La enfermería en Colombia y la reforma del sector salud

ABSTRACT: A qualitative research was conducted to analyze the practice of nursing in Colombia. It seeks to understand the social value of nursing, by means of surveys to both professionals and assistants, who work in health institutions which have developed the process of reform implementation at a...

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Autores:
Castrillón Agudelo, María Consuelo
Orrego Sierra, Silvia
Pérez Peláez, Liria
Ceballos Velásquez, María Elena
Arenas Cadavid, Gloria Stella
Tipo de recurso:
Article of investigation
Fecha de publicación:
1999
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/4796
Acceso en línea:
http://hdl.handle.net/10495/4796
Palabra clave:
Profesión de enfermería
Práctica de enfermería
Educación en enfermería
Reforma de los sistemas de salud
Nursing Profession
Nursing Practice
Nursing education
Health system reforms
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
id UDEA2_90da2cd0363c6f71cb20cf919783625c
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/4796
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv La enfermería en Colombia y la reforma del sector salud
dc.title.alternative.spa.fl_str_mv Nursing in Colombia and the health reform
title La enfermería en Colombia y la reforma del sector salud
spellingShingle La enfermería en Colombia y la reforma del sector salud
Profesión de enfermería
Práctica de enfermería
Educación en enfermería
Reforma de los sistemas de salud
Nursing Profession
Nursing Practice
Nursing education
Health system reforms
title_short La enfermería en Colombia y la reforma del sector salud
title_full La enfermería en Colombia y la reforma del sector salud
title_fullStr La enfermería en Colombia y la reforma del sector salud
title_full_unstemmed La enfermería en Colombia y la reforma del sector salud
title_sort La enfermería en Colombia y la reforma del sector salud
dc.creator.fl_str_mv Castrillón Agudelo, María Consuelo
Orrego Sierra, Silvia
Pérez Peláez, Liria
Ceballos Velásquez, María Elena
Arenas Cadavid, Gloria Stella
dc.contributor.author.none.fl_str_mv Castrillón Agudelo, María Consuelo
Orrego Sierra, Silvia
Pérez Peláez, Liria
Ceballos Velásquez, María Elena
Arenas Cadavid, Gloria Stella
dc.subject.none.fl_str_mv Profesión de enfermería
Práctica de enfermería
Educación en enfermería
Reforma de los sistemas de salud
Nursing Profession
Nursing Practice
Nursing education
Health system reforms
topic Profesión de enfermería
Práctica de enfermería
Educación en enfermería
Reforma de los sistemas de salud
Nursing Profession
Nursing Practice
Nursing education
Health system reforms
description ABSTRACT: A qualitative research was conducted to analyze the practice of nursing in Colombia. It seeks to understand the social value of nursing, by means of surveys to both professionals and assistants, who work in health institutions which have developed the process of reform implementation at a large scale. The nursing experience is presented from the interviewees subjective point of view, regarding what they do in general, what they know, and what they do within the context in which they work. The nature of the project does not allow generalizations, but it does identify trends in nursing practice. The research project verified that the working conditions are precarious, and that there is a distance between the professional care- taker and the subject of such attention, role idealization, ethical dilemmas, conceptual emptiness when the essence of the task has to be precised, psychological suffering, and service bureaucratization. It is a multicentric work case study guided by the PAHO, carried out in Argentina, Colombia, Brazil, Mexico, and the United States, where Nursing regulations training were also studied.
publishDate 1999
dc.date.issued.none.fl_str_mv 1999
dc.date.accessioned.none.fl_str_mv 2016-10-05T20:03:26Z
dc.date.available.none.fl_str_mv 2016-10-05T20:03:26Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
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dc.type.local.spa.fl_str_mv Artículo de investigación
format http://purl.org/coar/resource_type/c_2df8fbb1
status_str publishedVersion
dc.identifier.citation.spa.fl_str_mv Castrillón Agudelo MC, Orrego Sierra S, Pérez Peláez L, Ceballos Velásquez ME, Arenas GS. La enfermería en Colombia y la reforma del sector salud. Invest Educ Enferm. 1999;17(1): 13-33.
dc.identifier.issn.none.fl_str_mv 0120-5307
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/4796
dc.identifier.eissn.none.fl_str_mv 2216-0280
identifier_str_mv Castrillón Agudelo MC, Orrego Sierra S, Pérez Peláez L, Ceballos Velásquez ME, Arenas GS. La enfermería en Colombia y la reforma del sector salud. Invest Educ Enferm. 1999;17(1): 13-33.
0120-5307
2216-0280
url http://hdl.handle.net/10495/4796
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Invest. educ. enferm.
dc.rights.*.fl_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.*.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/co/
dc.rights.accessrights.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.creativecommons.spa.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
rights_invalid_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Enfermería
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
bitstream.url.fl_str_mv http://bibliotecadigital.udea.edu.co/bitstream/10495/4796/1/CastrillonMaria_1999_EnfermeriaReformaSalud.pdf
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spelling Castrillón Agudelo, María ConsueloOrrego Sierra, SilviaPérez Peláez, LiriaCeballos Velásquez, María ElenaArenas Cadavid, Gloria Stella2016-10-05T20:03:26Z2016-10-05T20:03:26Z1999Castrillón Agudelo MC, Orrego Sierra S, Pérez Peláez L, Ceballos Velásquez ME, Arenas GS. La enfermería en Colombia y la reforma del sector salud. Invest Educ Enferm. 1999;17(1): 13-33.0120-5307http://hdl.handle.net/10495/47962216-0280ABSTRACT: A qualitative research was conducted to analyze the practice of nursing in Colombia. It seeks to understand the social value of nursing, by means of surveys to both professionals and assistants, who work in health institutions which have developed the process of reform implementation at a large scale. The nursing experience is presented from the interviewees subjective point of view, regarding what they do in general, what they know, and what they do within the context in which they work. The nature of the project does not allow generalizations, but it does identify trends in nursing practice. The research project verified that the working conditions are precarious, and that there is a distance between the professional care- taker and the subject of such attention, role idealization, ethical dilemmas, conceptual emptiness when the essence of the task has to be precised, psychological suffering, and service bureaucratization. It is a multicentric work case study guided by the PAHO, carried out in Argentina, Colombia, Brazil, Mexico, and the United States, where Nursing regulations training were also studied.RESUMEN: Se analiza la práctica de la enfermería en Colombia por medio de una investigación cualitativa que busca comprender el valor social del cuidado de enfermería. La información se obtuvo mediante entrevistas a profesionales y auxiliares que trabajaban en instituciones de salud con mayor desarrollo en el proceso de implementación de la reforma. Se expone la experiencia de enfermería desde la subjetividad de los actores entrevistados frente a lo que hacen, lo que saben, las cosas que hacen y el contexto en que trabajan. La naturaleza del estudio no permite generalizaciones, pero sí identifica tendencias de la práctica de la enfermería. Se constató que las condiciones de trabajo son precarias: existe distanciamiento del cuidador profesional con el sujeto de atención, idealización de roles, dilemas éticos, vacíos conceptuales para precisar la esencia de su quehacer, sufrimiento psíquico y burocratización de los servicios. Constituye un estudio de caso de un trabajo multicéntrico orientado por la OPS realizado en Argentina, Colombia, Brasil, México y Estados Unidos donde se estudia, además, la regulación y la educación en enfermería.application/pdfspaUniversidad de Antioquia, Facultad de EnfermeríaMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Profesión de enfermeríaPráctica de enfermeríaEducación en enfermeríaReforma de los sistemas de saludNursing ProfessionNursing PracticeNursing educationHealth system reformsLa enfermería en Colombia y la reforma del sector saludNursing in Colombia and the health reformInvest. educ. enferm.Investigación y Educación en Enfermería1333171ORIGINALCastrillonMaria_1999_EnfermeriaReformaSalud.pdfCastrillonMaria_1999_EnfermeriaReformaSalud.pdfArtículo de investigaciónapplication/pdf1161573http://bibliotecadigital.udea.edu.co/bitstream/10495/4796/1/CastrillonMaria_1999_EnfermeriaReformaSalud.pdf6c54feebef1ee0d052d374c557283e8cMD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/4796/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/4796/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/4796/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/4796/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5510495/4796oai:bibliotecadigital.udea.edu.co:10495/47962021-04-07 06:44:49.425Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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