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El estrés laboral es una de las enfermedades laborales más extendidas a lo largo de los países desarrollados durante las últimas décadas del siglo XX y el siglo XXI. Los altos costes generados así como el aumento de la prevalencia han hecho que diversas instituciones a nivel mundial lo estudien y planteen la necesidad de crear leyes estatales para su prevención. El presente estudio experimental pretest-postest de tipo ensayo clínico aleatorizado tiene como objetivo principal evaluar si una intervención enfermera basada en la terapia cognitivo-conductual disminuye el efecto de los factores estresantes causantes del estrés laboral de los profesionales sanitarios que trabajan en los dispositivos de emergencias extrahospitalarias del servicio de urgencias médicas de la Comunidad de Madrid (SUMMA 112), ya que estos profesionales, debido a las características específicas de su puesto de trabajo, las situaciones de crisis en las que desarrollan su labor asistencial y la falta de adiestramiento en técnicas de superación y control del estrés les hace especialmente sensibles a padecer trastornos derivados del estrés laboral. Abstract: Work-related stress is one of the most widespread illnesses over the developed countries during the last decades of the twentieth century and the twenty-first century. The high costs generated as well as the increased prevalence have made various institutions worldwide to study and consider the need to create laws to prevent them. This pre-post-type randomized clinical trial has as its main objective to assess whether an nurse intervention based on the cognitive-behavioural therapy reduces the effect of stressors cause of job stress in health professionals working in the emergency extra hospital devices at the Emergency Medical Service of the Community of Madrid (SUMMA 112), as these professionals, due to the specific characteristics of their jobs, the crisis in health care that work and the lack of training in techniques to overcome and control Stress makes them particularly sensitive to disorders arising from the stress at work. Centro de Trabajo: (1) Enfermera especialista en salud mental. H. Infanta Sofía; (2) Enfermero especialista en salud mental. H. Infanta Leonor; (3) Enfermero especialista en salud mental. Clínica Cemtro; (3) Enfermera especialista en salud mental. H. La Paz (Madrid, España) Fecha del Trabajo: 13/11/2009 Palabra Clave: Estrés laboral, Terapia cognitivo conductual, Emergencias extrahospitalarias, Enfermera especialista en salud mental, Cuidados de Enfermería. Key Words: Work stress, Cognitive behavioral therapy, Extra hospital emergencies, Mental health nurse, Nursing Care.

Work-related stress is one of the most widespread illnesses over the developed countries during the last decades of the twentieth century and the twenty-first century. The high costs generated as well as the increased prevalence have made various institutions worldwide to study and consider the need to create laws to prevent them.This pre-post-type randomized clinical trial has as its main objective to assess whether an nurse intervention based on the cognitive-behavioural therapy reduces the effect of stressors cause of job stress in health professionals working in the emergency extra hospital devices at the Emergency Medical Service of the Community of Madrid (SUMMA 112), as these professionals, due to the specific characteristics of their jobs, the crisis in health care that work and the lack of training in techniques to overcome and control Stress makes them particularly sensitive to disorders arising from the stress at work.

The sleep disorders are among the most common behaviour problems in infancy and early childhood, not only affect children, but parents also suffer from lack of sleep which creates problems of anxiety and communication in the partner by exhaustion. One way to prevent insomnia in children is that parents know how to create the habit of sleeping with their children.The main aims of the protocol are: - To train parents to establish healthy habits for proper sleep hygiene.- Preventing sleep disorders caused by bad habits in the infant. - To prevent symptoms of anxiety due to lack of sleep in the parents.The program will consist of 6 sessions of 90 minutes long, 3 pre-natal where they thrive knowledge and 3 sessions after to exposure doubts and search for solutions. We think that cooperation between the mental health nurse specialist with the midwife it is necessary to create a program that establish a healthy dream pattern in both infants and their parents, will prevent the sleep disorders by incorrect habits and their effects

Los trastornos del sueño figuran entre los problemas del comportamiento más frecuentes en la lactancia y en la primera infancia, y o sólo afectan a los niños sino que los padres sufren también de falta de sueño lo que origina problemas de ansiedad y de comunicación en la pareja por agotamiento. Una forma de prevenir el insomnio de los niños es que los padres conozcan cómo deben crear el hábito del sueño a sus hijos. Los objetivos generales del protocolo son: - Capacitar a los padres para implantar hábitos saludables para una correcta higiene del sueño. - Prevenir trastornos del sueño por malos hábitos en el lactante. - Prevenir síntomas de ansiedad por falta de sueño en los padres. El programa constará de 6 sesiones de 90 minutos de duración, 3 previas al parto donde se desarrollan los conocimientos teóricos y 3 sesiones posteriores de exposición de dudas y búsqueda de soluciones. Creemos que la cooperación de la enfermera especialista en salud mental con la matrona para crear un programa psicoeducativo que favorezca el patrón sueño-descanso tanto de los lactantes como de sus padres, prevendrá la aparición de trastornos de sueño por hábitos incorrectos y sus efectos. Abstract: The sleep disorders are among the most common behaviour problems in infancy and early childhood, not only affect children, but parents also suffer from lack of sleep which creates problems of anxiety and communication in the partner by exhaustion. One way to prevent insomnia in children is that parents know how to create the habit of sleeping with their children. The main aims of the protocol are: - To train parents to establish healthy habits for proper sleep hygiene. - Preventing sleep disorders caused by bad habits in the infant. - To prevent symptoms of anxiety due to lack of sleep in the parents. The program will consist of 6 sessions of 90 minutes long, 3 pre-natal where they thrive knowledge and 3 sessions after to exposure doubts and search for solutions. We think that cooperation between the mental health nurse specialist with the midwife it is necessary to create a program that establish a healthy dream pattern in both infants and their parents, will prevent the sleep disorders by incorrect habits and their effects. Centro de Trabajo: (1-6) Enfermera Interna Residente de Salud Mental. Comunidad de Madrid. Promoción 2007/2008 (Madrid, España). Fecha del Trabajo: 30/04/2008 Palabra Clave: Sueño-Descanso, Lactante, Psicoeducación, Enfermera Especialista en Salud Mental, Trastornos del Sueño. Key Words: Sleep-Relax, Baby, Psychoeducation, Nurse Specialist in Mental Health, Sleep Disorders

Presentamos una propuesta para aumentar la calidad de los cuidados enfermeros, mejorando la atención de salud mental de los pacientes hospitalizados, mediante la creación de la figura de la enfermera, dentro del equipo de interconsulta de psiquiatría de enlace. Esta enfermera, no sólo sería un referente de apoyo al personal de enfermería a nivel de cuidado del paciente, sino también del auto-cuidado psicoemocional del profesional. Objetivo: Justificar la necesidad de incluir la figura de la enfermera especialista en salud mental en el equipo de psiquiatría de enlace. Método: La rotación como residentes, durante un mes, con el equipo de interconsulta de psiquiatría del hospital Gregorio Marañón y revisión bibliográfica. Resultados: Se han observado necesidades parcialmente no satisfechas, estas podrían ser cubiertas con la existencia de una enfermera especialista en salud mental de interconsulta en este hospital. Discusión: Posiblemente se plantean dificultades a la hora de definir los roles de los distintos profesionales del equipo de enlace, que esperamos puedan ser definidos cuando se inicie la implantación del nuevo miembro. La enfermería tiene un campo propio definido, articulado mediante la metodología NANDA, NIC, NOC, que abarca aspectos que hasta ahora no están siendo realizados, por la no existencia de la figura de la enfermera en el equipo de interconsulta de psiquiatría de enlace. Abstract: We show a proposal to increase the quality of nursing cares, improving mental health care of hospitalized patients by creating the figure of the liaison nurse within the liaison psychiatry team. This nurse would not only be a reference to support the nursing staff at the level of patient care, but also the psycho-emotional self-care professional. Objectives: Justifying the need to include the figure of the specialist mental health team liaison psychiatry nurse. Method: The rotation as residents, for a month, with the interconsultation team psychiatric hospital Gregorio Marañón and literature review. Results: There have been partially unmet needs, these could be covered with the existence of a nurse specialist in mental health consultation in this hospital. Discussion: Possibly it poses difficulties in defining the roles of various liaison team professionals, which we expect can be defined at the start implementing the new member. The hospital itself has an own field defined, articulated through the NANDA, NIC, NOC methodology, which covers aspects that so far have not being made, there is not a nurse figure into the psychiatric consultation liaison team. Centro de Trabajo: (1-5) Enfermeros/as Interinos Residentes. Promoción 2007-08. Escuela de Enfermería de la Comunidad de Madrid (Madrid, España) Fecha del Trabajo: 12/03/2008 Palabra Clave: Enfermería, Psiquiatría, Enlace, Salud Mental, Interconsulta. Key Words: Nursing, Psychiatry, Liaison, Mental Health, Interconsultation.

We show a proposal to increase the quality of nursing cares, improving mental health care of hospitalized patients by creating the figure of the liaison nurse within the liaison psychiatry team. This nurse would not only be a reference to support the nursing staff at the level of patient care, but also the psycho-emotional self-care professional.Objectives: Justifying the need to include the figure of the specialist mental health team liaison psychiatry nurse. Method: The rotation as residents, for a month, with the interconsultation team psychiatric hospital Gregorio Marañón and literature review. Results: There have been partially unmet needs, these could be covered with the existence of a nurse specialist in mental health consultation in this hospital. Discussion: Possibly it poses difficulties in defining the roles of various liaison team professionals, which we expect can be defined at the start implementing the new member.The hospital itself has an own field defined, articulated through the NANDA, NIC, NOC methodology, which covers aspects that so far have not being made, there is not a nurse figure into the psychiatric consultation liaison team.

As residents of the mental health specialty, we take great care plan with methodology NANDA-NOC-NIC (NNN) in each of our rotations. Because of that there is still no consensus on how to use this methodology; we made this poster with our proposal. To do this, we propose a practical and standardized to carry out the care plans to guide future resident nurse of mental health in their care plans.Taking into account the review of various models of existing ratings of nursing at present, as well as taxonomy NNN, we carried out the development of a poster in which we show a practical example of how our proposed structure of a care plan:Evaluation: through functional patterns of M. Gordon Diagnosis: respecting the PES format: - (P) Problem: Using with the NANDA taxonomy - (E) Etiology: related factors- (S) Signs and symptoms: definitorial characteristics Planning: depending on the diagnosis set forth, the NOCs will agree. Performance indicators are also defined, specifying the current state, as well as the level to maintain /achieve and the time to be assessed. Lastly proposed interventions (NIC) and developed activities to be carried out to achieve the expected results. Implementation: implementation of interventions and activities Evaluation: we review the performance indicators, assessing the level reached in light of the current situation of the patient, and proposing corrective measures if necessary. As discussion could conclude that we used in our rotations this structure, so that we standardized "way we do." In turn, we have disseminated this structure in the National Congress of Mental Health Nursing.

Como enfermeras/os residentes de la especialidad de salud mental, realizamos un plan de cuidados con metodología NANDA-NIC-NOC (NNN) en cada uno de nuestros rotatorios. Debido a que todavía no hay un consenso sobre cómo utilizar esta metodología, realizamos este póster con nuestra propuesta. Para ello proponemos una forma práctica y estandarizada de llevar a cabo los planes de cuidados, de manera que podamos orientar a futuros residentes de enfermería en sus planes de cuidados Teniendo en cuenta la revisión de diversos modelos de valoraciones de enfermería existentes en la actualidad, así como la taxonomía NNN, llevamos a cabo la elaboración de un póster en el que mostramos un ejemplo práctico como nuestra propuesta de estructura de un plan de cuidados: Valoración: a través de los patrones funcionales de M. Gordon Diagnóstico: respetando el formato PES: - (P) Problema: enunciado con la taxonomía NANDA - (E) Etiología: factores relacionados - (S) Signos y síntomas: características definitorias Planificación: en función de los diagnósticos enunciados, se pactan los NOCs. También se definen los indicadores de resultados, concretando el estado actual, así como el nivel a mantener/conseguir y el tiempo en el que se volverán a evaluar. Por último se proponen las intervenciones (NIC) y se desarrollan las actividades a llevar a cabo para conseguir los resultados esperados. Ejecución: puesta en práctica de las intervenciones y actividades. Evaluación: se revisan los indicadores de resultados, evaluando el nivel alcanzado en función de la situación actual del paciente, y proponiendo medidas correctoras si fuese necesario. Como discusión podríamos concluir que hemos utilizado en nuestras rotaciones esta estructura, de forma que hemos estandarizado “nuestra forma de hacer”. A su vez, hemos difundido esta estructura en el Congreso Nacional de Enfermería de Salud Mental. Abstract: As residents of the mental health specialty, we take great care plan with methodology NANDA-NOC-NIC (NNN) in each of our rotations. Because of that there is still no consensus on how to use this methodology; we made this poster with our proposal. To do this, we propose a practical and standardized to carry out the care plans to guide future resident nurse of mental health in their care plans. Taking into account the review of various models of existing ratings of nursing at present, as well as taxonomy NNN, we carried out the development of a poster in which we show a practical example of how our proposed structure of a care plan: Evaluation: through functional patterns of M. Gordon Diagnosis: respecting the PES format: - (P) Problem: Using with the NANDA taxonomy - (E) Etiology: related factors - (S) Signs and symptoms: definitorial characteristics Planning: depending on the diagnosis set forth, the NOCs will agree. Performance indicators are also defined, specifying the current state, as well as the level to maintain /achieve and the time to be assessed. Lastly proposed interventions (NIC) and developed activities to be carried out to achieve the expected results. Implementation: implementation of interventions and activities Evaluation: we review the performance indicators, assessing the level reached in light of the current situation of the patient, and proposing corrective measures if necessary. As discussion could conclude that we used in our rotations this structure, so that we standardized ""way we do."" In turn, we have disseminated this structure in the National Congress of Mental Health Nursing. Centro de Trabajo: (1-5) Enfermeros/as Interinos Residentes. Promoción 2007-08. Escuela de Enfermería de la Comunidad de Madrid (Madrid, España) Fecha del Trabajo: 03/03/2007 Palabra Clave: Enfermería de Salud Mental, Metodología, NANDA, Residentes, Plan de cuidados. Key Words: Mental Health Nursing, Methodology, NANDA, Residents, Care plan.