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1.
Hu Li Za Zhi ; 66(4): 79-86, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31342504

RESUMO

Influenza vaccinations may decrease the risk of contracting influenza and its complications significantly in pregnant women and effectively help infants less than six months of age avoid hospitalization. Based on scientific evidence supporting the safety and benefits of the influenza vaccination for pregnant women and fetuses, the epidemic prevention policy of both the World Health Organization and Taiwan's Ministry of Health and Welfare recommend that pregnant women receive the influenza vaccination. However, low acceptance of the influenza vaccine among pregnant women is an ongoing concern in Taiwan. Nursing staffs play a key role in implementing the influenza vaccination program for pregnant women. Therefore, strengthening the professional competency and service effectiveness of nursing staffs may be expected to significantly improve the vaccination coverage rate. This article offers practical methods for achieving this, including promoting nursing staffs' professional knowledge and positive attitudes regarding influenza vaccinations for pregnant women, improving nursing staffs' related education and skills in communication with pregnant women and their families, and improving the implementation of the notification mechanism for disseminating accurate information regarding the vaccine and vaccine adverse events. Our ultimate goal is to enhance the confidence and willingness of pregnant women with regard to receiving influenza vaccinations in order to promote the health of mothers and their fetuses.


Assuntos
Adaptação Psicológica , Vacinas contra Influenza/administração & dosagem , Influenza Humana/prevenção & controle , Recursos Humanos de Enfermagem/psicologia , Complicações Infecciosas na Gravidez/prevenção & controle , Gestantes/psicologia , Feminino , Humanos , Lactente , Pesquisa em Avaliação de Enfermagem , Gravidez , Taiwan
2.
Soins Gerontol ; 24(137): 27-28, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31084805

RESUMO

The objective of the GER-e-TEC™ project is to provide a personalised medical follow-up of residents in nursing homes with the aid of a telemedicine intelligent platform. It will assist the nursing staff by automatically processing information obtained from sensors and questionnaires in order to give an early warning about high-risk situations. This telemedicine tool will enable health professionals to optimise residents' care.


Assuntos
Geriatria , Casas de Saúde , Telemedicina , Idoso , Humanos , Recursos Humanos de Enfermagem , Medição de Risco/métodos , Inquéritos e Questionários
3.
BMC Health Serv Res ; 19(1): 332, 2019 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-31126277

RESUMO

BACKGROUND: Deficits in general and specialized on-site medical care are a common problem in nursing homes and can lead to unnecessary, costly and burdensome hospitalizations for residents. Reasons for this are often organizational obstacles (such as lack of infrastructure or communication channels) and unfavorable compensation structures, which impede the implementation of adequate medical care. The purpose of this study is to evaluate a complex intervention aiming to improve the coordination of medical care in long-term care nursing homes in Germany. The project aims to optimize the collaboration of nurses and physicians in order to reduce avoidable hospital admissions and ambulance transportations. METHODS/DESIGN: In a prospective controlled trial, nursing home residents receiving a complex on-site intervention are compared to residents receiving care/treatment as usual. The study will include a total of around 4000 residents in approximately 80 nursing homes split equally between the intervention group and the control group. Recruitment will take place in all administrative districts of Baden-Wuerttemberg, Germany. The control group focuses on the administrative district of Tuebingen. The intervention includes on-site visits by physicians joined by nursing staff, the formation of teams of physicians, a computerized documentation system (CoCare Cockpit), joint trainings and audits, the introduction of structured treatment paths and after-hours availability of medical care. The project evaluation will be comprised of both a formative process evaluation and a summative evaluation. DISCUSSION: This study will provide evidence regarding the efficacy of a complex intervention to positively influence the quality of medical care and supply efficiency as well as provide cost-saving effects. Its feasibility will be evaluated in a controlled inter-regional design. TRIAL REGISTRATION: WHO UTN: U1111-1196-6611 ; DRKS-ID: DRKS00012703 (Date of Registration in DRKS: 2017/08/23).


Assuntos
Assistência de Longa Duração/normas , Casas de Saúde/normas , Melhoria de Qualidade , Adulto , Idoso , Coleta de Dados/métodos , Alemanha , Pesquisa sobre Serviços de Saúde , Instituição de Longa Permanência para Idosos/normas , Humanos , Capacitação em Serviço , Corpo Clínico/educação , Recursos Humanos de Enfermagem/educação , Estudos Prospectivos
4.
Washington, D.C.; OPS; 2019-05-10.
em Inglês, Espanhol, Português | PAHO-IRIS | ID: phr-50956

RESUMO

[Resumen Ejecutivo]. Este documento presenta orientaciones estratégicas para el avance y el fortalecimiento de la enfermería en los sistemas y servicios de salud de acuerdo con las siguientes líneas de acción: 1. Fortalecer y consolidar el liderazgo y la gestión estratégica de la enfermería en el contexto de los sistemas de salud y en la formulación y monitoreo de políticas. 2. Abordar las condiciones de trabajo y las capacidades de los enfermeros y enfermeras para expandir el acceso y la cobertura con equidad y calidad, a fin de promover un modelo de atención centrado en las personas, la familia y las comunidades y el fortalecimiento tanto del primer nivel de atención como de las redes integradas de servicios de salud. 3. Fortalecer la calidad de la educación en enfermería para responder las necesidades de los sistemas de salud orientados al acceso universal a la salud y la cobertura universal de salud y los ODS.


[Resumo Executivo]. Este documento apresenta orientações estratégicas para o avanço e fortalecimento da enfermagem nos sistemas e serviços de saúde, de acordo com as seguintes linhas de ação: 1. Fortalecer e consolidar a liderança e a gestão estratégica da enfermagem no contexto dos sistemas de saúde e na formulação e monitoramento de políticas. 2. Abordar as condições de trabalho e as capacidades dos profissionais de enfermagem de modo a ampliar o acesso e a cobertura com equidade e qualidade, a fim de promover um modelo de atenção centrado na pessoa, na família e na comunidade e fortalecer tanto o primeiro nível de atenção como as redes integradas de serviços de saúde. 3. Fortalecer a qualidade da educação em enfermagem para responder às necessidades dos sistemas de saúde voltados ao acesso universal à saúde, à cobertura universal de saúde e aos ODS.


[Executive Summary[. This document provides strategic guidance for the advancement and strengthening of nursing in health systems and services, along the following lines of action: 1. Strengthening and consolidating leadership and strategic management of nursing in the context of health systems and in policy-making and monitoring. 2. Addressing the working conditions and capacities of nurses to expand access and coverage with equity and quality, in order to promote a people-, family-, and community-centered model of care and strengthen both the primary level of care and integrated health services networks. 3. Improving the quality of nursing education to respond to the needs of health systems focused on universal access to health, universal health coverage, and the SDGs.


Assuntos
Serviços de Enfermagem , Cuidados de Enfermagem , Enfermagem em Saúde Pública , Américas , Planejamento Estratégico , Recursos Humanos , Recursos Humanos de Enfermagem , Recursos Humanos , Planejamento Estratégico , Enfermagem em Saúde Pública , Recursos Humanos de Enfermagem
5.
Rev Bras Enferm ; 72(2): 408-413, 2019 Mar-Apr.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31017203

RESUMO

OBJECTIVE: construct and validate a tool to identify the factors that influence interpersonal relations and the health of nursing workers in a University Hospital in the South of Brazil. METHOD: methodological study, in nine steps. The face validation was carried out, with the participation of five experts, professor nurses doctors in Nursing, content with 26 nurses, stricto sensu Nursing Postgraduate students, and the validation of the construct was performed through a quantitative approach with 213 nursing workers. We used the exploratory factorial analysis and the Cronbach's Alpha in the validation of the construct. RESULTS: the tool consisted of 29 questions and six constructs were identified. The Cronbach's Alpha value.879 showed satisfactory internal consistency. CONCLUSION: the tool was valid and reliable for use in the assessment of interpersonal relations among nursing workers in Brazilian University Hospitals.


Assuntos
Relações Interpessoais , Recursos Humanos de Enfermagem/psicologia , Equipe de Assistência ao Paciente/normas , Psicometria/normas , Brasil , Humanos , Recursos Humanos de Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem/tendências , Equipe de Assistência ao Paciente/tendências , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Estudos de Validação como Assunto
6.
San Salvador; s.n; abr. 2019. 66 p. graf, tab.
Tese em Espanhol | LILACS | ID: biblio-1007217

RESUMO

OBJETIVO: Determinar los estresores laborales presentes en el personal de enfermería de los servicios de hospitalización de medicina interna, cirugía hombres y cirugía mujeres del Hospital Nacional Zacamil "Dr. Juan José Fernández", municipio de Mejicanos, El Salvador. Marzo, 2019. DISEÑO metodológico: Estudio descriptivo, corte transversal. Población 36 profesionales de enfermería de medicina interna, cirugía mujeres y hombres, del Hospital Nacional Zacamil. Para la recolección de datos se utilizó la versión española del instrumento "The Nursing Stress Scale" (NSS), que valora siete factores físicos, el ambiente psicológico y dos relacionados con el ambiente social en el hospital a través de la entrevista a cada participante. El procesamiento de la información se hizo en Excel 2013, se utilizaron pruebas estadísticas de correlación para asociar el estrés y los datos sociolaborales. RESULTADOS: La mayoría del personal fue del género femenino, entre 31 y 40 años de edad, en las áreas hospitalarias, predominando los que tienen de 1 a 10 años de trabajar y en su mayoría personal técnico. 52,8% de la población refirió que la muerte de un paciente frecuentemente le generaba estrés, con un 55,6% dijo que no tener tiempo para apoyo emocional [frecuentemente les generaba estrés, el 52,8% mencionó que frecuentemente le genera estrés cuando el medico no está presente y el paciente se está muriendo. Los estresores laborales no estuvieron relacionados de forma significativa con los datos sociolaborales como la antigüedad laboral ni el servicio al que pertenecían los colaboradores (p >0.05) CONCLUSIONES: de los 36 profesionales la mayoría frecuentemente en los factores muerte y sufrimiento, carga laboral hubo estrés, mientras que en otros factores alguna vez, Los estresores no estuvieron correlación con los datos socio laborales de los trabajadores


Assuntos
Humanos , Esgotamento Profissional , Estresse Ocupacional , Medicina Interna , Acontecimentos que Mudam a Vida , Recursos Humanos de Enfermagem , Saúde Pública , Epidemiologia Descritiva , Estudos Transversais
7.
San Salvador; s.n; abr. 2019. 55 p. ilus, tab, graf.
Tese em Espanhol | LILACS | ID: biblio-1007237

RESUMO

OBJETIVO: Caracterizar la incidencia del ausentismo laboral en el personal de enfermería del Hospital Nacional San Pedro de Usulután, Departamento de El Salvador. 2018. METODOLOGÍA: El estudio fue tipo descriptivo de corte transversal, con un universo de 156 recursos de enfermería que a su vez constituyeron la muestra, se realizó un instrumento para la recolección de la información. RESULTADOS: Se encontró que predomina más el sexo femenino con edades entre 40 a 49 años, con cargo de Enfermeras Hospitalarias enfermería, y con historia de antigüedad laboral entre 30 a 40 años de trabajo, además el área dónde mayor recurso de Enfermería se encuentra asignado en áreas como Emergencia, Centro Quirúrgico, y ginecología , las causas de ausentismo fueron presentadas por incapacidades en su mayoría siendo esta una causa legal, los permisos personales y enfermedad común certificadas y no certificadas, permiso por enfermedad de pariente que demuestra un índice alto de ausentismo del personal de enfermería. CONCLUSIONES: Al finalizar el presente estudio se concluye que el problema del ausentismo se da mayormente en personal femenino con funciones de enfermeras hospitalarias entre edades de 30 a 40 o más años, y la causa más frecuente por la que no asisten a cumplir con sus funciones es por incapacidades medicas certificadas o legales


Assuntos
Humanos , Saúde do Trabalhador , Absenteísmo , Recursos Humanos de Enfermagem , Saúde Pública , Epidemiologia Descritiva , Estudos Transversais
8.
Rev. enferm. Inst. Mex. Seguro Soc ; 27(2): 73-79, Abr-Jun 2019.
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1015112

RESUMO

Introducción: según la incidencia que presenta el indicador Prevención de infecciones de vías urinarias, 80% de estas son ocasionadas en las unidades de salud por el uso de una sonda vesical. Con la finalidad de disminuir este problema, se implementó el indicador de calidad de los servicios de enfermería. Objetivo: identificar el cumplimiento de los criterios del indicador Prevención de infecciones de vías urinarias en pacientes con sonda vesical instalada en una unidad de tercer nivel. Métodos: estudio observacional, descriptivo, prospectivo, transversal del tipo sistemas de salud, en el que participaron 74 pacientes, en el periodo de septiembre a octubre del 2017, con un muestreo por conveniencia mediante observación al personal de enfermería que atiende pacientes con sonda vesical instalada durante el periodo de recolección de datos en los turnos matutino y vespertino, con el formato de sistema INDICAS (F1-PIVUPSVI/12). Se hizo el análisis mediante estadística descriptiva. Resultados: en relación con el nivel del cumplimiento del indicador Prevención de infecciones de vías urinarias en pacientes con sonda vesical instalada, este arrojó un 89.1% en rojo (66), equivalente a 70% o menos, y 18.9% en amarillo (8), que equivale al nivel del cumplimiento en un rango que va de 71 a 90%. Conclusiones: de acuerdo con datos estadísticos, se encuentra el indicador en rojo, con base en el sistema INDICAS de la Secretaría de Salud.


Introduction: According to the incidence showed by the Prevention of urinary tract infections in patients with a bladder catheter indicator, 80% of these infections is caused by the use of a bladder catheter. In order to reduce this problem, it was implemented the nursing service quality indicator. Objective: To identify compliance with the criteria of the indicator Prevention of urinary tract infections in patients with a bladder catheter in a third level unit. Methods: Observational, descriptive, prospective, cross-sectional, health systems sort of study, which included 74 patients from September to October of 2017, with a convenience sample by observation to the nursing staff that takes care of patients with bladder catheter installed during the period of data collection in the morning and afternoon shifts with INDICAS system format (F1-PIVUPSVI/12). Analysis was performed with descriptive statistics. Results: The level of compliance with the Prevention of urinary tract infections in patients with a bladder catheter indicator resulted in 89.1% in red (66), equivalent to 70% or less, and 18.9% in yellow (8), equivalent to a level of compliance ranging from 71 to 90%. Conclusions: According to statistical data, the indicator is in red, based on the Secretaría de Salud (Health Secretary) INDICAS system.


Assuntos
Humanos , Serviços Preventivos de Saúde , Infecções Urinárias , Administração Intravesical , Infecção Hospitalar , Epidemiologia Descritiva , Estudos Transversais , Coleta de Dados , Estudos Prospectivos , Indicadores Básicos de Saúde , Sonda , Governo Federal , Prevenção Secundária , Estudo Observacional , Hospitais Especializados , Recursos Humanos de Enfermagem , México
9.
Rev. enferm. Inst. Mex. Seguro Soc ; 27(2): 80-88, Abr-Jun 2019. tab
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1015227

RESUMO

Introducción: el personal de enfermería es esencial para la atención oportuna en el programa Código Infarto. La evaluación por competencias es la clave para garantizar la calidad de los servicios de salud. Objetivo: evaluar las dimensiones de la competencia clínica del personal de enfermería para el protocolo de Código Infarto en una unidad de tercer nivel de atención. Métodos: estudio descriptivo transversal, en el que se incluyeron 80 miembros del personal de enfermería de los servicios de Admisión y Hemodinamia. Se diseñó y validó un instrumento de 48 ítems mediante ronda de expertos 3/3; para determinar el nivel de competencia clínica, se utilizó la teoría de Patricia Benner. Resultados: el nivel de competencia clínica fue competente en 38.8%. En las dimensiones, el área de conocimiento obtuvo 83.4%, habilidad 86.7% y actitud 87.2%. Se asoció el nivel de competencia con capacitación, grado académico y categoría (p < 0.001). Conclusiones: se identificaron áreas de oportunidad respecto a la dimensión de conocimiento, lo cual permite redireccionar los procesos educativos dirigidos al personal de enfermería.


Introduction: Nursing staff is essential in providing timely care in Código Infarto (Infarction Code) program. Competency assessment is the key to guarantee the quality of health services. Objective: To assess the clinical competence of Código Infarto nursing staff in a third-level unit. Methods: Cross-sectional analytical study, which included 80 members of the nursing staff of Admission and Cardiac Care; a 48-item instrument was designed and validated by experts in three rounds; Patricia Benner's theory was used to determine the level of clinical competence. Results: The level of clinical competence was competent (38.8%). In the dimensions, the area of knowledge obtained 83.4%, ability 86.7%, and attitude 87.2%. The level of competence was associated with training, academic degree and category (p < 0.001). Conclusions: Opportunity areas regarding knowledge were identified, which allows redirecting the educational processes addressed to the nursing staff.


Assuntos
Humanos , Avaliação de Processos e Resultados (Cuidados de Saúde) , Epidemiologia Descritiva , Estudos Transversais , Enfermagem , Competência Clínica , Equipe de Respostas Rápidas de Hospitais , Serviços de Saúde , Hospitais Especializados , Infarto , Recursos Humanos de Enfermagem , México
10.
Rev. enferm. Inst. Mex. Seguro Soc ; 27(2): 89-96, Abr-Jun 2019. tab
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1015232

RESUMO

Introducción: las relaciones interpersonales tienen gran variedad de contextos. La familia y el trabajo son la base de los grupos sociales y de la sociedad en su conjunto. Objetivo: describir las dimensiones de la relación interpersonal del profesional de enfermería en una unidad de segundo nivel. Métodos: estudio transversal analítico, en el que se incluyeron 75 profesionales de enfermería. Se elaboró un instrumento validado por ronda de expertos, con alfa de Cronbach de 0.960, el cual estuvo conformado por tres dimensiones (comunicación, trabajo en equipo y manejo de conflictos) y tuvo un total de 53 ítems, elaborados con la técnica de Likert. Se utilizó estadística descriptiva y pruebas no paramétricas. Resultados: las relaciones interpersonales fueron regulares (54.7%). Al hacer las correlaciones de comunicación, trabajo en equipo y manejo de conflictos se encontró una p < 0.005. Conclusiones: el nivel regular de las relaciones interpersonales en el profesional de enfermería ofrece un área de oportunidad para mejorarlas.


Introduction: Interpersonal relationships have a great variety of contexts. Family and work are the bases of social groups and society as a whole. Objective: To describe the dimensions of the interpersonal relationship of the nursing professional in a second level unit. Methods: Analytical cross-sectional study including 75 nursing professional. An instrument validated by an expert round, with Cronbach's alpha of 0.960, was elaborated. This instrument was formed by three dimensions communication, teamwork and conflicto management) with a total of 53 items, made with a Likert scale. Descriptive statistics and nonparametric tests were used. Results: Interpersonal relationships were regular (54.7%). Once the correlations of communication, teamwork and conflict management were made, a significance of p < 0.005 was found. Conclusions: Interpersonal relationships were at a regular level, suggesting windows of opportunity to improve interpersonal relationships in nursing.


Assuntos
Humanos , Ambiente de Trabalho , Epidemiologia Descritiva , Estudos Transversais , Comunicação , Conflito (Psicologia) , Hospitais Gerais , Hospitais Públicos , Relações Interpessoais , Recursos Humanos de Enfermagem , México
11.
J Clin Nurs ; 28(15-16): 2760-2768, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31001864

RESUMO

AIMS AND OBJECTIVES: To explore and describe how daily work at a nursing home had been influenced by a quality improvement project, from the perspective of direct care staff. BACKGROUND: Deficiencies in nursing home care are widely reported, often with a focus on lack of competence among direct care staff. The present trend in quality development in nursing homes brings direct care staff's perspectives into focus through participatory action research approaches. Still, little is known about how staff experience the impact of such projects on their everyday work. DESIGN: The study was designed as an interpretive descriptive study, based on interviews with nursing home staff. The methods were conducted in accordance with the SRQR guidelines. RESULTS: The analysis revealed that the participants reasoned on whether the improvement project contributed to their possibilities perform their work at the unit for the benefit of the residents. This was strongly connected to their professional pride. The participants reflected on this through three changes generated by the project: (a) participating in project activities-supporting or threatening daily work at the unit, (b) from performing individual duties towards a shared responsibility and (c) confirming and strengthening competence that brings the everyday situation of residents into focus. CONCLUSION: The importance of professional pride identified in this study points towards a need for reducing barriers for direct care staff to express and develop competences they regard as part of their professional identity. The findings also shed some light on competence that brings the everyday situation of residents into focus as a driving force behind lack of compliance and resistance to change. RELEVANCE TO CLINICAL PRACTICE: The findings indicate a call for quality development designs to reduce barriers for care staff to express and develop knowledge that they regard as part of their professional identity.


Assuntos
Atitude do Pessoal de Saúde , Instituição de Longa Permanência para Idosos/normas , Casas de Saúde/normas , Recursos Humanos de Enfermagem/psicologia , Competência Clínica , Humanos , Pesquisa Qualitativa , Melhoria de Qualidade
12.
J Korean Acad Nurs ; 49(1): 1-13, 2019 Feb.
Artigo em Coreano | MEDLINE | ID: mdl-30837438

RESUMO

PURPOSE: The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D). METHODS: Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency. RESULTS: The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p<.001). Cronbach's alpha for the total scale was .88. CONCLUSION: The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.


Assuntos
Demência/enfermagem , Recursos Humanos de Enfermagem/psicologia , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Adulto , Comunicação , Inteligência Emocional , Feminino , Grupos Focais , Humanos , Relações Interpessoais , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Inquéritos e Questionários
13.
San Salvador; s.n; mar. 2019. 75 p. graf, tab.
Tese em Espanhol | LILACS | ID: biblio-1007145

RESUMO

OBJETIVO: Evaluar la Calidad de notas de Enfermería elaboradas por el personal de pediatría del Hospital Nacional Zacamil Dr. Juan José Fernández, municipio de Mejicanos, San Salvador, El Salvador, en el período de Octubre 2018 ­ febrero, 2019. DISEÑO: Estudio descriptivo de corte transversal con un universo de 54 expedientes clínicos de pacientes pediátricos hospitalizados en el servicio de pediatría del hospital nacional Zacamil Dr. Juan José Fernández., Se realizó evaluación de de 3 notas de enfermería por recurso que labora en el servicio, 18 enfermeras y auxiliares la recolección de datos, llenado y tabulado, fueron realizados por el investigador con el programa Excel en el mes de Octubre 2018 ­ febrero, 2019. RESULTADOS: Predominan el personal de 40 a más años, femenino, en su mayoría auxiliares 56%, 83% más de 10 años de laborar, destaca uso de color de tinta acorde al horario en un 100%, en relación a la firma en la nota, se destaca un 20.37% con manchones, 20% uso de firma según DUI, en un 35.19% no se registra nombre completo solamente apellido, en un 61% no están actualizados los sellos que los profesionales deben utilizar. UN 65% con uso adecuado de abreviaturas. Un 48.2% de las notas tenían tachaduras. Únicamente el 17% de las notas, contiene los signos vitales de inicio del proceso. El 100% de las notas no contienen el diagnóstico de enfermería y un 83% no de las notas no contiene registrados los procedimientos realizados. CONCLUSIONES: Socio laboralmente el personal de enfermería del Hospital Nacional Zacamil, se encuentra en edades de 40- 49 años de edad, con predominio de personal técnico, con una antigüedad laboral de más 16 años del ejercicio de la profesión de enfermería, se evidenció que el personal no cumple en su totalidad con los componentes. En relación a los niveles de calidad conforme los catorce criterios evaluados, predominó la categoría de deficientes, no reflejando los lineamientos establecidos por la Junta de Vigilancia de la Profesión de Enfermería y el Ministerio de Salud


Assuntos
Humanos , Enfermagem Pediátrica , Registros de Enfermagem , Enfermagem , Avaliação de Recursos Humanos em Saúde , Auditoria de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Registros Médicos , Saúde Pública , Epidemiologia Descritiva , Estudos Transversais , Recursos Humanos de Enfermagem
14.
San Salvador; s.n; Maestría; mar. 2019. 79 p. ilus, tab, graf.
Tese em Espanhol | LILACS | ID: biblio-1015346

RESUMO

Objetivo. Determinar el estilo de vida y enfermedades crónicas en personal de enfermería del Hospital Nacional General de Neumología y Medicina Familiar Dr. José Antonio Saldaña, San Salvador, El Salvador. Enero 2019. Metodología: El estudio fue realizado en el Hospital Saldaña, de los Planes de Renderos del Municipio de San Salvador, El Salvador a 106 recursos de enfermería, en la búsqueda de variables estilo de vida y enfermedades crónicas , por lo que utilizó un cuestionario para recolección de la información, que refleja característica sociodemográficas, antecedentes patológico, prácticas física y alimentarias del personal de enfermería dicha recolección ,tabulación y análisis de la información fue realizada por investigadora en el mes de Enero 2019. Resultados: De los 106 recursos de enfermería se demostró que 60% de los profesionales padecen una o dos enfermedades crónicas no trasmisibles y que el 40% restante tiene un riesgo elevado del desarrollo, además se evidenció que el 55% del mismo solo realiza actividades de tipo laboral durante la semana y que sus hábitos alimenticios poco saludables a pesar refirieron consumir raciones adecuadas de su dieta diaria. Conclusiones: En su mayoría el personal de enfermería es sedentario, con prácticas alimentarias poco saludables y con riesgo elevado de padecer una o más enfermedades crónicas no transmisibles


Assuntos
Humanos , Comportamento Alimentar , Doenças não Transmissíveis , Estilo de Vida , Recursos Humanos de Enfermagem , Saúde Pública , Epidemiologia Descritiva , Estudos Transversais
15.
Geriatr Nurs ; 40(2): 225-227, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30879705

RESUMO

The Assisted Living (AL) nurse competencies article identifies the application of Benner's theoretical framework (novice to expert) and a sample structure for several key domains of nursing practice knowledge from the AL Nursing: A Manual for Management and Practice. On behalf of the American Assisted Living Nurse Association (AALNA), the co-authors seek feedback on the proposed structure for identifying important nurse competencies for the Assisted Living nurse community/facility leader.


Assuntos
Moradias Assistidas , Competência Clínica/normas , Modelos de Enfermagem , Recursos Humanos de Enfermagem/organização & administração , Humanos , Desenvolvimento de Pessoal/organização & administração
16.
Nurse Educ Today ; 76: 8-20, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30739877

RESUMO

BACKGROUND: New graduate nurses undertaking transition to practice encounter enormous challenges in their first year, and this is expounded in rural and remote locations. In rural and remote settings where geographical isolation and inadequate resources impact health care delivery, there is a perceived shortage of support systems to assist new graduate nurses to transition smoothly, with reported negative effects for all staff and on recruitment and retention. OBJECTIVES: To investigate what transition support was reported for new graduate nurses to function effectively in rural and remote settings. DESIGN: A study protocol was developed using principles for scoping reviews that have been developed over the past fifteen years. DATA SOURCES: CINAHL, Medline, Proquest, Embase, Informit, PubMed, and Science Direct were systematically searched according to a predetermined search strategy. REVIEW METHODS: Search terms included New Graduate AND Rural OR Remote AND Education. Studies were selected according to an inclusion and exclusion criteria. Three reviewers were involved in independent screening of articles. The degree of agreement for an article to be included was based on a Kappa score calculation for inter-rater reliability. RESULTS: Of the 662 articles searched, 13 met the inclusion criteria and their findings synthesised to form this review. Three overarching themes (and a number of subthemes) were identified within the context of rural and remote nursing workforce development, and included: new graduates' support needs, multifaceted support strategies and recruitment and retention strategies. CONCLUSIONS: Challenges faced by new graduate nurses when transitioning to practice are exacerbated in most rural and remote settings due to resourcing, lack of structured support programs, lack of training for support staff to mentor and give feedback and this impacts on recruitment and retention as well. Structured, well supported transition programs that provide flexible support are urgently required in these settings.


Assuntos
Capacitação em Serviço/normas , Serviços de Saúde Rural , Atitude do Pessoal de Saúde , Bacharelado em Enfermagem , Humanos , Papel do Profissional de Enfermagem , Pesquisa em Educação de Enfermagem , Recursos Humanos de Enfermagem , Alocação de Recursos
17.
BMC Palliat Care ; 18(1): 20, 2019 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-30755208

RESUMO

BACKGROUND: While the importance of hospice care education in nursing homes is recognized, the volume of research on the specific educational needs of caregivers in hospice care in nursing homes is still lacking. This study aimed to assess educational needs in hospice care among the nursing home staff in South Korea, and to examine factors related to their education needs. METHODS: This is a cross-sectional descriptive study. A total of 324 nursing staff members recruited from 15 nursing homes in South Korea participated in this cross-sectional study. Measurements included demographic information, organizational characteristics, education experiences in hospice care, and educational needs in hospice care based on questionnaires developed by Whittaker and colleagues. Data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression techniques. RESULTS: In the present study, 70.6% (n = 218) of respondents reported that they had previous experience with education in hospice care and expressed their continued need for further education. The provision of care in the last days of a patient's life was the most frequent issue identified by nursing home staff for further education. Factors predicting educational needs in hospice care included provision of hospice care services in nursing homes and the existence of hospice care team meetings in the institution. Multiple regression analysis resulted in 14.3% of explained variance in the educational needs of nursing home staff in hospice care. CONCLUSIONS: Nursing home staff members showed high levels of need for training in hospice care. Therefore, it is imperative for nursing home administrators to initiate and support well-suited hospice care education for multi-level care workers on an ongoing basis.


Assuntos
Educação em Enfermagem/organização & administração , Cuidados Paliativos na Terminalidade da Vida , Recursos Humanos de Enfermagem/educação , Adulto , Idoso , Cuidadores/educação , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Casas de Saúde , República da Coreia , Adulto Jovem
18.
J Nurs Adm ; 49(3): 111-112, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30789551

RESUMO

Nurses are a natural fit for board service. They represent the biggest segment of the healthcare workforce, consistently rank as the nation's most trusted profession, and play a huge role on the frontlines of healthcare. Why, then, are so few nurses serving on boards today? This month's Magnet Perspectives column examines a nationwide effort to address this gap. We explore the benefits of board service for nurses, their hospitals, and their communities and identify opportunities for chief nursing officers (CNOs) to incorporate board work into their existing programs.


Assuntos
Conselho Diretor/organização & administração , Liderança , Enfermeiras Administradoras/organização & administração , Recursos Humanos de Enfermagem/organização & administração , Humanos , Relações Interprofissionais
19.
Rev Esp Quimioter ; 32(2): 130-136, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30727715

RESUMO

OBJECTIVE: Evaluate the efficacy of an information system addressed to nursing staff to lower the blood culture contamination rate. METHODS: A blind clinical trial was conducted at Internal Medicine and Emergency Departments during 2011. After following a reeducation program in BC extraction, participants were randomly selected in a 1:1 ratio. Every participant of the experimental group was informed of each worker's individual performance; whereas the control group was only informed of the global results. RESULTS: A total of 977 blood extractions were performed in 12 months. Blood culture contamination rate was 7.5%. This rate was higher in the Emergency Department than in Internal Medicine (10% vs. 3.8%; p=0.001). Factors associated with the higher risk of contamination were, in the univariate analysis, the extraction through a recently implanted blood route and the time of professional experience, while those associated with a lower risk were the extraction in Internal Medicine and through a butterfly needle. On multivariate analysis, extraction through a recently placed access was an independent risk factor for an increased contamination rate (OR 2.29; 95%CI 1.18-4.44, p=0.014), while individual information about the blood culture results (OR 0.11; 95%CI 0.023-0.57; p=0.008), and more than 9 years of professional experience were asso-ciated with fewer contaminations (OR 0.30; 95%CI 0.12-0.77; p=0.012). In the intervention group the contamination rate diminished by a 26 %. CONCLUSIONS: Drawing blood cultures through a recently taken peripheral venous access increased their risk of contamination. The intervention informing the nurse staff of the contamination rate is effective to decrease it.


Assuntos
Testes Hematológicos/normas , Sistemas de Informação , Recursos Humanos de Enfermagem/educação , Manejo de Espécimes/normas , Centros Médicos Acadêmicos , Adulto , Avaliação de Desempenho Profissional , Contaminação de Equipamentos , Feminino , Testes Hematológicos/instrumentação , Humanos , Masculino , Agulhas , Melhoria de Qualidade , Fatores de Risco , Dispositivos de Acesso Vascular
20.
Inquiry ; 56: 46958018825191, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30739511

RESUMO

This study examines the relationship between nursing home quality and financial performance to assess whether there is a business case for quality. Secondary data sources included the Online Survey Certification and Reporting (OSCAR), Certification and Survey Provider Enhanced Reporting (CASPER), Medicare Cost Reports, Minimum Data Set (MDS 2.0), Area Resource File (ARF), and LTCFocus for all free-standing, nongovernment nursing homes for 2000 to 2014. Data were analyzed using panel data linear regression with facility and year fixed effects. The dependent variable, financial performance, consisted of the operating margin. The independent variables comprised nursing home quality measures that capture the three dimensions of Donabedian's structure-process-outcomes framework: structure Registered Nurse (RN) hours per resident day, Licensed Practical Nurse (LPN) hours per resident day, Certified Nursing Assistant (CNA) hours per resident day, RN skill mix), process (facility-acquired restraints, facility-acquired catheters, pressure ulcer prevention, and restorative ambulation), and outcomes (facility-acquired contractures, facility-acquired pressure ulcers, hospitalizations per resident, rehospitalizations, and health deficiencies). Control variables included size, average acuity index, market competition, per capita income, and Medicare Advantage penetration rate. This study found that the operating margin was lower in nursing homes that reported higher LPN hours per resident day and higher RN skill mix (structure); higher use of catheters, lower pressure ulcer prevention, and lower restorative ambulation (process); and more residents with contractures, pressure ulcers, hospitalizations and health deficiencies (outcomes). The results suggest that there is a business case for quality, whereas nursing homes that have better processes and outcomes of care perform better financially.


Assuntos
Administração Financeira/economia , Casas de Saúde/economia , Recursos Humanos de Enfermagem/psicologia , Qualidade da Assistência à Saúde/estatística & dados numéricos , Administração Financeira/métodos , Humanos , Medicaid , Medicare , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Estados Unidos
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