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2.
Tidsskr Nor Laegeforen ; 139(18)2019 Dec 10.
Artículo en Noruego, Inglés | MEDLINE | ID: mdl-31823588

RESUMEN

BACKGROUND: Increasing the utilisation of unused capacity in hospitals is a health policy goal, but there is concern that little unused capacity remains. The objective of the study was to examine how healthcare personnel experience and deal with pressure on capacity in the somatic specialist health services. MATERIAL AND METHOD: In this qualitative study, we conducted semi-structured interviews with unit heads and doctors and nurses involved in discharging patients in two Norwegian hospital trusts. Nine interviews (both individual and group) with altogether 19 informants were carried out in the period October 2017-February 2018. The interviews were analysed using systematic text condensation. RESULTS: Pressure on hospital capacity was described as continual pressure to treat more patients. The informants used the term 'undercapacity': a situation in which increased demands without sufficient resources were detrimental to something or someone. Elderly patients who had completed their treatment and were waiting for the provision of municipal services were regarded as particularly vulnerable, since they were often overrepresented among the patients moved between departments and wards in order to free up capacity when beds were urgently needed. The hospital staff felt they had little influence on the type of municipal services the patients were offered following discharge. INTERPRETATION: The informants stated that their daily work was negatively affected by undercapacity. Health professionals' perceptions of pressure on hospital capacity constitute vital knowledge in policy formation in the field.


Asunto(s)
Actitud del Personal de Salud , Personal de Salud , Medicina , Carga de Trabajo , Anciano , Recursos en Salud , Humanos , Noruega , Personal de Hospital/psicología , Investigación Cualitativa
3.
Medicine (Baltimore) ; 98(50): e18352, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31852137

RESUMEN

Improvement in patient safety culture requires constant attention. This study aimed to identify hospital-level elements related to patient safety culture, such as patient safety management systems, activities and work environments.Two questionnaire surveys were administered to hospitals in Japan in 2015 and 2016. The first survey aimed to determine which hospitals would allow their staff to respond to a questionnaire survey. The second survey aimed to measure the patient safety culture in those hospitals. Patient safety culture was assessed using the Hospital Survey on Patient Safety Culture (HSOPS). The relationship of hospital-level patient safety culture with the aforementioned elements in each hospital was analyzed.The response rate to the first survey was 22% (721/3270), and 40 eligible hospitals were selected from the respondents. The second survey was administered to healthcare workers in those 40 hospitals, and the response rate was 94% (3768/4000). The proportion of respondents who had 7 or more days off each month was related to the scores of 7 composites and the Patient Safety Grade of HSOPS. Both the presence of a mission statement describing patient safety and the proportion of respondents who participated in in-house patient safety workshops at least twice annually were related to the scores of 5 composites and the Patient Safety Grade of HSOPS.Our study suggests that the number of days off each month, the presence of a hospital patient safety mission statement, and the participation rate in in-house patient safety workshops might be key factors in creating a good patient safety culture within each hospital.


Asunto(s)
Cultura Organizacional , Seguridad del Paciente , Personal de Hospital/psicología , Administración de la Seguridad , Lugar de Trabajo/psicología , Adulto , Actitud del Personal de Salud , Estudios Transversales , Femenino , Encuestas de Atención de la Salud , Hospitales , Humanos , Japón , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios
4.
Am J Disaster Med ; 14(2): 101-111, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31637691

RESUMEN

OBJECTIVES: In military settings, utilizing warm fresh whole blood (WFWB) was associated with reduced mortality; however, there are multiple challenges for administering WFWB to civilians. The authors aimed to determine barriers to hospital employees emergently donating to civilian WFWB programs. METHODS: We surveyed hospital employee willingness to donate emergently, familiarity with blood donation, and queried baseline demographics. The electronic survey was disseminated to a random sample of employees. Descriptive and univariate analyses were performed. RESULTS: Three thousand surveys were sent; 883 were returned (28 percent). The majority of respondents were female (n = 630, 71 percent). Respondent familiarity with WFWB donation included very/somewhat familiar (n = 381, 43 percent) and somewhat-not/not-at-all familiar (n = 356, 40 percent). Most were definitely or somewhat willing to emergently donate (n = 660, 75 percent). Four hundred and sixty would drive from home to donate (52 percent). The majority worked day-time shifts (n = 754, 85 percent). In regards to donation history, 366 (41 percent) had donated blood more than ten times, but 138 (16 percent) had never donated. Barriers to emergent donation were identified (55 percent), with the most common being childcare responsibilities (n = 242; 27 percent). CONCLUSIONS: Hospital employees are willing to donate WFWB emergently, but program implementation must address donor availability and logistical barriers. Future research should assess feasibility of a civilian WFWB program by determining regulatory challenges, development of a quality system for emergency donations, assessment of optimal workforce structure, potential impact to the general blood inventory, as well as patient and community perspectives regarding untested blood units.


Asunto(s)
Actitud del Personal de Salud , Donantes de Sangre , Desastres , Personal de Hospital/psicología , Transfusión Sanguínea , Planificación en Desastres , Femenino , Humanos , Encuestas y Cuestionarios
5.
Int J Equity Health ; 18(1): 160, 2019 10 22.
Artículo en Inglés | MEDLINE | ID: mdl-31640674

RESUMEN

BACKGROUND: The motivation of health workers is a key concern of policy makers, practitioners and researchers. Public Service Motivation (PSM), defined as the altruistic desire to serve the common interest, to serve others and to help patients and their families regardless of financial or external rewards, has been shown to be key to the performance of public servants. Yet, limited attention has been paid to this kind of motivation in health care settings in low- and middle-income countries. Little is known about PSM and its contextual specificity in the Moroccan health system. We set out to qualitatively explore the meaning of PSM and its expression among health workers in four public hospitals. METHODS: We adopted a multiple embedded case study design to explore PSM in two well-performing and two poor-performing hospitals. We carried out 68 individual interviews, eight focus group discussions and 11 group discussions with different cadres (doctors, administrators and nurses). We carried out thematic analysis using NVivo 10. RESULTS: Our analysis shows that public service motivation is a notion that seems natural to the health workers we interviewed. Daily interactions with patients catalysed health providers' affective motives (compassion and self- sacrifice), a central element of PSM. It also provided them with job satisfaction aligned with their intrinsic motivation. Managers and administrative personnel express other PSM components: attraction to public policy making and commitment to public values. A striking result is that health workers expressed strong religious beliefs about expected rewards from God when properly serving patients. CONCLUSION: This study highlights the presence of PSM as a driver of motivation among health workers in four Moroccon hospitals, and the prominence of intrinsic motivation and compassion in the motivation of frontline health workers. Religious beliefs were found to shape the expression of PSM in Morocco.


Asunto(s)
Actitud del Personal de Salud , Hospitales Públicos/organización & administración , Motivación , Personal de Hospital/psicología , Adulto , Femenino , Grupos Focales , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Marruecos , Estudios de Casos Organizacionales , Personal de Hospital/estadística & datos numéricos , Investigación Cualitativa , Adulto Joven
6.
BMC Health Serv Res ; 19(1): 680, 2019 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-31533698

RESUMEN

BACKGROUND: To evaluate the impact of the Dementia Care in Hospitals Program (DCHP) on clinical and non-clinical staff job satisfaction, level of confidence and comfort in caring for patients with cognitive impairment (CI). Staff perceptions of how organisational support and hospital environment met the needs of patients with CI were also assessed. METHODS: The DCHP was implemented across four acute hospital sites across Australia. Clinical and non-clinical staff received training on CI screening and communication strategies for patients with CI. A staff satisfaction survey was administered pre- and post-implementation of the DCHP. RESULTS: One thousand seven hundred forty-eight staff received DCHP education and 1375 staff participated in the survey. Self-reported confidence and level of comfort in caring for patients with CI significantly improved following implementation. Staff also reported increased job satisfaction and organisational support at all hospital sites. CONCLUSIONS: The DCHP implementation within an acute hospital setting was found to show an improvement in staff confidence, comfort, and job satisfaction when caring for patients with CI. This study has significant implications for the improvement of care for patients with CI as well as staff retention and job satisfaction. Further research is required to determine whether these improvements are sustained in the longer term.


Asunto(s)
Demencia/terapia , Satisfacción en el Trabajo , Satisfacción Personal , Personal de Hospital/psicología , Actitud del Personal de Salud , Australia , Disfunción Cognitiva/terapia , Comunicación , Femenino , Hospitales , Humanos , Masculino , Persona de Mediana Edad , Cultura Organizacional , Personal de Hospital/educación , Apoyo Social , Encuestas y Cuestionarios
7.
Br J Nurs ; 28(15): 1020-1025, 2019 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-31393759

RESUMEN

BACKGROUND: the risk of compassion fatigue in healthcare staff is real, especially when considering the current financial pressures. A course in compassion-based care (CBC) was delivered to mental health staff at a hospital in north-west England, with the intention of rehabilitating ward culture and, subsequently, improving patient experience. AIMS: to explore staff experiences of participating in the CBC course. METHODS: a qualitative study using semi-structured interviews with participants (n=12) was conducted. All staff attending the course were eligible and were invited to participate. Interview transcripts were thematically analysed. FINDINGS: five themes characterising participant experience emerged from the data: meeting a need; creating the space; reorientation; prioritising self-care; and influencing team dynamics. Data overwhelmingly indicated the success of the CBC course. CONCLUSION: the CBC course appeared to have a profound effect on participants; it should be considered for further rollout and evaluation.


Asunto(s)
Actitud del Personal de Salud , Curriculum , Empatía , Personal de Enfermería en Hospital/psicología , Personal de Hospital/psicología , Inglaterra , Humanos , Servicios de Salud Mental/organización & administración , Cultura Organizacional , Investigación Cualitativa
8.
BMC Public Health ; 19(1): 1163, 2019 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-31443708

RESUMEN

BACKGROUND: The terror attack of July 14, 2016, in Nice, France, resulted in 86 deaths, including children, and several hundred wounded, with a major psychological impact on the population. Hospital staff had to cope with exceptional circumstances which made them vulnerable to detrimental effects on their own health. This paper describes the method that was selected for the survey entitled "ECHOS de Nice 14 Juillet" which aimed to assess the impact of the attack on the psychological, psycho-traumatic and somatic health condition of the Nice University and Lenval hospital staff who were directly or indirectly exposed to the attack, and also to describe the support and care facilities they were offered. METHOD: ECHOS de Nice 14 juillet is an observational, cross-sectional, multicentre study focusing on all the hospital staff and students of both institutions, i.e. 10,100 persons in June 2017. A web-based questionnaire based on the model developed by Santé Publique France (IMPACTS and ESPA 13 novembre 2015) was adapted to the contexts of the healthcare professionals and students employed in these healthcare institutions in Nice and published on line from June 21 to October 30, 2017. The paper describes the tools that were used to meet the aims of the study, i.e. identification of exposure categories ('civilian' exposure for those present during the attack and/or 'professional' exposure); indicators of psychological impact (anxiety, depression, burnout, compassion fatigue, suicidal states, tobacco and alcohol use, self-medications), psycho-traumatic and somatic impact; professional and social impact. Lastly, awareness of availability and use of psychological support and care-follow-up facilities by professionals were investigated. Respondents could include extensive qualitative comments on the various themes explored in the questionnaire, with text analysis complementing that of quantitative data. DISCUSSION: The benefits and limitations of the selected methodology are discussed, in view of contributing useful information to help anticipate and manage health issues among hospital staff who have been victims of traumatic events.


Asunto(s)
Encuestas Epidemiológicas/métodos , Personal de Hospital/psicología , Trastornos por Estrés Postraumático/epidemiología , Estudiantes del Área de la Salud/psicología , Terrorismo/psicología , Adulto , Estudios Transversales , Femenino , Francia/epidemiología , Humanos , Masculino
9.
Health Res Policy Syst ; 17(1): 72, 2019 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-31337398

RESUMEN

BACKGROUND: Technology adoption in hospitals is usually based on cost-effectiveness analysis, feasibility and potential success. Different countries have embraced a range of principles to accomplish an effective comprehensive process of health technology assessment (HTA). The aim of the study was to analyse the viewpoints and relative weight of technology-oriented hospital staff members toward the clinical, social, technological and economic aspects of HTA. METHODS: Using a structured questionnaire, a survey was conducted among different professionals in an 850-bed hospital. RESULTS: We revealed a range of viewpoints among hospital staff members according to their personal characteristics and professional standpoints. The clinical aspects of HTA were considered 'highly important' (HI) by most participants, especially the 'lifesaving' parameter. Similarly, the 'lack of effective alternative technology' was ranked HI by a high percentage of participants, independent of their profession. Economic aspects were ranked HI only by half of the participants, while social and technological aspects were ranked HI only by a relatively low percentage. Nurses added 'improving quality of life', 'increasing teamwork efficiency' and 'improving medical standards'. Allied health professionals focused on 'lack of effective alternative technologies' as a main argument for adoption of HTA, alongside increasing efficiency, budget savings and contribution to hospital reputation. Engineers emphasised the requirement of significant investment in infrastructure and increasing efficiency. Administrators ranked patient experience as HI. Interestingly, the high ranking of social aspects correlated with older responders, while junior staff ranked safety significantly higher. CONCLUSIONS: A multi-perspective multidisciplinary approach would be beneficial for policy-makers at hospitals and even on a national scale in Israel.


Asunto(s)
Actitud del Personal de Salud , Personal de Hospital/psicología , Evaluación de la Tecnología Biomédica/organización & administración , Presupuestos , Análisis Costo-Beneficio , Economía Médica/organización & administración , Eficiencia Organizacional , Humanos , Grupo de Atención al Paciente/organización & administración , Prioridad del Paciente , Seguridad del Paciente , Estudios Prospectivos , Calidad de Vida , Factores Sexuales , Medio Social
10.
Chiropr Man Therap ; 27: 28, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31304006

RESUMEN

Background: In 2011, World Spine Care (WSC) opened their pilot clinic at the Botswana Mahalapye District Hospital (MDH) aiming to develop a low-cost model of evidence-based spine care for underserved communities. Providing sustainable, integrated, evidence-based care will require buy-in from local healthcare providers (HCPs) and the communities served. The purpose of this project was to understand how MDH HCPs perceive WSC. Methods: We used a qualitative descriptive methodology to conduct individual, semi-structured interviews with MDH HCPs who had some familiarity about WSC services. Interviews were conducted in English, audio-recorded, and transcribed verbatim. We used an iterative coding process for thematic content analysis and interpretations were regularly reviewed by all co-authors. Results: In March 2017, interviews with 20 HCPs, from diverse disciplines with a range in years' experience at MDH, revealed three overlapping themes: knowledge about WSC and spinal related disorders, perceived role of WSC, and challenges for WSC integration. Participants who attended WSC conferences or self-referred for care were more informed and, generally, held positive perceptions. Participants lacked knowledge about managing spinal-related disorders, asserted hospital protocols did not meet patient needs, and perceived WSC is 'filling a gap' to manage these conditions. There were mixed perceptions about care received as WSC patients; some ultimately obtained relief, while others reported the treatment painful and unfamiliar, discharging themselves from care. Challenges to integrate WSC into the healthcare system were: lack of knowledge about scope of practice and unclear referral pathways; reversing the isolated care WSC provides by increasing collaboration between WSC and hospital staff; and, high turnover of WSC clinicians that undermines program sustainability. Conclusions: MDH healthcare providers had adequate general knowledge about World Spine Care and spinal-related disorders, but did not understand the WSC scope of practice nor referral pathways to and from providers. Participants advocated for greater collaboration between WSC and hospital staff to increase acceptance and integration to deliver spine care services and foster wider adoption of the WSC model, particularly if WSC expands services across Botswana. Future efforts that incorporate interviews with patients and government officials also can provide valuable perspectives to achieve sustainable, integrated, evidence-based spine care.


Asunto(s)
Enfermedades Musculoesqueléticas/psicología , Percepción , Personal de Hospital/psicología , Adulto , Botswana , Femenino , Hospitales de Distrito , Humanos , Conocimiento , Masculino , Persona de Mediana Edad , Enfermedades Musculoesqueléticas/terapia , Pacientes/psicología , Investigación Cualitativa
11.
BMC Public Health ; 19(1): 874, 2019 Jul 04.
Artículo en Inglés | MEDLINE | ID: mdl-31272426

RESUMEN

BACKGROUND: The present study aims to identify the association between psychosocial working conditions, global stress perception, and needle-stick injury among Chinese healthcare workers. It also endeavors to detect the mediating effects of global stress perception. METHODS: A total of 1956 valid samples were collected from eight teaching hospitals in Shanghai, China. A self-reported questionnaire was administered to participants after obtaining their written consent. Structural equation model was used to analyze the relationship between study variables. RESULTS: Most of the correlation coefficients between psychosocial conditions at work, stress perception, and needle-stick injury are of statistical significance ranging from 0.004 to 0.869. Results of the internal consistency test shows that Cronbach's α is between 0.770 and 0.925. All three models for effect analysis demonstrated satisfactory global goodness and acceptable path loadings. Psychosocial working conditions and stress perception were directly associated with events of needle-stick injury, as 0.39 (95%CI: 0.32 to 0.48) and 0.32 (95%CI: 0.22 to 0.39), respectively. Furthermore, stress perception had been proved to have a mediating effect (0.25, 95%CI: 0.19 to 0.31) between psychosocial working condition and needle-stick injury, which occupied over one-third of the total effect. CONCLUSIONS: Both stressful psychosocial working conditions and negative stress perception could increase the risk of needle-stick injury that occurs among healthcare workers. Management of stress perception could reduce health risk brought by stressful psychosocial working conditions.


Asunto(s)
Lesiones por Pinchazo de Aguja/epidemiología , Estrés Laboral/psicología , Personal de Hospital/psicología , Trabajo/psicología , Adulto , China/epidemiología , Femenino , Hospitales de Enseñanza , Humanos , Masculino , Personal de Hospital/estadística & datos numéricos , Factores de Riesgo , Encuestas y Cuestionarios
12.
J Health Organ Manag ; 33(4): 396-412, 2019 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-31282810

RESUMEN

PURPOSE: The purpose of this paper is to describe persuasive speech and discourses in multi-professional organizational change facilitation meetings at a hospital through rhetorical discourse analysis. Previous research has often considered organizational change to be a managerial issue, with other employees given the rather passive role of implementators. This study takes an alternative approach in assuming that organizational change could benefit by involving those who are most familiar with the tasks to be changed. DESIGN/METHODOLOGY/APPROACH: The study employed a qualitative, case study approach and focused on the construction of a hospitalist model within multi-professional change facilitation meetings. Eight videos of these multi-professional change facilitation meetings - which occurred between January and September 2017 - were observed and the material was analyzed by rhetorical discourse analysis. An average of 10-20 actors from different professional groups participated in the meetings. The change actors comprised physicians, nursing staff and nursing managers, along with a secretary and hospitalist. The meetings were conducted by a change facilitator. FINDINGS: The persuasive speech in the analyzed organizational change meetings occurred within five distinct discourses: constructing the change together, positive feedback, strategic change in speech, patient perspective and driving change. The content of these discourses revealed topics that are relevant to persuading members of healthcare organizations to adopt a planned change. ORIGINALITY/VALUE: The presented research provides new knowledge about how persuasive speech is used in organizational change and describes the discourses in which persuasive speech is used in a healthcare context.


Asunto(s)
Procesos de Grupo , Innovación Organizacional , Comunicación Persuasiva , Administración Hospitalaria/métodos , Humanos , Personal de Hospital/psicología , Habla
13.
BMC Infect Dis ; 19(1): 475, 2019 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-31138140

RESUMEN

BACKGROUND: Fear of TB infection is rooted in historical and social memories of the disease, marked by stigma, segregation and exclusion. Healthcare workers (HCWs) face these same fears today, and even seek to hide their TB status when infected. This study sought to investigate factors associated with HCWs fears of acquiring TB while at work, including selected biographic characteristics, TB knowledge, infection control and perceptions that their colleagues stigmatise co-workers with TB/ presumed to have TB. METHODS: In the Free State Province, South Africa, a representative sample of 882 HCWs from eight hospitals completed self-administered questionnaires on issues related to fear of occupationally acquired TB, infection control, TB knowledge and workplace TB stigma. The data were analysed using descriptive statistics as well as binomial logistic regression. RESULTS: Most of the HCWs (67.2%) were concerned about contracting TB at work. Support staff were less likely to worry about acquiring TB than clinical staff (OR = 0.657, P = 0.041). Respondents who indicated that there were inadequate numbers of disposable respirators at work, were 1.6 times more likely to be afraid of contracting TB at work (P = 0.040). With every unit increase on the TB stigma scale, respondents were 1.1 times more likely to fear acquiring TB at work (P = 0.000). CONCLUSIONS: Being a professional clinical HCW, not having adequate disposable respirators available and seeing/perceiving co-workers stigmatise colleagues with (presumptive) TB were all significantly associated with the fear of occupationally-acquired TB. It is recommended that campaigns to destigmatise TB, as well as appropriate TB infection control education and measures, are necessary to alleviate HCWs fears of acquiring the disease in the workplace. Ultimately this should create a health-enabling working environment, where HCWs are not afraid to function and are free to seek treatment and support when necessary.


Asunto(s)
Personal de Salud/psicología , Exposición Profesional , Estigma Social , Tuberculosis/psicología , Tuberculosis/transmisión , Adulto , Femenino , Humanos , Control de Infecciones/métodos , Masculino , Persona de Mediana Edad , Personal de Hospital/psicología , Sudáfrica , Encuestas y Cuestionarios , Tuberculosis/prevención & control , Lugar de Trabajo
14.
BMC Med Educ ; 19(1): 130, 2019 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-31053130

RESUMEN

BACKGROUND: The willingness of healthcare workers (HCW) to respond is an important factor in the health system's response capacity during emergencies. Although much research has been devoted to exploring this issue, the statistical methods employed have been predominantly traditional and have not enabled in-depth analysis focused on absenteeism-prone employees during emergencies. The present study employs an innovative statistical approach for modeling HCWs' willingness to respond (WTR) following an earthquake. METHODS: A validated questionnaire measuring knowledge, perceptions, and attitudes toward an earthquake scenario was distributed among Israeli HCWs in a hospital setting. Two regression models were employed for data analysis - a traditional linear model, and a quantile regression model that makes it possible to examine associations between explanatory variables across different levels of a dependent variable. A supplementary analysis was performed for selected variables using broken line spline regression. RESULTS: Females under the age of forty, and nurses were the most absenteeism-prone sub-groups of employees (showed low WTR) in earthquake events. Professional commitment to care and perception of efficacy were the most powerful predictors associated with WTR across all quantiles. Both marital status (married) and concern for family wellbeing, designated as statistically significant in the linear model, were found to be statistically significant in only one of the WTR quantiles (the former in Q10 and the latter in Q50). Gender and number of children, which were not significantly associated with WTR in the linear model, were found to be statistically significant in the 25th quantile of WTR. CONCLUSIONS: This study contributes to both methodological and practical aspects. Quantile regression provides a more comprehensive view of associations between variables than is afforded by linear regression alone. Adopting an advanced statistical approach in WTR modeling can facilitate effective implementation of research findings in the field.


Asunto(s)
Absentismo , Actitud del Personal de Salud , Planificación en Desastres/organización & administración , Desastres , Personal de Hospital/psicología , Estudios Transversales , Análisis de Datos , Conocimientos, Actitudes y Práctica en Salud , Humanos , Personal de Hospital/estadística & datos numéricos , Reinserción al Trabajo , Encuestas y Cuestionarios
15.
Rev Gaucha Enferm ; 40(spe): e20180308, 2019.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-31038600

RESUMEN

OBJECTIVE: To describe and analyze strategies for professionals to communicate effectively when managing disruptive behaviors at the hospital and to promote patient safety. METHODS: This is a descriptive and qualitative study conducted with 29 health professionals at a public hospital in Ceará, Brazil. Data were collected in 2014 by means of an in-depth interview, analyzed using the content analysis technique with MAXQDA® software, and discussed according to patient safety references. RESULTS: The interview transcripts resulted in 27 contextual units of analysis that address effective communication strategies for managing disruptive behaviors, such as team meetings with open dialogue; performance evaluation and feedback; and exercising leadership with emphasis on individual support, training, recognition, and mutual respect. CONCLUSIONS: Individual and group strategies that focus on communication skills and establishing mutual respect at work act as barriers for disruptive behavior and, if properly adopted, have a positive impact on patient safety.


Asunto(s)
Actitud del Personal de Salud , Relaciones Interprofesionales , Seguridad del Paciente , Mala Conducta Profesional , Brasil , Acoso Escolar , Hospitales Públicos , Humanos , Comunicación Interdisciplinaria , Entrevistas como Asunto , Liderazgo , Negociación , Cultura Organizacional , Personal de Hospital/psicología , Investigación Cualitativa
16.
Rev Gaucha Enferm ; 40(spe): e20180337, 2019.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-31038605

RESUMEN

OBJECTIVE: To analyze the perception of health professionals and companions/family about the development of communication for patient safety in pediatric hospitalizations. METHOD: It is an exploratory-descriptive study with a qualitative approach, performed in pediatric clinical-surgical hospitalization units of three hospitals in Porto Alegre, RS, Brazil. 44 health professionals and 94 companions of hospitalized children participated in the study, to a total of 138 participants. Data collection took place between 2016 and 2017, through semi-structured interviews. A thematic content analysis was used. RESULTS: Two categories emerged: "Barriers to an effective communication", addressing the failures and difficulties in the communication process and "Tools to improve communication", that present recommendations for improvements, especially instrumentalization of the companion/family member. CONCLUSIONS: The barriers to an effective communication involve several factors, and effective communication strategies can assist in the development of improvements for pediatric patient safety.


Asunto(s)
Niño Hospitalizado , Barreras de Comunicación , Sistemas de Comunicación en Hospital/organización & administración , Seguridad del Paciente , Adolescente , Actitud del Personal de Salud , Niño , Preescolar , Familia/psicología , Amigos/psicología , Comunicación en Salud , Humanos , Lactante , Relaciones Interprofesionales , Entrevistas como Asunto , Grupo de Atención al Paciente , Personal de Hospital/psicología , Relaciones Profesional-Familia , Relaciones Profesional-Paciente , Investigación Cualitativa
17.
Orv Hetil ; 160(20): 784-791, 2019 May.
Artículo en Húngaro | MEDLINE | ID: mdl-31081353

RESUMEN

Introduction: Examination of the burnout syndrome in various healthcare fields has paramount importance for a better understanding of the disorder as well as for the establishment of a suitable preventive and intervention program. The surgical departments' employees are at risk among healthcare workers, so it is our objective to further expand the knowledge on the characteristics of the burnout syndrome among the Hungarian surgical staff. Additionally, we compare the results obtained from the Department of Surgery at the University of Szeged with the results of the Department of Emergency Medicine. Aim: Aim of this study is to examine the burnout syndrome and its associations with different variables among the workers of the Department of Surgery at the University of Szeged, and to compare the data with a previous study conducted at the Department of Emergency Medicine at the University of Szeged. Method: Cross-sectional design utilizing a self-administrated questionnaire was used to collect data from the staff. Burnout was measured using the Maslach Burnout Inventory, while psychological immune competence was measured using the Psychological Immune Competence Questionnaire. Results: Based on statistical analysis, the number of weekly working hours and the number of somatic symptoms have a negative impact on burnout, while the greater number of high-quality social relationships and the stronger psychological immune competence have proven to be protective factors. Comparing the Department of Surgery and Department of Emergency Medicine at the University of Szeged, we found a difference in the age of the workers, the number of years spent in the healthcare as well as the scores on the burnout depersonalization scale. Conclusions: The results obtained show further correlations and reveal protective and risk factors in burnout which can be a key to establishing preventive and intervention strategies. Orv Hetil. 2019; 160(20): 784-791.


Asunto(s)
Agotamiento Profesional/psicología , Agotamiento Psicológico/psicología , Servicio de Urgencia en Hospital/estadística & datos numéricos , Personal de Hospital/psicología , Servicio de Cirugía en Hospital/estadística & datos numéricos , Estudios Transversales , Medicina de Emergencia , Humanos , Hungría , Encuestas y Cuestionarios
18.
G Ital Med Lav Ergon ; 41(1): 45-51, 2019 03.
Artículo en Italiano | MEDLINE | ID: mdl-30946548

RESUMEN

OBJECTIVES: Working in such circumstances can lead to a typical emotional stress called "burnout". The aim of this study was to evaluate the perceived state of physical and mental health, and verify the existence of burnout among health care workers of Hematology unit in a Teaching Hospital. METHODS: Anonymous questionnaires were administered to healthcare professionals (physicians, nurses, health care workers). It includes socio demographic variables, the Maslach Burnout Inventory (MBI) and SF12 also. The MBI captures three dimensions of burnout: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (RP); whereas the SF12 defines two quality of life scores: Mental Score (MCS) and Physical Score (PCS). RESULTS: Of 120 operators 70 individuals responded to the study. The questionnaire shows that the burnout levels were high in the followed part of the sample: 40% have high level of EE; 24% of DP; 15% of RP. The correlation analysis between SF12 and MBI undelines followed significance: r = -0.576 with p minor than 0.001 between EE and MCS; r = 0.557 with p minor than 0.001 between EE and DP. The three multivariate analysis refer that: the EE is associated indirectly to PCS and MCS with p mionr than 0.05; the DP is directly and significantly (p minor than 0.05) associated to MCS, "years of work" and to female gender. The RP dimension no underlines significant associations with variables studied. CONCLUSIONS: The findings were consistent with the type of work and assisted patients (chronic patient, often with poor prognosis and low expectations in terms of care and survival) that contribute to stressful situations. Personal fulfillment, instead, seems to be quite high in this contest. The relatively small sample couldn't represent the world of health care workers in hematological units, but there is no doubt that a systematic assessment of burnout, to investigate the causes of burnout are main elements to identify the potential solutions to address the phenomenon. Additional investigations of the MBI dimensions using biggest samples would be useful to confirm the results in order to generate burnout reduction measures by institutional and national policies.


Asunto(s)
Agotamiento Profesional/epidemiología , Cuerpo Médico de Hospitales/psicología , Personal de Enfermería en Hospital/psicología , Estrés Laboral/epidemiología , Personal de Hospital/psicología , Adolescente , Adulto , Femenino , Hematología , Hospitales de Enseñanza , Humanos , Masculino , Satisfacción Personal , Calidad de Vida , Encuestas y Cuestionarios , Factores de Tiempo , Adulto Joven
19.
Anaesthesia ; 74(9): 1095-1100, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30973191

RESUMEN

Audio recording consent discussions, and giving a copy of the recording to the patient to keep, might improve the consent process and reduce the risk of misunderstandings, complaints or medicolegal claims. However, there may be concerns over confidentiality and how being recorded could affect the consent discussion. We ascertained the views of 50 postnatal women and 100 maternity staff (25 anaesthetists, 25 obstetricians and 50 midwives) on making audio recordings of consent discussions. There was a wide range of opinions, with women and staff similarly supportive of audio recording overall, but the women were more supportive of recording than the staff when asked if they were against it, or whether they would support recording the discussion if the patient requested it; and less concerned than the staff regarding the potential disadvantages of audio recording. There were no significant differences in the views between anaesthetists, obstetricians and midwives.


Asunto(s)
Actitud del Personal de Salud , Consentimiento Informado , Servicio de Ginecología y Obstetricia en Hospital , Participación del Paciente/estadística & datos numéricos , Personal de Hospital/psicología , Grabación en Cinta , Adulto , Anestesiólogos/psicología , Anestesiólogos/estadística & datos numéricos , Femenino , Humanos , Masculino , Partería/estadística & datos numéricos , Participación del Paciente/psicología , Médicos/psicología , Médicos/estadística & datos numéricos , Periodo Posparto , Encuestas y Cuestionarios
20.
Health Care Manag (Frederick) ; 38(2): 166-178, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30932929

RESUMEN

Hospital employees' turnover is one of the problems with which both public and private organizations have been faced for many years. Employees' turnover can cause many organization's investments in employees to be wasted and the stability and continuity of the organizational activities to be undermined. The present study aimed to investigate the effects of social support and mediating factors on the turnover intention of administrative and financial employees working in the teaching hospitals affiliated to Shiraz University of Medical Sciences, Iran, using structural equation modeling in 2017. This was an applied, cross-sectional, and descriptive-analytic study conducted on the administrative and financial employees working in the teaching hospitals affiliated to Shiraz University of Medical Sciences in 2017. The results showed that the proposed model remarkably explained "turnover intention," and the overall validity of the model was confirmed. Accordingly, 15 of 21 study hypotheses were supported. Moreover, the results showed that social support had an indirect significant association with the hospital employees' turnover intention and could decrease it through increasing the employees' organizational commitment, psychological empowerment, and core self-evaluation and reducing their job stress and job burnout (P < .05). To reduce the hospital employees' turnover intention in hospitals, employ suitable and qualified individuals for the positions, provide training courses such as stress management, improve better interactions and mutual cooperation among managers and employees, provide job security and job enrichment, and create a comfortable and relaxed working environment.


Asunto(s)
Intención , Reorganización del Personal , Personal de Hospital/psicología , Apoyo Social , Adulto , Agotamiento Profesional/prevención & control , Estudios Transversales , Femenino , Administración Financiera , Administración Hospitalaria , Humanos , Irán , Satisfacción en el Trabajo , Masculino , Encuestas y Cuestionarios
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