Avaliação de aspectos assistenciais, organizacionais e laborais na perspectiva dos profissionais de Enfermagem / Evaluación de los aspectos asistenciales, organizativos y laborales desde la perspectiva de los profesionales de enfermería / Evaluation of Care, Organizational and Laboral Aspects from the Perspective of Nursing Professionals

Introdução: a equipe de enfermagem desempenha um papel importante no contexto da saúde, no qual é necessário alinhar o controle dos elevados custos com a segurança e a qualidade assistencial, o que pode contribuir para as decisões de gestão e para a concepção de políticas públicas capazes de influenciar os resultados para os professionais, pacientes e serviços de saúde. Objetivo: avaliar as condições de trabalho, qualidade dos cuidados de enfermagem, satisfação professional e intenção de permanecer no trabalho atual e na professão na perspectiva dos professionais de enfermagem. Métodos: Foi um estudo transversal, descritivo e correlacional realizado em três hospitais gerais no Brasil. Os dados foram coletados com apoio de formulário contendo caracterização pessoal e professional e da avaliação dos cuidados, aspectos organizacionais e de trabalho. Resultados: participaram um total de 452 professionais de enfermagem. Os professionais de enfermagem estão satisfeitos com o seu trabalho, reportaram a sua intenção de permanecer no trabalho atual e na professão durante os próximos 12 meses e reportaram boas condições de trabalho. Conclusão: a instituição que teve acreditação hospitalar apresentou melhores resultados, sugerindo que as certicações de qualidade podem favorecer a percepção dos professionais de enfermagem a respeito da avaliação dos cuidados, aspectos organizacionais e de trabalho.

Introducción: el equipo de enfermería desempeña un papel importante en el contexto sanitario, en el que es necesario alinear el control de los costes elevados con la seguridad y la calidad de los cuidados, lo que puede contribuir a las decisiones de gestión y al diseño de políticas públicas capaces de influir en los resultados de los profesionales, los pacientes y los servicios sanitarios. Objetivo: evaluar las condiciones de trabajo, la calidad de los cuidados de enfermería, la satisfacción laboral y la intención de permanecer en el puesto de trabajo actual y en la profesión desde la perspectiva de los profesionales de enfermería. Métodos: se trata de un estudio transversal, descriptivo y correlacional realizado en tres hospitales generales de Brasil. Los datos se recogieron con el apoyo de un formulario que contenía la caracterización personal y profesional y la evaluación de los aspectos asistenciales, organizativos y laborales. Resultados: participaron 452 profesionales de enfermería. Los profesionales de enfermería están satisfechos con su trabajo, informaron su intención de permanecer en su empleo actual y en la profesión durante los próximos 12 meses y declararon tener buenas condiciones de trabajo. Conclusión: la institución que contaba con acreditación hospitalaria mostró mejores resultados, lo que sugiere que las certificaciones de calidad pueden favorecer la percepción de los profesionales de enfermería en cuanto a la evaluación de los aspectos asistenciales, organizativos y laborales.

Introduction: The nursing team plays an important role in the healthcare context, in which it is necessary to align high-cost control with safety and quality of care, which can contribute to management decisions and to the design of public policies capable of influencing outcomes for professionals, patients, and healthcare services. Objective: To evaluate working conditions, quality of nursing care, job satisfaction, and intention to remain in the current job and in the profession from the perspective of nursing professionals. Methods: this was a cross-sectional, descriptive, and correlational study carried out in three general hospitals in Brazil. Data were collected with the support of a form containing personal and professional characterization and evaluation of care, organizational and work aspects. Results: A total of 452 nursing professionals participated. The nursing professionals are satisfied with their work, reported their intention to remain in their current job and in the profession for the next 12 months and reported good working conditions. Conclusion: The institution that had hospital accreditation showed better results, suggesting that quality certifications may favor the perception of nursing professionals regarding the evaluation of care, organizational and work aspects.

Validation of the Brazilian Version of the Job Satisfaction Survey Using Confirmatory Factor Analysis.

BACKGROUND AND PURPOSE: The purpose of this study was to evaluate the validity of the Brazilian version of the Job Satisfaction Survey (JSS) using confirmatory factor analysis supported by structural equation modeling in a sample of Brazilian nursing workers. METHODS: Data from 360 nursing workers were analyzed. Confirmatory factor analysis used partial least squares structural equation modeling (PLS-SEM). RESULTS: The results showed that the Brazilian version of the JSS presented better adjustment to the model after the removal of four items from the scale. According to confirmatory factor analysis, convergent and discriminant validities were confirmed. CONCLUSIONS: The Brazilian version of JSS showed strong evidence of construct validity through convergent and discriminant measures.

Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis.

AIM: To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate. BACKGROUND: The nursing practice environment is critical to the well-being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units. METHODS: A cross-sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014. For data collection, we used the Nursing Work Index - Revised, Safety Attitudes Questionnaire - Short Form 2006 and the Maslach Burnout Inventory, and for analysis Spearman's correlation coefficient and structural equation modelling were used. RESULTS: Two hundred and sixty-seven professional nurses participated in the study. Autonomy, control over the work environment and the relationship between nursing and medical staff are factors associated with job outcomes and safety climate and can be considered their predictors. CONCLUSIONS: Professional nurses with greater autonomy, good working relationships and control over their work environment have lower levels of emotional exhaustion, higher job satisfaction, less intention of leaving the job and the safety climate is positive. IMPLICATIONS FOR NURSING MANAGEMENT: Initiatives to improve the professional practice environment can improve the safety of paediatric patients and the well-being of professional nurses.

Validation of the Brazilian Version of the Newcastle Satisfaction With Nursing Scales: A Partial Least Squares Path Modeling Approach.

BACKGROUND AND PURPOSE: Assessing patient satisfaction requires reliable and valid instruments. This study evaluated the reliability and validity of the Brazilian version of the Newcastle Satisfaction with Nursing Scales (B-NSNS). METHODS: This cross-sectional study enrolled 351 adult inpatients. Partial least squares path modeling (PLS-PM) approach was used to evaluate the reliability and validity of this instrument. RESULTS: After the adjustments of model, both constructs exhibited adequate convergent and discriminant validity, showing that experiences with nursing care have a significant effect on patient satisfaction (r = .70) and account for 49.1% of the variance in patient satisfaction with the nursing care (R2 = 0.49). CONCLUSIONS: The B-NSNS result in a valid and reliable measure for use in managing nursing care.

Stress related to care: the impact of childhood cancer on the lives of parents.

OBJECTIVES: The objective was to assess the stress levels of parents of children with cancer and to identify correlations among demographic data and anxiety levels. METHODS: A descriptive, cross-sectional study, conducted in two Brazilian institutions, with 101 parents of children with cancer. Through interviews, parents responded to two instruments: Pediatric Inventory for Parents - Brazilian version, which assesses stress levels, and State-Trait Anxiety Inventory, for the measurement of anxiety. The correlations between the instruments and the sociodemographic variables of the parents and children were evaluated using the Spearman correlation coefficient. RESULTS: Higher levels of stress and anxiety were seen by young parents, young children and with less time since diagnosis. The fear of death and the disease impact on the life of a child were the events considered the most stressful for the parents . CONCLUSIONS: In clinical practice, the nurse who can identify the occurrence of these symptoms becomes capable of planning nursing care that includes the family in decisions about the care. Moreover, she can provide support to help parents manage their stress levels and positively face the illness of their children.

Nurses' attention demands in the work setting.

This descriptive study aimed to identify attention demand situations experienced by nurses in their workplace and to verify if these demands were judged differently depending on socio-demographic variables. Data were collected through the "Directed Attention Demands" instrument, translated and validated in Brazil. SAS statistics software was used for data analysis. The following demand situations scored higher: "watching a patient suffer", "a number of rapid decisions had to be made", "caring for families with emotional needs", "not enough time to provide emotional support to a patient", and "family teaching required". There were statistical differences for variables such as: age, marital status, professional qualification, work shift and number of hours worked weekly. The importance of these findings should be pointed out to managers and administrators in the adoption of strategies that can minimize these sources of demand for nurses.