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Inicio Enfermería Clínica (English Edition) Professional experience and case management as predictors of nursing good practi...
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Vol. 34. Issue 5.
Pages 402-407 (September - October 2024)
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Vol. 34. Issue 5.
Pages 402-407 (September - October 2024)
Brief Original Articles
Professional experience and case management as predictors of nursing good practices directed to the primary caregiver
Experiencia profesional y gestión de casos como predictores de buenas prácticas enfermeras dirigidas a la cuidadora principal
Javier Zarzo-Gasulla, Rosa María García-Padillab, Pedro García-Martínezc,
Corresponding author
garcia_pedmarb@gva.es

Corresponding author.
, Paola Méndez-Castellanoa, Juan Cava-Maldonadob
a Centro de Salud de Bétera-Departamento de Arnau-Vilanova-Llíria, Bétera, Valencia, Spain
b Centro de Salud de Moncada-Departamento de Arnau-Vilanova-Llíria, Moncada, Valencia, Spain
c Escuela Universitaria de Enfermería La Fe, Universidad de Valencia, Grupo de estudio GREIACC, Instituto de Investigación Sanitaria La Fe, Valencia, Spain
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Tables (2)
Table 1. Ad hoc questionnaire, relationship of items to good RNAO practice and recoding of responses.
Table 2. Comparative study of good professional practices with the independent variables: pandemic experience, presence of Nurse Case Manager, and professional experience in primary care.
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Abstract
Aims

Identify nursing good practices related to caregivers in three basic health areas of the Valencian Community and analyze the impact of professional experience and the presence of a Nurse Case Manager on nursing good practices.

Method

Cross-sectional descriptive study. An anonymous, self-administered “ad hoc” questionnaire was used with 10 items: 8 individual and 2 institutional good practices. The independent variables were: work experience and the presence of a Nurse Case Manager. An analytical study was carried out using Chi square, Fisher and Mann-Whitney U tests, assuming p<0.05 as a significant value.

Results

60 participants: 50 women, median age of 36 years and median experience of 4 years. 45 with experience ≥2 years and 23 worked in an environment with Nurse Case Manager.

The record of the caregiver was the only individual good practice carried out by more than 56% of the population, with the rest implemented by less than 20%. Pre- or post-pandemic experience did not show significant differences, the presence of Nurse Case Manager only showed differences in knowledge of training workshops and individual good practices were greater among professionals with more experience.

Conclusions

Individual good practices in caring for caregivers have low implementation, with better practices observed among professionals with more experience.

Keywords:
Case management
Chronic disease
Caregivers
Primary care nursing
Community health nursing
Resumen
Objetivos

Identificar buenas prácticas enfermeras relacionadas con las cuidadoras en tres zonas básicas de salud de la Comunidad Valenciana y analizar el impacto de la experiencia profesional y la presencia de la Enfermera Gestora de casos en las buenas prácticas enfermeras.

Método

Estudio descriptivo transversal en tres zonas básicas de salud de la Comunidad Valenciana. Se utilizó un cuestionario “ad hoc” anónimo, autoadministrado con 10 ítems: 8 de buenas prácticas individuales y 2 institucionales. Las variables independientes fueron la experiencia laboral y la presencia de Enfermera Gestora de Casos. Se realizó estudio analítico mediante pruebas de Chi cuadrado, Fisher y U Mann-Whitney, asumiendo p<0.05 como valor significativo.

Resultados

Hubo 60 participantes: 50 mujeres, mediana de edad de 36 años y mediana experiencia de 4 años. 45 con experiencia ≥ 2 años y 23 trabajaban en entorno con Enfermera Gestora de casos.

El registro de la persona cuidadora fue la única buena práctica individual realizada por más del 56% de la población, siendo el resto implementadas por menos del 20%. La experiencia pre o postpandémica no mostró diferencias significativas, la presencia de Enfermera Gestora de casos solo mostró diferencias en el conocimiento de talleres formativos y las buenas prácticas individuales fueron mayores entre las profesionales con mayor experiencia.

Conclusiones

Las buenas prácticas individuales en la atención a las cuidadoras presentan una implantación baja, observándose mejores prácticas entre las profesionales con mayor experiencia.

Palabras clave:
Gestión de casos
Enfermedad crónica
Cuidadores
Enfermería de atención primaria
Enfermería de salud comunitaria

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