scholarly journals The use of selfbody in nurses work in hospital care: an ergology approach

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Mônica Strapazzon Bonfada ◽  
Silviamar Camponogara ◽  
Mara Ambrosina de Oliveira Vargas ◽  
Rosângela Marion da Silva ◽  
Thailini Silva de Mello ◽  
...  
Keyword(s):  
Emergency Room ◽  
Hospital Care ◽  
Data Gathering ◽  
Structured Interview ◽  
University Hospital ◽  
Systematic Observation ◽  
Work Process ◽  
Know How ◽  
South Of Brazil ◽  
Definition Of

ABSTRACT Objective: to know how happens the nurse use of selfbody in the emergency room. Methods: qualitative study, performed with 23 nurses in an adult emergency room at a university hospital in the South of Brazil. The data gathering was through documental research, systematic observation, and semi-structured interview. According to the thematic modality, the data analysis was carried out anchored in the theoretical reference of ergology. Results: it was evidenced the use of selfbody in the work of the nurse, as much in the development of managerial activities as assistance, especially: in the organization of the environment, in the performance in intercurrences and definition of priorities of attendance, as well as in the conduction of the activities of each work shift, together with the nursing and multi-professional team. Final considerations: the nurse makes use of selfbody at work in the emergency room, based on values, knowledge, and experience, considering the organization of the work process and better nursing assistance.

scholarly journals Open-book accounting and trust: influence on buyer-supplier relationship

2018 ◽  
Vol 53 (4) ◽  
pp. 597-621 ◽  
Author(s):  
Lara Cristina Francisco de Almeida Fehr ◽  
Welington Rocha
Keyword(s):  
Data Gathering ◽  
Structured Interview ◽  
Information Value ◽  
Open Book ◽  
Information Process ◽  
Content Type ◽  
And Performance ◽  
Definition Of ◽  
New Research ◽  
Supplier Relationship

PurposeThis paper aims to discuss the role of open-book accounting (OBA) and trust on buyer–supplier relationship satisfaction. The objective of this paper is to analyze how OBA and trust influence satisfaction on the relationship between suppliers and buyers in the Brazilian automotive sector’s supply chain.Design/methodology/approachThe research has been developed based on a qualitative strategy, characterized as explanatory. Data gathering has been conducted through document analysis and semi-structured interview, and content analysis has been used for discourse analysis.FindingsResults show that OBA is unilateral, imposed by the auto manufacturer, representing a selective information process, as suppliers try to protect their information value as far as possible. Trust is partial and cooperation is not spontaneous, both driven by the search for benefits. OBA may yield a positive or a negative outcome with regard to the social and the economic overall satisfaction of suppliers, depending on how the information is used by auto manufacturer.Originality/valueThe main contribution of this article is to provide an understanding of the difficulties of applying the OBA in companies and of the factors that may influence its operation and performance, impacting on satisfaction and continuity of relationships. The paper also contributes with the proposal of a clearer and more objective definition of OBA. Being the intention that new research in this area can be developed from a delimited, clear and objective definition of OBA, allowing better understanding on the subject and comparison among research studies.

scholarly journals Workshops as a democratic proposal in order to change the supervision work in nursing

2018 ◽  
Vol 71 (4) ◽  
pp. 2050-2054 ◽  
Author(s):  
Maria Silvia Teixeira Giacomasso Vergílio ◽  
Vanessa Pellegrino Toledo ◽  
Eliete Maria Silva
Keyword(s):  
Action Research ◽  
Intervention Strategy ◽  
Public University ◽  
University Hospital ◽  
Work Context ◽  
Work Process ◽  
Communication Failure ◽  
Hospital Nursing ◽  
Definition Of

ABSTRACT Objective: to report the experience of developing workshops as an intervention strategy in an action research, aiming to review the work of supervision in hospital nursing. Method: to report of the experience of planning, developing and evaluating workshops with a psychosocial approach. Three workshops were held, in a reserved place, with the participation of 21 supervisors of a public university hospital. Each workshop was organized with heating, day work, closure with syntheses and consensus. Results: the work provided the exchange of experiences, reflections and proposals for difficulties identified in the work process that distract supervisors from the management of assistance such as communication failure, reworking and lack of definition of assignments in the team. Conclusion: the dynamics of the workshops favored supervisors to propose solutions to the difficulties of their practice in a more democratic and participative way, through dialogical interactions, sharing of the feelings pertinent to the work context and establishing consensus for the completion of the task.

scholarly journals COMMUNICATION IN NURSING SHIFT HANDOVER: PEDIATRIC PATIENT SAFETY

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Michelini Fátima da Silva ◽  
Jane Cristina Anders ◽  
Patrícia Kuerten Rocha ◽  
Ana Izabel Jatobá de Souza ◽  
Verônica Berumén Burciaga
Keyword(s):  
Patient Safety ◽  
Pediatric Patient ◽  
Thematic Analysis ◽  
Descriptive Study ◽  
Structured Interview ◽  
University Hospital ◽  
Pediatric Inpatient ◽  
South Of Brazil ◽  
Nursing Professionals ◽  
Safe Care

ABSTRACT Qualitative, exploratory-descriptive study. The aim of this study was to discover how nursing professionals perceive the communication during shift handover and its repercussion in pediatric patient safety. This study was performed at a Pediatric Inpatient Unit of a University Hospital in the South of Brazil. Data was collected by a semi-structured interview, involving 32 nursing professionals. To analyze the data, thematic analysis was used. Data was grouped in categories: shift handover and its interface with communication. The results evidenced the importance of shift handover, in which effective communication is essential for safe care. However, greater objectivity is needed in the information transmission, the time used needs to be reduced and the shift handover records need to be systemized.

scholarly journals Neoliberalist influences on nursing hospital work process and organization

2017 ◽  
Vol 70 (5) ◽  
pp. 912-919 ◽  
Author(s):  
Norma Valéria Dantas de Oliveira Souza ◽  
Francisco Gleidson de Azevedo Gonçalves ◽  
Ariane da Silva Pires ◽  
Helena Maria Scherlowski Leal David
Keyword(s):  
Working Conditions ◽  
Structured Interview ◽  
Physical Structure ◽  
University Hospital ◽  
Treatment Technique ◽  
Work Process ◽  
Descriptive Research ◽  
Hospital Work ◽  
Qualitative Descriptive ◽  
Political Model

ABSTRACT Objectives: To describe and analyze the influence of the neoliberal economic and political model on the nursing hospital work process and organization. Method: Qualitative descriptive research, having as its scenery a university hospital. The subjects were 34 nursing workers. The data collection took place from March to July 2013, through semi-structured interview. The data treatment technique used was content analysis, which brought up the following category: working conditions precariousness and its consequences to the hospital work process and organization in the neoliberal context. Results: The consequences of neoliberalism on hospital work process and organization were highlighted, being observed physical structure, human resources and material inadequacies that harms the assistance quality. In addition to wage decrease that cause the need of second jobs and work overload. Final considerations: There is a significant influence of the neoliberal model on hospital work, resulting on working conditions precariousness.

scholarly journals Percepção de enfermeiros sobre o processo de gestão em um hospital universitário

2017 ◽  
Vol 11 (12) ◽  
pp. 5321
Author(s):  
Luis Antonio Muller ◽  
Suzinara Beatriz Soares de Lima ◽  
Thaís Dresch Eberhardt ◽  
Graziele Portella da Fonseca ◽  
Simone Kroll Rabelo ◽  
...  
Keyword(s):  
Health Management ◽  
Structured Interview ◽  
University Hospital ◽  
Management Process ◽  
Categorical Analysis ◽  
Managerial Skills ◽  
Shared Management ◽  
Analysis Technique ◽  
South Of Brazil ◽  
Nursing Health

RESUMOObjetivo: conhecer a percepção de enfermeiros gerentes sobre o processo de gestão na enfermagem. Método: estudo descritivo com abordagem qualitativa, realizado em um hospital universitário do Sul do Brasil, com seis enfermeiros gerentes. Os dados foram coletados por meio de entrevista semiestruturada, transcritas e submetidas à Técnica de Análise de Conteúdo na modalidade Análise Categorial. Resultados: emergiram três categorias << Competências gerenciais e funções do enfermeiro gerente >>, << Gerência compartilhada >> e << Gerenciamento do cuidado >>. Conclusão: os enfermeiros em cargo de gerência de um hospital universitário do Sul do Brasil percebem o processo de gestão sob três principais aspectos: competências gerenciais e funções do enfermeiro gerente, gerência compartilhada e gerenciamento do cuidado. Descritores: Enfermagem; Gestão em Saúde; Supervisão de Enfermagem; Gerenciamento da Prática Profissional; Gerência.ABSTRACT Objective: to know the perception of nurses managers about the management process in nursing. Method: this is a descriptive study with a qualitative approach carried out in a university hospital in the south of Brazil, with six nurses managers. The data were collected through a semi-structured interview, transcribed and then submitted to the Content Analysis Technique in the Categorical Analysis modality. Results: three categories emerged: << Managerial skills and duties of the nurse manager >>, << Shared management >>, << Management of care >>. Conclusion: nurses in the management of a university hospital in the southern Brazil perceive the management process under three main aspects: managerial skills and nursing manager roles, shared management and care management. Descriptors: Nursing; Health Management; Nursing Supervisory; Practice Management; Management.RESUMENObjetivo: conocer la percepción de enfermeros gerentes sobre el proceso de gestión en la enfermería. Método: estudio descriptivo com enfoque cualitativo, realizado en un hospital universitario del sur de Brasil, con seis enfermeros gerentes. Los datos fueron coletados por meio de entrevista semi-estruturada, transcritas y a seguir sometidas a la Técnica de Análisis de Contenido en la modalidad Análisis Categorial. Resultados: surgieron tres categorías << Competencias gerenciales y funciones del enfermero gerente >>, << Gerencia compartida >>, << Gerenciamiento de cuidado >>. Conclusión: los enfermeros a cargo de la gerencia de un hospital universitario del sur de Brasil notaron el proceso de gestión sobre tres principales aspectos: competencias gerenciales y funciones del enfermero gerente, gerencia compartida y gerenciamiento del cuidado. Descriptores: Enfermería; Gestión em Salud; Supervisión de Enfermería; Gestión de la Práctica Profesional; Gerencia.

scholarly journals The ethical dimension of problems faced in general medicine: relationship with moral sensitivity

2020 ◽  
Vol 28 ◽  
Author(s):  
Janaina Cassana Mello Yasin ◽  
Edison Luiz Devos Barlem ◽  
Jamila Geri Tomaschewski Barlem ◽  
Rosemary Silva da Silveira ◽  
Graziele de Lima Dalmolin ◽  
...  
Keyword(s):  
General Medicine ◽  
Descriptive Study ◽  
Structured Interview ◽  
University Hospital ◽  
Moral Sensitivity ◽  
Ethical Problems ◽  
South Of Brazil ◽  
Ward Method ◽  
Quality Of Nursing

Objective: to identify the main ethical problems and how these relate to the moral sensitivity of nurses working in a general medicine ward. Method: this qualitative, exploratory, and descriptive study was conducted in a university hospital located in the south of Brazil. A total of 18 nurses working in a general medicine ward were interviewed. A semi-structured interview script was used, and data were analyzed using discursive textual analysis. Results: nurses considered the main ethical problems to include conflicts at the institutional level, situations involving conflicts with patients and/or family members, and conflicts within the staff. The perception of nurses and how they deal with these problems relate to moral sensitivity. Two categories emerged: experiencing ethical problems, and relationship with moral sensitivity. Conclusion: because of the multidimensional nature of moral sensitivity, it trains and enables nurses to recognize and deal with ethical problems faced in clinical practice so that nurses become able to make fair and prudent decisions, improving the quality of nursing care.

scholarly journals Challenges and technologies of care developed by caregivers of patients with Alzheimer's disease

2018 ◽  
Vol 21 (5) ◽  
pp. 579-587
Author(s):  
Melanie Scheneider Schmidt ◽  
Melissa Orlandi Honório Locks ◽  
Karina Silveira de Almeida Hammerschmidt ◽  
Darla Lusia Ropelato Fernandez ◽  
Francisco Reis Tristão ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Elderly People ◽  
Quality Care ◽  
The Elderly ◽  
Structured Interview ◽  
University Hospital ◽  
Mutual Help ◽  
Care For The Elderly ◽  
South Of Brazil

Abstract Objective: to identify the challenges and technologies of care developed by caregivers of patients with Alzheimer's disease. Method: an exploratory study with a qualitative approach was carried out with nine caregivers of elderly people with Alzheimer's disease from the mutual help group of a university hospital in the south of Brazil. Data collection took place between May and August 2017 through a semi-structured interview. Content analysis was used to analyze the data. Results: two categories emerged from the analysis of the data: the challenges faced by caregivers of elderly people with Alzheimer's Disease and the care technologies developed by caregivers of elderly people with Alzheimer's disease. Conclusion: the study showed that the care strategies elaborated by the caregiver can enhance understanding, reflection and discussion among health professionals, caregivers and family members about quality care for the elderly and minimize the difficulties of care in order to provide greater quality of care for the elderly.

scholarly journals Nursing perceptions about abortion management and care: a qualitative study

2015 ◽  
Vol 24 (3) ◽  
pp. 784-791 ◽  
Author(s):  
Ivanete da Silva Santiago Strefling ◽  
Wilson Danilo Lunardi Filho ◽  
Nalú Pereira da Costa Kerber ◽  
Marilu Correa Soares ◽  
Juliane Portella Ribeiro
Keyword(s):  
Qualitative Study ◽  
Structured Interview ◽  
University Hospital ◽  
Clinical Aspects ◽  
Hospital Unit ◽  
Therapeutic Environment ◽  
Discriminatory Behavior ◽  
South Of Brazil ◽  
Nursing Professionals ◽  
Nursing Perceptions

This study aimed to describe management and implementation of care for women hospitalized due to an abortion, from the perspective of nursing professionals. A qualitative study performed in an obstetric hospital unit of a University Hospital in the extreme South of Brazil, by means of a semi-structured interview with 19 nursing professionals. For the analysis, the Collective Subject Discourse technique was used. The statements were ambivalent. Some nursing professionals reported interference in discriminatory behavior and little interaction with the woman, resulting in care being organized with a focus on clinical aspects. Others considered care to be appropriate, regardless of the etiology of abortion, pointing out some humanized initiatives such as emotional support and provision of a private therapeutic environment. This research broadens the range of information about the management and implementation of care for women hospitalized due to abortion, highlighting the importance of articulating perceptions, feelings and ethical behavior with actions to plan, manage and provide care.

scholarly journals Emergency Remote Education, Family Support and the Digital Divide in the Context of the COVID-19 Lockdown

2021 ◽  
Vol 18 (15) ◽  
pp. 7956
Author(s):  
María José Sosa Díaz
Keyword(s):  
Qualitative Methodology ◽  
Data Gathering ◽  
Holistic Approach ◽  
Research Problem ◽  
Structured Interview ◽  
Physical Distance ◽  
Teaching Methodology ◽  
Urban Context ◽  
Remote Education ◽  
Educational Challenges

To contain the COVID-19 pandemic, governments all over the world implemented strong lockdown measures to a large part of the population, including the closing of educational centres. Teachers were urged to transform their teaching methodology, moving from a face-to-face model to an emergency remote education (ERE) model, characterised by the use of technologies to continue with lectures and maintain the physical distance with the students. The aim of the present study was to analyse the existence of socio-digital inequalities and the educational challenges posed by the development of an ERE model, hence, contributing to the literature by proposing a systematic and holistic approach on this phenomenon. Based on the characteristics of the research problem and the objectives set, a qualitative methodology was applied. On the one hand, a semi-structured interview was conducted with 136 active teachers as the main data gathering technique. On the other hand, grounded theory was key in interpreting the results, with the aim of generating the theory in a systematic and holistic manner. It can be asserted that ERE was very useful during the lockdown of schools, and its potential to transform education was demonstrated. However, it was also shown that the development of an ERE model can cause socio-digital inequalities among students, due to the lack of access to digital devices and Internet connection, mainly due to factors, such as the socio-educational level of the family and the rural or urban context of the centre.

Integration of an ICU visualization dashboard (i-Dashboard) as a platform to facilitate multidisciplinary rounds: A cluster randomized trial (Preprint)

2022 ◽  
Author(s):  
Chao-Han Lai ◽  
Kai-Wen Li ◽  
Fang-Wen Hu ◽  
Pei-Fang Su ◽  
I-Lin Hsu ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Information Exchange ◽  
Time Series Data ◽  
Data Gathering ◽  
Cluster Randomized Trial ◽  
University Hospital ◽  
Care Plan ◽  
Series Data ◽  
Multidisciplinary Rounds ◽  
Cluster Randomized

BACKGROUND Multidisciplinary rounds (MDRs) are scheduled, patient-focused communication mechanisms among multidisciplinary providers in the intensive care unit (ICU). OBJECTIVE i-Dashboard is a custom-developed visualization dashboard that supports 1) key information retrieval and reorganization, 2) time-series data and 3) display on large touchscreens during MDRs. The present study aimed to evaluate the performance, including the efficiency of pre-rounding data gathering, communication accuracy and information exchange, and clinical satisfaction of integrating i-Dashboard as a platform to facilitate MDRs. METHODS A cluster randomized trial was performed in two surgical ICUs at a university hospital. Study participants included all multidisciplinary care team members. The performances and clinical satisfaction of i-Dashboard during MDRs were compared with those of the established electronic medical record (EMR) through direct observation and questionnaire survey. RESULTS Between April 26, 2021, and July 18, 2021, 78 and 91 MDRs were performed with the established EMR and i-Dashboard, respectively. For pre-rounding data gathering, the median (interquartile range [IQR]) time was 10.4 (9.1-11.8) and 4.6 (3.5-5.8) minutes using the established EMR and i-Dashboard (P<.001), respectively. During MDRs, data misrepresentations were significantly less frequent with i-Dashboard (median [IQR]: 0 [0-0]) than with the established EMR (4 [3-5]; P<.001). Also, effective recommendations were significantly more frequent with i-Dashboard than with the established EMR (P<.001). The questionnaire results revealed that participants favored using i-Dashboard in association with the enhancement of care plan development and team participation during MDRs. CONCLUSIONS i-Dashboard increases the efficiency in data gathering. Displaying i-Dashboard on large touchscreens in MDRs may enhance communication accuracy, information exchange and clinical satisfaction. The design concepts of i-Dashboard may help develop visualization dashboards that are more applicable for ICU MDRs. CLINICALTRIAL ClinicalTrials.gov NCT04845698; https://clinicaltrials.gov/ct2/show/NCT04845698

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