Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 11.077
Filtrar
1.
Sci Rep ; 11(1): 21284, 2021 10 28.
Artigo em Inglês | MEDLINE | ID: mdl-34711888

RESUMO

We quantified the presence of SARS-CoV-2 RNA in the air of different hospital settings and the autopsy room of the largest medical centre in Sao Paulo, Brazil. Real-time reverse-transcription PCR was used to determine the presence of the envelope protein of SARS-CoV-2 and the nucleocapsid protein genes. The E-gene was detected in 5 out of 6 samples at the ICU-COVID-19 ward and in 5 out of 7 samples at the ward-COVID-19. Similarly, in the non-dedicated facilities, the E-gene was detected in 5 out of 6 samples collected in the ICU and 4 out of 7 samples in the ward. In the necropsy room, 6 out of 7 samples were positive for the E-gene. When both wards were compared, the non-COVID ward presented a significantly higher concentration of the E-gene than in the COVID-19 ward (p = 0.003). There was no significant difference in E-gene concentration between the ICU-COVID-19 and the ICU (p = 0.548). Likewise, there was no significant difference among E-gene concentrations found in the autopsy room versus the ICUs and wards (dedicated or not) (p = 0.245). Our results show the widespread presence of aerosol contamination in different hospital units.


Assuntos
Microbiologia do Ar , COVID-19/virologia , Hospitais , SARS-CoV-2/genética , SARS-CoV-2/isolamento & purificação , Aerossóis , Autopsia , Brasil/epidemiologia , COVID-19/epidemiologia , COVID-19/transmissão , Teste de Ácido Nucleico para COVID-19 , Genoma Viral , Unidades Hospitalares , Humanos , Unidades de Terapia Intensiva , Pandemias , Serviço Hospitalar de Patologia , RNA Viral/análise , RNA Viral/genética , Vírion/genética , Vírion/isolamento & purificação
2.
Nursing ; 51(8): 62-66, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34347757

RESUMO

PURPOSE: To determine the impact of music on the physiologic and psychological stress experienced by hospital inpatients. METHODS: This pilot study monitored vital signs; utilized pain, anxiety, and agitation rating scales; and gathered verbal feedback from 50 participating inpatients at the authors' healthcare facility as they listened to music via an audiovisual interactive patient engagement technology system. RESULTS: After listening to music for 30 minutes, patients reported significantly lower pain and anxiety. CONCLUSION: Music offered a helpful tool to reduce pain and anxiety for patients in the ICU and telemetry units at the authors' healthcare facility. Future research may be geared toward incremental expansion and monitoring of this music intervention in other units.


Assuntos
Pacientes Internados/psicologia , Musicoterapia , Estresse Fisiológico , Estresse Psicológico/prevenção & controle , Idoso , Ansiedade/enfermagem , Ansiedade/prevenção & controle , Feminino , Unidades Hospitalares , Humanos , Pacientes Internados/estatística & dados numéricos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Dor/enfermagem , Dor/prevenção & controle , Projetos Piloto , Estresse Psicológico/enfermagem , Telemetria , Resultado do Tratamento
3.
Pediatrics ; 148(3)2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34417288

RESUMO

BACKGROUND: Hospital discharge delays can negatively affect patient flow and hospital charges. Our primary aim was to increase the percentage of acute care cardiology patients discharged within 2 hours of meeting standardized medically ready (MedR) discharge criteria. Secondary aims were to reduce length of stay (LOS) and lower hospital charges. METHODS: A multidisciplinary team used quality improvement methods to implement and study MedR discharge criteria in our hospital electronic health record. The criteria were ordered on admission and modified on daily rounds. Bedside nurses documented the time when all MedR discharge criteria were met. A statistical process control chart measured interventions over time. Discharge before noon and 30-day readmissions were also tracked. Average LOS was examined, comparing the first 6 months of the intervention period to the last 6 months. Inpatient charges were reviewed for patients with >2 hours MedR discharge delay. RESULTS: The mean percentage of patients discharged within 2 hours of meeting MedR discharge criteria increased from 20% to 78% over 22 months, with more patients discharged before noon (19%-32%). Median LOS decreased from 11 days (interquartile range: 6-21) to 10 days (interquartile range: 5-19) (P = .047), whereas 30-day readmission remained stable at 16.3%. A total of 265 delayed MedR discharges beyond 2 hours occurred. The sum of inpatient charges from care provided after meeting MedR criteria was $332 038 (average $1253 per delayed discharge). CONCLUSIONS: Discharge timeliness in pediatric acute care cardiology patients can be improved by standardizing medical discharge criteria, which may shorten LOS and decrease medical charges.


Assuntos
Serviço Hospitalar de Cardiologia , Unidades Hospitalares , Alta do Paciente , Pediatria , Melhoria de Qualidade/organização & administração , Benchmarking , Hospitais Pediátricos , Humanos , Tempo de Internação/estatística & dados numéricos , Ohio , Equipe de Assistência ao Paciente , Readmissão do Paciente/estatística & dados numéricos
4.
Neurodiagn J ; 61(3): 132-143, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34449291

RESUMO

Falls are a common adverse event (AE) in general hospital admissions and in the epilepsy monitoring unit (EMU) and can cause serious physical injury for patients; however, fall prevention policies widely vary between epilepsy centers. Patient safety, including minimizing AEs, such as falls, continue to be a major goal of quality improvement in the EMU. The bathroom area in an EMU is highly prone for falls due to the need for patient privacy. Syncope is a physiologic non-epileptic event with high prevalence in general population and is a potential cause for fall. It is also reported in people diagnosed with epilepsy. We report a case of vasovagal syncope (VVS) associated with injury in a young female during long-term video EEG recording in our EMU facility. We also briefly address concerns for identifying patients at risk for syncope and its prevention. A multidisciplinary team including EEG technologists can play a vital role in educating patients and caretakers about the risk factors of syncopal fall and its preventive measures.


Assuntos
Epilepsia , Síncope Vasovagal , Acidentes por Quedas , Eletroencefalografia , Epilepsia/diagnóstico , Feminino , Unidades Hospitalares , Humanos , Monitorização Fisiológica , Síncope Vasovagal/diagnóstico
5.
J Obstet Gynecol Neonatal Nurs ; 50(5): 621-631, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34339663

RESUMO

OBJECTIVE: The specific aims of this quality improvement project were to (a) examine the demographics of newborns who fell and their mothers, (b) implement a maternal rest bundle, and (c) decrease the total number of newborn falls to zero events within 3 months. DESIGN: We used a quality improvement project with a pre-/post-intervention design. SETTING/LOCAL PROBLEM: Nine newborn falls occurred over 3.5 years on a 40-bed mother-baby inpatient unit at an urban, safety-net, teaching hospital. One fall resulted in a major injury that required an escalation of care and extended length of stay. PATIENTS: A convenience sample of nine inpatient newborns who fell and their mothers. INTERVENTION/MEASUREMENTS: We completed a retrospective review of medical records for the sample. We implemented a maternal rest bundle including staff and patient education, a safe sleep pledge contract signed by the woman, an official quiet time, and signage in the unit and each room. We tracked improvement with the outcome measure of the number of newborn falls, process measure of a staff evaluation survey, and balancing measure of a patient experience interview. RESULTS: No newborn falls have occurred for 2 years (October 2018 to December 2020) since implementing the maternal rest bundle. Staff evaluated that the time of shift for quiet time should stay the same (53.33% [24/45]) and most frequently listed daily tasks as barriers to quiet time. Women reported they found quiet time beneficial (95% [912/960]). CONCLUSION: The elimination of newborn falls in the hospital unit occurred after we implemented the maternal rest bundle. Sustainability can be attributed to staff support and engagement.


Assuntos
Acidentes por Quedas , Melhoria de Qualidade , Acidentes por Quedas/prevenção & controle , Feminino , Unidades Hospitalares , Humanos , Recém-Nascido , Mães , Estudos Retrospectivos
6.
Semin Dial ; 34(5): 360-367, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34259363

RESUMO

BACKGROUND: Maintenance hemodialysis (MHD) patients face disadvantages with higher risk of acquiring SARS-CoV-2 infection, atypical manifestations, and associated multiple comorbidities. We describe patients' outcomes with symptomatic COVID-19 on MHD in a large cohort of patients from India. METHODS: Data were collected prospectively from hemodialysis units in 11 public and private hospitals between March 15, 2020, and July 31, 2020. The survival determinants were analyzed using stepwise backward elimination cox-regression analysis. RESULTS: Of the 263 total patients (mean age 51.76 ± 13.63 years and males 173) on MHD with symptomatic COVID-19, 35 (13.3%) died. Those who died were older (p = 0.01), had higher frequency of diabetic kidney disease (p = 0.001), comorbidities (p = 0.04), and severe COVID-19 (p = 0.001). Mortality was higher among patients on twice-weekly MHD than thrice-weekly (p = 0.001) and dialysis through central venous catheter (CVC) as compared to arteriovenous fistula (p = 0.001). On multivariate analysis, CVC use (HR 2.53, 95% CI 1.26-5.07, p = 0.009), disease severity (HR = 3.54, 95% CI 1.52-8.26, p = 0.003), and noninvasive ventilatory support (HR 0.59, 95% CI 0.25-0.99, p = 0.049) had significant effect on mortality. CONCLUSION: The adjusted mortality risk of COVID-19 in MHD patients is high in patients associated with severe COVID-19 and patients having CVC as vascular access.


Assuntos
COVID-19/mortalidade , Diálise Renal , Fatores Etários , Cateterismo Venoso Central/efeitos adversos , Comorbidade , Feminino , Mortalidade Hospitalar , Unidades Hospitalares , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Ventilação não Invasiva , Estudos Prospectivos , Índice de Gravidade de Doença
7.
S Afr J Surg ; 59(2): 41-46, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34212569

RESUMO

BACKGROUND: Fibroadenomas (FAs) usually present in young women and, despite being the commonest benign breast masses, are often excised. This study aimed to assess the results of a conservative management protocol in the setting of dedicated breast clinics to reassess the validity of this conservative approach. METHOD: A retrospective chart review of a prospectively maintained database of the index presentation of patients diagnosed with FAs on triple assessment at the breast clinics of Inkosi Albert Luthuli Central Hospital (IALCH) and Addington Hospital (ADH) was undertaken. Women under 35 years with FA less than 5 cm and agreeable to the 5-year conservative management strategy from 2008 to 2015 were included. Variables assessed over the 5-year study period included adherence to clinic visits and any change in size of the lesion(s). RESULTS: Three hundred and six women were studied. The mean age of presentation was 21.5 years (IQR 12-34), and the mean FA size was 2.43 cm (IQR 0.5-4.8). 72.9% were of African ethnicity. 76.5% had a single FA, and in 16.3%, they were bilateral. 50.7% of patients were lost to follow-up, and 9.6% (n = 25) had spontaneous resolution of their FA. Conservative management of FAs was feasible in only 26.1% of patients. CONCLUSION: Conservative management of FAs over 5 years is not practical in our local setting due to the high patient attrition rate. In those who completed the 5-year observation period, only 1 in 10 patients had complete resolution of their FA.


Assuntos
Neoplasias da Mama , Fibroadenoma , Adolescente , Adulto , Neoplasias da Mama/terapia , Criança , Tratamento Conservador , Feminino , Fibroadenoma/diagnóstico , Fibroadenoma/terapia , Unidades Hospitalares , Humanos , Estudos Retrospectivos , África do Sul , Adulto Jovem
8.
J Appl Behav Anal ; 54(4): 1514-1525, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34289103

RESUMO

Standardized bedside rounds can improve communication and the quality of care for patients in hospitals. However, it can be challenging to change previously established provider practices to adhere to new procedures. This study evaluated 2 packaged interventions, derived from a modified Performance Diagnostic Checklist interview, to increase adherence to standardized rounding practices in 2 hospital units. Researchers observed physicians at a university hospital on rounds 2-3 times per week, and 2 phases of intervention were implemented to improve adherence. The interventions included task clarification, feedback, and weekly huddles. Compared to baseline, phases 1 and 2 of the intervention improved clinician adherence to the standardized bedside rounding checklist by 24.94% and 30.94% in unit 1 and 26.76% and 44.06% in unit 2, respectively. The standardized rounds did not require additional time following the intervention. These results indicate that physician adherence can be improved through behavioral interventions.


Assuntos
Visitas com Preceptor , Unidades Hospitalares , Hospitais , Humanos , Pacientes Internados , Fatores de Tempo
9.
Obstet Gynecol ; 138(2): 229-235, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34237762

RESUMO

OBJECTIVE: To compare rates of wrong-patient orders among patients on obstetric units compared with reproductive-aged women admitted to medical-surgical units. METHODS: This was an observational study conducted in a large health system in New York between January 1, 2016, and December 31, 2018. The primary outcome was near-miss wrong-patient orders identified using the National Quality Forum-endorsed Wrong-Patient Retract-and-Reorder measure. All electronic orders placed for eligible patients during the study period were extracted retrospectively from the health system data warehouse, and the unit of analysis was the order session (consecutive orders placed by a single clinician for a patient within 60 minutes). Multilevel logistic regression models were used to estimate odds ratios (ORs) and 95% CIs comparing the probability of retract-and-reorder events in obstetric and medical-surgical units, overall, and in subgroups defined by clinician type and order timing. RESULTS: Overall, 1,329,463 order sessions were placed during the study period, including 676,643 obstetric order sessions (from 45,436 patients) and 652,820 medical-surgical order sessions (from 12,915 patients). The rate of 79.5 retract-and-reorder events per 100,000 order sessions in obstetric units was significantly higher than the rate in the general medical-surgical population of 42.3 per 100,000 order sessions (OR 1.98, 95% CI 1.64-2.39). The obstetric retract-and-reorder event rate was significantly higher for attending physicians and house staff compared with advanced practice clinicians. There were no significant differences in error rates between day and night shifts. CONCLUSION: Order errors occurred more frequently on obstetric units compared with medical-surgical units. Systems strategies shown to decrease these events in other high-risk specialties should be explored in obstetrics to render safer maternity care.


Assuntos
Unidades Hospitalares/estatística & dados numéricos , Serviços de Saúde Materna/estatística & dados numéricos , Erros Médicos/estatística & dados numéricos , Obstetrícia/estatística & dados numéricos , Adulto , Feminino , Humanos , Erros de Medicação/estatística & dados numéricos , Razão de Chances , Gravidez , Estudos Retrospectivos , Fatores de Risco , Especialização/estatística & dados numéricos , Procedimentos Cirúrgicos Operatórios
10.
PLoS One ; 16(7): e0253909, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34197532

RESUMO

OBJECTIVE: To assess the perception of risk of exposure in the management of hazardous drugs (HDs) through home hospitalization and hospital units. MATERIAL AND METHODS: A questionnaire was released, at the national level, to health professionals with HD management expertise. Questionnaire included 21 questions that were scored using a Likert scale: 0 (null probability) to 4 (very high probability). The internal consistency and reliability of the questionnaire were calculated using Cronbach's alpha and the intraclass correlation coefficient, respectively. RESULTS: 144 questionnaires (response rate 70.2%) were obtained: 65 (45.1%) were nurses, 42 (28.9%) occupational physicians, and 37 (26.1%) were pharmacists. Cronbach's alpha was 0.93, and intraclass correlation coefficient was 0.94 (95% CI 0.91-0.97; p-value < 0.001). The mean probability was 1.95 ± 1.02 (median 1.9; minimum: 0.05; 1st quartile 1.1; 3rd quartile 2.6; and maximum 4). Differences were observed in scoring among professional groups (occupational physicians versus nurses (1.6/2.1, p = 0.044); pharmacists versus nurses (1.7/2.1, p = 0.05); and occupational physicians versus pharmacists (1.6/1.7, p = 0.785), due mainly to the administration stage (p = 0.015). CONCLUSIONS: The perception of risk of exposure was moderate, being higher for nurses. It would be advisable to integrate HDs into a standardized management system (risk management model applicable to any healthcare center) to improve the safety of health professionals.


Assuntos
Atitude do Pessoal de Saúde , Substâncias Perigosas/toxicidade , Pessoal de Saúde/psicologia , Exposição Ocupacional/efeitos adversos , Psicometria/estatística & dados numéricos , Pessoal de Saúde/estatística & dados numéricos , Serviços Hospitalares de Assistência Domiciliar/estatística & dados numéricos , Unidades Hospitalares/estatística & dados numéricos , Humanos , Exposição Ocupacional/prevenção & controle , Percepção , Gestão de Riscos , Inquéritos e Questionários/estatística & dados numéricos
11.
Rev Esc Enferm USP ; 55: e0327, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34161440

RESUMO

OBJECTIVE: To measure the average time spent by the nursing team in transferring patients; to compare the activities observed during the performance of this intervention with those described by the Nursing Interventions Classification and to investigate the intensity of its influence on the workload. METHOD: Observational study using timekeeping software conducted in two hospitals in the northwest region of the State of São Paulo. 200 patient transfers were monitored by the team using two validated instruments. RESULTS: The average time spent by nurses on transfers ranged from 9.3 (standard deviation = 3.5) to 12.2 (standard deviation = 2.5) minutes and by assistants/ technicians between 7.1 (standard deviation = 2,8) and 11.0 (standard deviation = 2.2) minutes. 63 transfers made by nurses and 87 by assistants/technicians were considered qualified (>70% of the score). The team expended 19.3 to 29% of the working day time in this intervention. CONCLUSION: The transfer of patients has an impact on the workload of the team and needs to be considered in the measurement of nursing activities for the calculation and distribution of personnel to improve the quality and continuity of care.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Terminologia Padronizada em Enfermagem , Unidades Hospitalares , Hospitais , Humanos , Equipe de Enfermagem , Carga de Trabalho
12.
Neurodiagn J ; 61(2): 95-103, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34110971

RESUMO

Due to the coronavirus disease 2019 (COVID-19) pandemic, the state of Texas-limited elective procedures to conserve beds and personal protective equipment (PPE); therefore, between March 22 and May 18, 2020, admission to the epilepsy monitoring unit (EMU) was limited only to urgent and emergent cases. We evaluated clinical characteristics and outcomes of these patients who were admitted to the EMU. Nineteen patients were admitted (one patient twice) with average age of 36.26 years (11 female) and average length of stay 3 days (range: 2-9 days). At least one event was captured on continuous EEG (cEEG) and video monitoring in all 20 admissions (atypical in one). One patient had both epileptic (ES) and psychogenic non-epileptic seizures (PNES) while 10 had PNES and 9 had ES. In 8 of 9 patients with ES, medications were changed, while in 5 patients with PNES, anti-epileptic drugs (AED) were stopped; the remaining 5 were not on medications. Of the 14 patients who had seen an epileptologist pre-admission, 13 (or 93%) had their diagnosis confirmed by EMU stay; a statistically significant finding. While typically an elective admission, in the setting of the COVID-19 pandemic, urgent and emergent EMU admissions were required for increased seizure or event frequency. In the vast majority of patients (13 of 19), admission lead to medication changes to either better control seizures or to change therapeutics as appropriate when PNES was identified.


Assuntos
COVID-19/prevenção & controle , Epilepsia , Hospitalização/legislação & jurisprudência , Adulto , Idoso , Tomada de Decisão Clínica , Epilepsia/diagnóstico , Epilepsia/terapia , Feminino , Unidades Hospitalares , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica , SARS-CoV-2 , Convulsões/diagnóstico , Convulsões/terapia , Adulto Jovem
13.
Pediatrics ; 148(1)2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34127553

RESUMO

OBJECTIVES: We sought to evaluate trends in pediatric inpatient unit capacity and access and to measure pediatric inpatient unit closures across the United States. METHODS: We performed a retrospective study of 4720 US hospitals using the 2008-2018 American Hospital Association survey. We used linear regression to describe trends in pediatric inpatient unit and PICU capacity. We compared trends in pediatric inpatient days and bed counts by state. We examined changes in access to care by calculating distance to the nearest pediatric inpatient services by census block group. We analyzed hospital characteristics associated with pediatric inpatient unit closure in a survival model. RESULTS: Pediatric inpatient units decreased by 19.1% (34 units per year; 95% confidence interval [CI] 31 to 37), and pediatric inpatient unit beds decreased by 11.8% (407 beds per year; 95% CI 347 to 468). PICU beds increased by 16.0% (66.9 beds per year; 95% CI 53 to 81), primarily at children's hospitals. Rural areas experienced steeper proportional declines in pediatric inpatient unit beds (-26.1% vs -10.0%). Most states experienced decreases in both pediatric inpatient unit beds (median state -18.5%) and pediatric inpatient days (median state -10.0%). Nearly one-quarter of US children experienced an increase in distance to their nearest pediatric inpatient unit. Low-volume pediatric units and those without an associated PICU were at highest risk of closing. CONCLUSIONS: Pediatric inpatient unit capacity is decreasing in the United States. Access to inpatient care is declining for many children, particularly those in rural areas. PICU beds are increasing, primarily at large children's hospitals. Policy and surge planning improvements may be needed to mitigate the effects of these changes.


Assuntos
Acesso aos Serviços de Saúde , Unidades Hospitalares/estatística & dados numéricos , Unidades de Terapia Intensiva Pediátrica/estatística & dados numéricos , Pediatria/estatística & dados numéricos , Criança , Número de Leitos em Hospital , Hospitais Pediátricos/estatística & dados numéricos , Humanos , Estudos Retrospectivos , Serviços de Saúde Rural/estatística & dados numéricos , Estados Unidos
16.
Gen Hosp Psychiatry ; 71: 76-81, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33964789

RESUMO

INTRODUCTION: Use of virtual reality (VR) in healthcare has expanded in recent years. The challenges faced by patients with prolonged COVID-19-related hospitalizations - social isolation, disability, neurologic sequelae, adjustment-related anxiety, depression, and stress - may be mitigated by the novel use of VR as one modality of a comprehensive rehabilitation plan. This descriptive study aimed to understand patient satisfaction and perceived benefit of virtual reality on a COVID-19 recovery unit, as well as the logistical and operational feasibility of providing VR content for patients and staff. MATERIALS AND METHODS: During the COVID-19 surge in New York City in 2020, the COVID-19 Recovery Unit (CRU) of a large academic hospital invited patients and staff to participate in VR sessions with three categories of experience: (1) Guided meditation, (2) Exploration of natural environments, (3) Cognitive stimulation games. Patients and staff were surveyed about satisfaction and perceived benefit. RESULTS: 13 patients and 11 staff were surveyed, with median patient satisfaction scores of 9 out of 10, with ten representing "extremely satisfied," and median staff satisfaction scores of 10. 13/13 patients answered "yes" to recommending the therapy to others, and 12/13 answered "yes" to perceived enhancement of their treatment. 11/11 staff answered "yes" to recommending the therapy to others, and 11/11 answered "yes" to perceived enhancement of their wellbeing. DISCUSSION: A VR program implemented on a COVID-19 rehabilitation unit for patients and healthcare providers was rated as highly satisfactory with perceived benefit by survey respondents. Participants commented that the use of VR was useful in coping with isolation and loneliness, and could be implemented within the context of clinical care for COVID-19 patients as part of a comprehensive rehabilitation model. The use of VR was also logistically and operationally feasible on the CRU. Future work to compare benefits of VR to standard neuropsychological rehabilitation is needed.


Assuntos
Ansiedade/psicologia , COVID-19/reabilitação , Depressão/psicologia , Satisfação do Paciente , Isolamento Social/psicologia , Estresse Psicológico/psicologia , Realidade Virtual , Adaptação Psicológica , COVID-19/psicologia , Estudos de Viabilidade , Unidades Hospitalares , Hospitalização , Humanos , Solidão/psicologia , Corpo Clínico Hospitalar , Meditação , Natureza , Cidade de Nova Iorque , Recursos Humanos de Enfermagem no Hospital , SARS-CoV-2 , Jogos de Vídeo
17.
Rev Bras Enferm ; 74(suppl 3): e20200735, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34037177

RESUMO

OBJECTIVE: To analyze the experiences that generate pleasure and suffering in the work of nurses in an oncopediatric inpatient unit. METHODS: Qualitative, exploratory, descriptive study. Data collection took place from March to May 2018, through interviews with eight nurses in an oncopediatric inpatient unit. RESULTS: The verbalized experiences of pleasure were the work developed with children, participation in the treatment and cure of patients and the recognition of family members in relation to the work performed. The suffering experiences were palliative care and death of patients, performing invasive procedures and organizing work. FINAL CONSIDERATIONS: It was possible to analyze the experiences of pleasure and suffering of nurses in an oncopediatric unit through the psychodynamics of work, allowing to reinvent prevention and intervention measures by managers in health/mental illness processes at work.


Assuntos
Neoplasias/enfermagem , Enfermeiras Pediátricas/psicologia , Dor , Enfermagem Pediátrica , Prazer , Adulto , Criança , Pré-Escolar , Unidades Hospitalares , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Neoplasias/psicologia , Cuidados Paliativos , Pesquisa Qualitativa
18.
Am J Med Qual ; 36(3): 180-184, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33941722

RESUMO

Payors hold hospitals accountable for patient experience using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The objective was to determine if hospital unit (medicine versus nonmedicine [ie, cardiology, oncology, urology, physical medicine and rehabilitation, and surgery]) influences HCAHPS scores when care is given by the same providers on different units. This retrospective analysis of adult inpatient data (n = 845), included overall hospital satisfaction, staff communication, care and communication from physicians, and discharge communication. Average overall satisfaction was 8.9 out of 10 and length of stay was 4.6 days. Patients treated on nonmedicine units had higher overall satisfaction than those on medicine units (P = 0.02) and higher scores when asked how often doctors listened to the patient carefully (P = 0.002). The type of inpatient unit can influence overall satisfaction and satisfaction with physician communication. Differences in room environment, amenities, and staffing may explain why medicine patients were more satisfied on nonmedicine versus medicine units.


Assuntos
Satisfação do Paciente , Médicos , Adulto , Comunicação , Unidades Hospitalares , Humanos , Estudos Retrospectivos
19.
Stud Health Technol Inform ; 281: 669-673, 2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34042660

RESUMO

The purpose of this study is to present the design, development and initial evaluation of a smartphone software (mobile app), for the needs of nursing bedside shift reporting and documentation. The app records and process nursing handovers concerning haemodialysis patient data, and it runs on Android smartphones, offering a structured and friendly user interface. Data are collected, processed, stored and accessed easily, quickly and securely by authorized users. The evaluation, based on discussions and semi-structured interviews with a group of nurses, showed positive feedback on the user interface, structure and functions of the prototype. It can be a useful and efficient tool for the reporting and communication needs between nurses. Conclusions about the limitations of the study and future developments are reported.


Assuntos
Aplicativos Móveis , Transferência da Responsabilidade pelo Paciente , Unidades Hospitalares , Humanos , Diálise Renal , Smartphone
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...