Examinando por Materia "Preceptoría"

Mostrando 1 - 20 de 27

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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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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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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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Effective interventions to reduce occupational risks in personnel working in the operating room
(Universidad Privada Norbert Wiener, 2019-09-29) Allende Burga, Esmeralda; Rivera Lozada de Bonilla, Oriana
Objective: Systematize the evidence on effective interventions in reducing occupational risks in personnel who work in the operating room. Materials and Methods: Observational and retrospective systematic review, 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, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the grade system to assign recommendation strength. Results: Of the total number of articles analyzed, 10/10 show effective interventions to reduce and/or prevent risks to which personnel working in a surgical center are subjected. Of which the majority, 6/10, represent systematic review studies, 3/10 represent experimental studies and 1/10 represent a quasi-experimental study. Conclusions: The research reviewed showed that there are effective interventions that prevent risks and should be applied in the surgical center, such as the use of double gloves and blunt needles in surgeries, as well as the use of personal protective equipment, specifically masks. Have special equipment to reduce exposures, and the hepatitis B vaccine (VDP) among others. In this way favoring the prevention of occupational risks to which personnel working in a surgical center are exposed.
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Effectiveness of dialysate sodium concentration management for blood pressure changes in hemodialysis patients
(Universidad Privada Norbert Wiener, 2020-08-02) Saavedra Quintana, Vanesa Lisette; Taboada Masabel, Daniel Angel; Arevalo Marcos, Rodolfo Amado
Objective: Systematize and analyze the effectiveness of managing the sodium concentration in the dialysate for blood pressure changes in patients with hemodialysis. Material and methods: Observational and retrospective systematic review, 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, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the GRADE system to assign the strength of recommendation, the 10 articles systematically reviewed 20% (n=2/10) are systematic reviews, 30% (3/10) are randomized controlled trials, 50% (5/10) control studies. The results obtained by this study come from; Iran 20%, United States 20%, United Kingdom 10%, England 10%, Italy 10%, Austria 10%, China 10%, New Zealand 10%. Results: The evidence found, 70% (7/10) indicates that the management of sodium concentration in the dialysate is effective for changes in blood pressure in patients with hemodialysis. Conclusions: The management of sodium concentration in dialysate is effective for blood pressure changes in patients with hemodialysis.
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Effectiveness of educational intervention in learning basic cardiopulmonary resuscitation in nursing and the general population
(Universidad Privada Norbert Wiener, 1905-07-09) Antaurco Vergara, Neekens Florencio; Salvador Torre, Eduardo Henry; Gamarra Bustillos, Carlos
Objective: Systematize and analyze the effectiveness of the educational intervention in learning basic cardiopulmonary resuscitation in nursing personnel and the general population. 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: The sampled studies were assessed to determine the quality of evidence using the GRADE System, of which 80% (N=8) of the studies have a medium quality of evidence, 10% (N=1) of the studies have a high quality of evidence and 10% (N=1) study has a low quality of evidence Conclusions: The educational intervention studies sampled demonstrated effectiveness in the level of knowledge about basic CPR maneuver, this shows the importance of Imparting knowledge Theoretical - practical on CPR in community practice spaces as a projection and extension to a university as part of our social responsibility.
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Effectiveness of high-level disinfection as a safe reprocessing method for endoscopes
(Universidad Privada Norbert Wiener, 1905-07-09) Soto Espinoza, Miriam Giovanna; Aranguren Hernandez, Nacy Melania; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes. 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 medicine due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The systematic review of the 06 scientific articles on the effectiveness of high-level disinfection as a safe reprocessing method for endoscopes correspond to the Lipecs, Lilacs, Scielo and Medline databases. The DAN in an endoscope after having been used when there are traces of organic secretions is not sufficient. Conclusion: Every endoscope, after having been used, when there are organic secretions, must be sterilized after high-level disinfection has been carried out.
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Effectiveness of the Ramsay agitation-sedation rating scale versus the Richmond scale (rass) in critically ill patients
(Universidad Privada Norbert Wiener, 2019-09-22) Sarabia Ramos, Katherine Tania; Solis Valverde, Trinidad Rosario; Calsin Pacompia, Wilmer
Objective: Systematize the evidence on the effectiveness of the Ramsay agitation-sedation rating scale versus the Richmond scale (RASS) in critically ill patients. Materials and Methods: The study was quantitative, design: systematic, retrospective review, which synthesizes the results of different investigations, being the essence of nursing based on evidence for its methodology, identifying relevant studies of clinical practice, the System was used Grade to assign recommendation strength. Results: 10 scientific articles were compiled using the Pudmed, ElSevier, Scielo, Medline database. The majority agreed that the Richmond scale is more valid, reliable and effective because it includes a greater number of descriptors to assess levels of sedation and agitation, due to its high correlation with physiological parameters. Conclusions: It was evidenced that there is 60% effectiveness of the Richmond agitation-sedation assessment scale (RASS) to monitor agitation and sedation in critically ill patients in the intensive care unit. 20% of the articles reviewed confirm that the Ramsay sedation assessment scale is more reliable and valid and the other 20% conclude that both scales correlate and are effective in monitoring agitation and sedation in critically ill patients.
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Effectiveness of the use of mobile technological applications to improve the health care of adult patients
(Universidad Privada Norbert Wiener, 1905-07-09) Vásquez Donayre, Elizabeth Esmeralda; Remuzgo Artezano, Anika
Objectives: Determine the effectiveness of the use of mobile technological applications in the health care of adult patients. Methodology/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 medicine due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. (22) Results: 80% of the articles show that mobile applications promote a healthy lifestyle and improve health behaviors, in addition to being an innovative training tool, 20% of mobile applications are not prepared or adapted for elderly patients. Conclusions: 100% of the articles reviewed show that the use of mobile applications is effective in improving health care, promoting self-management of care for adult patients, and allowing permanent training of professionals, favoring multidisciplinary integration. .
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Efficacy of anthropometric parameters as a predictor of cardiovascular risk profile in adults
(Universidad Privada Norbert Wiener, 1905-07-09) Acosta González, Ysabel Dolores; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of anthropometric parameters as predictors of cardiovascular risk profile in adults. 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: Of the total of ten articles analyzed, 90% affirm that anthropometric parameters predict cardiovascular risk. These articles were found in the following databases Pubmed, Medline, Elsevier, Scielo and Lilacs. Conclusions: The Anthropometric Parameters predicted the existence of three or more cardiovascular risk factors, both for adult men and adult women (elevated lipid profile, diabetes mellitus, arterial hypertension, smoking, among others).
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Efficacy of citrate compared to heparin in sealing catheters in patients with hemodialysis
(Universidad Privada Norbert Wiener, 2018-03-25) Peralta Rojas, María Consuelo; Lino Perez, Jhomnela Pilar; Rivera Lozada de Bonilla, Oriana
Methodology: the study was a Systematic Review of 10 articles whose search has been restricted to articles with full text, and the selected articles were subjected to critical reading, using the evaluation of the GRADE system to identify the quality of evidence and strength of recommendations . Results: The results obtained from the reviews show that of the total of 10 scientific articles reviewed, 20% (n=2/10) report that the use of citrate is effective compared to heparin, greater survival of the catheters, has a profile more favorable side effect. 60% (n=6/10) indicate that citrate and heparin are similar as anticoagulant in the sealing of catheters, the use of sodium citrate does not present clear advantages in the complications of infections compared to sodium heparin. 20% (n=2/10) report that there is no difference between citrate and heparin. Conclusion: it was concluded that heparin and citrate are effective in sealing catheters, there were no significant differences. In this sense, more comparable research studies are necessary to be able to discuss and conclude which recommendations should be transferred into clinical practice in hemodialysis.
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Efficacy of continuous bladder irrigation in the management of Hematuria
(Universidad Privada Norbert Wiener, 1905-07-09) Rojas Reyes, Luz; Sanchez Espejo, Eloisa Ada; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness and uses of continuous bladder irrigation in the management of urological events. 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: The reviewed articles were found in the databases Scielo, Dialnet, Ebsco, Lilacs, the results show that there is a lower incidence of immediate postoperative complications inherent to the operation of the urethrovesical catheter, in patients left without irrigation, likewise the average day in the hospital stay of these patients was shorter, concluding that continuous bladder irrigation as a post-prostatectomy treatment is not essential. The other authors also agree that the use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended. Conclusions: The reviewed articles show that continuous bladder irrigation as a post-prostatectomy treatment and intervention is not essential in patients. The use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended, it reduces hospital stay, reduces fever and quickly improves the patient's general conditions as well as making cultures negative in a shorter period of time. The management of hematuria of bladder origin through continuous bladder irrigation as a treatment with the application of intravesical bismuth solution is effective in shortening the time of hematuria control.
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Efficacy of physical exercise in cardiac rehabilitation in post-myocardial infarction patients
(Universidad Privada Norbert Wiener, 1905-07-09) Morales Aguinaga, Gisella Teresa; Velasquez De La Cruz, Soledad Consuelo; Gómez Gonzales, Walter Edgar
This research is a Systematic Review with 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. It is observational because there is no intervention on the variables subject to measurement of the sample. Results: Cardiac rehabilitation focused on secondary prevention, on the reduction of cardiac risk, as well as on the recurrence of cardiac events and heart attacks. , which contributes to the quality of life and the reduction of mortality by 25%. Conclusions: The total of 05 articles systematically reviewed, 100% (n=5/5) evidence that physical exercise is effective for rehabilitation cardiac in post patients.
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Efficacy of preoperative inspiratory muscle training to prevent pulmonary complications in post-cardiac surgery patients
(Universidad Privada Norbert Wiener, 1905-07-09) Cardenas Aguilar, Evelyn Maybee; Romero Cabrera, Ketty Giovanna; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of preoperative inspiratory muscle training to prevent pulmonary complications in post-cardiac surgery patients. 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: Of the total of five articles and three systematic reviews analyzed, 100% affirm that preoperative inspiratory muscle training helps prevent pulmonary complications. These articles were found in the following databases Pubmed, Medline, Elservier, Scielo, Cochrane and Lilacs. Conclusions: Inspiratory muscle training to prevent pulmonary complications in post-cardiac surgery patients is effective.
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Efficacy of the educational program in the control of anxiety, pain and prevention of postoperative complications in patients undergoing surgery
(Universidad Privada Norbert Wiener, 1905-07-09) Cayllahua Curiñaupa, Luz María; Aparcana Pino, Rosa Miriam; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of the educational program in controlling anxiety, pain and preventing postoperative complications in patients undergoing surgery. Materials and Methods: Systematic Reviews are a quasi-experimental 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: 09 scientific articles published and indexed in the databases were critically reviewed, no older than ten years and that respond to articles published in Spanish and that were located in the scielo, ebsco, lilacs and lipecs databases. . Conclusion: The educational program provided to patients preoperatively is effective in controlling anxiety, pain and preventing complications such as; better pain control, lower levels of anxiety, decreased hospital stay, they perceive a higher quality of care and report greater satisfaction.
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Efficacy of therapeutic hypothermia in reducing the risk of mortality in adults with cardiac arrest
(Universidad Privada Norbert Wiener, 1905-07-09) Mendoza Blas, Zully Janneth; Orbegoso Escobedo, Claudia Vanessa; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of therapeutic hypothermia to reduce the risk of mortality in adults with cardiac arrest. Material 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: The population was made up of the bibliographic review of 13 scientific articles published and indexed in the Scielo, Pubmed, Medline, Lilacs databases, no older than ten years and that respond to articles published in the Spanish language. This work makes it clear that 92 percent (12 studies) prove that the use of therapeutic hypothermia is effective after cardiac arrest; while 8 percent (1 study) show that it is not effective. Conclusions: The studies reviewed show that therapeutic hypothermia in intensive care units is associated with a relative reduction in hospital mortality in patients with cardiac arrest, therefore we can affirm that therapeutic hypothermia is effective in reducing mortality in patients with cardiac arrest. cardiac, a stable temperature of 32-34°C must be maintained for 24 hours
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Efficiency of the autoclave flash cycle sterilization process of biomedical instruments
(Universidad Privada Norbert Wiener, 1905-07-09) Limo Renteria, María Esther; Novoa Paredes, Cecilia Bethsabé del Pilar; Gómez Gonzales, Walter Edgar
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: The review of articles corresponds to 05 articles on the use of flash cycle autoclave sterilization of surgical instruments, corresponding to the Pubmed, Medline and Lilacs databases. The 05 scientific articles systematic review on the effectiveness of the autoclave flash cycle sterilization process of biomedical equipment, 20% (01) correspond to Spain and 80% to the United States, all of them framed in the 05 research articles. Flash cycle sterilization in autoclave has to meet the established conditions and those of the sterilizer manufacturers, to guarantee the quality of the process and should only be used in extreme situations. Conclusions: The flash cycle sterilization process in autoclave according to the studies should be limited in case of emergency where the instruments are needed immediately, following the manufacturer's instructions and taking into account the 3 critical steps: Cleaning and decontamination, sterilization and aseptic transfer to ensure sterilization.
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Factors associated with abuse and violence in older adults
(Universidad Privada Norbert Wiener, 1905-07-09) Gallo Durán, Ruth Margarita; Díaz Gutierrez, Yessica Yenica; Gómez Gonzales, Walter Edgar
Objective: Establish the factors associated with abuse and violence in the Elderly. Materials and Methods: Systemic research is an observational and retrospective research design that synthesizes the results of multiple primary investigations, which are an essential part of evidence-based medicine. due to its rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The systematic review of the 14 scientific articles on the factors associated with abuse and violence in older adults shows that it is the combination of factors psychological, social and economic effects on the part of the aggressor, such as excessive use of alcohol, drug consumption, violent behavior, unemployment and stress. Conclusions: It is evident that the factors present in the aggressor are excessive use of alcohol, drug consumption , violent behavior, unemployment and stress. The children were the main perpetrators of the abuse, followed by the grandchildren, which reveals the inadequate preparation of the family for living with the elderly. This shows that the family dynamic of harmony, attention and dedication to the elderly is practically non-existent. Financial abuse was well identified by the elderly, especially when it comes to preventing them from using and controlling their money.
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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.