Omission of nursing care, professional practice environment and workload in intensive care units

2020 ◽  
Vol 28 (8) ◽  
pp. 1986-1996
Author(s):  
Renata Pereira Lima Silva ◽  
Mayra Gonçalves Menegueti ◽  
Lilian Dias Castilho Siqueira ◽  
Thamiris Ricci Araújo ◽  
Maria Auxiliadora‐Martins ◽  
...  
2021 ◽  
Author(s):  
Collins Atta Poku ◽  
Ernestina Donkor ◽  
Florence Naab

Abstract Background Professional practice environment supports excellence and decent work and has the influence to entice and retain quality-nursing workforce. In high-resourced settings, significant number of studies exist to prove that professional practice environment with low levels of burnout play important role in enhancing patients’ and staff job outcomes. Appreciating the dynamics that affect turnover intention of nurses offer reasonable solutions to the challenges of nursing shortage, which directly influence quality of nursing care. Few studies undertaken on the subject in Ghana, however focused on miners, workers in the hotel industry, and worker telecommunication. There is evidently paucity of information on the impacts of nursing practice environment on turnover intentions among nurses in Sub-Saharan African. The study therefore aimed at determining the predictors of turnover intentions among nurses in Ghana. Methods A cross-sectional approach using a simple random and proportionate stratified sampling with a sample of 232 nurses completed validated instruments measuring work environment, burnout and turnover intentions. Descriptive and regression analysis were done on the various variables. Results While most nurses had positive perception about their work environment, greater number of them had turnover intentions. There was also significant associations between nursing work environment facets and turnover intention. The age of the nurse, years in nursing and the personal accomplishment of the nurse were significant predictors of turnover intentions of the nurse. Conclusion Burnout in any dimension results from unhealthy workplace; and unduly influences nurses’ turnover intention. This phenomenon can potentially affect the human resource management and the consequentially poor quality of nursing care provided to patients. Ensuring positive work setting and reduced burnout can therefore improves retention of nurses at their workplace.


Author(s):  
Renáta Zeleníková ◽  
Darja Jarošová ◽  
Ilona Plevová ◽  
Eva Janíková

The professional practice environment is a factor that can have a significant impact on missed nursing care. The study aimed to find a relationship between nurses’ perceptions of their professional practice environment and missed nursing care and job satisfaction. An additional aim was to find differences in nurses’ perceived rating of the professional practice environment according to hospital location and job position. A descriptive correlational study was performed. The sample included 513 general and practical nurses providing direct care in nine Czech hospitals. The Revised Professional Practice Environment scale and the Missed Nursing Care (MISSCARE) survey were used to collect data. The professional practice environment was most correlated with satisfaction with the current position (0.4879). The overall score of missed care correlated most strongly with the subscale “staff relationships” (−0.2774). Statistically significant differences in the rating of two subscales, “control over practice” and “cultural sensitivity”, were found between nurses from hospitals in district capitals and those from hospitals in smaller cities. Statistically significant differences in the rating of the “leadership and autonomy in clinical practice” and “teamwork” subscales were found between general nurses and practical nurses. The professional practice environment is related to nurse satisfaction and missed nursing care.


2009 ◽  
Vol 17 (5) ◽  
pp. 613-619 ◽  
Author(s):  
Chaiane Amorim Biondo ◽  
Maria Júlia Paes da Silva ◽  
Lígia Maria Dal Secco

This study aimed to analyze the perceptions of nurses working in the Intensive Care Unit (ICU) of a University Hospital in Brazil concerning dysthanasia, orthotanasia and euthanasia and characterize potential implications of their perceptions for care. This quantitative study was carried out with the application of a questionnaire to 27 nurses after approval from the institution's Ethics Committee and authorization from participants were obtained. None of the nurses were able to explain euthanasia, half of them explained dysthanasia, and only a third explained orthotanasia, 65.39% recognized some of these processes in their daily practice, 25.9% believed nurses cannot provide any contribution even being familiar with these concepts and their applicability, 82.36% believed that knowledge of bioethical principles is relevant but only 14.81% were able to mention these principles. The bases of nurses' professional practice were not homogeneous and knowledge about the subject was limited. Orthotanasia, bioethical principles and the delivery of humanized care should be the foundation of nursing care.


2008 ◽  
Vol 17 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Martin Salzmann-Erikson ◽  
Kim Lützén ◽  
Ann-Britt Ivarsson ◽  
Henrik Eriksson

2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.


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