Clinical aptitude of nurses about management patients with intermittent peritoneal dialysis (IPD)
Keywords:
Clinical aptitude, Intermittent peritoneal dialysis, Nursing education, EvaluationAbstract
Introduction: In the educational field, evaluation has been a constant concern for those who intervene in the teaching- learning process, and implies a qualitative estimation along with involved factors that go farther than technical rationality and accumulation of information. This means that evaluation should consider the learning process since the educational intentionality and representation of reality and should be based on reflective, educational strategies.
Objective: To design and validate a measuring instrument to evaluate the clinical aptitude of nurses when managing patients with IPD.
Methodology: A transversal, descriptive study was done in hospitalization areas of Lerdo de Tejada, Cardel, and Poza Rica, Veracruz. 30 professional nurses integrated the sample; a mea- suring instrument was validated on the base of four real clinical cases, constituted by 200 items.
Results: The instrument obtained a confiability coefficient of 0.82 when applying Kuder-Richardson’s formula, and 27 when applying Perez-Padilla-Viniegra’s formula to estimate explainable results by randomized effect. The clinical aptitude was low with 43% and very low with 40% obtaining the lowest score for the indicator of diagnostic integration.
Conclusions: A valid and reliable instrument was obtained, finding that the levels of nurses’ clinical aptitude within the three groups were low and very low.
References
Jiménez-Sánchez J, Bolaños-Sánchez J, Rubio-Domínguez S. Propuesta educativa para enfermería (Nivel 5). Rev Enferm Inst Mex Seguro Soc. 2000;8(2):69-72.
Espino-Villafuente M. Tendencias de la educación de enfermería en México. Desarrollo Científ Enferme. 1999;7(8):231-235.
García JA, González C, Viniegra-Velásquez L, Jiménez VM. Evaluación de la aptitud clínica a través de la metodología del proceso de enfermería. Rev Enferm Inst Mex Seguro Soc. 2001; 9(3):127-131.
Jiménez-Vázquez MM, González-Cobos R. Competencia clínica de enfermeras en la atención quirúrgica. Rev Enferm Inst Mex Seguro Soc. 2000;8(2):75-80 8.
Pantoja-Palmeros M, Barrera-Monita J, Sánchez I. Instrumento para evaluar aptitud clínica en anestesiología. Rev Med Inst Mex Seguro Soc. 2003;41(1):15-22.
García-Núñez MG, Matus-Miranda R. Aptitud clínica en estudiantes de enfermería ante situaciones clínicas complejas.Rev Enferm Inst Mex Seguro Soc. 2002;10(3):131-136.
Sabido-Siglher MC, Viniegra-Velázquez L. Aptitud y desempeño en la evaluación del médico. En: Viniegra-Velázquez L. (ed.) La investigación en la educación en México: papel de la teoría y de la observación. México: IMSS, 2000. p. 264.
Rivera-Ruiz MS, Viniegra-Velázquez L, Matus-Miranda R. Aptitud clínica en estudiantes de enfermería en el proceso de atención materno-infantil. Rev Enferm Inst Mex Seguro Soc. 2004;12(3):137-143.
Méndez-Domínguez I, Olvera-Santamaría R, Viniegra-Velázquez L, Espinoza-Alarcón P. Dos estrategias educativas en el manejo de pacientes con diálisis peritoneal intermitente. Rev Enferm Inst Mex Seguro Soc. 1999;7(1):7-14.