Calidad De Atención De Enfermería, En El Cuidado Directo A Los Neonatos Con Síndrome De Dificultad Respiratoria Tipo Ii En El Servicio De Neonatología, Del Hospital “DR. Enrique Garcés” Del D.M. De La Ciudad De Quito, Período Octubre 2010 A Marzo Del 2011.

Abstract

The area of ​​neonatology Dr. Enrique Garcés Hospital is a specialty health care healthy newborns, sick and premature where there high risk pathologies which are respiratory problems and particularly respiratory distress syndrome type II, causes more significant morbidity and mortality in the neonatal period when the increase in these disease is due to many factors such as prematurity, maternal sedation, cesarean delivery, fetal asphyxia, excessive administration of fluid-therapy to mother during labor, prolonged labor, fetal polycythemia, son diabetic mother among other causes. Therefore attention is a work area that nursing so that It requires skilled, scientific and technological personnel to provide care integral. This research aims to determine the quality of care from direct nursing care to newborns with distress syndrome respiratory type II, is one of the diseases affecting the newly born, as is the application of science and technology in a way to maximize their health benefits without increasing proportionately their risks. The degree of quality is therefore the extent that the expected care provided to achieve the most favorable balance between risk and benefits. Considering that at present since the adoption of the new Constitution care model focus on what preventive, but not least certain to be applied policies, procedures and protocols direct care Patients who come to the various operating units of Health, seeking to regain their health, or keep them in good condition or acceptable. 12So also attend this house seeking health care for delivery and monitoring of healthy children, this reason for this work, with the collaboration of all personnel neonatology service has allowed it to develop it in a timely manner. The structure of the job is given as follows: In the first chapter analyzes the problems presented by service Neonatal care in children with type Respiratory Distress Syndrome II, generalities, theme, justification, statement of understanding problem which is addressed how it influences the quality of nursing care in direct care, targeting, hypothesizing that would What difference does the increase in complications ?, identification of variables and operationalization of the same. The second chapter concerning the theoretical framework encompasses the quality of care provided by staff nurses in direct care to newborns, is describes the disease, its causes, complications and education in the mother Home among others the importance of recognizing the warning signs. The third chapter presents the methodology used: For the type of research: descriptive because we will make a Description of variables based on existing literature and information acquired through surveys, no hypothesis is tested as by it is a descriptive study is not mandatory to perform testing because the variables do not suffer any modification and what is done is a description of how they are in reality. The research method is deductive, by way of performing the work, It is going from the general to the particular. Cross because studies simultaneously exposure and disease in a well defined population over a period determined. 13The population universe used for our research is 2362 neonates admitted from October 2010 to March 2011, in the Neonatology Service Dr. Enrique Garcés Hospital, the study sample is 342 mothers, and 19 nurses, because it is a small population, surveys were applied to 100% of the population. For tabulation processing and preparation of statistical tables or tables of the surveys used the Excel program, it is a statistical program used in market research and develop just allows tables and special crossings so that the use of optimize information gathered in the surveys. Chapter culminates raising the relevant criteria for drafting the proposal. The fourth chapter notes regarding the administrative framework for human resources economic required to perform research. It details the schedule of activities used in the research process and formulation of the relevant proposal. The fifth chapter contains conclusions and recommendations that emerged the research process, which are the prerequisites for building proposal, addressing the issues investigated in a general context with specific solutions to ultimately on a program training educational personnel Neonatal Nurses Service. Finally the sixth fifth contains the proposal submitted as draft training, presents a set of solutions that enable a response the problem effectively investigated.