Envíos recientes

La tendencia global de las instituciones es buscar estrategias que les permitan ser más competitivas en un mundo actual dinámico y competitivo; es aquí, donde la auditoría se reconoce como una herramienta útil en la evaluación, control, análisis de riegos y la optimización de procesos procurando la mejora continua con resultados exitosos en las organizaciones.

El ministerio de la Protección Social, con el propósito de lograr estándares superiores de calidad que complemente los requisitos básicos para la prestación de servicios de salud implícitos en el Sistema Único de Habilitación, propone el Programa de Auditoria para el Mejoramiento de la Calidad (PAMEC) como herramienta indispensable para evaluar el desempeño de los procesos de las instituciones y encontrar oportunidades de mejora que faciliten trascender de los estándares mínimos de habilitación hacia los estándares superiores de Acreditación, que garanticen la seguridad en la prestación del servicio, satisfacción del usuario y su familia y el mejoramiento continuo de cada una de las instituciones.

La auditoría es una etapa muy esencial para obtener los resultados en conformidad con los objetivos establecidos y el cumplimiento de los presupuestos aprobados, así mismo debe conformar un sistema de control de las operaciones que refuercen los objetivos organizacionales establecidos por la alta dirección de la organización, a través de las normas, estándares y medidas de procedimientos. La organización del sistema de auditoria debe ser la más apropiada para la organización, podemos decir que a diferencia de la administración de la organización debido a que estos se dedican exclusivamente a las actividades internas de la entidad y se enfoca en sus actividades como también en sus niveles. Las actividades de la dirección están orientadas hacia la planeación y formulación de cursos de acción consistentes con los objetivos de la misma, así como la evaluación del control y la toma de decisiones

La auditoría es una herramienta que permite el control y evaluación de procesos determinando la eficacia y eficiencia de estos, además, que determina estrategias de mejoramiento continuo. Ahora bien, con el desarrollo de la economía, esta auditoría fue evolucionando en otros procesos o actividades, con el único fin de conservar el control (Castilo, 2013). Actualmente, su metodología y procedimientos se han adaptado, a medida que han crecido y se han complejizado las áreas o actividades auditadas. Por tanto, es muy importante tener en cuenta que los resultados esperados se obtienen en dependencia de los métodos utilizados para su ejecución que, a su vez, debe estructurarse según la normativa vigente, con el fin de emitir, con objetividad, un dictamen veraz que posibilite la minimización de las brechas existentes entre el riesgo y el control. Así, aumentará la probabilidad de cumplir los objetivos y el éxito empresarial (Balle, 2017).

La búsqueda, selección y orientación de personas es un desafío para el departamento de recursos humanos de cualquier organización. Estas actividades, se relacionan con el proceso de integración de recursos humanos y comprende todas las actividades relacionadas con la investigación de mercado, el reclutamiento y la selección de personal, así como su integración a las tareas organizacionales (Chiavenato 2007).

En la Gestión del Talento Humano, el Desarrollo de personal busca ofrecer la oportunidad de mejorar el desempeño o el crecimiento humano de los colaboradores en una organización (Chiavenato,2011). Es así, que este macroproceso de capacitación y entrenamiento al pretender potencializar todos los aspectos de las personas en hoy en las empresas es ampliamente reconocido al ser fundamental para el logro de los objetivos y metas organizacionales, mediante el adecuado desarrollo de talentos, aptitudes, y compromiso de los trabajadores (Castañofalla,2020). Es así, que teniendo en cuenta lo anterior y que las Tecnologías de la Información y Comunicación TIC han introducido cambios en el proceso de enseñanza; se diseña el presente el Objeto Virtuale de Aprendizaje (OVA), como mediador pedagógico para un propósito de aprendizaje y que sirva a actores en diversas modalidades educativas (TIC, 2017).

Mental health is a fundamental part of the well-being of the human being, hence the importance of identifying and intervening in a timely manner the conditions of this, due to the indescribable suffering that it generates in patients, caregivers and relatives. People with mental illness need a family caregiver by their side, who, being totally dedicated to this work, presents different changes in their life, which in the long run ends up affecting their physical and mental health, generating in them a certain degree of overload. The objective of this work is to describe the scientific evidence related to the burden of family caregivers of people with mental illness; What studies and evidence are there in this regard, in order to create strategies from the nursing field that contribute to reducing this overload? In this review, 33 articles selected from the research inclusion criteria were explored. The results revealed that the family caregiver is affected in different aspects of his life such as: emotional, spiritual, physical and economic. Caregivers experience feelings of uncertainty, loneliness, depression, anxiety, stress, fear and fear, they are also physically affected; presenting tiredness, fatigue, lumbar injuries, joint muscle pain, its economy is also altered, since dedication to the patient prevents him from continuing with his work and the patient's expenses increase as time passes and the pathology worsens, finally affecting the quality of life, of the caregiver, who puts aside his life project, his dreams, to be at the service of his family member. This situation is aggravated because the burden of care is usually left on a single person, so it is necessary and essential to educate the caregiver and family about the disease, about the importance of sharing responsibility for care, crisis management and constant monitoring. Of the IPS to avoid overloads.

Determinar factores de riesgo asociados a la transmisión de la malaria en el municipio de Puerto Libertador, Córdoba en el año 2016. Metodología. Se realizó un estudio observacional analítico transversal, retrospectivo, con enfoque cuantitativo de casos de malaria de zonas rurales del municipio. La información se organizó en Excel, se describieron variables sociodemográficas, aspectos clínicos de los pacientes, de vivienda y ambientales y se realizó un análisis de riesgo para establecer asociación entre las variables y la malaria, además se clasificaron especies de anofelinos y se utilizaron los softwares SatScan y QGis para identificar puntos calientes de malaria en la zona de estudio. Resultados. Se incluyeron 170 casos de malaria, se identificó que el 55% de los individuos eran desplazados, 92% carecen de servicio de recolección de basuras, 86,5% sin acueducto, más del 90% no utilizan angeos, repelentes, insecticidas o fumigaciones, se encontró asociación estadística significativa (OR>1) con las aguas estancadas, la falta de acueducto y agua continua como factores de riesgo de malaria; además se clasificaron cinco especies de mosquitos que estarían involucradas en la transmisión y se identificó un punto caliente compuesto por seis veredas del municipio. Conclusión. La malaria en el municipio de Puerto Libertador está asociada principalmente a problemáticas sociales, que se constituyen en factores de riesgo que favorecen la incidencia de esta enfermedad. En la zona de estudio la identificación de los mosquitos Anopheles y del punto caliente, permitirán orientar las medidas de control del vector y dirigir las intervenciones a las localidades focalizadas con mayor riesgo de malaria.

Insufficient patient safety in care is a current publichealth problem because it is present in all social groups on the planet, from less developed to more developed countries. It is precisely in this context that administrative and logistical work become particularly important, so they should be part of strategies to address, understand and control the different links in the chain of adversely effectsgenerating situations. Therefore, the understanding of patient safety policies aimed at the actors of the health process in Latin American institutions becomes a challenge of fundamental need. Therefore, this work aimed to analyze research products related to patient safety policy as a quality standard in health care, in intensive care units in Latin America,2017- 2020. This was done through an investigative descriptive monograph, which analyzed 76 official documents, articles, Spanish or Portuguese language reports on patient safety in Latin America. Finding themselves, a considerable number of legal, operational and regulatory documents show that patient safety programs in the region have a number of essential actions that strengthen Good Patient Safety Practices, such as: ensuring patient identification in all care processes, Developing and Managing communication between caregivers and caregivers, Improving safety in the use of medicines, among others. Incorporating methodologies of specific measurable elements in each of these practices.

Dengue is considered an important public health problem due to the increase in cases in different places in the world and the conditions of vulnerability of several communities, among which indigenous communities such as the Embera Katío which coexist with risk factors that increase the chances of developing the disease. Objective: To explore ancestral knowledge and practices in the prevention and control of dengue in an Embera Katío indigenous community in the Department of Cordoba. Materials and methods: Descriptive study with a qualitative approach, the results were obtained using the semi-structured interview technique, which was applied through a question guide to 20 people representing indigenous families belonging to an indigenous community of the Embera Katío in Tierralta, Cordoba. Results: Most of the participants expressed basic but important knowledge regarding dengue disease, and these, with ancestral practices, promote prevention and facilitate initial care. Conclusions: It was determined that knowledge related to dengue disease is limited, but regarding the form of treatment and prevention, ancestral practices are broad, for this reason, government entities must work to strengthen and increase their knowledge.

Lifestyle (LE) is defined as the way that human beings have to develop; Within this development, the youth stage is considered as the highest risk stage, young people vary their level of physical activity and eating habits, as well as their stress levels upon getting into university. Objective: To evaluate the profile of the health-promoting lifestyle in the students, of the Nursing Program of an IES in Montería - Córdoba, in the light of Nola Pender's MPS. Methodology: Crosssectional descriptive quantitative study; From the total population (n = 278) a sample of 157 students was taken, the Nola Pender Lifestyle Profile Questionnaire (PEPSI) was applied on its Spanish version. The data were analyzed according the descriptive statistic. On the entire study the compliance of the ethical criteria for research in humans was given. Results: 55% of the population have a healthy lifestyle and 45% an unhealthy lifestyle; According to the Nutrition dimension: 57% of the population has a healthy lifestyle and 43% an unhealthy lifestyle; According to the Physical Activity dimension: 76% of the population have a healthy lifestyle and 24% an unhealthy lifestyle; According to the dimension Responsibility with health: 17% of the population have a healthy lifestyle and 83% an unhealthy lifestyle; According to the Stress management dimension: 20% of the population have a healthy lifestyle and 80% an unhealthy lifestyle; According to the Interpersonal Support dimension: 57% of the population have a healthy lifestyle and 43% an unhealthy lifestyle. Regarding the Self-action or personal fulfillment dimension: 96% of the population has a healthy lifestyle and 4% an unhealthy lifestyle. Conclusion: More than half of the students of the Nursing Program present a healthy lifestyle; It is evidenced that there is a higher percentage of students who in the dimensions of: Nutrition, Physical Activity, Interpersonal Support and Self-Action present a healthy lifestyle.

El objetivo central de esta monografía es analizar el cuidado brindado a maternas de bajo riesgo obstétrico desde el primer nivel de atención en salud en tiempos de pandemia por COVID-19 se debe tener en cuenta que el riesgo puede aumentar en una persona embarazada de enfermarse gravemente, es por eso importante entonces el control prenatal se realice de forma adecuada y definir muy bien el riesgo obstétrico que la paciente revele. Con base a los múltiples esfuerzos que ha hecho el Ministerio de Salud, se ha evidenciado contagios en gestantes de bajos riesgo, donde muchas superan el COVID-19, pero otras no, donde existen diferentes causas de tipo social, familiar o incluso del equipo de atención de primer nivel y su implementación de protocolos para la atención en tiempos de pandemia.

The companies dedicated to the production, packaging and distribution of food must have strict quality control mechanisms that ensure the harmlessnessof the products they manufacture, that is why the Colanta Cooperative, from the quality control area, makes adjustments to guarantee the safety of the same. In the Microbiology laboratory, it is where the analyzes are carried out that allow verifying the quality compliance established for each of the manufactured products. However, these methods require verification to demonstrate that it meets the requirements to be used under laboratory conditions and in turn comply with the provisions of Resolution 1619 of 2015. This is the case of the verification of PetrifilmTM RYM in the Jenaro Pérez-Medellín plant that was carried out under strict protocols, which provided reliable results, which allows use for the analysis of the products in question, this can be verified with the variables to be determined (intermediate precision, bias and recovery percentage) The values of which expressed in the results meet these conditions to be put into routine for the matrices analyzed (milk cream and Tampico). With all the results obtained, it can be determined that the alternative method has all the conditions to be used, providing results in the expected times, providing ease in reading, generating ease of use and better management of the spaces used for incubation thereof.

The development of this study was carried out with the purpose of identifying which are the educational activities that are developed as part of the care of patients with cerebrovascular accident. Objective. Describe the approach to educational activities that are developed as part of the care of patients who have suffered a cerebrovascular attack, in research articles published in the period 2014 - 2019. Methodology. Integrative review of the literature, with a descriptive approach. The search began using the keywords and descriptors, combining them with the Boolean operator AND, 11 articles indexed in five databases subscribed to the University of Córdoba were selected: Pubmed, Lilacs, Academic Google, Scopus and Embase, published in Spanish. English and Spanish, this research was carried out according to the methodological recommendations made by Whittemore and Knafl. Results. The databases with the highest results were Lilacs with 36.36% and Pubmed with 27.27%. Regarding language, English has a percentage of 81.82% and Spanish 18.18%. In the research, three categories were identified in which the informal caregiver 72.73%, the patients with stroke 18.18% and the formal caregiver with 9.09% are considered as subjects of care, these subjects were intervened in the hospital and home environment. 63.64% of the studies presented a quantitative methodology, with the randomized controlled trials standing out. Conclusion. By using adequate education strategies for patients and caregivers in the hospital setting, it allows appropriate care to be continued after discharge, which will favor the improvement of the patient and the safety of the family member, in addition to preventing complications.

Introduction. Self-care is a regulatory function of people that must be carried out deliberately by oneself, to maintain their life, development and well-being. Objective. to determine the health self-care of nursing students from a Colombian state university in the year 2020. Methodology. Descriptive, cross-sectional research. The population was 249 students enrolled in the second academic period of 2020, The sample was represented by 150 students from the Nursing program. using the probability, stratified random sampling technique. A survey was used for the collection of the information, the Excel program for the processing and analysis of the information. Results. The female population predominates, between 18 and 28 years old, single from urban areas. The actions they carry out for self-care are that, in nutrition and hydration, a higher percentage of nursing students habitually consume the three meals and the necessary nutrients, which allows a greater strengthening in terms of their educational process, it is highlighted that students hydrate as necessary, not all students engage in physical activity. Most of the students are aware of self-care practices in terms of rest, and in relation to cigarette and alcohol consumption, this is positive. The research allows us to conclude that the students carry out some practices on health self-care, but assume an indifferent attitude to these approaches. Strategies for promoting selfcare are recommended.

Adverse events will always be present when entering a health entity, for this reason, the importance of identifying preventive actions and strategies that contribute to improving patient safety, avoid possible occurrences and factors that influence the incidence of events, thus in Adult Intensive Care Units (ICUA) To achieve the above, A literature review was conducted with the aim of compiling the documentation that exists about the behavior of adverse events presented in adult intensive care patients in Colombia. The study highlights the importance of internal audits that contribute to the continuous improvement of the quality of health care; in this regard, a systematic documentary review study was used, corresponding to a compilation scientific monograph, the results will allow the auditor and the NICU to relate the information and identify the preventive measures of adverse events such as, patient safety and quality policies, risk management, general reporting culture, safety barriers. it is concluded that the strategies regarding AS in the ICUA are important since, they are actions that prevent the occurrence of events, achieving a better patient safety, guided by the SOGC in health and safety policy, These strategies serve as support for health systems, strengthening health quality and achieving the reduction of these AEs.

Infections associated with health care have generated great economic problems because they are a cause of over-costs in health institutions and in turn in the Colombian health system. The objective of the study is to collect and analyze information to find out which IAAS at the surgical site generate the greatest impact of cost overruns in health institutions in Colombia in the last five years. For this study, documents were used as reference population, including 4 books, 3 databases such as Embase, Science Direct, Proquest, 39 articles, 9 journals, 10 consulted reports and web records of official sites that deal with cost overruns. generated by infections associated with health care, from the surgical site in health institutions in Colombia in the last five years, a total of 57 documents were used to nurture and build this work.

This intervention is intended to generate information for the Health Service Provider Institutions (IPS) on the accreditation and its benefits. Probably due to the lack of knowledge on the part of the actors in charge, as well as in making the decision to start a high quality process in health such as accreditation, they may be missing out on great benefits such as prestige, recognition, greater contracts, satisfaction for users, peace of mind for insurers regarding the provision of the service, greater number of users, greater coverage, growth in their profits and possible increase in their cash flow, generated by the accreditation. The objective is to design an intervention proposal to provide pertinent information on accreditation with the logical framework methodology, allowing the IPS directives to know the benefits, through the management of resources necessary for the acquisition of innovative technology, establishing standards of negotiation with suppliers defining the training schedule on accreditation of human talent and implementing mechanisms for evaluating the scope of continuous improvement. The intervention proposal seeks to provide these institutions with adequate and important information in the accreditation process in case their directives decide to carry out this process, where they will undoubtedly obtain great benefits.

Un factor clave para el éxito en las organizaciones es tratar a sus colaboradores como parte fundamental en los procesos, es realizar una adecuada gestión de este talento humano, lo cual implica una planeación, organización, dirección y control de actividades de tal forma en funcionamiento del logro de los objetivos misionales; en concordancia con lo expuesto por Chiavenato 2011, la gestión del talento humano en las organizaciones es la función que permite la colaboración eficaz de las personas. Es así, que este Objeto Virtual de Aprendizaje (OVA) pretende describir como es el desempeño de los procesos, procedimientos y análisis en la gestión del talento humano en aras de alcanzar los objetivos organizacionales.

La evaluación del desempeño o evaluación de resultados es un proceso destinado a determinar y comunicar a los empleados la forma en que están desempeñando su trabajo y, en principio a elaborar planes de mejora (Byars y Rue, 1996); en concordancia con lo planteado por Chiavenato 1995, como un sistema de apreciación del desempeño de individuo en el cargo y de su potencial desarrollo. Es así que, dentro de la gestión empresarial, esta herramienta identifica actitudes y oportunidades de mejora en los colaboradores para así direccionar estrategias que permitan alcanzar las competencias necesarias y lograr un mejor desempeño de los procesos dentro de la organización.