Guías de práctica clínica: ¿mejoran la efectividad de los cuidados?
Clinical Practice Guidelines: Do They Increase the Effectiveness of Care?
José Miguel Morales Asencioa,
, Elena Gonzalo Jiménezb, Francisco Martín Santosc, Juan Carlos Morilla Herrerad, Javier Terol Fernándeze, Carmen Ruiz Barbosaf
Autor para correspondencia
a Enfermero. Servicio Andaluz de Salud. Profesor colaborador Escuela Andaluza de Salud Pública
b Enfermera. Profesora Titular del Área de Gestión. Escuela Andaluza de Salud Pública
c Enfermero. Coordinador del Distrito Sanitario Málaga de Atención Primaria. Servicio Andaluz de Salud. Profesor colaborador Escuela Andaluza de Salud Pública
d Enfermero. Director Unidad de Residencias de Ancianos. Distrito Sanitario Málaga de Atención Primaria. Servicio Andaluz de Salud. Profesor colaborador Escuela Andaluza de Salud Pública
e Enfermero. Unidad de Calidad y Evaluación. Hospital de Antequera. Servicio Andaluz de Salud. Profesor colaborador Escuela Andaluza de Salud Pública
f Enfermera. Coordinadora de Distrito Sanitario Cádiz- Bahía-Vejer de Atención Primaria. Servicio Andaluz de Salud. Profesora colaboradora Escuela Andaluza de Salud Pública. España
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España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinical Practice Guidelines: Do They Increase the Effectiveness of Care?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2002-10-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec206797" "palabras" => array:4 [ 0 => "Guías de práctica clínica" 1 => "Enfermería basada en la evidencia" 2 => "Toma de decisiones" 3 => "Variabilidad" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec206798" "palabras" => array:4 [ 0 => "Clinical practice guidelines" 1 => "Evidence-based nursing" 2 => "Decision-making" 3 => "Variability" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La incertidumbre preside la práctica clínica de los profesionales sanitarios, fenómeno al que no permanecen ajenas las enfermeras. La toma de decisiones es una de las principales fuentes de variabilidad en la prestación de cuidados y el centro de los esfuerzos dirigidos a mejorar la efectividad. Pese a las críticas y limitaciones que la evidencia acusa, no deja de ser una respuesta válida al aumento de la complejidad de las organizaciones sanitarias y de la necesidad de mejorar los resultados de la atención en términos de coste-efectividad, coste-beneficio y coste-utilidad. En la enfermería, la evidencia ha sido conceptualizada como el medio de acercar el conocimiento científico y el conocimiento tácito, proporcionando instrumentos que facilitan la toma de decisiones tanto a profesionales como a usuarios. Entre estos instrumentos figuran las guías de práctica clínica, pero su uso requiere una adecuada elaboración, evaluación e implementación para que se conviertan en verdaderos motores de mejora de la efectividad de los cuidados. En este artículo se detallan sus principales características, en qué consisten y cómo discernir su calidad metodológica para que las enfermeras puedan incorporarlas a su práctica habitual.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Clinical practice is characterized by uncertainty, a phenomenon with which nurses are familiar. Decision taking is one of the main sources of variability in the provision of healthcare and is the focus of efforts directed at increasing effectiveness. Despite the criticisms and limitations made of evidence, it remains a valid response to the increased complexity of health organizations and to the need to improve the results of healthcare in terms of cost-effectiveness, cost-benefit and cost-utility. In nursing, evidence has been conceptualized as a means of approaching scientific and tacit knowledge, providing instruments that facilitate decision-making among both professionals and users. Among these instruments are Clinical Practice Guidelines but their use requires appropriate drawing up, evaluation and implementation for them to become a driving force for improving the effectiveness of care. This article describes their main characteristics, what they consist of, and how to determine their methodological quality so that nurses can incorporate them into their daily clinical practice.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara"><span class="elsevierStyleBold">Nota</span>: La variabilidad de las direcciones web de muchas instituciones y referencias en internet puede ocasionar que algunos enlaces no coincidan con el referenciado en el momento de la elaboración de este artículo</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:50 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| 2023 Agosto | 0 | 2 | 2 |
| 2023 Julio | 0 | 3 | 3 |
| 2023 Junio | 0 | 3 | 3 |
| 2023 Mayo | 0 | 1 | 1 |
| 2023 Abril | 0 | 3 | 3 |
| 2023 Marzo | 2 | 1 | 3 |
| 2022 Diciembre | 0 | 2 | 2 |
| 2022 Septiembre | 0 | 3 | 3 |
| 2022 Agosto | 0 | 7 | 7 |
| 2022 Junio | 0 | 2 | 2 |
| 2022 Abril | 0 | 2 | 2 |
| 2022 Marzo | 0 | 2 | 2 |
| 2022 Febrero | 0 | 2 | 2 |
| 2021 Octubre | 0 | 1 | 1 |
| 2021 Septiembre | 0 | 1 | 1 |
| 2021 Mayo | 0 | 2 | 2 |
| 2021 Marzo | 0 | 2 | 2 |
| 2021 Enero | 0 | 2 | 2 |
| 2020 Septiembre | 0 | 1 | 1 |
| 2020 Agosto | 0 | 1 | 1 |
| 2020 Julio | 0 | 1 | 1 |
| 2020 Abril | 0 | 2 | 2 |
| 2020 Marzo | 0 | 2 | 2 |
| 2020 Enero | 0 | 1 | 1 |
| 2019 Diciembre | 0 | 1 | 1 |
| 2019 Noviembre | 0 | 2 | 2 |
| 2019 Octubre | 0 | 5 | 5 |
| 2019 Agosto | 0 | 1 | 1 |
| 2019 Julio | 0 | 4 | 4 |
| 2019 Junio | 0 | 4 | 4 |
| 2019 Mayo | 0 | 14 | 14 |
| 2018 Mayo | 1 | 0 | 1 |
| 2018 Abril | 0 | 1 | 1 |
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