Electrophysiology and Cardiac Stimulation. MAREC Study, assessing the nursing situation in arrhythmia units across Spain Abstract
Section: Artículos Científicos
Authors
Isabel María Lillo Ródenas1, Concepción Fernández Redondo2, Víctor Fradejas Sastre3, Carmen Naya Leira4, Pascual García Hernández5, Susana Bombín González6, Mercè Fontanals Fernández7, Javier Muñiz García8.
Position
1 Hospital General Universitario de Alicante. ISABIAL. Alicante. 2 Hospital Clínico Universitario Virgen de la Arrixaca. CIBERCV. IMIB-Arrixaca. Murcia. 3 Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, IDIVAL, Santander. 4 Complexo Hospitalario Universitario de A Coruña. 5 Hospital Universitario San Cecilio, Granada. 6 Hospital Clínico Universitario de Valladolid. 7 Hospital Universitario de Bellvitge, Barcelona. 8 Instituto Universitario de Ciencias de la Salud-INIBIC, Universidad de da Coruña y CIBERCV.
Contact address
Isabel María Lillo Ródenas. Hospital General Universitario de Alicante. Pintor Baeza, 11. 03010 Alicante
Contact email: lillo_isa@gva.es
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.
Keywords:
nursing; accreditation; electrophysiology; cardiologycardiovascular care
Versión en Español
Título:
Artículo completo no disponible en este idioma / Full article is not available in this language
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