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1.
PLoS One ; 15(3): e0229923, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32155182

RESUMO

AIM: The aims of this literature review were to better understand the current literature about person-centred care (PCC) and identify a clear definition of the term PCC relevant to nursing practice. METHOD/DATA SOURCES: An integrative literature review was undertaken using The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Scopus and Pubmed databases. The limitations were English language, full text articles published between 1998 and 2018 within Australian, New Zealand, Canada, USA, Europe, Ireland and UK were included. The international context off PCC is then specifically related to the Australian context. REVIEW METHODS: The review adopted a thematic analysis to categorise and summarise themes with reference to the concept of PCC. The review process also adhered to the Preferred Reporting System for Meta-Analysis (PRISMA) and applied the Critical Appraisal Skills Programme (CASP) tools to ensure the quality of the papers included for deeper analysis. RESULTS: While definitions of PCC do exist, there is no universally used definition within the nursing profession. This review has found three core themes which contribute to how PCC is understood and practiced, these are People, Practice and Power. This review uncovered a malalignment between the concept of PCC and the operationalisation of the term; this misalignment was discovered at both the practice level, and at the micro, meso and micro levels of the healthcare service. CONCLUSION: The concept of PCC is well known to nurses, yet ill-defined and operationalised into practice. PCC is potentially hindered by its apparent rhetorical nature, and further investigation of how PCC is valued and operationalised through its measurement and reported outcomes is needed. Investigation of the literature found many definitions of PCC, but no one universally accepted and used definition. Subsequently, PCC remains conceptional in nature, leading to disparity between how it is interpreted and operationalised within the healthcare system and within nursing services.


Assuntos
Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/organização & administração , Serviços de Enfermagem/organização & administração , Assistência Centrada no Paciente/normas , História do Século XX , História do Século XXI , Humanos , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Serviços de Enfermagem/história , Serviços de Enfermagem/normas , Assistência Centrada no Paciente/história , Assistência Centrada no Paciente/organização & administração
2.
Enferm. clín. (Ed. impr.) ; 30: 0-0, 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-188492

RESUMO

A nivel internacional, la enorme demanda para gestionar la pandemia del COVID-19 ha supuesto un reto tanto en la provisión de personal cómo en suministros y material sanitario. No existe precedente ni publicaciones relacionadas con la gestión y liderazgo de los servicios de enfermería en España dentro del plan de emergencia de la pandemia COVID-19. En este artículo se describe la experiencia del Hospital Clínico de Barcelona en las circunstancias extraordinarias actuales que constituyen, sin duda, una gestión enfermera de enorme magnitud y sin precedentes debido al elevado número de personas afectadas y el extraordinario riesgo del personal sanitario. Siguiendo las orientaciones nacionales e internacionales para paliar la pandemia, proteger la salud y prevenir la propagación del brote. La capacidad de trabajo en equipo, la gestión emocional y el respeto a las decisiones organizativas han hecho posible que se hayan podido afrontar los retos que la pandemia ha puesto por delante y que desde la Dirección de Enfermería se pueda liderar de forma serena y ordenada las diferentes acciones a realizar. Por último, será necesario continuar con un profundo análisis de la situación y de las acciones desarrolladas para poder identificar las áreas de mejora, así como evaluar la globalidad del proceso


At the international level, the enormous demand to manage the COVID-19 pandemic has posed a challenge both in the provision of personnel and in supplies and sanitary material. There is no precedent or publication related to the management and leadership of nursing services in Spain within the emergency plan for the COVID-19 pandemic. This article describes the experience of the Hospital Clinico de Barcelona in the current extraordinary circumstances that undoubtedly constitute a nursing management of enormous magnitude and unprecedented due to the high number of people affected and the extraordinary risk of healthcare personnel. Following national and international guidelines to alleviate the pandemic, protect health and prevent the spread of the outbreak. The ability to work as a team, emotional management and respect for organizational decisions have made it possible to face the challenges that the pandemic has put in place and that the Nursing Department can lead in a calm and orderly manner the different actions to perform. Lastly, it will be necessary to continue with an in-depth analysis of the situation and of the actions carried out in order to identify the areas for improvement as well as to evaluate the overall nature of the process


Assuntos
Humanos , Planos de Emergência , Liderança , Serviços de Enfermagem/organização & administração , Infecções por Coronavirus/enfermagem , Cuidados de Enfermagem/organização & administração , Unidades de Terapia Intensiva/organização & administração , Equipe de Enfermagem/organização & administração , Pandemias , Espanha , Cuidados de Enfermagem/normas , Administração Hospitalar , Papel do Profissional de Enfermagem , Comitê de Profissionais/organização & administração
4.
Metas enferm ; 22(2): 56-61, mar. 2019.
Artigo em Espanhol | IBECS | ID: ibc-183519

RESUMO

El tema de la innovación es uno de los aspectos recurrentes en el mundo actual y, en consecuencia, de enorme interés en el ámbito de la atención sanitaria y quizás, muy especialmente, en el de los cuidados enfermeros. Basta ver cualquier periódico profesional o sanitario en los que se encuentran multitud de noticias genéricas o específicas sobre este tema y sus implicaciones en la gestión o los resultados, o simplemente en la reputación de una determinada organización. También aparece frecuentemente en los medios de difusión general, si bien ligada más con la actividad médica u organizativa. Como toda palabra de moda, produce un cierto temor a su mal uso o banalización, cosa que ocurre a menudo. Así pues, se presenta una reflexión sobre su significado, su realidad y sus consecuencias para la gestión enfermera


The topic of innovation is one of the recurring aspects in the world today, and consequently it causes a huge interest in the healthcare setting and maybe particularly in the nursing care setting. In any professional or healthcare newspaper, there are plenty of general or specific news about this matter and its consequences in management or results, or simply in the reputation of a specific organization. It also appears frequently in the general media, but in this case more linked to medical or organizational activities. Just like any trendy word, it causes some fear in terms of its incorrect use or trivialization, which will frequently happen. Therefore, we present here some reflections on its meaning, its reality, and its consequences for nursing management


Assuntos
Humanos , Inovação Organizacional , Gestão em Saúde , Serviços de Enfermagem/organização & administração , Cuidados de Enfermagem/organização & administração , Autonomia Profissional
5.
Issues Ment Health Nurs ; 40(1): 28-32, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30388928

RESUMO

BACKGROUND: In Portugal's capital, Lisbon, there are 19 public showers (PS) attended by a vulnerable population. AIM: To describe the assessment and interventions performed during nursing consultations. METHOD: This is a quantitative, observational, and cross-sectional study. FINDINGS: In a convenience sample of 77 users, 52% are females, 43% are single, 52% do not possess any economic resources, 87% have mental health issues, and 32% are homeless. The main nursing focuses found were: arterial hypertension, disease management skills, and emotional suffering. The most used nursing intervention is listening, followed by the expression of feelings, valuing the individual and his/her story, analyzing causes, providing support, and comforting. CONCLUSIONS: This study shows that the main focus of the nursing care in these facilities is the human being. The respect for individuality and dignity was the primary concern, in an attempt to empower the individual to better manage his/her health and illness processes.


Assuntos
Banhos , Enfermagem em Saúde Comunitária/organização & administração , Serviços de Enfermagem/organização & administração , Logradouros Públicos , Populações Vulneráveis , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Portugal , Fatores Socioeconômicos , Adulto Jovem
6.
Med Humanit ; 45(3): 267-277, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30012840

RESUMO

For over 20 years, the notion of 'management of care' has been foregrounded as key in the jurisdiction of the nursing profession, with the aim of detaching itself from the wider medical umbrella. A number of voices have advocated such centrality. These include juridical, academic and occupational perspectives. Critical stances, although peripheral, have also been voiced. These have been received, at best, with a 'polite silence' in mainstream circles.By looking at the arguments surrounding the 'management of care' circulated in these two decades, this article reports the various forms of discursive practice that participate in the political process of autonomy building. Particularly, we focus on the validity of the arguments as well as the cohesion across arguments within the knowledge system. In doing so, we evaluate its main premises and foundations, the reach of the conceptualisation and its disjointed, differing and incomplete bases. Similarly, we used an inferential technique for the reconstruction of omitted and unexpressed assertions.The article introduces an approach of the humanities that is seldom seen in healthcare. It also proposes a research agenda in regard to management of care for the upcoming decades.


Assuntos
Assistência à Saúde/tendências , Ciências Humanas , Serviços de Enfermagem/tendências , Gestão da Saúde da População , Chile , Assistência à Saúde/organização & administração , História do Século XX , História do Século XXI , Humanos , Serviços de Enfermagem/organização & administração
8.
BMC Health Serv Res ; 20(1): 3, 2019 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-31892335

RESUMO

BACKGROUND: Clinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offer practical solutions for accreditation of clinical nursing services. METHODS: The present study was conducted using Delphi method with two rounds. At the beginning of the study a questionnaire was prepared using results of another project (clinical nursing services audit). This questionnaire was sent to 47 nursing and accreditation professionals. After the first round, causes and solutions were categorized. Then participants were asked to comment on the significance of each strategy on the prepared questionnaire. RESULTS: In the first round of Delphi in response to the question about the main causes and solutions of low quality of nursing clinical services, 394 causes and 212 solutions were mentioned by the participants. In the second round, considering moralists and specialization in the selection of nursing managers, staffing according to workload and attendance in comprehensive exam after graduation and before entering clinical fields attained the most importance. CONCLUSION: Mismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services.


Assuntos
Serviços de Enfermagem/organização & administração , Qualidade da Assistência à Saúde , Acreditação , Atitude do Pessoal de Saúde , Técnica Delfos , Feminino , Humanos , Masculino , Enfermeiras Administradoras , Enfermeiras Clínicas , Serviços de Enfermagem/normas , Melhoria de Qualidade , Inquéritos e Questionários , Carga de Trabalho
9.
Hum Resour Health ; 15(1): 34, 2017 05 23.
Artigo em Inglês | MEDLINE | ID: mdl-28535773

RESUMO

BACKGROUND: In Canada, as in other parts of the world, there is geographic maldistribution of the nursing workforce, and insufficient attention is paid to the strengths and needs of those providing care in rural and remote settings. In order to inform workforce planning, a national study, Nursing Practice in Rural and Remote Canada II, was conducted with the rural and remote regulated nursing workforce (registered nurses, nurse practitioners, licensed or registered practical nurses, and registered psychiatric nurses) with the intent of informing policy and planning about improving nursing services and access to care. In this article, the study methods are described along with an examination of the characteristics of the rural and remote nursing workforce with a focus on important variations among nurse types and regions. METHODS: A cross-sectional survey used a mailed questionnaire with persistent follow-up to achieve a stratified systematic sample of 3822 regulated nurses from all provinces and territories, living outside of the commuting zones of large urban centers and in the north of Canada. RESULTS: Rural workforce characteristics reported here suggest the persistence of key characteristics noted in a previous Canada-wide survey of rural registered nurses (2001-2002), namely the aging of the rural nursing workforce, the growth in baccalaureate education for registered nurses, and increasing casualization. Two thirds of the nurses grew up in a community of under 10 000 people. While nurses' levels of satisfaction with their nursing practice and community are generally high, significant variations were noted by nurse type. Nurses reported coming to rural communities to work for reasons of location, interest in the practice setting, and income, and staying for similar reasons. Important variations were noted by nurse type and region. CONCLUSIONS: The proportion of the rural nursing workforce in Canada is continuing to decline in relation to the proportion of the Canadian population in rural and remote settings. Survey results about the characteristics and practice of the various types of nurses can support workforce planning to improve nursing services and access to care.


Assuntos
Área Carente de Assistência Médica , Enfermeiras e Enfermeiros/psicologia , Serviços de Saúde Rural/organização & administração , Adulto , Idoso , Canadá , Estudos Transversais , Emprego/psicologia , Emprego/estatística & dados numéricos , Feminino , Humanos , Satisfação no Emprego , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Serviços de Enfermagem/organização & administração , Melhoria de Qualidade/organização & administração
11.
Cult. cuid ; 20(46): 127-133, sept.-dic. 2016.
Artigo em Espanhol | IBECS | ID: ibc-159846

RESUMO

La visión de la tecnología como herramienta de ayuda destinada a mejorar las condiciones de las personas influye en múltiples aspectos de la asistencia y del cuidado. La tecnología en enfermería y en los cuidados abarca; el papel de la enfermera como nexo de unión entre la tecnología y el paciente, la aplicación de una ética del cuidado, la capacitación del manejo de la tecnología y la educación en distintos ámbitos. La falta de manejo junto a problemas de funcionamiento pueden provocar ansiedad y estrés en las enfermeras, el uso de la tecnología dentro de la formación de profesionales de enfermería, refuerza las habilidades con las que se llegue a la práctica clínica o a las instituciones, favoreciendo la adaptación al entorno laboral. El innovar no solo depende de las instituciones de salud, la implementación de las nuevas tecnologías, busca que los profesionales vean una oportunidad para el crecimiento profesional y que se interesen por el desarrollo de proyectos que vayan encaminadas al uso y su aplicación. La tecnología es un elemento neutro, son las actuaciones de la enfermera lo que determina la presencia de aspecto positivos o negativos asociados a la aplicación de tecnología (AU)


The vision of technology as an aid to improve the conditions of those influences multiple aspects of health and care. Technology in nursing and care covered; the role of the nurse as a link between technology and the patient, the application of an ethic of care, training of management of technology and education in various fields. Lack of management with performance problems can cause anxiety and stress on nurses, the use of technology within the training of nurses, reinforces the skills with which it comes to clinical practice or institutions, promoting adaptation to the workplace. The innovate depends not only on health institutions, implementation of new technologies, seeks that professionals see an opportunity for professional growth and is interested in the development of projects that are aimed to use and implementation. The technology is a neutral element, are the actions of the nurse which determine the presence of positive or negative associated with the application of technology aspect (AU)


A visão da tecnologia como uma ferramenta que auxilia a melhora das condições dos sujeitos influencia em múltiplos aspectos da atenção à saúde e dos cuidados. Tecnologia em enfermagem e no cuidado engloba o papel do enfermeiro como elo de ligação entre a tecnologia e o paciente, a aplicação de uma ética do cuidado e a formação em gestão de tecnologia e educação em distintos campos. A inabilidade de gestão relacionada aos problemas de desempenho tecnológicos podem causar ansiedade e estresse nos enfermeiros. A utilização de tecnologia no âmbito da formação de enfermeiros reforça as habilidades com as quais o profissional irá deparar-se na prática clínica ou instituições, favorecendo uma melhor adapta- ção ao local de trabalho. O inovar depende não só nas instituições de saúde, mas também da implementação de novas tecnologias, da busca por parte dos profissionais que veem uma oportunidade de crescimento profissional e se interessem no desenvolvimento de projetos que visam a utilização e implementação das mesmas. A tecnologia é um elemento neutro, são as ações do enfermeiro que determinarão a presença de positivo ou negativo associado com a aplicação da mesma (AU)


Assuntos
Humanos , Cuidados de Enfermagem/tendências , Tecnologia Biomédica/tendências , Informática em Enfermagem/tendências , Serviços de Enfermagem/organização & administração
13.
Aten. prim. (Barc., Ed. impr.) ; 48(cong): 207-211, sept. 2016. graf, tab
Artigo em Inglês | IBECS | ID: ibc-158837

RESUMO

BACKGROUND: Clinical training, in the nursing degree, represents half of the initial graduation time, constitutes an important learning period, where supervision plays a crucial role in the nurses' social structuring process. OBJECTIVES: To know the perception that the Portuguese nursing students have about supervision in clinical education. MATERIAL AND METHODS: Integrative review, led by PI[C]OD method, which search engines were Google Scholar, the Virtual Health Library and SciELO Portugal. After application of the Relevance Test, he stood up with a corpus sample of 11 studies. RESULTS: All studies were considered of quality, having obtained a final classification higher than 75%. Students highly value the clinical instruction context and a positive affective and relational atmosphere, for which it is essential that the supervisor leaves the positions of evaluator, authoritarian, intimidating and even verbal and non-verbal aggressiveness, in order to establish with students an informal relationship and proximity. CONCLUSION: The professional knowledge of the supervisors must match the professional act in a contextualized reality, allowing students learn to critically analyze, consolidating the knowledge acquired previously and becoming aware of the different roles and skills you need to develop not only in a cognitive and technical perspective but also in an affective and relational perspective


No disponible


Assuntos
Humanos , Educação em Enfermagem/organização & administração , Serviços de Enfermagem/organização & administração , Supervisão de Enfermagem/organização & administração , Estudantes de Enfermagem/estatística & dados numéricos , Estágio Clínico/organização & administração , Competência Profissional , Inquéritos e Questionários , Portugal
14.
Aten. prim. (Barc., Ed. impr.) ; 48(cong): 212-217, sept. 2016. tab
Artigo em Inglês | IBECS | ID: ibc-158838

RESUMO

INTRODUCTION: The evolution of science and technology, changes within the healthcare organizations and new healthcare emerging philosophies require an active participation from healthcare professionals in helping in their peers' training. The supervision process is therefore more and more important. OBJECTIVES: To identify specialist nursing instructors' perception of the clinical supervisor skills in child-health area and paediatrics. MATERIAL AND METHODS: Qualitative-descriptive and phenomenological study composed by a sample of ten nursing tutors in the Dr. Nélio Mendonça Hospital's Paediatrics Department. We used a semi-structured interview and recordings of the conversations. We performed a content analysis on the corpus of all the interviews, once we had defined subcategories and indicators. RESULTS: The category "clinical supervisor skills" emerged from our study and the subcategories which were the most commonly referred were "personal characteristics with a 38% record unit" and "professional skills" (25.7%). As far as the relevant aspects in the child-health area and paediatrics are concerned, personal and professional skills stood out once again, with a 40.4% rate each. The main facilitating factor in the supervision process was the fact that it is a structured process (21.6%), and the inhibition factor was the deficit that exists in interpersonal relationships (21.7%). Globally, there were more record units associated with inhibition factors. CONCLUSION: Knowing what supervisors' insights in such a specific area as child-healthcare and paediatrics are, we think that this study can be a contribution to improve the quality of the supervision process in nursing. A joint effort between supervisor and supervised nurse will be needed to improve the processes that link institutions and their actors, processes where knowledge, experiences and professional objectives are commonly shared


No disponible


Assuntos
Humanos , Serviços de Enfermagem/organização & administração , Supervisão de Enfermagem/organização & administração , Enfermagem Pediátrica/tendências , Hospitais Pediátricos/organização & administração , Estudantes de Enfermagem/estatística & dados numéricos , Competência Profissional , Inquéritos e Questionários , Portugal , Preceptoria/estatística & dados numéricos
15.
Int J Nurs Pract ; 22 Suppl 1: 56-64, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27184703

RESUMO

The population of Japan has become multi-cultural, and there is more demand for culturally competent nursing care. The purpose of this study was to explore cultural characteristics of nursing practice in Japan focusing on behaviour. We interviewed 25 professionals with experience in or knowledge of nursing practice both in Japan and either the United States, the United Kingdom, Sweden, Thailand or South Korea. Qualitative content analysis has yielded three themes for cultural characteristics of nursing practice in Japan: practice expectations, communication and relationships with patients. Practice expectations for nurses in Japan involved various aspects; nurses conducted a wide range of basic nursing tasks, including bed baths and toileting. They often relied on non-verbal communication to deliver thoughtfulness and perceptiveness. They typically show deference to doctors and colleagues, emphasizing building and maintaining harmony with them. This emphasis on a multifaceted, non-verbal, and harmonious approach seemed characteristic of practice among Japanese nurses.


Assuntos
Comparação Transcultural , Serviços de Enfermagem/organização & administração , Humanos , Japão , Padrões de Prática em Enfermagem , República da Coreia , Suécia , Tailândia , Reino Unido , Estados Unidos
16.
N C Med J ; 77(2): 133-6, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26961840

RESUMO

New graduate nurses face a host of challenges that impact successful transition to practice. Health care organizations thus need to understand how changes in the health care landscape impact new graduate nurses who are transitioning to the practice environment. This commentary discusses challenges and possible solutions to successful transition of new graduates into the work environment.


Assuntos
Assistência à Saúde/tendências , Profissionais de Enfermagem , Serviços de Enfermagem , Educação em Enfermagem/organização & administração , Humanos , North Carolina , Profissionais de Enfermagem/psicologia , Profissionais de Enfermagem/normas , Serviços de Enfermagem/organização & administração , Serviços de Enfermagem/tendências , Inovação Organizacional , Melhoria de Qualidade , Local de Trabalho/normas
17.
Rev. esp. sanid. penit ; 18(3): 110-119, 2016. tab
Artigo em Espanhol | IBECS | ID: ibc-157813

RESUMO

La función primordial de los enfermeros es cuidar a las personas sanas o enfermas y evaluar las respuestas de su estado de salud llevando a cabo aquellas actividades que contribuyan a su restablecimiento o a una muerte digna y, si es posible, ayudarles a recuperar su autonomía e independencia. Dentro de la profesión enfermera existen diferentes áreas donde se desarrollan sus cuidados como son: la atención primaria, la salud mental, las urgencias y emergencias, los cuidados intensivos y coronarios, atención quirúrgica, la pediatría, la geriatría, la salud pública, la salud laboral, la docencia, etc. En el caso que nos ocupa, la enfermería penitenciaria, una de las áreas más desconocidas de esta profesión, hemos querido ahondar en el trabajo que desempeña un enfermero en el contexto penitenciario, qué cuidados desarrollan y a qué tipo de población van destinados, así como la formación necesaria para poder trabajar en un medio tan singular. Como conclusión, hemos detectado que la titulación del enfermero generalista no incluye conocimientos en esta área, y que autores de diferentes países defienden la especificidad de la enfermería penitenciaria, así como la necesidad de estar formados en unos contenidos de acuerdo a los condicionantes de salud de la población reclusa y las características del contexto penitenciario (AU)


The main task of nurses is to take care of sick and healthy people and evaluate changes in their health conditions. The goal is to take the appropriate measures to help their recovery or guarantee a dignified death, and if possible, help them regain autonomy and independence. Nursing is present in different areas: primary health, mental health, accident and emergencies, intensive and coronary care, surgical care, paediatrics, geriatrics, public health, occupational health, teaching, etc. In our case, prison nursing, one of the least known branches of the profession, we wanted to investigate more deeply the work of nurses in prisons, which aspect of health care they are responsible for and to what type of population they are geared towards, as well as the necessary training to be able to work in such a particular environment. To conclude, we have seen that university degrees in general nursing do not include knowledge in this area, and that authors from different countries support the specialization of prison nursing and the need for nurses to be trained according to the health conditions of inmates and the characteristics of prisons (AU)


Assuntos
Humanos , Masculino , Feminino , Prisões , Educação em Enfermagem/métodos , Educação em Enfermagem/organização & administração , Educação em Enfermagem/normas , Educação Continuada , Educação Continuada/organização & administração , Doenças Transmissíveis/epidemiologia , Doenças Transmissíveis/enfermagem , Serviços de Enfermagem/organização & administração , Recursos Humanos de Enfermagem/organização & administração , Recursos Humanos de Enfermagem/normas , /métodos , Atenção Primária à Saúde/métodos , Saúde Mental/normas , Medicina de Emergência , Enfermagem em Emergência/métodos , Enfermagem em Emergência/tendências
18.
Aust J Rural Health ; 23(6): 366-70, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26683720

RESUMO

BACKGROUND: Australian workforce planning predicts a shortfall of nurses by 2025 with rural areas being most at risk. Rural areas have lower retention rates of nurses than metropolitan areas, with remote communities experiencing an even higher turnover of nursing staff. There have been few studies that examine the impact of nurse resignations on rural nursing workforces. OBJECTIVE: This paper is abstracted from a larger study into the reasons why nurses resign from rural hospitals and explores the resignation period. DESIGN: A qualitative study using grounded theory methods. Following in-depth interviewing and transcription, data analysis occurred with the assistance of NVivo software. SETTING: Rural NSW. PARTICIPANTS: Twelve registered nurses who had resigned from rural NSW hospitals and not for reasons of retirement, maternity leave or relocation; two participants were re-interviewed. RESULTS: While the overall study identified a grounded theory which explained rural nurses resign from hospitals due to a conflict of values, three additional themes emerged about the resignation practices at rural hospitals. The first theme identified a 'window period' which was an opportunity for the nurse to be retained. The second theme identified that nurses who had resigned were not involved in formal exit processes such as exit interviews. The third theme captured the flow-on effect from rural nurse resignations resulting in nurses leaving the profession of nursing. CONCLUSION: To facilitate nurse retention, it is important that rural hospitals manage nurse resignations more effectively. This includes re-examining resignation procedures, how nurses are treated and collecting meaningful data to inform retention strategies.


Assuntos
Satisfação no Emprego , Serviços de Enfermagem/organização & administração , Recursos Humanos de Enfermagem/provisão & distribução , Admissão e Escalonamento de Pessoal/tendências , Reorganização de Recursos Humanos , Serviços de Saúde Rural/tendências , Feminino , Humanos , Masculino , New South Wales , Serviços de Enfermagem/tendências , Recursos Humanos de Enfermagem/organização & administração , Seleção de Pessoal , Admissão e Escalonamento de Pessoal/organização & administração , Pesquisa Qualitativa , Recursos Humanos
19.
Rev. Rol enferm ; 38(11): 742-746, nov. 2015. ilus
Artigo em Espanhol | IBECS | ID: ibc-146372

RESUMO

La enfermería es una profesión de reclamo internacional, en especial bajo los marcos de la cooperación estudiantil y profesional promovidos por la Unión Europea. El alto porcentaje de movilidad de los profesionales pone de manifiesto la necesidad de facilitar su preparación e integración en un mercado laboral más allá de las fronteras nacionales. La Escola Superior de Saúde del Instituto Politécnico de Portalegre organizó el 2 y 3 de septiembre de 2015 la Reunión Internacional de Ciencias de la Salud ESS 2015 («Promoviendo lazos - Un nuevo reto para el futuro de las profesiones de la salud en Europa») para favorecer el intercambio y discutir los retos de la enfermera a nivel europeo. La diversidad laboral a la que se enfrentan las enfermeras en los distintos países pone de manifiesto la necesidad de crear una conciencia europea de la profesión que facilite la creación de lazos, la formación y una plataforma científica de intercambio para abordar la realidad actual del mercado laboral en la enfermería (AU)


Professional nurses are internationally sought after, a fact reinforced under the frames of exchange and cooperation promoted by the European Union. Given the high percentage of mobility shown by health professionals, nurses need a thorough preparation to facilitate their integration in the countries where they are likely to develop their professional careers. In order to promote exchange and facilitate discussion between nurses from different European countries, the Health School of the Polytechnic Institute of Portalegre (Portugal), organized on the 2nd and 3rd of September the International Health Sciences Meeting ESS 2015 («Promoting bonds - A new challenge for the future of health professions in Europe»). The diverse working conditions that nurses are faced with in different countries highlight the need to foster awareness of the profession at European level, facilitating ties, exchange and scientific platforms to address the current reality of the labor market (AU)


Assuntos
Feminino , Humanos , Masculino , Papel Profissional , Papel do Profissional de Enfermagem , Enfermeiras Clínicas/economia , Enfermeiras Clínicas/organização & administração , Enfermeiras Clínicas/normas , Avaliação em Enfermagem/história , Avaliação em Enfermagem/organização & administração , Avaliação em Enfermagem/normas , Ética em Enfermagem/educação , Ética em Enfermagem/história , Cuidados de Enfermagem/organização & administração , Cuidados de Enfermagem/normas , Serviços de Enfermagem/organização & administração , Serviços de Enfermagem/normas , Europa (Continente)/epidemiologia
20.
J Nurs Adm ; 45(7-8): 354-7, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26204375

RESUMO

An internal employee challenge competition is a way to promote staff engagement and generate innovative business solutions. This Spotlight on Leadership focuses on the approach that a large not-for-profit healthcare organization, the Visiting Nurse Service of New York, took in designing and executing an innovation challenge. The challenge leveraged internal staff expertise and promoted wide participation. This model is 1 that can be replicated by organizations as leaders work to engage employees at the point of service in organization-wide problem solving.


Assuntos
Comportamento Cooperativo , Liderança , Serviços de Enfermagem/organização & administração , Recursos Humanos de Enfermagem/educação , Sistemas Automatizados de Assistência Junto ao Leito/organização & administração , Resolução de Problemas , Desenvolvimento de Pessoal/métodos , Competência Clínica , Humanos , New York , Cultura Organizacional , Inovação Organizacional
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