scholarly journals Nurses’ stress and resilience before and after evaluation for hospital accreditation

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
Deise Juliana Rhoden ◽  
Cátia Cristiane Matte Dezordi ◽  
Raida Ahmad Musa Mheisen Husein ◽  
Dulce Aparecida Barbosa ◽  
Patrícia Treviso ◽  
...  
Keyword(s):  
Longitudinal Research ◽  
Accreditation Process ◽  
Rio Grande Do Sul ◽  
Hospital Accreditation ◽  
Stress Scale ◽  
Resilience Scale ◽  
Assessment Visit ◽  
Before And After ◽  
Personnel Administration ◽  
Two Stages

ABSTRACT Objectives: to analyze and compare levels of stress and resilience in nurses before and after the assessment for maintenance of the Hospital Accreditation Certification. Methods: quantitative, observational, and longitudinal research, with 53 nurses from a philanthropic hospital, in the Rio Grande do Sul. Data collected in two stages, March, and July 2019, before the assessment visit and 60 days after, using the Bianchi Stress Scale and Resilience Scale. Descriptive and analytical statistics were employed. Results: the majority of participants showed an average stress level before and after the evaluation. The highest stress scores were related to Domains E (coordination of unit activities) and C (activities related to personnel administration). In both moments of the study, the participants had medium and high resilience. Conclusions: managing people, processes, and assistance are stressful activities in the Accreditation process and increase the nurses’ stress levels.

scholarly journals Virtual Reality Relaxation for Reducing Perceived Stress of Intensive Care Nurses During the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
J. W. H. Mathijs Nijland ◽  
Wim Veling ◽  
Bart P. Lestestuiver ◽  
Catheleine M. G. Van Driel
Keyword(s):  
Perceived Stress ◽  
Effective Means ◽  
Affective State ◽  
Added Value ◽  
Stress Scale ◽  
Resilience Scale ◽  
Significant Difference ◽  
Before And After ◽  
High Workload ◽  
The Difference

During the COVID-19 pandemic ICU nurses endure high levels of stress. VR relaxation (VRelax, containing 360° immersive environments) provides an easy-to-use and effective means to induce positive affect and reduce perceived stress. We investigated feasibility and immediate effect on perceived stress of VRelax use by ICU nurses during work shifts. ICU nurses working with COVID-19 patients in an academic hospital could use VRelax as a 10-min break during their shift. Primary outcome was the difference between perceived stress immediately before and after VRelax use measured by a single-question VAS-stress scale. Statistically significant difference of the mean VAS-stress before and after use was determined using the paired t student test. A socio-demographic questionnaire, a questionnaire on perceived stress and stress resilience and VRelax user experiences were sent by email. Eighty-six (26%) nurses used VRelax at least once; 77% (N=66) of these filled out the VAS-stress scale before and after use of VRelax. Mean perceived stress lowered with 39.9% after use of VRelax (mean difference=14.0, SD=13.3, p<0.005). Mean score on the perceived stress scale-10 was 11.4 (SD=6.50), mean score on the Connor-Davidson Resilience Scale-10 was 29.0 (SD=5.51). Sixty-two percentage of the ICU nurses thought VRelax was helpful to reduce stress. Main barrier for use was a high workload. It is feasible for nurses to use VRelax in an ICU context. VRelax is an effective intervention to reduce immediate perceived stress and is of added value in stressful situations as during the COVID-19 pandemic, inducing a positive affective state and lowering perceived stress.

scholarly journals Eco-Friendly Fired Brick Produced from Industrial Ash and Natural Clay: A Study of Waste Reuse

Materials ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 877 ◽  
Author(s):  
Neslihan Doğan-Sağlamtimur ◽  
Ahmet Bilgil ◽  
Magdalena Szechyńska-Hebda ◽  
Sławomir Parzych ◽  
Marek Hebda
Keyword(s):  
Compressive Strength ◽  
Bottom Ash ◽  
Unit Weight ◽  
Waste Reuse ◽  
Industrial Solid Waste ◽  
Second Stage ◽  
Before And After ◽  
Fired Bricks ◽  
Two Stages ◽  
And Storage

Bottom ash (BA) is an industrial solid waste formed by the burning of coal. The environmental problems and storage costs caused by this waste increase with every passing day. In this study, the use of BA as an additive (clay substitute) in fired brick production was investigated. The study consisted of two stages. In the first stage, cylinder blocks were produced from clay used in brick production. The second stage was the examination of the experimental substitution of clay with 10, 20, 30 and 40% BA. Samples were fired at 900, 1000, 1100 and 1150 °C to produce fired brick samples. The unit weight, compressive strength (before and after freeze–thawing) and water absorption were analyzed for the samples. The unit weight values decreased in the samples containing BA. The mechanical properties met the conditions prescribed in the relevant standards; i.e., all of the samples fired at 1100 and 1150 °C had a sufficient compressive strength over 20 MPa. The high potential of fired bricks for the construction industry was proved. BA can be used as a clay substitute, while the developed protocol can be used to effectively produce fired bricks.

As contribuições da enfermagem no processo de acreditação hospitalar: uma revisão da literatura / The contributions of nursing in the hospital accreditation process: a review of the literature

2021 ◽  
Vol 7 (8) ◽  
Author(s):  
Victor Augusto de Castro ◽  
Paloma Cristina Damasceno Bezerra ◽  
Tatiana Lima da Silva ◽  
Tallys Tavares da Silva ◽  
Ana Caroliny da Silva ◽  
...  
Keyword(s):  
Accreditation Process ◽  
Review Of The Literature ◽  
Hospital Accreditation

scholarly journals 3416 Building Resilience & Wisdom in Clinical and Translational Researchers: A Mixed-Method Study of a Pilot Curricular Intervention

2019 ◽  
Vol 3 (s1) ◽  
pp. 63-63
Author(s):  
Sandra Burks ◽  
Karen Johnston ◽  
Nicole Chiotta-McCollum ◽  
Natalie May ◽  
John Schorling ◽  
...  
Keyword(s):  
Development Program ◽  
Junior Faculty ◽  
Early Career ◽  
Structured Interviews ◽  
Curricular Intervention ◽  
Resilience Scale ◽  
Before And After ◽  
Study Population ◽  
Career Development Program ◽  
Research Workforce

OBJECTIVES/SPECIFIC AIMS: The clinical and translational research workforce is in jeopardy due to investigator attrition and competing demands upon researchers. Resilience and wisdom are measurable traits that can be acquired. The aim of this study was to examine a pilot curricular intervention promoting resilience and wisdom formation in early-career translational researchers. METHODS/STUDY POPULATION: We conducted a prospective, mixed-methods evaluation of a curricular intervention promoting the development of wisdom and resilience among junior faculty in a career development program. Six 90 minute sessions were delivered between September 2017 and January 2018. Pre- and post- resilience and wisdom were measured using the Connor Davidson Resilience Scale and 3D-Wisdom Scale. Individual semi-structured interviews were conducted before and after the intervention RESULTS/ANTICIPATED RESULTS: Five scholars participated. Median resilience and wisdom scores revealed moderate levels of each trait; pre- and post-scores were not significantly different. Four themes emerged from the analysis of interview transcripts: 1. “Success” broadly defined; 2. Adversity threatens success; 3. Community breeds resilience; and 4. Wisdom formation parallels growth towards independence. DISCUSSION/SIGNIFICANCE OF IMPACT: An intervention aimed at developing capacities of resilience and wisdom is feasibly delivered to early career researchers. The relationship between these capacities and the sustainability of a research career warrants additional study.

scholarly journals Pengaruh Akreditasi Rumah Sakit dalam Perubahan Tingkat Kepatuhan Pengisian Surgical Safety Checklist di RS Nur Hidayah

2020 ◽  
Vol 20 (1) ◽  
pp. 258
Author(s):  
Annisa Firdausi ◽  
Arlina Dewi ◽  
Susanto Susanto
Keyword(s):  
Compliance Rate ◽  
Hospital Accreditation ◽  
Sample Number ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Before And After ◽  
Study Population ◽  
Descriptive Approach ◽  
Quantitative Descriptive

Death and complication due to surgeries or surgical actions is a global health problem. The WHO estimates that at least half a million deaths that are caused by surgeries can be prevented. On 2008, the WHO released a campaign about safe surgery and the surgical safety checklist to improve the quality of our surgery cases and decrease the number of complication and deaths caused by surgeries. Hospital accreditation is used to improve the quality of hospital management, including in reducing numbers of death and complication due to surgeries.  This is a quantitative descriptive approach study. The study population used were all surgical safety checklist. Sample number of 75 surgical safety checklist, 15 surgical safety checklist each from June 2017, August 2017, January 2018, June 2018, and January 2019. Data analysis shown by statistic table and percentage. There was a change of number in completing compliance of the surgical safety checklist before and after hospital accreditation. It showed that nearing hospital accreditation, the compliance rate was almost 100% on all the items. This continued a month after, but some of the items had a lower rate of compliance further after the hospital accreditation. The number of completing compliance of the surgical safety checklist nearing hospital accreditation is higher than after hospital accreditation. The sign in item have the highest rate of completing compliance whereas the sign out item had the lowest number of compliance.

scholarly journals Formação continuada em neurociência: percepções de professores da educação básica

2020 ◽  
Vol 11 (3) ◽  
pp. 361-376
Author(s):  
Karine Ramires Lima ◽  
Luiza Freitas Lopes ◽  
Náthaly Marks ◽  
Ronan Moura Franco ◽  
Elena Maria Billig Mello ◽  
...  
Keyword(s):  
Basic Education ◽  
Pedagogical Practice ◽  
Rio Grande Do Sul ◽  
Daily Lives ◽  
Pedagogical Innovation ◽  
Neural Processes ◽  
New Knowledge ◽  
Before And After ◽  
Cognition And Learning ◽  
Eighth Edition

O conhecimento básico sobre a neurociência é importante em diversos aspectos da vida, já que permite o entendimento de processos neurais presentes em nosso dia a dia, como a cognição e a aprendizagem. Para o professor, principal mediador da construção do conhecimento na sala de aula, o conhecimento desta temática é importante para facilitar sua prática pedagógica, já que a neurociência contribui para a compreensão dos processos cognitivos e das individualidades de cada aluno. O objetivo deste estudo é relatar a percepção e o conhecimento de professores da Educação Básica do município de Uruguaiana/RS acerca da neurociência e sua importância para a educação, antes e após a realização da oitava edição do curso de formação continuada intitulado “Curso de Neurociência Aplicada à Educação”. No total, vinte e oito (28) professores participaram do curso, que abordou diferentes temas: neurociência e educação, neuroanatomia, neurofisiologia, neurobiologia da aprendizagem e memória, fatores que interferem na aprendizagem e inovação pedagógica. De acordo com a percepção dos professores, o curso ministrado foi de fundamental importância para a aquisição de novos conhecimentos sobre a neurociência, e todos concordaram que os conceitos abordados podem ser aplicados para melhorar sua prática pedagógica e seu ambiente de ensino. Palavras-chave: Aprendizagem; Ensino; Cérebro; Professor   Continuing training in neuroscience: perceptions of basic education teachers   Abstract: Basic neuroscience knowledge is important in all aspects of life, as it allows the understanding of neural processes present in our daily lives, such as cognition and learning. For the teacher, the central mediator of knowledge in the classroom, it is essential to understand this theme since it can facilitate his pedagogical practice since neuroscience teaches to understand the student through their individualities. This study aims to report the perception and knowledge of primary education teachers in Uruguaiana, Rio Grande do Sul state, Brazil, about neuroscience, before and after the eighth edition of the continuing education course entitled "Course of Neuroscience Applied to Education." In total, twenty-eight (28) teachers participated in the course, divided into two modules that addressed different themes: neuroscience and education, neuroanatomy, neurophysiology, the neurobiology of learning and memory, factors that interfere in learning, and pedagogical innovation. According to the teachers' perception, the course taught was of fundamental importance for acquiring new knowledge about neuroscience, and everyone agreed on the possible applicability of the concepts covered to improve their pedagogical practice and their teaching environment. Keywords: Learning; Teaching; Brain; Teacher

scholarly journals Design of experiments for verification of computational life prediction methods

2019 ◽  
Vol 18 (3) ◽  
pp. 143-154
Author(s):  
O. V. Samsonova ◽  
K. V. Fetisov ◽  
I. V. Karpman ◽  
I. V. Burtseva
Keyword(s):  
Life Prediction ◽  
Low Cycle Fatigue ◽  
Turbine Engines ◽  
Prediction Methods ◽  
Gas Turbine Engines ◽  
Loading Conditions ◽  
Load History ◽  
Strain Behavior ◽  
Before And After ◽  
Two Stages

The failure of heavily loaded rotating parts of aviation gas turbine engines may bring about dangerous consequences. The life of such parts is limited with the use of computational and experimental methods. Computational life prediction methods that are used without carrying out life-cycle tests of engine parts or assemblies should be substantiated experimentally. The best option for verifying the computational methods is to use the results of cyclic tests of model disks. These tests make it possible to reproduce loading conditions and surface conditions that correspond to those of real disks, and the data on the load history and material properties make it possible to simulate stress-strain behavior of disks under test conditions by calculation. This paper shows the process of planning such tests. It is assumed that the tests will be carried out in two stages - before and after the initiation of a low-cycle fatigue crack. A number of criteria are formulated that the geometry of model disks and their loading conditions are to satisfy. Based on these criteria, model disks were designed and the conditions for their testing were selected.

scholarly journals Awareness of COVID-19 Before and After Quarantine Based on Crowdsourced Data From Rabigh City, Saudi Arabia: A Cross-Sectional and Comparative Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Mai Aldhahri ◽  
Rana Alghamdi
Keyword(s):  
Saudi Arabia ◽  
Online Survey ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Cross Sectional ◽  
Second Stage ◽  
Before And After ◽  
Prevention And Control Measures ◽  
Two Stages ◽  
And Control

Background: Infection prevention and control measures are critical for the prevention of the spread of COVID-19.Aim: In this study, we aimed to measure and evaluate the level of awareness and knowledge of the prevention, symptoms, and transmission control of COVID-19 before and after quarantine among the residents of Rabigh city and adjacent villages in Saudi Arabia.Methods: A cross-sectional online survey was conducted in two stages: the first stage took place before quarantine and the second stage took place after quarantine. The survey was filled out electronically.Results: A total of 448 participants responded and filled out the questionnaires. Females (73.70%) formed the largest number of participants for both stages. The majority of the participants were <30 years old (50.90%) and had a high education level in various sectors and levels (97.1%). It was noticeable that during the first stage, the participants' awareness of COVID-19 symptoms was not very high: 13.62% did not know about the symptoms. However, by the second stage, awareness about symptoms had increased (9.6%).Conclusion: The residents of Rabigh city and the surrounding villages had good levels of knowledge about COVID-19.

scholarly journals Análisis de Confiabilidad en Subestaciones Eléctricas Tipo Maniobra Implementando el Transformador de Tensión con Núcleo de Potencia

Ingeniería ◽  
2017 ◽  
Vol 22 (1) ◽  
pp. 140
Author(s):  
Diego Ernesto Viteri ◽  
César Andrés Garzón Bustos ◽  
Eider Alexander Narvaez Cubillos
Keyword(s):  
Current System ◽  
Lower Probability ◽  
Voltage Transformer ◽  
Collaborative Project ◽  
Energy Company ◽  
Before And After ◽  
Transformer Power ◽  
Electricity Power ◽  
Two Stages ◽  
Auxiliary Services

Context: It is intended to conduct a technical study of a voltage transformer power core, used for the supply of the auxiliary services of a maneuver type substation, hoping to mitigate the possibility of losing the continuous electricity power supply and likewise reducing the dependency with the external supplier. This is a result of a collaborative project between the Bogota Energy Company and the Universidad Distrital Francisco Jose de Caldas.Method: The study consists of two stages, the first one is an analysis of reliability of the substation auxiliary systems, carried out in three scenarios: before and after use of the transformer and using a unique generator for auxiliary services. The second one is simulation using the ATP software to verify the behavior of the equipment in transient state.Results: The reliability of auxiliary services increased after the equipment has been installed, as the failure rate went from 0.31 [failure/year] with the current system, to become 0.0025 [failure/year].Conclusions: The implementation of transformer is suitable for substations that do not have a reliable power system auxiliary services as it makes the substation auto dependent. Implement this system in Colombia would get a big increase in the reliability of the auxiliary services in maneuver type substations and therefore a lower probability of loss.

scholarly journals New Graduate Nurses’ Clinical Competence, Clinical Stress, and Intention to Leave: A Longitudinal Study in Taiwan

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ching-Yu Cheng ◽  
Hsiu-Min Tsai ◽  
Chia-Hao Chang ◽  
Shwu-Ru Liou
Keyword(s):  
Nursing Students ◽  
Training Program ◽  
Clinical Competence ◽  
Clinical Training ◽  
Longitudinal Research ◽  
Intention To Leave ◽  
Graduate Nurses ◽  
New Graduate Nurses ◽  
Before And After ◽  
New Graduate

This longitudinal research study aimed to develop a pregraduation clinical training program for nursing students before graduation and evaluate its effect on students’ self-perceived clinical competence, clinical stress, and intention to leave current job. A sample of 198 students returned the questionnaires before and after the program. They were followed up at 3, 6, and 12 months after graduation. Results showed that posttest clinical competence was significantly higher than pretest competence, positively related to clinical competence at 3 and 12 months, and negatively related to clinical stress at 3 months. The clinical competence at 3 months was positively related to clinical competence at 6 and 12 months, and clinical competence at 6 months was related to intention to leave at 12 months. Intention to leave at 6 months was positively related to intention to leave at 3 and 12 months. Clinical stress at 3 months was positively related to clinical stress at 6 and 12 months, but not related to intention to leave at any time points. The training program improved students’ clinical competence. The stressful time that was correlated with new graduate nurses’ intention to leave their job was between the sixth and twelfth months after employment.

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