scholarly journals SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS)

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 374
Author(s):  
María-Lara Martínez-Gimeno ◽  
Nélida Fernández-Martínez ◽  
Gema Escobar-Aguilar ◽  
María-Teresa Moreno-Casbas ◽  
Pedro-Ruyman Brito-Brito ◽  
...  

The use of certain strategies for the implementation of a specific recommendation yields better results in clinical practice. The aim of this study was to assess the effectiveness of an evidence-based model using clinical audits (GRIP model), for the implementation of recommendations in pain and urinary incontinence management as well as fall prevention, in the Spanish National Health System during the period 2015–2018. A quasi-experimental study has been conducted. The subjects were patients treated in hospitals, primary care units and nursing home centers. There were measures related to pain, fall prevention and urinary incontinence. Measurements were taken at baseline and at months 3, 6, 9, and 12. The sample consisted of 22,114 patients. The frequency of pain assessment increased from 59.9% in the first cycle to a mean of 71.6% in the last cycle, assessments of risk of falling increased from 56.8% to 87.8% in the last cycle; and finally, the frequency of assessments of urinary incontinence increased from a 43.4% in the first cycles to a mean of 62.2% in the last cycles. The implementation of specific evidence-based recommendations on pain, fall prevention, and urinary incontinence using a model based on clinical audits improved the frequency of assessments and their documentation.

2019 ◽  
Vol 53 (5) ◽  
pp. 641-647
Author(s):  
Ferran Capdevila ◽  
Ruth Vera ◽  
Patricia Ochoa ◽  
Arkaitz Galbete ◽  
Eduardo Sanchez-Iriso

Author(s):  
Juan Manuel Carmona-Torres ◽  
Beatriz Recio-Andrade ◽  
María Aurora Rodríguez-Borrego

Abstract OBJECTIVE To determine the prevalence of intimate partner violence among health care professionals who work in the Spanish National Health System, according to the autonomous communities of Spain. METHOD This was a descriptive cross-sectional multicenter study conducted with male and female health professionals (doctors, nurses, and nursing aides) in the different autonomous communities that are part of the Spanish National Health System. The following instruments were employed: among women, an intimate partner violence screening questionnaire; and among men, a questionnaire that screened for violence in the family environment. RESULTS A total of 1,039 health professionals participated in the study. Of these, 26% had suffered some type of abuse. Among the men, this prevalence was 2.7%, while among the women, it was 33.8%. There were differences in the prevalence of intimate partner violence among different autonomous communities, with the highest percentages in the Canary Islands. In terms of profession, 19.5% of the doctors had been exposed to intimate partner violence, while this percentage was 31% and 48.6% for nurses and nursing professionals, respectively. CONCLUSION The results indicate the presence of intimate partner violence among healthcare personnel in most of the autonomous communities of Spain. The data demonstrate the need to implement action plans, both to support victims and to mitigate the problem.


2013 ◽  
Vol 16 (8) ◽  
pp. 686-695
Author(s):  
C. Caballero ◽  
E. Jantus-Lewintre ◽  
A. Carrato ◽  
J. García-Foncillas ◽  
P. Gascón ◽  
...  

2010 ◽  
Vol 5 (2) ◽  
pp. 170-171
Author(s):  
J.M. Garcia-Almeida ◽  
J. DelRio-Mata ◽  
J. Garcia-Aleman ◽  
C. Conejo-Gómez ◽  
A. Martínez-Reina ◽  
...  

Author(s):  
Sara Loiti-Rodríguez ◽  
Aingeru Genaut-Arratibel ◽  
María-José Cantalapiedra-González

Throughout 2020 it has been seen that the Covid-19 pandemic has been an unprecedented health crisis that has involved a major change at both level informative and media. Audiovisual content has increased considerably and there is interest on the part of health institutions to demonstrate their ability as a reliable and first-order source of information. In fact, since the declaration of the pandemic, in just 2 months the number of content disseminated throughout 2019 was exceeded. This study seeks to describe the response given to this health crisis by the Spanish National Health System on YouTube. For this purpose, we analyze the 1035 audiovisual content that the official channels published in 2020. To carry out the analysis, the contents have been classified into 7 types, from press conferences to tutorials, recommendations, informative pieces or testimonies; the topic covered in each of them has been identified, the format, as well as the number of views and user feedback.The period of greatest production corresponds to the first wave and the de-scalding wave, and the health institution that has disseminated the most messages has been the Ministry of Health: 603 vídeos, 170 animations and 263 hybrid pieces –combining real vídeo, text and icons– have been identified. Animations and hybrid pieces are the most successful messages, and are primarily used on an appealing nature to disseminate healthy recommendations and habits. This study values the use of animations as an appropriate information resource for education and health promotion. In addition, it has allowed us to identify the main weaknesses, threats, strengths and opportunities presented by audiovisual health information on YouTube.


2020 ◽  
Vol 25 (1) ◽  
pp. 303-314 ◽  
Author(s):  
Kerstin Hämel ◽  
Beatriz Rosana Gonçalves de Oliveira Toso ◽  
Angela Casanova ◽  
Ligia Giovanella

Abstract The primary health care in the Spanish National Health System is organised in health centres with multi-professional teams, composed of doctors and nurses specialised in family and community health, in addition to other professionals. This article analyses the role of primary health care nurses in the Spanish National Health System. In the last decade, new concepts of task sharing between doctors and nurses as well as advanced nursing roles have been evolved in the health centres that focus on improving care for chronically ill patients and access to primary care. With shared responsibility, nurses are responsible for chronic patients in stable conditions, health prevention and promotion. The scaling up of advanced nursing tasks is limited by uncertainties of roles, disparities between states, and legislations that do not cover the full extent of advanced nursing tasks. The case study of Spain indicates that a strong multi-professional model of primary health care teams is a crucial basis for the evolvement of advanced nursing practice and its acceptance in daily routines. However, advantageous education structures and legislations are needed to allow nurses to develop their contribution in the full potential.


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