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1.
Rev. enferm. UERJ ; 28: e45920, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1097273

RESUMO

Objetivo: analisar a associação entre os riscos ocupacionais e os danos relacionados ao trabalho de enfermagem em sala de vacinação. Método: estudo transversal analítico realizado em salas de vacinação de unidades de atenção primária à saúde entre junho e julho de 2017, com 171 trabalhadores de enfermagem. Utilizou-se um instrumento com informações sobre dados sociodemográficos, laborais e riscos ocupacionais e a Escala de Avaliação dos Danos Relacionados ao Trabalho. Estudo aprovado pelo Comitê de Ética em Pesquisa. Resultados: a exposição ocupacional aos riscos físico e ergonômico esteve associada a todas as formas de adoecimento investigadas, enquanto que a exposição ao risco mecânico às formas de adoecimento relacionadas aos danos físicos e psicológicos. A exposição ao risco químico associou-se ao adoecimento físico. Conclusão: as condições de trabalho a que os profissionais da enfermagem são expostos nas salas de vacinação, expressadas em riscos ocupacionais, são associadas a danos à sua saúde.


Objective: to analyze the association between occupational risks and damages related to nursing work in the vaccination room. Method: analytical cross-sectional study conducted in the vaccination rooms of primary health care units in the city of Rio de Janeiro between June and July 2017, with 171 nursing workers. An instrument was used with information on sociodemographic, occupational and occupational risk data and the Work-Related Damage Assessment Scale. The study was approved by the research ethics committee. Results: occupational exposure to physical and ergonomic risk were associated with all forms of illness investigated, while exposure to mechanical risk to forms of illness related to Physical and Psychological Damage Exposure to chemical risk was associated to physical illness. Conclusion: the working conditions to which nursing professionals are exposed in vaccination room, expressed in occupational risks, negatively affect their health.


Objetivo: analizar la asociación entre riesgos laborales y daños relacionados con el trabajo de enfermería en la sala de vacunación. Método: estudio transversal analítico realizado en las salas de vacunación de las unidades de atención primaria de salud de la ciudad de Río de Janeiro entre junio y julio de 2017, con 171 trabajadores de enfermería. Se utilizó un instrumento con información sobre datos sociodemográficos, laborales y de riesgos laborales y la Escala de evaluación de daños relacionados con el trabajo. El estudio fue aprobado por el comité de ética de investigación. Resultados: la exposición ocupacional al riesgo físico y ergonómico se asoció con todas las formas de enfermedad investigadas, mientras que la exposición al riesgo mecánico a las formas de enfermedad relacionadas con el daño físico y psicológico La exposición al riesgo químico se asoció a la enfermedad física. Conclusión: las condiciones de trabajo a las que están expuestos los profesionales de enfermería en la sala de vacunación, expresados en riesgos laborales, afectan negativamente su salud.


Assuntos
Humanos , Masculino , Feminino , Adulto , Atenção Primária à Saúde , Exposição Ocupacional , Vacinação , Recursos Humanos de Enfermagem , Doenças Profissionais , Condições de Trabalho , Brasil , Estudos Transversais , Técnicos de Enfermagem , Enfermeiras e Enfermeiros , Assistentes de Enfermagem
2.
Rev Lat Am Enfermagem ; 28: e3267, 2020.
Artigo em Português, Espanhol, Inglês | MEDLINE | ID: mdl-32401902

RESUMO

OBJECTIVE: to analyze the intensity of nursing work in public hospitals. METHOD: cross-sectional, quantitative study, carried out in 22 public hospitals. The sample was composed of 265 nurses and 810 nursing technicians and assistants. Data were collected through a questionnaire and analyzed with Exploratory Factor Analysis. The calculation of the distribution of the work intensity by category was done using a score ranging from -1 to +1 standard deviation of the data. Fisher's exact test (0.05

Assuntos
Emprego/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Adulto , Estudos Transversais , Emprego/psicologia , Feminino , Hospitais Públicos/provisão & distribução , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Assistentes de Enfermagem/psicologia , Assistentes de Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Inquéritos e Questionários , Desempenho Profissional/estatística & dados numéricos , Carga de Trabalho/psicologia
5.
J Am Geriatr Soc ; 68(8): 1657-1660, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32338767

RESUMO

OBJECTIVES: Long-term care (LTC) facilities are particularly dangerous places for the spread of COVID-19 given that they house vulnerable high-risk populations. Transmission-based precautions to protect residents, employees, and families alike must account for potential risks posed by LTC workers' second jobs and unpaid care work. This observational study describes the prevalence of their (1) second jobs, and (2) unpaid care work for dependent children and/or adult relatives (double- and triple-duty caregiving) overall and by occupational group (registered nurses [RNs], licensed practical nurses [LPNs], or certified nursing assistants [CNAs]). DESIGN: A descriptive secondary analysis of data collected as part of the final wave of the Work, Family and Health Study. SETTING: Thirty nursing home facilities located throughout the northeastern United States. PARTICIPANTS: A subset of 958 essential facility-based LTC workers involved in direct patient care. MEASUREMENTS: We present information on LTC workers' demographic characteristics, health, features of their LTC occupation, additional paid work, wages, and double- or triple-duty caregiving roles. RESULTS: Most LTC workers were CNAs, followed by LPNs and RNs. Overall, more than 70% of these workers agreed or strongly agreed with this statement: "When you are sick, you still feel obligated to come into work." One-sixth had a second job, where they worked an average of 20 hours per week, and more than 60% held double- or triple-duty caregiving roles. Additional paid work and unpaid care work characteristics did not significantly differ by occupational group, although the prevalence of second jobs was highest and accompanying work hours were longest among CNAs. CONCLUSION: LTC workers commonly hold second jobs along with double- and triple-duty caregiving roles. To slow the spread of COVID-19, both the paid and unpaid activities of these employees warrant consideration in the identification of appropriate clinical, policy, and informal supports. J Am Geriatr Soc 68:1657-1660, 2020.


Assuntos
Cuidadores/estatística & dados numéricos , Infecções por Coronavirus/prevenção & controle , Emprego/estatística & dados numéricos , Assistência de Longa Duração/estatística & dados numéricos , Ocupações/estatística & dados numéricos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Betacoronavirus , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Técnicos de Enfermagem/estatística & dados numéricos , Masculino , New England , Enfermeiras e Enfermeiros/estatística & dados numéricos , Assistentes de Enfermagem/estatística & dados numéricos , Casas de Saúde , Equilíbrio Trabalho-Vida
7.
Artigo em Chinês | MEDLINE | ID: mdl-32306693

RESUMO

Objective: To explore the status quo of occupational stress and its influencing factors of nursing staff for orphaned and disabled children in Nanjing, and to put forward measures for adverse reactions to occupational stress, so as to ensure the psychological health of this occupational population. Methods: From February to May 2017, 236 nursing assistants for orphans and disabled children in Nanjing social welfare home were selected by cluster sampling method. The occupational stress index(occupational stress indictor, OSI) was used to investigate occupational stress response and occupational stress factors. Partial correlation and multiple linear regression were used for statistical analysis. Results: The scores of job satisfaction, mental health and depressive symptoms in occupational stress reaction were (43. 99±6. 83) , (36. 09±4. 59) and (17. 31±2. 44) re- spectively. In terms of job satisfaction, work monotony, logic and compound change were the contributing fac- tors (P<0. 05) , task strategy and task control were negative factors (P<0. 05) ; on mental health, opportunities were raised and participation in decision-making Self-esteem, technology utilization, environmental control, time management, task strategy and support of colleagues as contributing factors (P<0. 05) , ambition and role conflicts as negative factors (P<0. 05) ; on depression, work input, participation Decision-making, promotion opportunities and behavioral characteristics were protective factors (P<0. 05 ) . Conclusion: Occupational stress among caregivers of orphans and disabled children cannot be ignored. Occupational stress reaction is serious. Occupational stress factors should be reduced and individual stress coping ability should be enhanced.


Assuntos
Cuidado da Criança/psicologia , Crianças Órfãs , Crianças com Deficiência , Assistentes de Enfermagem , Estresse Ocupacional , Criança , Humanos , Satisfação no Emprego , Inquéritos e Questionários
8.
Enferm. intensiva (Ed. impr.) ; 31(1): 19-34, ene.-mar. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-187364

RESUMO

Objetivos: El objetivo fue explorar la experiencia de médicos y técnicos en cuidados auxiliares de enfermería (TCAE) respecto al manejo de contenciones mecánicas en unidades de cuidados críticos. Método: Estudio fenomenológico multicéntrico que incluyó 14 unidades de cuidados críticos (UCC) de Madrid (España). Las UCC fueron estratificadas en función del uso de contenciones mecánicas: «uso frecuente» versus «uso escaso». Se realizaron 3 grupos de discusión: el primero compuesto por TCAE procedentes de UCC con uso frecuente de contenciones mecánicas, el segundo grupo por TCAE de UCC de uso escaso de contenciones mecánicas y el último grupo por médicos de ambos subtipos de UCC. Método de muestreo: por propósito. Análisis de datos: análisis temático de contenido. Se alcanzó la saturación de los datos. Resultados: Emergen 4 temas principales: 1) concepto de seguridad y riesgo (seguridad del paciente versus seguridad del profesional); 2) tipos de contenciones; 3) responsabilidades profesionales (prescripción, registro y roles profesionales); y 4) paradigma «contención cero». La conceptualización sobre el uso de contenciones mecánicas muestra diferencias en algunos de los temas principales dependiendo del tipo de UCC en cuanto a políticas, uso y manejo de contenciones mecánicas (uso frecuente versus uso escaso). Conclusiones: La reducción real del uso de contenciones mecánicas en UCC debe partir de un punto clave: la aceptación de la complejidad del fenómeno. El uso de contenciones mecánicas observado en las diferentes UCC está influenciado por factores individuales, grupales y organizativos. Estos factores determinan las interpretaciones que médicos y TCAE realizan sobre seguridad y riesgo, el centro del cuidado (cuidado centrado en el paciente o en el profesional), el concepto de contención, las responsabilidades e intervenciones profesionales y las interacciones del equipo y el liderazgo


Objectives: The study aim was to explore the experience of doctors and nursing assistants in the management of physical restraint (PR) in critical care units. Method; A multicentre phenomenological study that included 14 critical care units (CCU) in Madrid (Spain). The CCU were stratified according to their use of physical restraint: "frequently used" versus "seldom used". Three focus groups were formed: the first comprised nursing assistants from CCUs that frequently used physical restraint, the second comprised nursing assistants from CCUs that seldom used physical constraint, and the final group comprised doctors from both CCU subtypes. Sampling method: purposive. Data analysis: thematic content analysis. Data saturation was achieved. Results: Four principle themes emerged: 1) concept of safety and risk (patient safety versus the safety of the professional), 2) types of restraint, 3) professional responsibilities (prescription, recording, and professional roles) and 4) "zero restraint" paradigm. The conceptualisation regarding the use of physical contentions shows differences in some of the principal themes, depending on the type of CCU, in terms of policies, use and management of physical constraint (frequently used versus seldom used). Conclusions; The real reduction in the use of physical restraint in CCU must be based on one crucial point: acceptance of the complexity of the phenomenon. The use of physical restraint observed in the different CCU is influenced by individual, group and organisational factors. These factors will determine how doctors and nursing assistants interpret safety and risk, the centre of care (patient or professional-centred care), the concept of restraint, professional responsibilities and interventions, interactions of the team and the leadership


Assuntos
Humanos , Unidades de Terapia Intensiva/estatística & dados numéricos , Assistentes de Enfermagem , Equipe de Assistência ao Paciente/organização & administração , Auxiliares de Emergência , Comunicação Interdisciplinar , Serviços Médicos de Emergência , Cuidados Críticos/organização & administração , Grupos Focais
9.
BMC Health Serv Res ; 20(1): 147, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32106847

RESUMO

BACKGROUND: Health care organizations are constantly changing as a result of technological advancements, ageing populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms and policy initiatives. Changes can be challenging because they contradict humans' basic need for a stable environment. The present study poses the question: what characterizes successful organizational changes in health care? The aim was to investigate the characteristics of changes of relevance for the work of health care professionals that they deemed successful. METHODS: The study was based on semi-structured interviews with 30 health care professionals: 11 physicians, 12 registered nurses and seven assistant nurses employed in the Swedish health care system. An inductive approach was applied using questions based on the existing literature on organizational change and change responses. The questions concerned the interviewees' experiences and perceptions of any changes that they considered to have affected their work, regardless of whether these changes were "objectively" large or small changes. The interviewees' responses were analysed using directed content analysis. RESULTS: The analysis yielded three categories concerning characteristics of successful changes: having the opportunity to influence the change; being prepared for the change; valuing the change. The interviewees emphasized the importance of having the opportunity to influence the organizational changes that are implemented. Changes that were initiated by the professionals themselves were considered the easiest and were rarely resisted. Changes that were clearly communicated to allow for preparation increased the chances for success. The interviewees did not support organizational changes that were perceived to be implemented unexpectedly and/or without prior communication. They conveyed that it was important for them to understand the need for and benefits of organizational changes. They particularly valued and perceived as successful organizational changes with a patient focus, with clear benefits to patients. CONCLUSIONS: Organizational changes in health care are more likely to succeed when health care professionals have the opportunity to influence the change, feel prepared for the change and recognize the value of the change, including perceiving the benefit of the change for patients.


Assuntos
Assistência à Saúde/organização & administração , Inovação Organizacional , Atitude do Pessoal de Saúde , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Assistentes de Enfermagem/psicologia , Assistentes de Enfermagem/estatística & dados numéricos , Médicos/psicologia , Médicos/estatística & dados numéricos , Pesquisa Qualitativa , Suécia
10.
JAMA Netw Open ; 3(1): e1920092, 2020 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-31995218

RESUMO

Importance: In Canada, approximately 81% of residents of nursing homes live with mild to severe cognitive impairment. Care needs of this population are increasingly complex, but resources, such as staffing, for nursing homes continue to be limited. Staff risk missing or rushing care tasks and interfering with quality of care and life. Objective: To assess the association of work environment with missing and rushing essential care tasks in nursing homes. Design, Setting, and Participants: This cross-sectional study used survey data collected from a random sample of 93 urban nursing homes in Western Canada, stratified by health region, owner-operator model, and facility size, between May and December 2017. All 5411 eligible care aides were invited to participate, and 4016 care aides agreed and completed structured, computer-assisted interviews in person. Analyses were conducted from July 4, 2018, to February 27, 2019. Main Outcomes and Measures: Self-reported number of essential care tasks missed (range, 0-8) or rushed (range, 0-7) in the most recent shift. Two-level random intercept hurdle regressions controlled for care aide, care unit, and nursing home characteristics. Results: Of 4016 care aides, 2757 (68.7%) were 40 years or older, 3574 (89.1%) were women, and 1353 (66.3%) spoke English as an additional language. For their most recent shift, 2306 care aides (57.4%) reported missing at least 1 essential care task and 2628 care aides (65.4%) reported rushing at least 1 essential care task. Care aides on units with more favorable work environments (eg, more effective leadership, better work culture, higher levels of buffering resources) were less likely to miss any care tasks (odds ratio, 1.59; 95% CI, 1.34-1.90; P < .001) and less likely to rush any care task (odds ratio, 1.66; 95% CI, 1.38-1.99; P < .001). Conclusions and Relevance: This study found that rates of missed and rushed essential care in Canadian nursing homes were high and were higher in units with less favorable work environments. This finding suggests that work environment should be added to the list of modifiable factors associated with improving nursing home care, as it may be an important pathway for improving quality of care. Further research is needed to understand associations of missed and rushed care and of improving work environments with outcomes among residents of nursing homes.


Assuntos
Assistentes de Enfermagem/psicologia , Casas de Saúde/organização & administração , Carga de Trabalho/psicologia , Adulto , Canadá , Estudos Transversais , Humanos , Qualidade da Assistência à Saúde/normas , Local de Trabalho/psicologia
12.
Cien Saude Colet ; 25(1): 67-78, 2020 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31859856

RESUMO

The identification of the current vocational training profile of nursing aides and technicians becomes a central element in understanding the dynamics of their qualification in several states, aiming to expose both the existence of trends for under- and overqualification and the participation of the public sector in the offer and expansion of nursing courses in the country. The article explores three relevant aspects of vocational training based on the results found in the research "Nursing Profile in Brazil (FIOCRUZ/COFEN)": the level of schooling/qualification; the geographical distribution and the governmental participation in the consolidation of the current situation. This is an analytical study based on the interpretation of indicators identified by Pearson's Asymmetry Coefficient. The study uses the database generated by the research, as well as data from MEC/Inep and IBGE. The achieved results establish relations between the characteristics of training, distribution of NA&T in all Brazilian states with the phenomenon of overqualification, besides revealing an apparent separation of the Federal Education Network from the actual demand for nursing technicians in the country.


Assuntos
Educação em Enfermagem/normas , Assistentes de Enfermagem/educação , Brasil , Educação em Enfermagem/organização & administração , Educação em Enfermagem/estatística & dados numéricos , Privatização
13.
Cien Saude Colet ; 25(1): 135-145, 2020 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31859862

RESUMO

The article analyzes the labor market of nursing assistants and technicians in the State of Ceará, Brazil, from 2013 to 2017, concerning job insecurity aspects. Two data sources were employed. The cross-sectional Brazilian Nursing Team Profile Survey (PPEB) was used as the baseline, and the longitudinal Annual List of Social Information (RAIS) database, allowed the study of the trend of some of the variables related to job insecurity. Given the small number of similar studies for this professional category, we opted for an exploratory data approach that supported a critical discussion of the results. The job insecurity of nursing assistants and technicians is supported by empirical evidence in the four perspectives adopted by the International Labor Organization-ILO: time-related, economic, social, and organizational. While it is a market with a positive balance of admissions compared to layoffs, jobs have low salaries, poor work relationships, high turnover, lack of prospect of career advancement, and adverse working conditions such as exposure to violence, discrimination, and accidents. We can conclude that RAIS data corroborate the PPEB findings, and point out that there is no trend of improvement for this situation.


Assuntos
Emprego/estatística & dados numéricos , Assistentes de Enfermagem , Brasil
14.
Cien Saude Colet ; 25(1): 243-249, 2020 Jan.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-31859872

RESUMO

This research examined the association between occupational fatigue and work absenteeism in 110 female assistant nurses of a high-complexity hospital in Chile. A sociodemographic questionnaire and the Checklist Individual Strength (CIS) scale were used. The results showed that the predominant absenteeism range was 11-29 days. The highest means of fatigue occurred in those with seniority above 2 years, with more than 10 patients in charge and an annual contract. No significant difference was observed between the fatigue means concerning absenteeism, but a significant association was observed between physical fatigue (p = 0.040, OR = 1.054) and service seniority (p = 0.001, OR = 1.084) with work absenteeism. Finally, we can conclude that physical fatigue and seniority in the clinical service are significant risk factors for the occurrence of absenteeism.


Assuntos
Absenteísmo , Fadiga/epidemiologia , Assistentes de Enfermagem/psicologia , Doenças Profissionais/epidemiologia , Adulto , Chile , Estudos Transversais , Feminino , Hospitais , Humanos
15.
Rev Lat Am Enfermagem ; 27: e3192, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31826153

RESUMO

OBJECTIVE: to analyze the burnout dimensions scores in Brazilian and Spanish nursing workers. METHOD: quantitative, cross-sectional and comparative study conducted with 589 Nursing workers who answered the Sociodemographic and Professional Characterization Questionnaire and the Maslach Burnout Inventory. Descriptive and analytical analysis of the data was performed. RESULTS: Spanish Nursing workers presented higher averages in the Depersonalization dimension (p = 0.004) and Brazilians, higher scores in the Professional Achievement dimension (p = 0.031). In both Spain and Brazil, nursing assistants / technicians were found to have higher Emotional Exhaustion than nurses; In Brazil, Depersonalization is higher in nurses and in Spain it is higher in Nursing assistants / technicians. Statistically significant results were found in the association of burnout dimensions with sociodemographic and work characteristics: age; professional category; workplace; work regime; work shift; time of professional experience; working time in the same workplace and consider stressful work. CONCLUSION: Although Brazilian and Spanish nursing workers score low levels of Depersonalization and high Professional Achievement, there are average levels of Emotional Exhaustion, indicating an important preventive factor to be worked on, since Emotional Exhaustion is considered the first stage of burnout.


Assuntos
Esgotamento Profissional/epidemiologia , Assistentes de Enfermagem/psicologia , Recursos Humanos de Enfermagem/psicologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Assistentes de Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Fatores Socioeconômicos , Espanha/epidemiologia , Inquéritos e Questionários , Local de Trabalho
16.
Artigo em Inglês | MEDLINE | ID: mdl-31817401

RESUMO

Nursing staff who provide care in the nursing homes of Catalonia have more precarious work conditions, including more demanding schedules and work overload, than those in other areas of care. This situation entails two major problems: Detrimental health results for nurses who face psychosocial and physical risks and a negative impact on the care provided to patients, with a decrease in the quality of care. This study aimed to describe the precarious employment situation of nursing staff in nursing homes. We carried out a descriptive study based on the employment precariousness scale (EPRES), which was administered to a sample of 239 nurses and nursing assistants working in public and private nursing homes in Catalonia. The highest level of job insecurity occurred among nursing assistants and in privately managed nursing homes. The precariousness of the working conditions of nursing staff poses a risk both to the workers themselves and to the people they tend to. For this reason, there is a need for greater knowledge on the scale of the problem and the implementation of appropriate legislative measures to alleviate it.


Assuntos
Emprego/psicologia , Assistentes de Enfermagem/psicologia , Casas de Saúde/organização & administração , Setor Privado , Setor Público , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem/psicologia , Espanha , Local de Trabalho
17.
Enferm. foco (Brasília) ; 10(7): 1-1, dez. 2019. ilus
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1050503

RESUMO

O Programa de pós-graduação em Enfermagem (Profen), idealizado e financiado pelo Conselho Federal de Enfermagem (Cofen), chegou para impulsionar e mudar a formação de Enfermeiros mestres para o desenvolvimento da Ciência e da profissão de Enfermagem no Brasil. Em parceria com a Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes/MEC), o programa foi lançado em 2016, abrindo uma nova perspectiva de qualificação profissional para enfermeiros. O programa contribui para implementação, de forma mais eficaz e efetiva, da Sistematização da Assistência de Enfermagem e do Processo de Enfermagem na Rede de Atenção à Saúde do Sistema Único de Saúde (SUS). (AU)


The Graduate Nursing Program (Profen), designed and financed by the Federal Nursing Council (Cofen), arrived to boost and change the training of Master nurses for the development of Science and the Nursing profession in Brazil. In partnership with the Coordination for the Improvement of Higher Education Personnel (Capes / MEC), the program was launched in 2016, opening a new perspective of professional qualification for nurses. The program contributes to the implementation, in a more efficient and effective way, of the Systematization of Nursing Assistance and of the Nursing Process in the Health Care Network of the Unified Health System (SUS). (AU)


El Programa de Posgrado en Enfermería (Profen), diseñado y financiado por el Consejo Federal de Enfermería (Cofen), llegó para impulsar y cambiar la formación de enfermeras maestras para el desarrollo de la ciencia y la profesión de enfermería en Brasil. En asociación con la Coordinación para el Mejoramiento del Personal de Educación Superior (Capes / MEC), el programa se lanzó en 2016, abriendo una nueva perspectiva de calificación profesional para las enfermeras. El programa contribuye a la implementación, de manera más eficiente y efectiva, de la Sistematización de la Asistencia de Enfermería y del Proceso de Enfermería en la Red de Atención de Salud del Sistema Único de Salud (SUS). (AU)


Assuntos
Assistentes de Enfermagem , Saúde Pública , Enfermagem , Educação Continuada em Enfermagem
18.
BMC Health Serv Res ; 19(1): 996, 2019 Dec 26.
Artigo em Inglês | MEDLINE | ID: mdl-31878914

RESUMO

BACKGROUND: Person-centred care is the bedrock of modern dementia services, yet the evidence-base to support its implementation is not firmly established. Research is hindered by a need for more robust measurement instruments. The 14-item Person-Centred Climate Questionnaire - Staff version (PCQ-S) is one of the most established scales and has promising measurement properties. However, its construction under classical test theory methods leaves question marks over its rigour and the need for evaluation under more modern testing procedures. METHODS: The PCQ-S was self-completed by nurses and other care staff working across nursing homes in 35 Swedish municipalities in 2013/14. A Rasch analysis was undertaken in RUMM2030 using a partial credit model suited to the Likert-type items. Three subscales of the PCQ-S were evaluated against common thresholds for overall fit to the Rasch model; ordering of category thresholds; unidimensionality; local dependency; targeting; and Differential Item Functioning. Three subscales were evaluated separately as unidimensional models and then combined as subtests into a single measure. Due to large number of respondents (n = 4381), two random sub-samples were drawn, with a satisfactory model established in the first ('evaluation') and confirmed in the second ('validation'). Final item locations and a table converting raw scores to Rasch-transformed values were created using the full sample. RESULTS: All three subscales had disordered thresholds for some items, which were resolved by collapsing categories. The three subscales fit the assumptions of the Rasch model after the removal of two items, except for subscale 3, where there was evidence of local dependence between two items. By forming subtests, the 3 subscales were combined into a single Rasch model which had satisfactory fit statistics. The Rasch form of the instrument (PCQ-S-R) had an adequate but modest Person Separation Index (< 0.80) and some evidence of mistargeting due to a low number of 'difficult-to-endorse' items. CONCLUSIONS: The PCQ-S-R has 12 items and can be used as a unidimensional scale with interval level properties, using the nomogram presented within this paper. The scale is reliable but has some inefficiencies due to too few high-end thresholds inhibiting discrimination amongst populations who already perceive that person-centred care is very good in their environment.


Assuntos
Casas de Saúde/organização & administração , Assistência Centrada no Paciente , Inquéritos e Questionários , Adulto , Demência/enfermagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Assistentes de Enfermagem/psicologia , Assistentes de Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem/psicologia , Recursos Humanos de Enfermagem/estatística & dados numéricos , Psicometria , Reprodutibilidade dos Testes , Suécia
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