Indicadores de calidad de los cuidados de enfermería hospitalarios

Caamaño, Carmen; Martínez, José Ramón; Alonso, Margarita; Hernández, Aurora; Martínez-Renedo, Eva; Sáinz, Ana

doi:10.1016/s1134-282x(06)70770-9

Cited by 10 publications

(6 citation statements)

References 6 publications

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“…The best way to evaluate the effectiveness of the proposed bundles is the use of indicators, as they allow relevant aspects of care to be objectified, comparisons to be made, objectives to be proposed, and a culture of the evaluation and improvement of care to be created [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

An Explanatory Model of Vascular Access Care Quality: Results of a Cross-Sectional Observational Study

Casanova-Vivas,

Ballestar-Tarín,

García-Molina

et al. 2024

Nursing Reports

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The management of nursing care regarding patients’ vascular access is a priority. This study determines the contribution of the variables involved in the quality of care and maintenance of vascular access (VA) devices in admitted patients in the Valencian Community. Methods: Using the STROBE statement, an observational, cross-sectional study was conducted on 1576 VA devices. Data were collected using the INCATIV Questionnaire. We performed a multivariate analysis of the questionnaire variables. Results: In total, 50% had a good or very good assessment of the VA condition. This was positively correlated with anatomical location, dressing type, dressing date record, use of needle-free connectors (NFCs), date of last dressing change, presence of phlebitis, visibility of the insertion site and characteristics of the dressing’s condition (p < 0.001). The model indicated that the presence of phlebitis was the clearest predictor of a poor VA care assessment (OR = 20.579), followed by no visibility of the insertion site (OR = 14.209). Results also indicated that uncovered VA lumens or no NFCs used were related to a negative quality assessment. Conclusion: By managing and controlling these variables, the likelihood of providing optimal care is ensured. This enables the establishment of a standardised care approach for all nursing professionals and the building of a new quality indicator.

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Section: Introductionmentioning

confidence: 99%

An Explanatory Model of Vascular Access Care Quality: Results of a Cross-Sectional Observational Study

Casanova-Vivas,

Ballestar-Tarín,

García-Molina

et al. 2024

Nursing Reports

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“…[14][15][16] Therefore, the availability of indicators that allow to objectify relevant aspects of assistance, establish comparisons, propose objectives, and create a culture of evaluation and improvement of assistance has become essential. 17 Given the above factors, this multicenter study, lasting 4 years, conducted in Spain, and developed within the framework of the INCATIV project (i.e. INdicadores de CAlidad en Terapia IntraVenosa or in English, quality indicators in intravenous therapy), was designed with the following objectives: first, to identify the status of nursing care in vascular accesses in different hospitals and second, to evaluate the impact of a series of informative and formative interventions aimed at their care.…”

Section: Introductionmentioning

confidence: 99%

“…14–16 Therefore, the availability of indicators that allow to objectify relevant aspects of assistance, establish comparisons, propose objectives, and create a culture of evaluation and improvement of assistance has become essential. 17…”

Section: Introductionmentioning

confidence: 99%

Training, management, and quality of nursing care of vascular access in adult patients: The INCATIV project

et al. 2021

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Background: More than one billion of peripheral venous catheters are inserted into hospitalized patients every year. This study sought to identify the status of nursing care in vascular accesses in different hospitals and to evaluate the impact of a series of informative and formative interventions aimed at their care. Methods: Quasi-experimental, multicenter study. A total of 54 nursing professionals of 19 hospitals participated. The intervention consisted of informative talk and three training sessions related to the care and maintenance of vascular accesses and intravenous therapy in the hospital-admitted adult population. This was delivered in four years, with eight periodic cross-sectional assessments conducted before and after each intervention. To assess quality of nursing care in vascular accesses and intravenous therapy, a quality indicator called Standard Variable (VES), was developed and validated with the Delphi methodology. Results: A total of 21,108 patients, aged 64.0 years (SD 18.3), were assessed, of which 78.3% (16,516) had some type of vascular access inserted. An average of 22.1% (95% CI: 21.4–22.7) were classified as optimal. In total, 3218 nursing care professionals took part in the training activities. The VES indicator grew steadily throughout the study, raising from 7.8% to 37.6%. Changes were statistically significant between those time points in which one of the described interventions was delivered; however, there were no significant changes between time points with no intervention. Conclusions: This study supports that continuous training interventions can produce improvements in the quality of nursing care and reduce complications in patients with vascular accesses. In addition, the VES indicator was a useful and simple tool to measure quality, but the experience with its use suggests continuous research in the search for standardized indicators that objectify the evaluation and evolution of care.

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“…Proporcionar una atención de calidad es un tema prioritario para los gerentes y profesionales sanitarios, 1,2 por lo que se han diseñado programas estratégicos para garantizar el bienestar del paciente, como las acciones esenciales de seguridad del paciente diseñados por la Secretaría de Salud para regular procedimientos con estándares de calidad, 3 los cuales sirven para objetivar aspectos relevantes de la asistencia, establecer comparaciones, proponer objetivos y crear una cultura de evaluación y mejora de la calidad de la atención médica. [4][5][6] La Organización Mundial de la Salud (OMS) y la Organización Panamericana de la Salud (OPS) establecen que para abastecer de sangre segura a la población se debe fomentar el trabajo en equipo, obtener la sangre y componentes sanguíneos de donantes voluntarios y altruistas, no remunerados y regulares, asegurándose de que reciban una atención de calidad. 7 Ante ello, el Gobierno de México cuenta con la Norma Oficial Mexicana NOM-253-SSA1-2012, 7 para la disposición de sangre humana y sus componentes con fines terapéuticos, con el fin de garantizar la autoeficacia, cobertura universal y seguridad de la sangre y sus componentes, la cual fue creada hace más de 20 años desde que fue publicada la primer NOM por la Secretaría de Salud; sin embargo, existen desviaciones normativas en su cumplimiento en el procedimiento de transfusiones sanguíneas.…”

Section: Introductionunclassified

Cumplimiento de la NOM 253-SSA1-2012, para la administración de hemoderivados en un hospital de segundo nivel

Bolaños¹,

Rivas²,

Pérez³

et al. 2021

Revista CONAMED

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La seguridad de las transfusiones se reconoce como una prioridad global; en México se cuenta con la NOM-253-SSA1-2012, para la disposición de sangre humana y sus componentes con fines terapéuticos; sin embargo, presenta desviaciones en su cumplimiento, respecto al indicador de calidad para la atención de enfermería en el IMSS, «procedimiento de transfusiones sanguíneas», por lo cual se hace un tema prioritario para los gerentes y profesionales. Objetivo: Evaluar el nivel de cumplimiento a lo establecido por la NOM 253-SSA1-2012 administración de hemoderivados en la atención de enfermería del Hospital General Regional No. 1 «Vicente Guerrero». Material y métodos: Estudio observacional, retrospectivo, transversal y descriptivo, con población de 24,470 eventos transfusionales, se realizó un muestreo aleatorizado simple, con un tamaño de muestra de 237 pacientes transfundidos por enfermería en el Hospital General Regional No. 1 «Vicente Guerrero». Para la recogida de información se utilizó cédula de evaluación del indicador de calidad de atención de enfermería; «transfusión de hemoderivados» 253-SSA1-2012 (cinco ítems). Resultados: El porcentaje general de cumplimiento del indicador de calidad fue 51.8% por parte de Enfermería; mientras que por parte del Banco de Sangre fue de 9.87%. El criterio con mayor cumplimiento fue «registro de cantidad de unidades, volumen, número de identificación de las unidades de sangre o complemento» (94.44%), el criterio con menor desempeño fue «control de signos vitales antes, durante y después de la transfusión» (67.95%). Conclusión: Los resultados muestran un incumplimiento elevado del indicador de calidad para la administración de hemoderivados, lo cual pone en riesgo la calidad del proceso de transfusión y por ende la seguridad del paciente.

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Indicadores de calidad de los cuidados de enfermería hospitalarios

Cited by 10 publications

References 6 publications

An Explanatory Model of Vascular Access Care Quality: Results of a Cross-Sectional Observational Study

An Explanatory Model of Vascular Access Care Quality: Results of a Cross-Sectional Observational Study

Training, management, and quality of nursing care of vascular access in adult patients: The INCATIV project

Cumplimiento de la NOM 253-SSA1-2012, para la administración de hemoderivados en un hospital de segundo nivel

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