Costs and benefits of nursing clinical education for hospital institutions

INTRODUCTION: The Nursing Degree Course (NDC) internships realization is assumed as a pertinent study problem for the teaching and hospital institutions, in a way to improve the learning processes and the efficiency of management. OBJECTIVE: To identify the clinical teaching formation costs of nursing students in hospital institutions it was decided to measure through the analysis of a structure indicator the material resources, through a process indicator the human resources on the time spent by nurses provisioning care to patients, and through a results indicator the degree of citizen satisfaction, always having in mind the comparative analysis of hospital costs between the presence and absence of nursing students in Clinical Teachings. MATERIAL AND METHOD: A descriptive-correlational and transversal study was realized on the Hospital, on the year 2011, involving Medicine and Surgery Services, where the Clinical Teachings of the Health School NDC take place. RESULTS: The research protocol included a "Documental Corpus" with a list of 26 consumed supplies of the year, an observation grid, for the registration of time of direct cares provided by nurses during 159 observations, and a Citizen Satisfaction Facing Nursing Care Scale, in a sample of 115 citizens inpatient in the services. CONCLUSION: The inferences show that the presence of students in Clinical Teachings in the hospitals leads to a positive balance of 21.57 Euros per day and service, with a positive reinforcement associated to the resulting citizens satisfaction facing student rendered cares

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Integración de ámbitos asistenciales / Integrating healthcare provision

El modelo convencional de asistencia ambulatoria al paciente con dolencias cardiovasculares crónicas está basado en atenciones puntuales fragmentadas por diferentes especialistas sin apenas comunicación ni coordinación con atención primaria. La mayoría de las consultas de cardiología, a pesar de los grandes recursos que consumen, presentan una baja eficiencia. Durante los últimos años, la especialidad de cardiología ha desarrollado múltiples avances diagnósticos y terapéuticos; sin embargo, el tratamiento ambulatorio de los pacientes, su organización, no se diferencia sustancialmente de la que se realizaba hace 40 años. El envejecimiento de la población y la alta prevalencia de las dolencias cardiovasculares crónicas han causado la saturación en el sistema. La integración asistencial, que aquí se propone, es una respuesta organizativa que pretende interconectar los distintos elementos que participan en el tratamiento de una enfermedad concreta bajo un plan protocolizado. Los diferentes proveedores de servicios sanitarios se organizan de una forma coherente, lógica y sincronizada para asegurar la continuidad asistencial. En los últimos años se han introducido diferentes estrategias de mejora en nuestra especialidad, basadas en el tratamiento integrado de la enfermedad, para mejorar la calidad de la atención y la comunicación entre los diferentes especialistas y médicos de primaria involucrados en el tratamiento del paciente. Se describe un modelo multidisciplinario de integración entre ámbitos asistenciales para el tratamiento ambulatorio de la insuficiencia cardiaca basado en la intervención de la enfermería especializada (AU)

Traditionally, care of outpatients with chronic cardiovascular complaints centers around the provision of fragmented isolated care by different specialists who engage in little communication or coordination with primary care physicians. Most cardiology clinics, despite their extensive use of resources, are not very effective. During the last few years, the specialty of cardiology has seen numerous advances in diagnosis and therapy. However, organizationally, outpatient care has not substantially altered in the last 40 years. Aging of the population combined with the high prevalence of chronic cardiovascular disease has resulted in the system becoming saturated. Integrated care is the term given to an organizational approach that attempts to interconnect the different agencies involved in treating a particular pathological condition by using a predefined protocol. The various healthcare providers are organized in a coherent, logical, and synchronized manner to ensure continuity of care. In recent years, different quality improvement initiatives, based on integrated disease management approaches, have been introduced into our specialty with the aim of improving both quality of care and communication between different specialists and primary care physicians involved in treating patients. This article describes an integrated multidisciplinary approach to the treatment of outpatients with heart failure that involves healthcare services at different levels and which is based on interventions by specialist nurses (AU)