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1.
J Nurs Adm ; 50(2): 72-77, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31929345

RESUMO

OBJECTIVE: To examine whether end-of-life care quality is superior in Magnet hospitals, a recognition designating nursing excellence. BACKGROUND: Considerable research shows better patient outcomes in hospitals with excellent nurse work environments, but end-of-life care quality has not been studied in Magnet hospitals. METHODS: An analysis of cross-sectional data was completed using surveys of nurses and hospitals. Multivariate logistic regression models were used to determine the association between Magnet hospitals and measures of end-of-life care quality. RESULTS: Overall, nurses report poor quality of end-of-life care in US hospitals. In Magnet hospitals, nurses were significantly less likely to give their hospital an unfavorable rating on end-of-life care. CONCLUSIONS: Hospital Magnet status may signal better quality in end-of-life care. Administrators looking to improve the quality of end-of-life care may consider improving aspects of nursing that distinguish Magnet hospitals.


Assuntos
Hospitais/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/normas , Qualidade da Assistência à Saúde/estatística & dados numéricos , Qualidade da Assistência à Saúde/normas , Assistência Terminal/psicologia , Assistência Terminal/normas , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Assistência Terminal/estatística & dados numéricos , Estados Unidos
2.
J Nurs Adm ; 50(1): 22-27, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31809453

RESUMO

This article describes a practice improvement initiative (PII) demonstrating the impact of doctorate of nursing practice (DNP) skills beyond direct patient care. The Donna Wright Competency Assessment Model, AACN DNP Essentials, and National Organization of Nurse Practitioner Faculties nurse practitioner competencies framed the PII. The DNP graduates planned, implemented, and evaluated an assessment of 1,055 staff nurses on shift hand-off, physical assessment, and hand hygiene. Results indicated that 95% of the staff nurses scored 100% on competency assessment. The PII model was adopted for future competency evaluation.


Assuntos
Benchmarking , Modelos de Enfermagem , Profissionais de Enfermagem , Recursos Humanos de Enfermagem no Hospital/normas , Padrões de Prática em Enfermagem/normas , Humanos , Estados Unidos
3.
J Nurs Adm ; 50(1): 28-33, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31809454

RESUMO

Nursing leaders have embraced newly licensed registered nurse (NLRN) transition-to-practice programs, which contribute to nursing confidence, competence, work satisfaction, and retention in a complex healthcare environment. We report on the evolution of a Midwest urban pediatric medical center's transition-to-practice program, guided for 2 decades by foundational and emerging theory, research, and evidence that has supported accreditation with distinction as a Practice Transition Accreditation Program (PTAP) by the American Nurses Credentialing Center's Commission in Accreditation. Nursing leaders should use emerging evidence to inform curricular revisions that accelerate NLRN role transition and practice integration, increase organizational commitment, improve patient safety and satisfaction, and achieve PTAP accreditation.


Assuntos
Acreditação , Mobilidade Ocupacional , Modelos de Enfermagem , Recursos Humanos de Enfermagem no Hospital/normas , Humanos , Illinois , Avaliação de Programas e Projetos de Saúde
4.
Pan Afr Med J ; 33: 320, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31692933

RESUMO

Introduction: Occupational stress is a recognized health problem among nurses. Globally, its prevalence varies between 9.2% and 68.0%. It detracts from nurses' quality of life and efficiency of job performance. In Ghana, we do not know the important contributory factors to this problem. Our study sought to identify the important predictors of occupational stress among nurses. Methods: In January 2016, we conducted an institutional-based survey among nurses of Salaga Government Hospital. They completed a five-point Likert type questionnaire adopted from the British Psychological Working Conditions Survey, and the Nurse Stress Index. Across 30 predictor variables, a mean score of 4.00 to 5.00 represented high to extreme occupational stress. We performed bivariate and multivariate analyses to identify important predictors of occupational stress at 95% confidence level. Results: Of 167 nurses, 58.1% (97) were females. Respondents who experienced high to extreme stress levels had a 2.3 times odds of reporting sickness absence (CI: 1.03-5.14). Sources of occupational stress included: manual lifting of patients and pieces of equipment (OR: 16.23; CI: 6.28 - 41.92), the risks of acquiring infections (OR: 14.67; CI 5.90 - 36.46), receiving feedback only upon unsatisfactory performance (OR: 28.00; CI: 9.72 - 80.64), and inadequate opportunities for continuous professional development (OR: 63.50; CI: 19.99 - 201.75). Conclusion: The working conditions of nurses were stressful. The most significant predictors of occupational stress were poor supportive supervision by superiors, lack of adequate skills to perform routine tasks, uncertainty about their job role, and the lack of adequate opportunities for career advancements.


Assuntos
Competência Clínica , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , Licença Médica/estatística & dados numéricos , Adulto , Mobilidade Ocupacional , Feminino , Gana , Humanos , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital/normas , Qualidade de Vida , Inquéritos e Questionários , Adulto Jovem
5.
J Nurs Adm ; 49(12): 583-585, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725517

RESUMO

Developing a professional practice model (PPM) is essential for hospitals seeking Magnet designation. The article describes the development and implementation of a PPM in a tertiary hospital that was the 1st hospital in mainland China applying for Magnet recognition. This article provides a framework for hospital administrators who wish to reference a successful process when creating their own Magnet PPMs.


Assuntos
Competência Clínica/normas , Guias como Assunto , Recursos Humanos de Enfermagem no Hospital/normas , Papel Profissional , Qualidade da Assistência à Saúde/normas , Centros de Atenção Terciária/normas , Adulto , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
6.
J Nurs Adm ; 49(11): 520-522, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651609

RESUMO

The American Nurses Credentialing Center's Magnet Recognition Program 2019 Magnet Application Manual "continue(s) to raise the bar as the gold standard for nursing" (p. IX). In this column, the authors, who are Magnet commissioners, provide background and guidance on the standards for nurse satisfaction and patient satisfaction.


Assuntos
Satisfação no Emprego , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/normas , Satisfação do Paciente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Estados Unidos
8.
Rev Lat Am Enfermagem ; 27: e3179, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596414

RESUMO

OBJECTIVE: to evaluate the effect of an educational program on blood pressure recording for nursing professionals in relation to theoretical knowledge and the quality of these records. METHOD: quasi-experimental study conducted in a hospital service located in the city of São Paulo. The theoretical knowledge of 101 professionals was measured using a validated questionnaire before and after the educational intervention; the quality of blood pressure records was evaluated using a validated form which was applied to 354 records in the pre-intervention period and 288 in the post-intervention period. The educational program was based on active teaching-learning methodologies and consisted of two strategies: expository/dialogue class and a board game. The Wilcoxon, Mann-Whitney, Fisher and Chi-Square tests were used for comparisons, adopting a level of significance of α=0.05. RESULTS: the median of the professionals' scores increased from 19 to 22 points in the post-intervention period (p<0.001). There was an improvement in the quality of the blood pressure recordings regarding the variables: cuff size (p<0.001), arm used in the procedure (p<0.001) and patient position (p<0.001). CONCLUSION: the educational program showed positive results in the promotion of knowledge among nursing professionals and in the improvement of the quality of blood pressure recording.


Assuntos
Determinação da Pressão Arterial/enfermagem , Educação Continuada em Enfermagem/métodos , Recursos Humanos de Enfermagem no Hospital/educação , Adulto , Pressão Sanguínea , Determinação da Pressão Arterial/instrumentação , Brasil , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/normas , Melhoria de Qualidade , Inquéritos e Questionários
9.
J Nurs Adm ; 49(10): 455-456, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517751

RESUMO

In this month's Magnet Perspectives column, the director of the Magnet Recognition Program highlights the program staff and leadership at ANCC responsible for the Magnet Program.


Assuntos
Competência Clínica/normas , Enfermeiras Administradoras/normas , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/normas , Adulto , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Estados Unidos
11.
Rev Lat Am Enfermagem ; 27: e3162, 2019 Aug 19.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31432917

RESUMO

OBJECTIVE: to describe the activities developed by the liaison nurses for the continuity of care after hospital discharge. METHOD: descriptive, qualitative study, based on the theoretical reference. Strength Based Care. The sample comprised 23 liaison nurses. The data was collected through a semi-structured questionnaire via Survey Monkey electronic platform and analyzed through the content analysis technique, with pre-defined categories. RESULTS: among the liaison nurses, nine (39.14%), between 35 and 44 years of age; 17 (73.91%) were female; 15 (65.22%) were working eleven years or more nurse and 11 (47.82%), were between six and ten years old as a liaison nurse. The professionals participate in the identification of the patients who need care after hospital discharge, coordinate the planning of the hospital discharge and transfer the patient's information to an extra-hospital service. CONCLUSION: the activities developed by the liaison nurses focus on the needs of the patient and the articulation with the extra-hospital services, and can be adapted to the Brazilian context as a strategy to minimize the discontinuity of care at the time of hospital discharge.


Assuntos
Continuidade da Assistência ao Paciente/normas , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital/normas , Alta do Paciente/estatística & dados numéricos , Adulto , Brasil , Canadá , Feminino , Hospitais Universitários , Humanos , Masculino , Transferência de Pacientes , Pesquisa Qualitativa , Inquéritos e Questionários
12.
Rev Esc Enferm USP ; 53: e03470, 2019 Aug 19.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31433012

RESUMO

OBJECTIVE: To evaluate the frequency and reasons for missed nursing care and to verify whether the reasons for omission differ between professional categories. METHOD: A quantitative and cross-sectional study carried out in the adult hospitalization units of a public hospital of a teaching institution. Data collection was performed from February to April 2017, through a personal and professional characterization form and the MISSCARE-BRASIL instrument. RESULTS: Fifty-eight (58) nursing professionals responsible for direct patient care participated in the study, of which 74.1% reported at least one missed nursing care activity during the work shift. The main reasons attributed to missed care situations were an inadequate amount of professionals, urgent situations with the patients during the work shift, and the non-availability of medicine, materials or equipment when necessary. CONCLUSION: Most care was "always" or "often" performed, and the reasons given for missed care are related to work resources, materials, and management style. Nurses differ from the technicians as to the reasons for not performing care.


Assuntos
Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/normas , Qualidade da Assistência à Saúde , Adulto , Brasil , Estudos Transversais , Feminino , Hospitais Públicos , Humanos , Masculino
13.
J Nurs Adm ; 49(9): 436-440, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436742

RESUMO

OBJECTIVE: The purpose of this study was to describe current practices for onboarding travel nurses (TRNs) and identify TRNs' specific onboarding needs. BACKGROUND: Onboarding must be streamlined and organized for TRNs to provide safe patient care. METHODS: Cross-sectional descriptive survey was used with 306 TRNs throughout United States who were recruited electronically from a closed social media group page. RESULTS: The TRNs identified critical information, including unit patient ratios, onboarding schedule 7 to 14 days before travel assignment start, and login IDs/accesses on day 1. Travel nurse onboarding and competency assessment checklists should be specific to the unit/facility where they will work. CONCLUSION: Findings from this study have the potential to support hospitals in the development of streamlined and tailored TRN onboarding to support regulatory compliance and patient safety as well as realize significant cost savings for TRN onboarding.


Assuntos
Capacitação em Serviço/organização & administração , Recursos Humanos de Enfermagem no Hospital/normas , Segurança do Paciente/normas , Seleção de Pessoal/normas , Admissão e Escalonamento de Pessoal/normas , Enfermagem de Viagem/estatística & dados numéricos , Enfermagem de Viagem/normas , Adulto , Estudos Transversais , Feminino , Previsões , Humanos , Capacitação em Serviço/tendências , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/tendências , Segurança do Paciente/estatística & dados numéricos , Seleção de Pessoal/tendências , Admissão e Escalonamento de Pessoal/tendências , Enfermagem de Viagem/tendências , Estados Unidos
14.
Med Care ; 57(9): 688-694, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31335757

RESUMO

OBJECTIVE: Applied to value-based health care, the economic term "individual productivity" refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient's likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits]. RESEARCH DESIGN: Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes and other variables were extracted from electronic health records. Using the structure-process-outcomes model, we viewed patient readiness for hospital discharge as a proximal outcome of the discharge preparation process and used it to measure nurse productivity in discharge preparation. We viewed hospital return as a distal outcome sensitive to discharge preparation care. Multilevel regression analyses used a split-sample approach and adjusted for patient characteristics. SUBJECTS: A total 522 nurses and 29,986 adult (18+ y) patients discharged to home from 31 geographically diverse medical-surgical units between June 15, 2015 and November 30, 2016. MEASURES: Patient discharge readiness was measured using the 8-item short form of Readiness for Hospital Discharge Scale (RHDS). A 30-day hospital return was a categorical variable for an inpatient readmission or an ED visit, versus no hospital return. RESULTS: Variability in individual nurse productivity explained 9.07% of variance in patient discharge readiness scores. Nurse productivity was negatively associated with the likelihood of a readmission (-0.48 absolute percentage points, P<0.001) and an ED visit (-0.29 absolute percentage points, P=0.042). CONCLUSIONS: Variability in individual clinician productivity can have implications for acute care quality patient outcomes.


Assuntos
Eficiência Organizacional/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Alta do Paciente/normas , Readmissão do Paciente/estatística & dados numéricos , Qualidade da Assistência à Saúde/estatística & dados numéricos , Adulto , Análise por Conglomerados , Feminino , Hospitais/normas , Hospitais/estatística & dados numéricos , Humanos , Funções Verossimilhança , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/normas , Adulto Jovem
15.
J Nurses Prof Dev ; 35(5): 255-260, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318733

RESUMO

The purpose of this descriptive correlational study was to determine if implementing gamification teaching methodologies in nondigital format into nursing orientation has a positive effect on orientees' motivation and knowledge retention. The study included a convenience sample of 152 registered nurses who attended the nursing orientation class at a Midwestern acute care facility. This study found that gamification had a positive effect on the orientees' motivation and knowledge retention.


Assuntos
Jogos Experimentais , Capacitação em Serviço/normas , Motivação , Recursos Humanos de Enfermagem no Hospital/educação , Avaliação de Programas e Projetos de Saúde , Educação Continuada em Enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Recursos Humanos de Enfermagem no Hospital/normas
16.
J Clin Nurs ; 28(21-22): 4053-4061, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31287603

RESUMO

AIMS AND OBJECTIVES: To evaluate the opinion of hospital nurses on a group of recommendations aimed at reducing low-value nursing care and, based on these results, to detect low-value practices probably existing in the hospital. BACKGROUND: Low-value nursing care refers to clinical practices with poor or no benefit for patients that may be harmful and a waste of resources. Detecting these practices and understanding nurses' perceptions are essential to developing effective interventions to reduce them. METHODS: We conducted a survey in a tertiary hospital. STROBE guidelines were followed. The questionnaire appraised nurses' agreement, subjective adherence and perception of usefulness of a group of recommendations to reduce low-value nursing care from Choosing Wisely and other initiatives. Practices described in recommendations with an agreement over 70% and a subjective adherence under 70% were categorised as low-value practices probably existing in the hospital. RESULTS: A total of 265 nurses from eight areas of care participated in the survey. The response rate by area ranged between 2%-55%. From the 38 recommendations evaluated, agreement was 96% (95% confidence interval [95%CI], 95%-97%), median subjective adherence was 80% (95%CI, 80%-85%), and usefulness was 90% (95%CI, 89%-92%). Based on these results, we detected seven (0-15) low-value practices probably existing in our hospital, mostly on general practice, pregnancy care and wound care. CONCLUSIONS: We found a great understanding of low-value care between nurses, given the high agreement to recommendations and perception of usefulness. However, several low-value practices may be present in nursing care, requiring actions to reduce them, for instance, reviewing institutional protocols and involving patients in de-implementation. RELEVANCE TO CLINICAL PRACTICE: Hospitals and other settings should be aware of low-value practices and take actions to identify and reduce them. A survey may be a simple and helpful way to start this process.


Assuntos
Recursos Humanos de Enfermagem no Hospital/normas , Estudos Transversais , Assistência à Saúde/normas , Humanos , Processo de Enfermagem/normas , Padrões de Prática em Enfermagem/normas , Inquéritos e Questionários
17.
J Clin Nurs ; 28(19-20): 3538-3546, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31162881

RESUMO

AIM AND OBJECTIVE: To describe and compare the Knowledge, Attitudes and Practices (KAP) pertaining to standard precautions (SPs) among nurses in China and Ethiopia. BACKGROUND: SPs are guidelines for reducing the risk of transmission of blood-borne and other pathogens in hospital settings. SPs have been widely promoted to protect healthcare workers (HCW); however, these are not fully practised worldwide, especially in resource-constrained countries like China and Ethiopia. DESIGN: A descriptive, cross-sectional, comparative study was performed between February-April 2018. The study followed the "Strengthening the Reporting of Observational Studies in Epidemiology" (STROBE) guideline. METHODS: Self-administered questionnaire survey of a convenience sample of 357 nurses (237 Chinese and 120 Ethiopian nurses) from one teaching hospital each in China and Ethiopia. KAP pertaining to SPs were measured. RESULTS: Nurses of both countries were found to have a good understanding of the concept of SPs; however, the acceptance to organisation of policies for prevention of hospital-acquired infections (HAI) was lower in Ethiopia. Fewer medical resources in Ethiopia resulted in poorer adherence to use of personal protective equipment (PPE). The usage rate of PPE (except apron and goggles) among Ethiopian nurses was significantly lower than that among Chinese nurses. CONCLUSIONS: Both Ethiopian and Chinese nurses showed favourable attitudes towards SPs; however, Chinese nurses reported better knowledge and practices. The organisation should strengthen formal and on-the-job training, implement targeted infection prevention strategies and provide adequate medical supplies to improve infection control in Ethiopia. RELEVANCE TO CLINICAL PRACTICE: Our findings highlight some of the reasons for low compliance to SPs in both countries and potentially other similar settings. The information provided here can help develop infection prevention and control strategies for resource-constrained countries.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Controle de Infecções/normas , Recursos Humanos de Enfermagem no Hospital/normas , Adulto , China , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Etiópia , Feminino , Hospitais de Ensino , Humanos , Masculino , Inquéritos e Questionários
18.
Rev Gaucha Enferm ; 40: e20180155, 2019 Jun 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31188987

RESUMO

OBJECTIVE: Describe the process of translation and adaptation to Brazilian culture of the Competency Evaluation Questionnaire for hospital nurses. METHOD: Methodological study of translation and cross-cultural adaptation, including the steps translation of the original instrument into Portuguese, consensual evaluation of translated versions, back - translation, validation by judges and pilot with 29 hospital nurses. RESULTS: They presented the stages of process of cross-cultural adaptation of the instrument, with adjustments proposed by a Judges Committee, composed of 27 items distributed in five domains of competencies for hospital nurses. The instrument adapted to Portuguese presented semantic, idiomatic, experimental and conceptual equivalence with the original, and the total value of the Cronbach Alpha 0.932, in addition to the relative validation. CONCLUSIONS: The Competency Evaluation Questionnaire has been shown to be a reliable instrument that can be used but does not exclude the need for future statistical tests aiming at psychometric validity.


Assuntos
Comparação Transcultural , Avaliação de Desempenho Profissional/métodos , Recursos Humanos de Enfermagem no Hospital/normas , Inquéritos e Questionários , Traduções , Atitude do Pessoal de Saúde , Brasil , Competência Clínica , Humanos , Linguagem
19.
J Nurs Adm ; 49(6): 289-290, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31135634

RESUMO

Now in its 29th year, the American Nurses Credentialing Center's Magnet Recognition Program stands as the premier international acknowledgment of nursing excellence in healthcare organizations around the world. The program's applicability in general hospitals, community hospitals, and academic medical centers is established, but what about specialty hospitals? In this month's Magnet Perspectives, nursing leaders from 3 specialty sectors, rehabilitation hospitals, cancer hospitals, and children's hospitals, discuss the ways in which the Magnet framework enriches the practice environment and promotes outstanding nurse and patient outcomes. Insights are shared about how the Magnet journey provides the foundation to address current challenges in healthcare, including nurse staffing shortages, burnout, unit effectiveness, safety and quality imperatives, patient experience, and more.


Assuntos
Credenciamento , Hospitais Especializados/normas , Serviço Hospitalar de Enfermagem/normas , Humanos , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/normas , Recursos Humanos de Enfermagem no Hospital/provisão & distribução , Estados Unidos
20.
J Clin Nurs ; 28(15-16): 2946-2952, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31013381

RESUMO

AIMS AND OBJECTIVES: To examine how nurses' knowledge of behaviours indicating pain in mechanically ventilated patients and self-perceived collaboration between nurses and physicians affects the adequacy of departmental pain management. BACKGROUND: Pain management is a vital factor of medical treatment in a hospital setting. Inadequate pain management requires attention both from a patient-focused perspective and from a departmental one. It would be particularly troubling in the case of inadequate pain management of mechanically ventilated patients. DESIGN: The study utilised a cross-sectional design. The instruments developed were validated by a focus group of 25 pain management nurses, who reviewed the questionnaire for face validity, feasibility and comprehensibility, and who did not participate in the study. The questionnaire was revised, readjusted and formulated based on their responses and comments. METHODS: A self-administered questionnaire administered in Israel with a convenience sample of 187 registered nurses (RN) from internal medicine and surgical departments and ICUs. Data were collected during February-May 2015. The "STROBE" EQUATOR checklist was used. RESULTS: Nurses working in the ICU scored significantly higher on knowledge of behaviours indicating pain in mechanically ventilated patients and on self-perceived collaboration between nurses and physicians. Self-perceived collaboration between physicians and nurses was positively correlated with perceived departmental pain treatment adequacy. Self-perceived collaboration between nurses and physicians, knowledge of behaviours indicating pain in mechanically ventilated patients and seniority (with a borderline significance) explained 27% of the variance of perceived departmental pain management. CONCLUSION: Nurses' knowledge of behaviours indicating pain in mechanically ventilated patients, as well as self-perceived collaboration between nurses and physicians, promotes reported adequate pain management. RELEVANCE TO CLINICAL PRACTICE: Pain management would benefit from being conducted as a well-performed interprofessional self-perceived collaborative practice. Knowledgeable nurses tend to critically assess the level of departmental pain management.


Assuntos
Recursos Humanos de Enfermagem no Hospital/normas , Manejo da Dor/enfermagem , Respiração Artificial/enfermagem , Adulto , Estudos Transversais , Feminino , Grupos Focais , Humanos , Unidades de Terapia Intensiva/organização & administração , Israel , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/psicologia , Percepção , Relações Médico-Enfermeiro , Reprodutibilidade dos Testes , Inquéritos e Questionários
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