Background: Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge ...alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method. Methods/Design: The study will use a mixed method design. Qualitative methodology, through participative action research, will be employed to implement scientific evidence on the therapeutic relationship. A quasi-experimental, one-group, pre-test/post-test design will also be used to quantitatively measure the effectiveness of the implementation of the evidence. Participants will consist of nurses and patients from two psychiatric units in Barcelona. Nurses will be selected by theoretical sampling, and patients assigned to each nurses will be selected by consecutive sampling. Qualitative data will be gathered through discussion groups and field diaries. Quantitative data will be collected through the Working Alliance Inventory and the Interpersonal Reactivity Index. Qualitative data will be analysed through the technique of content analysis and quantitative data through descriptive and inferential statistics. Discussion: This study will help to understand the process of change in a nursing team working in an inpatient psychiatric ward and will allow nurses to generate knowledge, identify difficulties, and establish strategies to implement change, as well as to assess whether the quality of the care they provide shows a qualitative improvement.
This study deals with effect of hospital pharmacist on solving drug-related problems (DRP) in inpatients. The study was carried out as a prospective 5-week study at the Cardiology Clinic, Teaching ...Hospital, Nitra. The study group included 73 inpatients. Pharmacotherapy of each patient was analysed for DRP within 24-48 h after admission. Information on patients was collected from electronic database, medical reports, communication with attending doctors and ward rounds. Patients’ age, medical history, diagnoses, medication prescribed during hospitalisation and laboratory test results were assessed for further pharmacotherapy rationalisation. Pharmaceutical Care Network Europe (PCNE) classification scheme for DRP V6.2 was used to characterise DRP. There were 36 DRP identified in 37% inpatients (n = 27). The most frequent causes of DRP were dose-related (n = 13; 26%) and use
Táto práca poukazuje na možnosti farmaceuta pri identifikovaní a riešení farmakoterapeutických problémov (DRP) u hospitalizovaných pacientov. Sledovaný súbor tvorilo 73 pacientov, ktorí boli hospitalizovaní na Kardiologickej klinike. U každého pacienta zaradeného do štúdie sa prehodnotila terapia do 24-48 hodín od prijatia k hospitalizácii. Informácie o pacientoch sme čerpali z elektronickej databázy, chorobopisov, osobnej konzultácie s lekárom a lekárskych vizít. Sledovanými údajmi pri racionalizácii terapie bol vek pacienta, lieková anamnéza, diagnózy, ordinovaná terapia a laboratórne parametre. Identifikáciu a riešenie DRP sme vykonávali podľa PCNE klasifikácie V6.2. V 37% (n=27) chorobopisov sme identifikovali 36 DRP. Najčastejšou príčinou DRP bola veľkosť dávky (n=13; 26%) a výber nevhodného alebo kontraindikovaného liečiva (n=11; 22%). Cieľom tejto
Se realizó una búsqueda bibliográfica sobre la historia clínica, justificada por el deterioro observado en la confección de muchos de estos expedientes, presumiblemente atribuible al desconocimiento ...de sus funciones, tipos, beneficios o perjuicios derivados de un contenido incompleto del documento, teniendo en cuenta que su adecuada elaboración permite al personal médico obtener los datos pertinentes sobre signos vitales, pruebas indicadas, esquemas terapéuticos, evolución u otras importantes informaciones sobre el estado de salud y la calidad de vida de los pacientes.A literature search on the medical record was carried out , justified by the impairment observed in making many of these files, presumably attributable to the ignorance of their functions, types, benefits or damages derivative of an incomplete content of the document, keeping in mind that their appropriate elaboration allows the medical staff to obtain the pertinent data on vital signs, prescribed tests, therapeutic schemes, clinical course or other important informations on the health state and the life quality of the patients.
This book is specifically designed for new psychiatrists and all other medical professionals who lack the training necessary to confront the complicated legal and ethical issues that arise at the ...intersection of the mental health and judicial systems.
El aumento de la esperanza de vida, los avances científicos y tecnológicos y la adopción de una actitud proactiva por parte del paciente han hecho que la salud se haya convertido en uno de los temas ...que más preocupan e interesan a la población. Tanto los ciudadanos, por un lado, como las organizaciones sanitarias (hospitales, farmacias, etc.) por otro, se muestran favorables a establecer relaciones bidireccionales que les permitan satisfacer las necesidades médicas de los pacientes. Y para ello, resulta fundamental saber usar la comunicación de un modo preciso y satisfactorio, lo cual supone un verdadero desafío para los ciudadanos y los profesionales sanitarios. Este libro analiza de modo claro, y basándose en ejemplos concretos, los usos correctos de la comunicación en el contexto sanitario, y subraya la importancia de las implicaciones emocionales, sociales y terapéuticas de la comunicación.
The Iowa Satisfaction with Anesthesia Scale (ISAS) was rigorously developed and has been shown to be valid and reliable for evaluating patient satisfaction with monitored anesthesia care (MAC) in ...several scenarios. Such an instrument is important given the success that MAC is enjoying in the field.
Validate the ISAS in Spanish and establish indicators of validity and reliability in patients undergoing ophthalmic surgeries with MAC.
A translation and back-translation of the scale, face validity and pilot tests for adjustments were completed. The final instrument was applied to 117 subjects over 18 years of age, ASA I–III, in two healthcare institutions in Villavicencio (Meta Department, Colombia) in order to measure the concurrent criterion validity between the patients and the anesthesiologist of the case. The internal consistency of the scale was established in its first application to the subjects and later applied for the second and third times to verify the test–retest reliability.
A Pearson anesthesiologist/patient concurrent criterion validity 0.85 CI 95% (0.79–0.89), intra-class 0.82 CI 95% (0.77–0.88), was confirmed. Internal consistency was measured with a Cronbach's alpha of 0.71. Test–retest reliability (40–65min) was measured with Pearson and intra-class 0.95 CI 95% (0.93–0.96) and, (12–36h) Pearson 0.65 CI 95% (0.52–0.75), intra-class 0.64 CI 95% (0.53–0.76).
The validation of the ISAS in Spanish allows for the use of a valid and reliable instrument to objectively measure the satisfaction of the patient in ophthalmic surgery under MAC.
La escala “The IOWA satisfaction with anesthesia scale (ISAS)” fue desarrollada rigurosamente y ha demostrado ser válida y confiable para evaluar la satisfacción del paciente con el Cuidado Anestésico Monitorizado (CAM) en múltiples escenarios; un instrumento de estas características es importante dado el auge que el CAM está teniendo en el medio.
Validar al español la escala ISAS y establecer los indicadores de validez y confiabilidad en pacientes sometidos a cirugías de oftalmología bajo CAM.
Se hizo traducción retro traducción de la escala, validación de apariencia y pruebas piloto para ajustes. Se aplicó el instrumento definitivo a 117 sujetos mayores de 18 años, ASA I-III en dos instituciones de salud en Villavicencio (departamento del Meta, Colombia) para medir validez de criterio concurrente entre los pacientes y el anestesiólogo del caso, se estableció la consistencia interna de la escala en su primera aplicación a los sujetos y se aplicó por segunda y tercera vez el instrumento para verificar confiabilidad test-re test.
Se constató validez de criterio concurrente anestesiólogo paciente Pearson 0.85 IC 95% (0.79-0.89), Intraclase 0.82 IC 95% (0.77-0.88), se midió consistencia interna con un alfa de Cronbach de 0.71, confiabilidad test - re test (40-65 minutos) Pearson e Intraclase 0.95 IC 95% (0.93-0.96), (12-36horas) Pearson 0.65 IC 95% (0.52-0.75), Intraclase 0.64 IC 95% (0.53-0.76).
La validación de la escala ISAS al español, permite usar un instrumento válido y confiable para medir objetivamente la satisfacción del paciente en cirugía de oftalmología bajo CAM.
Tulburările psihologice precum anxietatea, depresia sau insomnia sunt comune copiilor diagnosticaţi cu neoplasme cu sindrom de compresiune mediastinală şi prezic înrăutăţirea calităţii vieţii lor. ...Scopul lucrării este de a sublinia principalele aspecte legate de tulburările psihologice întâlnite la pacienţii cu boală Hodgkin, limfom malign non-Hodgkin sau leucemie limfoidă conică cu sindrom de compresiune mediastinală, cât şi evidenţierea rolului deosebit de important al aplicării principiilor fundamentale de etică medicală, cu scopul de a îmbunătăţi calitatea vieţii pacienţilor studiaţi. 60 de copii cu vârsta cuprinsă între 4 şi 17 ani au fost urmăriţi pe o perioadă de 5 ani. Cele mai frecvente tulburări psihologice întâlnite la pacienţii diagnosticaţi cu sindromul de compresiune mediastinală au fost: depresia, anxietatea, panica patologică, insomniile, delirul, anorexia şi foarte rar, ideile de suicid. S-a remarcat că aceste tulburări au infl uenţat în mod negativ capacitatea decizională a copiilor şi adolescenţilor, referitor la consimţământul informat pentru stabilirea atitudinii terapeutice ideale. Succesul măsurilor etice în întâlnirile de zi cu zi ale medicului oncolog cu pacienţii, a depins de capacitatea acestuia de a lua în consideraţie nevoile fi zice, emoţionale şi sociale ale pacienţilor.