Revista Chilena de Enfermería

Adverse events associated to peripheral venous catheters in people hospitalized in a hospital in Chile

2024-12-24T21:21:33+00:00

Introduction: Peripheral venous catheters are widely used to administer intravenous therapy. However, they are associated with a high rate of complications. Objective: To describe adverse events related to the use of peripheral venous catheters in hospitalized patients undergoing emergency care. Methodology: This descriptive study analyzed information up to 30 days before the data collection date. The population comprised hospitalized patients in a high-complexity public hospital in Santiago, Chile. Data analysis involved descriptive statistics and logistic regression models. Results: A total of 602 catheters were analyzed in 248 patients, with a peripheral venous catheter prevalence of 51.4% among hospitalized patients. The sample consisted of 46.3% women, with a mean age of 52.8 years. The medical-surgical adult unit had the highest proportion of catheters (44.3%). Of the 399 catheters with complete records, 264 (66.2%) were electively removed upon completion of intravenous therapy, whereas 135 (33.8%) were removed due to an adverse event. The most common adverse events were infiltration/extravasation without tissue damage (9.2 per 100 peripheral venous catheters), followed by phlebitis (7.7 per 100 peripheral venous catheters), and patient self-removal (4.0 per 100 peripheral venous catheters). Conclusions: There is a need to enhance and disseminate adequate clinical practices to prevent adverse events in patients requiring peripheral venous catheters, focusing on the most prevalent complications.

Sociodemographic and occupational factors associated with Burnout Syndrome in Argentine healthcare professionals

2025-03-26T15:33:17+00:00

Introduction: Burnout Syndrome is an occupational phenomenon characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. Its prevalence is particularly high among healthcare professionals in Latin America. Objective: To analyze the relationship between sociodemographic and occupational factors and Burnout Syndrome among healthcare professionals in a private institution in 2024. Methodology: Observational, analytical, cross-sectional study, using a non-probabilistic convenience sample of healthcare professionals. A sociodemographic and occupational questionnaire and the Maslach Burnout Inventory-Human Services Survey (healthcare professionals’ version) were administered. Data were analyzed using descriptive and analytical statistics with SPSS software. Results: A total of 214 healthcare professionals participated, including 38.3% nurses and 36.4% physicians. The sample was 65.9% female, with a mean age of 36.89 years. A total of 12.1% met the criteria for Burnout Syndrome, which was more prevalent among female professionals and those working an average of 49.90 hours per week, compared to those with fewer working hours. Additionally, high levels of emotional exhaustion and depersonalization were more frequent among professionals working in inpatient care settings. Conclusion: Burnout Syndrome was present in 12.1% of healthcare professionals, with a higher prevalence among women and those working an average of 49.90 hours per week. No associations were found with age or length of employment. These factors should be considered when developing institutional strategies for professional well-being.

Integration between Primary Health Care and specialized mental health services: A scoping review protocol

2025-03-29T15:13:58+00:00

Introduction: Integrating Primary Health Care and specialized mental health services is crucial for ensuring equitable care. However, it remains a significant challenge within the field of public health due to numerous barriers to implementation. Objective: To map, within the scientific literature, current findings regarding the challenges and possibilities of integrating Primary Health Care with specialized mental health services. Methodology: This is a scoping review protocol based on the methodological framework proposed by the Joanna Briggs Institute and guided by the PRISMA-ScR checklist. The search strategy will be conducted across fourteen databases using Boolean operators. Two independent reviewers will carry out the screening process using the Rayyan reference management platform, with the support of the Research Pilot™ system for data collection and processing. These tools will facilitate article selection based on predefined inclusion and exclusion criteria, aiming to address the following research question: “What are the challenges and possibilities of integrating Primary Health Care with specialized mental health services?” This protocol is registered with the Open Science Framework under registration number 10.17605/OSF.IO/ZUPY4.

Educational strategies for optimal and safe learning in patients with rheumatic conditions: a scoping review

2025-03-21T12:32:29+00:00

Introduction: In Chile, rheumatic pathologies affect between 15% and 40% of the population, displaying a unique epidemiological profile in which nursing education plays a cross-cutting role. However, limited learning outcomes have been observed among rheumatology patients. Objective: To explore the educational strategies implemented in nursing to achieve optimal and safe learning outcomes tailored to the needs of individuals with rheumatic diseases. Methods: A literature search was conducted across SciELO, LILACS, the Latin American Repository Network, and PubMed for the 2012-2014 period. Keywords included "Rheumatology," "Nursing," and "Nursing Education." Articles were screened using these inclusion criteria: published within the past 12 years; available in Spanish, English, or Portuguese with full-text access; relevant to rheumatology care in inpatient or outpatient settings; and free access for Universidad de Chile students. Exclusion criteria included articles on pediatric rheumatology, non-open-access content, or paid articles. Studies were appraised using the CASPe tool and narratively synthesized, with results presented in tables and a synthesis matrix. Results: Eight educational strategies were identified from nine selected articles: a holistic approach grounded in popular knowledge, fostering introspective dialogue, pain assessment, pharmacologic and non-pharmacologic treatment, role empowerment, interdisciplinary work, and introspective analysis. These strategies were grouped into three categories: those centered on the patient's context and being, those related to treatment with and without medication, and those involving complementarity and interdisciplinarity. Conclusions: This review identified educational strategies that support effective learning among patients with rheumatic diseases. Future research should expand database sources to include humanistic literature and materials without full-text access.

Nursing students’ imaginaries regarding their future professional practice

2025-04-25T16:25:16+00:00