scholarly journals Standard Operational Protocols in professional nursing practice: use, weaknesses and potentialities

2018 ◽  
Vol 71 (1) ◽  
pp. 126-134 ◽  
Author(s):  
Camila Balsero Sales ◽  
Andrea Bernardes ◽  
Carmen Silvia Gabriel ◽  
Maria de Fátima Paiva Brito ◽  
André Almeida de Moura ◽  
...  

ABSTRACT Objective: to evaluate the use of Standard Operational Protocols (SOPs) in the professional practice of the nursing team based on the theoretical framework of Donabedian, as well as to identify the weaknesses and potentialities from its implementation. Method: Evaluative research, with quantitative approach performed with nursing professionals working in the Health Units of a city of São Paulo, composed of two stages: document analysis and subsequent application of a questionnaire to nursing professionals. Results: A total of 247 nursing professionals participated and reported changes in the way the interventions were performed. The main weaknesses were the small number of professionals, inadequate physical structure and lack of materials. Among the potentialities were: the standardization of materials and concern of the manager and professional related to patient safety. Conclusion: The reassessment of SOPs is necessary, as well as the adoption of a strategy of permanent education of professionals aiming at improving the quality of care provided.

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Gerarlene Ponte Guimarães Santos ◽  
Rayla Maria Pontes Guimarães Costa ◽  
Márcia Teles de Oliveira Gouveia ◽  
Márcia Astrês Fernandes

Objetivo: Refletir sobre as transições da prática profissional da Enfermagem no enfrentamento do novo Coronavírus, à luz da Teoria de transição de Afaf Meleis. Método: Trata-se de um estudo reflexivo, fundamentado no referencial da Teoria da Transição, da enfermeira Afaf Ibrahim Meleis. Resultados: Observou-se que foram precipitadas as transições organizacionais na prática da Enfermagem, para o enfrentamento do novo coronavírus, efetivamente em relação ao adoecimento e reorganização dos serviços, e à adoção de políticas, com a implementação de novas práticas de Enfermagem e tecnologias, desencadeando medo, insegurança e incertezas nos profissionais de Enfermagem. Conclusão: A mudança de comportamento e a inserção de novas competências para o enfrentamento da COVID-19, têm sido estratégicos para a prática profissional de Enfermagem e vêm contribuindo para a transição do processo saúde-doença num contexto de pandemia, sobretudo para a coordenação do cuidado de modo humanizado e, subsequente mitigação dos casos.  Descritores: Prática Profissional; Riscos Ocupacionais; Cuidados de Enfermagem; Infecções por Coronavírus; Cuidado de transição.TRANSITIONS OF PROFESSIONAL NURSING PRACTICE IN COPING WITH THE NEW CORONAVIRUS Objective: To reflect on the transitions of professional nursing practice in facing the new Coronavirus, in the light of Afaf Meleis's Transition Theory. Method: This is a reflective study, based on the framework of Transition Theory, by nurse Afaf Ibrahim Meleis. Results: It was observed that organizational transitions were precipitated in the practice of Nursing, in order to face the new coronavirus, effectively in relation to the illness and reorganization of services, and the adoption of policies, with the implementation of new Nursing practices and technologies, triggering fear, insecurity and uncertainty in nursing professionals. Conclusion: The change in behavior and the insertion of new skills to cope with COVID-19, have been strategic for professional nursing practice and have contributed to the transition of the health-disease process in a pandemic context, especially for the coordination of the humanized care and subsequent mitigation of cases.Descriptors: Professional Practice; Occupational risks; Nursing care; Coronavirus infections; Transitional care.TRANSICIONES DE LA PRÁCTICA PROFESIONAL DE ENFERMERÍA PARA HACER FRENTE AL NUEVO CORONAVIRUSObjetivo:  Reflexionar sobre las transiciones de la práctica profesional de Enfermería combatiendo al nuevo Coronavirus, a partir de la Teoría de Transición de Afaf Meleis. Método:  Estudio reflexivo, basado en la Teoría de Transición de la enfermera Afaf Ibrahim Meleis. Resultados:  Se observó que las transiciones organizativas se precipitaban en la práctica de Enfermería, para hacer frente al nuevo coronavirus, efectivamente respecto a la enfermedad y la reorganización de los servicios, y adopción de políticas, con implementación de nuevas prácticas y tecnologías de Enfermería, desencadenando el miedo, la inseguridad y las incertidumbres en profesionales de enfermería. Conclusión:  El cambio de comportamiento e inserción de nuevas competencias para hacer frente al COVID-19 han sido estratégicos para la práctica profesional de Enfermería y han contribuido a la transición del proceso de salud-enfermedad en contexto de pandemia, especialmente para la coordinación de la atención de manera humanizada y posterior mitigación de los casos.  Descriptores: Práctica professional; Riesgos laborales; Cuidado de enfermeira; infecciones por coronavirus; Cuidado de Transición.


2013 ◽  
Vol 21 (3) ◽  
pp. 765-772 ◽  
Author(s):  
Marcia Raquel Panunto ◽  
Edinêis de Brito Guirardello

OBJECTIVE: to evaluate the characteristics of the professional nursing practice environment and its relationship with burnout, perception of quality of care, job satisfaction and the intention to leave the job in the next 12 months. METHOD: cross-sectional study with a quantitative approach to data. The sample was composed of 129 nurses working in adult Intensive Care Units from a region in the interior of São Paulo, Brazil. RESULTS: The structural equation modeling, using path analysis, revealed that characteristics of the environment influence job satisfaction, perception of quality of care, and having an intention to leave their job, when mediated by emotional exhaustion. Nurses with limited autonomy, poor control over their practice, and poor relationships with physicians, experience a greater level of emotional exhaustion, which can negatively influence their perception of quality of care, job satisfaction and an intention to abandon their jobs. CONCLUSION: the mediating role of emotional exhaustion may negatively influence care delivery. Therefore, there is a need to adopt strategies to minimize this condition among nurses.


2020 ◽  
Vol 7 (2) ◽  
pp. 124-132
Author(s):  
Imran Pashar ◽  
Luky Dwiantoro

The ability to make ethical problem decisions is a requirement for nurses to carry out the professional nursing practice. Decision making is a systematic approach to resolve a problem. World Health Institution in 2017 identified 98.000 patients died every year because of bad decision making. One strategy in the transformation of organizations in health services today is empowerment. Empowerment is a leadership design that can influence a nurse in decision making. The study aims to know the influence of empowerment leadership on the nurse’s decision making. The method in this paper is a literature review. Search for research articles using a database of sciences from Google Scholar, Science Directs, Clinical Key and the final results found 10 articles to be reviewed. Results: 5 empowerment resources can be used by nurses in improving decision making. The empowerment that contains reward, coercive, expert, referent, and legitimate can be used by nurses in improving decision making Result: 5 sources of empowerment can be used by nurses in improving decision making. The empowerment that contains reward, coercive, expert, referent, and legitimate can be used by nurses in improving decision making. Empowerment leadership style can be an alternative way to improve the quality of nurse decision making. Reward and coercive can influence experience, an expert can influence facts and rational, a referent can affect intuition, and legitimate can affect authority.


10.3823/2365 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Louise Passos Vigolvino Macêdo ◽  
Alyne Fernandes Bezerra ◽  
Aran Rolim Mendes De Almeida ◽  
Thayana Rose de Araújo Dantas ◽  
Rafaella Felix Serafim Veras ◽  
...  

Objective: Investigate the understanding of nurses who work at a teaching hospital, in relation to NCS and the nursing process; ascertain facilities/difficulties related to the applicability of the nursing process in that service; and verify the opinions of those professionals for the improvement and/or effectiveness of the nursing process at the hospitalization units of the hospital. Method: Exploratory, descriptive study, with a qualitative approach. The sample consisted of 42 nurses who answered a questionnaire. The empirical material was analyzed and categorized based on the content analysis technique and discussed in the light of the literature. Results: From the participants' discourses, two categories of analysis emerged: 1) understanding of NCS as a tool to organize the Nursing work process and improve the quality of care; and 2) applicability of the nursing process at the various hospitalization units of the institution. Conclusion: The implementation and applicability of that method depend on not only the knowledge and motivation of the nursing professionals, but also on a strategic planning involving management and staff, from the recognition of their importance in order to obtain adherence and effective operationalization in practice. Descriptors: Nursing; Nursing Process; Professional Practice.


2020 ◽  
Vol 73 (suppl 5) ◽  
Author(s):  
Olga Maria Pimenta Lopes Ribeiro ◽  
Maria Manuela Ferreira Pereira da Silva Martins ◽  
Letícia de Lima Trindade ◽  
Cintia Silva Fassarella ◽  
João Miguel Almeida Ventura da Silva ◽  
...  

ABSTRACT Objective: Analyze the agreement of nurses, who work in hospital institutions, about Florence Nightingale’s conceptions about nursing, people, health and the environment. Method: Quantitative, observational and cross-sectional study, with the participation of 3,451 nurses from 36 Portuguese hospitals. Data collection took place from July 2015 to March 2016, using a questionnaire. For analysis, descriptive and analytical statistics were used. Results: It was evident that 60% to 70% of participating nurses considered that Florence Nightingale’s conceptions of nursing, person, health and environment were partly in agreement or totally in agreement with their practice. The variables that influenced agreement were: service, condition in which they practice the profession, length of professional practice, academic degree and region of the country. Conclusion: Florence Nightingale’s conceptions continue to contribute to professional nursing practice, with the region and the service significantly influencing this continuity.


2019 ◽  
Vol 25 (4) ◽  
pp. e36-e43
Author(s):  
Janet Reilly ◽  
Kristy Krause ◽  
Carleen Vande Zande ◽  
Barbara Knutzen

Professional practice models (PPMs) guide nursing practice, professional behaviors, and clinical leadership. Health care continues to evolve (e.g., through health system mergers), and nurses may need to adopt and understand new PPMs to confidently align their interventions and professional nursing practice accordingly. The purpose of this project was to create an educational module about a new PPM based on the model of relationship-based care (RBC), which was adopted following a health system merger. The module was presented to a sample of nursing staff and leaders, who subsequently evaluated how it changed their confidence in and understanding and application of RBC in their professional nursing practice. Quantitative data showed that the module was an effective method to increase nurses' understanding of, and confidence in providing care utilizing, the RBC model. Qualitative data analysis generated themes (team building, need for self-care, being present, lack of time and resources, and resistance to or fear of change) about how implementation of RBC as the organization's PPM would change professional nursing practice, and barriers related to its implementation.


2007 ◽  
Vol 16 (1) ◽  
pp. 129-135 ◽  
Author(s):  
Jean Watson

This article provides an overview of Watson’s theory of Human Caring, the notion of Caritas and human phenomena. Special emphasis is placed upon the theoretical structure of human caring theory referred to as 10 Carative Factors/Caritas Processes and subjective living processes and experiences. These core conceptual aspects of the theory and human living processes are grounded within the philosophical and ethical foundation of the body of my caring theory work. Together they serve as a guide for professional practice, as well as a disciplinary blueprint for the Science of Care.


2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Yanna Gomes de Sousa ◽  
Jonas Sâmi Albuquerque de Oliveira ◽  
Ana Elisa Pereira Chaves ◽  
Francisco de Sales Clementino ◽  
Marília Souto de Araújo ◽  
...  

ABSTRACT Objective: to investigate the factors that are present in the work environment of the nursing team and that contribute to emergence of psychic burden in Psychosocial Care Centers III. Methods: this is a descriptive and qualitative study carried out in three services located in Paraíba State. Data were obtained from an interview with a semi-structured script, and textual content was treated using the software Interface de R pour Analyzes Multidimensionnelles de Textes et de Questionneires. Results: the factors that trigger psychic burden arise primarily from pace of work, precarious physical structure, work with users in mental distress, lack of management support, insufficient multidisciplinary team and lack of clinical supervision. Conclusion: the difficulties faced by nursing professionals in the work environment cause suffering at work and hinder the effectiveness and, consequently, the quality of nursing care.


2014 ◽  
Vol 2 (6) ◽  
Author(s):  
Lestari Sukmarini

Tulisan ini bertujuan memberikan suatu informasi tentang “Praktek Keperawatan Profesional” yang dilaksanakan di ruang model IRNA B Lt. IV kanan RSUPN Cipto Mangunkusumo atas kerjasama FIK-UI dengan RSUPN Cipto Mangunkusumo. Model Praktek Keperawatan Profesional (PKP) ini sebagai upaya mewujudkan pelayanan keperawatan yang bermutu dan professional.Pada penerapan model PKP ini berfokus pada pemberian asuhan keperawatan yang komprehensif dengan didukung dinamika kerja antar anggota tim dan kolaborasi yang lebih jelas dan terpadu.Adapun mekanisme kerja pada model PKP ini memiliki tiga spek utama, yaitu: ketenagaan yang memadai dan professional, metoda pemberian asuhan keperawatan : tim primer dan aspek sistem dokumentasi. Professional Nursing Practice model has been being utilized either in developed countries or in developing countries. In Indonesia, specifically in Jakarta it has been being employed for almost 3 years. The purpose of this article is todesiminate information on Professional Nursing Practice in Irna B, IV floor RSUPN Cipto Mangunkusumo. This professional practice model is based on a cooperation between FIK-UI and RSUPN Cipto Mangunkusumo to improne the delivery of nursing service the focus is on comprehensive ness of the nursing care which is supported by group dynamic and integrated collaboration. There are 3 main aspects of working mechanism in this model namely: adequate nursing personnel, method of nursing assignment, and documentation system.


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