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Vol. 1 (2021)

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Authors in this issue:

Javier Gonzalez-Argote, Darío Rene Alvarez, William Castillo-Gonzalez, Carlos Oscar Lepez Andrea Fabiana Villaalta Clara Elena Yacquet María José Lizzi Nélida Gladys González Gladys Romero Juan Eusebio Sulca Fernando González Alonso, Javier Gonzalez-Argote Jonathan Stelmaszczuk Orlando Milagro Paredes Fany Trinidad Domingues Mirian Haidee Aguirre Claudia Mabel Contreras, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares Lourdes Hernández Cuétara, Dayana Tahimi Pérez Pupo, Yivelin Fernández Queija, Igmar Limonta Pérez Halbert Hernandez-Negrin, Adrián Alejandro Vitón-Castillo Vannia Ballesteros Ugarte, Carolina Giselle Trunzo Ricardo Fabián Molina, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares Norma Nancy Cachi, Juan Celestino Valdés Rojas Lucia Valeria Resquin Yanina Paola Dusik Erica Mariel Ibarra Ramona Elizabeth González Sonia Beatriz Copa Mirta Esther Farías Sonia Veronica Diaz Alfredo Montero Graniela Nairobi Hernández Bridon Javier Gonzalez-Argote Natalia Soledad Piacquadio Vannia Ballesteros Ugarte, Carolina Giselle Trunzo Norma Beatriz Ríos, Ana María Mosca Norma Nancy Cachi, Juan Celestino Valdés Rojas Jorge López Valdés, Lourdes Hernández Cuétara Carlos Oscar Lepez Pablo Leandro Figueroa ,

Published: November 30, 2021

Contents

2021-11-24 Editorial
Salud, Ciencia y Tecnología (Health, Science and Technology): a space for scientific communication with an interdisciplinary approach

By Javier Gonzalez-Argote, Darío Rene Alvarez, William Castillo-Gonzalez, Carlos Oscar Lepez

2021-11-06 Original
Validation of an instrument on safe perinatal practices in the COVID-19 context

Introduction: The care of the pregnant woman, her family and the newborn in the context of a pandemic, is located in a place of vulnerability of rights, due to different dimensions that causes not being able to predict how she will present childbirth and even more if it produces a premature birth, because not all hospital institutions currently comply with the right of childbirth respected and the right of the patient.

Aim: to analyze the internal consistency and reliability of an instrument on safe perinatal practices in the COVID-19 context.

Methods: A descriptive, cross-sectional study was carried out in a public institution of the Autonomous City of Buenos Aires in the period September-October 2021. The sample consisted of 37 nurses. An instrument composed of 35 items was used that was organized in four dimensions. After applying the data collection instrument in the selected sample, the construct validation was carried out by analyzing the factors and verifying the internal consistency using Cronbach's alpha.

Results: The analysis of internal consistency (reliability) was carried out through Cronbach's Alpha. The descriptive results with the 35 items showed a variance of each item of 4.980; a total variance of 24.088, with a total Cronbach's Alpha of 0.817, showing that the instrument presents internal consistency.

Conclusions: The results show that the proposed instrument has good validity and reliability and that it can be used to evaluate safe perinatal practices in the COVID-19 context.

By Andrea Fabiana Villaalta

2021-11-23 Original
Oxygen administration for the prevention of retinopathy in prematurity: knowledge and care of the nursing staff

Introduction: Retinopathy of prematurity (ROP) is an alteration of the blood vessels of the immature retina, which appears in premature newborns during the first weeks of life, and causes ocular alterations that partially or totally impede visual development.

Objective: to analyze the relationship between the level of knowledge about oxygen administration and nursing care for the prevention of retinopathy of the premature neonate.

Methods: an observational, descriptive, cross-sectional study was carried out between the months of July-October 2021 in the Neonatology service of a health institution of the Autonomous City of Buenos Aires. The sample consisted of 32 nurses. 

Results: A prevalence of the female sex was evidenced with 78.1%. The average age was 44.09 ± 13.12, with the mode at 50. 46.9% of the respondents had a Bachelor's degree in Nursing. 43.75% of those surveyed obtained at least 60% of the correct answers. 68.75% of the sample met all the indicators in the checklist of nursing records.

Conclusions: In light of these results, we can affirm that the institution does not have a trained staff that allows the development of a nursing role for the prevention of retinopathy, however, the quality of the nursing records was not deficient, which that did not have a significant correlation between the level of knowledge and the quality of the records.

By Clara Elena Yacquet

2021-11-23 Original
Internal consistency analysis of a nursing registry model

Introduction: Nursing records are part of the clinical history of the patient and give testimony of the activity that nursing provides to the patient, of their actions with him, both in the diagnosis, the treatment as well as in his evolution, supporting himself in the process of nursing care in a rational and systematic way, thereby enhancing the quality of nursing care and becoming the proof of the care provided to the patient.

Objective: to analyze the internal consistency of a nursing registry model in a public hospital in the suburbs of Buenos Aires.

Methods: A descriptive, cross-sectional study was carried out in the Coronary Unit of a public institution in the August-October 2021 period. The sample consisted of 64 nurses. After applying the data collection instrument in the selected sample, the construct validation was carried out by analyzing the factors and verifying the internal consistency using Cronbach's alpha.

Results: The analysis of internal consistency was carried out through Cronbach's Alpha. The descriptive results with the 22 items showed a variance of each item of 3.856, a total variance of 26.816, with a Cronbach's Alpha of 0.895, showing that the instrument presents internal consistency.

Conclusions: The validated Clinical Nursing Record format represents an improvement strategy to increase the quality of care. In it, information about the care provided to patients is recorded in an orderly and holistic manner.

By María José Lizzi

2021-10-12 Original
Leadership styles and organizational climate perceived by the nursing staff of a public hospital in the city of Bahía Blanca

Introduction: Leading in Health implies the ability to improve a service through different actors and through changes that benefit the population. 

Objective: to describe the perception of leadership styles and organizational climate perceived by the nursing staff of a public hospital in the city of Bahía Blanca.

Methodology: An observational, descriptive, cross-sectional, descriptive study was conducted from May to June 2021 in a public hospital in the city of Bahía Blanca, Argentina. The sample consisted of 70 nursing professionals.

Results: From the sociodemographic point of view, the prevalence of the female sex stands out, 50% of the respondents were between 23 and 37 years of age; similar values were found in the group of Bachelor's Degree in Nursing among the academic degrees. When the behavior of the questionnaires on Leadership and Organizational Climate was analyzed, 10 of 12 indicators had neutral values; it is noteworthy that there were no indicators with negative values on average. Pearson's correlation coefficient was analyzed, as well as the level of statistical significance in each of the cases.

Conclusions: The population studied was characterized by a female prevalence, young with nursing degree training and less than 10 years of work. The study found a close relationship between leadership and organizational climate, although respondents reported neutrality in the overall perception of these two dimensions.

By Nélida Gladys González

2021-11-23 Original
Does mobbing impact on witnesses?: An observational study in the nursing staff of a hospital in Buenos Aires

Introduction: Mobbing is a set of unacceptable behaviors and practices, aimed at, causing or likely to cause physical, psychological, sexual or economic harm, and includes gender-based violence and harassment.

Objective: To analyze the impact of mobbing on witnesses and its relationship to job performance.

Methodological design: an observational, descriptive, cross-sectional, descriptive study was carried out in a hospital in the Buenos Aires suburban area. The sample consisted of 64 nursing professionals. Four evaluation instruments were used.

Results: In the sample studied, 51.6% had been victims of mobbing, 79.68% had witnessed this type of act and 37.5% reported that they currently feel harassed or psychologically bullied at work. The mean score obtained in the HPT-R was 65.51±25.96. The results show that witnesses suffer significantly more stress symptoms than non-witnesses. Witnesses presented higher means for the vast majority of the stress symptoms analyzed. When ANOVA test was applied, it was found that those who were witnesses had higher number of stress symptoms, HPT-R scores and lower professional performance.

Conclusions: Witnesses of psychological harassment at work had a higher perception of stress symptoms than those who did not, in addition to a higher overall score of perceived harassment and lower job performance.

By Gladys Romero

2021-11-10 Original
Work fatigue and absenteeism in the nursing staff

Introduction: Nursing professionals are exposed to mental workload constantly to situations that generate burdens as a consequence of the physical, mental, emotional and economic effort of care and other sociodemographic and occupational factors.

Objective: to describe the association between work fatigue and absenteeism in nursing staff of a private institution in the city of Buenos Aires.

Methods: A descriptive, cross-sectional study was carried out in a private institution of the Autonomous City of Buenos Aires from February to April 2022. The sample consisted of 60 nurses, selected by non-probabilistic convenience sampling. This research was developed with the application of the Swedish Occupational Fatigue Inventory (SOFI) questionnaire, contextualized and validated in Spanish.

Results: The sample consisted of 65% of the female sex. The mean age was 39.22±11.59. Of the professionals, 46.7% had a nursing degree. In relation to absence from work during the last 12 months, this was evidenced in 56.7% of the sample; and the average number of days of absence from work during the last 12 months was 15.85±40.63.

Conclusions: In conclusion, the present work highlights the need to take into consideration the study of mental workload and fatigue in the nursing profession, according to the working conditions within the nursing staff. 

By Juan Eusebio Sulca

2021-11-06 Original
Historia y Filosofía de la Ciencia en Latinoamérica

Introduction: The countries of Latin America have a common history in which they share languages, roots and traditions, and this is a major milestone in their unique way of progress.

Objective: To characterise the communication patterns and impact of Latin American scientific output in the category “History and Philosophy of Science”.

Methods: A bibliometric study was conducted where the documents belonging to the category "History and Philosophy of Science" from the period between 1996 and 2016 were analysed, using as tools Scival and Scimago Country and Journal Rank.

Results: While the regional scientific output showed an annual growth, especially after 2009, this growth was less noticeable at a global level, which indicates the scientific community’s interest towards this type of studies. More than half of the documents were cited, with a citation average of 28 cites per document. More than 30% of the communications involved international collaboration. Different studies have proven that the works which involved collaboration had a greater impact, at the expense of their visibility.

Conclusions: The analysis of the Latin-American field of History and Philosophy of Science is characterised by a sustained growth, with Brazil as its greater producer. The region has high indicators for scientific leadership and citation. They show their potential based on the recovery of the historical memory of Latin-American people in a new context related to the recognition of scientific heritage as an essential part of our people’s culture, economy, politics and society.

By Fernando González Alonso, Javier Gonzalez-Argote

2021-12-22 Original
Leadership style and organizational performance indicators from the nursing staff's perspective

Background: Leadership in nursing has been widely discussed over time as a necessary professional competence and a field of action that should be exercised by these professionals.
Aim: to analyze leadership styles and organizational outcome indicators from the point of view of the nursing staff of a public hospital in the Autonomous City of Buenos Aires.
Methodological design: A cross-sectional descriptive study was carried out. The sample consisted of 83 nursing professionals, selected by non-probabilistic convenience sampling. Data collection was performed using the MLQ 5x, which was validated in content and construct.
Results: 77.1 % of the respondents were women, with a mean age of 40 ± 9.44; and 9.23 ± 7.25 years of work; 74.7 % performed a care function. Transformational (4.07 ± 0.55) and transactional (3.99 ± 0.62) leadership styles have similar averages. According to the relationship between sociodemographic variables and leadership styles and their dimensions, no significant differences were found between men and women. In relation to organizational outcome variables, it is evident that extra effort is often more present in women, however, no significant differences were found between both groups.
Conclusions: Leadership in nursing is considered essential. This, according to the results, is exercised by the nursing staff within their work team, regardless of age, years of work, type of organization, area of work or function performed.

By Jonathan Stelmaszczuk

2021-11-30 Original
Patient safety and evidence-based nursing practice environment public institution in the province of Chubut, Argentina

Background: Patient safety, as a key aspect of quality of care, has become a priority aim of quality management in health systems.
Aim: to analyze the relationship between patient safety and the evidence-based nursing practice environment.
Methods: cross-sectional study, in 72 nursing professionals working in a public hospital in Chubut. The Nursing Works Index Nursing Practice Environment Scale and the Hospital Survey on Patient Safety Culture were used.
Results: The survey included 73.6 % women and 26.4 % men, with an average age of 41.1 years (± 7.6), ranging from 29 to 60 years. Fifty percent of the sample had a professional nursing degree, 41.7% had a bachelor's degree in nursing and 8.3% had a master's degree. When analyzing the correlation between HSOPSC score and NWI nursing practice environment, a significant correlation was found (r=0.4984; P<0.0001).
Conclusions: The patient safety culture is in average indicators, in this sense it is necessary to carry out improvement actions on systematic approaches to errors, in professional teams and in administration, are priorities to strengthen patient safety in the hospital. A statistically significant positive correlation was found, which means that the better the evidence-based nursing practice environment, the greater the patient safety culture.

By Orlando Milagro Paredes

2021-11-30 Original
Omitted nursing care and its reasons in a public institution in the province of Chubut, Argentina

Background: Patient care is the core of the nursing profession, which can be defined as: an activity that requires personal and professional values to preserve, restore and care for life from the nursing-patient relationship.
Aim: to describe the prevalence and reasons for the omission of nursing care, according to the perception of the nursing staff of a hospital in the province of Chubut in Argentina.
Methods: Descriptive, cross-sectional observational study conducted with 76 nursing professionals. Data were collected using the MISSCARE instrument.
Results: 76 nursing professionals participated in the study, 75% were female, with a median age of 40.5 years (IIQ: 36), mean 41.02 (SD: 7.6), ranging from 29 to 60 years. Nursing care that obtained the highest prevalences of omission were participation in the interdisciplinary team discussion of patient care, if present (75.0 %), walking three times a day or as prescribed (61.8 %), sitting the patient out of bed (52.6 %), requests for administration of prescribed medications Y/N are attended within fifteen minutes.
Conclusions: This study highlighted the fact that omission of care is a real and frequent phenomenon. The most frequent reasons for omission of nursing care were related to human resources and material resources. These reasons are centered on managerial and systemic failures, which should be analyzed and corrected in favor of patient safety.

By Fany Trinidad Domingues

2021-12-23 Original
Scientific production on patient safety in the field of nursing in Latin America

Patient safety is a priority in health care centers, where the nursing professional's focus is on direct patient care without the intention of committing adverse events, committing to focused and safe care free of incidents, but these can be modified if there is no culture of quality care. A descriptive bibliometric study was carried out in the Scopus database, in publications between January 2000 and December 2020; with the aim of characterizing the scientific production on patient safety in the area of Nursing in Latin America. A total of 939 documents were recovered. The scientific production had a marked growth after 2007, 97.8 of the documents were citable documents, the language with the highest number of articles and citations per document was English with 872 documents and 16.3 citations per document respectively. A significant positive correlation was found between the indicators of collaboration and scientific visibility. It is concluded that Latin American scientific production on patient safety in the nursing area is characterized by a tendency towards growth in volume, with a marked decrease in scientific impact. High producers such as Brazil and Mexico stand out, however, there is a low Latin American scientific leadership, highlighting the need to strengthen research in this thematic area in the region, as a way of recognizing the importance of safe and quality care as a basis for nursing practice.

By Mirian Haidee Aguirre

2021-11-06 Original
Nursing management and leadership in the Hospital Infection Committee of the Manuel Sanguinetti Regional Hospital

Introduction: An infection control committee is an instance formed by trained professionals committed to patient safety.

Objective: to describe the knowledge, attitudes and practices of the nursing staff regarding the functioning of the Infection Committee, as well as the management and leadership of the nursing representative.

Methods: An observational, descriptive and cross-sectional study was carried out at the Manuel Sanguinetti Regional Hospital, Comodoro Rivadavia, Chubut (Argentina), in July 2020. The sample consisted of 131 nurses. To obtain data, a perception questionnaire on knowledge, attitudes and practices was applied.

Results: 17.6% of professionals with staff in charge. The majority belong to the female gender (87%). The predominant age range was between 36 and 45 (42.7%), with the longest seniority in the hospital being between 5 and 10 years (35.9%). 90% consider that the ECI should establish a network with the hierarchical personnel and the rank and file. 82% respond positively on that the C.I. is integrated by a multidisciplinary group and its purpose is the prevention of hospital infections.

Conclusions: Despite the overall knowledge that exists about nosocomial infections, ICs and the role of the nurse in infection control, deficiencies were detected in the knowledge regarding the involvement of the committee in training on the use of the epidemiological method and providing directives to the committee. There is no basis for the election of the nursing representative within the committee.

By Claudia Mabel Contreras, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares

2021-11-26 Original
Chronology and sequence of permanent dental eruption in children from 5 to 12 years of age

Background: Tooth eruption is the movement of teeth through the bone and overlying mucosa to emerge and function in the oral cavity.

Aim: To characterize the variability in the sequence and chronology of eruption of the permanent dentition in children aged 5 to 12 years.

Method: A descriptive observational cross-sectional study was carried out in the "Briones Montoto" Primary School of the municipality of Guanabacoa, in the period between September 2019 and June 2020. The universe was constituted by 239 children and to determine the chronology of dental eruption, a sample of 216 children who attended classes on the day of the evaluation were taken, who fulfilled the inclusion and exclusion criteria.

Results: At 5 years of age, most of the children were found with their primary dentition completed, representing 61.5%, at 6 years of age 85.5% presented all the incisors plus the first molar and 57.1% of the total studied at the age of 11 years had all the permanent teeth up to the second molar, with a predominance of the female sex, which represented 66.7%.

Conclusions: There is an advance in the sequence and chronology of permanent dental eruption in this school, becoming more evident in the female sex with the central incisor being the first tooth to erupt before the first molar.

By Lourdes Hernández Cuétara, Dayana Tahimi Pérez Pupo, Yivelin Fernández Queija, Igmar Limonta Pérez

2021-11-29 Original
Productivity and impact of Cuban hospitals in Scopus between 1996 and 2016

Background: today, the university hospital is not only a teaching and care center, but also a fundamental and irreplaceable nucleus of knowledge production in the health area. The final results of such research, both health and economic, ensure that the care process offered can be increasingly based on scientific evidence.
Aim: to characterize the communication patterns and impact of scientific production in Cuban hospitals.
Methods: a bibliometric study was conducted on the articles that presented authorship with affiliation to Cuban hospitals, published in journals indexed in Scopus in the period between 1996 and 2016. Co-occurrence matrices for the analysis of social networks between authors and terms were analyzed.
Results: 6420 documents were identified, of which 95.90 % (6 157 documents) were citable, especially the original articles with 85.59 %. Of the publications, 65.58% were concentrated in 23 national journals, the remaining 34.42% were published in 136 foreign journals. The most productive institutions were identified, headed by the Clinical Surgical Hospital "Hermanos Ameijeiras" with 994 documents. A total of 38941 citations were accumulated, with an h-index of 80.
Conclusions: Cuban hospital scientific production was mainly concentrated in local journals, sustained growth both in productivity indicators and in visibility, the latter mainly at the expense of articles in English.

By Halbert Hernandez-Negrin, Adrián Alejandro Vitón-Castillo

2021-12-19 Original
Nursing organization and management in the practice of blood sample collection

Background: Venous blood collection is one of the most frequent nursing interventions in the emergency department, as well as a conclusive diagnostic test to establish clinical judgment.
Aim: To describe factors affecting nursing organization and management in the practice of blood sampling.
Methodology: The design was quantitative, observational, descriptive, cross-sectional, and included 50 nursing professionals from the neonatal and pediatric intensive care unit of a private hospital institution in the Autonomous City of Buenos Aires, from August 2019 to January 2020.
Results: 80% of the respondents reported that there were no protocols or guidelines on blood collection for the laboratory. Most of the respondents (62%) were dissatisfied with the service provided by the laboratory. A statistically significant correlation was found between the time elapsed from obtaining the blood sample until the laboratory staff comes to pick them up, and the time taken by the laboratory to report the result of the analysis (r = 0.8857; P<0.0001; 95% CI r = 0.7717 to 0.9446).
Conclusions: The need for standardization of the procedure is supported through a correct protocol that minimizes potential failures and allows the nursing professionals of the institution to homogenize knowledge, raising the quality of care and reducing health costs. The research identifies a lack of knowledge of the essential aspects of the preanalytical phase, which could affect the quality of the results provided by the clinical laboratory.

By Vannia Ballesteros Ugarte, Carolina Giselle Trunzo

2021-12-06 Original
Perception of communication channels and their relationship with organizational strategies in nursing services

Background: Organizations are structured by interdepartmental areas that work interconnected and are seen as open systems in the communication process, surviving in a complex environment.
Aim: To describe the perception of internal communication channels and their relationship with organizational strategies.
Methods: Observational, descriptive, cross-sectional study in March 2021 in nursing services of the Instituto Privado Especializado en Oncología Alexander Fleming. The sample consisted of 112 nurses. It was used as an instrument to determine the perception of internal organizational communication, dimensioning its variables.
Results: The average age was 39.25±7.88 years, female sex (81.3%), professional level of graduates. The communication channels, both written and oral, were perceived as "Good" (P < 0.001). The average evaluation of the strategic criteria was "Fair" according to the instrument. There was a significant difference in how the communication flow between professional levels was perceived (P=0.036), despite the fact that their average evaluation was "Good", mainly affecting services where hospitalizations are not performed.
Conclusions: In this study it was found that communication was centered in an institution with a decentralized structure, finding young adult nurses, mostly of the female sex, of licensed professional level and who work mainly in services that do not handle hospitalization. The written channels of communication are (e-mail, requests, letters, memos, mural) and oral (telephone, meetings, conferences, meetings), both with perceptions categorized as good.

By Ricardo Fabián Molina, Juan Celestino Valdés Rojas, Jennifer Caridad Vasallo Valverde, Rosbelys López Suárez, Laura Camila Ares

2021-10-06 Original
Psychosocial factors in strategic management in the nursing staff of Dr. Joaquín Castellanos Hospital.

Introduction: the concept of psychosocial factors at work is relatively recent. The sum of psychosocial factors at work and at home is a potential trigger of psychosocial risks in nursing staff, which later become health problems.
Objective: to describe the perception of psychosocial factors and their relationship with the working conditions and environment in the nursing human resources of the Emergency Services and Shock Room of a secondary hospital.
Method: An observational, descriptive cross-sectional study was carried out at the Dr. Joaquín Castellanos Hospital of the General Güemes Department, Salta province in Argentina, in May 2020. The sample consisted of 13 nurses and 2 unit shift managers. of analysis, selected by means of an intentional sampling of a non-probabilistic type. Descriptive and inferential statistics were used.
Results: it was observed that the nurses are exposed to the quantitative requirement (p=0.05); the pace of work (p=0.05); emotional demands (p=0.05); the demands of hiding emotions (p=0.05) and the double presence (p=0.05). Two men (13.3 %) and 13 women (86.7 %) were identified. 80 % were found in the range of 31 to 45 years and 20 % were older than 45 years. 46.6 % of human resources had worked between 5 and 10 years, while 53.4 % for more than 10 years.
Conclusions: the quantitative requirement; the pace of work; emotional demands; the demands of hiding emotions and double presence are factors to which nurses are exposed.

By Norma Nancy Cachi, Juan Celestino Valdés Rojas

2021-11-28 Original
Repercussion of working conditions and environment with the health status of nursing human resources

Introduction: it is known that the working conditions and environment are factors that influence the health and disease process of people.
Objective: to identify the working conditions and environment that can affect the nurses surveyed and their relationship with perceived health.
Method: quantitative, observational, descriptive, cross-sectional study in the month of September 2020 in a Private Sanatorium in Quilmes. Eighty nurses were studied and an ad hoc questionnaire on employment, work, health and social security conditions was applied. Descriptive and inferential statistics were used.
Results: wage income was related to health status and physical integrity (P=0.043). The work shift with time and work organization (P=0.008), environmental risk factors (P=0.003), preventive resources (P=0.029) and health (P=0.004). Regarding social rights, they were favorable except for 63.8% who do not have paid days for studies. 89% consider that bosses do not resolve conflicts well or plan work well. In relation to general health, 80% considered that work negatively influences their state of health.
Conclusions: the influence of psychosocial factors on the staff was negative. Preventive resources are not optimized as they should. The time and organization of work was affected. Environmental risk factors predominate. The mental state of health is perceived as more deficient than the physical.

By Lucia Valeria Resquin

2021-10-30 Original
Influence of Organizational Factors in Nursing Care and Management Human Resources

Introduction: organizational factors are formed by a series of elements that are developed within the organization.
Objective: demonstrate the influence of organizational factors in healthcare human resources and nursing management.
Methods: descriptive observational, cross-sectional in April 2021. 40 Nurses: healthcare and management positions.A semi-structured questionnaire was used. We took the validated Organizational Diagnosis Questionnaire (CDO) that contemplates 6 measurement variables: purposes, structure, relationships, rewards, leadership and useful mechanisms. For the tabulation of the responses as positive and negative, we used the Likert scale 1-7 as a reference and for the CDO classification: Scores greater than 4 would indicate a problem with organizational functioning.
Results: the average age was 31,22 ± 5,88, female (65 %), prevailing professional and university nursing professional level (52,5 %), the average length of service in the institution was 1,87 ± 2,15 at the expense of rotating shifts (87,5 %). Good attitudinal perception towards organizational factors (nursing leadership and interpersonal relationships) (P<0,001). The rotating work shift is associated with variability of responses on organizational factors. A score higher than 4 shows problems with organizational functioning related to structure, relationships, nursing leadership, attitude to change and useful management mechanisms.
Conclusions: there is a good attitudinal perception towards organizational factors. Rotating shifts perceive problems related to organizational factors. The diagnosis of the institution shows that there are problems with organizational functioning related to the perception of structure, relationships, nursing leadership, attitude to change and useful management mechanisms.

By Yanina Paola Dusik

2021-12-09 Original
Knowledge, practice and perception of tele-nursing in Argentina

Introduction: Tele-nursing is the remote nursing care that was performed through the use of technological tools the professionals who use it plan, interact and evaluate the results of care by employing information and communication technologies.
Objective: to describe knowledge, practice and perception of tele-nursing in a sample of nurses in Argentina.
Methods: an observational, descriptive, cross-sectional, descriptive study was carried out. The sample consisted of 137 nursing professionals. A 38-item instrument integrating four dimensions (sociodemographic, knowledge, practice and perception) was used.
Results: 78.4% of the sample belonged to the female sex. Of the respondents, 66.4% had heard about ICTs, and the places they said they had heard about them were: 36.5% on the Internet, 35.8% at university, 18.2% from a friend, 11.7% at a congress, 5.1% in the press, 0.7% at work and 0.7% in a brochure. When inquiring about the practices of nursing professionals regarding Tele-Nursing, it was identified that most of them use applications within their electronic devices, those related to social networks (83.9%), music (70.1%) and entertainment (65%) stand out.
Conclusions: The study developed evidenced the practices of nursing staff on the use of ICT, highlights the use of mobile devices, email, internet, as well as social networking and entertainment applications. Adequate perception and knowledge of the use of ICT for nursing care was found among the staff.

By Erica Mariel Ibarra

2021-10-26 Original
Nursing governance in integrated health service networks and its impact on care processes in the field of primary care teams

Introduction: professional governance constitutes the processes and structures that give nurses autonomy, control and authority over nursing practice in an organization.
Objective: to describe the perception of nursing governance in integrated health service networks from the nursing care process in the field of Primary Care Teams.
Method: a descriptive, cross-sectional study was carried out in June 2020. Mixed. 66 workers from 11 Health Units where the network-protect program was implemented in the municipality of Moreno, Province of Buenos Aires, were studied. Qualitative and quantitative instruments were used. Descriptive and inferential statistics were used
Results: governance practices perceived positive responses in: cardiovascular risk assessment, use of network management instruments, in cardiovascular rehabilitation and in the implementation of the Nursing Care Program (PAE) aimed at cardiovascular risk factors (P <0.001). There is no relationship between sociodemographic variables and practices related to nursing governance.
Conclusions: there are constructivist principles of MAPEC with practices for nursing governance in the estimation of cardiovascular risk applying the PAE and in the actions of the cardiovascular rehabilitation office. Regarding attitudinal knowledge about the axes of care for NCDs and cardiovascular risk, nursing governance practices are positively perceived in relation to the assessment and estimation of cardiovascular risk according to tables pre-established by the WHO.

By Ramona Elizabeth González

2021-11-08 Original
Comprehensive childcare management seen from the nursing leadership in the referral and counter-referral of a service network

Introduction: care management includes the design of instruments for the collection of data in an organized manner, on events of interest in health, whether individually, family or collectively.
Objective: to evaluate the perception of comprehensive childcare management offered by nursing in a management system based on referral and counter-referral of an integrated network of health services.
Method: a descriptive, cross-sectional study was carried out in the month of November 2020. An ad hoc questionnaire was used and the Networks in comprehensive care document was taken as a reference to evaluate attitudes and practices. A pilot test was carried out as internal validation. of the instrument with a Cronbach's alpha of 0.86.
Results: it was obtained that 91% were represented by women, the average age was 40 ± 9.4, 86% of the nurses are professionals, the average seniority in the institutions was 5.8 ± 3, 7 years. 81% know what an RISS is and 71% know its attributes. 52% do not know the terms of reference and counter-reference. 86% do not perceive nursing governance within the network and the involvement of nursing governance in the network is not representative.
Conclusions: the nursing staff do not perceive themselves as part of it, nor do they manage terms of reference and counter-reference. Difficulties in care management due to little interference and lack of nursing governance are appreciated.

By Sonia Beatriz Copa

2021-11-05 Original
Quality of care and nursing care in the emergency service seen from the perspective of the patient

Introduction: patient satisfaction is defined as the adequacy of her expectations with the final perception of the health service received.
Objective: to determine the level of satisfaction with the quality of care and nursing care from the perspective of patients.
Method: a prospective descriptive study was carried out in the emergency service of Hospital Samic Alem level II. Dr. Juan Fernando Alegre, Missions in the context of the COVID-19 pandemic. An ad hoc semi-structured face-to-face questionnaire was used, with 2 variables under study: sociodemographic characteristics and perception of quality in organization (structure, professionalism, actions and technical capacity of nurses in care in the on-call service).
Results: 85 % felt satisfied with the organizational and structural quality, 62 % with the signage, 51 % with the waiting time and 92 % with respect for privacy. Low satisfaction with service organization and cleanliness. High satisfaction with the quality of actions, treatment, information provided and procedures of nurses, low satisfaction with the identification of nurses with patients. Waiting time was related to satisfaction in two of the three study variables.
Conclusions: the perception of general satisfaction was good regarding the structural conditions, care and quality of nursing professional performance, but not so in the identification of nursing staff and cleaning and organization of the service.

By Mirta Esther Farías

2021-10-27 Original
Communication strategies and their impact on a communication plan in members of the Primary Health Care Team

Introduction: communication is considered the main tool in the work of the members of the Primary Health Care (PHC) team with patients, with the community, with political and managerial levels, between levels of care and the members of the equipment.
Objective: to describe communication strategies and their impact on the performance of members of the Primary Health Care Team.
Method: observational, descriptive, cross-sectional study in the 18 health centers of Sanitary Zone No. 4. Municipality of Córdoba in 2020. 74 members of the health centers were studied. The questions were tabulated according to the Likert scale for terms according and frequency.
Results: the average age was 42.74 ± 9.41 years, the female sex prevailed in 58.6% and 48.5% are professional and licensed nurses. The average work seniority was 13.02 ± 7.51 years. Communication strategies do not perceive nursing as a manager with 37 negative responses 2.75 ± 0.43. Regarding the communication plan, 54.28% do not positively perceive participating in the management of health networks 2.23 ± 0.71. The strategies for nursing management in the communication plan are not related (rho=0.0391, P=0.7480)
Conclusions: there is a good perception of communication strategies except for the nurse as manager. The communication plan shows to be related to communication strategies except for nursing management.

By Sonia Veronica Diaz

2021-12-10 Review
Valvular Prostheses Dysfunction

Prosthetic heart valve dysfunction can provoke the appearance of symptoms or signs or completely asymptomatic being. A typical symptom of malfunction of the heart valves is the heart failure, with one of its more common symptoms the dyspnea. The substitution of the heart valves with mechanical or biological prosthesis can cause a heart dysfunction. There was carried out a review with the objective to describe the main causes and the handling of the prosthetic heart valve dysfunction. In patient with valve substitution can appear failure, either for intrinsic or extrinsic dysfunction, being these last ones those of more incidence. The handling from the clinical point of view and the medical treatment precocious is fundamental pillars to elevate the patients' quality life. The surgery is generally reserved to patient with recurrence or severe complications.

By Alfredo Montero Graniela

2021-11-26 Review
Nasal Obstructive Syndrome: a mini-review

In chronic nasal obstructive syndrome, mucosal desiccation occurs, causing cilia to be damaged and becoming more susceptible to infection and altering pulmonary function. A bibliographic review was carried out including 28 documents, with the aim of describing the main elements of Nasal Obstructive Syndrome in pediatric patients. Nasal Obstructive Syndrome is considered worldwide one of the most frequent diseases in children and adolescents. Nasal obstruction is a symptom that is frequently presented in dentistry. It manifests as a discomfort, which manifests as a sensation of insufficient airflow through the nose. There are anatomical, physiological and neurological/iatrogenic factors that can cause nasal obstruction. Therefore, it is always pertinent to perform a detailed anamnesis and a thorough physical examination of each patient to properly diagnose the cause of their nasal obstruction, keeping in mind the premise that it is a multifactorial disease.

By Nairobi Hernández Bridon

2021-12-26 Review
Role of protease inhibitors in the pathogenesis of alcoholic neuropathy

Background: Alcoholic neuropathy is a common complication among patients with alcohol abuse disorder. It is often asymptomatic and the frequency of occurrence varies. We propose that the deficit of protease inhibitors could be a causal factor of alcoholic neuropathy. If this is true, it would contribute to understanding of the pathophysiology, explain variability in individual response, and explain variability in individual response, and facilitate the search for prevention therapy.
Development: Alcoholic neuropathy is characterized by a pattern of symmetrical polyneuropathy with great involvement of the lower extremities. The mechanisms of axonal degeneration due to alcohol consumption are still unclear. It is known that alcohol inhibits protection mechanisms of the nervous system. Here, we discuss that the deficit of protease inhibitors could be a causal factor in the pathogenesis of alcoholic neuropathy. If this is true, it would contribute to an understanding of the pathophysiology, explain variability in individual response, and facilitate the search for prevention therapy.
Conclusions: The protease inhibitors play a significant role in the origin of peripheral neuropathies. There is strong evidence to suggest that proteases and their inhibitors are related to processes that allow the development and maintenance of peripheral nerves, and alterations in their proportions favor the development of anomalies in such structures. The mechanisms through which these molecules trigger the disease are unclear in most cases. An increase in the number of investigations in this area would undoubtedly contribute to preventing and combating a disease which strikes a significant number of people.

By Javier Gonzalez-Argote

2021-12-16 Review
Work absenteeism and motivation in nursing in the Latin American context: a panoramic review

Background: Motivation is the force that drives the worker to perform certain actions or behaviors that meet organizational aims. Absenteeism is the result of a lack of motivation, or of certain unforeseen circumstances that cause the nurse not to attend work.
Aim: to describe the scientific knowledge on absenteeism and motivation in nursing in the Latin American context.
Material and Methods: A panoramic review was carried out using the scoping review methodology. The PRISMA methodology was used.
Results: 132 references were found, of which 91 were eliminated because they were not empirical articles, did not address the aim of the review or did not have the full text. Finally, 12 articles were included. The factors described as causes of absenteeism globally were interpersonal relationships, physical and emotional demands, seniority, age, ergonomic aspects, work shift, especially the night shift, work overload, family demands, job satisfaction, organizational aspects, salary, interpersonal relationships and work environment. The variation of the absenteeism rate in was on average 38% with a standard deviation of 23.47%, a minimum of 18% and maximum at 74.29%.
Conclusions: The analysis of the literature allowed elucidation of the different causal factors of absenteeism behavior based on the assumption that in many cases absenteeism is the result of a series of causal factors rather than the response to only one of them.

By Natalia Soledad Piacquadio

2021-12-20 Review
Nursing organization and management in the practice of blood sample collection

Laboratory testing of blood samples is essential for the diagnosis and treatment of patients. This article aims to describe preanalytical errors in the clinical laboratory from a nursing management approach. Diagnostic tests are clinical decision support tools. Their use is said to be adequate or appropriate if the result answers the question that the clinician had asked himself before its request and, at the same time, if it helps him to decide some therapeutic action that benefits the patient. Venous blood collection is one of the most frequent nursing interventions in the ED, as well as a conclusive diagnostic test to establish a clinical judgment. Laboratory results have been estimated to affect up to 70% of the medical diagnosis, thus impacting the course of treatment and prognosis of patients. Therefore, it is necessary to have excellent quality control throughout the laboratory process to ensure that the results released to the clinician are reliable and truthful. In the pre-analytical process there is a wide variety of errors, these errors cover several areas; those related to the blood test request, i.e., that it is inadequate or incorrectly performed, lost or misidentified.

By Vannia Ballesteros Ugarte, Carolina Giselle Trunzo

2021-12-10 Review
Continuing education in the current context, approach from the nursing perspective

Continuing education in nursing are those educational activities planned, to build the base of knowledge and experiences in order to reinforce practice, education, administration, research and theoretical development, with a view to improving the quality of care for the user. Of the health. Health institutions must undertake educational actions in order to stimulate the growth of their health personnel so that they can meet the demands of being human. Continuing education in nursing constitutes a growing need that becomes more accentuated with the increase in professional demands. Andragogy is the method that best suits the characteristics of teaching environments for continuing education. The factors that most influence the participation of nurses in these activities are the support of their supervisors and the availability of adequate continuing education programs.

By Norma Beatriz Ríos, Ana María Mosca

2021-10-24 Review
Psychosocial factors as a fundamental pillar of nursing staff management

The nursing professional faces all kinds of risks on a daily basis, however, little has been regulated and systematized about the psychosocial factors that the nursing staff faces. Taking psychosocial factors into account and knowing how to manage them preventively is essential for good human resource management in health services. The psychosocial and organizational factors of work, as forms of social conditions, are circumstances that are generated in the jobs and that often tend to affect the occupational health of the person, both positively and negatively. Factors such as low stress level, vertical trust and social capital play decisive roles in the adequate fulfillment of professional demands without greatly affecting the health of nursing professionals.

By Norma Nancy Cachi, Juan Celestino Valdés Rojas

2021-10-22 Short communications
COVID-19: a challenge for stomatological services

COVID-19, or severe acute respiratory syndrome type 2 coronavirus (SARS-CoV-2), is transmitted through large droplets generated during coughs and sneezes by symptomatic patients, but can also occur in asymptomatic individuals and before onset. of symptoms. Dental services are not unrelated to the COVID-19 pandemic. This article describes some considerations based on dental care in the context of the COVID-19 pandemic. In the scenario we live in today, a lot of uncertainty is generated in the decision-making process. We are aware that the extreme dynamics of the outbreak and the relative speed of information gathering can determine a sudden change of opinion and recommendations for the prevention of SAR-CoV-2 infection in the setting of dental care. Stomatology professionals are extremely exposed to the risk of SAR-CoV-2 infection, so it is necessary to take proactive and preventive measures as a pillar to contain the spread of the virus.

By Jorge López Valdés, Lourdes Hernández Cuétara

2021-12-28 Short communications
Argentine higher education in the COVID-19 pandemic and in the post-pandemic period

The closure of higher education educational centers, including higher education institutions, was one of the first measures taken by the Argentine National Government to prevent the spread of the new SARS-CoV-2 coronavirus. This article addresses some strategies related to teaching in higher education carried out during the COVID-19 pandemic in Argentina, as well as future projections or recommendations that could be derived in the post-pandemic stage with the aim of having strategies of coping with similar situations. The pandemic generated a deep reflection on institutional educational practices in the country, in particular, regarding their pedagogical sufficiency to take on the challenges of training mediated by technological resources. Virtual education implies extra work for the teacher, not only because of the preparation of materials, but also because of the need to always be available to hundreds of students. In the case of higher education, current reality has shown that, although some careers or subjects are practically impossible to do in virtual mode, in others it is feasible and even practical; The need arises then to review the curricular networks in the universities. Not only teachers, but also students, should be willing to change traditional models of education and find more participatory roles, so that this situation, a product of the health crisis, translates into a positive change in the educational processes of education. Argentine superior that is maintained in time.

By Carlos Oscar Lepez

2021-11-18 Scientific letters
Auditing as a pillar of health services management

Improving the quality of health care services involves addressing different situations to be investigated in terms of auditing and quality systems from the perspective of organizational learning, understood as activities associated with change processes, aimed at improving the functioning of the individual and systemic structural elements of the organization. The advantage of applying process auditing strategies is that it allows for the follow-up of interventions and patient evolution, not only observing it as a systematic record. Therefore, it is expected that the implementation will improve the quality of services and reduce the cost of hospital expenses. Health services researchers should value the ability to capture what happens at the front line of care delivery, where clinical decisions and workflows shape the processes and outcomes experienced by patients.

By Pablo Leandro Figueroa

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