Envíos recientes

This work was carried out with the objective of analyzing the process of resolution of complaints about user service in an institution providing services in the municipality of Monteria during the period September 2021 to June 2022, for the approach that guarantees for the resolution of requests, in order to evaluate the solution of complaints, response time, number of complaints Complaints were analyzed in the period from September 2021 to June 2022 in which 160 complaints were filed, of which in 2021 32.5% were complaints and 85.7% were complaints in 2022 of 100% of the complaints presented in the institution, a satisfaction survey was conducted on the attention received at the time of filing the complaint, showing in the analysis approximately 55% satisfaction in the care received and approximately 45% total satisfaction. From this analysis it was established that for an improvement in health care and to prevent the user from feeling dissatisfied, it is to train the care and administrative staff, streamline the internal procedures that the institution has, avoid the constant rotation of personnel in the areas, analyzed the follow-up that the different complaints were being given and the number of complaints resolved and pending was known. Finally, taking into account the information analyzed, a SWOT matrix was formulated with the purpose of improving the quality of health service provision in the institution.

A partir de los lineamientos de Ministerio de Salud y Protección Social de Colombia y la Organización Mundial de la Salud, se establece la terminología para la temática de Seguridad del Paciente como el conjunto de elementos estructurales, procesos, instrumentos y metodologías basadas en evidencias científicamente probadas que propenden la reducción del riesgo de daños innecesarios relacionados con la atención sanitaria hasta un mínimo aceptable. Partiendo de este supuesto, se entiende que la Salud Pública debe ser la prioridad unánime tanto de las Instituciones Prestadoras de Servicios de Salud como también del gobierno, ya que es un indicador de calidad para las IPS, con base en lo anterior, es imprescindible llevar a la práctica la medición periódica de los indicadores de desempeño de la guía de buenas prácticas de la seguridad del paciente, a fin de analizar el cumplimiento e implementación de las políticas y su impacto en la calidad de la atención. Las reseñas y el surgimiento de las buenas prácticas en la seguridad del paciente muestran el contexto histórico. Debido a esto, la historia muestra eventos adversos que existieron en el siglo XVII A.C, que era el tiempo de los castigos punitivos, luego de esto, a pesar de las declaraciones de Hipócrates en las que relacionaba la posibilidad de que el personal de salud podía cometer errores, se encuentra con la era de la infalibilidad absoluta, donde el médico es incuestionable, por el hecho que los errores son el precio del aprendizaje. Es por esto que, Colombia impulsa una Política de Seguridad del Paciente, liderada por el Sistema Obligatorio de Garantía de Calidad de la Atención en Salud SOGC, cuyo objetivo es prevenir la ocurrencia de situaciones que afecten la seguridad del paciente

La presente investigación aborda el tema del comportamiento socioafectivo de niños y niñas menores a 5 años relacionando con su estado de nutrición. Objetivo: Establecer la relación que existe entre el comportamiento socioafectivo con el estado de nutrición en los niños y niñas menores de 5 años identificando los cambios que se presentan en el crecimiento y desarrollo del niño(a). Metodología: Es un estudio descriptivo con enfoque cuantitativo, de corte transversal que evidencia la influencia de la desnutrición en el comportamiento socioafectivo de niños(as) menores de 5 años de edad y se aplicó el instrumento ASQ SE-2. Resultados: De acuerdo a la interpretación del puntaje obtenido en el instrumento ASQ SE-2 se identifica que un 57% son niños y 43% son niñas, de estos el 54% de los niños tienen una leve alteración en su comportamiento socioafectivo y con un 41% de las niñas tienen una leve alteración en el comportamiento socioafectivo y por último con 3% de los niños y el 2% de las niñas su comportamiento socioafectivo tiene una alteración severa. Conclusión: Esta investigación presenta resultados que muestra la influencia de la desnutrición en el comportamiento socioafectivo del niño(a) y dependiendo el grado de esta será el nivel de afectación en el niño(a). Por tanto, se presentan cambios a nivel físico, cognitivo, social, comunicativo, emocional y personal y el profesional de enfermería desde la ruta de primera infancia e infancia promover la alimentación de acuerdo a la edad del niño(a) e intervenir oportunamente en los casos de desnutrición detectados.

Introducción: En América Latina y el Caribe la falta de información y el limitado acceso a una educación sexual integral y a los servicios de salud sexual y reproductiva adecuados tienen una relación directa con el embarazo adolescente. Objetivo: Evaluar los conocimientos y prácticas sobre métodos anticonceptivos en adolescentes escolarizados en el municipio de Valencia- Córdoba, en el segundo semestre del 2022. Materiales y métodos: Estudio con enfoque cuantitativo descriptivo transversal, realizado en adolescentes matriculados en los grados 10 y 11 de una institución educativa en el municipio de Valencia Córdoba. La información fue recolectada por medio de una encuesta de 23 preguntas cerradas, donde participaron un total de 143 adolescentes escogidos por medio de criterios de inclusión y exclusión. Resultados: 143 adolescentes con un rango de edad entre los 14- 18 años, mayor participación del sexo femenino con un 55%, predominio del estrato 1 con un 78%, y en cuanto al estado civil el 97% de los adolescentes son solteros. La mayoría de los adolescentes tiene conocimiento sobre los diferentes métodos anticonceptivos y reconocen su importancia, efectos y utilidad. La mayor fuente de información es en el hogar con un 54%. En cuanto a las prácticas desarrolladas por los adolescentes, el 47% inició su vida sexual, y de estos el 46% tiene una vida sexual activa. Del mismo modo, el método anticonceptivo más utilizado es el preservativo con un 37%, y finalmente de los adolescentes que mantienen una vida sexual activa el 77% manifestó utilizar un método anticonceptivo para prevenir el embarazo. Conclusiones: El nivel de conocimientos sobre la temática estudiada es moderado. Sin embargo, la mayoría de los adolescentes manifestaron tener limitaciones al momento de obtener información sobre métodos anticonceptivos. En cuanto a la vida sexual, gran parte de los adolescentes encuestados manifestó haber iniciado su vida sexual, y mantener un comportamiento activo. Sin embargo, solo una parte de estos utilizan un método anticonceptivo para prevenir el embarazo, evidenciándose un déficit de la relación entre el conocimiento y la práctica sobre el uso correcto de métodos anticonceptivos, influyendo así de manera negativa sobre su salud sexual y reproductiva.

El consumo de sustancias psicoactivas en jóvenes ha originado una serie de problemas en salud, esto se puede apreciar en las estadísticas a nivel mundial. El Ministerio de Salud Colombiano establece que el consumo, adicción y abuso de sustancias psicoactivas, lícitas o ilícitas es un asunto de salud pública. Por tal motivo, la atención de la población con consumo, abuso y adicción a las sustancias psicoactivas, se realiza a través de los servicios de salud habilitados en Instituciones Prestadoras de Salud, considerando una atención integral que implique prevención, atención y rehabilitación. Se evalúa el nivel de efectividad al modelo de atención, así como la adherencia del paciente al tratamiento, teniendo en cuenta que la población objetivo es menor a 18 años y que provienen de un entorno donde la multiplicidad de efectos asociados al consumo puede incidir en su comportamiento, lo que exige una integralidad en el tratamiento a través de un equipo interdisciplinario. A partir de un método descriptivo, teniendo en cuenta variables cualitativas, se plantea un modelo de medición para evaluar adherencia del tratamiento y el modelo de atención integral mhGAP en una IPS de la ciudad de Montería (Córdoba), el estudio arroja resultados, se generaron conclusiones y recomendaciones. El modelo de atención tiene alto porcentaje de adherencia, sin embargo, se recomienda para las enfermedades generadas a partir del consumo de sustancias psicoactivas, la prevención iniciando desde el núcleo familiar, es fundamental para que se disminuya el porcentaje de potenciales pacientes.

Introduction: Pregnancy in adolescence is considered a public health problem worldwide, because the age of pregnant women ranges between 15 and 19 years, generating great consequences for both the mother and the baby. The objective of the study focuses, in analyzing the scientific evidence on the strategies applied at a national and international level for the prevention of teenage pregnancy. Methodology: consists of a literature review, integrator type, based on study publications, scientific articles and research documents on strategies for the prevention of pregnancy in adolescents, applied nationally and internationally. For the collection of information for this study databases such as; PUBMED, SCIENCE DIRECT, SCIELO, EMBASE, BVS, LILACS, MEDLINE, PROQUEST and the Repository of the University of Córdoba. Results: Is obtained 76,246 publications. When applying the inclusion and exclusion criteria, 17 articles were selected. Of which; 13 (76.47%) they are in English and 4 (23.53%) they are in Spanish. The documents were published in; U.S, Peru, Colombia and Ghana. Conclusion: The most used strategies were digital and educational, implemented in institutions such as colleges and universities, which allow attracting a considerable number of participants. Reflecting a decline in teen pregnancies and, a significant increase in knowledge about family planning methods and prevention of sexually transmitted diseases.

Este estudio tiene como objetivo analizar la producción científica sobre las estrategias de educación para el cuidado domiciliario, impartidas a las madres o cuidadores del prematuro. Para esto se realizó se realizó una revisión narrativa con el propósito de identificar las estrategias educativas que utiliza el personal de enfermería para brindar educación. Se usaron las bases de datos Lilacs, Proquest, Science Direct, BVS y el metabuscador Google Académico. La muestra seleccionada estuvo conformada por 17 artículos, 7 estudios cuantitativos, 2 estudios de marco lógico, 4 estudios cuasi experimentales y 4 estudios cualitativos. Los estudios seleccionados se desarrollaron en su totalidad en Latinoamérica, especialmente en Colombia. De acuerdo a la literatura consultada, el Programa Madre Canguro constituye un papel importante en la educación y cuidado del prematuro debido a sus componentes. Entre los resultados se identificaron dos escenarios en los cuales se desarrolla la educación: clínico y domiciliario. Asimismo, se distinguieron las siguientes estrategias dentro de la literatura: implementación de programas educativos, cuestionario evaluativo, folletos educativos, visitas domiciliarias y entrevistas. Igualmente, se determinaron distintos factores que influyen en el proceso educativo, los cuales están enmarcados en tres grandes grupos: factores emocionales, factores institucionales y factores socioculturales. Se evidencia el aporte y el rol esencial que cumple el profesional de enfermería en la búsqueda del mantenimiento de la Salud del RN prematuro a través de metodologías de intervención en madres y cuidadores principales.

To elaborate a feasibility study for the creation of a Second Level of Care Hospital in the Municipality of La Apartada, offering its services to the inhabitants of the San Jorge Subregion and its areas of influence, in the Department of Córdoba, guaranteeing its sustainability over time. Methodology. This research methodology will focus on phases associated with the proposed objectives, which describe the current situation, a market study, a technical study and a socioeconomic evaluation of the project to be carried out as the creation of a second level hospital in the municipality of La Apartada. Results. With the creation of the second level hospital in the municipality of La Apartada, the population of the San Jorge sub-region will benefit from the decentralization of health services and the strengthening of the quality and timeliness of the service in the region. Likewise, it contributes to the regional impact of the health scheme by relieving the workload of the San Jerónimo Hospital in the city of Montería, which, to date, assumes the burden of second level services due to referrals from the San Jorge Subregion and its area of influence. Conclusions. This municipality has a high poverty rate, which means that some of the population is not affiliated to the subsidized or contributory system, and a very small percentage of the population is affiliated to the contributory system, which would be of great benefit to the community in general, This hospital center is necessary and vital to safeguard the integrity, health and quality of life of the inhabitants of the municipality, since there are no hospital entities for the benefit of medical appointments, emergencies or any type of level two complexity services.

Introduction: Being a “Kangaroo Mother” requires more time and dedication to the care of the newborn, it is assumed that this situation could alter the couple's affective relationships, disturbing the emotional stability and the time that was previously dedicated to the relationship. As a result, this could lead to the loss of the emotional strength of the couple, separations or, on the contrary, the strengthening of the relationship. Objective: explore the experiences of affection between the relationships of the parents of the Mother Kangaroo program having as reference the Love triangular theory of Robert Sternberg which has 3 fundamental pillars for the existence of a good relationship of couples (intimacy, passion and commitment). Materials and methods: Descriptive exploratory study, with a qualitative approach. Research subjects: The participating mothers were nine (9) belonging to the Mother Kangaroo Program in a health institution in the city of Monteria, selected through an intentional sampling. A semi-structured interview and an observation guide were used for data collection until the information was saturated. Results: Three categories emerged from this research, affection without barriers, infinite trust, and a union for life, in which the first one references passion, the second one refers to intimacy and the third one to commitment. Conclusions: in spite of the difficulties of having a premature baby, it is possible to strengthen the bonds of the couple and the relationship between them, being a fundamental pillar the components that Sternberg establishes in his triangular love theory, each one taking a greater importance and intensity in the idyll, managing to get ahead in the different situations that arise and in spite of the time that is invested in the responsibilities of the care of the baby, they take a little bit of it to dedicate it to their love relationship

Non-attendance to prenatal care generates serious consequences for both the mother and the newborn, because it is decisive not only in the management of complications that may occur during labor and delivery, but also in the prevention of maternal and neonatal mortality. Objective: To determine the factors associated with non-attendance at the prenatal care program for pregnant women in the municipality of Caucasia in 2019. Materials and methods: descriptive, cross-sectional study, carried out in two IPS in the municipality of Caucasia-Antioquia. The sample was made up of 266 pregnant women who voluntarily decided to participate in the study. Results: 60% belong to socioeconomic stratum 2, 20% are in a vulnerable condition, 44% worked during their gestation, and 48% are high school graduates, 71% are subsidized and 2% are not insured, 26 % live in rural areas and their economy depends 47% on their partner, the highest proportion lives with a partner or family of the partner, 70% were not planning and 70% of the pregnancies were unplanned, 50% accessed prenatal care during the first trimester, 56% complied with controls according to their gestational age, 39% attended about 6 to 7 controls, 29% attended 2 prenatal controls, the reason for absence without justification was 62, 78%, however 14% did not attend due to illness, the most frequent complication was anemia with 53%. Conclusion: Social and economic factors associated with the absence of the care program for maternal care by the pregnant woman were identified, in addition to the lack of motivation to comply with the programmed controls.

La importancia de las finanzas en la gestión empresarial es la optimización de los recursos para maximizar la rentabilidad. También se menciona la importancia de estar preparado para posibles impactos financieras y su impacto negativo en la empresa. La gerencia es una visión global que se enfoca en la estrategia, organización y cultura para lograr una mayor competitividad y éxito. Uno de los factores más significativos que influyen en el impacto financiero de una empresa es el servicio al cliente, que puede atraer o repeler a los clientes y, por tanto, influir en los beneficios. Se llevó a cabo una investigación descriptiva para identificar las características y disposición de la población estudiada. Se seleccionó cuidadosamente una muestra representativa para llevar a cabo la investigación y se tomaron en consideración varias dimensiones como la percepción de calidad del servicio. El objetivo general del estudio es identificar los factores que influyen en el impacto financiero de la consulta particular de Especialistas Marcela Holguín y proponer estrategias que contribuyan a la generación de utilidades para cumplir con el presupuesto de la institución.

The present study aims analyze the theoretical and empirical evidence related to the transmission of COVID-19 infection through breastfeeding, for which a narrative review was carried out with the purpose of obtaining information about the topic in development and for this the following databases were used: Academic Google, VHL, ProQuest, PubMed, SciELO and Colombian Ministry of Health. The selected sample consisted of 13 articles, 7 in Spanish (53.8%) and 6 in English (46.2%), of which 3 were carried out in Spain, equivalent to 23%, Brazil 15.3%, Colombia, USA, United Kingdom, Italy, Chile, Peru, Mexico and Ecuador with 1 article published, that is, 7.69%.According to the literature consulted, different studies were found that analyzed the presence of SARS-CoV-2 RNA in the breast milk of pregnant women with COVID-19, obtaining as results the non-presence of the virus in the human milk samples studied. They also state that breast milk contains antibodies that attack the virus, preventing it from being transmitted from mother to child, in such a way that these studies have allowed the nursing staff to continue promoting breastfeeding as the best and only food for their children. Likewise, mothers should be advised on biosafety guidelines to prevent contamination by COVID 19 from the clinical and community contexts. Keywords: SARS-COV-2, breastfeeding, ne

Objective Design the base model of organizational development for the creation of the orthopedic service in the ESE San Nicolás de Planeta Rica. Methodology. Descriptive, projective, mixed approach study, information was taken from primary and secondary sources, the informants were the beneficiary population represented by family units (470), health service providers (15), the contents of the normative filings and experiences of an entity specialized in traumas and fractures. Results. Legally based on numeral 3 of article 173 of Law 100 of 1993, article 56 of Law 715 of 2001, articles 2 of Decree-Law 4107 of 2011, articles 7, 8 and 14 of Decree 1011 of 2006 and its Chapters I and II, Article 118 of Decree-Law 019 of 2012 and Resolution 1441 of 2013; it is structured in five steps from filing to obtaining the active code; the offer corresponds to procedures of medium and low complexity, of which they are minor (41.2%) and non-surgical (41.2%). The mixed intramural modality with hospital outpatient services was defined, the "patient-centered" service structure with two subunits, this involves a hierarchical-vertical structure and horizontal coordination; it can generate social, health, growth and institutional prestige impacts. Conclusions. The designed model describes a functional unit of public law, of partial hospitalization, with institutional and extra-institutional services, the offer of services will correspond to low and medium complexity in orthopedics and traumatology, as well as minor, non-invasive procedures; patients with minor trauma being subjects of attention.

This documentary research made it possible to characterize the health services offered in hospital institutions in the field of quality during the period from 2015 to 2019. This review illustrated the existence of services identified as primary and secondary with their respective subclassifications. In the second instance, as a state of the art, in Colombia the presence of a series of works is observed, under the discursive modality of research articles that account for the concern that higher education institutions have, through the Faculties of Health Sciences for strengthening the quality of health services offered, a process that is coupled, in some cases, with the perception of users, that is, their opinion is key to the implementation of improvement plans that allow mitigating all those shortcomings that they perceive when they go to a hospital institution to request a health service. For this, the methodology of this study is located within the scope of the documentary review of primary and secondary sources and the respective analysis of their results to obtain conclusions and recommendations related to the subject in question. The results of the study show that, to a certain degree of acceptance with the quality of the services received, the perception that users have regarding the quality of the services they obtain in hospital institutions is related to efficiency and satisfaction in care. received in the different dependencies. Appreciation that managers and workers must take into account for the implementation of continuous improvement plans; because the information obtained from these investigations constitutes inputs that will benefit health institutions, direct providers and will decisively contribute to the satisfaction and effective solution of the needs and expectations of users.

In Colombia, the health system, according to reports from the World Bank, presented a 95% access to health index and a 72% quality of care by 2021. [1] While this increases the scope for continuous improvement, it is indicative of a strong and mature health system in terms of development and responsiveness that has been evidenced in pandemic emergencies. Currently, the Provision of Health Services obeys Law 1122 of 2007 and its regulatory decrees, whose main objective is to guarantee access and quality of services, optimize the use of resources, promote user-centered care approaches and achieve the financial sustainability of Public Health Service Providers. [2] The present work aims to determine the requirements for the hiring of outpatient services by brigades of specialists in Pediatrics, Internal Medicine, General Surgery, Orthopedics and Gynecology and Obstetrics, to facilitate access to health services for the population served in the State Social Enterprise (ESE) Hospital Nuestra Señora del Carmen de El Bagre Antioquia. Through the analysis carried out to the database of the institution, it is found that, for the specialty of Internal Medicine, on average per month, 233 consultations are requested, which makes it opportune to hire the specialty once a week or four a month. To the specialty of Gynecology, it is 182 applications, being viable the programming of three or four brigades per month. For the specialty of Orthopedics, the average is 93 requests, and for General Surgery, it is 55, making it possible to carry out one or two brigades for month of these two specialties. 13 An approach was made with the administration of the ESE Hospital Nuestra Señora del Carmen, in which the proposal was announced and it was agreed that, the ideal type of contract with each professional would be for the provision of services, the value to be agreed, taking into account the tariff manual of the Compulsory Traffic Accident Insurance (SOAT) current, in which the outpatient consultation of specialized medicine is established under the code CUP 39143, with a unit value of $ 57,666 COP (11.88 USD), so it is agreed to pay $ 50,000 COP (10.30 USD) for consultation to each professional, generating a profitability of $ 7,666 COP (1.58 USD) by consultation for the institution.

The purpose of this study is to recognize, through a review of the literature, decision making as a significant strategy for managing conflicts in health promoting institutions. Information management accounts for a series of factors that explain why decision-making can contribute to mitigating conflicts and managing them in any organization, in this case in health promoting institutions. As theoretical support, the contributions of Lazzati, Amaya, Sanabria, among others, whose arguments about the factors and elements or functional ingredients in decisionmaking as an input for conflict management, were reviewed. Methodologically, the study is located in the documentary review of primary and secondary sources and the respective analysis of their discourse to obtain conclusions and recommendations associated with the subject. In this way, the results of the study allow the design of an information collection strategy, in the form of a survey that, when applied, would allow establishing the relationship between decision-making and conflict management within a health promoting institution.