Validación de una herramienta de prescripción de cuidados básicos estandarizados y evaluables con temporalidad

  1. Víctor González-Chordá 1
  2. Jesús Cremades Puerto 2
  3. Víctor Pérez Cantó 3
  4. Fuensanta Hellín Gil 4
  5. Loreto Maciá Soler 3
  1. 1 Universitat Jaume I. Castellón. España
  2. 2 Hospital General Universitario de Elda (Alicante). España
  3. 3 Universidad de Alicante, España
  4. 4 Hospital Universitario Virgen de la Arrixaca. Murcia. España
Journal:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Year of publication: 2018

Volume: 17

Issue: 3

Pages: 332-349

Type: Article

DOI: 10.6018/EGLOBAL.17.3.319711 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Enfermería global: revista electrónica trimestral de enfermería

Abstract

Introduction: The prescription of basic care with temporality in medical-surgical hospitalization units represents a gap in the care plans and nursing students cannot acquire the competence of managing basic care. The objective of this study is to validate a standardized care plan to prescribe care that can be used by nursing students during the acquisition of skills related to basic care. Methods: A qualitative and quantitative study was carried out, including panels of experts combining nominal group techniques (generating hypothesis of the research and the development of prescription method) with Delphi method modified (content validity) and a focus group as a complementary method in order to reach consensus. The study was carried out over a 18-month time period between 2013- 2014. Results: Three levels prescribing standardized cares have been created. This has been made by using Barthel scale which is used in an electronic form by second-year nursing students at University Jaume I in Castellón. Conclusions: Studies that specify how to carry out standardized validated studies of care plans have not been identified in literature review. In this study a combination of methods was used, similar to that which was used by other authors in order to develop different types of tools. With this registration and prescription system it is possible to evaluate the quality of cares and reinforce the role of nursing in hospital medical-surgical units

Bibliographic References

  • 1. Real Decreto 581/2017, de 9 de junio, por el que se incorpora al ordenamiento jurídico español la Directiva 2013/55/UE del Parlamento Europeo y del Consejo, de 20 de noviembre de 2013, por la que se modifica la Directiva 2005/36/CE relativa al reconocimiento de cualificaciones profesionales y el Reglamento (UE) n.º 1024/2012 relativo a la cooperación administrativa a través del Sistema de Información del Mercado Interior.
  • 2. ORDEN CIN/2134/2008, de 3 de julio, por la que se establecen los requisitos para la verificación de los títulos universitarios oficiales que habiliten para el ejercicio de la profesión de Enfermero.
  • 3. Faeda MS; Perroca MG Care management: agreement between nursing prescriptions and patients' care needs. Revista Latino-Americana de Enfermagem. 2016;24:e2723,
  • 4. Arenas Moya D; Plascencia Gaitan A; Ornelas Camacho D; Arenas Marquez H .Hospital Malnutrition Related to Fasting and Underfeeding: Is It an Ethical Issue? Nutrition in Clinical Practice.2016;31(3):316-24.
  • 5. Schultz A; Bien M; Dumond K; Brown K; Myers A .Etiology and incidence of pressure ulcers in surgical patients. AORN Journal. 1999;70(3):434, 437-40, 443-9.
  • 6. Currel, R; Urquhart, C. Nursing record systems: effects on nursing practice and healthcare outcomes. Cochrane Library. 2009;21(1):CD002099.
  • 7. Pivotto F, Lunardi Filho WD, Lerch Lunardi V. Prescrição de enfermagem: dos motivos da não realização às possíveis estratégias de implementação. Cogitare enferm. 2004;9(2): 32-42 [Acceso el 14/11/2013] Disponible en URL: http://revistas.ufpr.br/cogitare/article/view/1714
  • 8. Cid-Ruzafa J, Damián-Moreno J. valoración de la discapacidad funcional: El índice de Barthel. Rev Esp Salud Pública. 1997;71:127-137.
  • 9. Guilherme C, Carvalho EC, Landeros López, M. Relevance of data collection instruments for quality of care. Enfermería Global. 2012;27: 328-36 [Acceso el 14/11/2013] Disponible en URL: http://scielo.isciii.es/pdf/eg/v11n27/en_revision1.pdf
  • 10. Shapiro SE, Driever MJ. Clinical Rules as Tool for Evidence-Based Nursing. West J Nurs Res. 2004;12(26):930
  • 11. Cantril JA (1996) The Delphi and nominal group techniques in health service research. Pharmacy practice. 4(2):67-74.
  • 12. Landeta J, Barrutia J, Lertxundi A. Hybrid Delphi: a methodology to facilitate contribution from experts in professional context. Technological Forecasting and Social Change. 2011;78:1629-41.
  • 13. Hasson F, Keeney S. Enhancing rigour in the Delphi technique research. Technological Forecasting & Social Change. 2011;78(9):1695-704
  • 14. Chang AM, Gardner GE, Duffield C, Ramis MA. A Delphi study to validate an advanced pratice nursing tool. Journal of Advanced Nursing. 2010;66(10):2320- 30.
  • 15. Polit D, Beck C, Owen SV. Is the CVI An aceptable indicator of content validity? Appraisal and recomendations. Research in Nursing & Health. 2007;30(4):459-467.
  • 16. Balanza Galindo S, Morales Moreno I, Guerrero Muñoz J, Conesa Conesa A. Fiabilidad y validez de un cuestionario para medir en estudiantes universitarios la asociación de la ansiedad y depresión con factores académicos y psicofamiliares durante el curso 2004-2005. Revista Española de Salud Pública. 2008;82(2):189-200.
  • 17. Escobar-Pérez J. Validez de contenido y juicio de expertos: una aproximación a su utilización. Avances en Medicina. 2008;6:27-36.
  • 18. Giraldo CI, Franco GM. Capacidad funcional y salud: orientaciones para cuidar al adulto mayor. Avances en Enfermería. 2008;26(1): 43-58. [Acceso 06 de Febrero 20015]. Disponible en: http://www.revistas.unal.edu.co/index.php/avenferm/article/view/12884
  • 19. Kitson AL, Athlim AM, Conroy T. Anything but Basic: Nursing’s challenge in meeting patients’ fundamental care needs. Journal of Nursing Scholarship. 2014;46(5):331-9. DOI:
  • 20. Mertens EI, Halfens RJ, Dietz E, Scheufele R, Dassen T. Pressure ulcer risk screening in hospitals and nursing homes with a general nursing assessment tool: evaluation of the care dependency scale. Journal Evaluation of Clinical Practice. 2008;14(6):1018-25.
  • 21. Ferrús L, Honrado G, Pintado D. Grupos relacionados con el diagnóstico e intensidad de cuidados de enfermería: variabilidad y homogeneidad de los cuidados enfermeros. Enfermería Clínica. 2001;10(5):191-99.
  • 22. Varela-Ruiz M, Díaz-Bravo L, García-Durán R. Descripción y usos del método Delphi en investigaciones en el área de la salud. Investigación en Educación Médica. 2012;1(2):90-5 [Acceso 05 Febrero 2015] Disponible en: http://www.elsevier.es/es-revista-revista-investigacion-educacion-medica-343- articulo-descripcion-usos-del-metodo-delphi-90122899
  • 23. Saranto K, Kinnunen UM, Kivekäs E, Lappalainen AM, Liljamo P, Rajalahti E, Hyppönen H. Impacts of structuring nursing records: a systematic review. Scandinavian Journal of Caring Science. 2014;28:629-47. [Acceso 7 Febrero de 2015) Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/scs.12094/abstract
  • 24. Juvé-Udina ME, Zuriguel Pérez E, Fabrellas Padrés N, González Samartino M, Romero García M, Castellá Creus M, Vila Batllori N, Matud Calvo C. Basic nursing care: Retrospective evaluation of comunication and psicosocial interventions documented by nurse in the acute care setting. Journal of Nursing Scholarship 2014;46(1):65-72
  • 25. Englebright J, Aldrich K, Taylor CR. Defining and incorporating Basic Nursing Care actions into the electronic health record. Journal of Nursing Schoolarship 2014;46(1):50-7.
  • 26. Wieteck, P. Furthering the development of standardized nursing terminology through an ENP®-ICNP® cross-mapping. International Nursing Review. 2008;55: 296–304.
  • 27. Nykänen P, Kaipio J, Kuusisto A. Evaluation of the national nursing model and four nursing documentation systems in FinlandLesons learned and directions for the future. International Journal of Medical Informatics. 2012;81:507-20.
  • 28. De Marinis MG, Piredda M, Pascarella MC, Vincenzi B, Spiga F, Tartaglini D, Alvaro R, Matarese M. 'If it is not recorded, it has not been done!'? consistency between nursing records and observed nursing care in an Italian hospital. Journal of Clinical Nursing. 2010;19(11-12):1544-52.
  • 29. Bragato L, Jacobs K. Care pathway: the road to better health services? Journal of Health Organization and Management. 2003;17(3): 164-180.