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

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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
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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
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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)
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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
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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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

La enfermería en Colombia y la reforma del sector salud

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