Unidad de Enfermería, Hospital Quironsalud Valencia, Valencia, Spain.
Servicio de Aplicaciones Clínicas, Conselleria de Sanitat Universal i Salut Pública-Generalitat Valenciana, Valencia, Spain.
Enferm Clin (Engl Ed). 2022 Jul-Aug;32(4):257-269. doi: 10.1016/j.enfcle.2022.04.001. Epub 2022 Apr 18.
To analyse the nursing records and the results of their activity published by the Spanish regional health ministries.
Descriptive observational study by two observers with web search engines locating the activity reports of the regional health organizations. The existence of activity information related to "nursing/nurse/midwife" was evaluated for each institutional web page. The indicators of care results, quality and clinical safety and their presentation were analysed.
Preparation of a table including 19 public health services entries with specific indicators/records of nursing activity for each one, based on 56 institutional websites. The most frequently resulting profile of indicators is activity shown disaggregated by health areas, from 2019, in "PDF" format, without gender or age vision, focused on the number of consultations, frequentation and healthcare pressure in primary care.
The supply of health indicators presents a great state variability. Regional qualitative and quantitative contributions can be valued, focused more on structure, on measuring activity for management and at the level of primary care but with little focus on measuring good practices. It is confirmed that the published information does not reflect the reality of nursing activity. Being striking the deficiency of hospital activity indicators.
分析西班牙各地区卫生部发布的护理记录和活动结果。
两名观察员通过网络搜索引擎对地区卫生组织的活动报告进行描述性观察研究。评估每个机构网页上与“护理/护士/助产士”相关的活动信息是否存在。分析护理结果、质量和临床安全的指标及其呈现方式。
根据 56 个机构网站，准备了一个包含 19 个公共卫生服务条目的表格，其中每个条目都有特定的护理活动指标/记录。最常出现的指标类型是按卫生领域细分的活动，自 2019 年以来以“PDF”格式呈现，没有性别或年龄视角，侧重于初级保健中的咨询次数、就诊频率和医疗保健压力。
卫生指标的提供存在很大的国家差异。可以评估区域的定性和定量贡献，更多地关注结构，衡量管理活动以及初级保健水平，但很少关注衡量良好实践。事实证明，所公布的信息并未反映护理活动的实际情况。引人注目的是，医院活动指标的缺乏。
