Rehabilitación Cardiaca. Estudio MAREC, diagnóstico de la situación de Enfermería en España
- Pascual García Hernández
- Concepción Fernández Redondo
- Víctor Fradejas Sastre
- Carmen Naya Leira
- Estrella Barreñada Copete
- Juana Delgado Pacheco
- Ana Dorado Pancho
- María Ramón Carbonell
- Javier Muñiz García
ISSN: 1575-4146
Ano de publicación: 2019
Número: 78
Páxinas: 37-48
Tipo: Artigo
Outras publicacións en: Enfermería en cardiología: revista científica e informativa de la Asociación Española de Enfermería en Cardiología
Resumo
The research on Cardiac Prevention and Rehabilitation Programs of the Marec Study is born within the Spanish Association of Nursing in Cardiology. Objective: to describe the available resources, the participation, the tasks and the level of autonomy of nursing in Cardiac Prevention and Rehabilitation in Spain. Methodology: cross-sectional descriptive study carried out through a self-administered online questionnaire of 211 items on the Cardiac Prevention and Rehabilitation Programs of public, private or state-contracted hospitals in Spain. Results: 66.7% (n=56) of the centres having been studied (n=84) had these programs. The Autonomous Communities of Balearic Islands, Navarra, La Rioja, Ceuta and Melilla did not have them. The national average was 1.20 units per million inhabitants. The hierarchical rank was Unit 82.1%, Section 14.3% and Service 3.6%. The average m2 of the gym was 75.8 m2 and 26% of the gyms had ≤ 40 m2 . 12.5% of the gyms did not have telemetry and 8.9% did not have a cardiac arrest trolley. A basic team of professionals is reported by 32.1% and a complex one by 67.9% of the gyms. Concerning post-graduate training, 100% of them had not completed the doctorate and 78.6% of them did not have a master‘s degree. Nursing referred to other specialties in 82.1% (n=28) and in 14.3% performed drug titration always or most of the times. And only in 40.4% a comprehensive evaluation report was made and submitted. Conclusions: in Spain, there persist in these programs care inequalities due to geographical reasons and to the fragility in human resources, materials and activities. It is mandatory that the nursing collective becomes aware of the necessity to record and document their care interventions. The high referral by nursing to other specialties (consultation for tobacco use, nutritionist, psychologist, etc.) is evidenced; however, for drug titration it is low, this being a field that requires a high level of competence.