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To identify whether there are differences in knowledge regarding the management of patients with respiratory stomas among nurses working in hospitals with an advanced practice tracheostomy service compared to those without it.
Descriptive, cross-sectional, comparative, analytical survey study.
The study was conducted from January to March 2023 in four tertiary care hospitals, two of which have an advanced practice tracheostomy service. A self-administered questionnaire was designed, consisting of 16 questions about nurses' specialised training in caring for tracheostomy patients. The study adhered to the STROBE checklist. Statistical analyses were performed using SPSS (24.0) from IBM.
Nurses in hospitals with a dedicated tracheostomy service obtained a higher mean score (7.1/10) and demonstrated greater anxiety when managing patients with stomas (p < 0.001), as well as an increased willingness to undergo specific training (p = 0.017) to reduce their lack of self-confidence.
A higher level of anxiety in the management of tracheostomised patients and a greater interest in receiving specific training have been observed among nurses in hospitals with advanced practice services (APTS), despite having greater training. Therefore, institutions should commit to incorporating advanced practice nurses and continuing education in the approach to ostomies among their professionals.
Implementing ongoing training programmes and specific tracheostomy services or units in hospitals would enable nurses to provide high-quality care for patients with respiratory stomas.
The study adhered to the STROBE checklist.
Neither patients nor the public were involved in the design or conduct of this research. Nurses participated exclusively in data collection.
The aim was to analyse changes in the perceived quality of life of patients with an ostomy during the first year after surgery at two or three follow-ups. This is a prospective study of a cohort of 55 patients who were ostomised between June 2021 and September 2022 and cared for under the recommendations set out in the Registered Nurses' Association of Ontario® best practice guideline Supporting Adults Who Anticipate or Live with an Ostomy as part of the Best Practice Spotlight Organisation® (BPSO®) programme. The Stoma Quality of Life tool was used. A univariate analysis was performed to identify variables associated with a non-improvement in quality of life. Variables showing p < 0.1 were included in a multivariate model. Patients with an ostomy exhibited a moderate-to-good perception of quality of life in both the personal and social dimensions, with no worsening over the first year. Being female (OR = 10.32) and being younger (OR = 0.89) were associated with a higher risk of no improvement in quality of life. The most frequent complications were urinary leakage (p = 0.027) and dermatitis (p = 0.052) at first follow-up; and parastomal hernia (p = 0.009) and prolapse (p = 0.05) at third follow-up. However, they did not lead to a worsening of quality of life, suggesting that these patients were adequately supported under the BPSO® programme.
Objetivo principal: conocer la percepción sobre el liderazgo de enfermería desarrollado durante el ejercicio profesional en un grupo de enfermeros vinculados a instituciones de salud públicas y privadas de tercer nivel de atención en un municipio de Colombia. Metodología: investigación cualitativa del tipo de estudio de casos; se realizó entrevistas semiestructuradas a enfermeros del área asistencial con dedicación exclusiva de tiempo completo. Para el análisis de los datos, se utilizó la técnica de análisis de contenido, mediante el Software IRaMuTeQ. Resultados principales: En total participaron 13 enfermeros, los datos analizados fueron clasificados en dos categorías temáticas, a saber: (a) Significados y características del liderazgo en enfermería, y (b) Roles y ámbitos del liderazgo. Conclusión principal: El concepto de liderazgo se relaciona con dinámicas de trabajo en equipo desde relaciones jerárquicas. Es necesario reflexionar sobre el objeto disciplinar, para el caso el acto de cuidado de enfermería para el desarrollo del liderazgo requerido y en congruencia con las visiones epistémicas actuales.
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