[What kind of community nurse do we want?].
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Biomedical subjects
Publications and source records attributed to Raúl García Vallejo.
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In order to improve the quality of nursing service provided to patients, the Nursing Directors for Area 7 Primary Health Care "IMSALUD" in Madrid drew up a work plan based, fundamentally, on a progressive installation of the scientific method in habitual nursing work. This transversal descriptive study measures the degree of installation of this method 18 months after the development of this plan and compares these results with those obtained 6 months after the development of this plan. After 18 months, Nursing Directors had planned to obtain a 50% complete compliance in the nursing process for immobilized and terminal patients. This objective has been achieved in terms of an evaluation by patterns and a register of nursing diagnosis. Improvement is needed in compliance of treatment plans and in recording evaluations in clinical files.
Evaluating the practices nursing students perform is a complex activity, among various reasons due to the nonexistence of objective measurements with which to evaluate them, as well as the all too often limited previous preparation tutors have in pedagogical methods. These facts can provoke an inadequate evaluation of the aforementioned practices, causing, in the majority of the cases, a higher grade for those practices which is demonstrated in these circumstances by a surprising high, and consistently maintained, average grade obtained by students performing practices. In this article the author weighs a new practice evaluation model for students in Community Nursing who carry out their internship in Area 7 Primary Health Care Centers in Madrid. This model plans to facilitate decision making by tutors with regards to grading the different activities carried out by students as well as to obtain greater validity for the grades assigned to students.