Examinando por Autor "Gómez Gonzales, Walter Edgar"

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Aspects related to effective communication between nurses and patients' families
(Universidad Privada Norbert Wiener, 1905-07-09) Buendia Rojas, Claudio Dionisio; Chávez Pajuelo, Miriam Francisca; Gómez Gonzales, Walter Edgar
Objectives: Determine the aspects related to effective communication between the nurse and the patients' families in the area. Methodology/Methods: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using Jover's evaluation to identify their level of evidence. Results: In the final selection, 10 articles were chosen, we found that 40% (04) correspond to Spain, with 40% (04) we find Colombia, while with 10% (01) we find Peru and Mexico respectively. The majority of Cross-Sectional studies have been studied, with 90%, mainly in the countries of Spain, Colombia, Peru and Mexico. And with 10% we have quasi-experimental studies belonging to Spain. Where the aspects related to effective communication of the nurse with the family members considered in the majority of the articles analyzed were: Verbal aspects (Strategies to facilitate understanding), Non-verbal aspects (social skills), heterogeneous positions on the presence of the family , the identification of the nurse and finally the instrumental aspects. Conclusions: It was evident in the reviewed research that to carry out effective communication it is necessary to consider the aspects of communication.
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Clinical benefits of early removal of dressings on clean surgical wounds
(Universidad Privada Norbert Wiener, 1905-07-09) Samamé Cabrera, Roxana Milusca; Villalobos Fernández, Giannina; Gómez Gonzales, Walter Edgar
Objective: Systematize the evidence on the clinical benefits of early removal of dressings in clean surgical wounds. Materials and Methods: In the final selection, 10 studies were chosen, the systematic review of the 10 scientific articles on Clinical benefits of early removal of dressings in clean surgical wounds, were found in the following databases Lilacs, Pubmed, Medline and Cochrane Plus , Systematic Review 05, Randomized Clinical Trials 04 and Cross-sectional 01 were included. Results: The 10 reviewed articles, the 70% (n=07/10) of these show that early removal of dressings in clean surgical wounds has clinical and economic benefits, such as a shorter hospital stay and a significant reduction in costs; 30% (n=03/10) affirm that there is not enough scientific evidence to recommend early removal of dressings in clean surgical wounds. Conclusions: Of the 10 articles reviewed, 70% (n=07/10) of these (8,9,10,11,12,13,17) agree that there is evidence that early removal of dressings in surgical wounds clean has clinical and economic benefits, such as shorter hospital stay and a significant reduction in costs; 30% (n=03/10) of the authors of the studies (14,15,16) state that there is insufficient scientific evidence to recommend early removal of dressings in clean surgical wounds.
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The correct cleaning method guarantees the disinfection and/or sterilization process
(Universidad Privada Norbert Wiener, 1905-07-09) Mendoza Vásquez, Jaqueline; Vasquez Herrera, Fiorella Eliana; Gómez Gonzales, Walter Edgar
Objective: Determine whether manual cleaning or automated cleaning reduces greater microbial bioload of surgical medical material. Material and methods: Systematic Review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: In the final selection, 10 articles were chosen, we found that 50% (05) correspond to Brazil, with 20% (02) we find the United States, while with 10% (01) we find Cuba, Mexico and Peru respectively. Mostly experimental and quasi-experimental studies have been studied, mainly in all countries. Where of the total number of articles analyzed, 100% affirm that manual cleaning in addition to automated cleaning reduces a greater microbial load of medical-surgical material. Conclusions: The 10 articles reviewed show us that the correct cleaning method is achieved with the application of an adequate procedure and automated methods are the most effective, in addition to the fact that an incorrect cleaning method interferes with the disinfection or sterilization process.
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Correct management of organophosphate poisoning in patients treated in emergency services
(Universidad Privada Norbert Wiener, 2017) Valdivieso Aquije, Judith Jacquelin; Obregon Zorrilla, Yolanda Noemi; Gómez Gonzales, Walter Edgar
Objective: To determine the correct management of acute poisoning in patients attended in emergency services. Materials and Methods: A systematic review was conducted to synthesize the results from multiple primary studies, which are an essential part of evidence-based nursing, identifying relevant studies to answer specific clinical practice questions. Results: The review covered 10 scientific articles on the correct management of organophosphate poisoning in patients attending emergency services. Of the studies reviewed, 30% (3) were from India, 20% (2) from England, 20% from Ecuador, and 10% each from Brazil, Uruguay, and Spain. The articles came from databases Medline, Lilacs, and Cochrane Plus. Conclusions: The reviewed articles show that atropine is the antidote treatment, whereas the use of oximes for acute poisoning is not optimal, as they are not universal for all agents. There is a need for clinical trials not only with oximes but also with other antidotes, such as hydrolases, pyridostigmine carbamate, glutamate antagonists, and adenosine receptor agonists (clonidine).
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Corrosion of surgical instruments due to the use of common water vs distilled water
(Universidad Privada Norbert Wiener, 1905-07-09) Castillo Sánchez, Rosa María; Gómez Gonzales, Walter Edgar
Objective: Determine if the corrosion of surgical instruments is produced by the use of common water vs. distilled water. Materials and Methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: In the final selection, 13 articles were chosen, we found that 31% (4) correspond to Spain, 14% (2) correspond to Colombia and Chile, with 7% (1) Cuba, Mexico, Peru were found. , Venezuela and Brazil respectively. 69% were experimental studies from the countries of Spain, Peru, Mexico, Colombia, Venezuela and Chile. With 31% we have cross-sectional studies belonging to Brazil, Chile, Spain, and Cuba. Of the total number of articles analyzed, 80% concluded that plain water causes corrosion in surgical instruments. It was evident in the reviewed research that stainless steel instruments should not be subjected to cleaning, disinfection and sterilization processes, whose dilution component is common water, nor should they be immersed in a physiological salt solution. Prolonged contact and immersion in the solution causes corrosion pitting and forms stress corrosion cracking. Conclusion: It is recommended to use distilled water to avoid corrosion of surgical instruments, especially for final rinsing, after cleaning and disinfection.
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Criteria and standards for nursing staffing
(Universidad Privada Norbert Wiener, 1905-07-09) Aranda Tuanama, Jessica Mercedes; Rodríguez Porras, Betsy Yvonne; Gómez Gonzales, Walter Edgar
Objective: Establish the criteria and standards for the provision of nursing staff. Materials and Methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: 7 scientific articles were reviewed, whose main topic was the criteria and standards for the provision of nursing staff. Of all the articles that were found, the most relevant articles were included according to the level and quality of evidence, evaluating the agreement. and the discrepancy between the articles, and the least relevant ones were excluded. The articles were located in the databases: Scielo, Lilacs Lipecs, Medline. Conclusions: There are several diversified criteria and standards in Peru for the provision of nursing staff, which make coordinated work necessary at the level of the representative entities of Peruvian nurses. Health care companies or institutions do not apply a standardized model in the human resources management process. Said management is conditioned by the type of organizational system used, applied technology, action policy, work philosophy and existing human resources policy, purpose and functions of the personnel.
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Determinants of burnout syndrome in nurses in emergency units
(Universidad Privada Norbert Wiener, 2016) Canta Poquioma, Carlos Eduardo; Cieza Tapia, Eduard Benjamín; Gómez Gonzales, Walter Edgar
Objective: To establish the determining factors of Burnout Syndrome in nurses in Emergency Units. Materials and Methods: A bibliographic review was conducted using specific search engines for national and international scientific studies. The search strategy used was (“burnout” AND “nursing” AND “emergency”). A total of 7136 articles were obtained between 2004 and 2015. Duplicate articles were discarded, and five were selected. A second search strategy (“test” OR “survey” AND “burnout”) resulted in 8 articles, of which six were chosen. Results: In Spain, unlike other European countries, the overwork and demotivation of emergency nurses have not been addressed, leaving aside research and prevention of burnout syndrome under the excuse of an ongoing economic and labor crisis. Conclusion: Burnout Syndrome is a professional condition, especially affecting emergency nurses. Factors such as age, female sex, marital status, number of children, type of employment, self-stress, job seniority, and number of assigned patients are critical in the development of this condition. The most significant determinant is work overload.
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Determination of the appropriate concentration for oral hygiene with Chlorhexidine in the prevention of pneumonia in intubated patients in the intensive care unit
(Universidad Privada Norbert Wiener, 1905-07-09) Chavalía Cóello, Diana Elizabeth; Menacho Vergara, Lissette Carolina; Gómez Gonzales, Walter Edgar
Objective: Determine the best concentration of chlorhexidine used to perform oral hygiene to prevent pneumonia in intubated patients. Materials and Methods: Systematic reviews are an observational and meta-analysis research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, which is why a systematic review was carried out with articles in English and Spanish indexed in Cochrane, Embase, Lilacs, Pubmed, Medline, identifying relevant studies to answer specific questions of clinical practice. Results: The SCHEFFE statistical test indicated that of oral hygiene, chlorhexidine showed a statistically significant difference over other forms of hygiene in the reduction of the number of bacterial colonies (p<0.001). The only effect on reducing VAP was found when 0.12% chlorhexidine was used, used in cardiovascular surgery, where Chlorhexidine is used from preoperatively. Conclusions: Oral care, cleaning and antisepsis is a useful strategy for the prevention of pneumonia associated with intubated patients; It was also determined that 0.12% chlorhexidine was effective in reducing colonization of the oropharynx and the incidence of pneumonia associated with intubated patients.
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Determination of the safe disinfectant Orthophthaldehyde versus Glutaraldehyde used by nurses in the High Level Disinfection Process
(Universidad Privada Norbert Wiener, 1905-07-09) Idrogo Maita, Zaida Karina; Ruiz Campos, Deysi; Gómez Gonzales, Walter Edgar
Objectives: Determine the safe disinfectant Orthophthaldehyde vs glutaraldehyde to be used by nurses in the high-level disinfection process. Materials and Methods: Observational and retrospective systematic review, the search has been restricted to 8 articles with full text, and the selected articles were subjected to critical reading. Published and indexed in scientific databases, dating back to the year 2000 and responding to articles published in Spanish, English and Portuguese. In the final selection, 4 articles were chosen, we found that 25% (01) corresponds to England, with 25% (01) to Spain, with 25% (01) to Brazil and while another 25% (01) we find Japan; Two systematic reviews and two cross-sectional studies were included. Results: 80% of the articles reviewed show that glutaraldehyde, compared to orthophthaldehyde, is the one that produces the most cytotoxicity at work, but that orthophthalaldehyde is still toxic. Orthophthaldehyde vs glutaraldehyde, in both cases its greatest adverse reaction when used is in the respiratory tract Conclusion: of the liquid chemical substances used as high-level disinfectants Orthophthaldehyde vs Glutaraldehyde It was evident that Glutaraldehyde is a volatile product that emanates cytotoxic substances causing effects adverse effects on the person who handles it, while Orthophthaldehyde, being exposed through inhalation, turns out to be a sensitizing this. The direct handling of high-level disinfectant substances focuses exposure on the inhalation route, requiring the use of personal protective equipment.
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Effective interventions for pain control in surgical abortion
(Universidad Privada Norbert Wiener, 2017-07-22) Cachay Ruiz, Jacquelin Alexandra; Villacorta de Chamoli, Marysabel; Gómez Gonzales, Walter Edgar
Objective: To systematize the available evidence on effective interventions for pain control in surgical abortion. Materials and Methods: This is a systematic review, in which relevant studies are identified to answer specific questions related to clinical practice. The search was restricted to full-text articles, and the selected articles were subjected to critical reading, using the GRADE system to assign the strength of recommendation. Results: The systematic review of the 07 scientific articles on effective therapeutic methods for pain control in surgical abortion were found in the following databases: PubMed, Medline, Elsevier, Ebsco, and Cochrane Plus. All of them correspond to the type and design of studies: systematic reviews 02, randomized clinical trials 04, and quasi-experimental 01. Conclusions: 33% (n=02/07) of the reviewed articles show that there are various methods for pain control in surgical abortion. These methods can be divided into local anesthesia, conscious sedation, general anesthesia, and non-pharmacological methods. However, they do not specify the most effective therapeutic method for postoperative pain control in these types of interventions. 67% (n=05/07) conclude that the therapeutic method of conscious sedation with a paracervical block improves postoperative pain control in surgical abortion. However, the results are not conclusive, so further studies are needed to determine any benefit. In the meantime, the decision remains at the discretion of the physician, supported by the specialist nurse in the surgical center.
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Effective interventions for tuberculosis control in contacts
(Universidad Privada Norbert Wiener, 1905-07-08) Saravia Campos, Estela Isolina; Gómez Gonzales, Walter Edgar
Systematic Reviews are an observational and retrospective research design that synthesizes the results of multiple primary studies. They are an essential part of evidence-based medicine due to their rigorous methodology, identifying relevant studies to answer specific questions in clinical practice. The systematic review of the six scientific articles on effective interventions for tuberculosis control was conducted through the following databases: Cochrane Plus, Lilacs, Scielo, and Lipecs. All of them correspond to quantitative research and systematic review study designs (one), quasi-experimental (one), and cross-sectional (four studies). The articles included in this academic work agree that the evidence is insufficient to demonstrate whether active case-finding programs or screening for tuberculosis will improve the diagnosis rate among contacts of tuberculosis patients or reduce the tuberculosis rate in the community. Public managers should implement health policies considering other competing priorities for the limited available health resources. This approach has led to markedly different strategies in countries with low and high prevalence.
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Effective interventions to reduce the care burden in first-level emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Gonzales Saavedra, Dora; López Avila, Claudia; Gómez Gonzales, Walter Edgar
60% of the articles reviewed show that the application of triage is the best effective intervention to reduce the burden of care in first-level emergency services.
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Effective nursing care practices for nasogastric tube management, to prevent post-insertion complications in the emergency department
(Universidad Privada Norbert Wiener, 2017) Enriquez Quispe, Yris; Vallejos Reátegui, Shirley Marilyn; Gómez Gonzales, Walter Edgar
Objective: To establish effective nursing practices for nasogastric tube care to prevent post-insertion complications in the emergency department. Materials and Methods: A systematic review was conducted on 10 articles from various databases. Results: Nurses are well-versed in the care procedures to prevent complications in patients with nasogastric tubes, including proper management for enteral nutrition, gastric decompression, and the treatment of toxic substances. Conclusion: Effective use of nasogastric tubes is critical for preventing complications in emergency patients, and these practices align with clinical guidelines.
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Effective preventive measures applied by nurses to prevent ventilator-associated pneumonia in intensive care units
(Universidad Privada Norbert Wiener, 2017) Cáceda Zavaleta, Yochi Marlon; Zambrano Vilca, Melchorita Milagros; Gómez Gonzales, Walter Edgar
Objective: To determine effective preventive measures taken by nurses to prevent ventilator-associated pneumonia in the ICU. Materials and Methods: A systematic review of four articles was conducted. Results: The most effective preventive measures include head elevation, secretion aspiration, oral hygiene, monitoring cuff pressure, and measuring gastric residual volume. Conclusion: Elevating the head of the bed and other preventive measures are essential in reducing ventilator-associated pneumonia in ICU patients.
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Effective scale to assess the risk of pressure ulcer in pediatric patients
(Universidad Privada Norbert Wiener, 1905-07-09) Calla Ruiz, Oriele; Salvador Valenzuela, Norma Haydeé; Gómez Gonzales, Walter Edgar
Systematic, observational and retrospective review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the Grade evaluation to identify the degree of evidence. Results: In the final selection, 07 articles were chosen, 58% (4) correspond to Spain, with 14% (1) found in England, 14% Colombia and 14% Brazil. Likewise, according to the type of study, 43% correspond to Systematic Reviews, 14% Prospective Cohort, 29% Descriptive, 14% Cross-sectional Study. Conclusions: According to the results obtained from the systematic review, they show that of the total of 7 studies, equivalent to 58% corresponds to demonstrating that the Braden scale is effective in evaluating the risk of pressure ulcer in pediatric patients.
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Effectiveness of an educational intervention in increasing handwashing among emergency services staff
(Universidad Privada Norbert Wiener, 2017-07-22) Rios Carrasco, Ana Cecilia; Sánchez Torres, Katty Leonor; Gómez Gonzales, Walter Edgar
Objective: to systematize studies on the effectiveness of educational interventions in increasing handwashing among emergency services personnel. Materials and Methods: This is a Systematic Review of 5 scientific articles on the effectiveness of educational interventions in increasing handwashing among emergency services personnel. These articles were found in the Pubmed and Medline databases, all of which are of systematic review design (4 articles) and meta-analysis (1 article), which are considered the highest and most reliable in terms of evidence quality and recommendation strength. Conclusions: Educational intervention is effective in increasing handwashing among healthcare personnel. Results: 100% of the articles (n = 05/05) demonstrated in the reviewed studies that educational interventions including education, feedback, and reminders are effective in improving handwashing compliance among emergency healthcare personnel.
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Effectiveness of an educational intervention in increasing handwashing among emergency services staff
(Universidad Privada Norbert Wiener, 2017-07-22) Rios Carrasco, Ana Cecilia; Sánchez Torres, Katty Leonor; Gómez Gonzales, Walter Edgar
Objective: to systematize studies on the effectiveness of educational interventions in increasing handwashing among emergency services personnel. Materials and Methods: This is a Systematic Review of 5 scientific articles on the effectiveness of educational interventions in increasing handwashing among emergency services personnel. These articles were found in the Pubmed and Medline databases, all of which are of systematic review design (4 articles) and meta-analysis (1 article), which are considered the highest and most reliable in terms of evidence quality and recommendation strength. Conclusions: Educational intervention is effective in increasing handwashing among healthcare personnel. Results: 100% of the articles (n = 05/05) demonstrated in the reviewed studies that educational interventions including education, feedback, and reminders are effective in improving handwashing compliance among emergency healthcare personnel.
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Effectiveness of antithrombolytic agents in patients with acute myocardial infarction treated in emergency units
(Universidad Privada Norbert Wiener, 2017-07-27) Gaviria Torres, Karin Jissenia; Hervias Coba, Graziella Hesperis; Gómez Gonzales, Walter Edgar
Objective: To systematize the evidence on the effectiveness of antithrombolytic agents in patients with acute myocardial infarction treated in emergency units. Materials and Methods: This is a systematic review aimed at gathering all empirical evidence that meets pre-established eligibility criteria to answer a specific research question. It uses systematic and explicit methods chosen to minimize biases, providing more reliable results from which conclusions can be drawn and decisions made. The systematic review of 10 scientific articles on the effectiveness of antithrombolytic agents in patients with acute myocardial infarction treated in emergency units was found in the following databases: Lilacs, Scielo, PubMed, Medline, and Ebsco. Results: 100% of the studies included in the systematic review (n=10/10) demonstrate the therapeutic effectiveness of antithrombolytic agents in patients with acute myocardial infarction, as they allow for the recovery of ischemic areas, reduce mortality from acute myocardial infarction, and increase the survival rate of affected patients. Conclusions: The effectiveness of antithrombolytic agents in patients with acute myocardial infarction treated in emergency units was demonstrated.
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Effectiveness of chlorhexidine in preventing infections associated with the insertion of the hemodialysis catheter.
(Universidad Privada Norbert Wiener, 2017-07-22) Mendoza García, Dianith Albina; Gómez Gonzales, Walter Edgar
Objective: This is a systematic review that included 10 articles, no older than 10 years, published in English, Portuguese, and Spanish, in the following databases: Pubmed, Scielo, Journal Medical, Lilacs, and Bvs. The main topic was the effectiveness of chlorhexidine in preventing infections associated with the insertion and use of hemodialysis catheters. 80% of the articles are from Spain, 15% from Chile and Brazil, and 5% from Valencia, respectively. Results: 100% of the selected articles demonstrate the positive effect of chlorhexidine in preventing infections associated with the insertion and use of hemodialysis catheters. 70% of the articles showed that chlorhexidine is effective in reducing bacteremia, 20% emphasized the importance of applying a set of biosafety measures to prevent infections related to central venous catheters in this patient population, and 10% focused on the application of protocols for the management of hemodialysis catheters. Conclusion: The evidence demonstrates that chlorhexidine improves the quality of life for individuals undergoing hemodialysis, as it has a positive impact on preventing bacteremia-related infections associated with hemodialysis catheters.
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Effectiveness of delayed suturing for closing traumatic wounds in emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Acosta Torato, Gino Gilber; Tacilla Tocas, Elmer Obet; Gómez Gonzales, Walter Edgar
Objective: To establish the efficacy of delayed suture versus immediate suture for the closure of traumatic wounds in emergency services. Materials and Methods: This is a systematic review of scientific articles published in the last ten years in English and Spanish, located in databases such as Lilacs, Scielo, Cochrane Plus, and Medline, which focused on the efficacy of delayed suturing for the closure of traumatic wounds in emergency services. 50% of the articles were from the United States, and 12.5% were from the Netherlands, Germany, China, and Colombia, respectively. Results: 100% of the reviewed articles demonstrate the efficacy of delayed suturing for traumatic wound closure. They affirm that the existing evidence does not support the existence of an "optimal" time for primary closure of traumatic wounds, suggesting that these can be sutured regardless of the time elapsed since the injury. Conclusion: The evidence shows that in daily practice, traumatic wounds are sutured regardless of the time elapsed. With proper debridement, wound care, and control during the first 72 hours, immediate, early, or primary suturing carries low risk, is comfortable for patients, and offers cost savings.