Examinando por Materia "Guidelines as Topic"

Mostrando 1 - 7 de 7

Acceso abierto
Effectiveness of implementation strategies to improve adherence to care protocols in emergency services
(Universidad Privada Norbert Wiener, 2019-09-22) Ramos Cavero, Carla Vanessa; Chipa Quispe, Lisbeth; Matta Solis, Hernán Hugo
Objective: Systematize evidence on the effectiveness of implementation strategies to improve adherence to care protocols in emergency services. Material and methods: Systematic review, use of the GRADE evaluation system. Databases: Epistemonikos, NCBI, PubMed, Elsevier, Google Scholar and Scielo. The search has been carried out using the DECS and MESH descriptors for the search in Spanish and English respectively. 30% (3/10) of the articles reviewed correspond to the USA and Australia respectively, and 20% (2/10) correspond to Holland, Canada and England respectively. Results: 70% (07/10) of the evidence indicates that the implementation of strategies is effective in improving adherence to protocols in the emergency service, and 30% (3/10) indicates that there is insufficient information, heterogeneity of data and the need to adequately verify scientific articles to determine the effectiveness of implementation strategies in improving adherence to care protocols in emergency services. Conclusions: 7 out of 10 evidence demonstrate that implementation strategies are effective in improving adherence to protocols in emergency services, and 3 out of 10 evidence demonstrate that there is insufficient information, heterogeneity of data and the need to verify scientific articles in a manner adequate to determine the effectiveness of the topic under study.
Acceso abierto
Effectiveness of sedoanalgesia protocols to reduce time on mechanical ventilation in intubated patients in intensive care units
(Universidad Privada Norbert Wiener, 2020-08-02) Sarmiento Villavicencio, Fabiola; Vásquez Vera, Karim Janet; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence on the effectiveness of the management of sedoanalgesia protocols by nursing to reduce the time on mechanical ventilation in intubated patients in intensive care units (ICU). Material and Method: The systematic review of the 10 scientific articles about the effectiveness of the management of sedoanalgesia protocols by nursing for the reduction of time in mechanical ventilation in intubated patients in the ICU located in the following databases Cochrane, Lilacs, Scielo , Medline Pubmed, Google Scholar being analyzed according to the Grade scale to determine its strength and quality of evidence. Results: Of the 10 articles, 40% (4/10) correspond to systematic reviews (2) and clinical trials (2), 30% (3/10) cohort studies and 30% (3/10) studies control. 80% of the reviewed articles demonstrate the effectiveness of nursing sedation protocol management to reduce time on mechanical ventilation in intubated patients. Conclusions: 80% of the articles demonstrated that the management of sedoanalgesia protocols by nursing is effective in reducing time in mechanical ventilation, highlighting the important role that the nurse plays in this process according to an assertive assessment.
Acceso abierto
Efficacy of an educational intervention on hand washing in the prevention of hospital-acquired infection
(Universidad Privada Norbert Wiener, 1905-07-09) Reyes Salvador, Sonia Margot; Zaquinaula Aranda, Jesús Socorro; Mendigure Fernández, Julio
Objective: Determine the effectiveness of an educational intervention on hand washing in the prevention of hospital-acquired infection in health personnel. Methodology: This is a systematic review, whose search has been restricted to articles with full text, and the selected articles were subjected to critical reading to identify their level of evidence. Results: In the final selection, 10 articles were chosen, finding that 40% (04) correspond to Spain, 30% (03) to Mexico, 10% (01) correspond to Brazil, Colombia and Cuba respectively. Mostly non-experimental studies have been examined, with 50%, mainly in the countries of Spain, Mexico, Colombia and Brazil. Pre and quasi-experimental with 40%, in the countries of Cuba, Spain and Mexico; With meta-analytic information, 10% was found; belonging to Spain. Of the total articles analyzed, 80% agree that educational interventions on handwashing are effective in health personnel. Conclusion: Effectiveness is shown in terms of increased knowledge, changes in attitude and behavior in a lasting manner, ensuring compliance with international protocols and standards for the prevention and control of hospital-acquired infection, thus reducing nosocomial-acquired hospital infection.
Acceso abierto
Knowledge and practice of central venous catheter care in nurses of the intensive care unit of the AUNA clinic, Lima, 2021
(Universidad Privada Norbert Wiener, 2021-09-26) Arévalo Pinedo, Pamely Elizabeth; Fernández Rengifo, Werther Fernando
Nursing knowledge and practice in the management of the central venous catheter is fundamentally based on preventing its exposure to pathogenic agents, practicing universal biosafety protocols such as hand washing, use of gloves and disinfection of the central catheter, constantly, moreover, avoiding manipulation to a minimum degree if it were not necessary. The primary purpose of the study is to determine the level of knowledge and its relationship with the practice of central venous catheter care of nurses in the intensive care unit of the Auna clinic, Lima, 2021. The population and census sample are the nurses who work at the Auna Clinic during the period October to December 2021. The survey and observation technique is the one that will be applied to collect the observations of both variables. To measure knowledge, the questionnaire created and validated by Herrera in 2019 will be used, an instrument composed of 24 items divided into 3 dimensions: maintenance, solution management and complications, which has a reliability of 0.79 applying Kuder's formula 20 - Richardson. To estimate the nurse's practice in the care of the central venous catheter, the checklist instrument validated by Torres in 2019 will be used through a pilot test and applying Kuder's formula 20 - Richardson obtained a reliability result of 0.88. . The data will be processed using the Excel sheet and then analyzed statistically in SPSS 26 using the chi-square test and the Spearman correlation coefficient, to finally be presented in tables and figures.
Acceso abierto
Most frequent errors incurred by the Nursing Professional in the Administration of Medication to hospitalized patients
(Universidad Privada Norbert Wiener, 1905-07-09) de la Puente Malpartida, Gladys Lourdes; Rengifo Barrón, Delia Auristela; Mendigure Fernández, Julio
Objective: Identify the most frequent errors incurred by nursing professionals related to the administration of medication. Materials and Methods: Integrative review of eleven works published in the virtual library, from 2011 to 2015. Results: The results were classified into three categories. : 1.- Most frequent errors, where the dose obtained the most matches (14.28%), the Omission of medication administration (11.9%). 2.- Related factors: Interruptions and distractions during the administration of medication (11.62%) and illegible prescription (9.30%). 3.- Proposals for improvement: they highlighted the importance of adopting protocols and guides for the safe administration of medications. medications and the need for continuous training of professionals in the area of pharmacology. Conclusions: It is imperative to use guides and protocols for the safe administration of medication within the framework of what is the Process of Nursing Care; Non-punitive error and adverse event notification modality, strengthen the role and effective presence of the nurse in the process to improve quality and safety in patient care.
Acceso abierto
Patient safety culture in the nursing staff of an intensive care unit of a hospital in Lima – 2020
(Universidad Privada Norbert Wiener, 2020-10-04) Flores Lara, Yovana Ivon; Pretell Aguilar, Rosa María
The present study will have a quantitative approach, in terms of the methodological design it will be a descriptive and cross-sectional observational research. The population will consist of nursing staff, both graduates and ICU Nursing technicians from a hospital in Lima, Peru. The sample is made up of the total population that meets the inclusion and exclusion guidelines; The type of sampling is non-probabilistic, the technique will be census, corresponding to taking the entire population. The present study has a main and only variable that is patient safety culture, according to its nature it is a qualitative variable and its quantification scale is ordinal.
Acceso abierto
Therapeutic nursing communication and its relationship with the control of anxiety in preoperative patients of the specialized surgery service of the Lima Naval Medical Center, 2022
(Universidad Privada Norbert Wiener, 2022-10-16) Astudillo Velarde, Jacqueline; Mori Castro, Jaime Alberto
The objective of this research work is to determine and analyze the relationship between therapeutic nursing communication and the level of anxiety in pre-surgical patients of the Surgical Specialties Service of the Naval Medical Center. Material and Method: this research is quantitative, since we use data collection to demonstrate the supported hypothesis with the objectives of establishing guidelines on behavior and testing theories, Quasi-experimental, and it is Correlational: by determining whether both variables are related or not. The sample population consists of 70 patients from the Surgical Specialties service of the Naval Medical Center. To collect data, the interview and two surveys will be used, one to measure therapeutic communication and the IDARE test to measure the level of anxiety.