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Percepción del profesional de enfermería sobre la calidad del cuidado entregado a usuarios hospitalizados en dos establecimientos de salud, Cuenca 2022

Abstract:

Background: Nursing professionals are required to provide high quality healthcare service to all patients without distinction, across a variety of healthcare establishments. However, there is no scientific evidence about the perception of the actual “quality” of healthcare service, in particular from the point of view of the nursing professional, and in relation to the framework set forth by the theoretical model of Donabedian. Objective: To determine, from the point of view of nursing professionals, the perception of healthcare quality provided to patients of two healthcare establishments in the city of Cuenca during the calendar year 2022. Methodology: Studies of quantitative focus and observational design, descriptive of transversal analysis, from a sample of 171 nursing professionals from Hospital Vicente Corral Moscoso (public sector) and Clínica de Especialidades Médicas Latinoamericana (private sector). For data collection, we utilized Karen Personnel instrument (validated version). For data analysis we used the program SPSS version 22 to represent the results in tabulated format showing frequencies, percentages, median and standard deviation values. Results: From the sample studied, according to the type of establishment, 84,2% is of a public sector establishment, and 15,8% is of a private sector establishment. Nursing professionals of the female gender were overwhelmingly represented in the sample study, which included 90,3% in the public sector, and 85,2% in the private sector. The age range was between 26-35 years of age, of this age range 65,2% work at the hospital in the public sector, and 59,3% work at the clinic in the private sector. The majority of the sampled professionals reported to have graduated from university- level studies with an academic title of “licenciado/da” including 92,4% in the public sector and 92,6% in the public sector. Professional experience of the labor force was of 5 years or more in the public sector for 60,4% of participants, and 5 years or less in the private sector for 62,9% of participants. The perception of quality of healthcare provided by the sampled nursing professionals was as follows: in the public sector the mean of Seguridad/Inseguridad is 3,87 ± 0,75 y Relaciones Psicosociales is 3,98 ± 0,74, while in the public sector the mean of Relaciones Psicosociales is 4,26 ± 0,75 and the mean of Seguridad/Inseguridad is 4,28 ± 0,78. Conclusions: The perception of nursing professionals about the quality of healthcare provided to patients in two healthcare establishments of Cuenca shows generally high averages, which is indicative of high-quality care. Two dimensions with low median values are Seguridad/Inseguridad and Relaciones Psicosociales which are similar for both establishments.