Examinando por Materia "Frente"

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Burnout syndrome and job satisfaction in health personnel who work in the mental health service of a hospital in Ayacucho, 2021
(Universidad Privada Norbert Wiener, 2022-12-18) Laurente Coronado, Yovana; Arevalo Marcos, Rodolfo Amado
In health personnel, multiple risk components pre-exist that increase the vulnerability of suffering burnout, coping with pain, the death of people based on the performance of their work, as well as the lack of autonomy and in some cases of authority have an impact on the decisions, working quickly and even more so with long hours of work, as well as versatile tasks, exposure to health hazards, inadequate circumstances at work, insufficient wages, as well as little support from society. This research work will be carried out with the purpose of determining the relationship between job satisfaction and burnout syndrome in health personnel who work in the Mental Health service of a Hospital in Ayacucho, 2021. The research has a quantitative approach. basic type, cross-sectional observational design. The population group will be made up of 32 personnel who work in the Mental Health service. For data collection, questionnaires will be used for both variables, prior to this with permission and respective consent of the informed consent of the collaborators, the first questionnaire consists of 27 questions, while the second questionnaire has 22 questions. The results will be compiled and then processed in an Excel program database to later be tabulated using the SPSS version 22 statistical program.
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Care provided by the mother against post-vaccine reactions in children under one year of age from the immunization service of the Santa Rosa Hospital - 2019
(Universidad Privada Norbert Wiener, 2021-01-24) Torres Abanto, Norma Marisol; Fernández Rengifo, Werther Fernando
Care has an educational profile of relating to an individual, it makes him conceive as a duty to care, respect and take personal responsibility, between two people with their own dimension in which values, knowledge, dedication, commitment, service vocation. Caring is looking after the well-being of the other person and is inherent to human nature, in such a way that an individual is capable of worrying about the risk that the other person suffers some harm or increasing their well-being, health professionals They have this principle as the foundation of their work, taking into account the needs and/or weaknesses of the patients, in order to carry out actions that ensure the physical, spiritual, emotional, and social well-being of the individuals under their care, in especially if they are minors. Immunization is a fundamental part of the human right to good health. Vaccination prevents death between 2 to 3 million people each year according to the global action plan. Materials and Methods: Research approach and design. The present study has a quantitative approach, non-experimental or observational design, descriptive cross-sectional, since it allows the research to be shown completely acquired in a given time and space. Population, Sample and Sampling: The population was organized by 100 mothers of children under twelve months of age who belong to the Broad Immunization program. Participants were selected taking into account the analysis of interest, including inclusion and exclusion criteria.
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Coping strategies and work stress of professional nursing staff in the emergency service in a Minsa hospital, Lima 2022
(Universidad Privada Norbert Wiener, 2022-10-09) Izquierdo Diaz, Lucy Mily; Avila Vargas Machuca, Jeannette Giselle
Aim. Relate the coping strategies against work stress in professional nursing staff in the emergency service in a minsa hospital, Lima 2022. Methodology. The study in relation to the approach will be quantitative, of an application type, non-experimental, descriptive and correlational design. Regarding the representative sample of the research, it will be made up of 50 nursing professionals who provide purely healthcare services in the emergency service of the Hospital del Minsa, which have been compiled in accordance with the use of the probabilistic sample formula. and those who will strictly comply with the survey technique, developed in a single moment, through the instruments called the coping strategies questionnaire (COPE-28) and for work stress the scale called Nursing Stress will be used. Scale. Regarding the management of the data obtained, it will be executed through the Microsoft Excel version 9 program for classification, organization and corresponding quality verification, subsequently it will be exported to the SPSS version 24.0 software to develop the appropriate statistical calculations, and thus be able to prepare tables and graphs. for the interpretation of the study variables.
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Early contact of the newborn in the neonatology service, in a maternal and child center, Lima 2019
(Universidad Privada Norbert Wiener, 2022-10-23) Gutierrez Muñante, Lizbeth Del Rosario; Cárdenas de Fernández, María Hilda
Early contact between mother and child creates and promotes the emotional bond, continuously increasing maternal self-esteem, reducing anxiety, improving the feeling of acceptance in the new role and satisfaction during the birth process, therefore, it is essential in the development and survival of the newborn. That is why the objective of this research is; determine the level of early contact of the newborn in the neonatology service in a maternal and child center, Lima, 2019. Regarding the study methodology, the type is descriptive, cross-sectional, non-experimental design, we will work with a population of 92 mothers, also being a minimum amount, we will work with the 92 mothers as a sample. Regarding the instruments, an observation sheet consisting of 14 items will be used. In the data analysis, the statistical programs Excell 2013 and Spss with version 25.0 will be used to prepare frequency tables and bar graphs for the presentation of results, thereby providing the conclusions and recommendations of the case. .
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Effectiveness of Continuous Versus Intermittent Enteral Nutrition in Intensive Care Patients
(Universidad Privada Norbert Wiener, 1905-07-09) Bardales Rengifo, Augusto Daicoro; Manrique Aliaga, Lizzette Milagros; Calsin Pacompia, Wilmer
Objective: Determine the effectiveness of continuous versus intermittent enteral nutrition in intensive care patients. Materials and methods: The present study is quantitative with a Systematic Review, observational and retrospective design. Results: in the final selection, 6 articles were chosen, we found that 33.3% (2) correspond to Brazil, with 16.6% (1) we found the USA, China, Turkey respectively, most of them have been studied clinical trials with 50%, 33.6% experimental and among the systematic review we find Spain with 16.6%(1), of the total articles analyzed, 50% mention that continuous enteral nutrition is not more effective than intermittent enteral nutrition nor vice versa. Conclusions: according to the studies reviewed, it could not be defined which of them is the most effective, with 50% (3/6) mentioning that there are no statistically significant differences. 33.3% (2/6) conclude that in intermittent enteral nutrition they achieve better caloric intake and in less time compared to continuous enteral nutrition; Another study that corresponds to 16.6% (1/6) mentions that diarrhea and lung infections are more frequent with intermittent enteral tube feeding compared to continuous nutrition and finally in the review (18), concludes that enteral nutrition Intermittent therapy obtains better results both in nutritional status and in reducing bronchial aspiration.
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Effectiveness of group education vs. individual education to improve the quality of life of patients with Diabetes Mellitus
(Universidad Privada Norbert Wiener, 1905-07-09) Silva Valencia, Teresa Isabel; Wong Valerio, Miryam Luisa; Remuzgo Artezano, Anika
Objective: Determine the effectiveness of group health education compared to individual education in improving the quality of life of patients with Diabetes Mellitus. Material and method: Retrospective systematic bibliographic search and review. The search was restricted to articles with full text and with a time limit of 10 years, and was carried out in the databases PudMed, Index de Enfermería, Scielo, Evidentia, Cochrane during the month of February 2016. Results: They were chosen 10 articles obtaining the following data: the application of group education has a great impact on the level of knowledge about the disease, as demonstrated in 100% of the articles reviewed, improving adherence to the treatment (66.6%), raising self-care levels (83.3%), achieving behavioral changes in relation to diet and physical activity (50%), therefore controlling biochemical parameters such as glucose (83.3%), and physical such as weight and BMI (33.3%) also shows other indicators such as: no diabetic complications (16.6%) which translate into a decrease in emergency care due to hyper or hypo glycemia. Conclusions: In this bibliographic review, group education is highlighted as the most effective method for the transmission of important knowledge. It also shows us the impact it causes as a means for socialization and the exchange of experiences. Structured group education as a complement to individual education appears necessary and extremely important to improve the quality of life and metabolic control of people with diabetes.
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Effectiveness of hydrocolloid in the management of pressure ulcers
(Universidad Privada Norbert Wiener, 1905-07-09) Machado Zamudio, Fresia Carolina; Muchaypiña Canales, Gladys Leticia; Mendigure Fernández, Julio
It is evident that in 60% (n=06/10) the use of Hydrocolloid is effective in the management of pressure ulcers; Since the dressings promote effective epithelialization and healing of wounds, they show an advantage over traditional healing, as they are an advanced technology treatment, achieving an adequate cost-benefit. On the other hand, 40% (n=04/10) of studies made a comparison with other dressings, where the statistical data were not sufficient to affirm the effectiveness of hydrocolloids.
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Effectiveness of laparoscopic appendectomy versus open appendectomy in obese patients, to reduce complications and hospital stay
(Universidad Privada Norbert Wiener, 2021-10-13) Lipa Gutierrez, Ruth Nohemi; Requis Delgado, Sonia Jasmin; Pretell Aguilar, Rosa María
Objective: Systematize the evidence linked to the effectiveness of laparoscopic appendectomy versus open appendectomy in obese patients to reduce complications and hospital stay. Methodology: The systematic review of the 10 scientific articles were from the following databases: Epistemonikos, Scielo, Cochrane Plus, Pubmed, Medline. They allowed us to find 10 scientific evidence. Of all the evidence, the type of research belongs to descriptive 60% (6/10), meta-analysis 20% (2/10), cohort 10% (1/10) and systematic review 10% (1/10). Likewise, 60% (6/10) correspond to the United States, the United Kingdom 10% (1/10), Chile 10% (1/10), Mexico 10% (1/10) and Argentina 10% (1/10). ). Results: 90% (n= 09/10) of the evidence indicates that laparoscopic appendectomy is more effective than open appendectomy for reducing complications and hospital stay in obese patients. On the other hand, 10% demonstrate that appendectomy is not effective compared to the open technique, since the laparoscopic technique did not show a benefit over the open approach, both in complications and hospital stay. Conclusion: 9 out of 10 evidence demonstrates that laparoscopic appendectomy is more effective than open appendectomy in reducing complications and hospital stay in obese patients.
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Effectiveness of records review to measure security against adverse events in hospitalized patients.
(Universidad Privada Norbert Wiener, 2020-12-13) Lazo Grados, Marielle Jesús; Donayre López , Edith Zenobia; Fernández Rengifo, Werther Fernando
Objective: Systematize evidence about the effectiveness of record review to measure safety against adverse events in hospitalized patients. Material and Methods: Systematic retrospective and observational review of a quantitative type, subject to an analytical compilation, using the Grade evaluation system to establish the level of evidence, located in the subsequent database: Researchgate, Epistemonikos, Elsevier Sciencedirect, Onlinelibrary and PubMed . Of the 10 selected articles systematically reviewed, 90% were of high quality and 10% of moderate quality as described below: 90% (n= 9/10) are systematic and retrospective reviews; and 10% (n= 1/10)) is a retrospective cohort. According to the results acquired from the systematic review carried out in this research, they correspond to the following from the Netherlands (30%), followed by Ireland (10%), the United Kingdom (10%), South Korea (10%), China (10%), Portugal (10%), Japan (10%) and Belgium (10%). Results: In this way, of the evidence found, 100% (n=10/10) (16-25) indicate that the review of records is effective to measure safety against adverse events in hospitalized patients. Conclusion: Registry review is effective in measuring safety against adverse events in hospitalized patients.
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Effectiveness of the practice in the frequency of use of chlorhexidine administration for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-11-12) Estrada Galdos, Margarita; Quiroz Ramos, Luz Kimberlin; Bonilla Asalde, César Antonio
Objective: Systematize the evidence about the effectiveness of the practice in the administration of chlorhexidine for the prevention of pneumonia in patients with mechanical ventilation. Material and methods: Regarding the effectiveness in preventing pneumonia with oropharyngeal decontamination with chlorhexidine 3 times a day or more compared to 1 and 2 times a day in patients with mechanical ventilation, they were found in the following databases: Researchgate, PubMed, Data Cochrane Library, Wiley, ScienceDirect, Springer Link. Of 10 articles systematically reviewed, 4 are systematic meta-analysis reviews (40%), 3 are systematic reviews (30%}, 1 is a randomized controlled clinical trial (10%}, 1 is a quasi-experimental (10%) and 1 is a cohort study {10%). These come from Italy, Belgium, Colombia and Australia {10% each), Spain and Brazil (20%), China (30%). Results: 50% of the articles reviewed do not find differences in effectiveness, with a frequency of use of chlorhexidine of 1 to 2 times a day versus 3 times or more, while the other 50% reveal in favor of the use of Chlorhexidine is three times more effective in oropharyngeal decontamination. Conclusion: The use of chlorhexidine in oropharyngeal decontamination is effective for the prevention of pneumonia, however, 50% of the evidence indicates that its effectiveness is not related to practices in the frequency of use.
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Effectiveness of the use of saline solution compared to the use of heparinized solution to patent the arterial line and avoid obstructions in intensive care unit patients
(Universidad Privada Norbert Wiener, 2020-02-16) Murillo Solis, Jufet Fabriccio; Arce Condor, Miguel Angel; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence about the effectiveness of the use of saline solution compared to the use of heparinized solution to permeabilize the arterial line and avoid obstructions in intensive care unit patients. Method: Review A review of the evidence available in the databases: MEDLINE, PUBMED, SCIELO AND COCHRANE LIBRARY has been carried out, from the years 2010 to 2019; Randomized, quasi-experimental, cross-sectional clinical trials on the use of heparin versus the use of saline to improve the patency of arterial catheters were included. Results: 10 articles were found, which discuss, compare and analyze the use of heparin to improve arterial catheter patency. Conclusions: Studies show that the use of heparin is associated with a lower incidence of arterial catheter obstruction, also increasing its average life and improving its duration. However, some articles showed little difference when choosing whichever solution was used.
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Efficacy of Citrate Versus Heparin Anticoagulation in Decreasing Bleeding in Patients With Acute Renal Failure on Continuous Renal Replacement Therapy
(Universidad Privada Norbert Wiener, 1905-07-09) Cabanillas Huamán, Augusto Enrique; Rosas Casique, Diana Beatriz; Remuzgo Artezano, Anika
Objective: Systematize the evidence on the effectiveness of citrate anticoagulation versus heparin to reduce bleeding in patients with acute renal failure on continuous renal replacement therapy. Results: The results obtained from the systematic reviews show that of the total of 10 scientific articles reviewed, 100% (n=10/10) report that the use of citrate anticoagulation is more effective compared to the use of heparin. , show that the implementation of a protocol, and the choice of first-line use of citrate anticoagulation is safe, and has more advantages than heparin, because it presents a lower risk of bleeding complications. and/or bleeding. Fernández states that the incidence of hemorrhage was (0% vs. 10.3%). Zhang indicated that citrate is able to reduce the risk of bleeding 0.28 (95% CI 0.15 0.50). Wu reported a statistically significant decrease in bleeding (RR, 0.34; 95% CI, 0, 17-0.65). Conclusions: 100% (n=10/10) show that the use of citrate anticoagulation is more effective compared to the use of heparin, because it significantly reduces the risk and complications of hemorrhage and/or bleeding.
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Efficacy of dressing with chlorhexidine gluconate versus standard dressing in reducing infection at the insertion site of the central venous catheter
(Universidad Privada Norbert Wiener, 1905-07-09) Chumbes Torres, Miguel Augusto; Rosales Sanchez, Yessendia Leydi; Pretell Aguilar, Rosa María
67% of the articles show that there is a significant reduction when using chlorhexidine gluconate compared to the standard dressing. Likewise, 11% show that they are less effective and 22% show no difference.
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Efficacy of equipment and furniture surface disinfectants in reducing contamination and preventing infections
(Universidad Privada Norbert Wiener, 1905-07-09) Lindo Véliz, Maribel Lilia; Rosas Cayetano, Jackie Myrian; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of surface disinfectants on equipment and furniture in reducing contamination and preventing infections. Materials and Methods: Systematic Reviews are an experimental quantitative research design, the population is made up of the bibliographic review of 4 scientific articles published and indexed in scientific databases, all of them are of high quality. Results: In the systematic review, the comparison study of hypochlorite against quaternary ammonium, hydrogen peroxide, povidone-iodine, 4% chlorhexidine is observed, hypochlorite showing superior disinfection action on surfaces. In the second article reviewed, the disinfectant effectiveness of 70% alcohol is demonstrated when applied directly to contaminated surfaces, observing a microbial reduction. From the third article, it is observed that hypochlorous acid is 100% effective on surfaces. From the fourth article, it is concluded that hydrogen peroxide and acetic acid are effective for cleaning surfaces. Conclusions: The reviewed articles show that sodium hypochlorite showed superior action in disinfecting furniture surfaces compared to 70% alcohol, quaternary ammonium, hydrogen peroxide, hypochlorous acid, peracetic acid, but it is necessary to consider its toxicity and corrosion during the use.
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Efficacy of extra virgin olive oil (EVOO) against hyperoxygenated fatty acids (agho) to prevent pressure ulcers in patients in intensive care units
(Universidad Privada Norbert Wiener, 1905-07-09) Arredondo Suyco, Evelyn Kelly; Zambrano Briones, Leslye Geraldine; Bonilla Asalde, César Antonio
Systematize the evidence on the effectiveness of extra virgin olive oil (EVOO) against hyperoxygenated fatty acids (HOFA) to prevent pressure ulcers in patients in Intensive Care Units.
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Efficacy of hand venipuncture versus heel puncture for sampling in the newborn
(Universidad Privada Norbert Wiener, 1905-07-09) Cruz Rázuri, Manuela Isabel; Rivera Lozada de Bonilla, Oriana
Material and 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 degree of evidence. Results: In the final selection, 08 articles were chosen, we found that from the systematic review, 40% correspond to Spain, 40% to Canada and 10% to Japan, and the remaining 10% to the country of Argentina. The majority of quantitative studies have been studied, mainly 70%, while 20% of the Systematic Review has been used by Canada and Spain and the remaining 10% constitutes an observational study also carried out in Spain. Conclusions: It was evident in the reviewed research that venipuncture is 100% more effective for taking blood samples in the newborn, it is less painful and less traumatic compared to heel puncture; The time spent performing it is three times less compared to the heel lance. Its application does not increase false positives. Sweetened elements are used to reduce pain.
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Efficacy of Nebulization with 3% Hypertonic Solution Versus 0.9% Saline Solution in Children Under 2 Years of Age With Bronchiolitis
(Universidad Privada Norbert Wiener, 1905-07-09) Marcelo Avalos, Mónica Jesús; Maylle Antaurco, Teodosia Carmen; Gamarra Bustillos, Carlos
Objective: To evaluate the effectiveness of the use of 3% hypertonic solution versus 0.9% saline solution in children under 2 years of age with bronchiolitis who receive nebulizations. Materials and methods: The type of study is a systematic review, and this is of literature published during the period 2011-2016, 10 articles were selected, subjected to a critical reading, using the GRADE SYSTEM to identify the degree of evidence and strength recommendation of each article. 70% of the articles show that there is effectiveness of a 3% hypertonic solution, since it reduces hospital stay, admission rate, shorter oxygen therapy time, lower economic cost and fewer side effects compared to saline solution 0.9 %. Conclusions: Our study demonstrates a firm evidence base for the use of 3% hypertonic solution in bronchiolitis in children under two years of age, being more effective compared to 0.9% saline solution.
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Efficacy of the use of self-adhesive mesh versus conventional mesh in the prevention of postoperative complications of inguinal hernioplasty in the general surgery service
(Universidad Privada Norbert Wiener, 1905-07-09) Salazar Malquichagua, Milena Nilsa; Llactahuamán Gómez, Felicita; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of using self-adhesive mesh versus conventional mesh in post-inguinal hernioplasty patients. Methodology/Methods: Systematic reviews are the best effort to compile and synthesize scientific evidence on the topic, through a method that ensures that the biases and limitations that we have mentioned in 8 scientific articles published and indexed in the databases, which corresponds to articles published in Spanish. Results: In the final selection, 8 articles were chosen, we found that 20% (02) correspond to Chile, and 10% (1) in Mexico, Spain, Bolivia, Colombia, USA, Cuba respectively. Among the articles we have (6) experimental, quasi-experimental (1), cases and controls (1). Where the total of articles analyzed 60% affirm that the use of self-adhesive mesh compared to conventional mesh is long-term benefit in hernias inguinal. Conclusions: It was evident in the reviewed research that there is effectiveness of self-adhesive mesh and polypropylene mesh in preventing postoperative complications in inguinal hernia with supposed benefits in reducing surgical time and reducing postoperative pain without increasing the number of complications or recurrences.
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Enzymatic effect of detergents diluted with tap water vs soft water in cleaning instruments
(Universidad Privada Norbert Wiener, 1905-07-09) Reisman Remuzgo, Delicia Mercedes; Gómez Gonzales, Walter Edgar
Objective: Establish the enzymatic effect of detergent dilutions: Soft water vs tap water in cleaning hospital instruments. Material and methods: Observational and retrospective systematic review, the search has been restricted to full-text articles, the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: In the final selection, 08 articles were chosen, we found that 60% correspond to Brazil, with 20% we find Cuba, and finally with 10% Mexico and Venezuela respectively. The investigations were experimental and a corresponding systematic review. 62.5% of scientific production comes from Brazil, while Mexico, Cuba and Venezuela constitute 12.5% each. Of the total number of articles analyzed, 30% affirm that the conditions and quality of water are important for adequate cleaning processes and other procedures related to health, 30% are related to the properties, characteristics and conditions in which enzymes exert adequate performance. Finally, 40% were related to the processes and interventions that revolve around the use of enzymatic detergents. Conclusions: The use of soft water in the dilution of the enzymatic detergent maintains the properties and chemical activity of the enzymes efficiently, allowing their action against organic matter.
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Factors associated with burnout syndrome in nursing staff in the emergency area
(Universidad Privada Norbert Wiener, 1905-07-09) Ruiz Ramirez, Evelin Yessennia; Pimentel Panduro, Giovana; Rivera Lozada de Bonilla, Oriana
Objective: Systematize factors associated with Burnout Syndrome in nursing staff working in the emergency service, through a systematic review. Material and methods: Systematized bibliography reviews of 15 specialized articles that synthesize multiple primary investigations. Identifying the study, answer specific questions about clinical practice. Results: The population made up of nursing professionals or others, the empirical exploration is based on the Maslach Burnout Inventory technique, through the survey, as well as the Coping Estimation Inventory. The average prevalence in studies associated with Burnout syndrome is in the range of 12.2%, which generates a risk of physical and emotional alterations. Conclusions: Burnout syndrome is not exclusive to health workers, however given the characteristics of their work, which have to do with high levels of responsibility for success, and permanent contact with people in distress and need to heal, and longer working hours than any other type of work.