scholarly journals Nurses’ Experiences of Nonpatient Factors That Affect Nursing Workload: A Study of the PAONCIL Instrument’s Nonpatient Factors

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Lisbeth Fagerström ◽  
Paula Vainikainen
Keyword(s):  
Working Conditions ◽  
Cross Sectional Study ◽  
Self Control ◽  
Nursing Workload ◽  
Intensity Level ◽  
Patient Classification ◽  
Cross Sectional ◽  
Professional Assessment ◽  
Outpatient Settings ◽  
Patient Classification System

In the RAFAELA patient classification system, the professional assessment of optimal nursing care intensity level (PAONCIL) instrument is used to assess the optimal nursing intensity level per unit. The PAONCIL instrument contains an overall assessment of the actual nursing intensity level and an additional list of central nonpatient factors that may increase or decrease the total nursing workload (NWL). The aim of this cross-sectional study was to assess and determine which nonpatient factors affect nurses’ experiences of their total NWL in both outpatient settings and hospitals, as captured through the PAONCIL instrument. The data material consisted of PAONCIL questionnaires from 38 units and 37 outpatient clinics at 11 strategically selected hospitals in Finland, and included nurses’ answers(n=1307)to the question of which factors, other than nursing intensity, affect total NWL. The methods for data analyses were qualitative content analyses. The nonpatient factors that affected nurses’ experiences of total NWL are “organization of work,” “working conditions,” “self-control,” and “cooperation.” The actual list of nonpatient factors in the PAONCIL instrument is to a reasonable extent relevant, but the list should be improved to include nurses’ actual working conditions and self-control.

scholarly journals Dimensioning of hospital nursing personnel: study with brazilian official parameters of 2004 and 2017

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Raíssa Ottes Vasconcelos ◽  
Denise de Fátima Hoffmann Rigo ◽  
Luis Guilherme Sbrolini Marques ◽  
Anair Lazzari Nicola ◽  
Nelsi Salete Tonini ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Actual Condition ◽  
Patient Classification ◽  
Cross Sectional ◽  
Hospital Unit ◽  
Hospital Nursing ◽  
Patient Classification System ◽  
Negative Difference

Abstract Objective: To investigate the dimensions of the nursing team of a hospital unit according to the official Brazilian parameters of 2004 and 2017 and compare the dimensioned conditions to the actual condition existing. Method: A cross-sectional study with data from patients (n = 325) hospitalized in the Neurology and Orthopedics unit of a university hospital in Paraná, Brazil. Data from the Patient Classification System related to nursing work, as well as sociodemographic and clinical variables of the clientele were compiled. The dimensioning of the nursing staff followed the Federal Nursing Council Resolutions of 2004 and 2017. Results: The profile of the patients showed predominantly men (66.46%) hospitalized for Orthopedics (49.58%). The negative difference of professionals dimensioned compared to the actual condition was more evident for the category of nurses, below both the parameters of 2004 (-8) and 2017 (-11). Conclusions: The number of nursing staff in the unit was insufficient.

scholarly journals Calculation of the Optimal Number of Nurses Based on Nursing Intensity by Patient Classification Groups in General Units in South Korea: a Cross-sectional Study

2021 ◽  
Author(s):  
Yukyung Ko ◽  
Bohyun Park
Keyword(s):  
Internal Medicine ◽  
Cross Sectional Study ◽  
Optimal Number ◽  
Nursing Workload ◽  
Patient Classification ◽  
Nursing Time ◽  
Cross Sectional ◽  
Hospital Nursing ◽  
Surgical Unit ◽  
Internal Medicine Unit

Abstract Background: Calculating the accurate number of nursing personnel based on a patient classification system that clearly reflects the nursing needs of patients is a problem directly related to the nursing unit’s budget management, productivity, etc. This study aimed to calculate the total daily nursing workload and the optimal number of nurses per general unit based on the nursing intensity and direct nursing time per inpatient through patient classification.Methods: Three units at one general hospital were investigated. To calculate nursing intensity, patient classification according to nursing needs was performed for over 10 days in each unit in September 2018. The direct and non-direct nursing time and nursing intensity scores were analyzed using descriptive statistics (e.g. frequency, percentage, and average) generated using Microsoft Excel.Results: For the internal medicine unit, the average direct nursing time per patient was 1.0, 1.5, 2.2, and 2.9 hours for Groups 1, 2, 3 and 4, respectively. For the surgical unit, the average direct nursing time per patient was 0.9, 1.4, 2.1, and 2.6 hours for Groups 1, 2, 3, and 4, respectively. For the comprehensive nursing care unit, the average direct nursing time per patient was 0.8, 1.2, 1.7, and 2.2 hours for Groups 1, 2, 3, and 4. The optimal number of nurses was 25 in the internal medicine unit, 37 in the surgical unit, and 22 in the comprehensive nursing unit. There was a shortage of five nurses in the internal medicine unit and nine in the surgical unit.Conclusion: Based on the nursing time according to patient classification groups, this study confirmed that the optimal number of nurses cannot be secured and that the nursing intensity is very high. The results of this study suggest that long-term efforts, such as improving the nursing environment, should be made to secure an optimal number of nurses in various hospital nursing units.

scholarly journals The combination of psychosocial working conditions, occupational balance and sociodemographic characteristics and their associations with no or negligible stress symptoms among Swedish occupational therapists – a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carita Håkansson ◽  
Annika Lexén
Keyword(s):  
Working Conditions ◽  
Sense Of Community ◽  
Mental Health Problems ◽  
Occupational Therapists ◽  
Cross Sectional Study ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Psychosocial Working Conditions ◽  
Stress Symptoms ◽  
Exhaustion Disorder

Abstract Background The numbers of people who are on sick leave due to mental health problems, such as exhaustion disorder, are increasing in Sweden. One of the most affected groups is healthcare professionals. In order to develop preventive strategies to promote a sustainable working life for occupational therapists, there is a need to understand the associations between psychosocial working conditions, occupational balance and no or negligible stress symptoms. To the best of our knowledge, neither the combination of these factors nor the salutogenic perspective, have been taken into consideration when exploring factors associated with stress symptoms among occupational therapists in previous research. Methods Purposeful sampling was used. All currently working members of the Swedish Association of Occupational Therapists were invited to take part in the present study in 2018. The final sample was 3658 (48% response rate). A web-survey with questions about signs of exhaustion, psychosocial working conditions, occupational balance and sociodemographic characteristics was used. Logistic regression analyses were used in order to calculate associations between psychosocial working conditions, occupational balance, sociodemographic characteristics and no or negligible signs of exhaustion. Results Experiencing high occupational balance, low workload, high control, high sense of community and high justice, were associated with no or negligible stress symptoms. Furthermore, a satisfying financial situation, having children living at home, being married and long professional experience were significant in this model. Conclusions It seems important to consider not only psychosocial working conditions, but also occupational balance to prevent exhaustion disorder among occupational therapists in Sweden. Organisational programmes, which reduce the workload, strengthen the control and sense of community and facilitate occupational balance, seem to be important areas for health promotion in this group.

Psychiatrists and homicidal threats: a cross-sectional study

2021 ◽  
pp. 1-5
Author(s):  
Musaab Elzain ◽  
Ahmed Bashir ◽  
Noreen Moloney ◽  
Colum P. Dunne ◽  
Brendan D. Kelly ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Frequency Characteristics ◽  
Specific Method ◽  
Professional Lives ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Personal Lives ◽  
Urban Rural ◽  
History Of ◽  
Outpatient Settings

Objectives: To investigate the frequency, characteristics and impact of death threats by patients towards psychiatrists. Methods: A cross-sectional survey of psychiatrists (n = 60) was undertaken to investigate the frequency, characteristics and impact of death threats by patients in one Irish healthcare region serving a mixed urban–rural population of 470,000. Results: Forty-nine responses (82%) were received. Thirty-one per cent of respondents experienced death threats by patients during their careers. Victims were more likely to be male and in a consultant role. Patients making the threats were more likely to be males aged 30–60 with a history of violence and diagnosis of personality disorder and/or substance misuse. A majority of threats occurred in outpatient settings and identified a specific method of killing, usually by stabbing. Prosecution of the perpetrator was uncommon. Of the victimised psychiatrists, 53% reported that such threats affected their personal lives, and 67% believed their professional lives were impacted. In half of the incidents, there were adverse incidents subsequent to the threats, involving either the patient or the clinician. Conclusions: Death threats by patients have significant psychological and professional impacts on psychiatrists. Early liaison with employers and police and transferring the care of the patient to another clinician may be useful measures.

scholarly journals Excellent Self-Rated Health among Swedish Boys and Girls and Its Relationship with Working Conditions in School: A Cross-Sectional Study

2021 ◽  
Vol 18 (3) ◽  
pp. 1310
Author(s):  
Sara Brolin Låftman ◽  
Maria Granvik Saminathen ◽  
Bitte Modin ◽  
Petra Löfstedt
Keyword(s):  
Academic Success ◽  
Working Conditions ◽  
Cross Sectional Study ◽  
Probability Models ◽  
Positive Health ◽  
Cross Sectional ◽  
School Aged Children ◽  
Self Rated Health ◽  
Linear Probability ◽  
Classmate Support

The aim of this study was to investigate the extent to which school demands, teacher support, and classmate support were associated with excellent self-rated health among students, and to examine if any such statistical predictions differed by gender. Data were drawn from the Swedish Health Behaviour in School-aged Children (HBSC) study of 2017/18, performed among adolescents in grades five, seven, and nine (n = 3701). Linear probability models showed that school demands were negatively associated with excellent self-rated health, whereas teacher and classmate support showed positive associations. The link with school demands was stronger for girls than boys, driven by the finding that in grades five and nine, school demands were associated with excellent self-rated health only among girls. In conclusion, the study suggests that working conditions in school in terms of manageable school demands and strong teacher and classmate support may benefit adolescents’ positive health. The finding that the link between school demands and excellent self-rated health was more evident among girls than among boys may be interpreted in light of girls’ on average stronger focus on schoolwork and academic success. The study contributes with to knowledge about how working conditions in school may impede or promote students’ positive health.

scholarly journals Factors Affecting Job Satisfaction among Academic Employees in Polytechnic

2020 ◽  
Vol 5 (11) ◽  
pp. 209-216
Author(s):  
Muhamad Saufiyudin Omar ◽  
Siti Fatimah Abdul Aziz ◽  
Nurasyikin Mohd Salleh
Keyword(s):  
Job Satisfaction ◽  
Working Conditions ◽  
Random Sampling ◽  
Job Security ◽  
Cross Sectional Study ◽  
Positive Influence ◽  
Stratified Random Sampling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting

Satisfied employees are crucial in developing a successful organization. The purpose of this study is to identify the factors that affect job satisfaction among polytechnic academic employees in Malaysia. A cross-sectional study was employed and stratified random sampling was used to collect the data. A total of 130 respondents answered the questionnaires. The results revealed that job security, salary and working conditions had significant and positive influence on job satisfaction among polytechnic academic employees. Hence, strengthening the factors of job security, salary and working conditions among the polytechnic academic employees is critically important to ensure the employees are satisfied which will then lead towards a successful polytechnic.

Forensic intellectual disability services: differences in staff perspectives in the Danish and Norwegian systems

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eskil Nyhus ◽  
Søren Holst ◽  
Charlotte Munch ◽  
Erik Søndenaa
Keyword(s):  
Working Conditions ◽  
Work Motivation ◽  
Workplace Safety ◽  
Cross Sectional Study ◽  
Educational Systems ◽  
Cross Sectional ◽  
Content Type ◽  
Staff Members ◽  
National Differences ◽  
Care Models

Purpose Persons with intellectual disabilities (ID) who offend are treated differently depending on the national jurisdiction. Norway and Denmark are two such examples. The differences in care models may also have an impact on staff perspectives. This paper aims to study the differences between Norwegian and Danish staff members within secure forensic ID services. Design/methodology/approach A cross-sectional study involving Norwegian (n = 145) and Danish staff (n = 279) in secure forensic learning disabilities services was conducted. The response rates were 50% in Denmark (n = 147) and 69% in Norway (n = 98), respectively. An electronic survey covering five sets of topics (demographic characteristics, working conditions, workplace culture, work motivation and work resilience) was used. The findings was statistically analysed using SPSS. Findings This study confirmed that staff in the two neighbouring countries have common conceptions of their employment. Danish staff were more exposed to violent incidents (t = 4.1(237); p < 0.001). There was greater concern with workplace safety in Denmark (t = 5.2(237); p < 0.001) compared to more team-based and rigid working conditions in Norway (t = −2.6(237); p < 0.01). Originality/value These differences are discussed in relation to some important national differences in a professional culture, educational systems, service organisation and legal issues that possibly add realistic explanations to the findings.

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