Publication: Influencia de la dotación de plantillas de enfermería en indicadores de calidad de atención hospitalaria en el Servicio Madrileño de Salud
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2020-06
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Abstract
Introducción: los profesionales de enfermería de un hospital son los que más se involucran en los procesos asistenciales, por ello tienen un rol relevante en el cumplimiento de indicadores de calidad por su cercanía a los pacientes y son agentes clave para controlar y reducir los eventos adversos.
Objetivo: analizar la influencia de la dotación de plantillas de enfermería en el cumplimiento de indicadores de calidad asistencial en atención hospitalaria del Servicio Madrileño de Salud.
Metodología: Estudio de revisión y análisis de los indicadores de calidad del Observatorio de resultados del Servicio Madrileño de Salud de los siete hospitales de alta complejidad de la Comunidad de Madrid. Se realizó un análisis estadístico descriptivo y analítico, mediante una regresión lineal, de la variable independiente, ingresos por enfermera, y las variables dependientes, indicadores de calidad.
Resultados: no se encuentran relaciones estadísticamente significativas entre la variable ingresos por enfermera y los indicadores de calidad. Se han encontrado correlaciones entre las variables estudiadas: mortalidad, infecciones asociadas a la atención sanitaria y satisfacción con los profesionales de enfermería.
Discusión: múltiples estudios demuestran la influencia de la enfermería en los indicadores estudiados. En la Comunidad de Madrid las diferencias de ratios de unos hospitales a otros son llamativas. Diversas limitaciones del estudio han podido contribuir a no identificar relaciones entre las variables evaluadas.
Conclusiones: hacen falta nuevos estudios que aporten evidencia científica para identificar la influencia de los profesionales de enfermería en los indicadores de calidad de los hospitales del Sistema Madrileño de Salud.
Introduction: hospital nursing staff are the professionals most involved in healthcare processes. They have a relevant role in meeting quality indicators due to their proximity to patients and are key agents to control and reduce adverse events. Objective: to analyze the influence of nursing staff endowment in the fulfillment of healthcare quality indicators in hospital care of the Madrid Healthcare Service. Methodology: a review and analysis study of the quality indicators of the Observatory of Results of the Madrid Healthcare Service of the seven high complexity hospitals in the Community of Madrid. Using linear regression, a descriptive statistical analysis of the independent variable, income per nurse, and the dependent variables, quality indicators, was performed. Results: no statistically significant relationship was found between the variable income per nurse and the quality indicators. Correlations have been found between the variables studied: mortality, infections associated with health care, and satisfaction with nursing professionals. Discussion: multiple studies demonstrate the impact of nursing on the studied indicators. In the Community of Madrid, the differences in ratios from one hospital to another are striking. Several study limitations could have contributed to not identifying the correlation between the evaluated variables. Conclusions: new studies are needed to provide scientific evidence in order to identify the influence of nursing professionals on the quality indicators of the hospitals of the Madrid Healthcare System.
Introduction: hospital nursing staff are the professionals most involved in healthcare processes. They have a relevant role in meeting quality indicators due to their proximity to patients and are key agents to control and reduce adverse events. Objective: to analyze the influence of nursing staff endowment in the fulfillment of healthcare quality indicators in hospital care of the Madrid Healthcare Service. Methodology: a review and analysis study of the quality indicators of the Observatory of Results of the Madrid Healthcare Service of the seven high complexity hospitals in the Community of Madrid. Using linear regression, a descriptive statistical analysis of the independent variable, income per nurse, and the dependent variables, quality indicators, was performed. Results: no statistically significant relationship was found between the variable income per nurse and the quality indicators. Correlations have been found between the variables studied: mortality, infections associated with health care, and satisfaction with nursing professionals. Discussion: multiple studies demonstrate the impact of nursing on the studied indicators. In the Community of Madrid, the differences in ratios from one hospital to another are striking. Several study limitations could have contributed to not identifying the correlation between the evaluated variables. Conclusions: new studies are needed to provide scientific evidence in order to identify the influence of nursing professionals on the quality indicators of the hospitals of the Madrid Healthcare System.