Examinando por Autor "Reynaldos-Grandón, Katiuska Lídice"

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    Challenging Barriers: Registered Nurses’ Association of Ontario (RNAO) Clinical Practice Guidelines and Organizational Change
    (Editorial Salud, Ciencia y Tecnologia, 2024) Rojas-Avila, Javier; Reynaldos-Grandón, Katiuska Lídice
    Introduction: over the past four decades, hospitals have faced transformations in funding and management to address growing healthcare demands. The implementation of evidence-based practices, such as the Registered Nurses’ Association of Ontario (RNAO) clinical guidelines and the Best Practice Spotlight Organisations (BPSO®) programme, is crucial to improve the quality of care. The collaboration between the RNAO and the Ministry of Health (MINSAL) in Chile highlights the importance of innovation and excellence in healthcare. Aim: describe the relevance of RNAO guidelines, barriers to their implementation and the role of nursing through a narrative review of the literature. Development: implementation of BPSO® has demonstrated substantial improvements, including significant increases in patient risk identification and management. However, implementation of the RNAO Good Practice Guidelines (GBP) faces challenges, such as political, organisational and professional barriers. Implementation science is crucial to address these by designing strategies that drive evidence-based quality of care. Conclusion: in summary, the implementation of evidence-based practices, such as the RNAO GBP, represents an organisational change supported by programmes such as BPSO® that have improved care. It is essential to identify barriers, especially in nursing, in order to overcome obstacles and ensure the active participation of professionals in the continuous improvement of the quality of health care. © 2024; Los autores.
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    Exchange of secondary data in research with human beings: Ethical aspects
    (Editorial Salud, Ciencia y Tecnologia, 2023-01) Rojas-Avila, Javier; Reynaldos-Grandón, Katiuska Lídice
    Introduction: currently, there is a call from the scientific community for a responsible exchange of data, being relevant to promote innovation in research through the reuse of secondary data. However, the data exchange is not free of difficulties since it imposes relevant ethical challenges. On the other hand, the data exchange is also limited by legislative aspects of each country in terms of data privacy; for example, the Chilean legal system is presented. Objective: to identify the ethical aspects of exchanging secondary data in research with human beings. Methods: integrative review. Data sources: WoS, PUBMED, Scopus, and publications were searched between 2017 and 2022. Results: the final sample consisted of 12 articles, and they were organized according to ethical aspects, concerns of the research subject, and the researcher’s position in the exchange of data in research with human beings. Discussion: the creation of a Data Access Committee (DAC) and an international ethical framework are initiatives that are promoted to advance the exchange of data in research with humans. However, the legal frameworks become relevant in the context of data protection in each country, as is the Chilean case. Conclusion: progress must be made in aspects of broad informed consent, which is directly related to the legal framework of each country. © 2023; Los autores.