ABSTRACT
AIM: to analyze whether the nursing process method is used at public and private centers in the health area Gipuzkoa (Basque Country) and, if yes, to analyze in the framework of which model and how it is used. METHOD: cross-sectional study, based on the analysis of the nursing records used at the 158 centers studied. RESULTS: the nursing process is applied at 98% of the centers. It is applied at all public and 18 out of 21 private centers. Virginia Henderson's model is the most used to apply it, and most centers use nursing diagnoses, the NIC-NOC terminology and standardized care plans. CONCLUSION: the use of the nursing process is widespread in Gipuzkoa, with greater use at public than at private centers.
Subject(s)
Nursing Process , Catchment Area, Health , Cross-Sectional Studies , Health Facilities , Humans , Private Sector , Public Sector , SpainABSTRACT
AIM: to analyze whether the nursing process method is used at public and private centers in the health area Gipuzkoa (Basque Country) and, if yes, to analyze in the framework of which model and how it is used. METHOD: cross-sectional study, based on the analysis of the nursing records used at the 158 centers studied. RESULTS: the nursing process is applied at 98% of the centers. It is applied at all public and 18 out of 21 private centers. Virginia Henderson's model is the most used to apply it, and most centers use nursing diagnoses, the NIC-NOC terminology and standardized care plans. CONCLUSION: the use of the nursing process is widespread in Gipuzkoa, with greater use at public than at private centers.
OBJETIVO: analisar se a metodologia do processo de enfermagem é utilizada nos serviços públicos e privados do distrito de saúde de Gipuzkoa (País Basco) e, caso seja, analisar sob qual modelo de enfermagem e de que maneira é utilizada. MÉTODO: estudo transversal, baseado na análise dos registros de enfermagem usados pelos 158 serviços estudados. RESULTADOS: o processo de enfermagem aplica-se em 98% dos serviços estudados. É aplicado em todos os serviços públicos e em 18 dos 21 serviços privados. O modelo de Virginia Henderson é o mais utilizado para aplicá-lo, e o uso dos diagnósticos de enfermagem, da terminologia NOC-NIC e dos protocolos de cuidados padronizados é majoritário. CONCLUSÃO: conclui-se que o uso do processo de enfermagem está disseminado em Gipuzkoa, e que seu uso é maior nos serviços públicos do que nos privados.
OBJETIVO: analizar si la metodología del proceso de enfermería se utiliza en los centros públicos y privados del área de salud de Gipuzkoa (País Vasco) y, en caso de utilizarse, analizar bajo qué modelo enfermero y de qué manera se utiliza. MÉTODO: estudio transversal, basado en el análisis de los registros de enfermería que utilizan los 158 centros estudiados. RESULTADOS: el proceso de enfermería se aplica en el 98% de los centros estudiados. Se aplica en todos los centros públicos y en 18 de los 21 centros privados. El modelo de Virginia Henderson es el más utilizado para aplicarlo, y el uso de los diagnósticos enfermeros, de la terminología NOC-NIC y de los planes de cuidados estandarizados es mayoritario. CONCLUSIÓN: se concluye que el uso del proceso de enfermería está extendido en Gipuzkoa, y su uso es mayor en los centros públicos que en los privados.
Subject(s)
Humans , Nursing Process , Catchment Area, Health , Cross-Sectional Studies , Health Facilities , Private Sector , Public Sector , SpainABSTRACT
OBJECTIVE: To determine trends in smoking and alcohol consumption, as well as risk behaviors associated with alcohol and driving, among nursing students throughout the diploma in nursing. METHOD: A longitudinal epidemiological study was performed in a cohort of 81 nursing students of the San Sebastian School of Nursing. Data were collected using a self-administrated, bilingual (Spanish-Basque) questionnaire completed voluntarily and anonymously. The questionnaire was distributed in one of the most highly attended lectures. RESULTS: Ninety-one percent of the cohort (71 students) were women. The percentage of current smokers (25%, 26.7% and 26.9%) and current drinkers (70.4%, 69.7% and 69.6%) showed no change during the 3-year diploma. The percentage of students at risk of an alcohol-related traffic accident was very high and increased during the course (from 32.3% in the first year to 45% in the third). CONCLUSIONS: The present study identifies unhealthy habits and behaviors that do not improve during the diploma in nursing, suggesting that nursing studies do not always help to encourage healthy habits. Therefore, health education programs should be developed to promote healthy habits and life styles.
Subject(s)
Alcohol Drinking/epidemiology , Smoking/epidemiology , Students, Nursing , Adult , Female , Humans , Longitudinal Studies , Male , Surveys and QuestionnairesABSTRACT
Objetivo. Conocer y valorar la evolución del consumo de tabaco y alcohol, así como de las conductas de riesgo ligadas al alcohol y la conducción, en estudiantes de enfermería a lo largo de la diplomatura. Método. Se trata de un estudio epidemiológico longitudinal, donde la cohorte la constituyeron 81 estudiantes de enfermería de la Escuela Universitaria de Enfermería de San Sebastián. Para la recogida de los datos se ha utilizado un cuestionario autoadministrado bilingüe (castellano-euskera) de forma voluntaria y anónima, aprovechando las clases teóricas de mayor asistencia. Resultados. El 91% (74) de la cohorte lo formaban mujeres. El porcentaje de fumadores habituales (25, 26,7 y 26,9%) y bebedores habituales (70,4, 69,7 y 69,6) se mantuvo estable a lo largo de los 3 años de la diplomatura. El porcentaje de alumnos/as que tenía riesgo de accidentarse es muy elevado, ascendiendo a lo largo de la carrera (desde el 32,3 % en primero al 45% en tercero). Conclusiones. Con este estudio se han identificado hábitos insanos y conductas de riesgo que no mejoran a lo largo de la diplomatura de enfermería, sugiriendo que la realización de la carrera de enfermería no actúa siempre como un sistema de refuerzo positivo en cuanto al mantenimiento de conductas saludables. Todo ello nos empuja a desarrollar programas de educación para la salud con el fin de promover conductas y estilos de vida sanos
Objective. To determine trends in smoking and alcohol consumption, as well as risk behaviors associated with alcohol and driving, among nursing students throughout the diploma in nursing. Method. A longitudinal epidemiological study was performed in a cohort of 81 nursing students of the San Sebastian School of Nursing. Data were collected using a self-administrated, bilingual (Spanish-Basque) questionnaire completed voluntarily and anonymously. The questionnaire was distributed in one of the most highly attended lectures. Results. Ninety-one percent of the cohort (71 students) were women. The percentage of current smokers (25%, 26.7% and 26.9%) and current drinkers (70.4%, 69.7% and 69.6%) showed no change during the 3-year diploma. The percentage of students at risk of an alcohol-related traffic accident was very high and increased during the course (from 32.3% in the first year to 45% in the third). Conclusions. The present study identifies unhealthy habits and behaviors that do not improve during the diploma in nursing, suggesting that nursing studies do not always help to encourage healthy habits. Therefore, health education programs should be developed to promote healthy habits and life styles
Subject(s)
Male , Female , Adult , Humans , Students, Nursing/statistics & numerical data , Alcohol Drinking/epidemiology , Tobacco Use Disorder/epidemiology , Tobacco Use Cessation/statistics & numerical data , Reinforcement, Psychology , Epidemiologic Studies , Evaluation of Results of Preventive Actions , Risk-TakingABSTRACT
A cohort study was carried out in order to evaluate the evolution of nursing students' perception of stressors associated with clinical practice. Sixty-nine students answered the KEZKAK questionnaire about nursing stressors [Zupiria X., Uranga M.J., Alberdi, M.J., Barandiaran, M., 2003b. Kezkak: cuestionario bilingüe de estresores de los estudiantes de enfermería en las prácticas clínicas. Gac. Sanit. 17 (1), 37-51.] at four stages of their studies. The most powerful stressors identified by students both at the beginning and at the end of their studies were: lack of competence, uncertainty and impotence, being harmed by the relationship with patients, emotional involvement, lack of control in relationships with patients, contact with suffering, relationships with tutors and companions, and overload. Nevertheless, most of the stressors were found to lose stressor power during the course of nursing training. The evolution of the perception of stressor power and its implications for nurse training are discussed, and some recommendations based on our findings are provided.
Subject(s)
Attitude of Health Personnel , Burnout, Professional/psychology , Clinical Competence , Education, Nursing, Baccalaureate/organization & administration , Students, Nursing/psychology , Adult , Burnout, Professional/etiology , Burnout, Professional/prevention & control , Emotions , Empathy , Female , Health Services Needs and Demand , Humans , Internal-External Control , Male , Nurse-Patient Relations , Nursing Education Research , Nursing Methodology Research , Power, Psychological , Professional Autonomy , Prospective Studies , Risk Factors , Self Efficacy , Spain , Surveys and Questionnaires , UncertaintyABSTRACT
Objetivo. Conocer las principales fuentes de estrés de la práctica clínica desde el punto de vista de los estudiantes de enfermería, así como su evolución a lo largo de la diplomatura. Método. Se ha estudiado una cohorte de 86 estudiantes de enfermería. Se han medido las principales fuentes de estrés de la práctica clínica con el cuestionario KEZKAK en 2 momentos: al inicio y al final de la diplomatura. Resultados. Las principales fuentes de estrés, tanto al principio de la carrera como al final, son en orden de importancia: falta de competencia, impotencia e incertidumbre, dañarse en la relación con el enfermo, implicación emocional, no controlar la relación con el enfermo, contacto con el sufrimiento y relación con los compañeros. A lo largo de la diplomatura hay una disminución significativa en la puntuación de las principales fuentes de estrés, excepto en 2: la relación con los compañeros y la implicación emocional. Conclusiones. Las principales fuentes de estrés de la práctica clínica para los estudiantes de enfermería son las mismas al principio y al final de la carrera. La variación observada en la importancia de las fuentes de estrés es interesante y sugiere aspectos a potenciar en la formación de los futuros profesionales de enfermería
Objective. To determine the main causes of stress in clinical practice identified by nursing students, as well as their evolution during nursing studies. Method. A cohort of 86 nursing students was studied. The most important sources of stress in clinical practice were measured by means of the KEZKAK questionnaire at two different times: at the beginning and at the end of nursing studies. Results. The main causes of stress both at the beginning and at the end of the course were the following (ordered from most to least important): lack of competence, impotence and uncertainty, being harmed by the relationship with patients, emotional involvement, lack of control in the relationship with patients, contact with suffering, and relationships with work mates. During the course, there was a significant decrease in the scores for the main sources of stress except for two: the relationship with work mates and emotional involvement. Conclusions. The most important sources of stress in clinical practice according to students are the same at the beginning and at the end of nursing studies. The variation observed in the importance of stress sources is interesting and helps to identify aspects that should be reinforced in the education of future nursing professionals
Subject(s)
Male , Female , Adult , Humans , Nursing, Practical , Students, Nursing/statistics & numerical data , Stress, Psychological/epidemiology , Professional Practice , Surveys and Questionnaires , Nurse-Patient Relations , Interpersonal RelationsABSTRACT
Objetivo: Medir el conocimiento de los alumnos sobre la vejez y la ancianidad, y detectar creencias erróneas que puedan interferir en el cuidado de las personas mayores. Métodos: Estudio epidemiológico transversal con 264 alumnos de la Escuela Universitaria de Enfermería de Donostia-San Sebastián, utilizando la encuesta Hechos y bulos sobre el envejecimiento y la vejez de Fernández-Ballesteros, que contiene 23 enunciados sobre la vejez, de los cuales 11 son verdaderos y 12 falsos. Resultados: La media de aciertos es elevada. La media de aciertos es mayor en el tercer curso que en el segundo y el primero. Entre las creencias erróneas destacan que la mayor parte de los alumnos cree que la mayoría de los ancianos se sienten solos y que 1 de cada 10 ancianos vive en una institución. Conclusiones: Destaca la existencia de algunas creencias erróneas que, si se mantuviesen, dificultarían fomentar la autonomía de los anclanos. Asimismo, este estudio orienta sobre aspectos a tener en cuenta en la formación de los futuros profesionales de enfermería (AU)