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Comprehensive childcare management seen from the nursing leadership in the referral and counter-referral of a service network

Salud, Ciencia y Tecnologia, ISSN: 2796-9711, Vol: 1
2021
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Article Description

Introduction: care management includes the design of instruments for the collection of data in an organized manner, on events of interest in health, whether individually, family or collectively. Objective: to evaluate the perception of comprehensive childcare management offered by nursing in a management system based on referral and counter-referral of an integrated network of health services. Method: a descriptive, cross-sectional study was carried out in the month of November 2020. An ad hoc questionnaire was used and the Networks in comprehensive care document was taken as a reference to evaluate attitudes and practices. A pilot test was carried out as internal validation. of the instrument with a Cronbach’s alpha of 0,86. Results: it was obtained that 91 % were represented by women, the average age was 40 ± 9,4, 86 % of the nurses are professionals, the average seniority in the institutions was 5,8 ± 3, 7 years. 81 % know what an RISS is and 71 % know its attributes. 52 % do not know the terms of reference and counter-reference. 86 % do not perceive nursing governance within the network and the involvement of nursing governance in the network is not representative. Conclusions: the nursing staff do not perceive themselves as part of it, nor do they manage terms of reference and counter-reference. Difficulties in care management due to little interference and lack of nursing governance are appreciated.

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