Aplicación de un modelo de cuidado en el servicio de Ginecobstetricia de la Clínica Universitaria Bolivariana

A project whose goal was the implementation of a nursing model focused on patient and nursing at the Clínica Universitaria Bolivariana’s (CUB) gyneco-obstetrics service. The model was developed phase by phase, under a quality and quantitative methodology. An initial diagnosis of the professional care was done through a descriptive study: Bases, systematization, documentation, continuity, individuality, integrality, closeness, interdisciplinary, coordination, differentiation, visibility and quality. We concluded that there are fields in caring that require intervention; systematization, documentation and visibility among others. During the documentation phase, the principles of several theoretics of nursing were studied in order to determine the degree of applicability in the clinical field, aswell as a series of experiences of theoretical-practical integration. Virginia Henderson’s theoretical fundamentals for guiding care were chosen because the group identifies it self with her philosophy and rules, focused on satisfying the person’s needs among other reasons. During the operational designing phase the need to work according to the Nursing process was established; the most frequent nursing diagnosis was defined and made operational per patient group and per set of needs; the relevant clinical records and educational brochures were designed focused on needs. During the implementation phase,the defined processes were carried out. Currently, follow up and maintenance activities focused on training and research are in the process of being developed. The impact will be measured once the model is consolidated. We expect this project to be an example to develop similar experiences in other clinical services. Proyecto que tuvo como objetivo aplicar en el servicio hospitalario de Ginecobstetricia de la Clínica Universitaria Bolivariana (CUB) un modelo de cuidado centrado en el paciente y la enfermería. Se desarrolló por fases, bajo una metodología cualicuantitativa. Mediante un estudio descriptivo se hizo un diagnóstico inicial del cuidado profesional: fundamentación, sistematización, documentación, continuidad, individualidad, integralidad, cercanía, interdisciplinariedad, coordinación, diferenciación, visibilidad y calidad. Se concluyó que existen campos del cuidado que necesitan intervenirse; la sistematización, cercanía, documentación y visibilidad, son algunos de ellos. En la fase de documentación se estudiaron los principios de varias teóricas de enfermería