Nursing care plan for the clinical management of children with pneumonia in Otavalo
DOI:
https://doi.org/10.56294/saludcyt2024.1254Keywords:
Nursing Care Plan, pneumonia, children, quality of care, continuous trainingAbstract
Pneumonia is one of the leading causes of morbidity and mortality in children under five years of age, especially in contexts with limitations in the quality and consistency of nursing care. The objective of this study was to develop a specific Nursing Care Plan for children under five years of age with pneumonia, aimed at optimizing the quality of care and the effectiveness of interventions performed by nursing staff at the San Luis De Otavalo Hospital, Ecuador. A mixed-methods approach was adopted, with a community-based design and an observational, prospective, cross-sectional, and descriptive focus, including as a population the nursing staff attending children with pneumonia in the hospital. Data were collected through structured surveys and document analysis, with a representative sample of 50 professionals selected via stratified probabilistic sampling. Results showed that 70% of the staff have undergraduate-level training, and 49% have less than five years of work experience, which limits the systematic implementation of the Nursing Care Plan. Additionally, 38% rarely use the plan in practice, and 28% have not received continuous training on the subject. The designed Plan addresses these gaps by incorporating strategies to enhance training, standardize practices, and empower caregivers in managing the disease. This study concludes that the designed Plan represents a key tool for strengthening the quality of pediatric care in the hospital setting
References
1. Andrés-Martín A, Escribano Montaner A, Figuerola Mulet J, García García ML, Korta Murua J, Moreno-Pérez D, Rodrigo-Gonzalo de Liria C, Moreno Galdó A. Consensus Document on Community-Acquired Pneumonia in Children. SENP-SEPAR-SEIP. Arch Bronconeumol (Engl Ed). 2020 Nov;56(11):725-741. English, Spanish. doi: 10.1016/j.arbres.2020.03.025.
2. Aguilera-Alonso D, López Ruiz R, Centeno Rubiano J, Morell García M, Valero García I, Ocete Mochón MD, Montesinos Sanchis E. Características clínicas y epidemiológicas de las neumonías adquiridas en la comunidad por Mycoplasma pneumoniae en una población española, 2010-2015 [Epidemiological and clinical analysis of community-acquired Mycoplasma pneumonia in children from a Spanish population, 2010-2015]. An Pediatr (Engl Ed). 2019 Jul;91(1):21-29. Spanish. doi: 10.1016/j.anpedi.2018.07.016.
3. Badanta-Romero B, Moreno-Moreno B, Soto-Díaz V, Barrientos-Trigo S. Nursing care to address community health of the indigenous population in the Peruvian Amazon. Enferm Clin (Engl Ed). 2021 Jan-Feb;31(1):57-63. English, Spanish. doi: 10.1016/j.enfcli.2019.10.025.
4. Supo J, Zacarías H. Metodología de la investigación científica: Para las Ciencias de la Salud y las Ciencias Sociales. 3ra ed. Arequipa, Perú: BIOESTADISTICO EEDU EIRL; 2020.
5. Moreno-Noguez M, Rivas-Ruiz R, Roy-García IA, Pacheco-Rosas DO, Moreno-Espinosa S, Flores-Pulido AA. Risk factors associated with SARS-CoV-2 pneumonia in the pediatric population. Bol Med Hosp Infant Mex. 2021;78(4):251-258. English. doi: 10.24875/BMHIM.20000263.
6. Cobo-Álvarez D, Escobar-Suárez C, Rodríguez-Reyes E. Evaluación de concordancia entre médicos, internos y estudiantes sobre gravedad COVID-19 mediante Kappa de Fleiss. Revista Cubana de Investigaciones Biomédicas [Internet]. 2024 [citado 10 Abr 2024]; 43 Disponible en: https://revibiomedica.sld.cu/index.php/ibi/article/view/3247
7. Balseca Valle M, Noroña Salcedo D. Factores de riesgo e impacto psicológico en adolescentes de alta vulnerabilidad durante el confinamiento por COVID-19. Salud, Ciencia y Tecnología [Internet]. 4 de diciembre de 2022 [citado 24 de abril de 2024];2:135. Disponible en: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/135
8. López-Barrionuevo C, Miranda-Solis E, Betancourt-Rubio E. Análisis de regresión multinomial de gravedad COVID-19 en pacientes de Ecuador. Revista Cubana de Investigaciones Biomédicas [Internet]. 2024 [citado 10 Abr 2024]; 43 Disponible en: https://revibiomedica.sld.cu/index.php/ibi/article/view/3265
9. Ensinck G, Lazarte G, Ernst A, Romagnoli A, López Papucci S, Aletti A, Chiossone A, Pigozzi F, Sguassero Y. Community-acquired methicillin-resistant Staphylococcus aureus pneumonia in a children's hospital. Our ten-year experience. Arch Argent Pediatr. 2021 Feb;119(1):11-17. English, Spanish. doi: 10.5546/aap.2021.eng.11.
10. Song Y, Yang J, Sun H, Mu X. Serum levels of sirtuin 6 are associated with severe community acquired pneumonia in children: An observational study. Cir Cir. 2022;90(5):632-637. English. doi: 10.24875/CIRU.21000788.
11. Fernández-Salazar S, Ramos-Morcillo AJ, Leal-Costa C, García-González J, Hernández-Méndez S, Ruzafa-Martínez M. Competencia en Práctica Basada en la Evidencia y factores asociados en las enfermeras de Atención Primaria en España [Evidence-Based Practice competency and associated factors among Primary Care nurses in Spain]. Aten Primaria. 2021 Aug-Sep;53(7):102050. Spanish. doi: 10.1016/j.aprim.2021.102050.
12. Gutiérrez-Rodríguez L, García Mayor S, Cuesta Lozano D, Burgos-Fuentes E, Rodríguez-Gómez S, Sastre-Fullana P, de Pedro-Gómez JE, Higuero-Macías JC, Pérez-Ardanaz B, Morales-Asencio JM. Competences of specialist nurses and advanced practice nurses. Enferm Clin (Engl Ed). 2019 Nov-Dec;29(6):328-335. English, Spanish. doi: 10.1016/j.enfcli.2019.10.001.
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Copyright (c) 2024 Zuly Rivel Nazate Chuga, Olga Mireya Alonzo Pico, Alexandra Patricia Abata Erazo (Author)
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