Publication: La Gobernanza Enfermera y su impacto en la calidad en la organización sociosanitaria en Catalunya
Authors
Rodó, Montse
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Publisher
Murcia: Servicio de Publicaciones de la Universidad de Murcia
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Introducción: La Gobernanza enfermera consiste en la toma de decisiones de la líder de enfermería
en la organización sanitaria y responde a las necesidades de los grupos de interés. Se estudiaron las
líderes enfermeras del ámbito sociosanitario o de atención intermedia de Catalunya (España).
Objetivo: Analizar las variables de Gobernanza en el ámbito sociosanitario y su relación con la calidad
percibida por el paciente
Metodología: Se recogieron datos de Gobernanza mediante el Cuestionario de Gobernanza Enfermera
(CGE) y Satisfacción de pacientes medidos con Plaensa© (Encuestas de satisfacción del paciente del
CatSalut) 2013. Se obtuvieron los consentimientos y aprobación por el Comité de bioética. Se usaron
los programas SPSS de IBM y Atlas- Ti para el análisis de los datos.
Resultados: Respondieron 34 enfermeras (43,6%) al CGE y al Plaensa© 9 de ellas, edad, formación,
sexo, años de experiencia y no de camas, de septiembre 2014 a abril 2015. Los datos se analizaron
con una significación del 5% y pruebas estadísticas no paramétricas. Se hallaron correlaciones con la
Satisfacción del paciente (Spearman) y: “La calidad influye en las decisiones” (p=0,006), “Investigar y
actualizar conocimientos” (p=0,043), y “Desarrollar comunicación estratégica” (p=0,043). Estos
resultados se asemejaron a los obtenidos en estudios como el Magnet Model®.
Conclusiones: Es conveniente profundizar en la Gobernanza, la Calidad, el Conocimiento y la
Comunicación mediante la investigación cualitativa. Para las enfermeras están interrelacionadas entre
sí la experiencia en Tomar decisiones, Poder, Representatividad y Cuidados, a pesar de la
participación.
ABSTRACT: Introduction: Nursing governance consists of decisions made by nursing leaders in health organizations that respond to the needs of interest groups. Nursing leaders in the realm of social-health or intermediate care in Catalonia (Spain) were studied.Objective: Analyze the governance variables in the social-health realm and their relationship with the quality perceived by patients. Methodology: Governance data was collected through a nursing governance questionnaire and patient satisfaction measured through Plaensa© (CatSalut 2013 patient satisfaction surveys). The consent of participants and approval by a bioethics committee were obtained. The statistical programs SPSS (from IBM) and Atlas.ti were used for data analysis. Results: Thirty-four (43.6%) nurses responded to the nursing governance questionnaire and nine to the Plaensa©. Information was collected about age, education, gender, years of experience and number of beds. The data collection took place between September 2014 and April 2015. The data was analyzed with a significance level of 5% and through nonparametric statistical tests. Correlations were found between patient satisfaction (Spearman) and: “Quality influences decisions” (p=0.006), “Research and update knowledge” (p=0.043), and “Develop strategic communication” (p=0.043). These results were similar to those obtained in studies such as Magnet Model®. Conclusions: It would be worth delving deeper into the topics of governance, quality, knowledge, and communication through qualitative research. In the view of nurses, decision-making experience, power, representativeness, and care are inter-related, despite participation.
ABSTRACT: Introduction: Nursing governance consists of decisions made by nursing leaders in health organizations that respond to the needs of interest groups. Nursing leaders in the realm of social-health or intermediate care in Catalonia (Spain) were studied.Objective: Analyze the governance variables in the social-health realm and their relationship with the quality perceived by patients. Methodology: Governance data was collected through a nursing governance questionnaire and patient satisfaction measured through Plaensa© (CatSalut 2013 patient satisfaction surveys). The consent of participants and approval by a bioethics committee were obtained. The statistical programs SPSS (from IBM) and Atlas.ti were used for data analysis. Results: Thirty-four (43.6%) nurses responded to the nursing governance questionnaire and nine to the Plaensa©. Information was collected about age, education, gender, years of experience and number of beds. The data collection took place between September 2014 and April 2015. The data was analyzed with a significance level of 5% and through nonparametric statistical tests. Correlations were found between patient satisfaction (Spearman) and: “Quality influences decisions” (p=0.006), “Research and update knowledge” (p=0.043), and “Develop strategic communication” (p=0.043). These results were similar to those obtained in studies such as Magnet Model®. Conclusions: It would be worth delving deeper into the topics of governance, quality, knowledge, and communication through qualitative research. In the view of nurses, decision-making experience, power, representativeness, and care are inter-related, despite participation.
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Citation
Enfermería global, Vol. 16, N.º 4 (2017)
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