OBJECTIVES: to analyze when the nursing process began to be used in the public and private healthcare centers of Gipuzkoa (Basque Country), and when both NANDA-I nursing diagnoses and the NIC-NOC terminologies were incorporated into this process. METHOD: a retrospective study was conducted, based on the analysis of nursing records that were used in the 158 studied centers. RESULTS: the specific data provided showed that in Gipuzkoa, the nursing process began to be used in the 1990s. As for NANDA-I nursing diagnoses, they have been used since 1996, and the NIC-NOC terminologies has been used since 2004. CONCLUSION: it was concluded that public centers are the ones which, generally speaking, first began with the nursing methodology, and that in comparison to the United States and Canada, the nursing process started to be used about 20 years later, NANDA-I nursing diagnoses around 15 years later, and the NIC-NOC terminologies, around six years later.
OBJECTIVE: to analyze what nursing models and nursing assessment structures have been used in the implementation of the nursing process at the public and private centers in the health area Gipuzkoa (Basque Country). METHOD: a retrospective study was undertaken, based on the analysis of the nursing records used at the 158 centers studied. RESULTS: the Henderson model, Carpenito's bifocal structure, Gordon's assessment structure and the Resident Assessment Instrument Nursing Home 2.0 have been used as nursing models and assessment structures to implement the nursing process. At some centers, the selected model or assessment structure has varied over time. CONCLUSION: Henderson's model has been the most used to implement the nursing process. Furthermore, the trend is observed to complement or replace Henderson's model by nursing assessment structures.
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.Descriptors: Nursing Process; Nursing Diagnosis; Nursing Care; Models, Nursing. Uso del proceso de enfermería en los centros públicos y privados de un área de saludObjetivo: 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.
Cross-sectional studies are needed to determine the changes in the development of the nursing process in Spain.
The perception and interpretation of childbirth are changing as values change. This requires women and professionals to adapt to new circumstances. The objective of this study was to analyze the perspectives of women and professionals on hospital birth and to identify improvement areas in order to achieve a positive perinatal experience. A qualitative prospective study with a phenomenological approach was conducted using semi-structured interviews with women, two and eight months after childbirth, participant observation, and professional focus groups. The analysis of the transcribed texts involved a thematic inductive approach. Four improvement areas emerged from the analysis: (a) strengthening communication and the therapeutic relationship; (b) unifying criteria between hospitals and primary care centers to provide coordinated and coherent information; (c) involvement of the partner in the whole process of pregnancy-childbirth-puerperium; (d) improvement of the spaces used in prenatal care and births. The need for a continuity of care from the beginning of pregnancy to the postpartum period is emphasized, which requires an improvement in information, participation, and the promotion of shared decision-making. To this end, coordinated interdisciplinary work, involvement of the partner and the improvement of the spaces used in prenatal care and births are essential.
Iktusa garuneko zirkulazioaren asaldura batek eragindako garuneko funtzio baten edo batzuen asaldura akutua da, iraunkorra zein iragankorra. Gaixotasun hori jasan dutenetako askok laguntza behar izaten dute desgaitasunaren maneiuan eta errehabilitazio-prozesuan. Erizainak eginkizun garrantzitsua du alor horretan. Artikulu honetan erizainaren lana bideratzen duten erizaintza-diagnostiko ohikoenen berri ematen da.
Erditzea prozesu indibidual eta konplexua da, emakume bakoitzaren bizitzan mugarri dena. Erditze-gertaeran prozesu fisiologikoen eta psikologikoen arteko erlazioa gertatzen da, emakumearen, semearen edo alabaren ongizatean eta amaren eta bikotearen arteko harremanean eragina izan dezaketen gizarte-, ingurumen-, antolamendu- eta politika-testuinguruek eraginda. Gaur egungo osasun-paradigmen bidez sustatzen da erabiltzaileek eta osasun-profesionalek beren bizipenen alderdi positiboei eta negatiboei buruzko ikuspegia eta gogoetak adieraztea. Beraz, lan honetan aztertuko dira amek ospitaleko erditzean positibotzat edo negatibotzat hartzen dituzten esperientziak eta izandako emozioak eta sentimenduak. Emaitzak funtsezkoak dira erditzean emakumearengan zentratutako zaintza modu indibidualizatuan, pertsonalizatuan, holistikoan eta jarraituan eman ahal izateko, emakumearen balioak, aukerak, kultura eta emakumearen eta bikotekidearen nahiak errespetatuz.
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