Standards for the safe administration of chemotherapy in oncological patients 2015 – 2020: A systematic review [Estándares para la administración segura de quimioterapia en pacientes oncológicos 2015 – 2020: Revisión Sistemática]

Cancer is currently a public health problem. It should be noted that most patients require treatment with chemotherapy and radiotherapy among other procedures to recover their health. The aim of this study was to analyze the development of scientific evidence on standards for the safe administration of chemotherapy in cancer patients. Methodology: a descriptive systematic review was performed with the search of databases in Pub Med and Scopus selected articles from 2015 - 2020 in English and Spanish languages. The results indicate that the safe administration of chemotherapy in oncology patients requires nurses to use updated standardized protocols and care guidelines with continuous training, as well as to carry out preventive actions of monitoring, control and follow-up for compliance with the protocols. It is concluded that adverse events should be socialized among nurses to assume improvement plans and strategies to raise the quality of the services provided by the nursing professional, as well as to avoid errors and complications of malpractice in the administration of chemotherapy.

Risk factors associated with pressure ulcers in a public hospital [Factores de riesgos asociados a úlceras por presión en un hospital público]

The general objective was to determine risk factors associated with pressure ulcers. Hypothesis: Intrinsic and extrinsic risk factors are significantly associated in the development of pressure ulcers. The research was applied, correlational, retrospective, quantitative. The population was 180 Clinical Histories, of which 60 belonged to patients who presented pressure ulcers (Cases) and 120 to patients who did not present pressure ulcers (Controls). The instrument was a data collection sheet; the information being processed through the SSPS Vs 22 program. The Chi square statistical test, the P - Value was less than 5%. The results were; age, sex, mobility, incontinence, nutrition, state of consciousness, degree of dependence and main diagnosis are intrinsic risk factors for the appearance of pressure ulcers, also extrinsic factors; Hospital stay, availability of equipment and materials, postural changes, body hygiene, massages, location of pressure ulcers and stages are risk factors for the formation of pressure ulcers. Conclusion: intrinsic and extrinsic factors are significantly associated with the development of pressure ulcers in adulthood and older adults.

Healthy lifestyle and work stress in nurses in time of the COVID -19 pandemic, at the National Institute of Neoplastic Diseases, Lima, 2020 [Estilo de vida saludable y estrés laboral en enfermera(o)s en tiempo de pandemia COVID -19, en el instituto nacio

Objective: Determine the healthy lifestyle and work stress in Nurses who care for patients with COVID -19, at the National Institute of Neoplastic Diseases, Lima, 2020. Study: Quantitative, correlational, cross-sectional approach and non-experimental design. Population: it was made up of the 65 nurses who work in the Covid-19 area. Instruments: 2 questionnaires were used: Healthy lifestyle, consisting of 3 dimensions: physical activity, eating habits, sleep dimension. Work stress, which consists of 3 dimensions: emotional exhaustion, depersonalization and personal fulfillment. Both instruments with Likert scale were validated by expert judgment with a reliability of 0.8 and 0.7 respectively. The results found that there is a correlation between both variables. In addition, it predominates in nurses who mostly have inadequate healthy lifestyles. Also, the moderate level of stress is a problem affected in their emotional health in times of pandemic. It is concluded that it is important before these health problems require the implementation of improvement plans to promote self-care and avoid occupational health problems.

Intrinsic and extrinsic factors associated with phlebitis in hospitalized patients: Systematic Review [Factores intrínsecos y extrínsecos asociados a flebitis en pacientes hospitalizados: Revisión Sistemática]

Nursing care in central and peripheral venous access is part of nursing work, and the quality of care is affected by the presence of phlebitis in various hospitalization areas. Therefore, factors related to phlebitis are identified. Objective: To analyze the development of scientific evidence on intrinsic and extrinsic factors associated with phlebitis in hospitalized patients. Methodology: A literature search was carried out in databases over the last ten years. There was no language restriction, studies in English, Spanish and Portuguese published in full-text indexed journals were included. A critical analysis of each selected article was carried out, creating a matrix for ordering and categorizing. Results: From a total of 64 articles, 9 were included of which 2 were English and 7 in Portuguese, whose results were that there are intrinsic factors specific to the patient, extrinsic factors that correspond to factors that can be avoidable by the nursing professional when identified. Conclusions: Phlebitis is considered an indicator of nursing service quality. In the course of the article reviews, multiple factors related to phlebitis have been identified, with which preventive, corrective and educational measures should be taken in the areas where venous accesses are manipulated, avoiding future complications, as well as improving the quality of care reflected in the indicators of phlebitis with a zero result as a goal.

Perception of the nursing care quality by patients of an Andean hospital [Percepción de la calidad de atención de enfermería por pacientes de un hospital andino]

The objective of the research was to determine the quality of nursing care according to the perception of the patient admitted to the Hospital "Víctor Ramos Guardia" Huaraz. The hypothesis was: The perception of the quality of nursing care of patients admitted to the Víctor Ramos Guardia Hospital in Huaraz is good. The study was descriptive, correlational and cross-sectional, the sample consisted of 88 hospitalized patients, the processing and analysis was carried out according to the application of an 18-item questionnaire. The results: The quality of nursing care according to the perception of the patient admitted to the Víctor Ramos Guardia Hospital in the 2016 period with 55.7% was good, 65.9% the technical component, likewise 60.2% the interpersonal component and finally the component comfort of the environment 61.4% in the quality of nursing care as good. According to the sociodemographic variables: It was observed that female patients 37.5%, with a higher degree of education 37.5%, the marital status cohabitating 36.4%, Catholic religion 44.3% affirmed that the quality of nursing care was good, while those who resided in urban areas 44.3% reported that the quality of nursing care is poor. In conclusion, the quality of nursing care was good according to the perception of the patient admitted to the Víctor Ramos Guardia Hospital.

Consumption of natural products and its effects on Covid-19, Barranca district [Consumo de productos naturales y sus efectos en la Covid-19, distrito de Barranca]

The objective was to determine the consumption of natural products and its effects on Covid-19, in the district of Barranca. Data was collected on people of legal age, who said they had had symptoms of Covid-19, than having consumed natural products. The information collection process was from September 2020 to January 2021, in a total of 200 people per month of both sexes, who voluntarily agreed to participate in the research. For which, instruments such as the survey on the consumption of natural products and how many alleviated the symptoms were used. Once the data were obtained, they were processed with basic statistics, correlation analysis and analysis of variance. The results determined that in January the consumption of matico, eucalyptus, scorzonera and huamanripa increased 16, 14 and 13 persons respectively, consumption of ginger, garlic and tocosh 32, 45 and 36 persons respectively, consumption of bee honey 88 persons, in percentage of natural products consumption increased to 77% and the percentage of persons who "alleviated symptoms" to 83%. Regarding the correlation of the consumption of natural products with people who alleviated symptoms where the average r = 0.98, which indicates a high association. It is concluded that the consumption of natural products had significance to alleviate the symptoms.

Comparison of traditional and automated nursing records in the medicine services of the Callejón de Huaylas hospitals - Peru [Comparación de los registros de enfermería tradicionales y automatizados en los servicios de medicina de los hospitales del Callejón de Huaylas – Perú]

The objective of this study was to compare the quality of traditional and automated nursing records in the medical services of four hospitals in Callejón de Huaylas - Peru. Investigation of quantitative approach quasi experimental. The population consisted of 32,940 nursing records from the medical records, and the sample consisted of 816 records, selected by stratified probability sampling. The instruments used were; Quality inventory of the nursing record and the software called the Automated Nursing Record System (SIARE) version 1.0. The results show that the difference in quality of the traditional and automated nursing records, with the student's t test obtained a mean of 7.284, a SD of 1.172, a t value = 29.815, with d.f. 22 and a p value = 0.000, resulting in significant differences between the quality scores of the traditional and automated nursing records of the medicine services of the hospitals of the Callejón de Huaylas. It is concluded that the quality (structure, continuity of care and patient safety) of the automated records is high in comparison with traditional nursing records.

Attitude and coping before death: A current challenge for nurses in times of pandemic [Actitud y afrontamiento ante la muerte: Un desafío actual para los profesionales de enfermería en tiempos de pandemia]

Currently the pandemic has caused health systems to collapse due to the high demand of patients with VOC 19 with a high risk of mortality bringing with it pain, suffering and death. Objective: To determine the relationship between a nurse's attitude and coping with the death of a cancer patient with COVID-19 in the Critical Care Unit. Methodology: Quantitative, correlational, cross-sectional and non-experimental design approach. The population is made up of a total of 65 nursing professionals who work in the Critical Care Unit. An instrument was applied on attitudes towards death CAM with 3 dimensions: affective, behavioral and cognitive, with 33 items and the Bugen Scale for facing death with 30 items, both Likert scales. The results show that there is a significant correlation 0.039 between both variables and in the case of the nurse's attitude according to the dimensions: cognitive, behavioral, affective and coping, their correlations are: 0.521, 0.719, 0.015 respectively. It is concluded that the attitude and the coping of the nursing professional in the face of the death of the cancer patient with COVID 19, assume a posture of resilience to offer continuous nursing care to ensure, restore and safeguard the life of the person as a priority in their leading role within the health system based on commitment and social responsibility despite the threats of existing occupational risks. It is suggested to offer psychological protection to diminish the potential risks in the emotional health and quality of work life.

Quality of patient care by the nursing professional: A review [Calidad de atención al paciente por el profesional de enfermería: Una revisión]

The objective of the study is to review research related to the quality of care provided by the nursing professional in a hospital. Various contributions to this type of research have made it possible to know instruments to evaluate the service provided by the nursing professional by the patient.

Healthcare-associated infection control and biosecurity measures for nurses in the emergency department of a National Essalud Hospital [Healthcare-associated infection control and biosecurity measures for nurses in the emergency department of a National Essalud Hospital]

Biosecurity measures are indispensable in the work of nursing care to ensure the quality and impact of nursing care interventions in the areas of care. Objective: To determine the relationship between biosecurity measures and healthcare-associated infection control in the work of nurses in the emergency department of a National Hospital, Essalud, 2019. The methodology was a quantitative, correlational, cross-sectional, non-experimental design, whose population consisted of 152 nurses working in the emergency area, for which 3 instruments were applied: Scale of knowledge of biosecurity measures with 14 items with multiple answers, Checklist of biosecurity measures with 17 items, and Handwashing checklist with 11 items, both instruments with a dichotomous scale. Both instruments were evaluated by experts and their reliability was 0.8. The results obtained show that there is a significant positive average correlation between the variables measured of biosecurity and the control of infections associated to health care. It is concluded that nurses' knowledge of biosecurity measures and HAIs pose a high risk to health personnel and patients. Therefore, it is essential to continue training, monitoring, follow-up and control to ensure the quality and impact of nursing care in emergency services.