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1.
Esc. Anna Nery Rev. Enferm ; 26: e20210040, 2022. graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1339880

RESUMO

Resumo Objetivo analisar a percepção dos pais sobre as práticas de educação em saúde desenvolvidas pelos enfermeiros na Unidade Neonatal que facilitaram a aquisição de competências parentais para uma tomada de decisão fundamentada. Método estudo exploratório e descritivo, com abordagem qualitativa. Participaram 13 pais com filhos internados, pela primeira vez, em uma Unidade Neonatal portuguesa. Os dados foram colhidos entre fevereiro e agosto de 2020, por meio de grupos focais, processados no software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires, através da Classificação Hierárquica Descendente e da Análise de Similitude. Resultados da Classificação Hierárquica Descendente, emergiram quatro classes: "Necessidades de informação", "Lacunas na informação", "Disponibilidade para informar"; "Práticas facilitadoras da educação em saúde". Conclusão e implicações para a prática os pais consideraram como práticas facilitadoras da educação em saúde a tecnologia digital aliada à disponibilidade dos enfermeiros para informar e explicar, bem como propiciar um ambiente empático e informal. Tal resultado pode subsidiar o desenvolvimento de intervenções de enfermagem de educação em saúde para pais na Unidade Neonatal, com recurso à tecnologia digital.


Resumen Objetivo analizar la percepción de los padres sobre las prácticas de educación en salud desarrolladas por enfermeras de la Unidad Neonatal que facilitaron la adquisición de habilidades parentales para la toma de decisiones informada. Método estudio exploratorio descriptivo, con abordaje cualitativo. Participaron 13 padres con hijos hospitalizados, por primera vez, en una Unidad Neonatal Portuguesa. Los datos fueron recolectados entre febrero y agosto de 2020, a través de grupos focales, procesados en el software Interface de R pour Multidimensionnelles de Textes et de Questionneires, a través de la Clasificación Jerárquica Descendente y el Análisis de Similitud. Resultados surgieron cuatro clases de la Clasificación Jerárquica Descendente: "Necesidades de información"; "Brechas de información"; "Disponibilidad para informar"; "Prácticas facilitadoras de la educación para la salud". Conclusión e implicaciones para la práctica los padres consideraron prácticas facilitadoras para la educación en salud la tecnología digital combinada con la disponibilidad de enfermeras para informar y explicar, además de brindar un ambiente empático e informal. Este resultado puede apoyar el desarrollo de intervenciones de enfermería de educación para la salud para los padres en Unidad Neonatal, con el uso de tecnología digital.


Abstract Objective to analyze parents' perception of health education practices developed by nurses in a Neonatal Unit that facilitated the acquisition of parenting skills for an informed decision-making. Method this is an exploratory, descriptive and qualitative study. We included 13 parents with children hospitalized for the first time in a Portuguese Neonatal Unit. Data were collected between February and August 2020, through focus groups, processed in the software Interface de R pour Multidimensionnelles de Textes et de Questionneires, through Descending Hierarchical Classification and Similitude Analysis. Results four classes emerged from the Descending Hierarchical Classification: "Information needs"; "Information gaps"; "Availability to inform"; "Facilitating health education practices". Conclusion and implications for practice parents considered digital technology combined with nurses' availability to inform and explain, as well as provide an empathetic and informal environment as facilitating practices for health education. These results can support health education nursing interventions for parents at the Neonatal Units using digital technology.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Adulto , Pais/psicologia , Unidades de Terapia Intensiva Neonatal , Educação em Saúde , Letramento em Saúde , Enfermeiras e Enfermeiros , Folhetos , Comunicação , Tomada de Decisões , Pesquisa Qualitativa , Tecnologia Digital , Tempo de Internação , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/psicologia
2.
Am J Nurs ; 121(10): 53-57, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34554989

RESUMO

This column is designed to help new nurses in their first year at the bedside-a time of insecurity, growth, and constant challenges-and to offer advice as they learn what it means to be a nurse. Because content on the care of patients who are transgender and gender diverse (TGD) is largely missing from undergraduate nursing curricula, most nurses will learn to care for TGD patients when first working at the bedside. This article offers guidance on providing affirming care to TGD patients, including discussions of gender and pronouns, privacy considerations, and communication and advocacy.


Assuntos
Assistência à Saúde Culturalmente Competente , Identidade de Gênero , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/psicologia , Pessoas Transgênero/psicologia , Bacharelado em Enfermagem , Humanos
4.
Res Nurs Health ; 44(5): 822-832, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34402080

RESUMO

Over a decade following the nationwide push to implement electronic health records (EHRs), the focus has shifted to addressing the cognitive burden associated with their use. Most research and discourse about the EHR's impact on clinicians' cognitive work has focused on physicians rather than on nursing-specific issues. Labor and delivery nurses may encounter unique challenges when using EHRs because they also interact with an electronic fetal monitoring system, continuously managing and synthesizing both maternal and fetal data. This grounded theory study explored labor and delivery nurses' perceptions of the EHR's impact on their cognitive work. Data were individual interviews and participant observations with twenty-one nurses from two labor and delivery units in the western U.S. and were analyzed using dimensional analysis. Nurses managed the tension between caring and charting using various strategies to integrate the EHR into their dynamic, high-acuity, specialty practice environment while using EHRs that were not designed for perinatal patients. Use of the EHR and associated technologies disrupted nurses' ability to locate and synthesize information, maintain an overview of the patient's status, and connect with patients and families. Individual-, group-, and environmental-level factors facilitated or constrained nurses' integration of the EHR. These findings represent critical safety failures requiring comprehensive changes to EHR designs and better processes for responding to end-user experiences. More research is needed to develop EHRs that support the dynamic and relationship-based nature of nurses' work and to align with specialty practice environments.


Assuntos
Atitude Frente aos Computadores , Parto Obstétrico/psicologia , Registros Eletrônicos de Saúde/estatística & dados numéricos , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Obstétrica/estatística & dados numéricos , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Gravidez , Estados Unidos
5.
Nurs Res ; 70(6): 417-424, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34262007

RESUMO

BACKGROUND: LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, and others) people face a unique set of barriers to receiving quality healthcare. Very little exists in nursing literature that addresses these barriers. OBJECTIVE: This study aimed to analyze patient experience data to better understand the context of barriers to care that LGBTQ+ patients experience, in addition to institutional responses. METHODS: Documentary analysis was employed to review four LGBTQ+ patient experiences that resulted in formal feedback provided to the Office of Patient Relations. Each case was analyzed for content, process, and outcomes. RESULTS: Through the outlined analysis, the study team found three primary themes and five secondary themes across the four cases. The overarching themes identified through the study's case review include (a) lack of provider knowledge, (b) lack of patient-centered care, and (c) lack of institutional infrastructures associated with the provision of affirming care to LGBTQ+ individuals. DISCUSSION: Findings suggest the need for a multipronged approach when addressing the care of LGBTQ+ communities. A combination of provider-level education and institutional capacity building to treat diverse patient populations is necessary for addressing the issues demonstrated within the data. Moreover, further research is needed to identify unique needs of transgender and nonbinary patients and determine efficacy of institutional efforts to build capacity for caring and studying the health needs of LGBTQ+ communities.


Assuntos
Atitude do Pessoal de Saúde , Pessoal de Saúde/psicologia , Acesso aos Serviços de Saúde/normas , Cuidados de Enfermagem/psicologia , Assistência Centrada no Paciente/normas , Guias de Prática Clínica como Assunto , Minorias Sexuais e de Gênero/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Análise de Causa Fundamental , Inquéritos e Questionários
6.
PLoS One ; 16(7): e0254077, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34214122

RESUMO

BACKGROUND: Nurse identification of patient deterioration is critical, particularly during the COVID-19 pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID-19 has impacted nurse decision-making. METHODS: In this qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were asked to share descriptions of memorable patient encounters, and questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making. They were also asked to consider the impact of COVID-19 on nursing and decision-making. Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized key findings into themes. RESULTS: Several themes related to decision-making were identified by the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Participants (n = 10) also indicated that COVID-19 presented a number of unique barriers to nurse decision-making. CONCLUSIONS: Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition. It is apparent that the demands on nurses in response to pandemics are heightened. Decision-making themes drawn from participants' experiences can to assist nurse educators for training nursing students on decision-making for deteriorating patients and how to manage the potential barriers (e.g., resource constraints, lack of family) associated with caring for patients during these challenging times prior to encountering these issues in the clinical environment. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how pandemic situations can impact to their decision-making capability.


Assuntos
COVID-19/enfermagem , Tomada de Decisão Clínica , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/psicologia , Pandemias , SARS-CoV-2 , Adulto , Idoso , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Avaliação em Enfermagem , Relações Profissional-Família , Pesquisa Qualitativa , Avaliação de Sintomas , Carga de Trabalho
7.
Indian J Med Ethics ; VI(1): 1-6, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34081001

RESUMO

The Covid-19 pandemic has dominated people's lives since late 2019, for more than nine months now. Healthcare resources and medicine have been completely consumed by the Covid 19 illness globally. This is a particularly difficult time for health systems because of the onerous responsibility to care for large numbers of sick people, protecting populations from contracting the infection by effective quarantine, isolation, and containment measures. In addition to this burden of work, healthcare providers are also overcome by fear of contracting the infection and transmitting it to their loved ones. It is during such difficult times that the integrity of healthcare providers is challenged. In this paper I will describe some challenges that a healthcare provider in a typical low resource setting faces during this pandemic time, and will propose the idea of "flexible adamancy" to address these challenges to the health system's integrity.


Assuntos
COVID-19/enfermagem , COVID-19/psicologia , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Obrigações Morais , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/psicologia , Cuidados de Enfermagem/normas , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Pandemias/ética , Pandemias/prevenção & controle , Guias de Prática Clínica como Assunto , Quarentena/ética , SARS-CoV-2
9.
Nurs Womens Health ; 25(4): 319-320, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34144006

RESUMO

At its core, the practice of nursing is about being present and helping others.


Assuntos
Enfermagem Materno-Infantil , Cuidados de Enfermagem/psicologia , Humanos
11.
Enferm. glob ; 20(62): 254-282, abr. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-202233

RESUMO

OBJETIVO: Analizar los efectos psicológicos que la actual pandemia de coronavirus (covid19) está teniendo en los profesionales del ámbito sanitario. MÉTODOS: Estudio descriptivo de corte transversal en una muestra de 1150 profesionales del ámbito sanitarios, seleccionados al azar. Las mediciones y los resultados se explicaron con el modelo teórico el Diferencial Semántico propuesto por Osgood. RESULTADOS: Se ha encontrado que, en general, el personal del ámbito sanitario se siente muy desprotegido, con miedo y estresado. Confieren más miedo al autocontagio que al contagio de otros. Perciben su trabajo como eficaz, beneficioso, activo, útil y flexible, y simultáneamente se siente amable, afectivo, sincero, cálido y discreto. Encontramos que las enfermeras, y después los técnicos en cuidados enfermeros se sienten más útiles, valientes, importantes y sinceras que otras categorías sanitarias, entre las que figuran los y las médicos/as. Las emociones que sentían el personal sanitario están fuertemente influidas por la orientación política que tuvieran. CONCLUSIÓN: El estudio realizado sobre el efecto psicológico de la actual pandemia en los profesionales del ámbito sanitario aporta diferencias significativas en función de la profesión, el contrato laboral, el sexo y la orientación política de los entrevistados


OBJECTIVE: To analyze the psychological effects that the current coronavirus pandemic (covid19) is having on healthcare professionals. METHODS: Descriptive cross-sectional study in a sample of 1,150 healthcare professionals, randomly selected. Measurements and results were explained with the theoretical model of the Semantic Differential proposed by Osgood. RESULTS: It has been found that, in general, healthcare professionals feel very unprotected, afraid and stressed. They were more afraid of self-contagion than of others. They perceived their work as effective, beneficial, active, useful and flexible, and at the same time, they feel kind, affective, sincere, warm and discreet. We found that nurses, and later, nurse care technicians feel more useful, brave, important, and sincere than other healthcare categories, including physicians. The emotions that the health personnel felt were strongly influenced by their political orientation. CONCLUSION: The study carried out on the psychological effect of the current pandemic on health professionals provides significant differences depending on the profession, the employment contract, the sex and the political orientation of the interviewees


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/psicologia , Pandemias , Pessoal de Saúde/psicologia , Enfermeiras e Enfermeiros/psicologia , Autoimagem , Estudos Transversais , Cuidados de Enfermagem/psicologia , Inquéritos e Questionários , Análise de Variância
12.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200594, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33681957

RESUMO

OBJECTIVE: Reflect on the work experienced by the nurse in coping with the COVID-19 pandemic in a public hospital of the State of Rio Grande do Norte. METHODS: Reflective essay based in the professional experience in a public reference hospital for the care of patients affected by COVID-19 in the State of Rio Grande do Norte. Results were organized in two empirical categories, which emphasize potentialities and barriers in the nurse's work in the face of the COVID-19, presented by means of Ishikawa diagram. RESULTS: Two categories emerged from the experiences: Nursing leadership in organizing health services to face COVID-19; and the performance of nursing care management in the COVID-19 pandemic. FINAL CONSIDERATIONS: It is necessary to value the nurse's work in all its attributes, as well as strengthen the interdisciplinary work processes, which collaborate to overcome the crisis caused by the pandemic.


Assuntos
Adaptação Psicológica , COVID-19/enfermagem , Liderança , Papel do Profissional de Enfermagem/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Brasil/epidemiologia , COVID-19/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados de Enfermagem/estatística & dados numéricos , Pandemias , SARS-CoV-2
15.
Am J Nurs ; 121(4): 56, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33755631

RESUMO

Updated several times a week with posts by a wide variety of authors, AJN's blog Off the Charts allows us to provide more timely-and often more personal-perspectives on professional, policy, and clinical issues. Best of the Blog is a regular column to draw the attention of AJN readers to posts we think deserve a wider audience. To read more, please visit: www.ajnoffthecharts.com.


Assuntos
Atitude do Pessoal de Saúde , Blogging , Reanimação Cardiopulmonar/psicologia , Enfermagem Neonatal , Enfermeiras Neonatologistas/psicologia , Cuidados de Enfermagem/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New York
17.
Holist Nurs Pract ; 35(3): 115-122, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33741757

RESUMO

Achieving error-free health care is critically vital and includes freedom from the occurrence of medication errors, which, as yet, is an unrealized goal in the United States. The purpose of this study was to minimize or potentially eliminate medication errors by adding training in mindfulness thinking to the current system protocol. The goal of this quantitative, quasi-experimental study was to determine whether training nurses in mindfulness thinking founded on the Dossey Integral Theory changed the frequency and severity of medication administration errors. Data analysis included the following steps: recording of data using the NCC MERP (National Coordinating Council for Medication Error Reporting) instrument, statistical analysis using paired t test, and a logistical interpretation of descriptive statistics. An error reduction of 73.3% between pre- and posttraining mean for the experimental group was observed. This study may add to the limited body of research related to mindfulness and the resultant reduction in medication errors.


Assuntos
Erros de Medicação/prevenção & controle , Atenção Plena/métodos , Cuidados de Enfermagem/normas , Humanos , Erros de Medicação/psicologia , Cuidados de Enfermagem/psicologia , Estados Unidos
18.
J Nurs Meas ; 29(2): 269-282, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-33593991

RESUMO

BACKGROUND: The nursing work environment has an impact on patient safety outcomes and its measurement should be a regular practice. PURPOSE: To assess the reliability and construct validity of the Practice Environment Scale of the Nursing Work Index in the Portuguese context. METHODS: An exploratory factor analysis followed by a confirmatory factor analysis to assess model adjustment quality was performed with a sample of 3,686 nurses. RESULTS: The final solution for the exploratory factor analysis comprised 26 items and five factors (56.6% of the total variance). The confirmatory factor analysis, after refinement, showed a stable factor structure. CONCLUSIONS: The final model showed good construct validity and high reliability, which supports the decision to exclude the items that are not essential to the construct being measured.


Assuntos
Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Psicometria/normas , Inquéritos e Questionários/normas , Carga de Trabalho/psicologia , Carga de Trabalho/estatística & dados numéricos , Adulto , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados de Enfermagem/estatística & dados numéricos , Portugal , Reprodutibilidade dos Testes
20.
J Nurs Adm ; 51(3): 141-148, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33570371

RESUMO

OBJECTIVE: The purpose of this study was to evaluate nurses' perceptions of decisional involvement (DI). BACKGROUND: Decisional involvement is a measure or gauge of nurses' perceived shared leadership. There has been limited research examining factors associated with actual and preferred DI. METHODS: A descriptive, observational study design was used. A total of 189 RNs completed the Decisional Involvement Scale and Evidence-Based Practice Implementation Scale. Nurses' preferred DI (DI-P) and actual DI (DI-A) were analyzed, and DI total and subscale scores were compared based on nurses' demographic and clinical practice characteristics. RESULTS: The DI-A and DI-P total scores were significantly different, including subscales for DI-A compared with DI-P score. Dissonance scores by subscale were highest for recruitment, governance, and support. Unit-based council (UBC) participants had significantly higher actual DI, compared with non-UBC participants. Nurses' perceptions of implementing evidence-based practice (EBP) was not significantly different by low versus high EBP implementation; nor were the scores significantly correlated with their DI-A or DI-P scores. CONCLUSIONS: Findings indicate nurses' perceptions of DI-A and DI-P. This study provided further examination of the differences and interrelationships between DI and nurses' demographic and clinical practice characteristics. Dissonance DI scores provide opportunities for targeting interventions to engage nurses in shared leadership.


Assuntos
Tomada de Decisões , Liderança , Papel do Profissional de Enfermagem/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Meio-Oeste dos Estados Unidos , Inquéritos e Questionários
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