Factores motivacionais da equipe de enfermagem, do hospital distrital de catandica: um estudo exploratório / Motivational factors of the nursing staff at the district hospital of catandica: an exploratory study

A motivação deve fazer parte integrante da estratégia organizacional, e é fundamental que os colaboradores sejam continuamente motivados e estimulados a crescer enquanto profissionais, a executarem as tarefas inerentes às funções com eficácia, fazendo com que se sintam realizados no exercício das suas funções. Para tal, as organizações devem adequar os processos de coaching e promover uma liderança eficaz que seja determinante no processo motivacional. O objectivo deste estudo foi Avaliar os factores motivacionais da equipe de enfermagem, no Hospital Distrital de Catandica, bem como conhecer os factores motivacionais existentes no EGFAE (Recompensas, Progressões, Promoções, Gratificações, Prémios), relacionamento entre colegas, Satisfação Salarial para actividades que realiza. De salientar que tratou-se de uma pesquisa descritiva com amostragem não probabilística por conveniência. A colheita de dados foi feita a partir de entrevistas com perguntas abertas e fechadas, que procuravam avaliar os factores motivacionais da equipe de enfermagem. Os resultados demonstraram que a motivação da equipe de enfermagem continua sendo um grande desafio a ser superado, pois conforme a pesquisa, os enfermeiros encontram-se desmotivados e sentem-se desvalorizados. Conclusão: relativamente a factores motivacionais, 56% dos enfermeiros não estão motivados.

Motivation should be an integral part of organizational strategy, and it is essential that employees are continuously motivated and encouraged to grow as professionals, to perform the tasks inherent to the functions effectively, making them feel fulfilled in the exercise of their functions. To this end, organizations must adapt coaching processes and promote effective leadership that is decisive in the motivational process. The aim of this study was to evaluate the motivational factors of the nursing team at the Catandica District Hospital, as well as to know the motivational factors existing in EGFAE (Rewards, Progressions, Promotions, Bonuses, and Awards), relationship between colleagues, Salary Satisfaction for activities it performs. It should be noted that this was a descriptive study with non-probabilistic sampling for convenience. Data were collected from interviews with open and closed questions, which sought to analyze the motivational factors of the nursing team. The results showed that the motivation of the nursing team remains a great challenge to be overcome, because according to the research, nurses are unmotivated and feel devalued. Conclusion: Regarding Motivational Factors, 56% of nurses are not motivated.

The influence of a simple blood transfusion policy on overtransfusion in acute upper gastrointestinal haemorrhage.

Blood transfusion is widely used in the management of acute upper gastrointestinal haemorrhage (AUGIH). Trial data suggests that excessive transfusion may be detrimental, yet overtransfusion remains commonplace. This study reports the impact of introducing a simple cross-match policy in a district general hospital, which resulted in a substantial fall in the prevalence of overtransfusion (odds ratio 0.43; 95% confidence interval 0.19-0.98), with potential patient benefits in terms of rebleeding, and a reduction in the total blood transfused from 162 to 121 units per 100 patients with AUGIH. For the cost of blood alone, this corresponds to projected savings across the NHS in England in excess of £2 million per annum.

Distinctiveness of management in a university psychiatric hospital as a public health institution.

The distinctiveness of management of a university psychiatric hospital which has the status of a public health institution is manifested in the following ways: * Distinctive features and characteristics of managing service provider organizations compared to those whose operational results involve tangible products; * Distinctive features of management which originate from its role as a regional hospital and a tertiary research and educational institution in the field of psychiatry, with special importance for the Republic of Slovenia as a whole; * Distinctive features of management that are defined by the social and legal framework of operation of public health institutions and their special social mission. This paper therefore discusses the specific theoretical and practical findings regarding management of service provider organizations from the viewpoint of their social mission and significance, as well as their legal organization, internal structure and values.

[Fair hospital comparisons -- does the method contracted in Germany enable unbiased results?]. / "Fair ist, Gleiches mit Gleichem zu vergleichen" -- Eine Simulationsstudie zu den Krankenhausvergleichen nach section 5 Bundespflegesatzverordnung?

AIM: To evaluate the method for comparison of average length of stay in hospitals as defined in a contract between German health insurance companies and the "Deutsche Krankenhausgesellschaft" (German Hospital Association). METHOD: Simulation study executing the algorithm agreed upon in different scenarios, which varied the number of hospitals to be compared, the dispersion of diagnostic specialization over hospitals, and the distribution of hospitals' sizes. Scenarios were constructed to realistically reflect the situation in German inpatient treatment of mentally ill patients. RESULTS: By fixing casemix adjustments only on diagnoses of patients and by doing so aggregated on the level of hospitals, the method for comparison yielded artificial differences between hospitals even in a situation where each patient is treated with exactly the same amount of resource allocation (given the individual needs defined for all scenarios). Results of artificial differences were heavily biased against or in favour of the reference hospitals according to the specific condition of the scenario parameters. CONCLUSION: The contracted method is not capable of achieving fair hospital comparisons, at least not for psychiatric hospitals.

Mentally disordered offenders.

Purchasing authorities are urged to consider the needs of mentally disordered offenders in their purchasing plans. But, asks Dr Gad, what is the most appropriate provision?

Tarija: fortalecimiento de las acciones de lucha contra EDA/COLERA / sss

El departamento de Tarija, región importante para el control y vigilancia epidemiológica del cólera, conformada por 5 distritos sanitarios. Distrito I Tarija: conformada por las prov. Mendez, Avilés y Cercado. Distrito II Entre Rios: Comprende la prov. O'Connor. Distrito III Villa motes: comprende la tercera sección de la prov. Gran Chaco. Distrito IV Yacuiba: comprende la primera y segunda sección de la prov. Gran Chaco. Distrito V Bermejo: comprende la prov. Arce. Cada Distrito de salud además se divide por Areas y cada Area se subdivide en sectores, estos sectores cuentan con un puesto sanitario atendido por auxiliares de enfermeria. El objetivo general es el de reducir la letalidad por cólera/diarreas e influir en la incidencia y dispersión de la epidemia en áreas prioritarias. En la actualidad existen 24 establecimientos centinelas con envio diario, semanal y mensual de información

[Quality assurance in health care. With special reference to the the pilot project quality assurance in Schleswig-Holstein hospitals]. / Qualitätssicherung im Gesundheitswesen. Unter besonderer Berücksichtigung des Pilotprojektes Qualitätssicherung in Krankenhäusern Schleswig-Holsteins.

Quality assurance is growing in significance in health care world wide. The European Office of the World Health Organization has included quality assurance in its 38 health-policy targets for health care. Most experience in this field has hitherto been gained in the USA and in the Netherlands. In West Germany, the most extensive step which has been taken to provide quality assurance has been the perinatal study which is a record of approximately 80 per cent of births. Apart from this, there are pilot studies in existence in particular in the areas of surgery, of operative gynecology and of paediatry. Quality assurance in in-patient and out-patient care has been laid down by law in West Germany since 1st January 1989. Using this as a basis, the Institute for Health-Systems Research is acting as advisor for a pilot study ("Pilot Study for Quality Assurance in Hospitals of Schleswig-Holstein") which is at present being carried out in Schleswig-Holstein and in which 12 hospitals are participating. The pilot study is so structured that it has developed methods for measuring quality assurance in the fields of surgery, internal medicine, gynecology and obstetrics, nosocomial infections, haemotherapy and nursing. Quality assurance is a sensitive area. Indications will be given to what should be heeded when introducing measures for quality assurance in hospitals. Institutes with clearly defined functions are required in order to carry out quality assurance.

Informed consent and hospital's liability for honorary surgeon: an Australian decision.

KIE: Brahams summarizes a 1989 decision by the New South Wales (Australia) Court of Appeal involving two liability issues: a physician's responsibility to disclose the risks of a proposed procedure to a patient, and a hospital's liability for the actions of a visiting physician using its facilities. In Ellis v. Wallsend District Hospital, a patient sued a surgeon and the hospital at which he performed surgery that left her a quadriplegic. After securing a decision against the physician, she pursued a claim against the hospital where he was allowed to operate on his private patients in return for caring for the facility's public patients without charge. The Court of Appeal ruled that the hospital was not responsible for the actions of an independent specialist working on its premises. Brahams comments on the implications of Ellis for Britain's National Health Service hospitals.^ieng

National planning for locally controlled health systems: the Finnish experience.

The World Health Organization considers Finland's health planning system to be among the most successful in the developed world. Despite tight resource constraints--symbolized by total health expenditures held consistently to less than 7 percent of gross domestic product--the Finns have built up a strong primary care sector and dramatically improved the overall availability and accessibility of needed services. This article compares the official health planning system with the actual planning process as experienced within one Finnish central hospital district. The official planning system seeks to integrate national strategic goals with local municipal ownership, administration, and funding of service delivery. The actual planning process within the studied district suggests that technically oriented civil servants at the regional level may be at least as important in the overall decisionmaking structure. The article concludes with a brief exploration of this finding's potential consequences for the long-term development of the Finnish health care system and for national health planning efforts generally.