Publication: Factores que determinan la competencia de las enfermeras de atención primaria de salud (APS) y atención hospitalaria del servicio de salud metropolitano norte-Santiago-Chile en cuidados de enfermería basados en la evidencia
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2023-01-17
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Universidad Complutense de Madrid
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Abstract
La Enfermería Basada en la Evidencia (EBE) es una estrategia que existe hace más de 20 años en países como Canadá, Estados Unidos y parte de Europa, demostrando que su utilización por parte de los profesionales de enfermería aporta resultados positivos para la salud de la población. Sin embargo, en Chile su aplicación como herramienta para el cuidado que proporcionan los profesionales de Enfermería no se ha evidenciado. Objetivos: Conocer el nivel de competencia en EBE en las enfermeras/os del Servicio de Salud Metropolitano Norte de Santiago, Chile. Metodología: La competencia de los profesionales fue medida con el Cuestionario EBPQ- 19, a través de las tres dimensiones: “Actitudes”, “Conocimiento y Habilidades” y “Práctica”. Se realizó además una encuesta anónima que consideraba variables sociodemográficas y profesionales. Se diseñó un estudio transversal descriptivo correlacional predictivo para todos los profesionales de enfermería del Servicio de Salud Metropolitano Norte de Santiago de Chile, tanto de ámbito hospitalario como de Atención Primaria Salud. El universo estuvo compuesto por 654 enfermeros pertenecientes a tres hospitales de alta complejidad y 7 centros de Atención Primaria. Se realizó un muestreo de conveniencia, calculando el tamaño muestral para un intervalo de confianza del 95% una heterogeneidad del 50% y un margen de error del 5%, obteniéndose un N=243 sujetos. Se realizó análisis estadístico descriptivo considerando para las variables cuantitativas medidas de tendencia central de medias y desviación estándar y frecuencia y porcentajes para las variables cualitativas. Se efectuó un análisis bivariado aplicando pruebas T y ANOVA a las variables Práctica, Actitud, Conocimiento y Habilidades contra las distintas variables nominales. Para las variables cuantitativas se obtuvieron las correlaciones de Pearson. Finalmente se efectuaron regresiones de las combinaciones de variables endógenas para variable respuesta puntaje total y para cada uno de los factores de EBPQ-19, creando dos modelos para su análisis...
Evidence-Based Nursing (EBN) is a strategy that has been used for over 20 years in countries such as Canada, the USA and parts of Europe, demonstrating that its application generates positive results in healthcare. However, its use in Chile as a tool in the care provided by nursing professionals has not been formally documented.Objectives: Identify the level of EBN competency of nurses employed by the North Santiago Metropolitan Health Service, Chile (Servicio de Salud Metropolitano Norte de Santiago, Chile).Methodology: The competency of professionals was measured using questionnaire EBPQ- 19, through three dimensions: “Attitudes”, “Knowledge and Abilities”, and “Practice”. An anonymous survey was also carried out that considered socio-demographic and professional variables.We conducted a predictive correlational descriptive cross-study study across all nursing professionals in the North Santiago Metropolitan Health Service of Santiago de Chile, both in the hospital setting and in Primary Health Care. The universe was made up of 654 nurses belonging to three high complexity hospitals and 7 Primary Care centers. A convenience sampling was carried out, calculating the sample size for a 95% confidence interval, a heterogeneity of 50% and a margin of error of 5%, obtaining a N=243 subjects. A descriptive statistical analysis was conducted, accounting for measured quantitative variables such as central tendency measures, and standard deviation, frequency, and percentages for qualitative variables. Additionally, a bivariate analysis was conducted applying T and ANOVA tests to the “Practice”, “Attitude”, and “Knowledge and Abilities” dimensions against the different nominal variables. For quantitative variables, Pearson correlations were determined. Finally, we conducted regressions for the endogenous variable combinations for the Total Score and for each of the factors of EBPQ-19, creating two models for the analysis...
Evidence-Based Nursing (EBN) is a strategy that has been used for over 20 years in countries such as Canada, the USA and parts of Europe, demonstrating that its application generates positive results in healthcare. However, its use in Chile as a tool in the care provided by nursing professionals has not been formally documented.Objectives: Identify the level of EBN competency of nurses employed by the North Santiago Metropolitan Health Service, Chile (Servicio de Salud Metropolitano Norte de Santiago, Chile).Methodology: The competency of professionals was measured using questionnaire EBPQ- 19, through three dimensions: “Attitudes”, “Knowledge and Abilities”, and “Practice”. An anonymous survey was also carried out that considered socio-demographic and professional variables.We conducted a predictive correlational descriptive cross-study study across all nursing professionals in the North Santiago Metropolitan Health Service of Santiago de Chile, both in the hospital setting and in Primary Health Care. The universe was made up of 654 nurses belonging to three high complexity hospitals and 7 Primary Care centers. A convenience sampling was carried out, calculating the sample size for a 95% confidence interval, a heterogeneity of 50% and a margin of error of 5%, obtaining a N=243 subjects. A descriptive statistical analysis was conducted, accounting for measured quantitative variables such as central tendency measures, and standard deviation, frequency, and percentages for qualitative variables. Additionally, a bivariate analysis was conducted applying T and ANOVA tests to the “Practice”, “Attitude”, and “Knowledge and Abilities” dimensions against the different nominal variables. For quantitative variables, Pearson correlations were determined. Finally, we conducted regressions for the endogenous variable combinations for the Total Score and for each of the factors of EBPQ-19, creating two models for the analysis...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, leída el 09-05-2022