scholarly journals Estrategias y limitaciones de aplicación de consejería de salud en enfermería: revisión integradora de literatura

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Olga Quintana Zavala ◽  
Dione Ruiz Barragan ◽  
Carolina Soto Coronado ◽  
Maria Valle Figueroa ◽  
Julio Garcia Puga

Objetivo: Identificar los ámbitos y limitaciones de aplicación de consejería de salud en enfermería. Materiales y Métodos: revisión integradora de literatura, la búsqueda de los estudios se realizó en las bases de datos: Web of Science, Scopus, PubMed, ClinicalKey, OVID y Proquest. Se localizaron artículos originales, publicados en el período del 2008 al 2018, en idiomas: español, inglés y portugués, que incluían en el título y/o resumen alguno de los siguientes descriptores: “Nursing health counseling”, “Health promotion”, “Patient centered care”, “Nurse patient relations”, con el operador booleano “AND”. Resultados: El análisis de los artículos seleccionados permitió agrupar la información en dos dimensiones: a) estrategias para brindar consejería de salud en enfermería y b) limitaciones de la consejería de salud en enfermería. Conclusiones: Los ámbitos de aplicación de la consejería de salud en enfermería son amplios dentro de la atención primaria de salud, existen limitaciones para su aplicación, sin embargo, la evidencia demuestra que el costo-efectividad de la consejería es mayor, que cualquier limitación relacionada.

2008 ◽  
Vol 22 (1) ◽  
pp. 24-37 ◽  
Author(s):  
Souraya Sidani

The purposes of this study were to determine the extent to which acute care nurse practitioners (ACNPs) provide patient-centered care (PCC) and to explore the effects of PCC on patients’ functional status, self-care ability, and satisfaction with care. A nonexperimental design with repeated measures was used. The sample included 320 patients with acute medical and surgical conditions. Patients perceived that ACNPs provided PCC, operationalized as encouraging patients to participate in care and individualizing care to a moderate extent. Implementation of these PCC components was positively associated with some domains of self-care ability and satisfaction with care. Further investigation of the contribution of PCC to outcomes is recommended.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marsa Gholamzadeh ◽  
Hamidreza Abtahi ◽  
Marjan Ghazisaeeidi

Abstract Background One of the main elements of patient-centered care is an enhancement of patient preparedness. Thus, pre-visit planning assessment tools was emerged to prepare and involve patients in their treatment process. Objective The main objective of this article was to review the applied tools and techniques for consideration of putting pre-visit planning into practice. Methods Web of Science, Scopus, IEEE, and PubMed databases were searched using keywords from January 2001 to November 2020. The review was completed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Then, qualitative analysis was done to suggest an appropriate framework by mapping the main concepts. Results Out of 385 citations were retrieved in initial database searches, 49 studies from ten countries were included. Applied pre-visit techniques can be classified into eight categories. Our results showed that almost 81% of studies were related to procedures that were done between each visit, while 42% of articles were related to before visits. Accordingly, the main approach of included articles was patient preparedness. While 38 studies reported this approach is effective, three studies reported the effectiveness of such tools as moderate, only two articles believed it had a low effect on improving patient-centered care. Conclusion This survey summarized the characteristics of published studies on pre-visit planning in the proposed framework. This approach could enhance the quality of patient care alongside enhancement patient-provider communication. However, such an approach can also be helpful to control pandemic diseases by reducing unnecessary referrals.


2018 ◽  
Vol 28 (2) ◽  
pp. 561-565
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva

Background: Patients with multimorbidity represent a significant portion of the primary healthcare population. For healthcare providers, managing patients with multiple chronic conditions represents a challenge given the complexity and the intensity of interventions. Integrated and patient-centered care is considered an effective response to the needs of people who suffer from multiple chronic conditions. According to the literature providing patient-centered care is one of the most important interventions in terms of positive health-related outcomes for patients with multimorbidity.Aim: The aim of the study is to evaluate the GPs’ perception of patient oriented interventions as key elements of patient centred care for patients with multimorbidity.Material and methods: A cross-sectional pilot study was conducted among randomly selected 73 GPs. A direct individual anonymous survey was performed to explore the opinion of respondents about the importance of two patient-oriented interventions, each one including specific elements of patient-centered care for patients with multimorbidity. The tool was developed as a result of the scoping review performed by Smith et al. (2012;2016). A 5-point Likert scale (0-not at all, 1-little, 2-rather, 3-much, 4-very strong) was used. The data were analysed using descriptive statistics. In processing the data, the software product for statistical analyses - SPSS version 17 was performed for Windows XP.Results: Our results show that both categories - providing patient-oriented approach and self-management support interventions were highly accessed by the respondents. The most frequent categories of interventions identified in our study were Creating individualized and adapted interventions, Performing regular contacts and Reinforcing adherence. Less frequently reported elements such as Considering relatives’ needs and Developing self-management plan are still underestimated by the Bulgarian GPs.Conclusions: The acceptance and understanding of innovative patient-centered interventions adapted to patients with multimorbidity could be accepted as a good indicator for improving health-related outcomes and care for patients with multiple chronic conditions.


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