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1.
J. Health Biol. Sci. (Online) ; 10(1): 1-6, 01/jan./2022.
Artigo em Português | LILACS | ID: biblio-1364019

RESUMO

Objetivos: conhecer a atuação do enfermeiro e os cuidados desempenhados em saúde mental na Estratégia de Saúde da Família. Método: estudo descritivo e qualitativo, tendo como cenário um polo de matriciamento em saúde mental. A coleta de dados foi realizada por meio de entrevista individual, com questionário semiestruturado. Resultados: os resultados obtidos foram agrupados e discutidos por meio das seguintes categorias: ações de enfermagem no campo da saúde mental desenvolvidas na Estratégia de Saúde da Família e apoio matricial em Saúde Mental como elemento facilitador da prática de enfermagem. Conclusão: os enfermeiros têm desenvolvido ações de enfermagem no campo da saúde mental na Estratégia de Saúde da Família, e o apoio matricial atua como principal elemento facilitador da prática de enfermagem, reafirmando a Reforma Psiquiátrica Brasileira. Em contrapartida, a sobrecarga de ações e a restrita formação em saúde mental são elementos que dificultam o trabalho desse profissional.


Objectives: to know the role of nurses and the care performed in mental health in the Family Health Strategy. Method: a descriptive, exploratory, and qualitative study, with a scenario of matrix support in mental health. Data collection was carried out through individual interviews and with a semi-structured questionnaire. Results: the results obtained were grouped and discussed through the following categories: Nursing actions mental health field developed in the Family Health Strategy, and Matrix Support in Mental Health as a facilitating element of nursing practice. Conclusion: nurses have developed nursing actions mental health field in the Family Health Strategy and matrix support acts as the main facilitator of nursing practice, reaffirming the Brazilian Psychiatric Reform. On the other hand, the overload of actions and the limited training in mental health are elements that hinder the work of these professionals.


Assuntos
Saúde Mental , Estratégia Saúde da Família , Enfermeiras e Enfermeiros , Atenção Primária à Saúde , Transtornos Mentais , Enfermeiros , Cuidados de Enfermagem
2.
Curationis ; 45(1): e1-e8, 2022 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-35695429

RESUMO

BACKGROUND:  In order to ensure an effective health system, there is a need to recruit, train and deploy a competent nursing workforce. A competent workforce can be made possible by integrating simulation into the curriculum. Implementation of simulation-based education in Lesotho is facing a number of challenges as the country has limited resources. OBJECTIVES:  This study aimed to describe nurse educators and students' perspectives on ways to improve implementation of simulation-based education in Lesotho. METHOD:  A qualitative study was conducted. A total of 24 students, 24 nurse educators and 4 principals who were purposely selected participated in the study. Focus group discussions as one of the data collection methods were used to collect data from the nurse educators and students whilst in-depth, unstructured individual interviews were used with the principals. Data were analysed following the Corbin and Strauss grounded theory approach where similar codes were categorised together as part of open coding, and axial coding was conducted by refining the codes and organising them into categories and subcategories. RESULTS:  Two categories emerged from the areas where improvement is required: resources to support simulation. Resources emerged as playing a major role in ensuring quality simulation. The teaching and learning process emerged as collaborative in nature with all key players ensuring that they meet their responsibilities in order to ensure effective simulation-based learning. CONCLUSION:  The study revealed that there are limited numbers of simulation facilitators and this hinders effective implementation of simulation. Students are concerned about the comments of educators during simulation, as some of the comments are belittling.


Assuntos
Bacharelado em Enfermagem , Enfermeiras e Enfermeiros , Estudantes de Enfermagem , Bacharelado em Enfermagem/métodos , Docentes de Enfermagem , Humanos , Lesoto
3.
Br J Nurs ; 31(11): 578-588, 2022 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-35678818

RESUMO

BACKGROUND: The prevalence of poor sleep quality is high among nurses, and affects them physically and psychologically as well as organisational functioning. However, evidence on equipping student nurses with good sleep practices that could mitigate poor sleep as they transition into the nursing workforce is lacking. AIM: This study compared the prevalence and quality of good sleep among hospital nurses and student nurses. METHODS: A descriptive cross-sectional study of 130 hospital nurses and 130 student nurses in Brunei was carried out. Sleep quality was assessed using the Pittsburgh Sleep Quality index. Multiple logistic regression was applied. RESULTS: Hospital nurses were 4.29 times more likely to experience poor sleep than student nurses. Those who were overweight were 2.35 times more likely to have poor sleep quality than those with a healthy weight. Although students had significantly good sleep latency, needing less time to fall asleep, they experienced significantly more sleep disturbances, shorter sleep duration and less sleep efficiency. CONCLUSION: The prevalence of poor sleep quality among nurses in Brunei is higher than global estimates. Stakeholders such as nursing leaders, nursing educators and healthcare policymakers should prepare student nurses and help existing nurses by formulating strategies to promote working schedules and rosters that minimise circadian disruption.


Assuntos
Enfermeiras e Enfermeiros , Estudantes de Enfermagem , Estudos Transversais , Hospitais , Humanos , Sono , Inquéritos e Questionários
8.
Artigo em Inglês | MEDLINE | ID: mdl-35681946

RESUMO

"Coronary prone behaviour pattern" refers to a way of coping with environmental stressors, otherwise known as type A behaviour patterns. Stress, unlimited working hours, and the shift system are conducive to an "unhealthy life style", conducted by nurses. The aim of the study was to assess the "coronary prone behaviour pattern", taking into account health behaviour and work performed by Polish nurses. METHOD: This was a descriptive study conducted from June 2017 to May 2018 among nurses (N = 1080) working primary care or in training facilities in Silesia, Poland. Data were acquired through a series of questionnaires and are presented as descriptive statistics. RESULTS: The "coronary prone behaviour pattern" (type A behaviour) was manifested by 333 (30.8%) nurses, type B by 272 (25.2%). The "coronary prone behaviour pattern" respondents showed a risk of developing a problem with alcohol (p = 0.003) less frequently compared with other respondents. In addition, nurses with the abovementioned behaviour pattern ate better (M = 16.66; SD = 6.11) compared with those with the type B behaviour pattern (M = 15.49; SD = 6.52). In terms of mental and physical wellbeing, people with type A behavioural patterns had significantly (p < 0.001) better mental and physical wellbeing and, on average, better results in coping with stress compared with other behavioural patterns of nurses. CONCLUSION: The occurrence of the "coronary prone behaviour pattern" was associated with the health-promoting behaviours of nurses being the subject of the analysis, i.e., better mental and physical wellbeing, better ability to cope with stress, and a lower risk of problems with alcohol and proper nutrition.


Assuntos
Enfermeiras e Enfermeiros , Personalidade Tipo A , Comportamentos Relacionados com a Saúde , Humanos , Estilo de Vida , Polônia , Inquéritos e Questionários
9.
Artigo em Inglês | MEDLINE | ID: mdl-35682000

RESUMO

BACKGROUND: The concept of Quality of Work Life (QWL) has been built multidimensionally through social reproduction; it is impacted by the perceptions of each individual and by the relationship between workers and the work environment. OBJECTIVE: to analyze the Work Process and QWL of assisting nurses in public health. METHODS: Research in a critical paradigm, descriptive, exploratory with a qualitative approach. The population corresponds to nurses who work in care work. Semi-structured guiding questions were applied and were analyzed with content analysis. RESULTS: seven participants declared female; all Chilean; seven are young adults; six singles; only one has children, and one has a person dependent on her care; six are heads of household, and five receive help with housework. All have a nursing degree, five have a diploma, but none have a postgraduate. The work process has three subcategories: work object, instrument, organization, and work conditions; the QWL category has six subcategories: definition and perception of QWL, QWL potentiating factors, QWL exhausting factors, QWL improvement strategies, the emotional burden associated with QWL, and health problems. CONCLUSIONS: In this way, the lifestyle built by the assistance in the health area has repercussions on the quality of life and health in general.


Assuntos
Enfermeiras e Enfermeiros , Desempenho Profissional , Criança , Chile , Feminino , Humanos , Satisfação no Emprego , Qualidade de Vida/psicologia , Local de Trabalho , Adulto Jovem
10.
Artigo em Inglês | MEDLINE | ID: mdl-35682410

RESUMO

The current study on the intention to leave the organization among nurses and midwives aligns with the broader direction of research on the consequences of demanding jobs. This is particularly important in the context of the COVID-19 pandemic, which began in 2020 and is ongoing. The aim of the current study was to identify the levels of intention to leave the organization and job satisfaction in a sample of 390 Polish nurses and midwives. A multiple stepwise linear regression was carried out to establish which variables are predictors of job satisfaction and intention to leave the organization. The following measures were used in the study: Nurses' Occupational Stressor Scale, The Brief Resilience Coping Scale, The Turnover Intention Scale, The Job Satisfaction Scale, and an occupational questionnaire (number of workplaces, weekly number of evening and night shifts, working at a unit dedicated to treating COVID-19, working as a supervisor/executive). The current study showed that almost 25% of the sample reported high turnover intention, and a similar proportion reported low job satisfaction. Resilience was related to nurses' job satisfaction. In the predictive models for job satisfaction, the organizational factor of the number of workplaces was significant (positively related), while job experience was a negative predictor of intention to leave. The practical implications of the results and the need to continue research on this topic are also discussed.


Assuntos
COVID-19 , Tocologia , Enfermeiras e Enfermeiros , Recursos Humanos de Enfermagem no Hospital , Estresse Ocupacional , COVID-19/epidemiologia , Feminino , Humanos , Intenção , Satisfação no Emprego , Estresse Ocupacional/epidemiologia , Pandemias , Gravidez , Inquéritos e Questionários
11.
Artigo em Inglês | MEDLINE | ID: mdl-35682513

RESUMO

Patient-centered care enhances diabetes self-management; however, the primary care nurse's role in promoting diabetes self-management within a patient-centered care model is unexplored. This study investigated the perceptions of Omani patients with type-2 diabetes and their clinic nurses on the nurses' role in promoting diabetes self-management within a patient-centered care approach. The thematic analysis of the data from individual interviews with patients (n = 24) revealed two themes: patients experienced "missteps on an unclear path" and "nurses doing their best." Patients struggled to identify treatment goals and faltered in their attempts to adopt diabetes self-management behaviors. The nurses' role was perceived as task-oriented. Nurse narratives (n = 21) revealed that very few nurses were aware of the patient-centered care philosophy. A theme emerged of nurses "needing a new perspective" to transition their care delivery to align with the patient-centered care model. Nurses expected patients to comply with their instructions and missed opportunities for assessment, engagement, and collaborative problem-solving during patient encounters. The shift from a physician-based medical model to a patient-centered primary care delivery system may necessitate that nurses engage more effectively with patients, collaborate on an individual treatment plan, and motivate them to adopt self-management behaviors.


Assuntos
Diabetes Mellitus , Enfermeiras e Enfermeiros , Autogestão , Humanos , Papel do Profissional de Enfermagem , Omã , Pesquisa Qualitativa
12.
Arch Psychiatr Nurs ; 39: 28-36, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35688541

RESUMO

Chemical restraint research is growing with multiple healthcare disciplines increasing focused on understanding uses, harms of restraint and restraint reduction in inpatient mental health settings. Despite increased restraint research relatively little is known about nurses' experiences of administering chemical restraint. The research question guiding this study was: what are mental health nurses' experiences of using chemical restraint interventions in times of behavioural emergency on adult inpatient acute mental health units? The purpose of the research was to understand direct care nurses' first-hand experiences in use of chemical restraint interventions. Eight adult acute inpatient mental health nurses were interviewed using hermeneutic phenomenological method. The aim of this paper to discuss three themes that emerged in the research which clearly highlight the complex ethical issues and education needs of mental health nurses who use chemical restraint: working within constraints, making medication choices, and transitioning from novice to expert. Research findings indicated a need for further focus on medication best practice, policy development and nurse education. These exploratory research findings can be used to both inform and challenge dominant inpatient mental health practice to guide nurses, health care leaders, and policy makers by increasing understanding of the complex ethical decision-making required for use of chemical restraint interventions. Education strategies can be developed from the findings which highlight integral ways that nurses make meaning in their administering of chemical restraint, and their accompanied insights into the complex clinical and ethical decision-making aspects involved in nursing care.


Assuntos
Enfermeiras e Enfermeiros , Enfermagem Psiquiátrica , Adulto , Humanos , Pacientes Internados , Saúde Mental , Políticas , Enfermagem Psiquiátrica/métodos
14.
Int J Palliat Nurs ; 28(5): 214-221, 2022 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-35648682

RESUMO

BACKGROUND: The number of older adult patients in Japan is increasing and symptom management is needed not only for cancer patients, but also non-cancer patients. AIMS: This study investigated nurses' symptom management and their views on death and caring for heart failure (HF) and chronic obstructive pulmonary disease (COPD). METHODS: A cross-sectional survey using a questionnaire was conducted. Survey items were implementation of assessment and non-pharmacological interventions for 14 symptoms at the end-of-life stage, participation in palliative care training courses and attitude toward death and caring, as assessed by the Frommelt attitude toward care of the dying (FATCOD) Scale. RESULTS: A total of 266 (78.5%) nurses responded. More than 90% implemented symptom assessment of dyspnea and cough for both HF and COPD. The mean FATCOD score was 114.7, participation in on-the-job palliative care training courses (p<0.01), and difficulty with near-death issues (p<0.01) were significantly associated with the FATCOD. CONCLUSION: These results suggest that nurses assessed the major symptoms of HF and COPD. Training courses are important to promote palliative care for non-cancer patients.


Assuntos
Insuficiência Cardíaca , Enfermeiras e Enfermeiros , Doença Pulmonar Obstrutiva Crônica , Assistência Terminal , Idoso , Atitude do Pessoal de Saúde , Atitude Frente a Morte , Estudos Transversais , Humanos , Cuidados Paliativos
15.
16.
BMC Health Serv Res ; 22(1): 754, 2022 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-35668436

RESUMO

BACKGROUND: The COVID-19 pandemic has brought an opportunity to increase investment in the nursing practice environment, which has greatly impacted patients, nurses, and organizations. However, there were limited studies concerning the changes in the practice environment since the COVID-19 pandemic and the way to improve it from nurses' perspectives. METHODS: A cross-sectional study was conducted among 460 nurses from seven hospitals in Sichuan, China. Both the quantitative and qualitative data were collected from an online questionnaire. The quantitative data were collected using the Chinese version of the Practice Environment Scale-Nursing Work Index and compared with available norms in 2010. The qualitative data were collected through an open question following the scale and analyzed by content analysis. RESULTS: The mean of the score of the practice environment scale was 3.44 (SD = 0.56) out of 4.00. The score of the total scale and the dimensions were significantly higher than the norms, apart from nurse-physician relations and nurse participation in hospital affairs. The qualitative findings revealed positive changes in nursing foundations for quality of care, nurse participation in hospital affairs and nurse-physician relations, and poor staffing and resource adequacy. The improvement in the working model and ward environment is the primary concern of nurses. CONCLUSIONS: The COVID-19 pandemic brought some positive changes in the nursing practice environment, but more efforts are needed to solve those nagging and important problems, such as staff shortages and low participation. Nursing managers and hospital leaders were encouraged to listen to nurses' concerns and value this suitable opportunity for changing and improving to achieve better health services and coping ability to deal with emergency events going forward. Improving the ward environment and taking a professional model instead of sticking to the tedious process might be worthwhile.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Recursos Humanos de Enfermagem no Hospital , COVID-19/epidemiologia , Estudos Transversais , Humanos , Pandemias , Inquéritos e Questionários , Local de Trabalho
17.
Nurs Clin North Am ; 57(2): 245-258, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35659986

RESUMO

This article highlights the critical role of advanced practice registered nurses in the care of older adults living in nursing homes. This population is one of the frailest, marginalized, and often neglected in the United States. The COVID-19 pandemic impact on nursing homes resulted in a stunning number of infections and subsequent resident deaths. This is a shameful reminder of the many challenges and gaps in the nursing home industry including inadequate staffing, high staff turnover, improper isolation technique, and lack of fundamental knowledge of how to adequately implement infection prevention and control processes. Strong advanced practice registered nurse leadership may have mitigated some of these factors.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Idoso , Humanos , Liderança , Casas de Saúde , Pandemias , Estados Unidos
19.
PLoS One ; 17(6): e0269539, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35671289

RESUMO

BACKGROUND: There is no specific tool for measuring the professional resilience of emergency nurses. Therefore, the present study aimed to design and psychometrically evaluate a new tool named the emergency nurses' professional resilience tool. METHOD: This mixed-method sequential exploratory study was conducted in two phases: (1) item generation using literature review and evaluation of the results of a qualitative study and (2) psychometric evaluation of the developed scale. The face, content, and construct validity (exploratory and confirmatory factor analysis), reliability (internal consistency, relative, and absolute), and accountability were assessed in the population of Iranian nurses (N = 465) during March 2019-June 2020. RESULTS: The tool designed for assessing the professional resilience of Iranian nurses included 37 items. The average scale content validity index (S-CVI/Ave) was equal to 0.94. The exploratory factor analysis revealed five factors, including professional competencies, emotional-cognitive characteristics, external support, in addition to behavioral and cognitive strategies, and explained 75.59% of the whole variance. Cronbach's alpha and intraclass correlation were 0.915 and 0.888, respectively. Construct validity for five factors was established with acceptable model fit indices [Chi-square/df = 1336.56/619, p < .001]; [Comparative Fit Index [CFI] = 0.96]; [Non-Normed Fit Index [NNFI] = 0.96]; [Root Mean Square Error of Approximation (RMSEA) = 0.074 and 90 Percent Confidence Interval = (0.069; 0.080)]; and [SRMR = 0.095]. CONCLUSIONS: According to the findings of the current study, the emergency nurses' professional resilience tool can be used by healthcare managers as a valid and reliable scale to evaluate the professional resilience of nurses to designate them as nurses working in emergency and disaster situations.


Assuntos
Enfermeiras e Enfermeiros , Humanos , Irã (Geográfico) , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários
20.
Vet Rec ; 190(11): 436, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35657246
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