Diagnóstico de la situación de la Enfermería en la atención cardiológica en España. Proyecto MARECJustificación, diseño y resultados generales
- Concepción Fernández Redondo
- Juan José de la Vieja Alarcón
- Víctor Fradejas Sastre
- Pascual García Hernández
- Carmen Naya Leira
- José Miguel Rivera-Caravaca
- Miriam Rossi López
- Javier Muñiz
ISSN: 1575-4146
Year of publication: 2019
Issue: 77
Pages: 82-93
Type: Article
More publications in: Enfermería en cardiología: revista científica e informativa de la Asociación Española de Enfermería en Cardiología
Abstract
Introduction. Nursing has an increasing role in many aspects of the heart patient care. A better understanding of the situation and role of Nursing in key areas of cardiological care will make it possible to identify needs and examples of success, and will become the first step in proposing measures to improve Cardiology Nursing care in Spain. The aim of this study was to identify the competences and the level of autonomy of nurses working in cardiovascular settings, as well as care and possible improvement measures in the areas of: hemodynamic, electrophysiology, heart failure and cardiac rehabilitation. Methods. National, multicenter, cross-sectional, descriptive study on Nursing‘s characteristics, staff and role in the units of a) hemodynamic, b) electrophysiology, c) heart failure and d) cardiac rehabilitation currently existing in Spain. Results. Information is presented for 84 participating centers (two of the collaborating centers did not have any of the units of interest), most of them public centers (n=70, 83%), out of which 74 have a hemodynamic unit, 69 a electrophysiology unit, 61 a heart failure unit and 56 a cardiac rehabilitation unit. Conclusions. The work identifies the Nursing ratios per provinces and Autonomous Communities, evaluates population assistance per provinces and per Autonomous Communities and offers the possibility that those centers in which the nurse‘s role is little identified can benefit from the experience of those in which it is more developed or better defined. In addition, it will allow to promote and establish a self-competence framework, opening the possibility to expand it in potential later stages