Gestión de calidad en cuidados de vía venosa central estandarización de protocolos Hospital Dr. Roberto Gilbert Elizalde
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La vía venosa central, es aquella vía que permite dar acceso intravenoso en el paciente, permitiendo dar estabilidad hemodinámica, alimentación parenteral y el uso de los medicamentos. El objetivo general de la investigación fue medir la gestión de calidad de cuidados en el manejo catéter central en el área de unidad de cuidados intensivos del hospital pediátrico Dr. Roberto Gilbert Elizalde. A través de este estudio se buscó brindar una mejor atención hacia el paciente, que debido a su estado crítico, necesitó de la inserción de una vía venosa central, mediante evaluación sobre los conocimientos, se determinó la existencia de deficiencias teóricas que conllevaban a las malas prácticas. Con este hallazgo se pudo contribuir al reforzamiento de esta área por medio de capacitaciones. Logrando dar a los pacientes cuidados de enfermería con calidad, dando una asistencia confiable siendo la finalidad principal dentro del área de cuidados intensivos pediátricos en el Hospital Dr. Roberto Gilbert Elizalde. La metodología de diseño cualitativo sobre procesos de cuidados de enfermería, realizada a una población de 209 enfermeras, seleccionando 30 de estas para la muestra. Por los resultados se infirió que no existe una guía de atención de enfermería en manejo de catéter intravenoso central. Concluyendo que es necesario realizar orientación educativa, por lo que deberá de realizar una intervención de orientación, para que el personal de enfermería pueda cumplir mediante protocolos estandarizados de protocolos para brindar una gestión de calidad en los cuidados de vía venosa central en el Hospital Dr. Roberto Gilbert Elizalde.
The central venous route is that way that allows intravenous access in the patient, allowing hemodynamic stability, parenteral nutrition and the use of medications. The general objective of the research was to measure the management of quality of care in central catheter management in the area of intensive care unit of the pediatric hospital Dr. Roberto Gilbert Elizalde. Through this study it was sought to provide a better care for the patient, who due to his critical condition, needed the insertion of a central venous route, through an evaluation of the knowledge, the existence of theoretical deficiencies that led to the bad practices. With this finding, it was possible to contribute to the reinforcement of this area through training. Achieving patients with quality nursing care, giving a reliable assistance being the main purpose within the area of pediatric intensive care at Dr. Roberto Gilbert Elizalde Hospital. The methodology of qualitative design on nursing care processes, performed to a population of 209 nurses, selecting 30 of these for the sample. From the results it was inferred that there is no guide for nursing care in central IV catheter management. Concluding that it is necessary to conduct educational guidance, so it must perform an orientation intervention, so that nurses can comply with standardized protocols protocols to provide quality management in central venous care at Dr. Hospital Roberto Gilbert Elizalde.
The central venous route is that way that allows intravenous access in the patient, allowing hemodynamic stability, parenteral nutrition and the use of medications. The general objective of the research was to measure the management of quality of care in central catheter management in the area of intensive care unit of the pediatric hospital Dr. Roberto Gilbert Elizalde. Through this study it was sought to provide a better care for the patient, who due to his critical condition, needed the insertion of a central venous route, through an evaluation of the knowledge, the existence of theoretical deficiencies that led to the bad practices. With this finding, it was possible to contribute to the reinforcement of this area through training. Achieving patients with quality nursing care, giving a reliable assistance being the main purpose within the area of pediatric intensive care at Dr. Roberto Gilbert Elizalde Hospital. The methodology of qualitative design on nursing care processes, performed to a population of 209 nurses, selecting 30 of these for the sample. From the results it was inferred that there is no guide for nursing care in central IV catheter management. Concluding that it is necessary to conduct educational guidance, so it must perform an orientation intervention, so that nurses can comply with standardized protocols protocols to provide quality management in central venous care at Dr. Hospital Roberto Gilbert Elizalde.
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Cateter venoso central, Gestión de calidad, Protocolos, Cuidado de enfermeria, Hospital de Niños Dr. Roberto Gilbert Elizalde, Cantón Guayaquil, Ecuador