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USE OF STANDARDISED NURSING TERMINOLOGY AT DISCHARGE CARE REPORTS IN A CANARY ISLANDS HOSPITAL: A DESCRIPTIVE STUDY.

Abstract Objectives: To analyse the use of standardised language in nursing care reports identifying typologies, labels and diagnostic content. Methods: Cross-sectional descriptive study of a simple random sample (n = 370) in the Complejo Hospitalario Universitario Insular Materno-Infantil (Canary Islands, Spain). The mean and standard deviation for quantitative variables, and frequency for qualitative variables were calculated using SPSS® (version 25). Results: Less than half of the reports (49.23%) incorporated standardized terminology, including n = 1922 active diagnoses, n = 93 resolved diagnoses, n = 72 interventions, and n = 103 nurses outcomes. Conclusions: Reports using standardized languages are insufficient, showing a high number of diagnostic labels that reveal poor resolution of problem-focused nursing diagnoses, with less recording of interventions and nurses outcomes. Keywords: Nursing Diagnosis; Electronic Health Records; Patient Discharge Summaries; National Health Systems; Standardized Nursing Terminology.

CULTURAL COMPETENCES IN HEALTH AS PERCEIVED BY NURSING STUDENTS

Abstract Introduction: The Chilean healthcare scenario is characterized by the cultural diversity of patients, which implies having culturally competent professionals, whose training begins in undergraduate. Objective: To analyze the cultural competencies in health perceived by Nursing students. Method: Qualitative research, with phenomenological design and descriptive scope; the sample consisted of 10 Nursing students from a private university in southern Chile; the technique used to generate information was the semi-structured interview and the analysis was of Milles and Huberman's qualitative data. Conclusion: Students perceive that cultural sensitivity is the most developed competence, cultural knowledge is the least developed and cultural skills occupy an intermediate place. Keywords: Nursing student; cultural competence; culturally competent health care.

WHAT EDUCATIONAL INTERVENTIONS ARE EFFECTIVE IN PREVENTING DIABETIC FOOT? A REVIEW OF CLINICAL PRACTICE GUIDELINES

Abstract Main objective: Identify the best available evidence on educational interventions that can help prevent the appearance of Diabetic Foot (DF) in Primary Care. Methodology: Systematic review on 10 Clinical Practice Guidelines (CPG) with recommendations on education to prevent the DF. The search was carried out in databases of tertiary, secondary and primary sources with the descriptors Diabetes mellitus, Diabetic foot and Health education. The AGREE II tool was used to assess the quality of the CPGs found. Results: Were compiled the educational interventions that, according to the revised 10 CPG’s, are more effective in preventing the appearance of DF in Primary Care. Have been included these recommendations as NIC (Nursing Interventions Classification) activities related to the topic. Conclusion: The main result of this work indicates that educational interventions to prevent the onset of DF must inexcusably form part of the care plans for diabetic patients. These are interventions that appear to be very cost-effective, properly structured, will help reduce the incidence of DF and reduce the number of amputations Keywords: Diabetes mellitus. Diabetes mellitus tipo 1. Diabetes mellitus tipo 2.

THE QUALITY OF LIFE OF INFORMAL PRIMARY CAREGIVERS IN TIMES OF COVID-19 AND ITS RELATION TO PRIMARY CARE NURSING

Abstract Objective: to determine the quality of life, caregiver role overload and perceived social support of the main caregivers of patients belonging to the Home Care Service Portfolio of three Health Centres in the Health Area of Gran Canaria. Method: descriptive-cross-sectional study, with simple random sampling of caregivers. Eighty-nine carers took part, completing four questionnaires: one  selfcompleted questionnaire, Zarit (overload), Duke (perceived social support) and Coop-Wonca (quality of life). This project allows us to know the psychosocial reality of the main carers and thus to make their situation more visible. Keywords: Family Caregiver, Nurses, Quality of life, Home Care Service, Primary Health Care, COVID-19.

OFFICE AND HOME CARE FOR CHILDHOOD VACCINATION: PERSPECTIVE OF NURSES AND MOTHERS

Abstract To describe and analyze the intercultural nurse-mother strategies during child immunization. Methods: Qualitative research with ethnographic design, the sample was 12 nurses and 11 mothers from Olmos-Peru. The data was collected through the ethnographic interview and participant observation recorded in a field diary, and processed through thematic analysis. Results: a) Office care to calm the child during vaccination, b) Education on post-vaccination reactions for home care, c) Home care for post-vaccination reactions. Conclusion: Some of the care performed by mothers at home diverges from the care recommended by the nursing professional in the child's comprehensive care office. Keywords: Immunization, interculturality, minor infant, ethnography.

NURSING CARE QUALITY IN CRITICAL PATIENT UNITS: A LITERATURE REVIEW

Abstract Objective: To identify factors that influence the quality of care provided in the Intensive Care Unit. Methodology: Literature review was carried out in the databases Web of Science, EBSCO, Scopus, PubMed and Virtual Health Library, in addition to Google Scholar search engine. Standardized descriptors were used in MeSH and DeCS, establishing the search strategies "nursing care AND icu AND quality NOT pediatrics" and "nursing AND icu AND quality of health care". The eligibility criteria used were: qualitative, quantitative and/or review studies related to the topic to be studied. A first screening was performed by title and abstract, eliminating references that did not meet the eligibility criteria, then duplicates were eliminated and a final screening was performed for fulltext selection with critical reading tools of the Critical Appraisal Skills Programme (CASPe). Results: Factors that directly and/or indirectly influence the quality of care provided in Intensive Care Units were identified, in which workload, moral fatigue and psychological wear and tear stand out. Conclusions: Workload, moral fatigue and psychological burnout directly and indirectly influence the delivery of care in intensive care units. Keywords: Nursing; Nursing Care; Critical Care Nursing; Intensive Care Units; Quality of Health Care;

NURSING CARE PLAN DEVELOPED WITH THE MID-RANGE THEORY OF SELFCARE OF CHRONIC DISEASES

Abstract: The concept of empowerment has spread in our clinical practice in recent years. An empowered person is one who is capable of deliberating, solving their setbacks and satisfying their needs, with control and critical judgment over their life and health. In order for them to achieve these skills, we as professionals have the responsibility of informing and training patients so that they improve their knowledge and skills in self-care for their chronic diseases. Regarding a clinical case, he addresses, from a mid-range theory, how we can approach this type of patients for proper maintenance of their self-care. Key words: Self-care; chronic patient; nursing; Primary care and midrange theory.

DESPITE THE TREATMENT, I DID NOT IMPROVE…

Abstract Falls are a public health problem, and their prevention is key in managing them. Out patient suffers a casual fall in the bathroom of his home that ends with a hip fracture and therefore a loss of independence and quality of life. For its assessment, the “Mid-Range Theory of Unpleasant Symptoms” is used, whose authorship is led by the nurse and doctor in sociology Elisabeth Lenz and she has to Linda Pugh, Renee Milligan and Andreu Gift as collaborators. A care plan is made through the standardized languages NANDA, NOC and NIC. The patient achieved an improvement in his health through adherence to the plan and our intervention from the community setting. Keywords: Middle range theory, unpleasant symptoms, falls, risk for falls, care plans.

DEVELOPMENT OF THE EMANCIPATORY KNOWLEDGE PATTERN: AN OPPORTUNITY FROM ACTION RESEARCH

(letter to the editor)