Nurses' behavioural and control beliefs were related. Nurses should be trained in alternatives to physical restraint use. The impact of analgo-sedation protocols, relatives' involvement, leadership support and intensive care unit restraint policies on physical restraint practices need to be revised. Further research is required to explore why nurses do not act with moral courage to change this harmful practice.
The scale has been designed and validated incorporating the perspective of critical care patients. Thanks to its reliability and validity, this questionnaire can be used both in research and in clinical practice. The scale offers a possibility to assess and develop interventions to improve patient satisfaction with nursing care.
Carretera del Prat nº 32 5º 1ª 08038 Barcelona 2 RESUMEN El fracaso renal agudo afecta a un 25% de los pacientes hospitalizados en las Unidades de Cuidados Intensivos. A pesar de los avances tecnológicos, la mortalidad de estos pacientes sigue siendo elevada debido a las complicaciones asociadas. Uno de los tratamientos del fracaso renal agudo son las técnicas continuas de reemplazo renal ya que permiten tratar las complicaciones y disminuir la mortalidad. El conocimiento y la habilidad de la enfermera en relación a estas técnicas serán decisivos para el éxito de la terapia. Para ello, la formación y la experiencia de la enfermera son el componente clave. El presente artículo tiene como objetivo actualizar los conocimientos sobre las técnicas continuas de reemplazo renal. Para ello se realiza una revisión de los principios físico-químicos como la difusión y la convección, entre otros; una descripción de las modalidades de las técnicas continúas de reemplazo renal; una presentación de los principales accesos vasculares; y una descripción de los cuidados enfermeros y de las complicaciones relacionadas con las técnicas utilizadas.Palabras claves: cuidados intensivos, hemodiálisis, hemodiafiltración, hemofiltración, cuidados de enfermería, complicaciones, lesión renal aguda, acceso vascular
ABSTRACTAcute renal failure affects 25% of patients hospitalized in intensive care units. Despite technological advances, the mortality of these patients is still high due to complications associated. One of the treatments of acute renal failure are continuous renal replacement techniques because they allow complications management and decrease mortality. Nurse's knowledge and skills in relation to these techniques will be critical for therapy success. Consequently, nurse experience and training are key components. The objective of this article is to update the knowledge about continuous renal replacement techniques. This is a review of phisical and chemical principles as difussion and convection, among others; description of different continuous renal replacement techniques; description of main vascular access; description of nursing cares and complications related to applied techniques.
Objective: to analyze the student’s progression in the acquisition of specific and transversal competences in relation to the competence dimensions. Method: the cross-sectional descriptive study was carried out in the clinical practice subjects included in the Nursing Degree. We included 323 students and we contemplated the development of competences through an ad-hoc questionnaire with 4 dimensions: delivery and care management, therapeutic communication, professional development and care management. Results: the academic results between the practice of the second and third year showed an improvement in care provision and therapeutic communication skills (Clinical Placements I: 12%-29%; Clinical Placements II: 32%-47%) and worsened in professional development and care management (Clinical Placements I: 44%-38%; Clinical Placements II: 44%-26%). Conclusion: the correlations between these two years were high in all the dimensions analyzed. The evaluation of competence progression in the context of clinical practice in nursing university studies allows us to optimize these practices to the maximum and establish professional profiles with a greater degree of adaptation to the professional future.
Percepción de las enfermeras de UCI en relación al cuidado satisfactorio: Convergencias y divergencias con la percepción del paciente criticoJover Sancho C (a) , Romero-García M (b,c) , Delgado-Hito P (b,c) , de la Cueva-Ariza L (b,c) , Solà-Solé N (a) , Acosta-Mejuto B (a) , Ricart-Basagaña MT (a) , Solà-Ribó, M (a) Se obtuvo informe favorable del comité de ética del centro y consentimiento informado de los participantes. Limitaciones: el reclutamiento de pacientes incluidos en los perfiles de edad avanzada y larga estancia se dilató en el tiempo por la baja incidencia de éstos..Resultados. Emergen 4 categorías coincidentes: las competencias profesionales, los cuidados humanos, técnicos y continuados. La combinación de estos elementos producen sentimientos de seguridad, tranquilidad, sentirse persona permitiendo al 2 paciente una relación cercana y de confianza con la enfermera que realiza cuidados individualizados. No se han encontrado categorías divergentes.
Conclusiones. Las percepciones de las enfermeras en relación a los cuidadoscoinciden con las percepciones de los pacientes críticos tanto en la definición como en las dimensiones sobre el cuidado satisfactorio.
Palabras clave:Satisfacción del paciente, enfermeras de críticos, percepción, cuidados críticos, unidades de cuidados intensivos, investigación cualitativa, investigación en enfermería, experiencia de vida
AbstractObjective. Explore convergences and divergences between perception of nurses and critically ill patients, in relation to the care given and received satisfactorily.
Methods.It is part of a larger qualitative study, according to the Grounded Theory.
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