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Resumen Se presenta un trabajo conceptual sobre el cuidado del sueño en las edades pediátricas con el objetivo de describir las características, consecuencias de privación o mala higiene del sueño y presentar instrumentos de valoración y propuestas de cuidados. La información se estructura en seis áreas temáticas: 1. Características del sueño en la edad pediátrica, 2. Consecuencias de inadecuada calidad del sueño en los niños/as, 3. Problemas y trastornos del sueño en la edad pediátrica, 4. Prevalencia de la afectación del sueño en la edad pediátrica, 5. Valoración del sueño en edad pediátrica, 6. Cuidados de enfermería relacionados con el sueño. Se presentan los instrumentos de valoración por edades y los diagnósticos, objetivos e intervenciones específicas en cuidados que se deben considerar en la educación sanitaria en estas edades. Son pocos los estudios sobre el sueño en las edades pediátricas. Futuras líneas de investigación serían de interés para la descripción de los hábitos de sueño en la población infantil y la identificación de necesidades en cuidados, para incorporar intervenciones enfermeras y probar su eficacia por grupos de edad dada la trascendencia, para incorporar evidencia relevante a la práctica en cuidados. Summary A conceptual work on sleep care in pediatric ages is presented with the aim of describing the characteristics, consequences of sleep deprivation or poor hygiene and presenting assessment instruments and care proposals. The information is structured in six thematic areas: 1. Sleep characteristics in pediatric age, 2. Consequences of poor sleep quality in children, 3. Sleep problems and disorders in pediatric age, 4. Prevalence of sleep impairment in pediatric age, 5. Sleep assessment in pediatric age, 6. Sleep-related nursing care. The assessment instruments by age and the diagnoses, objectives and specific interventions in care that should be considered in health education at these ages are presented. There are few studies on sleep in pediatric ages. Future lines of research would be of interest for the description of sleep habits in the child population and the identification of care needs to incorporate nursing interventions and test their effectiveness by age groups given the relevance to incorporate relevant evidence to care practice.

Introduccion: el consumo de sustancias psicotropicas y, concretamente, de benzodiacepinas (BZD), esta sufriendo un notable crecimiento en Europa en los ultimos anos, lo que conlleva un mayor riesgo de consumo, de abuso, dependencia y un empleo no medico, sobre todo en las poblaciones mas jovenes. Objetivos: revisar la bibliografia disponible sobre el uso no medico y/o recreativo de las BDZ en la poblacion joven. Material y metodo: se llevo a cabo una revision bibliografica de la literatura publicada en las bases de datos PubMed, Biblioteca Virtual de Salud, Biblioteca Cochrane Plus y Science Direct durante el periodo de un mes. Se analizo la calidad de los articulos seleccionados con instrumentos especificos segun el tipo de estudio. Resultados: se localizaron un total un total de 980 articulos. Finalmente 10 articulos fueron incluidos por su relevancia: 2 revisiones sistematicas, 2 estudios de cohortes y 6 epidemiologicos transversales. Todos articulos seleccionados mostraron calidad y evidencia aceptable. Los principales temas que aglutinan los resultados son motivos para el consumo sin prescripcion, fuentes de adquisicion y co-ingesta con otras drogas. Discusion: la juventud se ha convertido en una etapa idonea para experimentar con distintas drogas, aumentando los casos de intoxicaciones y las visitas a los servicios sanitarios. La incremento en la prescripcion de BZD facilita su disponibilidad y accesibilidad por parte de este grupo de poblacion.

To design an instrument to measure impairment of skin integrity in the diaper area of infants and severity of injury for the prevention and management of irritative diaper dermatitis.Design in 3 phases: 1) comprehensive review and critical appraisal of literature to design the preliminary content of the instrument; 2) critical evaluation of initial proposal by an expert group (nursing and pediatric medicine) with opinion survey and ad hoc questions; 3) content analysis using data tabulation for the modification and final design of the instrument.Primary Care Management of Tenerife.In the 1st phase a proposed instrument is designed: two groups of risk factors (10 modulators risk and 9 high risk); and a severity scale with 5 aspects to assess including 4-5 items each (depth, location, extension, type of injury, signs of infection). The 2nd phase involved 19 professionals. A Tabulation of the data grouped into add or omit factors was used. The 3rd phase ends with a modified version of the instrument: 10 modulating factors, 5 of hig risk and 4 items for each aspect to assess severity.The scarce bibliography found and absence of similar tools explain the design. The next phase will be the validation of RDIC-lac instrument.Susceptibility to prevent skin lesions in the diaper area in the pediatric age.

To value the degree of completion of VEUPAP record, the level of satisfaction of the accompanists otcrilaren witn nursing care and nurse satisfaction.Descriptive study. There was valued the cumplimentation of record of global and specific form by nurse according to defined quality criteria. The satisfaction of the accompanists was valued by the AMABLE questionnaire, the nurses satisfaction with the use of VEUPAP by the CSLPS-EAP and the personal accomplishment in the work by the MBI in his validated Spanish version.266 VEUPAP cases were evaluated. The general compliance of the items exceeds 95 (92-98) %, except for three items. Completion of protocols fever, respiratory distress, gastrointestinal, and abdominal pain is 95 (92-98) %, 93(90-96) %, 90 (86-94) %--and 67 (61-73) % respectively. More than 95 (93-97) % users referring to be satisfied with the nurses attention. The 100 (100-100) % of the nurses are very satisfied with their tasks and activities and personal accomplishment they get, 88(84-92) % with the quality of patient care and achievement of objectives. All feel quite satisfied with their degree of autonomy. Job instability represents 50(44-56) % of dissatisfaction. The EE is low for 94% of nurses and a medium for 6%, the DP high for 17% and low for 13% and the PA low for 53% and medium for 47%.Quality of registration, user satisfaction and the nurse who provides care satisfaction are three cornerstones of pediatric emeraency care. VEUPAP impacts positively on these three aspects.

Design a tool for nursing assessment and classification for pediatric patients in primary care emergency.Comprehensive literature review of systems of evaluation and classification of urgent patients, work in groups of experts, creation of the instrument and test its validity, reliability and ease of use in normal operation conditions of service.Pediatric Emergency Department Dr. Jaime Chaves. Tenerife. Canary Islands.Nine nurses and nine pediatricians with training and experience in emergency pediatric care. The validity and reliability tests are performed on a sample of 200 pediatric patients who came calling attention to the emergency service alter request informed consent.Training sessions, motivational and expert group consensus. Nurses apply the classification tool to test at patient entry and level of classification given by the pediatrician at discharge.Final version of the instrument with the fields of assessment and related documents. Validity tests show a sensitivity of 100% and a specificity of 94% and a concordance between nurse and pediatric of 83% and reliability agreement among nurses of 76% (p0.001 in all cases).The instrument, called VEUPAP (Nurse Pediatric Emergency Valuation in Primary Care), is valid, reliable, simple and useful for application in primary care.

To describe the characteristics of care in a pediatric emergency service to identify potential finalist nursing areas.Cross-sectional study in 385 randomly selected patients. Sex, age, municipality of residence, kinship companion, reasons for consultation, level of urgency, care and treatment protocols prior to medical care, observation, health education, delay in care, complications during the wait, duration of care and referral needs is assesed. The calculations were performed using SPSS 17.0.The sample included 380 children, 63% male, ages 3 (0.5-11) years. Delay in triage was 4 (0-15) minutes and the duration of 5 (2-7). The reasons for consultation were fever 54 (49-59)%, cough 45(40-50)%, pain 14 (11-17)%, skin/mucous lesions 13 (10-16)%, vomiting 10 (7-13)%. The level distribution was for 2th triage level 5 (3-7)%, 3th level 23 (19-27)%, 4th level 28 (26-30)% and 5th level 44 (39-49)%. Care protocols were fever 20 (16-24)%, respiratory distress and vomiting/diarrhea, 7 (4-10)% and pain 3 (1-5)%. In 20% the nurse start treatment prior to consultation. 22% remained under observation. 20% received health education. There were 3% of complications. The 2% accurate referral. The 53% of the reasons for non-serious inquiries are classified as susceptible finalist care by nurse.The results expand the perspectives of finalist nursing areas. Three finalists areas are identified: with minimal protocols, previous protocol development and decision algorithms and, with limitations by actual legal framework.