RESUMO
Objetivos. Identificar beneficios y dificultades en la aplicación informática. Método. Estudio evaluativo de la herramienta informática Azahar utilizada en la gestión del proceso enfermero. La población de estudio fueron las enfermeras usuarias del sistema en hospitalización y las beneficiarias del mismo en Atención Primaria; en cada grupo la selección se realizó al azar y el número lo determinó la saturación de los datos. Técnicas de recogida de datos: entrevistas en profundidad y grupo de discusión. Resultados. Las enfermeras consideraron que lo más beneficioso y de utilidad en la herramienta son la valoración inicial y el informe de alta de continuidad de cuidados; así mismo identifican como ventajoso que registre todos los datos del proceso enfermero garantizando la calidad. Los inconvenientes y debilidades los relacionaron con estar sometidas a continuas variabilidades en su cotidianeidad asistencial; un aumento de carga de trabajo impide realizar siempre el registro informático, haciéndolo en papel, lo que supone una duplicidad en los registros; consideraron así mismo que el sistema operativo de la herramienta informática debe mejorar en cuanto a simplicidad y operatividad. Conclusión. La simplicidad en la herramienta y la adecuación en las cargas de trabajo, favorecerían la utilización de la misma y como consecuencia unos cuidados continuados (AU)
Objectives. To identify problems and critical points in the software application. Method. Assessment of the implementation of the software tool "Azahar" used to manage nursing care processes. The monitored population consisted of nurses who were users of the tool, at the Hospital and those who benefited from it in Primary Care. Each group was selected randomly and the number was determined by data saturation. A qualitative approach was employed using in-depth interviews and group discussion as data collection techniques. Results. The nurses considered that the most beneficial and useful application of the tool was the initial assessment and the continuity of care release forms, as well as the recording of all data on the nursing process to ensure quality. The disadvantages and weaknesses identified were associated with the continuous variability in their daily care. The nurses related an increase in workload with the impossibility of entering the records into the computer, making paper records, thus duplicating the recording process. Likewise, they consider that the operating system of the software should be improved in terms of simplicity and functionality. Conclusion. The simplicity of the tool and the adjustment of workloads would favour its use and as a result, continuity of care (AU)
Assuntos
Humanos , Aplicações da Informática Médica , Gestão em Saúde , Registros de Enfermagem , Cuidados de Enfermagem/organização & administração , Processo de Enfermagem/organização & administração , Qualidade da Assistência à Saúde/organização & administraçãoRESUMO
OBJECTIVES: To identify problems and critical points in the software application. METHOD: Assessment of the implementation of the software tool "Azahar" used to manage nursing care processes. The monitored population consisted of nurses who were users of the tool, at the Hospital and those who benefited from it in Primary Care. Each group was selected randomly and the number was determined by data saturation. A qualitative approach was employed using in-depth interviews and group discussion as data collection techniques. RESULTS: The nurses considered that the most beneficial and useful application of the tool was the initial assessment and the continuity of care release forms, as well as the recording of all data on the nursing process to ensure quality. The disadvantages and weaknesses identified were associated with the continuous variability in their daily care. The nurses related an increase in workload with the impossibility of entering the records into the computer, making paper records, thus duplicating the recording process. Likewise, they consider that the operating system of the software should be improved in terms of simplicity and functionality. CONCLUSION: The simplicity of the tool and the adjustment of workloads would favour its use and as a result, continuity of care.
Assuntos
Processo de Enfermagem/organização & administração , Software , Fatores de TempoRESUMO
Objetivo: Evaluar los cambios producidos en el Índice de Masa Corporal, masa grasa y masa magra de los obesos que han asistido al programa terapéutico educativo: Educación integral en grupo para control de peso. Metodología: Estudio de 57 pacientes obesos, con edad media (±DE) de 47,49 de ±11,8 años, comprendida entre los 18 y 75 años, de los cuales un 33,3% son varones y un 66,7 % mujeres. Se realizaron cuatro sesiones para medir parámetros antropométricos, utilizando un analizador de la masa corporal. A los 12 meses se evalúan los resultados obtenidos. Resultados: La diferencia entre el IMC de inicio y la final (p=0,016) resultó significativa. La diferencia entre la masa grasa de inicio y la medida media, obtuvo resultados significativos (p=0,001), como lo fueron los resultados de la primera medida y la última (p=0,001). Las diferencias de las medias de masa magra, no obtuvieron significación estadística. Conclusiones: Los talleres de educación en grupo aplicados a obesos mórbidos colaboran en la disminución del IMC y la masa grasa, a medio plazo (un año) manteniendo la masa muscular. Implicaciones prácticas: Diseñar estrategias optimizando los recursos resulta útil al obeso (AU)
Objective: To evaluate the changes produced in the body mass index, fat mass and lean mass, of a group of obese patients that participated in the therapeutic educational program: Integral education in group for weight control. Methodology: 57 obese patients with average age 47,49 ((±SD) 11,8 years including a range between 18 and 75 years were studied, 33,3% men and 66,7% women. Four sessions to measure anthropometric parameters using an a body mass analyzer repeated after 12 months to evaluate the results. Results: The difference between the initial and the final BMI (p= 0,016) was significant. The difference between the initial fat initial and middle measurement obtained significant results (p= 0,001), as well as between the initial and the final measurement (p= 0,001). Differences of the average lean mass did not obtained statistical significance. Discussion and conclusions: Group education applied to morbid obese contribute to the decrease of BMI and the medium-term fat mass (one year) maintaining the muscular mass. Practical implications: Designing strategies optimizing resources, it is useful to the obese (AU)
