Browsing by Author "Rojas Silva, Noelia Pilar"

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    Analysis of the difference between importance and satisfaction of the needs of family members of critical patients
    (2019) Padilla Fortunatti, Cristóbal; Rojas Silva, Noelia Pilar; Arechabala Mantuliz, Ma. Cecilia
    ObjectiveTo analyze the difference between the degree of importance and satisfaction of the needs of family members of patients in an Intensive Care Unit (ICU).DesignA descriptive, cross-sectional analytical study was carried out.SettingMedical – surgical ICU of a university hospital in Chile.ParticipantsFamily members of critical patients with a length of stay of ≥48 h, over 18 years of age, and with at least one visit to the patient.Variables of interestThe Critical Care Family Needs Inventory questionnaire was used to determine the difference between the degree of importance and satisfaction of the needs of the family members. In addition, the needs were classified according to the categories proposed by importance – performance analysis (IPA).ResultsA total of 253 family members were recruited, observing a negative gap (satisfaction < importance) in 100% of communication needs and in 51.9% of support needs. In turn, 8.9% of the needs were priority needs according to the IPA, including assistance with financial problems, contact in case of changes in the patient condition, talk about the possibility of death, and the reception of guidance at the patient bedside.ConclusionsA high level of importance, compared to low levels of satisfaction, determines a negative gap in most of the needs of the family of the critical patient, particularly those referred to communication. Despite this, a low proportion of the needs should be addressed on a priority basis.
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    Antimicrobial lock solutions for preventing catheter-related infections in haemodialysis
    (2018) Arechabala Mantuliz, Ma. Cecilia; Catoni S., María Isabel; Claro, Juan Carlos ; Rojas Silva, Noelia Pilar; Rubio, Miriam E.; Calvo, Mario A.; Letelier Saavedra, Luz María
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    Antimicrobial lock solutions for preventing catheter-related infections in haemodialysis (Protocol)
    (2013) Arechabala Mantuliz, Ma. Cecilia; Catoni S., María Isabel; Claro García-Atance, Juan Carlos; Rojas Silva, Noelia Pilar; Rubio Acuña, Miriam; Calvo Arellano, Mario; Letelier Saavedra, Luz María
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    Asociación entre carga laboral de enfermería, gravedad del paciente y mortalidad en pacientes críticos de un hospital público
    (2023) Padilla Fortunatti, Cristóbal Felipe; Escobar Lazcano, Cristina; Ruiz Balart, Carmen Carolina; Rojas Silva, Noelia Pilar
    OBJETIVO: Determinar la asociación entre la carga laboral de enfermería, gravedad del paciente, y mortalidad en una unidad de pacientes críticos (UPC) de un hospital público en Chile. METODOLOGÍA: Estudio retrospectivo, correlacional, que analizó fichas clínicas de pacientes de una UPC. Se recolectaron variables demográficas, clínicas, gravedad de paciente (APACHE II) y carga de trabajo de enfermería (TISS-28)al ingreso del paciente. Se realizaron análisis descriptivos y bivariados. Se utilizaron regresiones logísticas para identificar las variables asociadas a mortalidad en la UPC y hospitalaria. RESULTADOS: Se incluyeron 311 pacientes con una mediana de 7 días (RIQ=9,5) de estadía en la UPC. Un 48,9% ingreso desde el servicio de urgencia y un 25,7% tuvo un diagnostico neurológico. El puntaje TISS-28 se asoció positivamente con el del APACHE II (r=0,359, p<0,001) y los días de estadía en UPC (r=0,146, p<0,05). En los modelos de regresión, la mortalidad en UPC estuvo asociada con el puntaje APACHE II (OR=1,109, p<0,001) y el TISS-28 (OR=0,955, p<0,05). Los puntajes de APACHE II y TISS-28 no se asociaron significativamente con la mortalidad hospitalaria. CONCLUSIÓN: Una mayor gravedad del paciente critico se asoció con un aumento en la carga de trabajo de enfermería. La mortalidad en UPC se asoció negativamente con la carga de trabajo en enfermería, pero positivamente con la gravedad de paciente. La carga de trabajo de enfermería es una variable relevante en el desenlace del paciente crítico por lo que debe evaluarse regularmente y de este modo, asegurar dotaciones que respondan a las demandas asistenciales del paciente en la UPC.
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    Comunicación con el paciente en ventilación mecánica invasiva : revisión de la literatura
    (2014) Rojas Silva, Noelia Pilar; Amthauer, Macarena; Bustamante Troncoso, Claudia Raquel
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    Comunicación entre equipo de enfermería y pacientes con ventilación mecánica invasiva en una unidad de paciente crítico
    (2014) Rojas Silva, Noelia Pilar; Bustamante Troncoso, Claudia Raquel; Dois C., Angelina M.
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    Families on adult intensive care units : are they really satisfied? a literature review
    (2018) Padilla Fortunatti, Cristóbal; Rojas Silva, Noelia Pilar
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    Family participation in the care of the critical patient: an exploratory study
    (2021) Sepúlveda Hermosilla, D.; Irarrázabal Vargas, Lisette Paola; Rojas Silva, Noelia Pilar
    Objetivos: Identificar el nivel de disposición (readiness) del equipo de salud frente a la participación familiar en el cuidado del paciente crítico adulto y su relación con las características individuales de los participantes, en una unidad de paciente crítico (UCI) médico-quirúrgica de Santiago de Chile. Método: Estudio correlacional de corte transversal que utiliza un método cuantitativo e incorpora un grupo focal para profundizar en la percepción del personal de salud respecto a la participación familiar en el cuidado del paciente crítico. Resultados: El nivel de readiness (disposición) del equipo de salud frente la participación familiar en el cuidado del paciente crítico es medio, siendo 13,81 puntos de un total de 20. A mayor nivel de disposición menor edad (r = −0,215; p = 0,019), mejor calificación de la experiencia previa de trabajo con familias (r = 0,304; p = 0,006) y mayor percepción de comodidad frente a diferentes actividades del cuidado del paciente crítico (r = 0,495; p < 0,001). Los participantes afirman además que el contexto laboral de la unidad, la condición del paciente, las características de los familiares, el criterio personal y la preparación del familiar afectan su nivel de disposición. Conclusiones: Los resultados aportan al conocimiento de la disposición (readiness) del equipo de salud en un contexto donde la temática no se ha implementado. El nivel de disposición del equipo de salud es medio; se relaciona con algunas características individuales del personal de salud, así como con aspectos organizacionales y familiares, de modo que se requieren estrategias que aborden estos aspectos y así el nivel de disposición podría aumentar.
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    Needs of relatives of critically ill patients in an academic hospital in Chile
    (2018) Padilla Fortunatti, Cristóbal Felipe; Rojas Silva, Noelia Pilar; Amthauer Rojas, Macarena Paz; Molina Muñoz, Y.
    Objective: To identify the importance of the needs of family members of patients in an intensive care unit (ICU).||Method: Descriptive, comparative and cross-sectional study based on a secondary data analysis of 251 relatives of ICU patients at a university hospital in Santiago, Chile. Using non-random sampling, the 'Critical Care Family Needs Inventory' was used to establish the family needs, as well as a sociodemographic questionnaire that included: age, gender, educational level, patient relationship and previous ICU experience. A descriptive statistical analysis, Student's T test and ANOVA were performed.||Results: The most important family needs related to the dimensions of 'security' (mean = 3.90) and 'information' (mean = 3.76), while those of minor importance with 'support' (mean = 3.09). In the latter, differences were observed at an older age (P<.05), an educational level (P<.001) and relationship with the patient (P<.05).||Conclusions: The most relevant needs for family members in the ICU are related to safety and information. Less important needs are influenced by certain sociodemographic variables. Identifying the degree of importance of family needs will allow the health team to improve its relationship with families in ICUs. (C) 2017 Sociedad Espanola de Enfermeria Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier Espana, S.L.U. All rights reserved.
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    Recomendaciones para el cuidado y acompañamiento de familiares de pacientes con diagnóstico COVID-19
    (2020) Amthauer Rojas, Macarena Paz; Espinoza, Jessica; Padilla Fortunatti, Cristóbal; Palma, Alejandra; Rojas Silva, Noelia Pilar; Rojas Abalos, Verónica Eugenia; San Martín, Kelly; Valdebenito Santelices, Carolina; Varela, Loreto; Vargas, Verónica
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    Relationship between perceived stress and health literacy on family satisfaction among family members of critically ill patients: A multicenter exploratory study
    (Elsevier Ltda., 2025) Padilla Fortunatti, Cristóbal Felipe; Palmeiro Silva, Yasna; Ovalle Meneses, Victor; Abaitua Pizarro, María; Espinoza Acuña, Jessica; Bustamante Troncoso, Claudia Raquel; Rojas Silva, Noelia Pilar
    Background: Intensive care unit (ICU) admission is often a stressful experience that can negatively influence family satisfaction (FS) with patient care, communication, and decision-making. Health literacy (HL) is associated with the patient's ability to obtain, process, and understand health-related information. Few studies have explored the influence of perceived stress and HL on FS simultaneously. Objective: To examine the association of perceived stress and HL with FS among family members of ICU patients. Design: A multicenter exploratory cross-sectional study. Methods: An exploratory, cross-sectional, multicenter study was conducted in three ICUs from different hospitals in Chile. Family members of ICU patients with >= 48 h of stay and respiratory support were eligible. The Family Satisfaction in the Intensive Care Unit-24 questionnaire and the Perceived Stress Scale were used. HL was evaluated using three screening questions. Multiple beta regressions were fit to explore the association between perceived stress, HL, and FS. Results: A total of 101 family members with 63.4% identified as at risk of low HL were included. Multiple beta regression revealed that low HL was not associated with FS. Conversely, FS was negatively associated with perceived stress, being admitted to the ICU of the central or southern region, and having a close personal relationship with a healthcare provider but positively associated with the number of communications with ICU staff. Conclusions: While perceived stress can be detrimental to FS, HL seems not to impact FS levels among family members of ICU patients. Further studies are required to explore the influence of HL on FS. Implications of the clinical practice: This study advances the knowledge regarding variables affecting FS in the ICU. Evaluating the family members' emotional status may help ICU healthcare providers in the allocation of resources to support family members and to properly assess their satisfaction. Patient or public contribution: Family members of ICU patients participated in this study.
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    The needs of the relatives in the adult intensive care unit: Cultural adaptation and psychometric properties of the Chilean-Spanish version of the Critical Care Family Needs Inventory
    (2017) Rojas Silva, Noelia Pilar; Padilla Fortunatti, Cristóbal; Molina Muñoz, Yerko Pablo; Amthauer Rojas, Macarena