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1.
Nurs Leadersh (Tor Ont) ; 34(2): 16-20, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197288

RESUMO

In their paper, Stelnicki and Carleton (2021) highlight both the findings of their 2019 survey of nurses' mental health (Stelnicki et al. 2020) and more recent literature published during the COVID-19 pandemic. This response outlines the role of nursing leaders in enabling the mental health of nurses in a mental health and addiction setting, particularly during the COVID-19 pandemic.


Assuntos
Recursos Humanos de Enfermagem no Hospital/psicologia , Equipe de Assistência ao Paciente/organização & administração , Enfermagem Psiquiátrica/organização & administração , Resiliência Psicológica , COVID-19/epidemiologia , COVID-19/prevenção & controle , Hospitais Psiquiátricos/organização & administração , Humanos , Controle de Infecções/normas , Liderança , Ontário/epidemiologia , Pandemias , SARS-CoV-2
2.
Nurs Leadersh (Tor Ont) ; 34(2): 39-44, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197293

RESUMO

The rapid cadence of change and the fear of acquiring and spreading COVID-19 - coupled with moral distress exacerbated by fulfilling one's duty to care under extremely challenging conditions - continue to impact nurses' coping ability, resilience and psychological safety globally (McDougall et al. 2020). This paper provides an overview of how an academic health sciences centre (AHSC) has responded to the evolving waves of the COVID-19 pandemic. Specifically, we share our context and the strategies we used to build and enhance nurse resilience and psychological safety at the organizational, clinical team and individual levels. This is followed by a description of our nurses' achievements amid the pandemic.


Assuntos
Adaptação Psicológica , COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/organização & administração , Resiliência Psicológica , Centros Médicos Acadêmicos/organização & administração , COVID-19/epidemiologia , Humanos , Liderança , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Equipe de Assistência ao Paciente/organização & administração , SARS-CoV-2
3.
BMC Fam Pract ; 22(1): 143, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34210284

RESUMO

BACKGROUND: Integrated primary care teams are ideally positioned to support the mental health care needs arising during the COVID-19 pandemic. Understanding how COVID-19 has affected mental health care delivery within primary care settings will be critical to inform future policy and practice decisions during the later phases of the pandemic and beyond. The objective of our study was to describe the impact of the COVID-19 pandemic on primary care teams' delivery of mental health care. METHODS: A qualitative study using focus groups conducted with primary care teams in Ontario, Canada. Focus group data was analysed using thematic analysis. RESULTS: We conducted 11 focus groups with 10 primary care teams and a total of 48 participants. With respect to the impact of the COVID-19 pandemic on mental health care in primary care teams, we identified three key themes: i) the high demand for mental health care, ii) the rapid transformation to virtual care, and iii) the impact on providers. CONCLUSIONS: From the outset of the COVID-19 pandemic, primary care quickly responded to the rising mental health care demands of their patients. Despite the numerous challenges they faced with the rapid transition to virtual care, primary care teams have persevered. It is essential that policy and decision-makers take note of the toll that these demands have placed on providers. There is an immediate need to enhance primary care's capacity for mental health care for the duration of the pandemic and beyond.


Assuntos
COVID-19 , Prestação Integrada de Cuidados de Saúde/organização & administração , Serviços de Saúde Mental , Equipe de Assistência ao Paciente/organização & administração , Atenção Primária à Saúde , Telemedicina , Adulto , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Feminino , Grupos Focais , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Saúde Mental/tendências , Serviços de Saúde Mental/normas , Serviços de Saúde Mental/provisão & distribuição , Ontário/epidemiologia , Padrões de Prática Médica/tendências , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/tendências , Melhoria de Qualidade/organização & administração , SARS-CoV-2 , Telemedicina/métodos , Telemedicina/estatística & dados numéricos
4.
Nurs Leadersh (Tor Ont) ; 34(2): 16-20, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-1291998

RESUMO

In their paper, Stelnicki and Carleton (2021) highlight both the findings of their 2019 survey of nurses' mental health (Stelnicki et al. 2020) and more recent literature published during the COVID-19 pandemic. This response outlines the role of nursing leaders in enabling the mental health of nurses in a mental health and addiction setting, particularly during the COVID-19 pandemic.


Assuntos
Recursos Humanos de Enfermagem no Hospital/psicologia , Equipe de Assistência ao Paciente/organização & administração , Enfermagem Psiquiátrica/organização & administração , Resiliência Psicológica , COVID-19/epidemiologia , COVID-19/prevenção & controle , Hospitais Psiquiátricos/organização & administração , Humanos , Controle de Infecções/normas , Liderança , Ontário/epidemiologia , Pandemias , SARS-CoV-2
5.
Nurs Leadersh (Tor Ont) ; 34(2): 39-44, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-1290742

RESUMO

The rapid cadence of change and the fear of acquiring and spreading COVID-19 - coupled with moral distress exacerbated by fulfilling one's duty to care under extremely challenging conditions - continue to impact nurses' coping ability, resilience and psychological safety globally (McDougall et al. 2020). This paper provides an overview of how an academic health sciences centre (AHSC) has responded to the evolving waves of the COVID-19 pandemic. Specifically, we share our context and the strategies we used to build and enhance nurse resilience and psychological safety at the organizational, clinical team and individual levels. This is followed by a description of our nurses' achievements amid the pandemic.


Assuntos
Adaptação Psicológica , COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/organização & administração , Resiliência Psicológica , Centros Médicos Acadêmicos/organização & administração , COVID-19/epidemiologia , Humanos , Liderança , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Equipe de Assistência ao Paciente/organização & administração , SARS-CoV-2
6.
Br J Community Nurs ; 26(7): 318-323, 2021 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-34232713

RESUMO

The COVID-19 pandemic has required rapid adaptation of the community nursing service, including the introduction of online communication platforms to prevent COVID-19 transmission among staff. Remote working has protected the workforce in the community from being decimated through team sickness, but has resulted in nurses who are feeling anxious and isolated from their colleagues while experiencing increased workloads, with complex and often emotionally challenging situations. The pressures of community nursing and the associated impact on sickness absence relating to mental health are well documented. The resources made available to support staff wellbeing were increased during the pandemic, but there remains some disparity of access to these resources. There is much that can be done by the district nurse as a leader of a team to ensure that the pressures are managed in a way that promotes team cohesion and mutual respect, while ensuring that open communication about wellbeing is encouraged.


Assuntos
COVID-19/epidemiologia , Comunicação , Enfermagem em Saúde Comunitária , Papel do Profissional de Enfermagem , Equipe de Assistência ao Paciente/organização & administração , Medicina Estatal , COVID-19/terapia , Humanos , Reino Unido , Carga de Trabalho
7.
J Surg Oncol ; 124(2): 216-220, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34245574

RESUMO

Team training and crisis management derive their roots from fundamental learning theory and the culture of safety that burgeoned forth from the industrial revolution through the rise of nuclear energy and aviation. The integral nature of telemedicine to many simulation-based activities, whether to bridge distances out of convenience or necessity, continues to be a common theme moving into the next era of surgical safety as newer, more robust technologies become available.


Assuntos
Educação à Distância/métodos , Educação de Pós-Graduação em Medicina/métodos , Equipe de Assistência ao Paciente , Assistência Perioperatória/educação , Treinamento por Simulação/métodos , Especialidades Cirúrgicas/educação , Procedimentos Cirúrgicos Operatórios/educação , Competência Clínica , Educação à Distância/organização & administração , Educação de Pós-Graduação em Medicina/organização & administração , Emergências , Humanos , Tutoria/métodos , Tutoria/organização & administração , Salas Cirúrgicas/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Segurança do Paciente/normas , Assistência Perioperatória/métodos , Assistência Perioperatória/normas , Treinamento por Simulação/organização & administração , Especialidades Cirúrgicas/normas , Procedimentos Cirúrgicos Operatórios/métodos , Procedimentos Cirúrgicos Operatórios/normas , Telemedicina/métodos , Telemedicina/organização & administração , Estados Unidos
9.
Nursing ; 51(7): 58-61, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: covidwho-1280142

RESUMO

ABSTRACT: Prone positioning is a recommended therapy for patients with COVID-19 who develop acute respiratory distress syndrome. This article describes the creation, operation, and evolution of the pronation therapy team at the author's Veterans Affairs facility.


Assuntos
COVID-19/complicações , Hospitais de Veteranos/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Posicionamento do Paciente/métodos , Síndrome do Desconforto Respiratório/terapia , COVID-19/epidemiologia , Humanos , New Jersey/epidemiologia , Decúbito Ventral , Síndrome do Desconforto Respiratório/virologia
11.
Scand J Trauma Resusc Emerg Med ; 29(1): 73, 2021 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-34078432

RESUMO

BACKGROUND: When working in complex environments with critically ill patients, team performance is influenced by situation awareness in teams. Moreover, improved situation awareness in the teams will probably improve team and task performance. The aim of this study is to evaluate an educational programme on situation awareness for interprofessional teams at the intensive care units using team and task performance as outcomes. METHOD: Twenty interprofessional teams from the northern part of Sweden participated in this randomized controlled intervention study conducted in situ in two intensive care units. The study was based on three cases (cases 0, 1 and 2) with patients in a critical situation. The intervention group (n = 11) participated in a two-hour educational programme in situation awareness, including theory, practice, and reflection, while the control group (n = 9) performed the training without education in situation awareness. The outcomes were team performance (TEAM instrument), task performance (ABCDE checklist) and situation awareness (Situation Awareness Global Assessment Technique (SAGAT)). Generalized estimating equation were used to analyse the changes from case 0 to case 2, and from case 1 to case 2. RESULTS: Education in situation awareness in the intervention group improved TEAM leadership (p = 0.003), TEAM task management (p = 0.018) and TEAM total (p = 0.030) when comparing cases 1 and 2; these significant improvements were not found in the control group. No significant differences were observed in the SAGAT or the ABCDE checklist. CONCLUSIONS: This intervention study shows that a 2-h education in situation awareness improved parts of team performance in an acute care situation. Team leadership and task management improved in the intervention group, which may indicate that the one or several of the components in situation awareness (perception, comprehension and projection) were improved. However, in the present study this potential increase in situation awareness was not detected with SAGAT. Further research is needed to evaluate how educational programs can be used to increase situation awareness in interprofessional ICU teams and to establish which components that are essential in these programs. TRIAL REGISTRATION: This randomized controlled trial was not registered as it does not report the results of health outcomes after a health care intervention on human participants.


Assuntos
Conscientização , Unidades de Terapia Intensiva , Relações Interprofissionais , Equipe de Assistência ao Paciente/organização & administração , Treinamento por Simulação/métodos , Adulto , Lista de Checagem , Competência Clínica , Cuidados Críticos/organização & administração , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Projetos de Pesquisa , Suécia , Análise e Desempenho de Tarefas
12.
Nursing ; 51(7): 58-61, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34157004

RESUMO

ABSTRACT: Prone positioning is a recommended therapy for patients with COVID-19 who develop acute respiratory distress syndrome. This article describes the creation, operation, and evolution of the pronation therapy team at the author's Veterans Affairs facility.


Assuntos
COVID-19/complicações , Hospitais de Veteranos/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Posicionamento do Paciente/métodos , Síndrome do Desconforto Respiratório/terapia , COVID-19/epidemiologia , Humanos , New Jersey/epidemiologia , Decúbito Ventral , Síndrome do Desconforto Respiratório/virologia
13.
London; NICE; June 17, 2021. 29 p.
Não convencional em Inglês | BIGG - guias GRADE | ID: biblio-1254889

RESUMO

This guideline covers how to make shared decision making part of everyday care in all healthcare settings. It promotes ways for healthcare professionals and people using services to work together to make decisions about treatment and care. It includes recommendations on training, communicating risks, benefits and consequences, using decision aids, and how to embed shared decision making in organisational culture and practices. The guideline does not cover unexpected emergencies in which immediate life-saving care is needed. It also does not cover situations when, at the time a decision needs to be made, an adult does not have mental capacity to make a decision about their healthcare. For more information, see the NICE guideline on decision-making and mental capacity.


Assuntos
Humanos , Equipe de Assistência ao Paciente/organização & administração , Tomada de Decisão Clínica
14.
J Oncol Pharm Pract ; 27(4): 785-801, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34024179

RESUMO

The Oncology Pharmacy Team (OPT), consisting of specialty-trained pharmacists and/or pharmacy technicians, is an integral component of the multidisciplinary healthcare team (MHT) involved with all aspects of cancer patient care. The OPT fosters quality patient care, safety, and local regulatory compliance. The International Society of Oncology Pharmacy Practitioners (ISOPP) developed this position statement to provide guidance on five key areas: 1) oncology pharmacy practice as a pharmacy specialty; 2) contributions to patient care; 3) oncology pharmacy practice management; 4) education and training; and 5) contributions to oncology research and quality initiatives to involve the OPT. This position statement advocates that: 1) the OPT be fully incorporated into the MHT to optimize patient care; 2) educational and healthcare institutions develop programs to continually educate OPT members; and 3) regulatory authorities develop certification programs to recognize the unique contributions of the OPT in cancer patient care.


Assuntos
Oncologia/normas , Neoplasias/terapia , Equipe de Assistência ao Paciente/organização & administração , Sociedades Farmacêuticas , Antineoplásicos/uso terapêutico , Educação em Farmácia , Fidelidade a Diretrizes , Humanos , Assistência ao Paciente , Segurança do Paciente , Assistência Farmacêutica , Farmacêuticos , Técnicos em Farmácia , Pesquisa , Especialização
15.
Adv Skin Wound Care ; 34(6): 293-300, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: covidwho-1225635

RESUMO

GENERAL PURPOSE: To introduce the 15 recommendations of the International Ostomy Guideline (IOG) 2020, covering the four key arenas of education, holistic aspects, and pre- and postoperative care; and to summarize key concepts for clinicians to customize for translation into their practice. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will:1. Analyze supporting evidence for the education recommendations in the IOG 2020.2. Identify a benefit of the International Charter of Ostomate Rights.3. Distinguish concepts related to pre- and postoperative ostomy-related care.4. Select a potential barrier to IOG 2020 guideline implementation.


Assuntos
Pessoal de Saúde/educação , Estomia/reabilitação , Guias de Prática Clínica como Assunto/normas , Humanos , Equipe de Assistência ao Paciente/organização & administração , Higiene da Pele/métodos , Cicatrização
16.
Am J Nurs ; 121(6): 48-53, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: covidwho-1234124

RESUMO

ABSTRACT: The coronavirus disease 2019 pandemic has escalated clinical needs while interrupting regular processes and straining resources. Striving to deliver optimal care to infected patients with respiratory failure, Rush University Medical Center in Chicago created a multidisciplinary team to provide manual prone positioning safely and efficiently. Team members' experiences, which they shared through a survey, help to illustrate the advantages of a multidisciplinary approach and suggest opportunities to enhance the effectiveness of such a team.


Assuntos
COVID-19/terapia , Equipe de Assistência ao Paciente/organização & administração , Pneumonia Viral/terapia , Decúbito Ventral , Centros Médicos Acadêmicos , COVID-19/fisiopatologia , Chicago , Humanos , Pandemias , Pneumonia Viral/fisiopatologia , Pneumonia Viral/virologia , Respiração Artificial , SARS-CoV-2 , Inquéritos e Questionários
17.
Pan Afr Med J ; 38: 223, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34046128

RESUMO

Introduction: quality improvement teams facilitate improvement in the performance of the health facilities and simultaneously improving the quality of health services. There is scanty information on the factors associated with performance of quality improvement teams. This study aimed to assess the perceptions of members of the quality improvement teams on the factors influencing the performance of quality improvement teams in regional referral hospitals in Tanzania. Methods: a cross-sectional study was conducted in four regional referral hospitals in Tanzania. We used self-administered questionnaires to collect data from 61 members of quality improvement teams. Descriptive statistics were used to assess the perceived factors influencing team performance. Bivariate and multivariate logistic regression was used to test the association between perceptions of the team members and factors associated with team performance. Results: the overall mean perception score on team performance was high at 27.51 ± 4.62. Five factors namely: training (83.6%); communication (75.1%); team cohesiveness (71.5%); clarity of roles and responsibility (70.2%); team size and composition (65.5%); and self-assessment and learning (56.2%) were considered as the main drivers of team performance. Inadequate management support obtained the lowest score (36.1%). Multivariable regression analysis established a significant association between training, communication, clarity of roles and responsibilities, team size and composition, self-assessment and learning, management support and team performance. Conclusion: inadequate management support to the team was found to be a barrier to team performance. Managerial interventions should focus on provision of coaching and mentoring to the team while addressing resource challenges affecting the team performance.


Assuntos
Hospitais Públicos/normas , Equipe de Assistência ao Paciente/organização & administração , Melhoria de Qualidade/organização & administração , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Mentores , Pessoa de Meia-Idade , Inquéritos e Questionários , Tanzânia
18.
Adv Skin Wound Care ; 34(6): 293-300, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33979817

RESUMO

GENERAL PURPOSE: To introduce the 15 recommendations of the International Ostomy Guideline (IOG) 2020, covering the four key arenas of education, holistic aspects, and pre- and postoperative care; and to summarize key concepts for clinicians to customize for translation into their practice. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will:1. Analyze supporting evidence for the education recommendations in the IOG 2020.2. Identify a benefit of the International Charter of Ostomate Rights.3. Distinguish concepts related to pre- and postoperative ostomy-related care.4. Select a potential barrier to IOG 2020 guideline implementation.


Assuntos
Pessoal de Saúde/educação , Estomia/reabilitação , Guias de Prática Clínica como Assunto/normas , Humanos , Equipe de Assistência ao Paciente/organização & administração , Higiene da Pele/métodos , Cicatrização
20.
Am J Nurs ; 121(6): 48-53, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-34009162

RESUMO

ABSTRACT: The coronavirus disease 2019 pandemic has escalated clinical needs while interrupting regular processes and straining resources. Striving to deliver optimal care to infected patients with respiratory failure, Rush University Medical Center in Chicago created a multidisciplinary team to provide manual prone positioning safely and efficiently. Team members' experiences, which they shared through a survey, help to illustrate the advantages of a multidisciplinary approach and suggest opportunities to enhance the effectiveness of such a team.


Assuntos
COVID-19/terapia , Equipe de Assistência ao Paciente/organização & administração , Pneumonia Viral/terapia , Decúbito Ventral , Centros Médicos Acadêmicos , COVID-19/fisiopatologia , Chicago , Humanos , Pandemias , Pneumonia Viral/fisiopatologia , Pneumonia Viral/virologia , Respiração Artificial , SARS-CoV-2 , Inquéritos e Questionários
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