Resumen: Objetivo: Analizar la autoevaluación de las competencias profesionales de enfermería, en un hospital público de tercer nivel de atención, relacionadas con sus características laborales. Material y Métodos: Estudio cuantitativo, descriptivo correlacional, en 162 profesionales de enfermería de los servicios de hospitalización de un hospital público de tercer nivel de atención, se utilizó el instrumento validado “Competencias profesionales para licenciados en enfermería”, con una confiabilidad de Alfa de Cronbach de 0.97, el estudio se apegó a lo estipulado en el Reglamento de la Ley General de Salud en Materia de Investigación. Resultados: De los profesionales de enfermería evaluados el 77.2% corresponde al sexo femenino; el rango de edad que predominó fue de 41- 45 años con 50.6%, en su mayoría casados (44.4 %). Destaca la antigüedad laboral de 11 a 14 años (48.1%) y el grado académico de Licenciatura (49.4%). El nivel global de competencias profesionales se ubicó en 164.8 (DE=11.4) de una puntuación máxima de 200, el indicador de ética destaca con una media de 33.85 (DE=2.88), seguido del indicador de atención integral con una media de 33.33 (DE=3.22). No se encontró relación estadísticamente significativa, entre las competencias profesionales del personal de enfermería y las características laborales. Conclusiones: El personal de enfermería, se percibe competente para brindar atención integral con apego ético; no obstante, se demanda fortalecer dimensiones como la educación, investigación y gestión, que contribuyan a la mejora continua de la calidad y seguridad en la atención.

Abstract: Objective: Analyze the self-assessment of the professional competencies of nurses in a tertiary care public hospital related to their work characteristics. Material and Methods: Quantitative, descriptive correlational study of 162 nursing professionals in the hospitalization services of a tertiary care public hospital, using the validated instrument “Professional competencies for nursing graduates”, with a Cronbach’s Alpha reliability of 0.97, the study complied with the stipulations of the Regulations of the General Law of Health on Research. Results: Of the nursing professionals evaluated, 77.2% were female; the predominant age range was 41-45 years with 50.6%, mostly married (44.4%). The most outstanding characteristics were seniority of 11 to 14 years (48.1 %) and a bachelor’s degree (49.4 %). The overall level of professional competencies was 164.8 (SD=11.4) out of a maximum score of 200, the ethics indicator stands out with a mean of 33.85 (SD=2.88), followed by the comprehensive care indicator with a mean of 33.33 (SD=3.22). No statistically significant relationship was found between the professional competencies of the nursing staff and the work characteristics. Conclusions: The nursing staff is perceived as competent to provide comprehensive care with ethical attachment; however, there is a demand to strengthen dimensions such as education, research and management that contribute to the continuous improvement of quality and safety in care.

Objective: To compare nursing care in patients missed in a public and private hospital, as well as related factors. Methods: descriptive, cross-sectional and comparative study in 2 hospitals (public and private) in San Luis Potosi, Mexico, during 2013-2014. The MISSCARE Survey was administered. The content validity by Cronbach's alpha 0.91. Results: Missed nursing care was higher in the public institution (Public M=29.89, SD=5.72; private M=9.80, SD=12.10). The biggest omission in care in both hospitals corresponds to basic care interventions (Public M=41.52, SD=12.09; private M=16.66, SD=18.83); the main factor that nurses reported was human resources (public M=82.46, SD=12.94; private M=61.21, SD=21.31). Conclusions: The missed nursing care dominated public institution, in both institutions it is mainly attributed to human resources.

Objetivo principal: comparar el cuidado de enfermería perdido en pacientes hospitalizados en un hospital público y un privado, así como los factores relacionados. Metodología: estudio descriptivo-transversal comparativo. Se realizó en dos hospitales (público y privado) en San Luis Potosí, México, durante 2013-2014. Se utilizó el instrumento MISSCARE con una confiabilidad Alfa de Cronbach de 0.91. Resultados: El cuidado perdido de enfermería fue mayor en la institución pública (pública M=29.89, DE=5.72; privada M=9.80, DE=12.10). La mayor omisión en el cuidado en ambos hospitales corresponde a intervenciones de cuidado básico (pública M=41.52, DE=12.09; privada M=16.66, DE=18.83); el principal factor que el personal de enfermería relaciona con el cuidado perdido fue recursos humanos de enfermería (pública M=82.46, DE=12.94; privada M=61.21, DE=21.31). Conclusiones: El cuidado de enfermería perdido predominó en la institución pública, en ambas se atribuye principalmente al recurso humano.

Resumo Objetivo Avaliar o desempenho da enfermagem no controle do diabetes de pacientes ambulatoriais do IMSS (Instituto Mexicano de Seguro Social) - hospital Prospera número 44 em Tamazunchale, San Luis Potosi, México. Métodos Estudo quantitativo, transversal e descritivo, com amostra de 30 enfermeiros recrutados de agosto de 2014 a abril de 2015. Foi utilizado um guia de observação de desempenho que avaliou as funções administrativas, assistenciais, de ensino e de comunicação. O desempenho foi classificado como bom, razoável e ruim por meio de estatísticas descritivas. Resultados Um total de 93.3% da amostra consistiu de mulheres, auxiliares de enfermagem certificadas; 70% com estudo de nível técnico. As medidas globais das funções administração, assistencial, de ensino e de comunicação indicaram que 6,7% apresentaram desempenho bom, 40% desempenho razoável e 53,3% desempenho ruim. Conclusão As funções de cuidar e ensinar mostraram oportunidades significativas para melhorar o autocuidado ao paciente. A avaliação do desempenho de enfermagem forneceu evidências para a gestão dos serviços no programa de diabetes.

Abstract Objective To evaluate nursing performance in the control of diabetic outpatients of the IMSS (Instituto Mexicano del Seguro Social [Mexican Social Security Institute])-Prospera hospital number 44 in Tamazunchale, San Luis Potosi, Mexico. Methods This quantitative, descriptive, cross-sectional study consisted of a sample of 30 nurses recruited from August 2014 to April 2015. A performance observation guide that evaluated administrative, care, teaching, and communication functions was used. Performance was classified as good, fair, and poor by means of descriptive statistics. Results A total of 93.3% of the sample consisted of female certified nurse assistants, 70% with studies at the technician level. The overall measurements of the administrative, care, teaching, and communication functions indicated that 6.7% presented good performance, 40% fair performance, and 53.3% poor performance. Conclusion Care and teaching functions show significant opportunities for improving patient self-care. Nursing performance evaluation provides evidence for the management of services in the diabetes program.

Abstract Objective To evaluate nursing performance in the control of diabetic outpatients of the IMSS (Instituto Mexicano del Seguro Social [Mexican Social Security Institute])-Prospera hospital number 44 in Tamazunchale, San Luis Potosi, Mexico. Methods This quantitative, descriptive, cross-sectional study consisted of a sample of 30 nurses recruited from August 2014 to April 2015. A performance observation guide that evaluated administrative, care, teaching, and communication functions was used. Performance was classified as good, fair, and poor by means of descriptive statistics. Results A total of 93.3% of the sample consisted of female certified nurse assistants, 70% with studies at the technician level. The overall measurements of the administrative, care, teaching, and communication functions indicated that 6.7% presented good performance, 40% fair performance, and 53.3% poor performance. Conclusion Care and teaching functions show significant opportunities for improving patient self-care. Nursing performance evaluation provides evidence for the management of services in the diabetes program.

Resumo Objetivo Avaliar o desempenho da enfermagem no controle do diabetes de pacientes ambulatoriais do IMSS (Instituto Mexicano de Seguro Social) - hospital Prospera número 44 em Tamazunchale, San Luis Potosi, México. Métodos Estudo quantitativo, transversal e descritivo, com amostra de 30 enfermeiros recrutados de agosto de 2014 a abril de 2015. Foi utilizado um guia de observação de desempenho que avaliou as funções administrativas, assistenciais, de ensino e de comunicação. O desempenho foi classificado como bom, razoável e ruim por meio de estatísticas descritivas. Resultados Um total de 93.3% da amostra consistiu de mulheres, auxiliares de enfermagem certificadas; 70% com estudo de nível técnico. As medidas globais das funções administração, assistencial, de ensino e de comunicação indicaram que 6,7% apresentaram desempenho bom, 40% desempenho razoável e 53,3% desempenho ruim. Conclusão As funções de cuidar e ensinar mostraram oportunidades significativas para melhorar o autocuidado ao paciente. A avaliação do desempenho de enfermagem forneceu evidências para a gestão dos serviços no programa de diabetes.