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1.
Artigo em Inglês | MEDLINE | ID: mdl-34072829

RESUMO

The global COVID-19 pandemic is creating challenges to manage staff ratios in clinical units. Nurse staffing level is an important indicator of the quality of care. This study aimed to identify any changes in the nurse staffing levels in the general wards of hospitals in Korea during the COVID-19 pandemic. The unit of analysis was the hospitals. This longitudinal study observed the quarterly change of the nurse staffing grades in 969 hospitals in 2020. The nurse staffing grades ranged from 1 to 7 according to the nurse-patient ratio measured by the number of patients (or beds) per nurse. The major dependent and independent variables were the change of nurse staffing grades and three quarterly observation points being compared with those during the 1st quarter (1Q) of 2020, respectively. A generalized linear model was used. Unexpectedly, the nurse staffing grades significantly improved (2Q: RR, 27.2%; 95% confidence interval (CI), 15.1-27.6; p < 0.001; 3Q: RR, 95% CI, 20.2%; 16.9-21.6; p < 0.001; 4Q: RR, 26.6%; 95% CI, 17.8-39.6; p < 0.001) quarterly, indicating that the nurse staffing levels increased. In the comparison of grades at 2Q, 3Q, and 4Q with those at 1Q, most figures improved in tertiary, general, and small hospitals (p < 0.05), except at 3Q and 4Q of general hospitals. In conclusion, the nurse staffing levels did not decrease, but nursing shortage might occur.


Assuntos
COVID-19 , Recursos Humanos de Enfermagem no Hospital , Hospitais , Humanos , Estudos Longitudinais , Pandemias , República da Coreia/epidemiologia , SARS-CoV-2 , Recursos Humanos
2.
Prof Inferm ; 74(1): 21-30, 2021.
Artigo em Italiano | MEDLINE | ID: mdl-34089638

RESUMO

INTRODUCTION: In the Italian and European literature there are still few studies describing the impact of the COVID-19 pandemic on the organization of nursing care in hospitals, on the actions taken by nursing leaders to contain it, and on the outcomes of these interventions. AIM: To describe nursing leaders' experiences with reorganizing healthcare pathways, through management data and personal accounts. METHODS: A retrospective quali-quantitative observational study was conducted at the Mauriziano Hospital in Turin, with 484 beds and over 1,700 workers. Quantitative data were analyzed through descriptive statistical indices and integrated with qualitative data collected through semi-structured telephone interviews. The analysis of the quantitative and qualitative data provided an objective and experiential representation of the implemented interventions. RESULTS: We described the impact of interventions introduced by the nursing leadership during the pandemic on hospital services. In particular, the reorganization of the emergency department and of the prevention and psychological support services for the hospital's health workers. In addition, specific initiatives to support the discharge of COVID-19 positive patients, and to support and manage contacts with family members both during the hospitalization of their loved ones and following death are described. DISCUSSION AND CONCLUSION: This study contributes to the discussion on some crucial issues: the increasingly clear relationship between adequate staffing and safety of patients and professionals, the importance of a good working environment and a solid leadership, the importance of continuing education for professionals and adequate skill mixes; all highlighted by the pandemic.


Assuntos
COVID-19/enfermagem , Liderança , Cuidados de Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Educação Continuada , Humanos , Entrevistas como Assunto , Itália , Enfermeiras Administradoras/organização & administração , Alta do Paciente , Estudos Retrospectivos
3.
J Am Assoc Nurse Pract ; 33(6): 416-418, 2021 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-34081655

RESUMO

COVID-19 has had a significant impact on the lives of nurses. To capture these experiences, the AANP history committee sponsored a writing contest. The stories, essays, and poems were heartfelt and ranged from personal experiences to future implications. One essay entitled "The Five Stages of COVID Grief: One Nurse Practitioner's Coronavirus Story," captured the essence of the time and is applicable to all nurses as we continue our journey and document our legacy. Using the framework of COVID Grief, this article seeks to outline the shared experience and range of emotions represented in the writing contest submissions. Through this lens, the Year of the Nurse and the toll of coronavirus can be framed by the emotions of disbelief, bitterness, guilt, fear and anxiety, and resilience.


Assuntos
COVID-19/psicologia , Medo/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/psicologia , Adaptação Psicológica , Anedotas como Assunto , Ansiedade/psicologia , COVID-19/enfermagem , Humanos , Enfermeiras e Enfermeiros/psicologia , Resiliência Psicológica , Redação
4.
J Christ Nurs ; 38(3): E28-E31, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34085665

RESUMO

ABSTRACT: Nurses who provided care to patients with coronavirus (COVID-19) and supported patients in their transition from life to death in the absence of patients' families have been especially needful of spiritual self-care. A spiritual first aid kit can help nurses cope with these difficult times. Spiritual self-care is vital for all nurses to renew and preserve the psychological, spiritual, and physical self.


Assuntos
COVID-19/psicologia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/psicologia , Autocuidado/psicologia , Autoeficácia , Adaptação Psicológica , COVID-19/enfermagem , Cuidados Críticos/psicologia , Primeiros Socorros , Humanos , Espiritualidade
5.
Rev Lat Am Enfermagem ; 29: e3393, 2021.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-34037117

RESUMO

OBJECTIVE: to evaluate the concordance between the leadership styles self-evaluated by the Nursing managers and evaluated by their subordinates in a private hospital. METHODOLOGY: an observational, cross-sectional, quantitative, and analytical study, with population of 31 managing nurses and 125 subordinates. Herman Bachenheimer's instrument of Situational Leadership was employed, adapting it to the subordinates. The concordance between self-evaluation and evaluation by the subordinates was analyzed in the four leadership styles (Directing, Guiding, Participating, Delegating), with the Kappa coefficient statistical test, test statistic (Z) >1.96, 95% confidence interval and PASW Statistics, version 18. RESULTS: the self-evaluation of the Nursing managerial staff has a tendency for the Guiding Style and, according to the evaluation by their subordinates, there is a minimum difference among the four styles. Their concordance is low, but significant, with 19.3%. It was identified that the subordinates perceive that they possess the necessary competences to autonomously perform the tasks assigned, and that there is trust and assertive communication between both groups, which facilitates knowledge exchange. CONCLUSION: the Nursing managers and their subordinates perceive various leadership styles, and concordance is low. To attain superior leadership styles, the subordinates must develop autonomy and empowerment.


Assuntos
Enfermeiras Administradoras , Recursos Humanos de Enfermagem no Hospital , Recursos Humanos de Enfermagem , Estudos Transversais , Autoavaliação Diagnóstica , Humanos , Liderança
6.
J Contin Educ Nurs ; 52(6): 294-300, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34048301

RESUMO

BACKGROUND: The global COVID-19 pandemic has created unprecedented challenges to the health care workforce. Little is known about the effect of the pandemic on new RNs and their preparedness for such a crisis. This study explored the lived experiences of RNs transitioning from students to professionals during the pandemic. METHOD: Semistructured interviews were conducted with 15 new RNs working in acute care facilities during the Maryland COVID-19 State of Emergency. RESULTS: Three themes were identified to describe the experiences of new nurses transitioning to practice in the midst of the COVID-19 pandemic: uncertainty, vulnerability, and resilience. CONCLUSION: New nurses need greater support during transition to practice. Initiatives to improve trusting relationships between new nurses and their organizations and support of the development of essential relationships (e.g., peers, frontline management, and educators) could enhance new nurses' resilience and commitment to stay with the organization. [J Contin Educ Nurs. 2021;52(6):294-300.].


Assuntos
COVID-19/enfermagem , Competência Clínica , Enfermagem de Cuidados Críticos , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Papel Profissional/psicologia , Adulto , Feminino , Humanos , Masculino , Maryland , Pandemias , Pesquisa Qualitativa , SARS-CoV-2 , Adulto Jovem
7.
BMC Womens Health ; 21(1): 209, 2021 05 19.
Artigo em Inglês | MEDLINE | ID: mdl-34011330

RESUMO

BACKGROUND: Based on the World Health Organization (WHO), workplace violence can affect events where employees are abused, attacked or threatened in their workplace, and it also has some consequences such as safety, welfare, and health. Like other types of violence, workplace violence and aggression are an increasing phenomenon. Moreover, workplace violence not only disrupts interpersonal and organizational relationships, but it also impairs the persons self-esteem and affects their physical and mental health and well-being. Thus, this study aimed to explain the components of workplace violence against nurses from the perspective of women working in a hospital in Tehran, which was conducted through the qualitative method and content analysis. METHODS: In this study Purposive sampling included 21 female nurses who were working in different wards of the hospital. Also, female nurses were selected with maximum diversity in terms of work experience, age, and the wards they were working in. in this study the semi-structured interview was the main method of data collection. The interview transcriptions were extracted and then divided into meaningful units. For strengthening and confirming the results and accuracy of the research, the author used the data acceptability, credibility, accuracy, validity, believability, verifiability, reliability, and transferability. RESULTS: During the data analysis process of this study, the first 15 classes with the same characteristics were put together and then divided into 6 classes. Afterwards, based on the common features at a more abstract level, they were converted into 2 themes. Based on the findings, violence against women in the workplace occurs at two levels, that namely interpersonal violence and organizational coercion. CONCLUSION: Therefore, it is necessary for managers to commit to lay the groundwork for reducing violence in the hospital, as well as barriers to report these cases especially the hospital managers and officials should create awareness on workplace among the staff, patient and visitors and must ensure stringent actions to prevent it.


Assuntos
Enfermeiras e Enfermeiros , Recursos Humanos de Enfermagem no Hospital , Violência no Trabalho , Estudos Transversais , Feminino , Hospitais , Humanos , Irã (Geográfico) , Reprodutibilidade dos Testes , Inquéritos e Questionários , Local de Trabalho
8.
Artigo em Inglês | MEDLINE | ID: mdl-34000153

RESUMO

OBJECTIVE: To investigate the prevalence of depression, anxiety, and insomnia among hospital staff working in a tertiary care private hospital in India during the early period of the coronavirus disease 2019 (COVID-19) pandemic. METHODS: This cross-sectional study was conducted May 5-25, 2020, among 347 hospital staff (nursing and other hospital staff, with the exception of doctors). Depression, anxiety, and insomnia were measured using the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Scale, and the Insomnia Severity Index, respectively. RESULTS: Of respondents, 16.4% reported clinically significant depression, 13.8% reported clinically significant anxiety, and 13.3% reported insomnia. Among the nursing staff, 20.9% reported clinically significant depression, 15.9% reported clinically significant anxiety, and 17.0% reported insomnia. There was significantly higher depression (P = .000), anxiety (P = .002), and insomnia (P = .007) among nursing staff compared with other hospital staff in 2-tailed t tests. There was a significantly higher prevalence of insomnia among females (χ2 = 5.85, df = 2, P = .05). CONCLUSIONS: Study results show that more than 1 in 10 hospital staff suffer from mental health conditions, even during the beginning of the pandemic, and there is a need for active psychiatric support for the hospital staff during this pandemic. Depression, anxiety, and insomnia are significantly higher among nurses compared to other hospital staff. The results of this research suggest that comprehensive support measures should be implemented to protect and maintain mental health of hospital staff, especially nurses, while fighting the COVID-19 pandemic.


Assuntos
Transtornos de Ansiedade/epidemiologia , COVID-19 , Transtorno Depressivo/epidemiologia , Hospitais Privados/estatística & dados numéricos , Recursos Humanos em Hospital/psicologia , Recursos Humanos em Hospital/estatística & dados numéricos , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Centros de Atenção Terciária/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos
9.
J Nurses Prof Dev ; 37(3): E5-E9, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33961369

RESUMO

The nursing professional development practitioner's call to action at a large, acute care academic facility during the novel coronavirus pandemic required adaptability and resiliency. When rapid, unprecedented challenges altered nursing professional development workflow, a department of 16 practitioners split into three teams. The teams achieved goals by meeting the demand for education and training of frontline staff during the surge in novel coronavirus patients.


Assuntos
COVID-19/enfermagem , Profissionais de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/educação , COVID-19/epidemiologia , Hospitais de Ensino , Humanos , Relações Interprofissionais , New Jersey/epidemiologia , Pesquisa em Avaliação de Enfermagem
10.
Br J Nurs ; 30(9): 540-546, 2021 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-33983812

RESUMO

BACKGROUND: In emergency departments (EDs), the staff continually face stressful situations requiring staff to adopt various coping strategies. AIMS: The study aimed to assess work-related stress in ED during the COVID-19 outbreak. METHOD: The study was a monocentric investigation based on a questionnaire survey that elicits general information and uses the Karasek model to analyse the data. FINDINGS: A total of 117 forms were collected for analysis. The score for decision latitude (or autonomy and skills at work) was 70 (IQR: 64-74) and the score for psychological demand was 25 (IQR: 23-27). The score for social support by the management team was 11 (IQR: 9-12) and the score for social support by colleagues 12 (IQR: 10-12). Of the total number of respondents, job strain was assessed as affecting 24.8%. CONCLUSION: The study shows high levels of stress among the ED workforce. The findings indicate that it is imperative to develop simple management tools that are capable of measuring the internal causes of stress in order to develop an adapted wellness programme in ED.


Assuntos
COVID-19 , Surtos de Doenças , Serviço Hospitalar de Emergência , Recursos Humanos de Enfermagem no Hospital , Estresse Ocupacional , COVID-19/epidemiologia , COVID-19/enfermagem , Guiana Francesa/epidemiologia , Humanos , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , Inquéritos e Questionários
11.
Artigo em Inglês | MEDLINE | ID: mdl-33946606

RESUMO

This study aimed to assess the overall level of sleep quality among female staff nurses in the United States during the early COVID-19 pandemic. It also aimed to examine factors associated with sleep quality and its seven subcomponents: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleeping medications, and daytime dysfunction. A descriptive, correlational, and cross-sectional study design was used. We performed descriptive, and regression analyses with a sample of 215 female staff nurses enrolled in post-licensure online nursing programs at a southeastern state university. Data collection was conducted using an online survey from April to May 2020. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Nurses working part time (p = 0.02), with lower perceived physical health (p = 0.01), a lower self-care self-regulation score (p < 0.001), and higher work stress (p < 0.05) showed poorer sleep quality. Factors associated with subcomponents of sleep quality varied. Poor sleep quality among nurses during the COVID-19 pandemic was reported. Various factors, including work environmental factors were associated with the sleep quality in this sample. Hospital administrators should consider developing intervention programs for improving the work environment, which would impact sleep quality, health status, and job performance.


Assuntos
COVID-19 , Recursos Humanos de Enfermagem no Hospital , Estudos Transversais , Feminino , Humanos , Pandemias , SARS-CoV-2 , Sono , Inquéritos e Questionários , Estados Unidos/epidemiologia
12.
Appl Nurs Res ; 59: 151416, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33947510

RESUMO

BACKGROUND: Covid-19 has brought healthcare workers in general and nurses in particular into the limelight as never before. It is important to study the intensity of the impact of this pandemic on the profession. OBJECTIVE: This study aims to assess the occupational satisfaction during the pandemic of Covid-19 among the nurses in Israel, to shed light on conditions of work and to identify factors associated with low occupational satisfaction. METHODS: Cross-sectional study of 130 Israeli nurses. Minnesota Satisfaction and Measure of Job Satisfaction questionnaire with 28 items was used to assess occupational satisfaction. RESULTS: In the multivariable model, nurses working in the community had higher occupational satisfaction than those working in hospitals (ß = 0.24, p = .032); nurses who took care of patients who tested positive for Covid-19 had significantly lower occupational satisfaction than others (ß = -0.48, p = .009). Most of the sample reported lack of personal protective equipment (PPE). Nurses who experienced lack of PPE reported lower occupational satisfaction than those who did not (3.4 vs. 3.8, p = .039). Occupational satisfaction was mainly based on the component, built by the intrinsic characteristics of the occupation related to the personal accomplishment. Most of nurses had to increase their workload as a result of staff shortages, but the elevation of the workload was not associated with lower occupational satisfaction. CONCLUSION: Even under the circumstances of the pandemic, the most important nurses` occupational values are worthwhile accomplishments, importance of professional challenge, diversity and interest in the job, personal growth and development and independence in their practice.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/enfermagem , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Satisfação Pessoal , Reorganização de Recursos Humanos/estatística & dados numéricos , Carga de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2 , Inquéritos e Questionários
13.
Appl Nurs Res ; 59: 151418, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33947512

RESUMO

AIM: Due to a lack of literature about US critical care nurses caring for patients with coronavirus disease 2019 (COVID-19), the aim of this study was to examine their experiences caring for these patients. BACKGROUND: COVID-19 placed nurses at the forefront of battling this pandemic in the intensive care unit (ICU). Emerging international evidence suggests nurses experience psychological and physical symptoms as a result of caring for these patients. METHODS: A qualitative descriptive design was used. Using purposive sampling, 11 nurses from one ICU participated in semi-structured interviews. Interviews were recorded and coded; data were analyzed using content analysis. An audit trail was maintained and member checking was employed. RESULTS: The experiences among critical care nurses caring for patients diagnosed with COVID-19 were categorized into five themes and subthemes. Emotions experienced was subcategorized into anxiety/stress, fear, helplessness, worry, and empathy. Physical symptoms was subcategorized into sleep disturbances, headaches, discomfort, exhaustion, and breathlessness. Care environment challenges was subcategorized into nurse as surrogate, inability to provide human comforting connection, patients dying, personal protective equipment (PPE), isolation, care delay, changing practice guidelines, and language barrier. Social effects was subcategorized into stigma, divergent healthcare hero perception, additional responsibilities, strained interactions with others, and isolation/loneliness. Short term coping strategies was subcategorized into co-worker support, family support, distractions, mind/body wellness, and spiritualty/faith. CONCLUSION: ICU nurses are experiencing intense psychological and physical effects as a result of caring for patients diagnosed with COVID-19 in a challenging care environment. Outside of work, nurses faced pandemic-induced societal changes and divergent public perceptions of them.


Assuntos
Adaptação Psicológica , Enfermagem de Cuidados Críticos/métodos , Cuidados Críticos/psicologia , Empatia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Fisiológico , Estresse Psicológico , Adulto , COVID-19 , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pesquisa Qualitativa , SARS-CoV-2 , Emirados Árabes Unidos , Adulto Jovem
14.
J Gerontol Nurs ; 47(5): 9-13, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34039094

RESUMO

The coronavirus disease 2019 (COVID-19) has challenged the way nursing homes deliver person-centered care (PCC). Preferences for Activity and Leisure (PAL) Cards are a tool to communicate residents' important preferences to staff. Monthly interviews (N = 32) were conducted with champions who were conducting a PAL Card quality improvement project in Tennessee nursing homes (N = 11) between March and August 2020. Three major themes emerged: Structural Changes (e.g., halting admissions, adding an isolation unit), Resident Burden (e.g., physical isolation, loneliness), and Provider Burnout (e.g., increased workload, mental exhaustion). Further, providers expressed the benefits to using PAL Cards, specifically in regard to blunting the negative impact of each theme. Results showed the overall negative impact of COVID-19 on nursing home communities. Nursing staff experienced greater burden than other staff, reflecting their prominent role in providing direct care to residents with COVID-19. Staff reported that PAL Cards helped promote PCC. [Journal of Gerontological Nursing, 47(5), 9-13.].


Assuntos
COVID-19/enfermagem , Comunicação , Enfermagem Geriátrica/normas , Casas de Saúde/normas , Recursos Humanos de Enfermagem no Hospital/psicologia , Assistência Centrada no Paciente/normas , Guias de Prática Clínica como Assunto , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Instituição de Longa Permanência para Idosos/normas , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2 , Instituições de Cuidados Especializados de Enfermagem/normas , Tennessee
15.
Hu Li Za Zhi ; 68(3): 97-107, 2021 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-34013511

RESUMO

The American Nurses Credentialing Center (ANCC) manages Magnet Recognition Program® certification. Candidates for this certification are required to pass a review comprising six compulsory documents and 84 sets of written documents in five model components as well as an onsite appraisal. The Magnet Recognition Program® for medical institutes is currently regarded as the highest honor in the nursing field. The series of measures necessary to establish a Magnet-recognized hospital is described in this article. Our hospital began preparation for recognition in January 2016, with the application submitted in May 2017. The required measures include establishing a Professional Practice Model, Governance Council, and National Database of Nursing Quality Indicators as well as implementing a mentoring plan. ANCC approved Magnet Recognition Program® recognition for our hospital in May 2020, making ours the first Magnet-recognized hospital in Taiwan. The nursing staff shared their experiences on their Magnet journey. Magnet-recognition demonstrates that a hospital is adequately equipped and trained to provide patients with outstanding nursing care and to operate an excellent nursing practice environment.


Assuntos
Imãs , Recursos Humanos de Enfermagem no Hospital , Credenciamento , Humanos , Taiwan , Estados Unidos
16.
Online braz. j. nurs. (Online) ; 20: e20216473, 05 maio 2021. ilus, graf
Artigo em Inglês, Espanhol, Português | LILACS, BDENF - Enfermagem | ID: biblio-1223171

RESUMO

OBJETIVO: Identificar e mapear a produção literária latino-americana acerca do ambiente da prática profissional de enfermagem no cenário hospitalar com base nos instrumentos Nursing Working Index-Revised e Practice Environment Scale. MÉTODO: Scoping review em cinco bases de dados e outras fontes sobre o tema. A amostra contabilizou 20 artigos, nove Teses e cinco Dissertações publicados na última década. RESULTADO: O Brasil apresentou o maior número de publicações em periódicos, na amostra. Os ambientes mostraram-se favoráveis com a aplicação do Nursing Working Index-Revised e desfavoráveis com a Practice Environment Scale. Entre os domínios destacam-se, com os piores escores, o controle do ambiente e adequação da equipe e de recursos. CONCLUSÃO: A produção literária adquire destaque apenas na última década e aponta para a associação entre ambientes da prática favoráveis e melhores resultados assistenciais.


OBJECTIVE: To identify and map the Latin American literary production about the nursing work environment in the hospital setting based on the Nursing Working Index-Revised and on the Practice Environment Scale. METHOD: A scoping review in five databases and other sources on the topic. The sample included 20 articles, nine Theses and five Dissertations published in the last decade. RESULT: In the sample, Brazil presented the largest number of publications in journals. The environments were favorable with the application of the Nursing Working Index-Revised and unfavorable with the Practice Environment Scale. Among the domains with the worst scores, control over the environment and adequacy of the team and resources stand out. CONCLUSION: The literary production has gained prominence only in the last decade and points to the association between favorable practice environments and better care results.


OBJETIVO: Identificar y mapear la producción literaria latinoamericana sobre el entorno de la práctica profesional de la enfermería en el ámbito hospitalario a partir de los instrumentos Nursing Working Index-Revised y Practice Environment Scale. MÉTODO: Scoping review en cinco bases de datos y otras fuentes sobre el tema. La muestra contó con 20 artículos, nueve Tesis Doctorales y cinco Tesis de Maestría publicadas en la última década. RESULTADO: Brasil tuvo el mayor número de publicaciones en revistas de la muestra. Los entornos fueron favorables con la aplicación del Nursing Working Index-Revised y desfavorables con la Practice Environment Scale. Entre los dominios, con los peores puntajes, se destacan el control del entorno y la adecuación del equipo y los recursos. CONCLUSIÓN: La producción literaria ha ganado notoriedad solo en la última década y apunta a la asociación entre entornos de práctica favorables y mejores resultados de atención.


Assuntos
Humanos , Prática Profissional , Enfermagem , Ambiente de Instituições de Saúde , Hospitais , América Latina , Recursos Humanos de Enfermagem no Hospital
18.
J Pak Med Assoc ; 71(2(A)): 465-468, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33819229

RESUMO

OBJECTIVE: To determine the occupational safety of nurses working in a tertiary care hospital. METHODS: The cross-sectional and descriptive study was conducted at a tertiary care hospital at Kocaeli University, Turkey, from January to March 2016, and comprised nurses working at the hospital. A questionnaire and the occupational safety scale were used to collect data. The Occupational Safety Scale has seven subscales. Frequencies, percentages, mean values and standard deviations were calculated during data analysis. RESULTS: Of the 200 nurses, 180(90%) were female and 88(44%) had 6-11 years of professional experience. The overall mean score of the scale was 2.593±0.770. Nurses working in daytime had better score on the healthcare screening and registry systems subscale compared to nurses working in shifts (p=0.020). There were no differences between the other subscales and work patterns (p>0.05). CONCLUSIONS: The nurses were found to have poor occupational safety.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Saúde do Trabalhador , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários , Centros de Atenção Terciária , Turquia
19.
J Nurs Adm ; 51(5): 235-236, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-33882548

RESUMO

Increasingly, nursing research is considered essential to the achievement of high-quality patient care and outcomes. In this month's Magnet® Perspectives column, we examine the origins of nursing research, its role in creating the Magnet Recognition Program®, and why a culture of clinical inquiry matters for nurses. This column explores how Magnet hospitals have built upon the foundation of seminal research to advance contemporary standards that address some of the challenges faced by healthcare organizations around the world. We offer strategies for nursing leaders to develop robust research-oriented programs in their organizations.


Assuntos
Hospitais/normas , Liderança , Pesquisa em Enfermagem/normas , Serviço Hospitalar de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/normas , Credenciamento/normas , Humanos , Cultura Organizacional , Qualidade da Assistência à Saúde/normas , Estados Unidos
20.
J Nurs Adm ; 51(5): 257-263, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-33882553

RESUMO

OBJECTIVE: The aim of this study was to determine the pandemic impact on the relationship between nurses' perception of the authentic nurse leadership (ANL) of their manager and their perception of the work environment. BACKGROUND: Both ANL and healthy work environment (HWE) contribute to staff and patient outcomes. Our 1st study of these 2 variables revealed a positive relationship. Will this be upheld in a pandemic year? METHODS: More than 5000 nurses from a national sample participated in a cross-sectional, correlational, descriptive study using the Authentic Nurse Leadership Questionnaire, the Critical Elements of a Healthy Work Environment Scale, and a pandemic impact on practice question. RESULTS: Overall, nurses perceived ANL and HWE were present despite a high level of pandemic impact; however, when clinical nurses were separated from managers/directors, HWE was not present for frontline nurses. The moderate correlation of ANL and HWE was replicated in this larger study. CONCLUSIONS: This is the 2nd study of the positive relationship between ANL and HWE using these models, supporting ANL as an essential standard of a HWE. ANL was present for clinical nurses in a pandemic year signaling that nurse leaders rose to meet frontline leadership needs. HWE was present overall, but not for clinical nurses. Leadership is essential to work environments and outcomes especially in times of crisis and significant change.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , COVID-19/epidemiologia , Estudos Transversais , Humanos , Satisfação no Emprego , Autoeficácia , Local de Trabalho/psicologia
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