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"tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "257" "paginaFinal" => "269" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ainhoa Reyes-González, M. Pilar Villanova-Tallada, Zulema Gancedo-González, Sergio García-Vicente" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Ainhoa" "apellidos" => "Reyes-González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "M. Pilar" "apellidos" => "Villanova-Tallada" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Zulema" "apellidos" => "Gancedo-González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:4 [ "nombre" => "Sergio" "apellidos" => "García-Vicente" "email" => array:1 [ 0 => "garcia_servi@gva.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Unidad de Enfermería, Hospital Quironsalud Valencia, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Aplicaciones Clínicas, Conselleria de Sanitat Universal i Salut Pública-Generalitat Valenciana, Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Subdirección de Cuidados, Servicio Cántabro de Salud-Gobierno de Cantabria, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Unidad de Documentación Clínica y Admisión, Hospital Clínico Universitario de Valencia, Valencia, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Facultad de Enfermería, Universidad Europea de Valencia, Valencia Santander, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Cómo se muestra la actividad de las enfermeras por las Consejerías de Salud?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="tb0005"></elsevierMultimedia></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0025" class="elsevierStylePara elsevierViewall">Nursing records are the documentary evidence of patient<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> participation in terms of interventions and professional conduct. They contain information on nursing activity, constituting a fundamental and inseparable part of care quality processes, and are thus integrated with the corresponding regulatory endorsement<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> in the clinical history of each user-patient, evidencing the role of nursing and guaranteeing the quality of care as well as the professional responsibilities in this respect.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Through data the records provide the necessary information for exact knowledge or for the deduction of consequences derived from an event.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> From them we can observe, measure and corroborate the quality of care practice, or implement corrections to maintain continuous improvement and advance in professional development, research, teaching and management or administration. In this way, we can also compare ("benchmarking") our activity with leading organisations and evaluate our processes and the achievement of care objectives with other benchmarks. The evaluation of the recorded data is based on shared or common indicators that show the performance of the most important processes and functions.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The institutional wealth of data and indicators is vast, almost unmanageable and varied made up of administrative, economic, and clinical data, together with the product of their interrelationship. It is a fact that following the COVID-19 health crisis, we need to redesign and reorganise our databases to optimise functionality and obtain information adjusted to population requirements and take into account those that should not only be exploited and analysed, but also made visible and serve as a support and reference to improve the quality of services.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The disparity between institutionss<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4–6</span></a> in the way data is offered and without taking into account the real needs from the point of view of analysis necessary for the study, analysis and reinforcement of continuous improvement in all processes and levels, reduces the possibilities of obtaining updated data. This has not been the case, for example, with the "COVID19" vaccination (less than a day's margin for updating the vaccines applied in our country)<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> where the updating of the data turnover is essential.</p><p id="par0045" class="elsevierStylePara elsevierViewall">But beyond the information sent from the nursing directorates at institutional or centre level, from reports on the web or clinical sessions of teams, what public offer of information on the activity related to nurses is made at institutional level by each regional ministry/department of health in our National Health System (NHS)? If it is available, what is this information like: is it up to date, what levels of care does it refer to?</p><p id="par0050" class="elsevierStylePara elsevierViewall">Reference is made here to a growing public and professional demand: transparency, good governance and accountability at the level of public administrations, which in our environment are supported at the legislative level by Law 19/2013 on transparency, access to public information and good governance,<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> which entails the visibility of decision-making processes, their methodology and the results obtained. At the level of healthcare, transparency is supported by the "Transparency Law" itself and specifically by the "Greater transparency" axis of the NHS Quality Plan<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> as fundamental axes of all political action and with the transfer of the need for a reliable, timely and accessible information system. This practically obligatory availability of information on healthcare activity, and therefore nursing, led to the production of this study, the objective of which was to analyse the nursing indicators and the results of their activity published by the health departments of the Autonomous Communities (Autonomous Communities of Spain).</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Method</span><p id="par0055" class="elsevierStylePara elsevierViewall">A descriptive observational study was designed and carried out between 01/01/21 and 31/03/21 by one observer and another independent observer, using two general Internet search engines, Google® and Bing®, locating the web pages of the institutional web portals of the regional ministries/councils of health in Spain (including Ceuta and Melilla through the National Institute of Health Management – INGESA for its initials in Spanish), specific to the activity report of the corresponding public health organisations.</p><p id="par0060" class="elsevierStylePara elsevierViewall">A framework of comparison was established by analysing the indicators and data presented by the Ministry of Health - Government of Spain, also located via a web search engine, in order to be able to contrast the results with a governmental reference at state level. A table was generated as a matrix (in Word®) defined with an initial entry with the state indicators located as well as an entry for each autonomous community (left column) with the indicators located, their description and format (right column) providing the specific web hyperlink.</p><p id="par0065" class="elsevierStylePara elsevierViewall">For each institutional website, the existence of activity information (indicator) specifically related to "nursing/nurse/midwifery" and including the care areas of primary care, hospital care, emergency care, mental health and public health was assessed in a first phase. In the case of their availability, the following were analysed for each institutional website: the indicators published on care outcomes, quality and clinical safety, their presentation format (free access: without identification or under registration; aggregation: at autonomous community level or segregated by health areas; updating: year to which the latest information published corresponds; format: on the web, "PDF" or other "Word®, Excel®, JPEG…"), contribution or not of the gender vision (distributed between women and men) and age (by bands). The definition offered for each indicator in the official institutional glossaries by department was assessed.</p><p id="par0070" class="elsevierStylePara elsevierViewall">Quantitative data on professional staff (number of nurses) were excluded, as well as those related to quotas - health cards, training, research, teaching, epidemiological activities and those in which the activity has been added without specifying that it is exclusively nursing (e.g. "family medicine + nurses + paediatrics").</p><p id="par0075" class="elsevierStylePara elsevierViewall">A descriptive statistical analysis of the information collected in the table generated via Word® was carried out in a data matrix in "Excel® Microsoft365®" with each department being each of the units of analysis used. Inter-observer agreement on independent assessment of information was estimated using Cohen's Kappa index of agreement (κ)</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0080" class="elsevierStylePara elsevierViewall">A sample of 56 institutional web pages was analysed, from which a table (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>) was generated with 18 entries (left column) corresponding to each Autonomous Community and INGESA (Ceuta and Melilla): the first includes the only reference from the databases of the "Statistical Portal" of the Ministry of Health-Government of Spain España<span class="elsevierStyleSup">10</span> which provides indicators related to nursing activity in the "Primary Care Information System" (PCIS). Indicators from the EU, Organisation for Economic Co-operation and Development (OECD) and WHO-Europe have been discarded as they are directly related to the ratio per population, remuneration or the number of graduates, which are outside the scope of this work.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Out of the 18 entries, no information on nursing at institutional level was found in 4 of them: Catalonia (reference with its “<span class="elsevierStyleItalic">Observatori del Sistema de Salut</span>”<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> for all the quality indicators they use does not provide any professional category in their results), Castilla-La Mancha (no information was found, not even at provincial level and exclusively for individual health centres individual<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a>) and in the cases of Extremadura and the Canary Islands they are shown at provincial level. Therefore, two entries have been included for each of these Autonomous Communities, totalling 20 entries but evaluating 18 of them as they do not contribute with indicators directly related to either Castilla-La Mancha or Catalonia. The right-hand column (in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>) displays for each entry the indicators found on nursing activity, showing the total number for each one (in the left-hand column) so as to indicate a quantitative relationship with which to compare them. A sub-entry was also made to include:<ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">•</span><p id="par0090" class="elsevierStylePara elsevierViewall">accessibility (free, without prior registration, for all cases, 18);</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">•</span><p id="par0095" class="elsevierStylePara elsevierViewall">aggregation (by Autonomous Communities: 16, disaggregated; only Galicia and Basque country aggregated for all their departments) or disaggregation (province/health areas);</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">•</span><p id="par0100" class="elsevierStylePara elsevierViewall">availability of its format (16 in “PDF”, 12 of them in this format exclusively 2, Aragón and Castilla-León in Excel®);</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">•</span><p id="par0105" class="elsevierStylePara elsevierViewall">the last year of updating (mainly in 2019, 8: Ceuta and Melilla, Andalusia, Balearic Islands, Cantabria, Community of Valencia, Badajoz - Extremadura, Madrid, Basque country; 2020, 4: Gran Canaria, Castilla-León, La Rioja, Navarra; 2018, 4: Aragón (AP), Tenerife (Canary Islands), Galicia and Murcia; 2017, 1: Asturias; 2014, 1: Cáceres - Extremadura);</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">•</span><p id="par0110" class="elsevierStylePara elsevierViewall">and the contribution of the gender vision (data supply by sex: only 3 do so, Andalusia, Valencia and Navarre) and age (by bands: 4, the three previous ones plus Tenerife).</p></li></ul></p><p id="par0115" class="elsevierStylePara elsevierViewall">In terms of indicators, the most frequently published are "number of consultations" (17, with the exception of Castilla-León), "frequency of visits" (10, except Baleares, Gran Canaria, Cantabria, Galicia, La Rioja, Madrid, Murcia and the Basque Country) and "pressure on care" (8, except Andalusia, Baleares, Gran Canaria, Cantabria, Comunidad Valenciana, Galicia, La Rioja, Murcia, Navarra and the Basque Country).</p><p id="par0120" class="elsevierStylePara elsevierViewall">13 show indicators for "midwives" (except Andalusia, Balearic Islands, Castilla-León, Madrid and Navarra). In continuous care/urgent care, 9: Andalusia, Aragon, Tenerife, Cantabria, Valencia, Badajoz, La Rioja, Murcia and Navarre. Only 3 (Community of Valencia: day hospital; Madrid: patient care; Murcia: perceived quality) have indicators related to hospital activity. 2 (Asturias, Navarra) detail indicators for "paediatric nursing" (in primary care). 4, on "mental health": Asturias, Community of Valencia, Badajoz and Navarre.</p><p id="par0125" class="elsevierStylePara elsevierViewall">We would have a resulting "profile of indicators" by Autonomous Community with the following characteristics: activity shown disaggregated by health areas, updated to 2019, in "PDF" format, without gender or age vision, focused on the number of consultations, attendance and care pressure in the exclusive area of primary care.</p><p id="par0130" class="elsevierStylePara elsevierViewall">Below are the most outstanding particularities by Autonomous Community: <ul class="elsevierStyleList" id="lis0020"><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">•</span><p id="par0135" class="elsevierStylePara elsevierViewall">Andalusia: includes emergency activity in primary care.</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">•</span><p id="par0140" class="elsevierStylePara elsevierViewall">Asturias: Distributed by family and paediatric nursing as well as by acute or chronic pathology. Include the mental health area.</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">•</span><p id="par0145" class="elsevierStylePara elsevierViewall">Balearic Islands: presents an indicator of nursing intervention in chronic illness.</p></li><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">•</span><p id="par0150" class="elsevierStylePara elsevierViewall">Tenerife (Canary Islands): Collects in quantity, consultations and techniques in the field of primary care, as well as indicators related to specific groups of patients.</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">•</span><p id="par0155" class="elsevierStylePara elsevierViewall">Community of Valencia: Includes day hospital, emergency, mental health and information collected in the "electronic health record system".</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">•</span><p id="par0160" class="elsevierStylePara elsevierViewall">Extremadura: Badajoz participates with the activity of specific drug dependence units.</p></li><li class="elsevierStyleListItem" id="lsti0070"><span class="elsevierStyleLabel">•</span><p id="par0165" class="elsevierStylePara elsevierViewall">Madrid: Indicators of clinical effectiveness, patient safety and patient care (satisfaction).</p></li><li class="elsevierStyleListItem" id="lsti0075"><span class="elsevierStyleLabel">•</span><p id="par0170" class="elsevierStylePara elsevierViewall">Murcia: It collects indicators of perceived quality related to treatment and professionalism.</p></li><li class="elsevierStyleListItem" id="lsti0080"><span class="elsevierStyleLabel">•</span><p id="par0175" class="elsevierStylePara elsevierViewall">Navarre: it highlights the deployment of indicators for mental health.</p></li></ul></p><p id="par0180" class="elsevierStylePara elsevierViewall">The contribution of the quantitative difference of the number of indicators counted per institution shows a mean of "10" for each institution, with values ranging from 2 for the Balearic Islands, Castilla-León, Galicia and the Basque Country to 48 for Asturias (including values for family nursing, paediatrics, midwifery and mental health).</p><p id="par0185" class="elsevierStylePara elsevierViewall">The interpretation of the data evaluation was considered adequate: inter-observer agreement was 92.8% with a Kappa agreement index (κ) of .90.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discussion</span><p id="par0190" class="elsevierStylePara elsevierViewall">The supply of health indicators is highly variable at national level. It is possible to assess the qualitative and quantitative contribution for each autonomous level, focusing more on the structure, activity and primary care level. Based on a history of nursing indicators, less developed than those of other clinical groups and focused on measuring activity for management with little focus on the measurement of good practices, it is confirmed that the information related to nursing activity currently published by the regional departments is at least disparate and insufficient, not reflecting their reality, with a striking deficiency of more appropriate indicators at hospital level (physiotherapy or occupational therapy sessions are less frequently observed). As an additional observation, in the data areas related to the "coding of diagnoses and procedures ",<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> results related exclusively to the "ICN-10" are included.</p><p id="par0195" class="elsevierStylePara elsevierViewall">Without going into the delay of updates, aspects should be taken into account such as the improvement of the majority provision in "PDF" format (surely used for questions of integration of computer processes, but this format makes care, teaching and research purposes more difficult), the consideration of the vision of gender and age or references such as that of Catalonia<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> which shows its results based on the quality of care but without a relationship by professional category or other more exhaustive ones, at least in primary care such as Asturias. All of this supports the aim of the analysis offered in this work, to contribute to the constructive debate and for this to lead to a strategy for improving the contribution of nursing activity in the public health network and the added value when, with data, we can evaluate the activity, improve the potential deviations or problems detected and compare ourselves among equals and exchange successful experiences.</p><p id="par0200" class="elsevierStylePara elsevierViewall">We are not trying to convey the message that "more indicators are better", but "<span class="elsevierStyleItalic">what is not recorded does not exist"</span> and we would add, "if it is not recorded correctly, it is interfering with the quality of care and even with the clinical safety of each patient", but it is also necessary that the records and data serve to construct indicators that reflect the quality of the product offered and dispensed and information systems that support interoperability and offer the possibility of exploiting them. The aim is to present the current situation and promote the necessary reflection and subsequent debate, so that the argument is positioned in a corporate manner, from the collective, representatives, and national and regional nursing associations, and is raised to the strategic and political level with a joint line of action.</p><p id="par0205" class="elsevierStylePara elsevierViewall">We are supported by ethics,<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13,14</span></a> legal requirements,<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,8,15</span></a> standardised and normalised “NANDA-NOC-NIC”<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16,17</span></a> language, by “open data”,<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> “big data”<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> and “real world data” and even qualitative experiences in our setting (hospital ratios, primary care consultations or specific registers)<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20–22</span></a> or examples of consensus between nurses and their associations with patients and family members and cases for the development of clinical guidelines,<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23,24</span></a> but from our analysis it is proposed to improve the use of the minimum data set around nursing activity, its evaluation and communication, which would contribute to measurement, evaluation and transparent communication. The impact of the nursing contribution would be visible and can be used as an argument for raising needs and proposals to improve and contribute to our healthcare system in a collaborative and committed way.</p><p id="par0210" class="elsevierStylePara elsevierViewall">To correctly highlight and make visible the work of nurses and their impact on the direct care of each patient based on agreed indicators could be the result of a cooperative proposal in which users and patients could be progressively included, offering the most outstanding aspects of nursing care and its health results at least at the level of health centres. It is necessary to continue improving the public position of nurses and the quality of their work in all areas, the ultimate objective will always result in the improvement of the individual and community health of the citizenry.</p><p id="par0215" class="elsevierStylePara elsevierViewall">The initial step, after digitisation in healthcare centres as an optimal starting scenario for the definition and monitoring of nursing indicators, may consist of assigning those that have already been published, e.g. the performance of vaccination or diagnostic and therapeutic tests (retinography, spirometry, minor surgery…) or health education activities. In this line, link indicators related to dependency assessments, activity of daily living, pain assessment, skin, specific groups of chronic/complex patients, continuity of care and their plans or, publication of consultations by NANDA diagnoses or NIC procedures.</p><p id="par0220" class="elsevierStylePara elsevierViewall">The limitations of this study are centred on the information obtained via the web, its possible variability as it is not static and could have omitted web references of interest for this study.</p><p id="par0225" class="elsevierStylePara elsevierViewall">It is considered a key starting point to ensure accessibility for users and professionals to the comparison of high-value results (social and professional) with which to identify the best care practices as a way of encouraging the continuous improvement of nursing practice.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Financing</span><p id="par0230" class="elsevierStylePara elsevierViewall">Exclusively personal funding, by the authors.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflict of interests</span><p id="par0235" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:12 [ 0 => array:3 [ "identificador" => "xres1750051" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Method" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1541513" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1750050" "titulo" => "Resumen" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Método" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1541512" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Method" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Results" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0025" "titulo" => "Financing" ] 9 => array:2 [ "identificador" => "sec0030" "titulo" => "Conflict of interests" ] 10 => array:2 [ "identificador" => "xack618186" "titulo" => "Acknowledgements" ] 11 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-09-25" "fechaAceptado" => "2022-02-27" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1541513" "palabras" => array:6 [ 0 => "Nurse" 1 => "Transparency" 2 => "Public health services" 3 => "Public access to information" 4 => "Healthcare data" 5 => "Nursing records" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1541512" "palabras" => array:6 [ 0 => "Enfermería" 1 => "Transparencia" 2 => "Servicio público de salud" 3 => "Acceso público a la información" 4 => "Datos sanitarios" 5 => "Registros enfermeros" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">To analyse the nursing records and the results of their activity published by the Spanish regional health ministries.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Descriptive observational study by two observers with web search engines locating the activity reports of the regional health organizations. The existence of activity information related to “nursing/nurse/midwife” was evaluated for each institutional web page. The indicators of care results, quality and clinical safety and their presentation were analysed.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Preparation of a table including 19 public health services entries with specific indicators/records of nursing activity for each one, based on 56 institutional websites.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The most frequently resulting profile of indicators is activity shown disaggregated by health areas, from 2019, in “PDF” format, without gender or age vision, focused on the number of consultations, frequentation and healthcare pressure in primary care.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The supply of health indicators presents a great state variability. Regional qualitative and quantitative contributions can be valued, focused more on structure, on measuring activity for management and at the level of primary care but with little focus on measuring good practices. It is confirmed that the published information does not reflect the reality of nursing activity. Being striking the deficiency of hospital activity indicators.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Method" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Analizar los indicadores de enfermería y los resultados de su actividad publicados por las consejerías de salud de las comunidades autónomas.</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Método</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional descriptivo por 2 observadores con buscadores web localizando las memorias de actividad de las organizaciones sanitarias autonómicas. Para cada página web institucional se evaluó la existencia de información de actividad relacionada con “enfermería/enfermera/matrona”. Se analizaron los indicadores de resultados asistenciales, de calidad y seguridad clínica y su presentación.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Configuración de listado de 19 entradas de servicios públicos de salud con los indicadores específicos de actividad enfermera de cada uno, partiendo de 56 webs institucionales analizadas. El perfil de indicadores más frecuentes resultante es: actividad mostrada desagregada por áreas de salud, de 2019, en “PDF”, sin visión de género ni de edad, centrados en el nº de consultas, frecuentación y presión asistencial en atención primaria.</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">La oferta de indicadores sanitarios presenta una gran variabilidad estatal. Se puede valorar los aportes cualitativos y cuantitativos autonómicos, centrados más en la estructura, en medir la actividad para la gestión y en el nivel de la atención primaria pero con un escaso enfoque en la medición de buenas prácticas. Se confirma que la información publicada no refleja la realidad de la actividad enfermera, siendo llamativa la deficiencia de indicadores a nivel hospitalario.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Método" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: A. Reyes-González A, Villanova-Tallada MP, Gancedo-González Z, García-Vicente S. ¿Cómo se muestra la actividad de las enfermeras por las Consejerías de Salud? Enferm Clín. 2022;32:257–269.</p>" ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:1 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Institution (area) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Indicators and their format</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">Statistical Portal - PCIS (Primary Care Information System)(6).</span></td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Graphical summary PCIS: 1. Activity in ordinary consultation: Nursing: 2. 3. Frequency by sex and age. Activity: Ordinary: Nursing: 4. No. consultations. No. individuals. General frequency. Urgent activity: 5. Emergencies attended by Nursing: 6. 6. Frequency of emergencies attended by Nursing.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by Autonomous Community-province. Format: Web-Word-Excel-PowerPoint-PDF-TIFF-CSV. Updated: 2019. Yes gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">Auton. Comm.</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">INGESA - CEUTA and MELILLA</span> (4).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary care</span> (Total; Ceuta; Melilla) - Care activity: 1. No. of nursing consultations (total). Nursing care pressure (number of users attended/professional/day: average number of consultations attended in the centre and at home per professional and, day). 3. Nursing frequency (number of consultations per inhabitant and year). 4. Activity of the midwifery unit.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">NOT reflected in hospital activity</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health area (Ceuta and Melilla). Format: PDF. Updated: 2019. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="6" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">ANDALUSIA</span>. (11).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">statistics on Primary Health Care Health Centres:</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Activity: Basic:</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1. Consultations attended according to professional group and place of care by sex: Nursing (total; at the centre; at home; by sex (total and %): women and men). 2. Consultations attended according to professional group and place of care by province: Nursing (total; in the centre; at home; by sex (total and %): women and men). 3. Indicators of activity by professional group by province: Nursing (total). 4. Overall frequency according to professional group and sex by province: Nursing (sex: both sexes; male; female). 5. Number of emergencies attended according to sex and place of care by professional group and province: Nursing emergencies (both sexes; in the centre and at home). 6. Frequency of emergencies by sex and professional group by province: Nursing emergencies (both sexes and by sex). 7. Nursing consultations according to sex and place of care by district: Place of consultation (in the centre; at home) with total by sex (men and women). 8. Consultations and general frequentation in PC Nursing according to sex and age group by district: number (total) of consultations by sex (men and women) and age (0-14 y.; 15-64 y.; 65 and over a.). 9. Persons attended and frequentation per user in PC nursing consultations by sex and age group by district: "Persons" and "user frequentation" by sex (men and women) and, by age <span class="elsevierStyleItalic">group (0-14 y.; 15-64 y.; 65 and over.).</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Emergencies</span>: 10. Emergencies attended in primary care according to place of care and sex by professional group: Attended by Nursing (place: centre, home). 11. Emergencies attended by nurses in primary care according to place of care and sex by district.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital and midwifery activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by province and health areas. Format: Web-PDF-Excel-PC-Axis-CSV-OpenOffice. Updated: 2019 (except: General Frequency and Emergency Frequency, 2018). Yes gender/age view.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">ARAGÓN</span> (6).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Home Care Support Team (HCST): 1. HCST Nurse visits (individual home visits; per month and per health area).</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary care: PCIS: Ordinary care: 2. Nursing consultations (total by health area) in centre (face-to-face, non-face-to-face, percentage of non-face-to-face) and home. 3. General frequency: in centre and at home. 4. Care pressure/day/professional: Centre and home. 5. Continuous care: Nursing (centre and home). 6. Midwives: By appointment, on demand, at home and group therapy.</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Hospital activity is NOT reflected.</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">free access. Disaggregated by health areas. Format: Excel. Updated: HCST, 2019; PCIS: 2018. No gender/age view.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="7" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">ASTURIAS</span> (48).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Healthcare activity:</span> Primary Care: (By management/health area): 1. Total number of nursing consultations. 2. 2. Total care pressure. 3. Frequency.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Nursing activity (by health area): 4. Total no. of consultations - 5. No. of home nursing consultations - 7. No. of family nursing consultations - 8. No. of paediatric nursing consultations - 9. Actual healthcare pressure - 10. Actual nursing care pressure family nursing - 11. Real healthcare pressure in paediatric nursing - 12. Total nursing care pressure - 13. Total nursing care pressure family - 14. Total nursing care pressure in paediatrics - 15. Spontaneous care pressure in the family nursing centre - 16. Frequency - 17. Frequency of family nursing - 18. Frequency of nursing -19. Cumulative population attended to in family nursing - 20. Percentage of the population attended to in family nursing - 21. Cumulative population attended paediatric nurses - 22. Percentage population attended paediatric nurses - 23. Cumulative actual frequency - 24. Cumulative actual frequency in family nursing - 25. Cumulative actual frequency of paediatric nursing - 26. Total number of episodes - 27. Total demand for nursing - 28. Total demand for family nursing - 29. Total demand for paediatric nursing - 30. Demand for acute pathology total nursing - 31. Demand for acute pathology family nursing - 32. Demand for acute pathology paediatric nursing - 33. Demand for chronic pathology total nursing - 34. Demand for chronic pathology family nursing - 35. GOPA (Gestión y Organización del Proceso Asistencial en Atención Primaria) % of centres with first nursing visit circuit implemented - 41. GOPA % patients with health status assessment carried out by nursing - 42. % of patients with chronic diseases who have a care plan at their health centre.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Midwife activity (by health areas): 43. Number of psychoprophylaxis consultations in obstetrics, 44.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Mental health centres: 47. Nursing successive (per month; outpatient care for adults, children and young people, eating disorders, other drug addictions and alcoholism).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Programmed extra-provincial transport: 48. Returns: conventional + nurse (per month).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health areas. Format: PDF. Updated: 2017. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">BALEARIC ISLANDS</span> (2).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary care: Activity by islands</span>.: Nursing: 1. Consultations (total, in centre, at home; by primary care management).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Quality indicators: Area of the elderly-chronicity-dependency: 2. Nursing intervention (chronic disease) (%, total and by area).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital and midwifery activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health areas. Format: PDF. Updated: 2019. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="8" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">CANARY ISLANDS</span><span class="elsevierStyleItalic">(No institutional activity reports have been found at departmental level).</span></td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" colspan="2"><span class="elsevierStyleBold">Gran Canaria</span> (4).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary Care Management of Gran Canaria</span> Nursing: Consultations (number of consultations on demand and by appointment: at the centre, at home and by telephone<span class="elsevierStyleItalic">).</span> 2. Liaison nursing: Consultations (no. of consultations on demand and by appointment: in the centre, at home and by telephone). 3. Midwives: Consultations (no. of consultations on demand and by appointment: in the centre, at home and by telephone). \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Preventive activities: 4. Nursing: Number of professionals participating and average number of hours dedicated to Health Education group activities in 2020. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Added for Gran Canaria. Format: Web/PDF. Updated: 2020. No gender/age vision. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" colspan="2"><span class="elsevierStyleBold">Tenerife</span> (14).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary Care Management of Tenerife</span>: \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">PC Service: Midwives: 1. consultations (total). 2. Nursing care pressure (annual accumulated by islands). Nursing: 3. Utilisation rate. 4. Frequency rate. Paediatric nursing: 5. Utilisation rate. 6. 6. Index of frequentation. 7. Consultations: centre, home, peripheral extraction, control of oral anticoagulation, retinography and spirometry. 8. ZBS with greater and lesser care pressure Nursing. 9. Midwives: No. of total consultations. 10. No. of nursing consultations attended (up to 14 y.; over 14 a.) at Continuous Care Points (PAC), Normal Emergency Services (SNU) and Paediatric Emergency Service (SUP). 11. Percentage of diabetics with retinography (details that are carried out by nurses). 12. % of COPD patients with spirometry (specific nursing agendas). 13. No. of people in the Continuity of Care Service in the centres with Liaison Nursing (quantitative data). 14. Patient safety: notifying professional (nurse). \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected. \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Added for Tenerife. Format: PDF. Updated: 2018. No gender vision \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">CANTABRIA</span> (3).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary Care:</span> Consultations: 1. Nursing (total). 2. Midwife (total).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Emergencies (Primary Care Emergency Services-SUAP): 3. Emergency Nursing Day.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health areas. Format: PDF. Updated: 2019. No gender/age vision</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">CASTILLA - LA MANCHA</span> (0). \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">No institutional activity reports have been found.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">CASTILLA Y LEÓN</span> (2).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Health care: Primary care (health indicators):</span> Nursing: 1. 2. Frequency (differentiated by urban and semi-urban, rural, total).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital and midwifery activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health areas. Format: Excel. Updated: 2020. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">CATALONIA</span> (0). \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">There are no specifics in their hospital, primary care, socio-health, mental health, public health, emergency (they do not categorise by professional groups).</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="8" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">COMMUNITY OF VALENCIA</span> (22).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Nursing in Primary Care:</span> Evolution of the activity (by province, by health department, by age group and by sex): 1. Consultations and 2. Frequency of A.P. Nursing 3, 15-29, 30-44, 45-59, 60-74, 75-89, over 90 a.) for 7. A.P. Nursing and 8. A.P. Midwives (and by sex: male, female and total). Consultations carried out by type of appointment (on demand, by appointment, without prior appointment, total) in 9. Consultations carried out by order of activity (first, successive and total) in 11. Nursing and 12.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Consultations carried out by Nursing by place of activity (centre, home, telephone and total). 14. 14. Consultations carried out by Nursing by order of activity (first, successive and total). 15.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Consultations made by nurses by sex and age group and total. 16.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">16. Day Hospital (it is indicated that it is considered a "basically nursing" activity) (by hospital): no. of hours, visits carried out (total: no.; on demand: no. and %; programmed: no. and %); rate of rotation of posts.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Activity of emergency resources: BLS Nursing: 17. Absolute no. and 18. daily average.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Mental health: 19. Evolution of nursing consultations.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Electronic Health Record System (HSE): Continuity of nursing care: 20. Access of citizens and professionals to the HSE: 21. Nursing care (access and donation): 22. Disciplinary files initiated and finalised by nurse inspector</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health area (health department) and by province. Format: PDF. Updated: 2019. Yes gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="8" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">EXTREMADURA</span><span class="elsevierStyleItalic">(No institutional activity reports have been found at departmental level).</span></td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">Badajoz</span> (10).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary care:</span> Nursing care activity: 1. Total number of consultations - Consultations carried out at the centre - Consultations scheduled at the centre - Consultations carried out at home - 2. Extractions - 3. Total care pressure. Care activity of the Continuous Care Points (PAC): 4. Centre and home nurse. By basic health area: 5. Nursing activity: consultations, care pressure and frequency of visits Midwife activity: 6. Mental health: 7. Care activity of the units: Nurses (consultations per centre). Centro de Drogodependencia Extremeño (CEDEX): 8. Number of nursing consultations (by centre and total). Family Guidance and Planning Centres (COPF): Consultations by units: 9. Nurses (administrative, demand, groups, first consultations, programmed, technical centre, extractions, other consultations, total). 10. Number of patients attended by nurses (by COPF).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Broken down by health area (Badajoz) and basic health areas. Format: PDF. Updated: 2019. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " rowspan="5" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">Cáceres</span> (7).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Primary care activity: Nursing: 1. Total no. of consultations total no. of consultations, no. of consultations programmed at the centre, no. of consultations on demand, no. of consultations programmed at home.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3. Number of psycho-prophylaxis sessions. Total nursing care pressure and 5. Frequency of nursing consultations (consultations per inhabitant per year).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">User care: Most complained about services Primary Care (number of complaints and complaints): 6. Nursing and 7.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">A Free access. Disaggregated by health area (Cáceres) and basic health areas. Format: PDF. Updated: 2014 (not accessible, 2015-2016). No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">GALICIA</span> (2).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Appointments in primary care:</span> Telephone consultations in primary care: 1. Nursing (total; % Appointments by telephone; % Appointments resolved) and 2.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Aggregate (SERGAS). Format: PDF. Updated: 2018. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">LA RIOJA</span> (6).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary care. Nursing: 1</span>. at the health centre (total visits), 2. at home and 3. total breath test. Continuous care: 4. Nurse consultations at the centre and at home. Midwife: 5. Women attended and, 6. home visits.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Aggregate (La Rioja; Hospital San Pedro). Format: PDF. Updated: 2020. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">MADRID</span><span class="elsevierStyleItalic">Specified if it comprises up to 14 a. (9).</span></td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary Care Indicators (Nursing): General data:</span> 1. Percentage of population attended to in the year with respect to the assigned population. 2. Number of total consultations in the year. 3. Adjusted care pressure (annual). Clinical effectiveness and patient safety: 4. Nursing care plans in the population attended; 5. Nursing care plans in specific processes: Nursing care plans in people with severe or total dependency, in people with advanced chronic disease and in cardiovascular processes. Patient care: 6. Satisfaction with the nursing professional. 7. Satisfaction with the kindness of the nursing professional.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Hospital indicators: Patient care</span>: 8. Satisfaction with the nursing professionals. 9. 9. Satisfaction with the treatment and friendliness of the nursing professionals.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Matron activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health centre. Format: Web/PDF/Excel-CSV. Updated: 2019. No gender/age vision.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">MURCIA</span> (16).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Observatory of results.</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Resources and activity: Primary care activity</span>: 1. Ratio of assigned population per nurse (by health areas).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Perceived quality (in %): Primary Care: 2. Professionalism of the nurse. 3. Nurse treatment. Adult Hospitalisation: 4. Professionalism of the nurses. 5. Professionalism of nurses: 5. Obstetric services: 6. Professionalism of midwives. 7. 7. Midwives' treatment. 8. Treatment of nurses. Paediatric hospitalisation: 9. Professionalism of nurses. 10. 10. Treatment of nurses. Outpatients: 11. Professionalism of the nurses. 12. Nursing staff: 12. Hospital emergencies: 13. Professionalism of nurses. 14. 14. Treatment of nurses. Hospitalisation in Subsidised Centres: 15. Professionalism of the nurses. 16. 16. Treatment of nurses.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health area. Format: Web/PDF/Excel. Updated: 2018. No gender/age vision</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="4" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">NAVARRE</span> (11).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Primary care</span> 1. Frequency (no. of consultations/inhabitant/year centre and home): Nursing, Adult nursing and Paediatric nursing. Activity: 2. No. of consultations in centre (demanded; programmed; total) and 3. at home (demanded; programmed; total) by sex: Adult nursing and paediatric nursing. 4. Number of consultations per inhabitant: Adult nursing and Paediatric nursing. Out-of-hospital emergencies attended: 5. Nursing.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Mental health</span>: 6. Total number of consultations Nursing. 7. Special nursing consultations (by programme; total and %). 8. Activity by professional - professional involvement by programme (nurses: nº consultations and %). 9. 9. Average number of consultations per professional and month according to programme (nurses). 10. Evolution of the activity of the programme of first psychotic episodes No. consultations Nurses. 11. Telephone follow-up programme after a suicide attempt (exclusively mental health nurse specialist) People who start the programme by age and sex.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital and midwifery activity is NOT reflected.</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Disaggregated by health area. Format: PDF. Updated: 2020. Yes gender/age view (0-2 y.; 3-6 y.; 7-14 a.).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead rowgroup " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleBold">BASQUE COUNTRY</span> (2).</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Nursing: 1. PC consultations (total). Midwives: 2. PC consultations (total).</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Hospital activity is NOT reflected</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Free access. Attaché (Osakidetza). Format: PDF. Updated: 2019. No gender/age vision.</td></tr></tbody></table> """ ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Indicators by Autonomous Community / institution, categorisation of indicators and total quantitative number (each reference has its active hyperlink in the first column). The qualitative indicators related to the national level (Ministry of Health - Government of Spain) are included for direct comparison with the Autonomous Regions.</p>" ] ] 1 => array:5 [ "identificador" => "tb0005" "tipo" => "MULTIMEDIATEXTO" "mostrarFloat" => false "mostrarDisplay" => true "texto" => array:1 [ "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec9005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect5065">What is known?</span><p id="par1010" class="elsevierStylePara elsevierViewall">Little awareness exists regarding public information on nursing activity. Its evaluation is key to improving general knowledge about its development and professional burden related to primary and hospital care.</p></span><span id="sec1010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect4070">What does this paper contribute?</span><p id="par0020" class="elsevierStylePara elsevierViewall">Current information on the care work of nurses in the reports of the health departments is scarce at a qualitative and quantitative level, leading this analysis to a constructive debate for improvement in order to make progress in its general and professional dissemination.</p></span></span>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La importancia del registro clínico de enfermería: un acercamiento cualitativo" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.J. 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Original Article
How is the nursing activity shown by the Spanish regional health ministries?
¿Cómo se muestra la actividad de las enfermeras por las Consejerías de Salud?
Ainhoa Reyes-Gonzáleza, M. Pilar Villanova-Talladab, Zulema Gancedo-Gonzálezc, Sergio García-Vicented,e,
Corresponding author
a Unidad de Enfermería, Hospital Quironsalud Valencia, Valencia, Spain
b Servicio de Aplicaciones Clínicas, Conselleria de Sanitat Universal i Salut Pública-Generalitat Valenciana, Valencia, Spain
c Subdirección de Cuidados, Servicio Cántabro de Salud-Gobierno de Cantabria, Spain
d Unidad de Documentación Clínica y Admisión, Hospital Clínico Universitario de Valencia, Valencia, Spain
e Facultad de Enfermería, Universidad Europea de Valencia, Valencia Santander, Spain