Background: Retained surgical items (RSIs) represent a real and ongoing problem, but it is preventable. Its real incidence is unknown because of underreporting resulting from the fear of lawsuits for medical errors. This study aimed to describe the perception of the members of a surgical team about their ethical and legal responsibilities related to medical errors, specifically concerning the presence of RSIs. Methods: This qualitative, descriptive, and interpretative study focused on the perceptions of the members of a surgical team on the ethical and legal problems they may face because of the presence of RSIs. Continuous saturation sampling was performed by interviewing 17 professional members of the surgical team. Atlas Ti 8.0® program was used for analyzing the data obtained. It traced the categories by means of content analysis of the perceptions and practices during possible ethical and legal responsibilities because of medical errors. Results: The interviewees were conflicted between complicity and justice, as it is a duty to report events or actions that put the lives of surgical patients at risk.Conclusions: The lack of awareness about the rules and believing that human errors are inevitable lead to normalizing errors, which does not allow professionals to face the risk and, therefore, to avoid it.
INTRODUCTION: Adolescence is a unique period of rapid growth and development in girls, that mixes the physical, emotional and social spheres of childhood and adulthood. It starts with the changes of puberty and ends when an autonomous young adult emerges.OBJECTIVE: To determine the factors related to multiparity in a certain vicinity of Cartagena, Colombia.METHODS: A descriptive cross-sectional and exploratory study, consisting of 207 adolescents aged between 15 and 19 years residing in locality 2 in Cartagena.RESULTS: The average age of the adolescents surveyed was 18.32 years. It was found that teenagers’ will to have 2 children (with respect to having 3) is lower (in 0.175) in girls with an educational level higher than primary school. When a family is moderate in giving orders or rules, the chance of a teen to have 2 children instead of 3 is 3.95 times higher than in those families that are not moderate. When planning the first pregnancy, the desire of adolescents to have a second child and not a third is 17.607 higher these girls that had unplanned first in those in which their first pregnancy was not planned. Whereas in pregnancies due to the misuse of contraceptives, the probability of not conceiving a third child is 3.7 times higher than those who became pregnant for a different reason. Adolescents who attended prenatal controls have a preference of 0.021 for having 4 or more children instead of 3, with respect to those who do not attend.CONCLUSIONS: A series of family and sociocultural factors were identified in this study, that relate to multiparity in adolescents. The family is the core unit of health and the ideal entity to convey protective factors.
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