<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1132-1296</journal-id>
<journal-title><![CDATA[Index de Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Index Enferm]]></abbrev-journal-title>
<issn>1132-1296</issn>
<publisher>
<publisher-name><![CDATA[Fundación Index]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1132-12962019000200012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Distribución de enfermeras por Unidades de pacientes agudos y Unidades de Cuidados Intensivos en España]]></article-title>
<article-title xml:lang="en"><![CDATA[Allocation of nurses by acute or Intensive Care Units in Spain]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Lendínez]]></surname>
<given-names><![CDATA[Alfonso J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grande Gascón]]></surname>
<given-names><![CDATA[Mª Luisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Fernández]]></surname>
<given-names><![CDATA[Francisco P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hueso Montoro]]></surname>
<given-names><![CDATA[Cesar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Ramiro]]></surname>
<given-names><![CDATA[Pedro A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz López]]></surname>
<given-names><![CDATA[Montserrat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Jaén Facultad de Ciencias de la Salud Departamento de Enfermería]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Granada Departamento de enfermería ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Camilo José Cela Facultad de Educación y Salud Departamento de enfermería]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>28</volume>
<numero>3</numero>
<fpage>147</fpage>
<lpage>151</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1132-12962019000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1132-12962019000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1132-12962019000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En el contexto sociodemográfico y económico en el que nos encontramos, es necesario que los sistemas sanitarios, potencien la promoción y prevención de la salud e implementen nuevas estrategias para atender a la población. En España se aprecia un importante déficit de enfermeras, con respecto a los países de nuestro entorno. Este déficit implica un aumento de la ratio enfermera-paciente, lo que conlleva un incremento de la morbi-mortalidad de la población y un aumento de costes. Los objetivos de este estudio son conocer la distribución de enfermeras en España en entornos de pacientes agudos y analizar las necesidades por provincias, así como compararlo con las ratios de seguridad recomendadas por organismos oficiales. Para ello se realizó un estudio descriptivo transversal multicéntrico durante 2016. Del análisis de los datos se desprende que la media de pacientes por enfermera y turno es elevada en unidades de agudos polivalentes, situación que se agrava en los turnos de noche, fines de semana y festivos. Y por lo tanto ninguna Comunidad Autónoma cumple en todos los turnos de trabajo las ratios recomendadas. En las Unidades de Cuidados Intensivos, en todas las Comunidades Autónomas, en todos los turnos, están por encima de dos pacientes por enfermera por lo que tampoco se sitúan en estándares recomendados. Es necesario, junto con un cambio de modelo sanitario, incorporar enfermeras al sistema nacional de salud, ya que esto aportara retornos económicos, sociales y de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract In the socio-demographic and economic context in which we are, it is necessary that the health systems empower health promotion and prevention and implement new strategies to assist the population. In Spain there is a significant deficit in nurses with respect to other countries of our surroundings. This deficit implies an increase in the ratio patient-nurse, which leads to an increase in the morbi-mortality of the population and an increase of the costs. The objectives of this study are to know the distribution of nurses in Spain in acute patient settings and to analyze the needs provinces, as well as to compare it with the safety ratios recommended by official bodies. To this end, a multicentric cross-sectional descriptive study was carried out during 2016. From the analysis of the data it is discovered that both at the level of the province and Autonomous Community, the average number of patients per nurse and shift is high in acute polyvalent care units, a situation that gets worse in night shifts, weekends and holidays. Therefore, no Autonomous Community fulfills the recommended ratios in all shifts. In Intensive Care Units, in all Autonomous Communities, in all shifts, they are above two patients per nurse, so they are not placed within the recommended standards either. It is necessary, together with a change of the health model, to incorporate nurses into the national health system, since this will provide economic, social and health returns.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ratio enfermera-paciente]]></kwd>
<kwd lng="es"><![CDATA[Morbilidad]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[Seguridad del paciente]]></kwd>
<kwd lng="en"><![CDATA[Nurse -patient relations]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Patient safety]]></kwd>
</kwd-group>
</article-meta>
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