Evaluación de la calidad de atención de enfermería a pacientes con VIH-SIDA en el Servicio de Infectología del Hospital del Niño Dr. Francisco de Icaza Bustamante, Guayaquil, 2009-2010 y propuesta de estrategias para su mejoramiento.
Fecha
2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El Hospital del niño “Dr. Francisco de Icaza Bustamante” del Ministerio de Salud Pública, de tercer nivel de Especialidades con referencia local y nacional cuenta con 22 servicios dentro de los cuales se encuentra el Servicio de Infectología, con su misión de brindar atención de salud integral, curativa y de rehabilitación a clientes menores de 15 años, con enfermedades infectocontagiosas. Se observó un incremento progresivo de usuarios externos con VIH-SIDA, a los cuales se les presta atención mediante un programa, que incluye diversas actividades médicas profesionales, pero las mismas no son controladas y supervisadas suficientemente, por lo que se planteó el siguiente Problema: ¿Cuál sería la estrategia adecuada para el desarrollo y control de la calidad del programa de atención de enfermería a los pacientes con VIH-SIDA en el servicio de Infectología del Hospital del Niño “Dr. Francisco de Icaza Bustamante?”, el Objetivo General: Evaluar la calidad de atención de Enfermería a pacientes con VIH-SIDA en el Servicio de Infectología del Hospital y Propuesta de Estrategia para su Mejoramiento. En los Objetivos Específicos: Se determinó el número de pacientes con VIH-SIDA que se atienden en el hospital: 2009 (44%) – 2010 (56%) , se evaluó la calidad de atención de enfermería brindada a pacientes con VIH-SIDA: 66% realizo un control continuo a los clientes y existe una marcada falencia representada por el 79% en los mecanismos de evaluación de la calidad, se caracterizó la infraestructura del servicio donde se encuentran los pacientes, se estableció una base de datos sobre carga viral y CD4, el tratamiento, categorización e inmunización de los pacientes con VIH-SIDA y se diseñó las Estrategias de Mejoramiento por medio de un programa de control de la calidad de atención dirigido al personal de enfermería a pacientes con VIH-SIDA que incluye un sistema de gestión de procesos para la atención desde el ingreso hasta el egreso. Este será un trabajo descriptivo no experimental. Se aplicaron métodos teóricos para la búsqueda y análisis de información bibliográfica, de archivos, datos estadísticos, y métodos empíricos mediante encuestas, entrevistas, guía de observación. Se realizó desde el año 2009 al 2010.
The child Hospital "Dr. Francisco de Icaza Bustamante" of the Ministry of public health, third level of specialties with local and national reference has 22 service within which the service of infectious diseases, meets its mission of providing health holistic, curative and rehabilitative care to customers under the age of 15 years, with infectious or contagious diseases. There was a progressive increase of external users with HIVAIDS, which are given attention through a program that includes various professional medical activities, but they are not controlled and supervised enough, by what was raised the following problem: what would be the appropriate strategy for the development and control of the quality of nursing care program patients with HIVAIDS in the service of the children Hospital infectious diseases "Dr. Francisco de Icaza Do Bustamante? ", the General objective: assess the quality of nursing care to patients with HIV-AIDS in the Hospital of infectology service and strategy proposal for its improvement." Specific objectives: determined the number of patients with HIV / AIDS serving in the hospital: 2009 (44%) - 2010 (56%), we evaluated the quality of nursing care provided to patients with HIV / AIDS: 66% carried out continuous monitoring to customers and there is a marked failure represented by 79% in quality assessment mechanisms, the infrastructure of the service where patients are characterized established a database on viral load and CD4, treatment, categorization and immunization of HIV-AIDS patients and was designed the improvement strategies through a program of control of the quality of care to nurse patients with HIV-AIDS, which includes a set of management processes for care from admission to discharge. This will be a non-experimental descriptive work. Applied theoretical methods for search and analysis of bibliographic information, files, statistical data, and empirical methods through surveys, interviews, observation guide. It was from the year 2009 to 2010.
The child Hospital "Dr. Francisco de Icaza Bustamante" of the Ministry of public health, third level of specialties with local and national reference has 22 service within which the service of infectious diseases, meets its mission of providing health holistic, curative and rehabilitative care to customers under the age of 15 years, with infectious or contagious diseases. There was a progressive increase of external users with HIVAIDS, which are given attention through a program that includes various professional medical activities, but they are not controlled and supervised enough, by what was raised the following problem: what would be the appropriate strategy for the development and control of the quality of nursing care program patients with HIVAIDS in the service of the children Hospital infectious diseases "Dr. Francisco de Icaza Do Bustamante? ", the General objective: assess the quality of nursing care to patients with HIV-AIDS in the Hospital of infectology service and strategy proposal for its improvement." Specific objectives: determined the number of patients with HIV / AIDS serving in the hospital: 2009 (44%) - 2010 (56%), we evaluated the quality of nursing care provided to patients with HIV / AIDS: 66% carried out continuous monitoring to customers and there is a marked failure represented by 79% in quality assessment mechanisms, the infrastructure of the service where patients are characterized established a database on viral load and CD4, treatment, categorization and immunization of HIV-AIDS patients and was designed the improvement strategies through a program of control of the quality of care to nurse patients with HIV-AIDS, which includes a set of management processes for care from admission to discharge. This will be a non-experimental descriptive work. Applied theoretical methods for search and analysis of bibliographic information, files, statistical data, and empirical methods through surveys, interviews, observation guide. It was from the year 2009 to 2010.
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Palabras clave
Evaluación de enfermería, Calidad de la atención, Virus de inmunodeficiencia humana, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador, Síndrome de inmunodeficiencia adquirida, Atención de enfermería