Perception of the surgical patient ambulatory on the humanized care provided by the nursing staff in the ambulatory surgery room of the naval medical center

Author: 
Rios Espinosa Claudia, Molina Herrera Betsabe, Camacho Espinoza Martha A. and Zamudio Montes Angel

The development of technology within the surgical field has made great advances in the diagnosis and treatment of many diseases. However, this effort to improve these aspects may condition the dehumanization of care directed to the patient. At this point, humanization has become a topical issue that worries health personnel, especially nurses, since they spend most of their time with the patient and since its inception has put human care into practice. The nursing professional as an integral part of the health team has been adapting to the changes according to the progress of science and technology, so that the care provided must be based on three dimensions: technical, environmental and human; which has been incorporating increasingly sophisticated and complex techniques that, at times, distance it from a vision of man as a person that should be valued. Human care involves values, willingness and a commitment to care, considering the term "care" as intersubjective, health process, disease, person and environment interaction, external factors that at some point may affect the committed care involved in humanized care. Assessing the user's perception, allows the hospital to obtain a set of concepts and attitudes in relation to the care offered, locating areas of opportunity and creating strategies for continuous improvement, minimizing the deficiencies that put at risk the satisfaction of the population user. The Mexican Health System, with the conviction of improving services and eliminating the lack of confidence that the population gives it, developed the National Crusade for the Quality of Health Services, which aims to reduce inequities among entities, institutions and levels of attention, thus taking the human resources of the same system, placing the nursing staff as a quality vector with attachment to the respect of human dignity, under ethical and scientific principles. The then Interinstitutional Commission of Nursing, established the System of Evaluation of the Quality of Nursing Services, managed from indicators, which would control the risk of unnecessary harm to the patient and identify their perception regarding the treatment received where the Naval Medical Center is participating to obtain the recertification of said hospital. Which adheres to the Patient Safety Model of the General Health Council, "Standards to implement the model in hospitals 2015" in the section Standard PFR.1 that talks about the rights of the patient. The objective of the present investigation was to determine the perception of the ambulatory surgical patient on the humanized care provided by the nursing staff of the ambulatory surgical area. Within the Hypothesis It was found that the humanized care provided by the nursing staff of the ambulatory surgery surgical area is moderately favorable. Material and Method: The study is of descriptive type of transversal cut, it was carried out in the Naval Medical Center from June to November of 2018. It was performed in a convenience study in surgical patients on an outpatient basis. The technique that was carried out was through the socio-demographic survey, and the instrument Perception of humanized care in nursing (PCHE) Likert scale form of 30 items applied with prior informed consent. The data analysis was through descriptive statistics in SPSS program version 21.0. Results: the majority of the users were of upper secondary education due to their technical career, the age of 51 to 60 years prevails, with predominance of the female sex, married and of the rightful beneficiary category. The service that has the largest number of surgeries per day scheduled by the ambulatory surgery area is the gastroenterology service followed by ophthalmology and general surgery. The perception of the outpatient surgical patient on the humanized care provided by the nursing staff, most of it is favorable, emphasizes the perception of the outpatient surgical patient on humanized care according to the affected dimension, since most of them have a perception moderately favorable, referred to the fact that the nursing staff does not offer encouragement when they do not shake hands; how favorable I confirm your data with the identification bracelet; At all times, he looks after his person, made him feel safe and protected, and a significant percentage perceives it as unfavorable given that the nursing staff expressed disinterest and annoyance when treating me. Conclusions: it is necessary to implement strategies, improvement plans and ongoing training in order to raise the awareness of nursing staff to apply good treatment to the patient from a human-based approach

Paper No: 
2423