Transforming Hospital Admission Into a Nursing Care Occasion
DOI:
https://doi.org/10.18270/rce.v18i3.2605Palabras clave:
investigación metodológica en enfermería, admisión del paciente, adaptación, humanización de la atención, hospitalización, atención de enfermería, cuidadores, teoría de enfermería, enfermería basada en la evidencia, evaluación de proceso (atención en salud), process assessment (health care)Resumen
Objective: This research seeks to describe the process of transforming hospital admissions into a moment of nursing care that improves the adaptation of patients and their caregivers. Methodology: This is a Nursing Methodology Research that was conducted between 2017 and 2018. The study included six phases: diagnosis of the experience of patients and their family caregivers during admission to hospitalization; review of the best hospital admission practices worldwide; definition of both, a nursing protocol to guide hospital admission based on the best available evidence, and guidelines to establish a caring relationship between the nurse, the patient, and the family caregiver; design and adjustment of instruments and strategies to support the implementation of the protocol; adjustment of the proposed protocol and supporting tools through expert review; and a pilot test in use for 9 months. Results: The transformation of the hospital admission requires nurses to search for evidence and humanization strategies, embodied in a practical guide that supports the admission process. There is a direct connection between the adherence of nurses to the guidelines and a better perception from patients and caregivers of the received service. This implies the admission process may become a caring opportunity. Conclusions: The transformation of hospital admission process into a moment of nursing care for patients and family caregivers improves the experience of the people involved and their perception of the institutional service quality.
Descargas
Referencias bibliográficas
Chinn Peggy; Falk-Rafael Adeline. Embracing the focus of the discipline of nursing: Critical caring pedagogy. Journal of Nursing Scholarship, 2018, v. 50, n. 6, pp. 687-694. https://doi.org/10.1111/jnu.12426
Hower Kira-Isabel; Vennedey Vera; Hillen Hendrik-Ansgar; Kuntz Ludwig; Stock Stephanie; Pffaff Holger; et ál. Implementation of patient-centred care: which organizational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organizations. British Medical Journal Open, 2019, v. 9, n. 4, e027591. https://doi.org/10.1136/bmjopen-2018-027591
Moreno-Monsiváis María-Guadalupe; Interial-Guzmán María-Guadalupe. Percepción del paciente acerca de su bienestar durante la hospitalización. Index de Enfermería, 2013, v. 21, n. 4, pp. 185-189. http://dx.doi.org/10.4321/S1132-12962012000300002
Narayan Venkat; Gregg Edward; Fagot-Campagna Anne; Gary Tiffany; Saaddine Jinnan; Parker Corrette; et ál. Relationship between quality of diabetes care and patient satisfaction. Journal of the National Medical Association, 2003, v. 95, n. 1, pp. 64-70. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2594360/
Lexa Frank-James. 300,000,000 customers: Patient perspectives on service and quality. Journal of the American College of Radiology, 2006, v. 3, n. 5, pp. 346-350. https://doi.org/10.1016/j.jacr.2005.11.014
Shirley Eric; Sanders James. Patient satisfaction: Implications and predictors of success. The Journal of Bone and Joint Surgery. American Volume, 2013, v. 95, n. 10, pp. 1-4. https://doi.org/10.2106/JBJS.L.01048
Billing Kathryn; Newland Henry; Selva Dinesh. Improving patient satisfaction through information provision. Clinical & Experimental Ophthalmology, 2007, v. 35, n. 5, pp. 439-447. https://doi.org/10.1111/j.1442-9071.2007.01514.x
Locke Robert; Stefano Mariane; Koster Alex; Taylor Beth; Greenspan John. Optimizing patient/caregiver satisfaction through quality of communication in the pediatric emergency department. Pediatric Emergency Care, 2011, v. 27, n. 11, pp. 1016-1021. https://doi.org/10.1097/PEC.0b013e318235be06
Rosenkrantz Andrew-B; Pysarenko Kristine. The service encounter in radiology: Acing the “Moments of Truth” to achieve patient-centered care. Academic Radiology, 2015, v. 22, n. 2, pp. 259-264. https://doi.org/10.1016/j.acra.2014.09.009
Guevara-Lozano Maryory; Arroyo-Marles Ligia-Patricia; Pérez-Giraldo Beatriz; Sánchez-Herrera Beatriz. Commitment and human tone: The difference between traditional service and nursing care. Investigación y Educación en Enfermería, 2019, v. 37, n. 1, e05. http://dx.doi.org/10.17533/udea.iee.v37n1e05
Biblioteca Virtual en Salud. Terminología DeCS/MeSH. Investigación Metodológica de Enfermería. 2019. http://www.bvs.hn/php/decsws.php?lang=es&tree_id=H01.770.644.145.390.634&page=info
Polit Denise; Hungler Bernadette; Palacios Roberto; Féher-de-la-Torre Guillermina. Investigación científica en ciencias de la salud: principios y métodos. 6.a ed. México, Editorial McGraw-Hill Interamericana, 2000, pp. 398-401, ISBN: 978 97 010 26 908
Universidad de La Sabana. El campus biomédico® de la Universidad de La Sabana: sentido de responsabilidad social. 2017. https://www.clinicaunisabana.edu.co/misionyvisionclinicauniversidaddelasabana/responsabilidadsocial/
Roy Callista. The Roy Adaptation Model. 3.a ed. New Jersey, Editorial Pearson, 2009, ISBN: 978 01 303 84 973
Arroyo Ligia-Patricia; Guevara Maryory; Pérez Beatriz; Sánchez Beatriz. Commitment and a sense of humanity for the adaptation of patients during hospital care. Journal of Nursing Management, 2018, v. 5, n. 26, pp. 548-554. https://doi.org/10.1111/jonm.12581
Manzini Jorge-Luis. Declaración de Helsinki: principios éticos para la investigación médica sobre sujetos humanos. Acta Bioethica, 2000, v. 1, n. 2, pp. 321-334. http://dx.doi.org/10.4067/S1726-569X2000000200010
Universidad de La Sabana. “Compromiso con la naturaleza”. Proyecto educativo institucional. 2018, p. 5. https://www.unisabana.edu.co/nosotros/proyecto-educativo-institucional/
Kutney Ann; McHugh Matthew; Sloane Douglas; Cimiotti Jeannie; Flynn Linda; Neff Donna; et ál. Nursing: A key to patient satisfaction. Health Affairs, 2009, v. 28, n. 4, pp. 669-677. https://dx.doi.org/10.1377%2Fhlthaff.28.4.w669
Jones Aled. Admitting hospital patients: A qualitative study of an everyday nursing task. Nursing Inquiry, 2007, v. 14, n. 3, pp. 212-223. https://doi.org/10.1111/j.1440-1800.2007.00370.x
Carr Eloise; Meredith Paul; Chumbley Gillian; Killen Roger; Prytherch DR; Smith GB. Pain: A quality of care issue during patients’ admission to hospital. Journal of Advanced Nursing, 2014, v. 70, n. 6, pp. 1391-1403. https://doi.org/10.1111/jan.12301
Páez Francesc; Recha Sancho; Altadill Ámposta; Montaña Rosa-Radua; Anadón Chorto; Castells Salvado. Abordaje interdisciplinar de la conciliación de la medicación crónica al ingreso en un hospital. Revista de Calidad Asistencial, 2010, v. 25, n. 5, pp. 308-313. http://dx.doi.org/10.1016/j.cali.2010.03.002
Faeda Marilian-Silveira; Perroca Márcia-Galan. Care management: agreement between nursing prescriptions and patients’ care needs. Revista Latino-Americana de Enfermagem, 2016, v. 24, n. e2723. http://dx.doi.org/10.1590/1518-8345.0645.2723
Dyrstad Diagrunn; Laugaland Kristin; Storm Marianne. An observational study of older patients’ participation in hospital admission and discharge - exploring patient and next of kin perspectives. Journal of Clinical Nursing, 2015, v. 24, n. 11-12, pp. 1693-1706. https://doi.org/10.1111/jocn.12773
Dempsey Christina; Reilly Barbara; Buhlman Nell. Improving the patient experience: Real-world strategies for engaging nurses. Journal of Nursing Administration, 2014, v. 44, n. 3, pp. 142-151. https://doi.org/10.1097/NNA.0000000000000042
Abizanda Pedro; León Matilde; Romero Luis; Sánchez Pedro-Manuel; Luengo Carmen; Domínguez Laura; et ál. La pérdida funcional al ingreso, principal variable explicativa de discapacidad y mortalidad al alta y al mes en ancianos hospitalizados. Revista Española de Geriatría y Gerontología, 2007, v. 42, n. 4, pp. 201-211. http://dx.doi.org/10.1016/S0211-139X(07)73552-7
Armstrong Merry. Patients’ experience of a planned admission program: implications for nursing practice and research. Archives of Psychiatric Nursing, 1996, v. 10, n. 4, pp. 207-213. https://doi.org/10.1016/S0883-9417(96)80025-2
Johansson Kirsi; Katajisto Joku; Salanterä Sanna. Pre-admission education in surgical rheumatology nursing: Towards greater patient empowerment. Journal of Clinical Nursing, 2010, v. 19, n. 21-22, pp. 2980-2988. https://doi.org/10.1111/j.1365-2702.2010.03347.x
Murphy Gina; Willetts Katherine; Duphiney Lindsay; Dalton Joanne, David Daniel. Implementation analysis of a nurse-led observation unit. Journal of Nursing Administration, 2016, v. 46, n. 4, pp. 187-192. https://doi.org/10.1097/nna.0000000000000324
Jansson Inger; Pilhammar Ewa; Forsberg Anna. Obtaining a foundation for nursing care at the time of patient admission: A grounded theory study. The Open Nursing Journal, 2009, v. 31, n. 3, pp. 56-64. https://doi.org/10.2174/1874434600903010056
Nursing Advisory Board. Expedite inpatient admissions. Washington, 2014. https://www.advisory.com/research/clinical-best-practice-collaborative/resources/2014/emergency-department-efficiency-resource-guide/expedite-inpatient-admissions
Perry Denise. ADT nurses can help ease bed constraints, patient volumes. Hospital Peer Review, 2017, v. 42, n. 6, pp. 63-65. https://www.reliasmedia.com/articles/140711-adt-nurses-can-help-ease-bed-constraints-patient-volumes
Surca Teresa; Rodríguez Elvira. Cotidiano del cuidado de enfermería desde la perspectiva del paciente hospitalizado. Revista Ciencia y Tecnología, 2017, v. 13, n. 2, pp. 35-46. http://revistas.unitru.edu.pe/index.php/PGM/article/view/1854/1788
Flórez Inna-Elida; Montalvo Amparo-Astrid, Romero Elizabeth. Asociación entre el nivel de incertidumbre y el tipo de enfermedad en pacientes hospitalizados en UCI. Avances en Enfermería, 2018, v. 36, n. 3, pp. 283-291. http://dx.doi.org/10.15446/av.enferm.v36n3.66508
Cruz Luisa-María; Márquez María-Teresa; Barreño María-Isabel; Perales María-Auxiliadora; Martínez María-Paz; Ortega Angela-María. La familia en el ingreso: ¿Amenaza o posibilidad? Revista Enfermería Docente, 2016, n. 1, v. 106, pp. 331-332. http://www.revistaenfermeriadocente.es/index.php/ENDO/article/view/393
Díez-Manglano Jesús; Arnal-Longares M-J; Al-Cheikh-Felices Patricia; Garcés-Horna Vanesa; Pueyo-Tejedor Pilar; Martínez-Rodes Pablo; et ál. Puntuación de la escala de Norton al ingreso y mortalidad en pacientes hospitalizados en Medicina Interna. Revista Clínica Española, 2018, v. 218, n. 4, pp. 177-184. https://doi.org/10.1016/j.rce.2018.02.009
Morgado-Bode Yara-Lidia; Ramos-Carménate Angela-Isabel; Pérez-Castellanos Yusdani; Consuegra-Valle Amaury; Hernández-Díaz Marisel. Comportamiento de las orientaciones metodológicas del ingreso en el hogar. Gaceta Médica Espirituana, 2006, v. 8, n. 2. http://revgmespirituana.sld.cu/index.php/gme/article/view/1489/html
Mateo-Rodríguez Ana-María; Becoechea-Gómez Begoña; Peña-García Isabel; Pérez-Pérez Lucía; Santos-Gómez Cristina. Información general al ingreso, cumplimiento de las normas y repercusión en el desgaste profesional de enfermería. Ética de los Cuidados, 2018, v. 11, n. e11885. http://ciberindex.com/index.php/et/article/view/e11885
Roy Callista. Nursing knowledge in the 21st century domain-derived and basic science practice-shaped. Advances in Nursing Science, 2019, v. 42, n. 1, pp. 28-42. https://doi.org/10.1097/ANS.0000000000000240
Smith Marlaine. Regenerating nursing’s disciplinary perspective. Advances in Nursing Science, 2019, v. 42, n. 1, pp. 3-16. https://doi.org/10.1097/ANS.0000000000000241
Carvajal-Hermida Elsa-Yolanda; Pérez-Giraldo Beatriz; Sánchez-Herrera Beatriz. Fortalecimiento de las alianzas docencia-servicio para el avance de la enfermería en Colombia. Revista Gerencia y Políticas de Salud, 2017, v. 16, n. 32, pp. 96-107. https://doi.org/10.11144/Javeriana.rgps16-32.fads
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor
La Revista Colombiana de Enfermeríade la Facultad de Enfermería de la Universidad El Bosque es una publicación científica, de acceso abierto, y que permite la consulta, lectura, copia, distribución y exhibición de los textos completos de sus artículos sin costo alguno para los usuarios, esto en aras de fomentar un mayor intercambio de conocimiento global, siempre y cuando se dé testimonio de la autoría del mismos y no se busque la obtención de beneficios comerciales por parte de terceros. Ni la Revista ni la Universidad asumen responsabilidad alguna por los puntos de vista expresados por los autores. Los nombres de equipos, materiales y productos manufacturados, incluyendo fármacos que eventualmente puedan mencionarse, no implican recomendación ni propaganda para su uso y sólo se mencionan como identificación genérica.
Los autores ceden sus derechos patrimoniales a la revista. Los manuscritos se publican bajo una Creative Commons Attribution License que permite a otros compartir el trabajo con un reconocimiento de la autoría del trabajo y la publicación inicial en esta revista.