Efectividad de una intervención para reducir las interrupciones durante la preparación y administración de medicación

• Raquel Tapia-Melenchón ^[1] ; Teresa Sanclemente-Boli ^[1] ; Consuelo Álvarez-Lorenzo ^[1] ; Esperanza Zuriguel-Pérez ^[2]
  1. [1] Unidad de Ortogeriatría. Hospital Universitario Vall d’Hebron. Vall d’Hebron Barcelona Hospital Campus
  2. [2] Grupo de Investigación Multidisciplinario de Enfermería. Vall d’Hebron Instituto de Investigación (VHIR). Vall d’Hebron Hospital Universitari. Vall d’Hebron Barcelona Hospital Campus
• Localización: Metas de enfermería, ISSN 1138-7262, Vol. 24, Nº. 7, 2021, págs. 49-56
• Idioma: español
• DOI: 10.35667/MetasEnf.2021.24.1003081798
• Títulos paralelos:
  • Efficacy of an intervention to reduce interruptions during the preparation and administration of medication
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• Dialnet Métricas: 1 Cita
• Resumen
  • español

    Objetivo: analizar la efectividad de la implementación del programa multi-intervención Programa Interrupciones Zero (PIZ) para disminuir las interrupciones durante el proceso de preparación y administración de medicamentos (PPAM) en el ámbito hospitalario y aumentar la satisfacción de los profesionales de Enfermería.

    Método: analítico cuasi-experimental pre-post intervención de grupo único en una unidad de cirugía traumatológica hospitalaria. Se recogieron datos sociodemográficos y profesionales de los participantes, número de interrupciones autorreferido según la persona origen de la interrupción, otros motivos y turno laboral en la que se produjeron, y variables de percepción del tiempo dedicado al PPAM y satistacción respecto al proceso. Se llevó a cabo un análisis descriptivo y una comparación de proporciones pre-post a los dos meses con la prueba t para muestras apareadas considerando una p< 0,05 como estadísticamente significativa.

    Resultados: participaron 23 enfermeras y siete enfermeros. Se registraron 839 interrupciones antes del PIZ y 484 tras él. Las personas que más interrupciones generaron fueron los técnicos en curas auxiliares de Enfermería (24,3% pre y 22,7% post) y los principales motivos no originados por personas fueron los relacionados con el tratamiento (24,3% y 22,2% respectivamente) (p> 0,05). La reducción de interrupciones fue significativa en el turno de día disminuyendo un 51,3% (p< 0,01) y en el turno de noche disminuyendo un 22,8% (p= 0,03). La satisfacción de los profesionales aumentó significativamente tras el PIZ (p= 0,01).

    Conclusiones: el PIZ demuestra ser eficaz para la disminución del número de interrupciones totales durante el PPAM y para aumentar el grado de satisfacción del equipo de Enfermería respecto a este proceso.

  • English

    Objective: to analyze the efficacy of implementing the multi-intervention “Zero Interruptions Program” (ZIP) to reduce the number of interruptions during the process of preparation and administration of medications (PPAM) in the hospital setting, and to increase the satisfaction of Nursing professionals.

    Method: an analytical, quasi-experimental, pre-post intervention with a single arm in an Orthopedic Surgery Unit in the hospital setting. Sociodemographic and professional data were collected from the participants, as well as self-reported number of interruptions according to the person causing the interruption, other reasons, and work shift when these occurred, and variables of perception of time spent for PPAM and satisfaction regarding the process. A descriptive analysis was conducted, as well as a pre-post comparison of proportions at two months, with the t test for paired samples, considering p< 0.05 as statistically significant.

    Results: the study included 23 female nurses and seven male nurses. In total, 839 interruptions were recorded before the ZIP and 484 after it. The persons who generated more interruptions were Nursing Assistants (24.3% before and 22.7% after), and the main reasons not originated by persons were those associated with the treatment (24.3% and 22.2% respectively) (p> 0.05). There was a significant reduction in interruptions during the day shift, by 51.3% p< 0,01) and in the night shift, with a 22.8% reduction (p= 0,03). There was a significant increase in the satisfaction of professionales after the ZIP (p= 0.01).

    Conclusions: the ZIP has shown efficacy in the reduction of the total number of interruptions during the PPAM, and in the increase of the level of satisfaction of the Nursing team regarding this process.

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