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1.
Rev. enferm. UERJ ; 28: e48522, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1103397

RESUMO

Objetivo: identificar a presença de distúrbios osteomusculares relacionados ao trabalho nos trabalhadores de enfermagem de uma unidade de clínica médica e construir juntos aos trabalhadores propostas para reduzir a ocorrência dos distúrbios osteomusculares no ambiente de trabalho. Método: estudo transversal com 31 trabalhadores de enfermagem de uma clínica médica, que responderam uma ficha de dados sóciodemográfico e profissional e do Questionário Nórdico de Sintomas Osteomusculares. Resultados: os trabalhadores exercem suas atividades laborais com dores osteomusculares, sendo as regiões corpóreas mais prevalentes a lombar e a porção superior da coluna e ombros. Apesar disso, nem todos se afastam do trabalho ou procuram assistência terapêutica. As ações de redução dos distúrbios osteomusculares levantadas foram categorizadas em três dimensões: indivíduo, equipe e instituição. Conclusão: os trabalhadores apresentam distúrbios osteomusculares, principalmente, nas costas. As ações de redução de sua ocorrência perpassam pelo comportamento individual às mudanças estruturais e provisão de equipamentos de trabalho.


Objective: to identify the presence of work-related musculoskeletal disorders in nursing staff at an internal medicine unit and, jointly with the staff, to build proposals to reduce the occurrence of musculoskeletal disorders in the workplace. Method: in this cross-sectional study, 31 nursing staff of a medical clinic answered a socio-demographic and professional data sheet and the Nordic Musculoskeletal Questionnaire. Results: staff performed their work activities with musculoskeletal pain, the most prevalent body regions being: lower back and upper spine and shoulders. Nonetheless, not everyone would take time off work or seek therapeutic care. The actions suggested to reduce musculoskeletal disorders were categorized into three dimensions: individual, team and institutional. Conclusion: staff had musculoskeletal disorders, mainly in the back. Actions proposed to reduce pain ranged from individual behavior to structural changes and provision of work equipment.


Objetivo: identificar la presencia de trastornos musculoesqueléticos relacionados con el trabajo en el personal de enfermería en una unidad de medicina interna y, conjuntamente con el personal, elaborar propuestas para reducir la aparición de trastornos musculoesqueléticos en el lugar de trabajo. Método: en este estudio transversal, 31 miembros del personal de enfermería de una clínica médica respondieron una hoja de datos sociodemográficos y profesionales y el Cuestionario musculoesquelético nórdico. Resultados: el personal realizó sus actividades laborales con dolor musculoesquelético, siendo las regiones corporales más frecuentes: la parte baja de la espalda y la parte superior de la columna y los hombros. Sin embargo, no todos tomarían tiempo libre del trabajo o buscarían atención terapéutica. Las acciones sugeridas para reducir los trastornos musculoesqueléticos se clasificaron en tres dimensiones: individual, de equipo e institucional. Conclusión: el personal tenía trastornos musculoesqueléticos, principalmente en la espalda. Las acciones propuestas para reducir el dolor iban desde el comportamiento individual hasta los cambios estructurales y la provisión de equipos de trabajo.


Assuntos
Humanos , Masculino , Feminino , Adulto , Ambiente de Trabalho , Transtornos Traumáticos Cumulativos/prevenção & controle , Saúde do Trabalhador , Recursos Humanos de Enfermagem no Hospital , Brasil/epidemiologia , Estudos Transversais , Inquéritos e Questionários , Prevenção de Doenças , Dor Musculoesquelética/prevenção & controle
2.
Psychiatry Res ; 291: 113272, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32886958

RESUMO

Nurses are acknowledged for their care and expertise on the front line of pandemics over the last century. The recent global impact of COVID-19 has been unprecedented and a parallel battle has also been fought by increasing numbers of nurses for their workplace mental health. Factors associated with nurses mental stress and consequence of suicide were identified from a retrospective analysis of six non-representative media case-reports in high and low resource countries. The need for a structured model of nursing workforce mental health preparation, monitoring, support and health care is essential to inform advocacy and timely intervention in pandemic response.


Assuntos
Infecções por Coronavirus/psicologia , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/mortalidade , Pneumonia Viral/psicologia , Estresse Psicológico/mortalidade , Suicídio/estatística & dados numéricos , Local de Trabalho/psicologia , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Saúde Mental , Pandemias , Pneumonia Viral/epidemiologia , Estudos Retrospectivos , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Suicídio/psicologia
3.
Psychiatr Danub ; 32(Suppl 1): 47-52, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890362

RESUMO

BACKGROUND: The International Labour Organization (ILO, 2000) has defined stress and exhaustion from working shifts and night work, and psychological and organizational stressors conditions that create health risks for surgical nurses. Among the OR nurses/ technicians 41.9% reported that causes of their stress included inadequate teamwork, ineffective communication, and especially surgeons' negative attitudes. SUBJECTS AND METHODS: The stuudie has been held in Clinical Hospital Centre Split, the sample consists of a total of 62 out of 109 possible respondents participated in the study. A total of 23 (37%) anesthesiology technicians and 39 (63%) ICU nurses / technicians participated in the survey. In the empirical part of this research, the importance of selected stressors was tested using quantitative methods in biomedicine. The existence of stress was tested by the Wilcoxon test. Stress level in the ICU was tested by T-test The analysis was elaborated in the statistical software STATISTICA 12. Conclusions were made at a significance level of 5%. The research was conducted through the questionnaire taken from the paper Milan Milosevic entitled: "Development of a measuring instrument of stress in the workplace hospital health professionals and an assessment of its use value" (2010). RESULTS: Based on the empirical t value of 3.42 at 59 degrees of freedom the conclusion is that there was found a statistically significant difference in the level of stressors in the workplace between nurses / technicians in the ICU and anesthesiology technicians. The conclusion was reached at an empirical level of significance <0.001. CONCLUSION: The highest level of stress among medical staff is caused by the factor of insufficient number of employees, followed by work overload, inadequate material resources for work (financial constraints), poor organization at work, and the factor of poor communication with superiors.


Assuntos
Anestesiologia , Unidades de Terapia Intensiva , Recursos Humanos de Enfermagem no Hospital , Pessoal de Saúde , Humanos , Estresse Psicológico , Inquéritos e Questionários , Local de Trabalho
4.
Nursing ; 50(9): 64-68, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826681

RESUMO

PURPOSE: To examine the effect of Benson's relaxation technique on occupational stress in midwives working in a Labor and Delivery (L&D) unit. METHODS: This pre- and post-quasi-experimental study involved 65 midwives with a minimum 1 year of experience using convenience sampling. After training, the participants performed Benson's relaxation technique twice a day for 4 weeks. RESULTS: Occupational stress was measured using standard questionnaires of occupational stress. Data were analyzed using the Statistical Package for Social Sciences software. Statistical analysis was performed using the Kolmogorov-Smirnov goodness-of-fit test, Student's t-test, and Wilcoxon signed rank test. CONCLUSION: This study demonstrated that Benson's relaxation technique may be effective in reducing occupational stress among midwives in L&D units.


Assuntos
Enfermeiras Obstétricas/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/prevenção & controle , Terapia de Relaxamento/métodos , Adulto , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Pessoa de Meia-Idade , Enfermeiras Obstétricas/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Unidade Hospitalar de Ginecologia e Obstetrícia , Estresse Ocupacional/epidemiologia , Gravidez , Inquéritos e Questionários , Adulto Jovem
5.
Medicine (Baltimore) ; 99(34): e21662, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846780

RESUMO

The first case of atypical pneumonia caused by coronavirus disease 2019 (COVID-19) was reported in Wuhan, China in December 2019. Since then, cases of novel coronavirus-infected pneumonia (NCIP) have been reported throughout China as well as in 25 other countries. With the rapid growth of this global outbreak, psychological disorders or impact among the healthcare nurses caused by the COVID-19 pandemic is of great importance and worth to be evaluated. Here, we aimed to determine the levels of stress and psychological disorders of nurses who provided nursing care during the COVID-19 outbreak. A total of 159 nurses who provided healthcare work for COVID-19 patients were enrolled in our study. The psychological disorders and stress level were assessed via a questionnaire implemented by the mobile app. The results showed that the nurses who worked in the non-critical care ward (general ward in which the invasive medical procedure such as mechanical ventilation is absent) scored significantly higher on the traumatization condition (P < .05) and stress level (P < .01) as well as the impact of event scale -revised level (P < .01) compared with those worked in the critical care ward. In contrast to the previous report, our findings revealed that the future intervention for preventing the mental crisis among the healthcare nurses needs to be focusing on the individuals in the non-critical care ward instead of those in the critical care ward under the spreading of COVID-19.


Assuntos
Infecções por Coronavirus/epidemiologia , Saúde Mental/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Pneumonia Viral/epidemiologia , Estresse Psicológico/epidemiologia , Adulto , Ansiedade/epidemiologia , Betacoronavirus , China/epidemiologia , Depressão/epidemiologia , Feminino , Humanos , Masculino , Pandemias , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Fatores Socioeconômicos , Local de Trabalho/psicologia
7.
J Contin Educ Nurs ; 51(9): 399-401, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32833029

RESUMO

In light of the COVID-19 pandemic and uncertainties around risk of transmission, urgent hospital resuscitation (also known as "Code Blue") efforts are needed, pivoting to protect health care workers. This article provides teaching tips for "Protected Code Blues." [J Contin Educ Nurs. 2020;51(9):399-401.].


Assuntos
Reanimação Cardiopulmonar/educação , Reanimação Cardiopulmonar/enfermagem , Reanimação Cardiopulmonar/normas , Infecções por Coronavirus/enfermagem , Pessoal de Saúde/educação , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/enfermagem , Treinamento por Simulação/organização & administração , Adulto , Betacoronavirus , Currículo , Educação Continuada em Enfermagem/organização & administração , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Guias de Prática Clínica como Assunto
9.
Medicine (Baltimore) ; 99(30): e21413, 2020 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-32791757

RESUMO

The aim of this study was to examine the anxiety status of the frontline clinical nurses in the designated hospitals for the treatment of coronavirus disease 2019 (COVID-19) in Wuhan and to analyze the influencing factors, to provide data for psychologic nursing.This study used a cross-sectional survey design and convenience sampling. The questionnaires were completed by 176 frontline clinical nurses. Anxiety was determined using the Hamilton anxiety scale. General data were collected using a survey. Correlation analyses were used.Among the 176 frontline nurses, 77.3% (136/176) had anxiety. The anxiety scores of the frontline clinical nurse fighting COVID-19 were 17.1 ±â€Š8.1. Anxiety symptoms, mild to moderate anxiety symptoms, and severe anxiety symptoms were found in 27.3%, 25%, and 25% of the nurses, respectively. Sex, age, marital status, length of service, and clinical working time against COVID-19 were associated with anxiety (P < .05).The frontline nurses working in the designated hospitals for the treatment of COVID-19 in Wuhan had serious anxiety. Sex, age, length of service, and clinical working time against COVID-19 were associated with anxiety in those nurses. Psychologic care guidance, counseling, and social support should be provided to the nurses to reduce their physical and mental burden. Nursing human resources in each province should be adjusted according to each province's reality.


Assuntos
Ansiedade/epidemiologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Doenças Profissionais/epidemiologia , Pneumonia Viral/psicologia , Adulto , Ansiedade/psicologia , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Doenças Profissionais/psicologia , Pandemias , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
11.
Med Arch ; 74(3): 210-215, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32801438

RESUMO

Introduction: Several research studies have started to investigate the health conditions of medical doctors and nurses in order to find a relationship if any between their work environment, their usually heavy duties and the result of these two parametric on patients' health. Aim: The present research study is an effort to investigate the relationship between the physical activity and sleep disorders among health care professionals, particularly among medical doctors and nurses. Methods: Participants of the study were asked to fill a questionnaire which was a mixture of other internationally accredited questionnaires regarding physical activity level as well as sleeping functions. Data were collected among 204 physicians and nurses. The statistical analysis revealed a correlation between physical activity and some aspects of sleep disorders. Results: A total number of 204 questionnaires have been distributed to medical doctors and nurses working in public hospitals in Athens Greece from the middle of February until the middle of April 2020. The hospitals were assigned by the health authorities to the fight of the pandemic of COVID 19. The majority of the participants were women 71,3% and 28,7% were men. From a total of 204 half of them were medical doctors and half of them were nurses. 43% were married, 49% were single and 8% were divorced and there were no widows. Regarding the participant nurses, 43% had a university degree and 38,4% had a technological education degree. The results of the statistical analysis showed that there are positive correlations between the level of physical activity during the daily work and the free time of the participants with parameters that are related to sleep disorders. Conclusion: The sample of the study was not a large one but nevertheless a stressful situation such as is the epidemic of COVID19 can provide useful information in order to better understand the relationship between physical activity and sleeping disorders in such working conditions.


Assuntos
Infecções por Coronavirus/epidemiologia , Exercício Físico , Médicos Hospitalares , Recursos Humanos de Enfermagem no Hospital , Estresse Ocupacional , Pneumonia Viral/epidemiologia , Transtornos do Sono-Vigília , Adulto , Atitude do Pessoal de Saúde , Betacoronavirus , Exercício Físico/fisiologia , Exercício Físico/psicologia , Feminino , Grécia/epidemiologia , Médicos Hospitalares/psicologia , Médicos Hospitalares/estatística & dados numéricos , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Estresse Ocupacional/etiologia , Estresse Ocupacional/fisiopatologia , Pandemias , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/fisiopatologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários , Equilíbrio Trabalho-Vida , Carga de Trabalho
12.
Crit Care Nurs Q ; 43(4): 428-450, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32833779

RESUMO

COVID-19 created an environment that required rapid implementation of procedures and processes to minimize transmission. This led to an urgent response from the Department of Professional Practice and Education to implement education to a large number of personnel. This article describes strategies and methods employed to meet the training demands at a time when resources and supplies were limited. This study aims at developing and implementing education on infection prevention and management of patients with suspected or known COVID-19 for the nursing staff providing care. Following guidelines from the hospital's COVID-19 oversight committee, the Department of Professional Practice and Education rapidly initiated education on several key topics. This was accomplished by teamwork within the department to quickly identify priorities and suspend noncritical programs. Multiple training methods were deployed while a smaller group of educators developed additional training. Sixty to seventy percent of 1015 staff were trained within 6 days. Soon after, several additional educational topics were identified and training was concluded over a 3-week period. Training can be provided on an urgent basis with the use of multiple educational methods, suspension of noncritical programs, and teamwork. A smaller committee within the department allows for concentrated efforts in the design of additional training.


Assuntos
Infecções por Coronavirus/enfermagem , Educação em Enfermagem/organização & administração , Capacitação em Serviço/organização & administração , Determinação de Necessidades de Cuidados de Saúde , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia
13.
Medicine (Baltimore) ; 99(32): e21052, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32769865

RESUMO

Fatigue is a universal and challenging problem in a nurse's career, particularly for those working in the emergency department. Through analyzing the current status of emergency department nurses' fatigue, the purpose of this study is to provide guidance for occupational health promotion strategies making and fatigue relief.Cross-sectional study was conducted among nurses working in emergency department in 6 grade III A hospitals in Xi'an, China. Convenience sample of 346 nurses agreed to participate in this study. Data collection was based on the questionnaires. Descriptive statistics, hypothesis tests and correlation analysis were used to describe the samples' characteristics and identify associations amongst participants' characteristics.The fatigue score of those emergency nurses from grade III A hospitals in Xian was 8.71 ±â€Š3.01, a high fatigue level. Moreover, there were significant differences in fatigue scores of different age groups, sleep qualities, work stress levels and physical states (P < .01). Further, the dimension of physical fatigue in various age groups, job title, marital status, sleep qualities, work stress levels and physical states was significantly different (P < .05) and the dimension of mental fatigue with different sleep qualities, work stress levels and physical states was significantly different (P < .01). The results of correlation analysis showed that fatigue was positively correlated with perceived stress while negatively correlated with social support and self-efficacy (P < .01). The multiple stepwise linear regression analysis indicated that the independent variables in the fatigue regression equation were perceived stress, physical condition and work stress in turn (P < .01), and the independent variables in the the dimensions of physical fatigue regression equation were perceived stress, physical condition,work stress and job title in turn (P < .05); the independent variables in the the dimensions of mental fatigue regression equation were perceived stress,subjective support and physical condition in turn (P < .05).The current status of high fatigue level of emergency nurses should be taken seriously. It is imperative to take effective measures to help emergency nurses reduce stress, improve social support, promote the self-efficacy, and thus relieve fatigue.


Assuntos
Serviço Hospitalar de Emergência , Fadiga/epidemiologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , Autoeficácia , Apoio Social , Adulto , China , Correlação de Dados , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
14.
Pflege ; 33(4): 229-236, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32811326

RESUMO

Perceptions of intensive care nurses during the COVID-19 pandemic - A qualitative survey Abstract. Background: While at the beginning of the COVID-19 pandemic the need for intensive care is increasing, the specific care needs of patients are still largely unknown. This is a challenge for the work of intensive care staff. AIM: The aim of the study is to understand how intensive care nurses perceive their working conditions and the consequences for patient care. METHODS: The study is a qualitative survey. Using a web-based questionnaire, narratives of n = 902 nurses were collected. This article reports the perceptions of n = 397 intensive care nurses. The evaluation is based on the qualitative content analysis according to 18-2Mayring (2015). RESULTS: The analysis of the data shows the following six categories: "The lack of staff is extremely noticeable" to "Waiting for something", "struggle for PPE (personal protective equipment)", "time to learn", "considerable discrepancy" in patient care, "attempts to compensate" and "constantly a bad feeling". The tension between the lack of knowledge and information on the one hand and the professional demand to do justice to the seriously ill and their relatives on the other hand, brings nurses to their professional limits. CONCLUSION: Conditions for ethical decision making have to be developed and concepts for a clear attribution of autonomy and responsibility for intensive care nurses must be introduced.


Assuntos
Infecções por Coronavirus/enfermagem , Enfermagem de Cuidados Críticos , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia , Pesquisa Qualitativa
15.
Pflege ; 33(4): 247-255, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32811329

RESUMO

Between dream and distress - Setting up and running a cohort ward for COVID-19 Patients at an acute hospital - A case study Abstract. Background: In the context of the pandemic, hospitals must be able to care for COVID-19 patients within a very short timeframe. OBJECTIVE: Description of the setting up of a cohort ward for patients with COVID-19 on a surgical ward including the development of the nursing team. METHODS: The intrinsic retrospective case study describes the situation, identifies special phenomena in a reflective manner and links them to existing knowledge. Data were anecdotal, routine data were collected in the context of nursing practice development. RESULTS: Setting up the cohort ward in a Swiss hospital consisted of structural and technical planning, infection control measures, the establishment of interprofessional structures, and internal communication. During the four-week operation, 71 patients were treated. The use of practice development methodology initiated a cultural change. The reflection describes a field of tension between "dream and distress": As a dream, the lived experience of optimal care, with well-functioning processes, sufficient material, sufficient personnel and a very good interprofessional cooperation was evaluated. Distress in the form of high infection rates as well as psychological and physical stress did not occur. After the cohort ward was closed, there was a risk working back in normal operations based on existing economical and organizational conditions, with the knowledge that a different cooperation and organization is possible. CONCLUSIONS: Positive experiences from the "crisis mode" should be used to further develop essential operations during normal times.


Assuntos
Infecções por Coronavirus/enfermagem , Unidades Hospitalares/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia , Angústia Psicológica , Estudos Retrospectivos , Suíça/epidemiologia
16.
Hu Li Za Zhi ; 67(4): 72-80, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-32748381

RESUMO

BACKGROUND & PROBLEMS: The most effective treatment currently available for perinatal asphyxia-induced hypoxic-ischemic encephalopathy is therapeutic hypothermia, which reduces the mortality rate and neurological disorders in newborns. The earlier this therapy is performed, the better the protective effects on the nerves of the patient. In our neonatal intensive care unit (NICU), we discovered that nurses lack experience caring for patients undergoing hypothermia therapy due to the limited number of cases. In addition, outdated guidelines, the disorganized placement of equipment, and the paucity of hands-on simulations exacerbate the unfamiliarity of the nurses with this therapy. PURPOSE: To expand the knowledge of nurses regarding therapeutic hypothermia in the NICU and to increase the rate of completion of the therapeutic hypothermia procedure. RESOLUTIONS: 1. Regular care training programs and scenario-based simulations were conducted to help nurses obtain related knowledge and become more familiar with therapeutic hypothermia. 2. In order to reduce the preparation time, a specific preparation kit and an instruction folder for therapeutic hypothermia was developed that included a material placement checklist. 3. The procedure guidance booklet for therapeutic hypothermia was revised and a monitoring system was established. RESULTS: The accuracy of nurses' knowledge regarding therapeutic hypothermia in the NICU improved from 82.0% to 94.5%. The completion rate for the therapeutic hypothermia procedure rose from 75.6% to 100.0%. CONCLUSIONS: This project successfully enhanced the accuracy of nurses' knowledge regarding therapeutic hypothermia and increased the rate of completion for this care procedure, resulting in a safer and more-standardized procedure for neonates undergoing therapeutic hypothermia.


Assuntos
Hipotermia Induzida/enfermagem , Hipotermia Induzida/estatística & dados numéricos , Unidades de Terapia Intensiva Neonatal , Recursos Humanos de Enfermagem no Hospital/educação , Competência Clínica/estatística & dados numéricos , Humanos , Recém-Nascido , Pesquisa em Avaliação de Enfermagem
17.
Hu Li Za Zhi ; 67(4): 81-88, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-32748382

RESUMO

BACKGROUND & PROBLEMS: Medical adhesives are typically used to fix wound dressings and catheters in place. Medical adhesive-related skin injuries (MARSI) are frequently caused by repetitive or improper usage of these products. The incidence rate in this unit is as high as 12.5%, which increases the difficulty and cost of care. After analysis of the situation, we identified the main causes of MARSI in our unit as: (1) Inadequate use of medical-adhesive products, (2) Lack of relevant education and training to prevent MARSI, and (3) lack of a standardized skin-damage-care procedure. PURPOSE: To decrease the incidence of MARSI in the pediatric intensive care unit. RESOLUTIONS: A training program was enacted to teach proper medical-adhesive application and removal techniques to caregivers. Consensus on care procedures was reached and care standards were modified. A mechanism for quality control was established. RESULTS: After implementing the program, the incidence of MARSI dropped from 12.5% to 5.18%, which achieved the target of this project. CONCLUSIONS: Other caregivers at our institution remain unaware of MARSI prevention techniques and protocols. We plan to continue cooperating with other staff members to prevent MARSI and to continue to reduce related skin injuries to as close to nil as possible.


Assuntos
Adesivos/efeitos adversos , Unidades de Terapia Intensiva Pediátrica , Recursos Humanos de Enfermagem no Hospital/educação , Higiene da Pele/enfermagem , Pele/lesões , Criança , Humanos , Incidência , Pesquisa em Avaliação de Enfermagem
19.
J Nurs Adm ; 50(7-8): 378-384, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32675479

RESUMO

Absence of nurse manager succession planning in an academic medical center necessitated a quality improvement project to identify, select, and enroll emerging leaders into a development program. The authors used organizational competencies and an evidence-based approach to effectively identify barriers, select future nurse leaders, and discover opportunities for process improvement.


Assuntos
Centros Médicos Acadêmicos , Liderança , Enfermeiras Administradoras/organização & administração , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde , Desenvolvimento de Pessoal/organização & administração , Planejamento Estratégico , Adulto , Humanos , Seleção de Pessoal
20.
J Nurs Adm ; 50(7-8): 385-394, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32701643

RESUMO

OBJECTIVES: Study objectives were to: 1) explore how nursing care quality data (NCQD) was understood and interpreted; and 2) identify, compare, and contrast individual and group responses. BACKGROUND: Little evidence exists on how to best disseminate NCQD information. This study explores the outcomes of implementing an NCQD and human-interest information slide show across an inpatient surgery nursing service line using electronic screens. METHODS: Methods included semistructured interviews, qualitative analysis, and diagramming. RESULTS: The human-interest content most often attracted viewers' attention, but they were also exposed to NCQD. Interpretations and understandings differed among groups and between individuals. Among staff members, the human-interest content facilitated team-building, whereas NCQD provided meaningful recognition. Nursing care quality data evidenced the efforts that were being made to improve and provide excellent patient care. CONCLUSIONS: Using innovative dissemination methods can enhance understanding of NCQD among clinical providers. Creating microclimates of change and innovation within complex healthcare environments can benefit staff members and patients.


Assuntos
Disseminação de Informação , Microclima , Cuidados de Enfermagem/normas , Inovação Organizacional , Qualidade da Assistência à Saúde/normas , Adulto , Feminino , Humanos , Entrevistas como Assunto , Recursos Humanos de Enfermagem no Hospital/normas , Televisão
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