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1.
Texto & contexto enferm ; 29: e20180432, Jan.-Dec. 2020.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1059134

RESUMO

ABSTRACT Objectives: to identify situations of violence in the daily work of the health professionals of the Family Health Strategy and to describe the conducts adopted by these professionals in relation to the situations of violence identified. Method: a qualitative, descriptive and exploratory study whose scenario was a Family Clinic of the city of Rio de Janeiro. Eighteen health professionals participated. Data was collected through semi-structured interviews and subjected to content analysis. Results: three thematic categories emerged: Situations of workplace violence in the Family Health Strategy; Consequences of workplace violence on the Family Health Strategy; The nurse's role as leader of the Family Health Team and the strategies adopted in the face of workplace violence. Conclusions: situations of interpersonal violence and collective violence were identified, exemplified by the contact with armed violence in the territory, racial discrimination, peer violence and violence suffered by the user, such as domestic violence, directly affecting the professional. The importance is highlighted of the nurse's role as leader of the Family Health Strategy team, envisioning the management of violence situations, often neglected.


RESUMEN Objetivos: identificar las situaciones de violencia en la rutina laboral de los profesionales de salud de la Estrategia de Salud de la Familia y describir las conductas que adoptan estos profesionales ante las situaciones de violencia identificadas. Método: estudio cualitativo, descriptivo y exploratorio que tuvo como escenario a una Clínica de Salud Familiar del municipio de Río de Janeiro. Participaron 18 profesionales de la salud. Los datos se recolectaron a través de entrevistas semiestructuradas y se los sometió a análisis de contenido. Resultados: surgieron tres categorías temáticas: Situaciones de violencia laboral en la Estrategia de Salud de la Familia; Consecuencias de la violencia laboral en la Estrategia de Salud de la Familia y Desempeño de los enfermeros como líderes de los equipos de Salud de la Familia y las estrategias adoptadas ante la violencia laboral. Conclusiones: se identificaron situaciones de violencia interpersonal y colectiva, ejemplificadas por el contacto con la violencia armada en el campo de acción, discriminación racial, violencia entre pares y violencia sufrida por el usuario, como ser la violencia doméstica, que afecta directamente al profesional. Se destaca la importancia del desempeño de los enfermeros como líderes de los equipos de la Estrategia de Salud de la Familia, con vistas a manejar las situaciones de violencia laboral, muchas veces desatendidas.


RESUMO Objetivos: identificar as situações de violência no cotidiano de trabalho dos profissionais de saúde da Estratégia de Saúde da Família e descrever as condutas adotadas por esses profissionais perante as situações de violência identificadas. Método: estudo qualitativo, descritivo e exploratório cujo cenário foi uma Clínica da Família do município do Rio de Janeiro. Participaram 18 profissionais da saúde. Os dados foram coletados através de entrevistas semiestruturadas e submetidos à análise de conteúdo. Resultados: emergiram três categorias temáticas: Situações de violência no trabalho na Estratégia de Saúde da Família; Consequências da violência no trabalho na Estratégia de Saúde da Família; Atuação do enfermeiro como líder da Equipe de Saúde da Família e as estratégias adotadas perante a violência no trabalho. Conclusões: foram identificadas situações de violência interpessoal e a violência coletiva, exemplificadas pelo contato com a violência armada no território, discriminação racial, violência entre os pares e violência sofrida pelo usuário, como a violência doméstica, afetando diretamente o profissional. Destaca-se a importância da atuação do enfermeiro como líder da equipe da Estratégia de Saúde da Família vislumbrando o gerenciamento das situações de violência no trabalho, muitas vezes negligenciadas.


Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Violência , Saúde da Família , Pessoal de Saúde , Atenção Primária à Saúde , Papel do Profissional de Enfermagem , Violência no Trabalho , Liderança , Enfermeiras e Enfermeiros
2.
Air Med J ; 39(5): 340-342, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33012469

RESUMO

In late 2019, a novel coronavirus was identified as the cause of a cluster of atypical pneumonia cases in Wuhan, China. It subsequently spread throughout China and around the world, quickly becoming a public health emergency. In March 2020, the World Health Organization declared coronavirus disease 2019 a pandemic. This article explores the preparation and early experiences of a large Canadian critical care transport program during the coronavirus disease 2019 pandemic focused on 6 broad strategic objectives centered around staff welfare, regular and transparent communication, networking, evidenced-based approach to personal protective equipment, agile mission planning, and an expedited approach to clinical practice and policy updates and future state modeling.


Assuntos
Comunicação , Infecções por Coronavirus , Cuidados Críticos/organização & administração , Disseminação de Informação , Liderança , Pandemias , Transferência de Pacientes/organização & administração , Pneumonia Viral , Transporte de Pacientes/organização & administração , Medicina Aeroespacial , Resgate Aéreo , Ambulâncias , Betacoronavirus , Colúmbia Britânica , Prática Clínica Baseada em Evidências , Humanos , Equipamento de Proteção Individual/provisão & distribução , Resiliência Psicológica
3.
Rev Lat Am Enfermagem ; 28: e3379, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33027407

RESUMO

OBJECTIVE: to understand how professional interaction takes place in the hospital organizational structure for the management of Permanent Education in Health, to guarantee patient safety and the quality of nursing care. METHOD: this is a qualitative study, which used the structuralist aspect of the Grounded Theory as a methodological framework. 27 interviewers participated in the study, who made up four sample groups. RESULTS: six categories and 13 subcategories were presented, representing the studied phenomenon and highlighting particularities of the public health system and the influence of the manager's support and management priority, the disposition of the organizational structure, the institutional culture, the external encouragement to institution, and the nurses' initiative and leadership in the professional interaction for the management of the Permanent Education in Health, patient safety, and quality of care triad, revealing the need for cultural change through interdisciplinarity. CONCLUSION: the professional interaction in the hospital organizational structure requires the creation of new management models with an emphasis on more participative management, in order to improve the care processes in hospital institutions.


Assuntos
Liderança , Segurança do Paciente , Hospitais , Humanos , Pesquisa Qualitativa
4.
Acad Med ; 95(10): 1521-1523, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33006869

RESUMO

The COVID-19 pandemic is a public health emergency that demands leadership throughout the health care system. Leadership is the ability to guide a team or organization toward a stated goal or objective. In addition to hospital-wide leadership, there is need for leadership at the level of medical teams. Resident leadership is essential to ensure team function and patient care, yet residents are often overlooked as valuable leaders. This Perspective argues that residents can demonstrate leadership during a public health crisis by creating a culture of emotional intelligence in their medical teams. Emotional intelligence has been identified as a critical aspect of leadership and consists of self-awareness, self-management, social awareness, and relationship management. In psychiatry, patient interactions depend upon psychiatrists demonstrating a high level of attention to their own thoughts, feelings, and behaviors as well as those of the patient to communicate in a way that demonstrates both understanding and empathy. In this Perspective, a psychiatry resident uses expertise in emotional intelligence to recommend residents (1) be mindful, (2) ask and listen, (3) establish safety, and (4) unite around a common goal. These practical recommendations can be immediately implemented to increase emotional intelligence on medical teams to improve team function and patient care. Emotional intelligence is valuable at all levels of leadership, so hospital leadership and program directors should also heed these suggestions. While these recommendations are not unique to COVID-19, they are of paramount importance during the pandemic.


Assuntos
Infecções por Coronavirus/psicologia , Inteligência Emocional , Internato e Residência/organização & administração , Liderança , Equipe de Assistência ao Paciente/organização & administração , Pneumonia Viral/psicologia , Estudantes de Medicina/psicologia , Betacoronavirus , Humanos , Pandemias
7.
Int Nurs Rev ; 67(3): 301-302, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32935341

RESUMO

As the COVID-19 pandemic continues its journey around the world, it has triggered a global nursing response, with nurses everywhere working to save the lives of their extremely sick patients. In parallel with the frontline response, the International Council of Nurses, the World Health Authority and the International Confederation of Midwives have used their biennial Triad meetings to set out what needs to be done from a global perspective to protect nurses and the people they serve. At a time of crisis, it is imperative that the world's nursing leaders, through ICN's National Nursing Associations, step up to give support and guidance at this historically unsettling time.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Liderança , Tocologia/organização & administração , Pneumonia Viral/epidemiologia , Feminino , Saúde Global , Humanos , Pandemias , Gravidez
8.
Nonlinear Dynamics Psychol Life Sci ; 24(4): 451-473, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32960757

RESUMO

Synchronization of autonomic arousal levels within dyads and larger teams has been associated with several types of social-behavioral outcome. One previous study reported greater physiological influence (brain activity in one area of the parietal lobe associated with verbal activity) of leaders on followers than of followers on leaders; influence was measured pairwise within triadic problem solving groups. The present study explored synchronized autonomic arousal with leadership outcomes in two experiments with group sizes of three to eight members. Drivers, who had the greatest physiological impact on other team members were consistently less like the leader of the group. Empaths, who were the most receptive to autonomic signals from others, were not consistently associated with leadership roles, although they did show sensitivity to team dynamics in their ratings of cognitive and social sources of workload. The tentative conclusion, subject to future research, is that successful leadership requires a balance between the driver and empath orientations.


Assuntos
Nível de Alerta , Sistema Nervoso Autônomo , Liderança , Humanos , Carga de Trabalho
10.
Am Surg ; 86(7): 762-765, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32916069

RESUMO

The response of the American College of Surgeons (ACS) to the COVID-19 pandemic was vigorous and effective because it had mature programs in surgical quality and health policy and advocacy, the legacy of decades of work by its officers and leaders and its current executive director, David Hoyt. Hoyt had the foresight to institute a digital communications platform upon which the College collected data for its clinical programs and conducted many of its meetings. Through internet portals, online communities, and social media it broadcasted news and information to the membership. When the global COVID-19 pandemic struck, the College was able to quickly mobilize its leaders and scientific experts to disseminate credible information, recommend protocols to maintain patient and provider safety in operating room environments, provide a rational scheme of prioritization of urgent surgical operations, and a sensible means of resumption of normal surgical practice. As the financial impact of the outbreak on surgical practice became apparent, the ACS represented the interests of surgeons in the White House, Capitol, federal agencies, and governors' mansions and statehouses. In an interview by Steven Wexner, a member of the ACS Board of Regents, Hoyt described the response of the ACS to an unprecedented threat to the surgical care of patients in the country and the world. His story demonstrates the legacy of credibility and professionalism built by decades of principled leadership of generations of officers and Regents of the College, and his own example of effective leadership in crisis.


Assuntos
Infecções por Coronavirus/prevenção & controle , Liderança , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Sociedades Médicas/organização & administração , Cirurgiões/organização & administração , Gestão da Qualidade Total , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Humanos , Controle de Infecções/organização & administração , Disseminação de Informação , Masculino , Inovação Organizacional , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Profissionalismo , Estados Unidos
12.
Rev Lat Am Enfermagem ; 28: e3358, 2020 Sep 07.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-32901771

RESUMO

OBJECTIVE: to analyze the main challenges of nursing in facing Coronavirus Disease-19 under the perspective of nurse managers in the west macro-region of Santa Catarina. METHOD: it consists of a qualitative study, whose data collection was done through interviews with nurses who represent the management of health care network in the region. The analysis technique used was the Discourse of the Collective Subject (DCS). RESULTS: the legacy of Florence Nightingale to contemporary nursing practice; the weaknesses and the technical operational capacity with which nursing faces in the Unified Health System (Sistema Único de Saúde - SUS); the strategies for strengthening the Unified Health System and qualification of nursing practices; and the potentialities identified in the pandemic scenario were the main ideas that emerged. In the bicentennial year of Florence Nightingale, nurses recognize her legacy to public health practice and management. Several variables interfere in professional practice, such as epidemiological aspects, working conditions, and care management in a pandemic. CONCLUSION: the pandemic scenario has taken nursing to a position of practical and scientific protagonism as a result of its proactivity and leadership in the search for knowledge based on scientific evidence.


Assuntos
Infecções por Coronavirus/enfermagem , Enfermeiras Administradoras , Pneumonia Viral/enfermagem , Betacoronavirus , Brasil , Feminino , Humanos , Liderança , Pandemias
13.
Int J Equity Health ; 19(1): 154, 2020 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-32907581

RESUMO

BACKGROUND: The Arab ethnic minority makes up 21% of Israel's population, yet comprised just 8.8% of confirmed cases and 3.6% of deaths from COVID-19, despite their higher risk profile and greater burden of underlying illness. This paper presents differences in patterns of morbidity and mortality from COVID-19 in the Arab, ultra-Orthodox and overall populations in Israel, and suggests possible reasons for the low rates of infection in the Arab population. METHODS: Data were obtained from the Israeli Ministry of Health's (MOH) open COVID-19 database, which includes information on 1270 localities and is updated daily. The database contains the number of COVID-19 diagnostic tests performed, the number of confirmed cases and deaths in Israel. RESULTS: In the first 4 months of Israel's COVID-19 outbreak, just 2060 cases were confirmed in the Arab population, comprising 8.8% of the 23,345 confirmed cases, or 2.38 times less than would be expected relative to the population size. In contrast, the ultra-Orthodox made up 30.1% of confirmed cases yet just 10.1% of the population. Confirmed case rate per 100,000 was twice as high in the general Jewish population compared to the Arab population. The Arab mortality rate was 0.57 per 100,000, compared to 3.37 in the overall population, and to 7.26 in the ultra-Orthodox community. We discuss possible reasons for this low morbidity and mortality including less use of nursing homes, and effective leadership which led to early closure of mosques and high adherence to social distancing measures, even during the month of Ramadan. CONCLUSIONS: Despite a disproportionate burden of underlying illness, the Arab population did not fulfil initial predictions during the first wave of the COVID-19 outbreak and maintained low numbers of infections and deaths. This contrasts with reports of increased mortality in ethnic minorities and economically disadvantaged populations in other countries, and with high rates of infection in the ultra-Orthodox sector in Israel. Effective leadership and cooperation between individuals and institutions, particularly engagement of community and religious leaders, can reduce a group's vulnerability and build resilience in an emergency situation such as the current pandemic.


Assuntos
Adaptação Psicológica , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Disparidades nos Níveis de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Adulto , Idoso , Árabes/psicologia , Árabes/estatística & dados numéricos , Feminino , Humanos , Israel/epidemiologia , Liderança , Masculino , Grupos Minoritários/psicologia , Grupos Minoritários/estatística & dados numéricos , Papel (figurativo)
16.
Stud Health Technol Inform ; 274: 19-28, 2020 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-32990662

RESUMO

This chapter aims at providing the student with a general overview of the appropriate structure and ethics healthcare organizations are based on, the concept of ethical leadership, the importance of having clear statements of mission, vision and value in healthcare organizations and the Health Promotion Charters implemented in a Globalized World.


Assuntos
Bioética , Liderança , Promoção da Saúde , Humanos , Princípios Morais
17.
S Afr Med J ; 110(6): 445-446, 2020 04 20.
Artigo em Inglês | MEDLINE | ID: mdl-32880545

RESUMO

Less than 3 months after the World Health Organization (WHO) declared COVID-19 a Public Health Emergency of International Concern, and within a month of the WHO declaring COVID19 a global pandemic, COVID-19 infections and fatalities have grown exponentially, globally. Now, more than ever, the world needs responsible political leadership, evidence-based decision-making, and co-ordinated global health action.


Assuntos
Infecções por Coronavirus/epidemiologia , Saúde Global , Pneumonia Viral/epidemiologia , Política , Saúde Pública , Humanos , Liderança , Pandemias , África do Sul/epidemiologia , Estados Unidos/epidemiologia , Organização Mundial da Saúde/organização & administração
18.
S Afr Med J ; 110(6): 463-465, 2020 04 23.
Artigo em Inglês | MEDLINE | ID: mdl-32880553

RESUMO

While many countries are preparing to face the COVID-19 pandemic, the reported cases in Africa remain low. With a high burden of both communicable and non-communicable disease and a resource-constrained public healthcare system, sub-Saharan Africa is preparing for the coming crisis as best it can. We describe our early response as a designated COVID-19 provincial hospital in Cape Town, South Africa (SA).While the first cases reported were related to international travel, at the time of writing there was evidence of early community spread. The SAgovernment announced a countrywide lockdown from midnight 26 March 2020 to midnight 30 April 2020 to stem the pandemic and save lives. However, many questions remain on how the COVID-19 threat will unfold in SA, given the significant informal sector overcrowding and poverty in our communities. There is no doubt that leadership and teamwork at all levels is critical in influencing outcomes.


Assuntos
Infecções por Coronavirus/epidemiologia , Hospitais , Liderança , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/terapia , Humanos , Pandemias , Pneumonia Viral/terapia , Pobreza , África do Sul/epidemiologia
19.
J Nurs Adm ; 50(10): 497-498, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925659

RESUMO

When the coronavirus hit the United States earlier this year, hospitals across the country were forced to quickly convert to crisis mode. Overnight, health systems transformed clinical and administrative operations to care for rising numbers of COVID-19 patients. Now, as the country slowly reopens and we move back to "normal," hospitals again face a major reboot to regroup and recover. Those that meet this challenge successfully will survive. Many others will not. This month's Magnet Perspectives column examines how Magnet hospitals are uniquely positioned to ride the waves and manage the chaos. What are the components that helped them adapt and adjust when COVID-19 struck, and how are those elements facilitating response and recovery? The column also looks at how the Magnet Recognition Program itself responded to challenges posed by the coronavirus and altered some of its long-standing processes to meet customer needs.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Administração Hospitalar , Enfermeiras Administradoras/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Credenciamento/estatística & dados numéricos , Humanos , Liderança , Equipe de Enfermagem/organização & administração , Estados Unidos/epidemiologia
20.
J Nurs Adm ; 50(10): 505-507, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925662

RESUMO

Nursing leaders have voiced concern about the health and well-being of nurses and other healthcare providers during the recovery phase of disaster response after the coronavirus pandemic. There is much that can be learned from the experiences of our military colleagues. Behavioral health military nurses serving on readiness teams have educated leaders on how to apply psychological first aid (PFA) within their units during the recovery phase of disasters. This article will describe how nursing leaders can use PFA to enhance psychological support and resilience in their staff.


Assuntos
Infecções por Coronavirus/epidemiologia , Liderança , Enfermeiras Administradoras/psicologia , Recursos Humanos de Enfermagem/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Humanos , Relações Interprofissionais , Enfermagem Militar , Resiliência Psicológica , Apoio Social
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