Intervenciones para potenciar la adherencia terapéutica realizadas por las enfermeras acreditadas según el modelo ACSA

  1. Pilar Brea Rivero
  2. Rojas de Mora-Figueroa, Ana
  3. Salguero Cabalgante, Rocío
  4. Herrera-Usagre, Manuel
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2016

Volume: 19

Issue: 6

Type: Article

DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería

Abstract

Objectives: to describe the interventions conducted by hospitalization nurses accredited under the model of the Agency for Healthcare Quality in Andalusia (ACSA), with the objective of promoting and improving adherence to the therapeutic regimen; and to confirm if there were differences in these interventions according to the sociodemographical characteristics of the professional and the patient, as well as the level of accreditation achieved by the nurse. Method: a descriptive transversal study on 2,196 clinical practice reports provided by the 1,098 nurses accredited from 2010 to 2016 in the Community of Andalusia. Variables: gender, age, and accreditation level of the nurses, interventions conducted, and patient age. Data collection was conducted through the ME_jora P computer application. Chi Square Test was used for bivariate analysis. Results: “Education for Health”, “Education: the disease process”, and “Counselling” were the interventions conducted by the majority of nurses in order to improve treatment adherence. The least conducted intervention was “Promotion of willingness to learn”. The older female nurses with accreditation at an Expert or Excellent level are those who conduct more interventions in order to promote treatment adherence. Conclusions: accredited nurses will adapt their interventions to the basic sociodemographic characteristics of patients. The experience acquired and knowledge demonstrated is a predictor for conducting more varied and complex interventions in order to improve treatment adherence. It would be necessary to conduct in depth studies about the differences in terms of patient conditions

Bibliographic References

  • Dios Guerra C, Pérula de Torres LA. Factores relacionados con el manejo inefectivo del régimen terapéutico en pacientes crónicos de consulta de Enfermería. Index Enferm. junio 2012; 21(1-2):14-7.
  • Craven RF, Hirnle CJ. Client education. En: Fundamentals of nursing: Human health and function. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 344-63.
  • Hueso Navarro F. El manejo inefectivo del régimen terapéutico en los pacientes que acuden a consulta de Enfermería de crónicos en Navarra. Bibl Lascasas [Internet]. 2005 [citado 15 junio 2016]; 1. Disponible en: http://www.index-f.com/lascasas/documentos/lc0013.pdf
  • World Health Organization. Adherence to long-term therapies: evidence for action. [Internet]. 2003. [cited 2016 Jun 15]. Available from: http://apps.who.int/iris/bitstream/10665/42682/1/9241545992.pdf
  • Wilkinson J. Noncompliance by patients: a response to professor Dimond. Nurs Ethics.1998; 5(2):167-72.
  • Neves C, Lecointre B. Fostering compliance by understanding its mechanisms. Rev Infirm. 2014; 202:29-31.
  • Whittaker GS. An educational approach for “non-compliant” patients. Can J Crit Care Nurs. 2015; 26(3):11-5.
  • Agencia de Calidad Sanitaria de Andalucía. Manual de competencias de la/del Enfermera/o de Atención Hospitalaria: Hospitalización y Cuidados Especiales (Me 1 23_02.1). Agencia de Calidad Sanitaria de Andalucía. 2012.
  • Bulecheck GM, Butcher HK, Dochterman JM. Clasificación de intervenciones de Enfermería (NIC). 6ª ed. Barcelona: Elsevier España; 2014.
  • Stuart GW. Cognitive and behavior change interventions. In: Principles and practice of psychiatric nursing. St. Louis: Mosby; 2009. p. 559-72.
  • Townsend MC. Behavior therapy. In: Psychiatric mental health nursing: concepts of care in evidence-based practice. F.A. Davis; 2009. p. 279-88.
  • Nelson PJ. Behavior modification. In: Evidence-based nursing care guidelines: Medical-surgical interventions. St. Louis: Mosby; 2008. p. 99-105.
  • Sherman JM, Baumstein S, Hendeles L. Intervention strategies for children poorly adherent with asthma medications; one center’s experience. Clin Pediatr (Phila). 2001; 40(5):253-8.
  • Bannick AA, Laufman JD, Edwards HL, Ventimiglia J, Feldman GL. Outcomes of referrals to Child Protective Services for medical neglect in patients with phenylketonuria: experiences at a single treatment center. Mol Genet Metab. 2015; 115(4):151-6.
  • Boyd MA. Psychiatric nursing: contemporary practice. Philadelphia: Lippincott Williams & Wilkins; 2005.
  • Tamba H, Öz F. Evaluation of the psychoeducation given to the elderly at nursing homes for a healthy lifestyle and developing life satisfaction. Community Ment Health J. 2013; 49(6):742-7.
  • Fry H. A handbook for teaching and learning in higher education: Enhancing academic practice. New York: Routledge; 2009.
  • Pearce TS, Clark D. Strategies to Address Low Health Literacy in the Older Adult: Top Geriatr Rehabil. 2013; 29(2):98-106.
  • Kozier B, Erb G, Berman A, Snyder S. Teaching. In: Fundamentals of nursing: concepts, processes, and practice. Upper Saddle River: Prentice Hall; 2004. p. 445-68.
  • Kaymakçı S, Yavuz M, Orgun F. Surgical patient education: Turkish nursing students experiences. Nurse Educ Today. 2007; 27(1):19-25.
  • Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. Upper Saddle River: Prentice Hall; 2002.
  • Maijala V, Tossavainen K, Turunen H. Health promotion practices delivered by primary health care nurses: Elements for success in Finland. Appl Nurs Res ANR. 2016; 30:45-51.
  • Kelley K, Abraham C. Health promotion for people aged over 65 years in hospitals: nurses’ perceptions about their role. J Clin Nurs. 2007; 16(3):569-79.
  • Bastable SB. Nurse as educator: principles of teaching and learning for nursing practice. Burlington: Jones and Bartlett; 2003.
  • Clarke M, Jinks M, McMurran M. Readiness Enhancement Management Strategies (REMS): a proof of concept and evaluation feasibility study of staff training to improve service engagement by people with personality difficulties. J Psychiatr Ment Health Nurs. 2015; 22(7):502-9.
  • Johnson M, Maas M, Moorhead S. Proyecto de resultados de Iowa. Clasificación de resultados de Enfermería (NOC). 5ª ed. Madrid: Elsevier; 2014.
  • Almuedo Paz A, Herrera Usagre M, Buiza Camacho B, Julián Carrión J, Carrascosa Salmoral MP, Martín García SM, et al. Inter-rater reliability of healthcare professional skills’ portfolio assessments: The Andalusian Agency for Healthcare Quality model. Medwave. 2014; 14(06):e5998-e5998.
  • Benner PE. From novice to expert: excellence and power in clinical nursing practice. Commemorative ed. Upper Saddle River, N.J: Prentice Hall; 2001. p. 307.
  • Agencia de Calidad Sanitaria de Andalucía. ME_jora P [Internet]. Accreditation of Professional Competences (in spanish). 2012 [citado 15 junio 2016]. Disponible en: http://mejora.acsa.junta-andalucia.es/agenciadecalidadsanitaria/acsa_profesionales/inicio.asp
  • Diz Gómez J, Pacheco Del Cerro E, Beneit Montesinos JV, García García E, Meneses Monroy A, Rivas Paterna AB. Manejo inefectivo del régimen terapéutico e incumplimiento del tratamiento y su relación con episodios ciap. Rev Enferm. 2014; 37(9):37-42.
  • Are there Gender Differences in Empathy? [Internet]. Undergraduate Journal of Psychology at Berkeley. 2014 [cited 2016 Jun 15]. Available from: http://ujpb.org/research/volume-7/are-there-gender-differences-in-empathy/
  • Rueckert L, Branch B, Doan T. Are Gender Differences in Empathy Due to Differences in Emotional Reactivity? Psychology. 2011; 02(06):574-8.
  • Vázquez Martínez R, Martínez López M. Los ciudadanos ante la e- Sanidad. [Internet]. Madrid: Observatorio Nacional de las Telecomunicaciones y de la Sociedad de la Información - ONTSI; 2016 abr [citado 15 junio 2016] p. 1-122. Disponible en: http://www.ontsi.red.es/ontsi/es/estudios-informes/los-ciudadanos-ante-la-e-sanidad-opiniones-y-expectativas-de-los-ciudadanos-sobre-
  • Brea Rivero P, Reyes Alcázar V, Herrera Usagre M, Morales Gil IM. Evaluación y mejoría del dolor en niños atendidos por enfermeras acreditadas: estudio descriptivo. Medwave. 2013; 13(11):e5860-e5860.
  • Sistema Sanitario Público de Andalucía. Organización de la Atención Sanitaria Pública en Andalucía [Internet]. 2012 [citado 15 junio 2016]. Disponible en: http://www.calidadsaludandalucia.es/es/anexo_2.html
Data source: Dialnet