RESUMEN

La visión de la tecnología como herramienta de ayuda destinada a mejorar las condiciones de las personas influye en múltiples aspectos de la asistencia y del cuidado. La tecnología en enfermería y en los cuidados abarca; el papel de la enfermera como nexo de unión entre la tecnología y el paciente, la aplicación de una ética del cuidado, la capacitación del manejo de la tecnología y la educación en distintos ámbitos. La falta de manejo junto a problemas de funcionamiento pueden provocar ansiedad y estrés en las enfermeras, el uso de la tecnología dentro de la formación de profesionales de enfermería, refuerza las habilidades con las que se llegue a la práctica clínica o a las instituciones, favoreciendo la adaptación al entorno laboral. El innovar no solo depende de las instituciones de salud, la implementación de las nuevas tecnologías, busca que los profesionales vean una oportunidad para el crecimiento profesional y que se interesen por el desarrollo de proyectos que vayan encaminadas al uso y su aplicación. La tecnología es un elemento neutro, son las actuaciones de la enfermera lo que determina la presencia de aspecto positivos o negativos asociados a la aplicación de tecnología (AU)

The vision of technology as an aid to improve the conditions of those influences multiple aspects of health and care. Technology in nursing and care covered; the role of the nurse as a link between technology and the patient, the application of an ethic of care, training of management of technology and education in various fields. Lack of management with performance problems can cause anxiety and stress on nurses, the use of technology within the training of nurses, reinforces the skills with which it comes to clinical practice or institutions, promoting adaptation to the workplace. The innovate depends not only on health institutions, implementation of new technologies, seeks that professionals see an opportunity for professional growth and is interested in the development of projects that are aimed to use and implementation. The technology is a neutral element, are the actions of the nurse which determine the presence of positive or negative associated with the application of technology aspect (AU)

A visão da tecnologia como uma ferramenta que auxilia a melhora das condições dos sujeitos influencia em múltiplos aspectos da atenção à saúde e dos cuidados. Tecnologia em enfermagem e no cuidado engloba o papel do enfermeiro como elo de ligação entre a tecnologia e o paciente, a aplicação de uma ética do cuidado e a formação em gestão de tecnologia e educação em distintos campos. A inabilidade de gestão relacionada aos problemas de desempenho tecnológicos podem causar ansiedade e estresse nos enfermeiros. A utilização de tecnologia no âmbito da formação de enfermeiros reforça as habilidades com as quais o profissional irá deparar-se na prática clínica ou instituições, favorecendo uma melhor adapta- ção ao local de trabalho. O inovar depende não só nas instituições de saúde, mas também da implementação de novas tecnologias, da busca por parte dos profissionais que veem uma oportunidade de crescimento profissional e se interessem no desenvolvimento de projetos que visam a utilização e implementação das mesmas. A tecnologia é um elemento neutro, são as ações do enfermeiro que determinarão a presença de positivo ou negativo associado com a aplicação da mesma (AU)

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RESUMEN

OBJETIVOS: Conocer el significado de la hospitalización para la persona cuidadora de la persona enferma ingresada. MÉTODO: Estudio cualitativo, aplicando teoría fundamentada. Se incluyeron participantes que cumplían los siguientes criterios: a) ser parte de la familia; b) la persona enferma estaba ingresada en hospitales del estado de Chihuahua; y c) la persona hospitalizada era mayor de 18 años. Se aplicó un muestreo intencional. La recogida de datos se realizó a través de entrevistas en profundidad no estructuradas y semiestructuradas. De igual modo se aplicaron memos en el proceso de recogida. Se aplicó un análisis basado en la teoría fundamentada, con una codificación abierta, axial y selectiva, identificándose las categorías y subcategorías. Durante el proceso de análisis se aplicó el método de comparación constante. RESULTADOS: Se incluyeron 18 participantes; 16 fueron mujeres, con una edad media de 48,11 años. Se identificó la categoría central: «el ser al desnudo», formada por las categorías; «yo frente a la enfermedad» donde se describen las situaciones que vive la persona cuidadora durante y después del proceso de hospitalización; «tiempos de guerra» hace referencia a los problemas familiares que se desarrollan o agravan durante el proceso de la hospitalización; y «bailando bajo la tormenta» se centra en aquellos cambios positivos que se dan en la persona cuidadora. CONCLUSIONES: La hospitalización provoca incertidumbre en la persona cuidadora. Las enfermeras ayudan a facilitar la adaptación de la persona cuidadora durante el ingreso y a identificar sus propias fortalezas

TARGET: To evaluate the evolution of falls with the implemented measures to improve the attention of patients at risk and to reduce the number of falls. To know the characteristics of patients who have suffered fall-related injuries. Method: All the falls registered between 2008 and 2013 have been analyzed to determine the evolution of these and to describe the implemented measures through the electronic clinical history at University Hospital of Fuenlabrada. The incidence of falls in hospitalized patients has been estimated and the evolution with the chi square test has been studied. The frequencies of the characteristics of patients who fall has been presented: age, length of stay, performed activity, patient companion, mobility level, state of consciousness. RESULTS: 445 registered falls happened.2009 is the year with the highest number of falls, 86 patients fell of a total of 15,819 discharged patients (0.55%). The statistic drops until 2013, where 55 patients fell out of 15,052 discharged patients (0.37%). This difference was not statistically significant. CONCLUSIONS: The deployment of an assessment about fall risk at admission has helped to identify individualized risk factors. Furthermore, the awareness and alerts to the nursing staff have helped to consider fall prevention as a rutinary procedure, hence appropriate measures can be implemented on the most vulnerable patients

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OBJECTIVES: Knowing the meaning of hospitalization for the family caregiver of the hospitalized sick person. METHOD: Qualitative study using grounded theory. Participants were included if they met the following criteria: a) being part of the family; b) the sick person was admitted into a hospital in the state of Chihuahua; and c) the hospitalized person was over 18 years old. Sampling was applied by purpose. Data collection was conducted through in-depth interviews with an opening question. Similarly, memos were applied in the process of gathering. The analysis applied was based on grounded theory, with an open, axial and selective coding, identifying the categories and subcategories. During the analysis process the method of constant comparison was applied. RESULTS: Eighteen participants were included; 16 of whom were female. The mean age was 48.11 years old. The core category was identified: "the naked soul", formed by the categories; "I deal with the disease" which describes the situations experienced by the caregiver during and after the hospitalization process; "wartime" makes reference to the family problems that develop or worsen during the hospitalization process; and "dancing in the storm" focuses on all the positive changes occurring in the primary caregiver. CONCLUSIONS: Hospitalization causes uncertainty in the caregiver. Nurses help facilitate the adaptation of the caregiver at baseline and identify their own strengths.

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