Examinando por Materia "Organization and Administration"

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Administrative management and the relationship with the quality of health services to the external user of the Chancay Hospital and Basic Health Services Dr. Hidalgo Atoche López, year 2022
(Universidad Privada Norbert Wiener, 2022-06-26) Blanco Fitzcarrald, Dilcia Ruth; Pretell Aguilar, Rosa Maria
Its purpose is to determine how administrative management is associated with the quality of the service at the research site, using a quantitative method with an observational design in addition to having the contribution of information from a sample of 104 users, this through the application of a questionnaire and a checklist called Servqual, these instruments presented high reliability with 0.908 and 0.924 reliability through a Cronbach's Alpha. On the other hand, the data collection will take place in approximately two months, which will be processed by programs such as Excel and Word, and will also be statistically analyzed by the Spss 25.0 program. Likewise, the statistical procedure is divided into two phases: the descriptive phase. and the inferential, the first being presented in bar graphs and contingency tables and in the inferential case it is developed using the Spearman test to verify the hypotheses.
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Compliance with biosafety rules: hand washing by nurses at the Chancay hospital, September to December 2020
(Universidad Privada Norbert Wiener, 2020-12-27) Lazaro Marco, Lidia Lucila; Fernández Rengifo, Werther Fernando
Introduction: According to the World Health Organization (WHO), it states that Healthcare Associated Infections (HAI) are transmitted within the hospital environment between patients and healthcare personnel, which is why it is considered a performance indicator in hospital management. with the purpose of strengthening the resolution capacity in infection prevention and control processes; Thus, handwashing is everyone's responsibility. Objective: Determine compliance with biosafety rules: hand washing in nurses at the Chancay hospital, September - December, 2020. Methodology: A descriptive, non-experimental, cross-sectional study will be carried out. The study population will be made up of the total number of nurses at the Chancay Hospital, from which a sample of 81 nurses who work in the healthcare area will be obtained, to whom the checklist on compliance with the requirements will be applied as an instrument. biosafety rules: hand washing. The data obtained will be tabulated and statistically processed, applying the statistical package SPSS Vs. 26.0, and Excel 2016.
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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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Culture of patient safety and quality of care in the nurses of a Specialized Pediatric Hospital, Lima 2022
(Universidad Privada Norbert Wiener, 2022-12-11) Aguilar Huamán, Pamela Milagros; Fernández Rengifo, Werther Fernando
Introduction: The patient safety culture is one of the hospital management indicators that allows identifying the risks that nursing care can produce and favors the offer of quality nursing care. Materials and methods: Non-experimental design, correlational level, cross-sectional and quantitative approach. In relation to the population, 60 nursing professionals who work in emergency and hospitalization services were considered. Regarding the technique, the survey will be used and there will be two measurement instruments that will be applied. In relation to the instrument that measures patient safety culture, it contains 42 questions and covers five dimensions, within which are teamwork, communication, safety culture, supervision, and management and direction. Similarly, the nursing care quality instrument comprises 21 items and covers three dimensions defined as technical, operational and human, taking into consideration that the two questionnaires are valid in terms of reliability and validity. Regarding the conclusive values, the levels of good, average and bad are defined for the patient safety culture variable, and in relation to the variable quality of nursing care, its conclusive levels will be low, medium and high.
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Effective interventions for the control of congestive heart failure in emergency units
(Universidad Privada Norbert Wiener, 1905-07-09) Avila Salazar, Jesela; Huaman Grandez, Maria Liseth; Gamarra Bustillos, Carlos
Objective: Establish effective interventions for the control of congestive heart failure in emergency units. Materials and methods: A systematic review was carried out, 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: 10 systematically reviewed scientific articles on effective interventions for the control of congestive heart failure in emergency units were included in the review. The articles were located in the Lilacs, Medline, Ebsco and Pubmed databases; 70% (n = 07/10) of the articles reviewed agree and show that the administration of ASA diuretics, which act on the medullary portion of the loop of Henle, inhibiting sodium reabsorption in the thick ascending portion of the loop of Henle, Henle; belonging to Group II such as: furosemide, bumetanide, torsemide, ethacrynic acid, in bolus or infusion, are the most used; on the other hand, 30% of the articles reviewed (03/10) of the authors agree that educational interventions based on formative education is effective in improving the control of congestive heart failure. Conclusion: The articles reviewed show that the most effective intervention for heart failure in older adults is ASA diuretics and educational interventions based on training education are effective in improving the control of congestive heart failure in emergency units. .
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Effectiveness in the prevention of neoplasia with the administration of the human papillomavirus vaccine in men
(Universidad Privada Norbert Wiener, 2020-09-20) Uchuya Chávez, Edgardo Manuel; Arevalo Marcos, Rodolfo Amado
Objective: to systematize the evidence on the effectiveness in preventing neoplasia with the administration of the Human Papillomavirus vaccine in men. Methodology: it is a Systematic Review where it synthesizes some results from various investigations. Likewise, it is an essential part of Evidence-Based Nursing, therefore the search has been restricted to scientific articles with high quality of evidence and with an appropriate strength of recommendation. Results: in the exhaustive selection, at the end, 10 scientific articles were chosen, among which we found systematic reviews, randomized controlled clinical trials and case-control studies where of the total articles collected, 100% affirm that the application of the vaccine against HPV in men is effective in preventing neoplasia and other infections. Conclusions: it was evident that the included investigations show a high degree of immunological effectiveness, therefore, when HPV vaccines are administered it results in prevention of the development of genital warts, pre-cancerous lesions, and most importantly, adequate prevention. of HPV infection, in this sense all of this contributes to a possible decrease in various types of neoplasms related to men.
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Effectiveness of music therapy for pain management in patients undergoing surgery
(Universidad Privada Norbert Wiener, 1905-07-08) Guzmán Moreno, Sisy Cecilia
Material and methods: The PICO instrument was applied and a systematic bibliographic search was carried out through recognized search engines such as LILACS, PubMED, ELSEIVER, etc. Classifying the information through the use of Caspe templates and the level of evidence and degree of recommendation by the GRADE system. Results: 100% of the articles show evidence of the positive influence that music exerts in the different stages of the perioperative period, showing not only the significant decrease in pain but also the decrease in the level of anxiety, 2 articles found showed patients with functional stable vital signs, decreased administration of analgesics and anesthetics, even when the patient is under general anesthesia. Conclusions: Music can be used and implemented as a simple, safe and effective method of reducing potentially harmful physiological responses caused by pain in patients during the perioperative period.
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Effectiveness of the administration of Omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients
(Universidad Privada Norbert Wiener, 2019-08-25) Rodríguez Zambrano, Johanna Elizabeth; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of the administration of omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients. MATERIAL AND METHOD: The study is quantitative, with a systematic, observational and retrospective review design; of articles with full text, which identified their grade or quality of evidence according to the Grade System. Likewise, the population was made up of 10 most relevant scientific articles that were obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. Of which 70% correspond to the methodological design of systematic review and 30% to randomized clinical trials, corresponding to the countries of the United States 20% (02/10), Holland 10% (01/10), Iran 10% (01 /10), Portugal 10% (01/10), Italy 10% (01/10), Colombia 10% (01/10), South Korea 10% (01/10), Mexico 10% (01/10), and Spain 10% (01/10). Results: Of the 10 articles reviewed, (10/10), 100% demonstrate effectiveness of the administration of omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients. Conclusions: 10 of 10 reviewed articles demonstrate evidence of the effectiveness of the administration of omega-3 fatty acids in reducing the adverse effects of chemotherapy in cancer patients; That is, evidence suggests a role for omega-3 fatty acid supplementation in cancer treatment, but they have been shown to preserve muscle mass and function in cancer 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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Efficacy of continuous nebulizations with β_agonists in patients with acute asthmatic crisis
(Universidad Privada Norbert Wiener, 1905-07-09) Alfaro Mendivil, Nancy; Perez Fernandez, Ricarti Salin; Rivera Lozada de Bonilla, Oriana
Objective: Systematize and analyze the effectiveness of continuous nebulizations with β_agonists in patients with acute asthma attacks. 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 the GRADE method to identify their level of evidence. Results: In the final selection, 10 articles were chosen, systematic reviews, quasi-experimental and case-control studies, and of the total of 10 reviewed articles, 40% (n=4/10) of these show that the effectiveness of Performing nebulizations with β_agonists continuously in patients with acute asthma attacks is positive, especially in cases for the treatment of moderate-severe asthma, it helps with lower administration cost and shorter stay in the emergency room while 60% of the studies analyzed tell us that there is no significant relevance. Conclusions: It is concluded that there is no significant relevance in the effectiveness of continuous nebulizations with β_agonists, since 60% of the studies analyzed support the equivalence of the results of continuous and intermittent nebulization in the treatment of acute asthma.
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Efficacy of prehospital therapeutic hypothermia in improving survival and neurological outcomes in patients with cardiac arrest
(Universidad Privada Norbert Wiener, 2019-08-25) Gamero Usca, Jose Luis; Matta Solis, Hernán Hugo
Objective: To systematically analyze the evidence regarding the effectiveness of pre-hospital therapeutic hypothermia to improve survival and neurological outcomes in patients with cardiac arrest. Material and methods: The present study is qualitative with a study design of a systematic review of 10 scientific articles on the effectiveness of prehospital therapeutic hypothermia to improve survival and neurological outcomes in patients with cardiac arrest. These articles were analyzed according to the Grade system. to determine their strength and quality of evidence and were found in the following databases: PubMed, Sciencedirect, Scielo, Epistemonikos. Results: Of the 10 articles reviewed, it was concluded that only 20% point out the effectiveness of pre-hospital therapeutic hypothermia in post-cardiac arrest patients, which shows an improvement in survival with good neurological results of patients upon hospital discharge. On the other hand, 80% of the articles reviewed indicate a series of limitations. Conclusion: The articles reviewed point out that the evidence does not support the administration of pre-hospital therapeutic hypothermia to patients with cardiac arrest where optimal temperature was not achieved by pre-hospital hypothermia due to short transport time. and limited cold liquid.
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Efficacy of the use of ondansetron compared to dexamethasone for the prevention of nausea and vomiting in post-operative patients
(Universidad Privada Norbert Wiener, 2017-11-12) García de la Cruz, Gliria Nathalia; Hurtado Zarate, Lorena Fiorella; Bonilla Asalde, César Antonio
Materials and Methods: In the final selection, 10 articles were chosen, we found that 30% (03) corresponds to Iran, 20% (02) we find India, while 10% (01) corresponds to China, Pakistan, Taiwan , Mexico and Nepal respectively. Most of the randomized controlled trials have been studied, with 70%, mainly in the countries of India, Nepal, Mexico, Pakistan and Iran. Among systematic reviews we find India, China and Taiwan, with 30%. Results: According to the evidence found, 40% of the authors report that dexamethasone is more effective than ondansetron in preventing nausea and vomiting in the postoperative period. 10% report that ondansetron is more effective than dexamethasone due to its rapid action, but if it is combined with dexamethasone it is more effective than when administered alone and 50% of the authors report that the combination of both drugs is effective for prevention of nausea and vomiting in post-operative patients. Conclusions: It was evident in the reviewed research that there is efficacy of ondansetron, dexamethasone and the administration of both drugs for the prevention of nausea and vomiting in post-operative patients.
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La gestión logística y la calidad de servicio del personal en radiología, Subgerencia de Atención Domiciliaria, PADOMI, ESSALUD, 2023
(Universidad Privada Norbert Wiener, 2024-12-27) Cateriano Azpilcueta, Helmer Gabriel; Maguiña Palma, Misael Erikson
El trabajo de investigación pretende establecer la relación entre la gestión logística y la calidad de servicio del personal en radiología de la Subgerencia de Atención Domiciliaria (SGAD), PADOMI, ESSALUD, año 2023. Presentó una metodología basada en el paradigma cuantitativo, de tipología aplicada, método hipotético-deductivo, con un diseño de carácter observacional, de línea transversal y de alcance correlacional. El grupo poblacional estuvo conformado por 253 personal en radiología, con un grupo muestral de tipo probabilística, con 154 participantes, con un muestreo estratificado. Para recabar datos se consideró la encuesta como técnica investigativa contando con dos herramientas: Cuestionario sobre gestión logística, y otra sobre calidad de servicio, con valoración Likert. Los resultados denotaron que hay prevalencia por la percepción media de los encuestados con un 55.8% y 48.1% para ambas variables respectivamente. Concluyendo, que hay correlación directa entre la operación logística y la calidad de servicio del personal en radiología de la Subgerencia de Atención Domiciliaria, PADOMI, ESSALUD, utilizando el coeficiente correlativo de Spearman reflejó correlato alto positivo con un margen de error < 0.05.
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Knowledge and nursing care of the percutaneous catheter in the neonatal intensive care unit
(Universidad Privada Norbert Wiener, 2022-11-20) Pérez Altamirano, Miriam; Palomino Taquire, Rewards
Objective: Determine the relationship between knowledge and nursing care of the percutaneous catheter in the neonatal intensive care unit of a public hospital in Lima 2022. Method: Hypothetical deductive, with a quantitative approach, type of applied research, non-experimental, correlational design cross-sectional, the instrument that will be used to measure the first variable knowledge about percutaneous catheter will be the questionnaire that consists of 24 questions with dichotomous answers and three dimensions; maintenance of the percutaneous catheter, administration of solutions, complications of the percutaneous catheter, to measure the second variable percutaneous catheter care, a checklist made up of 36 items with dichotomous responses and three dimensions will be used; before healing, during healing and after healing; A non-probabilistic convenience sampling will be used consisting of 32 nurses who work in the neonatal intensive care area of a public hospital in Lima 2022.
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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.
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Level of knowledge about the traceability program and the practice of the nursing staff in the sterilization center of the regional hospital Hermilio Valdizan Medrano, Huanuco Peru 2022.
(Universidad Privada Norbert Wiener, 2022-05-15) Simon Tucto, Felicita; Cárdenas de Fernández, María Hilda
The cleaning of surgical instruments is a process that includes procedures such as: reception, classification, pre-washing, washing, rinsing, drying and lubrication, it consists of the removal of foreign, organic and inorganic material adhered to the instruments or surfaces. Objective: To determine the relationship between the level of knowledge about the traceability program and the practice of the nursing staff in the sterilization center of the Hermilio Valdizan Medrano Regional Hospital, Huánuco Peru 2022. Materials and methods: a quantitative correlational study in a population of 50 workers at the sterilization center, a validated and reliable instrument will be applied, the data will be analyzed with descriptive and inferential statistics, ethical principles will be taken and respected.
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Level of knowledge and adherence to the administration of multimicronutrients in mothers of children aged 6 to 36 months who attend the Mirones Alto health center, Lima, 2020
(Universidad Privada Norbert Wiener, 2020-08-21) Cuellar Marca, Braulio Juvenal; Cárdenas de Fernández, María Hilda
Objective: to determine the relationship between the level of knowledge and adherence to the administration of multimicronutrients in mothers of children aged 6 to 36 months who attend C Mirones Alto, Lima 2020. Materials and methods: the approach was quantitative, cross-sectional design -correlational. The sample was made up of 82 mothers. The instruments used were a questionnaire and observation of the children's multimicronutrient consumption monitoring pattern. Results: the average age of the mothers was 24.61 years (SD +/- 5.038), with a minimum age of 17 years and a maximum of 45 years. The average age of their children in months was 19.96 (SD + 5.962), with the minimum and maximum age being 32 months. Regarding the level of education of the mothers, the majority 62% (n=51) had completed secondary school, followed by 13.4% (n=11) technical college, 13.4% (N=11) university college and 11% (n=9) completed primary school. The level of knowledge about MNN of the mothers, 32.9% (n=27) know and 67.1% (n=55) do not know. The level of adherence to the administration and MNN of the mothers, it is observed that 43% (n=36) are adherent and 56.1% (n=46) are non-adherent. There is a significant relationship between the level of knowledge and adherence to the administration of multimicronutrients in mothers of children aged 6 to 36 months who attend the Mirones Alto Health Center, Lima - 2020, with a margin of error of 5% ( p < 0.05). Conclusions: there is a significant relationship between the level of knowledge and adherence to the administration of multimicronutrients in mothers of children aged 6 to 36 months who attend the Mirones Alto Health Center, Lima - 2020.
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Level of managerial skills in nursing service chiefs in a level IV hospital in Lima
(Universidad Privada Norbert Wiener, 2022-01-09) Ramirez Vega, Gabriela; Pretell Aguilar, Rosa Maria
The purpose of the study is to determine the level of management skills in service chief nurses in a level IV hospital from January to December 2021 in Lima. Methodology: the method will be deductive with a quantitative approach, the type of research: it will be applied, with a design: observational, descriptive, transversal. The representative sample of the study will be made up of 58 nursing professionals in charge of heads of nursing services with face-to-face and remote work in a level IV hospital, the data collection technique and instruments: in the data collection technique, the survey at a single moment, using the instrument “management skills”, which represents a Cron Bach Alpha of 0.964. Procedure: The data obtained will be processed over a period of two months, and the Excel program will be used as a tool, for greater precision and accuracy, then it will be exported to SPSS version 25.0 software. Statistical analysis: for the descriptive evaluation, frequency tables, measures of central tendency, and dispersion and graphic representations will be used.
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Level of self-care practices in patients receiving treatment against tuberculosis in a primary care center in San Juan de Miraflores
(Universidad Privada Norbert Wiener, 2020-10-04) Alvarado Tafur, Dina Fortunata; Uturunco Vera, Milagros Lizbeth
The care of people is carried out in permanent interaction, and the scientific knowledge of nursing professionals who directly express the educational and supervision strategies to the person in need of care is essential. The efficiency and effectiveness of its functions depends on this, both in the human aspect and in compliance with the procedures to be carried out with the patient and family. TB alters the quality of life of users. Likewise, when diagnosed it represents great changes in their lifestyle for the user: a costly increase in economic spending and psychological changes, as well as for the family and the State. Furthermore, users require special care regarding TB, as they are considered a labile and risk group, so it is essential to safeguard their full well-being. It is vitally important to determine the level of self-care practices in patients receiving treatment against tuberculosis. The study will help lay the foundations for future research, with the results obtained we will be able to identify what or which areas we must reinforce during patient education, likewise during treatment supervision it will allow us to focus on the precise care that helps to have success of the treatment and with the contributions provided, reduce abandonment rates.
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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.