Impacto de un programa formative en Atención Primaria sobre la actitud ante los diagnósticos enfermeros y los conocimientos en metodología / Attitude towards nursing diagnosis and knowledge of nursing methodology. Impact of a training program in primary health care
Rev. Rol enferm
; 41(4): 300-308, abr. 2018. tab
Article
in Spanish
| IBECS
| ID: ibc-174657
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Introducción. El proceso enfermero facilita la identificación de necesidades biopsicosociales y el registro de cuidados en historias electrónicas, mediante el empleo de lenguajes estandarizados. La formación debe favorecer un uso coherente incidiendo favorablemente en la salud de las personas. Nuestro objetivo es analizar el impacto de un programa formativo sobre la actitud ante diagnósticos enfermeros (DE) y el nivel de conocimientos en metodología de un grupo de enfermeras de Atención Primaria (AP). Material y métodos. Estudio cuasiexperimental con medición antes-después para evaluar impacto de programa formativo de veinte horas sobre actitud y conocimientos. Se incluyeron variables sociodemográficas y profesionales. Participaron enfermeras de diez zonas de salud de Tenerife, excluyendo cuadernos incompletos. La actitud se evaluó con escala de posicionamiento ante el DE, EPADE-7, y los conocimientos con test evaluativo de respuestas alternativas. Resultados. Se recogieron 83 cuadernos de campo completos. Un 68 % eran mujeres, con 44.7(8.3)años y 20.8(8.4) de experiencia. Nivel bajo de competencia para DE en 88 % de participantes. Se observaron diferencias significativas entre los momentos pre-post para actitud ante DE y nivel de conocimientos, siendo los más jóvenes y los más expertos quienes puntuaron mejor. La satisfacción fue alta. Discusión. Los participantes respondieron a un perfil tipo de enfermeras de AP. Se comprueba que, a mayor contacto con lenguajes de cuidados, mejor integración y comprensión para su uso en la práctica asistencial real. Conclusiones. La fórmula docente, que combina talleres grupales y asesoramiento en consulta, resultó adecuada para mejorar la actitud ante DE y los conocimientos de enfermeras de AP en metodología:
ABSTRACT
Introduction. The nursing process helps to identify bio-psycho-social needs of patients and helps register care plans in electronic health records, with the advantage of using standardized language. A consistent use of language supported with adequate training should ease the nursing process, finally resulting in a positive impact on health. Our aim is to analyze the impact that a training program had on the attitude towards nursing diagnoses (ND), and the level of methodology knowledge among a group of primary healthcare nurses (PHN). Material and methods. Quasi-experimental design with before-and-after measurement to evaluate the impact of a 20-hour training program on attitudes and knowledge. Socio-demographic and professional variables were included. Nurses from 10 health care areas in Tenerife took part in the study; incomplete field notebooks were excluded. Attitude was verified using the Position on Nursing Diagnosis Scale (EPADE-7), and knowledge was measured with an evaluative test with alternative answers. Results. 83 complete field notebooks were collected. 68 % participants were women, 44.7 (8.3) years old and with 20.8 (8.4) years of experience. There was a low level of ND expertise in 88 % of participants. Significant differences were observed between the pre and post evaluation for attitude towards ND and level of knowledge, finding the highest scores among the youngest nurses. The level of satisfaction among participants was high. Discussion. Participants met the standard profile for PHN. It has been proved that the greater the contact with care language, the better the integration and understanding for its use in healthcare settings. Conclusions. The teaching formula that combines group workshops and coaching in nurses office is suitable to improve the attitude towards ND and the knowledge of nursing methodology among PHN
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Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
/
Sustainable Health Agenda for the Americas
Health problem:
Authority and Accountability for Healthcare Workers
/
Goal 6: Information systems for health
Database:
IBECS
Main subject:
Primary Health Care
/
Nursing Diagnosis
/
Nursing Methodology Research
/
Health Knowledge, Attitudes, Practice
/
Electronic Health Records
Type of study:
Diagnostic study
/
Evaluation study
/
Prognostic study
/
Qualitative research
Limits:
Humans
Language:
Spanish
Journal:
Rev. Rol enferm
Year:
2018
Document type:
Article
Institution/Affiliation country:
Servicio Canario de la Salud/España