Factores asociados al incremento en el uso de la metodología enfermera en Atención Primaria

  1. Pedro Ruymán Brito Brito
  2. José Miguel de Armas Felipe
  3. Álvaro Crespo Gómez
  4. Armando Aguirre Jaime
Journal:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Year of publication: 2011

Volume: 10

Issue: 4

Pages: 189-199

Type: Article

DOI: 10.4321/S1695-61412011000400016 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Enfermería global: revista electrónica trimestral de enfermería

bar_chart View metrics

Metrics

Cited by

  • Dialnet Métricas Cited by: 5 (26-11-2023)
  • Dimensions Cited by: 3 (12-04-2023)

Dimensions

(Data updated as of 12-04-2023)
  • Total citations: 3
  • Recent citations: 1
  • Field Citation Ratio (FCR): 0.79

Abstract

Introduction: Indicators show a sustained increase in the use of nursing methodology (NM) in the Health Complex in Tenerife. Aim: to identify the factors that may be associated with this growth. Methods and materials: Retrospective analytical study. Area of study: patients with a computerised record of health. Subjects of the study numbered 609,688. Data analysis was performed from March 2005 to February 2010. Measurements: these were analysed monthly for each Basic Health Area (BHA) and measured the relative frequency of records with functional health patterns, (PFS), NANDA diagnoses, NOC objectives and NIC interventions. An NM global index was constructed from the mean value of the indicators and growth was calculated over the 60 months studied. Other variables measured included users of nursing consultations; quotas; patient load; non programmed consultations; consultations from other areas; home visits; presence of link nursing in the BHA; training and assessment in ME in the BHA; computer time. Data processing: variables were summarised as median (P5-P95) due to the non normal distribution. The correlation índex-ME growth and each variable was estimated using the Spearman non parametric linear correlation coefficient. Comparisons were made with the Mann-Whitney U test. All tests were significant at 5%. Results: Findings show a greater percentage of health records with ME and greater monthly growth when computerisation in the area was longer; when the percentage of users of nursing consultancies was higher; when the number of home visits was higher; when patient load was greater; when quotas were smaller; when consultations from other areas were lower. There was a higher percentage of medical records with ME and greater monthly growth in BHAs with ME assessment programme and in areas with ECE. Conclusions: Increased use of ME in the BHA in Tenerife is associated to each of the factors considered in different direction and size.

Bibliographic References

  • Pérez Rivas FJ, Ochandorena MS, Santamaría JM, García M, Solano V, Beamud M, Gil de Pareja MJ. Aplicación de la metodología enfermera en atención primaria. Rev Calidad Asistencial. 2006;21(5):247-54.
  • Izquierdo Carrasco JM, Pérez Badía MB, Ramírez Rodríguez FJ, Serrano Escalona I, Torres Montero MD, Conde Lara G. Implantación del proceso enfermero. Rev Rol Enferm. 2002; 25(7-8):8-13.
  • Raña Lama, CD. Diagnósticos de Enfermería: Líneas de Investigación en Atención Primaria de Salud. Enferm Cient. 1999;208-9:28-30.
  • Novo MM, Rodríguez JA, Sicilia I, Izquierdo D, Daroqui P. Proceso de implantación de Diagnósticos de Enfermería en EAP de la provincia de Santa Cruz de Tenerife. Index Enferm. 1995;IV:92.
  • Martín E, García F, Asenjo A. Diagnósticos de Enfermería. Estrategias de implantación. Rev Rol Enferm. 1997;225:57-62.
  • Montesinos Afonso, NM; Duarte Clíments, G; Sánchez Gómez, MB. Diagnósticos enfermeros. Proceso y taxonomía diagnóstica. En: Duarte Clíments, G; Gómez Salgado, J; Sánchez Gómez, MB. Fundamentos teóricos de la enfermería comunitaria. Madrid: Enfo, 2007:293-311.
  • Paganin A, Moraes MA, Pokorski S, Rabelo ER. Factors that inhibit the use of nursing language. Int J Nurs Terminol Classif. 2008; 19(4):150-157.
  • Thomas NM, Newsome GG. Factors affecting the use of nursing diagnosis. Nurs Outlook. 1992; 40(4):182-186.
  • Lunney, M; Delaney, C; Duffy, M; Moorhead, S; Welton, J. Advocating for standardized nursing languages in electronic health records. Journal of nursing administration. 2005; 35:1- 3.
  • Westra, BL; Delaney, CW; Konicek, D; Keenan, G. Nursing standards to support the electronic health record. Nursing outlook. 2008; 56(5):258-266.
  • Barrios Torres R, Estupiñán Ramírez M, De la Huerga Moreno S, López Cavero J, Navarro Brito E. Patrones funcionales y diagnósticos de enfermería más frecuentes en DRAGO-AP. Actas del 6th Congreso de la Asociación de Enfermería Comunitaria (AEC) – Simposium Internacional de Enfermería Comunitaria; 2006 Nov; Valencia, España.
  • Brito Brito PR, Aguirre-Jaime A, de Armas Felipe JM, Crespo Gómez A. Tendencia en el uso de la metodología enfermera en un Área de Salud. Póster. Congreso Internacional AENTDE-NANDA 2010. Hacia un futuro global para enfermería: desarrollar el lenguaje compartiendo conocimientos; 2010 May; Madrid, España.
  • Müller-Staub M. Studies about use and application of nursing classifications. Pflege Z. 2009; 62(6): 354-9.
  • Lunney, M. Valoración, juicio clínico y diagnósticos enfermeros: cómo determinar los diagnósticos adecuados. En: Nanda-International. Diagnósticos enfermeros. Definiciones y clasificación 2009-2011. Barcelona: Elsevier, 2010:3-17.
  • Lunney, M. Critical need to address accuracy of nurses´diagnoses. The online journal of issues in nursing. 2008; 13(1).
Data source: Dialnet