Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 16.611
Filtrar
3.
Clin Nurse Spec ; 35(6): 303-313, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34606210

RESUMO

PURPOSE: This quality improvement project created a guide for critical care providers transitioning patients to comfort measures only encouraging communication, collaboration, and shared decision making; ensuring management of patients' end-of-life symptoms and needs; and enhancing provider satisfaction by improving structure and consistency when transitioning patients. DESCRIPTION OF THE PROJECT: Interviews conducted with staff in intensive care units revealed opportunities to improve structure and processes of transitioning patients at the end of life. A subcommittee of experts designed a checklist to facilitate interdisciplinary conversations. Impact on provider satisfaction and symptom management was assessed. Presurveys circulated used a Research Electronic Data Capture tool. A checklist was implemented for 3 months, and then postsurveys were sent. Charts were audited to identify improvement in symptom management and compared with retrospective samples. OUTCOMES: Clinical improvements were seen in communication (12%), collaboration (25%), shared decision making (22%), and order entry time (17%). In addition, 72% agreed the checklist improved structure and consistency; 69% reported improved communication, collaboration, and shared decision making; 61% felt it improved knowledge/understanding of patient needs; and 69% agreed it improved management of patient symptoms. CONCLUSION: After checklist implementation, staff felt more involved and more comfortable, and reported more clarity in transitioning patients; no improvement in patient outcomes was realized.


Assuntos
Lista de Checagem , Enfermagem de Cuidados Críticos/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Conforto do Paciente/organização & administração , Satisfação Pessoal , Comunicação , Tomada de Decisão Compartilhada , Humanos , Unidades de Terapia Intensiva , Relações Interprofissionais , Pesquisa em Avaliação de Enfermagem , Melhoria de Qualidade
6.
Nurs Outlook ; 69(5): 767-779, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34656272

RESUMO

BACKGROUND: The difficulty of providing care to patients with COVID-19 and the extensive social changes caused by COVID-19 have made the experience of providing care to these patients unique. The present study was conducted to explore the lived experiences of nurses providing altruistic care to patients with COVID-19. METHODS: The present qualitative phenomenological study was conducted in spring 2020 on 12 nurses (8 women and 4 men) selected by purposive sampling from hospitals admitting patients with COVID-19 in Tehran, Iran. Data were collected through open, in-depth, semi-structured interviews and were analyzed using the Glaizer technique. FINDINGS: The lived experiences of nurses dealing with COVID-19 included: Disquietude, with subcategories including shock and the dilemma of staying or leaving; Intellectuality, with subcategories including patience, self-sacrifice, spiritual growth; Human transcendence, with subcategories including love of the profession, community's appreciation, and improving the value of nursing. DISCUSSION: Nurses' experience of providing patient care has a transcendental nature, such that nurses went from the usual fears to transcendence in internal and social aspects. The experience of passing through these stages took place over a short period of time, and nurses felt good about this achievement. Despite the difficult circumstances, patient care was not unpleasant for them; rather, it made them feel like a superhuman.


Assuntos
Altruísmo , COVID-19/terapia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Atitude do Pessoal de Saúde , Emoções , Feminino , Humanos , Irã (Geográfico) , Masculino , Motivação , Papel do Profissional de Enfermagem , Pesquisa Qualitativa
7.
J Nurs Adm ; 51(11): 543-545, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34705761

RESUMO

Sufficient sleep is vital to the health and safety of healthcare workers and patients alike. Despite this, formal sleep promotion programs rarely exist within healthcare. Guidance does exist for how to incorporate strategies within healthcare organizations. Nurse leaders can spearhead efforts by promoting healthy sleep and instituting change through scheduling practices, unit policies, and supporting staff when barriers to healthy sleep develop.


Assuntos
COVID-19/psicologia , Pessoal de Saúde/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Inovação Organizacional , Sono/fisiologia , Fadiga/etiologia , Humanos , Liderança , Cultura Organizacional
8.
PLoS One ; 16(10): e0258387, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34648546

RESUMO

BACKGROUND: The values of individuals and organizations are the core factors driving and guiding nurses' decision-making and actions. Previous studies mainly focused on the impact of organizational commitment and other influencing factors on turnover intention. AIM: To explore the mediating effect of personal and organizational values matching the relationship between organizational commitment and turnover intention of nursing staff. METHODS: A cross-sectional survey of 490 subjects in four tertiary hospitals in Tianjin was conducted by convenient sampling. Multivariate regression analysis and structural equation models were used to test each hypothesis. RESULTS: The results showed that there is a negative correlation between personal and organizational values, organizational commitment and turnover intention, and personal and organizational values played an indirect intermediary role between organizational commitment and turnover intention. CONCLUSIONS: Organizational commitment reduces nurses' turnover intention indirect through personal and organizational values paths. Leaders can improve nurses' values as members of the organization, so as to participate in their own work more actively. IMPLICATIONS FOR NURSING MANAGEMENT: Managers should effectively reduce the turnover rate and stabilize the nursing team by improving the organizational commitment and personal and organizational values of clinical nurses.


Assuntos
Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Reorganização de Recursos Humanos , Adulto , Estudos Transversais , Feminino , Humanos , Liderança , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Centros de Atenção Terciária , Adulto Jovem
9.
PLoS One ; 16(10): e0258668, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34673781

RESUMO

The non-pharmacological pain management therapies have a valuable effect in managing moderate to mild pain intensity, especially if demonstrated in the pre-operative phase. The study aimed to explore the nurses' practice toward using non-pharmacological pain management techniques in surgical wards. In a cross-sectional research design, a convenient sample of 47 nurses in the surgical wards in Egyptian hospital (Third Level) participated in the study. Data gathered using modified Non-pharmacological Methods Questionnaire. Results of the study indicated that nurse's perception regarding applying the cognitive-behavioral methods as a distraction and Positive reinforcement techniques were more common (68.1%,53.2%), whereas most of them used emotional support (93.6%) and preferred to demonstrate physical methods. Meanwhile, nurses addressed the barriers to apply nonpharmacological pain management as lack of time, patient unwillingness, and patients' health beliefs. Nevertheless, nurses reported the non-pharmacological pain management is less expensive and has fewer side effects than medication and can demonstrated post-discharge. Nurses play a key role in applying effective and different non-pharmacological therapies in surgical wards. Thus, nurses should be encouraged to demonstrate the non-pharmacological pain management therapies with patients undergoing surgical procedures.


Assuntos
Assistência ao Convalescente/normas , Terapia Cognitivo-Comportamental/métodos , Conhecimentos, Atitudes e Prática em Saúde , Recursos Humanos de Enfermagem no Hospital/psicologia , Manejo da Dor/métodos , Dor Pós-Operatória/terapia , Modalidades de Fisioterapia/estatística & dados numéricos , Adulto , Atitude do Pessoal de Saúde , Competência Clínica , Estudos Transversais , Egito , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/normas , Alta do Paciente , Inquéritos e Questionários , Adulto Jovem
10.
J Emerg Nurs ; 47(6): 879-891, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34635345

RESUMO

INTRODUCTION: This study aimed to assess (1) the prevalence of burnout risk among nurses working in intensive care units and emergency department before and during the coronavirus disease 2019 pandemic and (2) the individual and work-related associated factors. METHODS: Data were collected as part of a cross-sectional study on intensive care unit and emergency nurses in Belgium using 2 self-administered online questionnaires distributed just before the pandemic (January 2020, N = 422) and during the first peak of the pandemic (April 2020, N = 1616). Burnout was assessed with the Maslach Burnout Inventory scale. RESULTS: The overall prevalence of burnout risk was higher among emergency nurses than intensive care unit nurses but was not significantly different after the coronavirus disease 2019 pandemic (from 69.8% to 70.7%, χ²â€¯= 0.15, P = .68), whereas it increased significantly among intensive care unit nurses (from 51.2% to 66.7%, χ²â€¯= 23.64, P < .003). During the pandemic, changes in workload and the lack of personal protective equipment were significantly associated with a higher likelihood of burnout risk, whereas social support from colleagues and from superiors and management were associated with a lower likelihood of burnout risk. Several determinants of burnout risk were different between intensive care unit and emergency nurses. CONCLUSION: Our findings indicate that nurses in intensive care unit and emergency department were at risk of burnout but their experience during the coronavirus disease 2019 pandemic was quite different. Therefore, it is important to implement specific measures for these 2 groups of nurses to prevent and manage their risk of burnout.


Assuntos
Esgotamento Profissional , COVID-19 , Recursos Humanos de Enfermagem no Hospital , Pandemias , Bélgica/epidemiologia , Esgotamento Profissional/epidemiologia , COVID-19/epidemiologia , COVID-19/enfermagem , Estudos Transversais , Serviço Hospitalar de Emergência , Humanos , Unidades de Terapia Intensiva , Recursos Humanos de Enfermagem no Hospital/psicologia , Prevalência , Fatores de Risco , Inquéritos e Questionários
11.
J Nurs Adm ; 51(10): 507-512, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34519698

RESUMO

OBJECTIVE: The aims of this study were to describe nurses' self-perceptions of fatigue and to examine nurses' acceptance of specific fatigue countermeasures. BACKGROUND: The work of nurses places them at a high risk of fatigue. Evidence suggests 75% to 80% of nurses in the United States experience high levels of fatigue. METHODS: This descriptive, cross-sectional correlational study surveyed 279 nurses. RESULTS: Results suggest that almost half of nurses (46%) are not able to accurately self-assess fatigue. Nurses expressed acceptance of several workplace fatigue reduction strategies. CONCLUSIONS: It may be unrealistic to expect nurses to self-assess fatigue levels and make decisions about their ability to safely provide patient care. Reliable methods for assessing fatigue in the workplace are needed. Several strategies exist that may be used to alleviate fatigue, and many were acceptable to nurses. Nurse leaders are well positioned to implement changes that impact the occurrence of nurse fatigue and thereby the quality of patient care.


Assuntos
Liderança , Fadiga Mental/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Autoavaliação (Psicologia) , Local de Trabalho/psicologia , Estudos Transversais , Humanos , Satisfação no Emprego , Fadiga Mental/prevenção & controle , Estados Unidos
12.
J Nurs Adm ; 51(10): 484-487, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34550102

RESUMO

Despite the well-documented need for nurse-focused efforts on health and wellness, too few healthcare organizations have made a meaningful impact on this issue. Nurse health should be integrated into the strategic and operational workings of the organization. Environments of health and wellness require attention, accountability, action, and accessibility. Although individual choice is the starting point, true success will be achieved when nurse health is a nonnegotiable outcome consistent with quality, safety, finance, and patient experience.


Assuntos
Competência Clínica/normas , Recursos Humanos de Enfermagem no Hospital/organização & administração , Equipe de Enfermagem/organização & administração , Saúde do Trabalhador/normas , Estresse Ocupacional/prevenção & controle , Local de Trabalho/psicologia , Humanos , Recursos Humanos de Enfermagem no Hospital/psicologia
13.
BMC Nephrol ; 22(1): 301, 2021 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493246

RESUMO

BACKGROUND: Globally, renal healthcare practitioners provide intensive and protracted support to a highly complex multi-morbid patient population however knowledge about the impact of COVID-19 on these practitioners is extremely limited. OBJECTIVE: This study aimed to explore the experiences of COVID-19 with renal healthcare practitioners during the first global lockdown between June 2020 and September 2020. METHODS: A multi-methods approach was carried out including a quantitative survey and qualitative interviews. This was a multinational study of renal healthcare practitioners from 29 countries. Quantitative: A self-designed survey on COVID-19 experiences and standardised questionnaires (General Health Questionnaire-12; Maslach Burnout Inventory). Descriptive statistics were generated for numerical data. Qualitative: Online semi-structured interviews were conducted. Data was subjected to thematic analysis. Renal healthcare practitioners (n = 251) completed an online survey. Thirteen renal healthcare practitioners took part in semi-structured interviews (12 nurses and 1 dietician). RESULTS: The majority of participants surveyed were female (86.9 %; n = 218), nurses (86.9 %; n = 218) with an average 21.5 (SD = 11.1) years' experience since professional qualification, and 16.3 years (SD = 9.3) working in renal healthcare. Survey responses indicated a level of preparedness, training and satisfactory personal protective equipment during the pandemic however approximately 40.3 % experienced fear about attending work, and 49.8 % experienced mental health distress. The highest prevalence of burnout was emotional exhaustion (35.9 %). Three themes emerged from the qualitative analysis highlighting the holistic complexities in managing renal healthcare, a neglected specialist workforce, and the need for appropriate support at work during a pandemic. CONCLUSIONS: Results have highlighted the psychological impact, in terms of emotional exhaustion and mental health distress in our sample of renal healthcare practitioners. As the pandemic has continued, it is important to consider the long-term impact on an already stretched workforce including the risk of developing mental health disorders. Future research and interventions are required to understand and improve the provision of psychological support for specialist medical and nursing personnel.


Assuntos
COVID-19/epidemiologia , Saúde Global , Nefrologia/estatística & dados numéricos , Pandemias , Adulto , Idoso , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , COVID-19/terapia , Competência Clínica/estatística & dados numéricos , Medo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem em Nefrologia/economia , Enfermagem em Nefrologia/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Doenças Profissionais/psicologia , Equipamento de Proteção Individual , Angústia Psicológica , Pesquisa Qualitativa , Recursos Humanos
14.
PLoS One ; 16(9): e0257064, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34478482

RESUMO

The pandemic of Coronavirus disease 2019 (COVID-19) has brought significant pressure on nurses globally as they are the frontline of care. This study aimed to explore the experiences and challenges of nurses who worked with hospitalised patients with COVID-19. In this qualitative study, a purposive sample of 14 nurses participated in in-depth telephone interviews. Data were analysed using Colaizzi's phenomenological method. Five key themes emerged: (1) physical and psychological distress of nurses, (2) willingness to work, (3) the essential role of support mechanisms, (4) educational and informational needs of nurses and (5) the role of modern technology in COVID-19 care. Although the provision of care led to physical and psychological distress among nurses, with their commitment and professional obligation, it is a new experience that leads to personal satisfaction. Guilty feeling related to inefficiency of care, witnessing the suffering of patients, discomfort associated with wearing personal protective equipment (PPE), work-related issues (e.g., long hour shifts), negative impact to the family and rejection by others are the leading distress factors. Religious beliefs, including keeping trust in good and bad merits, have become a strong coping mechanism. Addressing distress among nurses is essential. The reported learning needs of nurses included skills related to donning and doffing PPE, skills in performing nursing procedures and breaking bad news. Nurse managers need to pay special attention to expanding training opportunities as well as support mechanisms, for example, welfare, appreciations and counselling services for nurses. Modern technology, particularly robots and telecommunication, can perform an essential role in COVID-19 care. The establishment of timely policies and strategies to protect health workers during a national disaster like COVID-19 is needed.


Assuntos
COVID-19/psicologia , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Adaptação Psicológica , Ansiedade/epidemiologia , Ansiedade/psicologia , COVID-19/epidemiologia , COVID-19/virologia , Medo/psicologia , Feminino , Pessoal de Saúde/psicologia , Humanos , Entrevistas como Assunto , Masculino , Equipamento de Proteção Individual/normas , Angústia Psicológica , Psicologia Clínica , Robótica/normas , SARS-CoV-2/patogenicidade , Telecomunicações
16.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34455733

RESUMO

PURPOSE: Nurses working during the coronavirus disease 2019 (COVID-19) pandemic have reported elevated levels of anxiety, burnout and sleep disruption. Hospital administrators are in a unique position to mitigate or exacerbate stressful working conditions. The goal of this study was to capture the recommendations of nurses providing frontline care during the pandemic. DESIGN/METHODOLOGY/APPROACH: Semi-structured interviews were conducted during the first wave of the COVID-19 pandemic, with 36 nurses living in Canada and working in Canada or the United States. FINDINGS: The following recommendations were identified from reflexive thematic analysis of interview transcripts: (1) The nurses emphasized the need for a leadership style that embodied visibility, availability and careful planning. (2) Information overload contributed to stress, and participants appealed for clear, consistent and transparent communication. (3) A more resilient healthcare supply chain was required to safeguard the distribution of equipment, supplies and medications. (4) Clear communication of policies related to sick leave, pay equity and workload was necessary. (5) Equity should be considered, particularly with regard to redeployment. (6) Nurses wanted psychological support offered by trusted providers, managers and peers. PRACTICAL IMPLICATIONS: Over-reliance on employee assistance programmes and other individualized approaches to virtual care were not well-received. An integrative systems-based approach is needed to address the multifaceted mental health outcomes and reduce the deleterious impact of the COVID-19 pandemic on the nursing workforce. ORIGINALITY/VALUE: Results of this study capture the recommendations made by nurses during in-depth interviews conducted early in the COVID-19 pandemic.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Serviços de Saúde do Trabalhador , Estresse Psicológico/psicologia , Adulto , Esgotamento Profissional/prevenção & controle , Canadá , Comunicação , Feminino , Humanos , Entrevistas como Assunto , Liderança , Masculino , Determinação de Necessidades de Cuidados de Saúde , Política Organizacional , Pandemias , Equipamento de Proteção Individual , SARS-CoV-2 , Licença Médica , Estresse Psicológico/prevenção & controle , Estados Unidos , Carga de Trabalho
17.
Holist Nurs Pract ; 35(5): 257-263, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34407023

RESUMO

The coronavirus disease-2019 (COVID-19) epidemic is associated with impaired sleep quality in nurses for several reasons. The present study aimed to determine the effect of an online mindfulness-based stress reduction (MBSR) program on improving the sleep quality of nurses working in the COVID-19 care units. In this randomized controlled clinical trial study, all nurses in the 2 COVID-19 patient care units were randomly assigned to the control and intervention groups. The MBSR program was implemented online for 7 weeks for the intervention group by a trainer. The Pittsburgh Sleep Quality Index (PSQI) was completed online by the participants in both groups before and after the intervention. The results of the data analysis indicated that the intervention improved the scores of subjective sleep quality, sleep latency, and sleep efficiency in the intervention group. In the control group, there was a significant increase in the scores of subjective sleep quality, daily performance, and the total index score in the posttest. Besides, there was a significant difference between the 2 groups in only 2 components of sleep latency and subjective sleep quality. The MBSR program can be an effective intervention to improve the sleep quality of nurses working in COVID-19 intensive care units who are at risk of sleep quality disorders in stressful situations.


Assuntos
COVID-19/enfermagem , Intervenção Baseada em Internet , Atenção Plena , Recursos Humanos de Enfermagem no Hospital/psicologia , Avaliação de Programas e Projetos de Saúde , Sono , Estresse Psicológico/prevenção & controle , Adulto , Feminino , Humanos , Irã (Geográfico) , Masculino , Meditação , SARS-CoV-2 , Latência do Sono
18.
J Nurs Adm ; 51(7-8): 379-388, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34405977

RESUMO

OBJECTIVE: Researchers examined associations between Index for Professional Nursing Governance (IPNG) types and outcomes. BACKGROUND: Effects of professional nursing governance on nurse-related outcomes by Magnet® status are not well studied. METHODS: Associations were evaluated between average IPNG scores from 2170 RNs, and nurse-sensitive indicators (NSIs) as well as patient and RN satisfaction outcomes (N = 205 study units; 20 hospitals), following Magnet requirements. RESULTS: Magnet hospitals had significantly better IPNG shared governance scores than non-Magnet hospitals (Magnet, 106.7; non-Magnet, 101.3). For Magnet hospitals, units scoring as shared governance outperformed traditional governance for 9 of 19 outcomes (47.4%) (NSI, 2; patient satisfaction, 3; RN satisfaction, 4). Self-governance outperformed shared governance for 8 of 15 outcomes (53.3%) (NSI, 2; patient satisfaction, 6; RN satisfaction, 0). For non-Magnet hospitals, shared governance significantly outperformed traditional governance for 1 of 15 outcomes (6.7%) (patient satisfaction). CONCLUSIONS: Having shared or self-governance is a strategy that can be considered by nurse leaders to improve select nurse-related outcomes.


Assuntos
Satisfação no Emprego , Liderança , Recursos Humanos de Enfermagem no Hospital/organização & administração , Admissão e Escalonamento de Pessoal/organização & administração , Indicadores de Qualidade em Assistência à Saúde , Atitude do Pessoal de Saúde , Administração Hospitalar , Humanos , Recursos Humanos de Enfermagem no Hospital/psicologia , Satisfação Pessoal , Qualidade da Assistência à Saúde , Estados Unidos
19.
J Nurs Adm ; 51(7-8): 401-408, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34405979

RESUMO

OBJECTIVE: The aim of this study was to reduce the turnover of new RNs (NRNs) completing a 1-year nurse residency program. BACKGROUND: Businesses use touchpoints to retain both internal and external customers, yet no evidence was found in retaining NRNs. Touchpoints, distinct points in the company-customer experience, play a vital role in the customer's experience with the company. Employees are one of a company's many customer types. METHODS: This quality-improvement project implemented touchpoints to improve NRN retention rates. RESULTS: Retention rates and job-satisfaction scores were significantly higher among the touchpoint-intervention cohort compared with the nonintervention cohort. Implementation costs were far less than those associated with NRN turnover. CONCLUSIONS: Touchpoints are a practical management approach for NRN retention.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Reorganização de Recursos Humanos/estatística & dados numéricos , Humanos
20.
Br J Nurs ; 30(15): 920-927, 2021 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-34379473

RESUMO

BACKGROUND: Nurses are in a prime position to identify sepsis early by screening patients for sepsis, a skill that should be embedded into their daily practice. However, compliance with the sepsis bundle remains low. AIMS: To explore the effects of sepsis training on knowledge, skills and attitude among ward-based nurses. METHODS: Registered nurses from 16 acute surgical and medical wards were invited to anonymously complete a questionnaire. FINDINGS: Response rate was 39% (98/250). Nurses with sepsis training had better knowledge of the National Early Warning Score 2 for sepsis screening, and the systemic inflammatory response syndrome (SIRS) criteria, demonstrated a more positive attitude towards sepsis screening and management, were more confident in screening patients for sepsis and more likely to have screened a patient for sepsis. CONCLUSIONS: Sepsis training improves nurses' attitudes, knowledge and confidence with regards to sepsis screening and management, resulting in adherence to evidence-based care, and should become mandatory for all clinical staff.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Recursos Humanos de Enfermagem no Hospital , Sepse , Humanos , Capacitação em Serviço , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Sepse/enfermagem , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...