Electrofisiología y Estimulación Cardiaca. Estudio MAREC, diagnóstico de la situación de Enfermería en España
- Isabel María Lillo Ródenas
- Concepción Fernández Redondo
- Víctor Fradejas Sastre
- Carmen Naya Leira
- Pascual García Hernández
- Susana Bombín González
- Mercè Fontanals Fernández
- Javier Muñiz García
ISSN: 1575-4146
Year of publication: 2021
Issue: 82
Pages: 17-27
Type: Article
More publications in: Enfermería en cardiología: revista científica e informativa de la Asociación Española de Enfermería en Cardiología
Abstract
Introduction. The MAREC study examines human resources and the distribution of healthcare resources to identify the competencies and degree of autonomy of nursing staff in arrhythmia units, as well as the shortcomings and possible improvement measures in this area. Material and method. This is a descriptive, cross-sectional study, carried out between April and August 2018 in Spanish public, private and subsidized hospitals that provide services in different areas across Spain. A total of 853 questions were included and analyzed using the statistical package STATA 12. Results and Discussion. 69 centers with electrophysiology departments responded, representing 82.1% of the total. The mean number of electrophysiology units in relation to the population by CCAA was 1.48. Regarding hierarchical rank, 69.6% are considered a unit, 27.5% a section and the remaining 2.9% service. 81.2% of the centers have a specific room for electrophysiology: in most cases (67.9%) a single room (76.8% accredited). They have an average of 3 full-time nurses. Although 81.2% of the centers have a specific room for electrophysiology, 63.8% of these share the staff with other units. Conclusions. This analysis of arrhythmia units highlights enormous variability across different parts of the country. Nurses have acquired an increasing autonomy and capacity and, as we have seen, require a training plan more oriented towards advanced accreditation.