Recommendations to improve attention in nursing
Keywords:
Recommendations, Nursing, Communication, Holistic, Medical responsibility, Malpractice, Demands, Claims, ComplaintsAbstract
Nurse personnel performs a fundamental activity in t health services, with strong attach at scientific and ethical principles, whose interventions can fortify the services of health quality, through interdisciplinary actions.
We analyzed the complaints related to nursing attention that were received in CONAMED since June 1996 to December 2001. We devised recommendations directed to prevent patienthealth care professional's conflicts, improve the practice of nursing and favor adequate communication with the patient, family and interprofessional health care team. Those recommendations were presented to the more prestigious and recognized educational and professional groups of nursing, for their external validation.
In this manner, CONAMED and the external group of validation, propose to nurses to attend the following recommendations: 1) Maintain an effective communication with the patients that provides attention; 2) Recognize the holistic concept in the person; 3) Provide cares that guarantee free-risk attention and prevent unnecessary damages; 4) Establish an effective coordination with the health care interprofessional team and 5) Act based on ethical principles that govern the professional practice of nursing.
References
Comisión Nacional de Arbitraje Médico. Cuaderno de Divulgación, núm 1. Preguntas y respuestas sobre la CONAMED. México, 1998, pág 5-31.
Comisión Nacional de Arbitraje Médico. Por la calidad de los servicios médicos y la mejoría de la relación médico-paciente. Memorias del IV Simposium Internacional, México, DF, 2000.
Secretaría de Educación Pública. Subsecretaria de Educación Superior e Investigación Científica. Dirección General de Profesiones. Fascículo 9. Enfermería. México, 2001.
Secretaría de Salud. Comisión Interinstitucional de Enfermería. Evaluación de la calidad de los servicios de enfermería,2002.
Casa Madrid Mata, O. La atención médica y el derecho sanitario. JGH editores. México, 1999, pág 1-28.
Secretaría de Salud. Comisión Interinstitucional de Enfermería. Código de ética para enfermeras y enfermeros de México, 2002.
Fongwa M. Advancing healtcare practices: Linking quality with culture. J Nurs Adm. 2000;30(6):291,294.
Fernández-Collado, C. La comunicación humana en el mundo contemporáneo. 2a. Edición. Mc. Graw Hill. México 2001; pág 45,56-57.
Bruce J, Wong I. Parenteral drug administration errors by nursing staff on an acute medical admissions ward during day duty. Drug Saf. 2001; 24(11): 855-62.
Wakefield BJ, Wakefield DS, et. al. Nurses perceptions of why medication administration errors ocurrs. Medsurg Nurs. 1998;7(1):39-44.
López E, Vargas R. La comunicación interpersonal en la relación enfermera paciente. Rev Enferm Inst Mex Seguro Soc. 2002; 10(2):93-102.