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Portas Badosa M, Fuertes Ran C, Pérez Mendióroz S, Martín Gómez E, Chocarro Martín S. Papel de la enfermera durante el proceso de realización de una paracentesis. Metas Enferm oct 2014; 17(8): 12-17.
1María Portas Badosa, 2Carmen Fuertes Ran, 3Susana Pérez Mendióroz, 4Elena Martín Gómez, 4Susana Chocarro Martín
1Máster en Ciencias de la Enfermería. Universidad de Navarra. Área de Hospitalización Quirúrgica. Clínica Universidad de Navarra. Pamplona (Navarra).2Enfermera. Universidad de Navarra. Unidad de Hepatología. Clínica Universidad de Navarra. Pamplona (Navarra). 3Enfermera. Universidad de Navarra. Responsable de Área de Hospitalización Quirúrgica. Clínica Universidad de Navarra. Pamplona (Navarra). 4Enfermera. Universidad de Navarra. Área de Hospitalización Quirúrgica. Clínica Universidad de Navarra. Pamplona (Navarra).
María Portas Badosa. Clínica Universitaria de Navarra. Avda. Pío XII, 36. 31008 Pamplona (Navarra).
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Objectives: to learn about the role of the Nursing Professional during the paracentesis procedure, based on scientific evidence, with the aim of designing clinical guidelines, and improving the quality of patient care.
Method: a narrative review, where a bibliographic search was conducted in the Medline, Cinahl, Cochrane Library and UpToDate databases, as well as in Clinical Guidelines Databases: Guidelines International Networks, Practice Guideline, National Guideline Clearinghouse, New Zealand Clinical Guidelines Group, Primary Care Clinical Practice Guidelines and Scottish Intercollegiate Guidelines Network. The Clinical Guidelines Databases from the Hospital General Universitario Gregorio Marañón in Madrid, the Complexo Hospitalario Universitario de Vigo and the International Ascites Club were also consulted.
Results and conclusions: fifteen articles were selected, and after the analysis of the findings obtained, three categories were established, describing the role played by nurses during paracentesis: the care provided by nurses before, during and after the procedure. Apart from each of the nursing interventions at each stage of said procedure, the presence of a nursing professional to assess the patient in a holistic way was considered very important. In the near future, clinical guidelines will be implemented, that will have been designed based on the results obtained, and all aspects considered for these guidelines will be reviewed at one year, as well as the scientific literature which may have been published, assessing those items to be improved. Among the limitations of this study, we must point out the low methodological quality of the articles selected, and the little bibliography available about this matter; therefore, it would be convenient to conduct studies under stricter methodological designs, with higher quality, in order to have a higher impact on clinical practice.
Nursing care during paracentesis; Clinical Practice Guidelines; ascitesascitic fluid drainage
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