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1.
REME rev. min. enferm ; 24: e-1281, fev.2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1051331

RESUMO

Objetivo: analisar o desenvolvimento de competências individuais de enfermeiras líderes em sessões de peer coaching. Método: estudo qualitativo, descritivo e analítico, realizado em hospital universitário do Norte do Brasil. Participaram oito enfermeiras gerentes de unidades assistenciais e técnicas. Os dados foram coletados no decorrer e após as sessões de peer coaching, por meio de observação não participante, documentos e entrevista. Posteriormente, foram reunidos e analisados pela técnica de análise de conteúdo. Resultado: realizaram-se 25 sessões. A partir do estado atual, elegeram-se um estado desejado e a competência ou habilidade relacionada. Foram eleitas: resolução de conflitos, supervisão, organização, processo administrativo, delegação, liderança, trabalho em equipe, tomada de decisão, comunicação e educação permanente. As competências foram avaliadas com desenvolvimento ausente, parcial ou integral. Conclusão: os resultados sugerem que, independentemente de os dados objetivos e subjetivos poderem classificar o desenvolvimento de competências, o despertar da consciência, a conduta de responsabilização e o processo de reflexão da experiência são avanços individuais e, consequentemente, organizacionais. Ressalta-se que o desenvolvimento de competências e a implementação de mudanças são possíveis com coaching. O processo modificou a percepção das enfermeiras, motivou e foi positivo, mesmo em cenário adverso.(AU)


Objective: to analyze the development of individual skills of leading nurses in peer coaching sessions. Method: qualitative, descriptive and analytical study, carried out in a university hospital in Northern Brazil. Eight nurse managers of care and technical units participated. Data were collected during and after peer coaching sessions, through nonparticipant observation, documents and interviews. Subsequently, they were gathered and analyzed using the content analysis technique. Result: 25 sessions were held. From the current state, a desired state and the related competence or skill were chosen. They were elected: conflict resolution, supervision, organization, administrative process, delegation, leadership, teamwork, decision making, communication and permanent education. Competences were assessed with absent, partial or integral development. Conclusion: the results suggest that, regardless of whether objective and subjective data can classify the development of competences, the awakening of consciousness, the conduct of accountability and the process of reflection of the experience are individual and, consequently, organizational advances. It is emphasized that the development of skills and the implementation of changes are possible with coaching. The process changed the nurses' perception, motivated and was positive, even in an adverse scenario. (AU)


Objetivo: analizar el desarrollo de las habilidades individuales de enfermeras líderes en sesiones de peer coaching. Método: estudio cualitativo, descriptivo y analítico realizado en un hospital universitario del norte de Brasil. Participaron ocho enfermeras gerentes de unidades de atención y técnicas. Los datos se recogieron durante y después de las sesiones de peer coaching, a través de la observación no participante, documentos y entrevistas. Posteriormente, se reunieron y analizaron utilizando la técnica de análisis de contenido. Resultado: se realizaron 25 sesiones. Del estado actual, se eligió un estado deseado y la competencia o habilidad relacionada. Se eligieron: resolución de conflictos, supervisión, organización, proceso administrativo, delegación, liderazgo, trabajo en equipo, toma de decisiones, comunicación y educación permanente. Las competencias se evaluaron con desarrollo ausente, parcial o integral. Conclusión: los resultados sugieren que, independientemente de si los datos objetivos y subjetivos pueden clasificar el desarrollo de competencias, el despertar de la conciencia, la conducta de la responsabilidad y el proceso de reflexión de la experiencia son avances individuales y, en consecuencia, organizacionales. Se enfatiza que el desarrollo de habilidades y la implementación de cambios son posibles con el coaching. El proceso cambió la percepción de las enfermeras, motivó y fue positivo, incluso en un escenario adverso. (AU)


Assuntos
Humanos , Administração de Recursos Humanos em Hospitais , Competência Profissional , Capacitação Profissional , Tutoria , Enfermeiras Administradoras , Educação em Enfermagem , Hospitais Universitários
2.
J Korean Acad Nurs ; 49(4): 386-397, 2019 Aug.
Artigo em Coreano | MEDLINE | ID: mdl-31477669

RESUMO

PURPOSE: This study examined the effect of hospitals' family-friendly management on married female nurses' retention intention. The focus was the mediating effects of the work-family interface (work-family conflict, work-family enrichment and work-family balance). METHODS: This study was a cross-sectional study. The participants were 307 nurses working at five public and five private hospitals with more than 200 beds in Seoul. Data were collected using structured questionnaires from September 10 to September 17, 2018 and analyzed with SPSS 24.0. Data were analyzed using an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation. RESULTS: There were significant correlations among family-friendly management, the work-family interface, and retention intention. Work-family conflict showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family enrichment showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family balance showed a partial mediating effect on the relationship between family-friendly management and retention intention. CONCLUSION: These findings indicate that both hospitals' family-friendly management and nurses' work-family interface are important factors associated with nurses' retention intention. Therefore, hospitals should actively implement family-friendly management for nurses and establish strategies to enhance nurses' work-family interface for effective human resource management.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Reorganização de Recursos Humanos/estatística & dados numéricos , Adulto , Estudos Transversais , Família , Feminino , Humanos , Pessoa de Meia-Idade , Cultura Organizacional , Administração de Recursos Humanos em Hospitais/métodos , Inquéritos e Questionários , Local de Trabalho
4.
J Psychiatr Ment Health Nurs ; 26(7-8): 265-273, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31278809

RESUMO

WHAT IS KNOWN ON THE SUBJECT?: Numerous studies have shown that organizational and managerial factors have significant effects on nurses' workplace well-being. There are few studies on the effects of nurses' perceptions of their supervisors' autonomy-supportive behaviours on their workplace well-being. There are few studies on the determinants of nurses' workplace well-being within a psychiatric context. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study examines the psychological processes underlying the relationship between nurses' perceptions of their supervisors' autonomy-supportive behaviours and their workplace well-being. Mental health nurses' perceptions of their supervisors' autonomy-supportive behaviours are indirectly and positively related to their workplace well-being through their positive effects on psychological need satisfaction. Autonomy and competence need satisfaction has stronger effects on workplace well-being than relatedness need satisfaction. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: When their supervisor gives nurses a meaningful rationale for tasks and acknowledges their feelings and views, they feel more autonomous, competent and related to others. It is important for nurses to feel autonomous and competent in order to experience well-being at work. Nurses' workplace well-being might be positively and negatively linked to quality of care and turnover intentions, respectively. Abstract Introduction There is growing interest in the relationships between work factors and nurses' workplace well-being. However, there has been very little research on the psychological processes underlying the relationships between nurses' perceptions of supervisors' autonomy-supportive managerial style and their workplace well-being. Aim/question Drawing on self-determination theory, we explored the mediating role of psychological need satisfaction (autonomy, competence and relatedness) in the relationships between nurses' perceptions of supervisors' autonomy-supportive managerial style and their workplace well-being, using a prospective design. Method A prospective questionnaire was given to nurses in eight French psychiatric units. Data were collected from a sample of 294 French nurses who completed measures of perceived supervisors' autonomy-supportive behaviours at Time 1 and of psychological need satisfaction, work engagement and job satisfaction at Time 2 one year later. Results Results revealed that nurses' perceptions of supervisors' autonomy-supportive managerial style were indirectly and positively related to their vigour, dedication, absorption and job satisfaction one year later through their positive effects on psychological need satisfaction. Discussion/implications for practice Overall, this paper sheds light on the indirect effect of nurses' perceptions of supervisors' autonomy-supportive behaviours on their workplace well-being. Theoretical contributions and future directions, as well as implications for practice, are discussed.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Satisfação Pessoal , Administração de Recursos Humanos em Hospitais , Unidade Hospitalar de Psiquiatria , Enfermagem Psiquiátrica , Adulto , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Autonomia Pessoal , Estudos Prospectivos
7.
Dtsch Med Wochenschr ; 144(9): 624-629, 2019 05.
Artigo em Alemão | MEDLINE | ID: mdl-31026871

RESUMO

In the last years, the number of patients in German emergency department (ED) is rising continously. At the same time, it is diffcult to find enough physicians to occupy the positions in the ED. Therefore human resources development is critical for the success of any ED. This article describes human resources development and recruitment in the context of current health policy trends in Germany.


Assuntos
Serviço Hospitalar de Emergência/organização & administração , Administração de Recursos Humanos em Hospitais , Humanos , Seleção de Pessoal , Recursos Humanos
8.
Rev. enferm. UFPE on line ; 13(4): 1133-1141, abr. 2019. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1021263

RESUMO

Objetivo: caracterizar o grau de dependência dos cuidados de enfermagem de usuários internados no setor de emergência. Método: trata-se de estudo quantitativo, transversal, de base secundária e a amostra se constituiu dos usuários internados na área de estabilização no mês de março de 2017. Utilizou-se um instrumento para os dados sociodemográficos e clínicos e o Sistema de Classificação de Pacientes (SCP) de Fugulin, Gaidzinski e Kurcgant. Realizou-se a análise estatística no programa Epi Info. Resultados: verificouse que 62,16% (n=46) da amostra era do sexo masculino, idade média de 55,29 ± 20,76 anos, principal diagnóstico de internação as doenças do aparelho circulatório (39,19%) e média de permanência de 4,29 ± 6,59. O SPC foi aplicado 166 vezes e predominou o cuidado de intensivo (69,28%), seguido por semi-intensivo (13,86%) e de alta dependência (11,45%). Conclusão: constatou-se um elevado número de cuidados intensivos e semi-intensivos, atrelados à longa permanência no setor, o que descaracteriza as unidades de emergência como local de estabilização. Fornece-se com essa caracterização bases científicas e fidedignas para o gerenciamento hospitalar e de pessoal de enfermagem.(AU)


Objective: to characterize the degree of dependency of users hospitalized in the emergency unit with respect to nursing care. Method: this is a quantitative, cross-sectional and secondary-based study. The sample consisted of patients hospitalized in the stabilization unit in March 2017. An instrument was used to obtain sociodemographic and clinical data, and also the Patient Classification System (PCS) proposed by Fugulin, Gaidzinski and Kurcgant. Statistical analysis was performed using the Epi InfoTM software. Results: 62.16% (n=46) of the sample were male, with mean age of 55.29 ± 20.76 years. The main diagnosis of hospitalization was diseases of the circulatory system (39.19%), and the mean permanence was 4.29 ± 6.59. The PCS was applied 166 times and intensive care was prevalent (69.28%), followed by semi-intensive (13.86%) and high dependency (11.45%). Conclusion: There was a high number of intensive care and semi-intensive care provided and linked to prolonged length of stay in the sector, which mischaracterizes emergency units as patient stabilization sectors. This characterization provides scientific and trustworthy bases for hospital management and nursing personnel.(AU)


Objetivo: caracterizar el grado de dependencia de los usuarios internados en el sector de emergencia en relación a los cuidados de enfermería. Método: se trata de un estudio cuantitativo, transversal y de base secundaria. La muestra se compuso de los usuarios internados en la unidad de estabilización durante el mes de marzo de 2017. Se utilizó un instrumento para obtener los datos sociodemográficos y clínicos y el Sistema de Clasificación de Pacientes (SCP) de Fugulin, Gaidzinski y Kurcgant. Se realizó el análisis estadístico en el programa Epi InfoTM . Resultados: se verificó que el 62,16% (n=46) de la muestra era del sexo masculino, con edad media de 55,29 ± 20,76 años. El principal diagnóstico de internación fue las enfermedades del aparato circulatorio (39,19%) y el promedio de permanencia fue de 4,29 ± 6,59. El SCP fue aplicado 166 veces y predominó el cuidado intensivo (69,28%), seguido por el semi-intensivo (13,86%) y el de alta dependencia (11,45%). Conclusión: Se constató un elevado número de cuidados intensivos y semi-intensivos relacionados con la larga permanencia en el sector, lo que descaracteriza las unidades de emergencia como locales de estabilización. Esta caracterización proporciona bases científicas y fidedignas para la gestión hospitalaria y de personal de enfermería.(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Administração de Recursos Humanos em Hospitais , Triagem , Enfermagem em Emergência , Serviços Médicos de Emergência , Administração Hospitalar , Cuidados de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Qualidade da Assistência à Saúde , Estudos Transversais , Segurança do Paciente
9.
Int J Health Plann Manage ; 34(2): e1293-e1301, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30924978

RESUMO

BACKGROUND: Over the recent years, clinical governance model has been applied to improve the quality of university and private hospitals in Iran. In addition to university hospitals, military hospitals have an effective role in the preservation and promotion of public health. The challenges of clinical governance implementation have not been investigated in such settings. Hence, the present study objective is to identify the administrative challenges of clinical governance in military and university hospitals of Kerman/Iran METHODS: This qualitative study was carried out through phenomenology in 2017. A sample of managers and experts in the implementation and execution of clinical governance was purposefully selected from three university hospitals and three military hospitals in Kerman, Iran. A total of 39 managers and experts were interviewed, and data were gathered via semistructured interviews with open questions. For data analysis, conventional content analysis method was employed. RESULTS: In this study, five main codes and 17 subcodes were obtained. Main codes were structural challenges, educational challenges, limitations, evaluation, and human resource challenges. CONCLUSIONS: Clinical governance is being implemented hastily with no appropriate structural, financial, and training facilities, ensuing a waste of resources, more difficult work for staff and a negative view of personnel.


Assuntos
Governança Clínica/organização & administração , Hospitais Militares/organização & administração , Hospitais Universitários/organização & administração , Administradores Hospitalares , Humanos , Entrevistas como Assunto , Irã (Geográfico) , Inovação Organizacional , Administração de Recursos Humanos em Hospitais , Melhoria de Qualidade/organização & administração
10.
BMJ ; 364: l121, 2019 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-30700408

RESUMO

OBJECTIVES: To evaluate the changes in productivity when scribes were used by emergency physicians in emergency departments in Australia and assess the effect of scribes on throughput. DESIGN: Randomised, multicentre clinical trial. SETTING: Five emergency departments in Victoria used Australian trained scribes during their respective trial periods. Sites were broadly representative of Australian emergency departments: public (urban, tertiary, regional referral, paediatric) and private, not for profit. PARTICIPANTS: 88 physicians who were permanent, salaried employees working more than one shift a week and were either emergency consultants or senior registrars in their final year of training; 12 scribes trained at one site and rotated to each study site. INTERVENTIONS: Physicians worked their routine shifts and were randomly allocated a scribe for the duration of their shift. Each site required a minimum of 100 scribed and non-scribed shifts, from November 2015 to January 2018. MAIN OUTCOME MEASURES: Physicians' productivity (total patients, primary patients); patient throughput (door-to-doctor time, length of stay); physicians' productivity in emergency department regions. Self reported harms of scribes were analysed, and a cost-benefit analysis was done. RESULTS: Data were collected from 589 scribed shifts (5098 patients) and 3296 non-scribed shifts (23 838 patients). Scribes increased physicians' productivity from 1.13 (95% confidence interval 1.11 to 1.17) to 1.31 (1.25 to 1.38) patients per hour per doctor, representing a 15.9% gain. Primary consultations increased from 0.83 (0.81 to 0.85) to 1.04 (0.98 to 1.11) patients per hour per doctor, representing a 25.6% gain. No change was seen in door-to-doctor time. Median length of stay reduced from 192 (interquartile range 108-311) minutes to 173 (96-208) minutes, representing a 19 minute reduction (P<0.001). The greatest gains were achieved by placing scribes with senior doctors at triage, the least by using them in sub-acute/fast track regions. No significant harm involving scribes was reported. The cost-benefit analysis based on productivity and throughput gains showed a favourable financial position with use of scribes. CONCLUSIONS: Scribes improved emergency physicians' productivity, particularly during primary consultations, and decreased patients' length of stay. Further work should evaluate the role of the scribe in countries with health systems similar to Australia's. TRIAL REGISTRATION: ACTRN12615000607572 (pilot site); ACTRN12616000618459.


Assuntos
Serviço Hospitalar de Emergência , Avaliação de Desempenho Profissional/métodos , Médicos Hospitalares , Secretárias de Consultório Médico , Corpo Clínico Hospitalar , Administração de Recursos Humanos em Hospitais/métodos , Austrália , Análise Custo-Benefício , Eficiência , Serviço Hospitalar de Emergência/classificação , Serviço Hospitalar de Emergência/economia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Médicos Hospitalares/normas , Médicos Hospitalares/estatística & dados numéricos , Humanos , Tempo de Internação/estatística & dados numéricos , Masculino , Secretárias de Consultório Médico/organização & administração , Secretárias de Consultório Médico/normas , Corpo Clínico Hospitalar/educação , Corpo Clínico Hospitalar/normas , Corpo Clínico Hospitalar/estatística & dados numéricos , Melhoria de Qualidade , Tempo para o Tratamento/normas , Tempo para o Tratamento/estatística & dados numéricos
11.
Rev. enferm. UFPE on line ; 13(2): 491-498, fev. 2019. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1014926

RESUMO

Objetivo: analisar o dimensionamento de pessoal de Enfermagem frente à qualidade da assistência. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, de artigos publicados no período de 2007 a 2017, nas bases de dados MEDLINE, LILACS e BDENF. Apresentaram-se as sínteses dos resultados dos artigos em figuras. Resultados: identificaram-se, na busca inicial, 103 publicações. Selecionaram-se 11 artigos a partir da análise do título, da temática pesquisada e dos critérios de elegibilidade e, na leitura na íntegra dos conteúdos, restaram três, sendo dois de abordagem metodológica qualitativa e uma de abordagem quantitativa. Destaca-se que os descritores mais utilizados pelos autores dos artigos foram cuidados de Enfermagem, dimensionamento de pessoal, qualidade da assistência à saúde, sendo o campo de pesquisa desses estudos o dimensionamento de pessoal de Enfermagem. Conclusão: pode-se considerar que o dimensionamento de pessoal é uma etapa importante, que direciona a assistência da equipe de Enfermagem, de modo que ela reconheça a necessidade de planejar estratégias para identificar o perfil dos pacientes atendidos e a necessidade de profissionais para assisti-los.(AU)


Objective: to analyze the nursing staff dimensioning the quality of care. Method: this is a bibliographical study, an integrative review, of articles published in the period 2007 to 2017, in the MEDLINE, LILACS and BDENF databases. The articles were read and the summaries of the results of the articles in figures. Results: 103 publications were identified in the initial search. Eleven articles were selected from the analysis of the title, the researched topic and the eligibility criteria, and three contents remained in the reading of the contents, two of which were qualitative and one quantitative approach. It should be highlighted that the descriptors most used by the authors of the articles were Nursing care, personnel dimensioning, quality of health care, being the field of research of these studies the dimensioning of Nursing staff. Conclusion: it can be considered that the personnel dimension is an important step, which directs the assistance of the Nursing team, so that it recognizes the need to devise strategies to identify the profile of patients attended and the need for professionals to assist them.(AU)


Objetivo: analizar el dimensionamiento de personal de enfermería frente a la calidad de la asistencia. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, de artículos publicados en el período de 2007 a 2017, en las bases de datos MEDLINE, LILACS y BDENF. Se presentaron las síntesis de los resultados de los artículos en figuras. Resultados: se identificaron, en la búsqueda inicial, 103 publicaciones. Se seleccionaron 11 artículos a partir del análisis del título, de la temática investigada y de los criterios de elegibilidad y, en la lectura íntegra de los contenidos, quedaron tres, siendo dos de abordaje metodológico cualitativo y uno de abordaje cuantitativo. Se destaca que los descriptores más utilizados por los autores de los artículos fueron cuidados de Enfermería, dimensionamiento de personal, calidad de la asistencia a la salud, siendo el campo de investigación de esos estudios el dimensionamiento de personal de Enfermería. Conclusión: se puede considerar que el dimensionamiento de personal es una etapa importante, que dirige la asistencia del equipo de Enfermería, de modo que ella reconozca la necesidad de planificar estrategias para identificar el perfil de los pacientes atendidos y la necesidad de profesionales para asistirlos.(AU)


Assuntos
Humanos , Masculino , Feminino , Administração de Recursos Humanos em Hospitais , Qualidade da Assistência à Saúde , Competência Clínica , Downsizing Organizacional , Enfermeiras e Enfermeiros , Cuidados de Enfermagem , Equipe de Enfermagem
12.
J Healthc Risk Manag ; 38(4): 32-42, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30136752

RESUMO

Medical errors are the third-leading cause of death in the United States. One of the problems is timely recognition and management of inappropriate health care worker behaviors that lead to intimidation and loss of staff focus, eventually leading to errors. The purpose of this qualitative modified Delphi study was to seek consensus among a panel of experts in hospital risk management practices on the practical methods for early detection of inappropriate behaviors among hospital staff, which may be used by hospital managers to considerably mitigate the risk of medical mishaps. High reliability theory guided the research process, utilizing the conceptual framework of the fair and just culture patient safety model. A single research question asked what level of consensus exists among hospital risk management experts as to the practical methods for early detection of inappropriate behavior among hospital staff, which managers may use to ultimately mitigate the risk of preventable medical mishaps. This study included nonprobability purposive sampling (n = 34) and three rounds of questionnaires. Consensus was reached on 8 factors: setting expectations, developing a culture of respect, holding staff accountable, enforcing a zero-tolerance policy, confidentiality of reporting, communicating expected behavior, open communication, and investigating inappropriate behaviors.


Assuntos
Administradores Hospitalares/psicologia , Erros Médicos/prevenção & controle , Erros Médicos/psicologia , Administração de Recursos Humanos em Hospitais/métodos , Recursos Humanos em Hospital/psicologia , Má Conduta Profissional/psicologia , Gestão de Riscos/métodos , Adulto , Currículo , Técnica Delfos , Educação Médica Continuada , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e Questionários , Estados Unidos
13.
Workplace Health Saf ; 67(1): 5-8, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30160206

RESUMO

OBJECTIVE: Injury to the gastrocnemius muscle (tennis leg) is a presenting complaint often associated with athletic pursuits. Despite that label, this form of injury is likely to be common to a variety of salaried and nonsalaried pursuits beyond sports. METHOD: We describe the presentation and management of two cases of "tennis leg" injury occurring in an occupational rather than athletic setting and review the relevant medical literature. RESULTS: Partial tears of the medial insertion of the gastrocnemius tendon were documented in both cases, in the first through magnetic resonance imaging and in the second by ultrasound. CONCLUSION: Rupture of the tendon to the medial head of the gastrocnemius, the so-called "tennis leg" injury, should be considered as potentially work-related trauma, rather than taken to be solely a sports injury.


Assuntos
Serviço de Limpeza , Músculo Esquelético/lesões , Traumatismos Ocupacionais/diagnóstico , Administração de Recursos Humanos em Hospitais , Traumatismos em Atletas , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismos Ocupacionais/terapia
14.
Aust Health Rev ; 43(2): 157-164, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29151433

RESUMO

Objective This study examined strategic human resource management (SHRM) activities in two case hospitals relative to their approach to greenfield site success. Methods A comparative case study analysis approach was used, with documents sourced from public, open-access sites. The theoretical framework of crisis management theory's (CMT) proactive management and open communication channels was used to examine the documents, which were annual reports addressing both hospitals' first year of performance, union publications and transcripts of relevant parliamentary inquiries. Results The hospital that effectively used CMT in its first 12 months was demonstratively more 'successful' than the hospital that reported to not have effectively used CMT. 'Success' in this project was articulated as the hospital's ability to consolidate operations, without ongoing negative media attention, after 12 months. Conclusion This study provided an identification of how the use of CMT in a hospital's greenfield stage can increase the hospital's chances of 'success'. What is known about the topic? Journal and media articles illustrated a gap in greenfield human resource management (HRM) regarding successful consolidation, especially the healthcare context. Although manufacturing firms are addressed in academic literature in a greenfield context, there is a lack of knowledge concerning successful greenfield HRM in a healthcare context. What does this paper add? This study is among the first to identify the role of CMT in successful greenfield site establishment by identifying its presence in management activities. What are the implications for practitioners? The findings of this study suggest a potential link between the implementation of CMT and greenfield site success. This could allow future greenfield healthcare sites to operate with less cost and risk. The lack of stakeholder participation in the present study limits the applicability of its findings. However, archival document analysis provides a strong foundation for future studies.


Assuntos
Atitude do Pessoal de Saúde , Pessoal de Saúde/psicologia , Relações Interprofissionais , Cultura Organizacional , Administração de Recursos Humanos em Hospitais/métodos , Local de Trabalho/psicologia , Austrália , Administração Hospitalar , Hospitais , Humanos , Satisfação no Emprego , Estudos de Casos Organizacionais , Queensland , Austrália Ocidental , Recursos Humanos
15.
BMC Health Serv Res ; 20(1): 2, 2019 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-31888611

RESUMO

BACKGROUND: Clinical supervision is recommended for allied health professionals for the purpose of supporting them in their professional role, continued professional development and ensuring patient safety and high quality care. The aim of this mixed methods study was to explore allied health professionals' perceptions about the aspects of clinical supervision that can facilitate effective clinical supervision. METHODS: Individual semi-structured interviews were conducted on a purposive sample of 38 allied health professionals working in a metropolitan public hospital. Qualitative analysis was completed using an interpretive description approach. To enable triangulation of qualitative data, a quantitative descriptive survey of clinical supervision effectiveness was also conducted using the Manchester Clinical Supervision Scale (MCSS-26). RESULTS: Three main themes emerged from qualitative analysis: Allied health professionals reported that clinical supervision was most effective when their professional development was the focus of clinical supervision; the supervisor possessed the skills and attributes required to facilitate a constructive supervisory relationship; and the organisation provided an environment that facilitated this relationship together with their own professional development. Three subthemes also emerged within each of the main themes: the importance of the supervisory relationship; prioritisation of clinical supervision relative to other professional duties; and flexibility of supervision models, processes and approaches to clinical supervision. The mean MCSS-26 score was 79.2 (95%CI 73.7 to 84.3) with scores ranging from 44 to 100. MCSS-26 results converged with the qualitative findings with participants reporting an overall positive experience with clinical supervision. CONCLUSIONS: The factors identified by allied health professionals that influenced the effectiveness of their clinical supervision were mostly consistent among the professions. However, allied health professionals reported using models of clinical supervision that best suited their profession's role and learning style. This highlighted the need for flexible approaches to allied health clinical supervision that should be reflected in clinical supervision policies and guidelines. Many of the identified factors that influence the effectiveness of clinical supervision of allied health professionals can be influenced by health organisations.


Assuntos
Pessoal Técnico de Saúde , Administração de Recursos Humanos em Hospitais , Atitude do Pessoal de Saúde , Pesquisas sobre Serviços de Saúde , Humanos , Entrevistas como Assunto , Papel Profissional , Pesquisa Qualitativa , Desenvolvimento de Pessoal
16.
Int J Health Care Qual Assur ; 31(8): 973-987, 2018 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-30415620

RESUMO

PURPOSE: The purpose of this paper is to investigate the effects of Lean Six Sigma (LSS) and workforce management on the quality performance of Malaysian hospitals. This paper also investigates the direct and indirect relationships between top management commitment and quality performance of the healthcare organisations in Malaysia. DESIGN/METHODOLOGY/APPROACH: This study applied stratified random sampling to collect data from 15 different hospitals in Peninsular Malaysia. The self-administered survey questionnaires were distributed among 673 hospital staff (i.e. doctors, nurses, pharmacists, and medical laboratory technologists) to obtain 335 useful responses with a 49.47 per cent valid response rate. The research data were analysed based on confirmatory factor analysis and structural equation modelling by using AMOS version 23 software. FINDINGS: The research findings indicated that LSS and workforce management have a significant impact on quality performance of the Malaysian hospitals, whereas senior management commitment was found to have an insignificant relationship with quality performance. The research findings indicate that senior management commitment has no direct significant relationship with quality performance, but it has an indirect significant relationship with quality performance through the mediating effects of LSS and workforce management. RESEARCH LIMITATIONS/IMPLICATIONS: This research focussed solely on healthcare organisations in Malaysia and thus the results might not be applicable for other countries as well as other service organisations. ORIGINALITY/VALUE: This research provides theoretical, methodological, and practical contributions for the LSS approach and the research findings are expected to provide guidelines to enhance the level of quality performance in healthcare organisations in Malaysia as well as other countries.


Assuntos
Liderança , Administração de Recursos Humanos em Hospitais/normas , Qualidade da Assistência à Saúde/organização & administração , Gestão da Qualidade Total/organização & administração , Análise Fatorial , Humanos , Análise de Classes Latentes , Malásia , Cultura Organizacional , Segurança do Paciente , Recursos Humanos em Hospital/psicologia , Qualidade da Assistência à Saúde/normas , Gestão da Qualidade Total/normas
17.
Rev Gaucha Enferm ; 39: e20170107, 2018 Aug 02.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30088597

RESUMO

OBJECTIVE: Applying PRAXIS® technology resources for patient classification and nursing professional sizing in university hospital inpatient unit. METHOD: Convergent Care Research following the design and instrumentation phases - defined the research theme and purpose, performed in a medical clinic hospital unit involving 633 participants; scrutiny - classification of patients during 30 days of June 2016, followed by sizing, analysis and interpretation of the results - elaborated with the support of the management theorization in hospital nursing. RESULTS: Amongst the total of 633 classifications made, 29.38% were patients in minimal care, 35.71% were intermediate care patients, 33.02% were highly dependent, 1.42% were semi-intensive and 0.47% were in intensive care. Two references were used to carry out the sizing; in both the available team showed to be in deficit. CONCLUSION: The classification of patients and the sizing of nursing professionals are directly related, they are indispensable for management in nursing and difficult to perform daily. Computerized technologies are useful for performing these activities.


Assuntos
Recursos Humanos de Enfermagem no Hospital/provisão & distribução , Pacientes/classificação , Administração de Recursos Humanos em Hospitais , Brasil , Número de Leitos em Hospital , Unidades Hospitalares/estatística & dados numéricos , Humanos , Unidades de Terapia Intensiva/estatística & dados numéricos , Assistentes de Enfermagem/organização & administração , Assistentes de Enfermagem/provisão & distribução , Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Gravidade do Paciente , Pacientes/estatística & dados numéricos , Administração de Recursos Humanos em Hospitais/métodos , Qualidade da Assistência à Saúde , Software
19.
J Health Serv Res Policy ; 23(4): 272-279, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30033767

RESUMO

Objectives Although interprofessional teamwork has been shown to improve patient safety, it is not yet routine practice in most hospital settings. There is also a lack of clarity regarding what teamwork actually means, with terms such as collaboration, coordination, networking and knotworking often being used interchangeably. In this study, we analyse 20 years of qualitative research on interprofessional teamwork in hospital settings and examine what it looks like and the factors influencing it. Methods The literature search included articles published between 1996 and 2016, and articles were included if they examined interprofessional teamwork within a hospital using qualitative methodology. We used meta-ethnographic analysis of eligible primary studies applying reciprocal translation and line of argument synthesis. Results Nineteen articles were included. Interprofessional teamwork was largely absent in acute care and found to be influenced by systems perpetuating power imbalances, organizational practices that interfered with interprofessional interactions, representations of teamwork and leadership. Conclusions Future strategies to improve interprofessional practices should include policies and structural changes to develop healthcare systems that facilitate these practices.


Assuntos
Processos Grupais , Relações Interprofissionais , Administração de Recursos Humanos em Hospitais , Antropologia Cultural , Comportamento Cooperativo , Humanos , Liderança , Cultura Organizacional , Pesquisa Qualitativa
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