire, which was self-administered, anonymous and filled in under supervision during October 1994. MEASUREMENTS AND MAIN RESULTS: Everyone answered a 20-question multiple choice test of knowledge and a 5-point Likert-type attitudes scale with 10 items. The PCP overall displayed: insufficient scores on the test of knowledge, on positive attitudes, on the difficulty of asking about risk practices if the reason for consultation is unrelated, on safety in handling, and need for training. CONCLUSIONS: Half the PCP displayed a level of theoretical preparation in need of improvement. Their positive attitudes and the clear need for more training on the question make it very likely that our PCPs would take advantage of training programmes. The situation in areas with less prevalence of the infection might well be different.
