Cumplimiento del personal de enfermería en la atención del parto por cesárea en un hospital materno de la ciudad de Guayaquil desde octubre del 2017 hasta marzo del 2018.

Abstract

The present study aims to study compliance in cesarean delivery care, due to the fact that nurses must constantly be trained in advances in health care and execute updated guidelines that guarantee quality care; however, they are sometimes omitted. Objective.-To determine if the nursing staff complies or does not comply with the guidelines of the Ministry of Public Health of Ecuador in the delivery care by caesarean section. Methodology.-Quantitative-descriptive-observation study, taken as sample to 100% of the population that consists of 9 graduates, 6 interns and 5 nursing assistants who work in the institution, "Operating Area", for data collection employs survey and direct observation matrix; this in order to characterize the nursing staff, assess their level of knowledge and determine compliance with the care guides. Results.-It is obtained that both in the pre -postoperative and immediate puerperium, if they are fulfilled in 72%, and in 28%, they are not fulfilled. The 45% of the staff ranges from 20 to 30 years of age, 65% of the staff is represented by women, 60% of the staff has between 0 to 3 years of service time in the hospital, 45% of the staff is conformed by Bachelors in Nursing, 100% of the staff stated that they know and put into practice the care guides in cesarean delivery. In the preoperative if it meets 73% and does not meet 27%. In the postoperative period, if it meets 77% and does not meet 23%.And in the immediate puerperium, if it meets 69% and does not comply by 31%. Conclusions.-Most of the nursing staff do comply with the care guide lines in the preoperative, postoperative and immediate puerperium, however they must work with the rest that does not comply in it sentirety. Recommendations.- Continuous training about cesarean delivery care, implementing survey forms for patients about compliance with activities that must be ful filled during their stay in the area, before being transferred to hospitalization, implement a "suggestion box" professional, "which will allow workers to express themselves about the needs or main conflicts that arise throughout the day.