RESUMO
Registered nurses within the intensive care unit work within a fast-paced, highly technologic setting, caring for patients with complex needs. The purpose of this investigation was to identify stressors intensive care unit nurses perceived as most prevalent within their work setting, and the types of coping utilized by nurses in this setting. The research design was a descriptive method that utilized a survey among a convenience sample of nurses, employed within the intensive care unit setting at 7 acute care metropolitan hospitals. The quest is to foster effective coping mechanisms and reduce stress to increase staff retention, increasing job value, while increasing quality of patient care and safety.
Assuntos
Adaptação Psicológica , Atitude do Pessoal de Saúde , Esgotamento Profissional , Unidades de Terapia Intensiva , Recursos Humanos de Enfermagem Hospitalar/psicologia , Adulto , Aprendizagem da Esquiva , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Unidades de Terapia Intensiva/organização & administração , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Pesquisa Metodológica em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Saúde Ocupacional , Admissão e Escalonamento de Pessoal/organização & administração , Reorganização de Recursos Humanos , Resolução de Problemas , Fatores de Risco , Autocuidado/métodos , Autocuidado/psicologia , Apoio Social , Inquéritos e Questionários , Carga de TrabalhoAssuntos
Educação Continuada em Enfermagem/organização & administração , Liderança , Enfermeiros Administradores/educação , Recursos Humanos de Enfermagem/educação , Competência Profissional , Desenvolvimento de Pessoal/organização & administração , Necessidades e Demandas de Serviços de Saúde , Humanos , Mentores , Oklahoma , Objetivos Organizacionais , Preceptoria/organização & administraçãoRESUMO
Nurses and physicians have a unique opportunity to work together to provide quality patient care. Although numerous studies have documented the value of effective nurse-physician communication on patient outcomes and on nurse and physician satisfaction, communication between many physicians and nurses continues to be poor. A variety of reasons for this disconnect have been identified, including differences in education, role expectations, gender, and approach to practice. Based on the principle that it is more important to understand than to be understood, application of a cultural competence model offers nurses the opportunity to better understand their physician colleagues. Because of the imperative to provide sensitive care to a diverse population, nurses are expected to assess cultural variations when planning care. That same skill can be applied to improving professional relationships with physicians. This article proposes application of a cultural competence model as a framework to assist nurses to better understand physicians with whom they work. With a focus on how culture affects one's world view, nurses will be encouraged to employ this cultural competence model in their interactions with physicians.