scholarly journals Governance of professional nursing practice in a hospital setting: a mixed methods study

2015 ◽  
Vol 23 (6) ◽  
pp. 1024-1032 ◽  
Author(s):  
José Luís Guedes dos Santos ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Mixed Methods ◽  
Organizational Support ◽  
Management Practices ◽  
Nursing Practice ◽  
Hospital Setting ◽  
Mixed Methods Study ◽  
Cross Sectional ◽  
Professional Nursing ◽  
Work Index ◽  
Professional Nursing Practice

Objective: to elaborate an interpretative model for the governance of professional nursing practice in a hospital setting. Method: a mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding. Results: based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills. Conclusion: it is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

My Practice Evolution: An Appreciation of the Discrepancies Between the Idealism of Nursing Education and the Realities of Hospital Practice

2010 ◽  
Vol 16 (1) ◽  
pp. 21-24 ◽  
Author(s):  
Danielle E. K. Perkins
Keyword(s):  
Nursing Education ◽  
Registered Nurses ◽  
Nursing Practice ◽  
Hospital Setting ◽  
Student Nurse ◽  
Hospital Practice ◽  
New Nurses ◽  
Professional Nursing ◽  
Professional Nursing Practice ◽  
Graduate Nursing

Newly graduated registered nurses face a barrage of physical and mental challenges in their first few years of practice, especially in the hospital setting. This article explores discrepancies between student nurse practice and professional nursing practice and the challenges that new nurses face in bridging the gap between idealistic theory and realistic practice. The author’s subsequent graduate nursing education and continued practice in the field resulted in a personal evolution of practice that elicited a profound sense of appreciation for the field and a desire to share these experiences with other practicing nurses and students.

scholarly journals Classification and evaluation of the environment of the professional nursing practice in a teaching hospital

2020 ◽  
Vol 28 ◽  
Author(s):  
Dilzabeth Margot Imata Yanarico ◽  
Alexandre Pazetto Balsanelli ◽  
Renata Cristina Gasparino ◽  
Elena Bohomol
Keyword(s):  
Teaching Hospital ◽  
Nursing Practice ◽  
Quality Care ◽  
Practice Environment ◽  
Cross Sectional ◽  
Significance Level ◽  
Environment Scale ◽  
Professional Nursing ◽  
Brazilian Version ◽  
Professional Nursing Practice

Objective: to classify and evaluate the environment of the professional nursing practice in a teaching hospital. Method: a cross-sectional study conducted with 188 nurses from a teaching hospital in the state of São Paulo, SP, Brazil. A questionnaire with sociodemographic and professional data and the Brazilian version of the Practice Environment Scale were used to classify and evaluate the environment of the professional nursing practice. Data was analyzed using Student’s t-test, analysis of variance, Mann-Whitney, and Kruskal-Wallis tests with a significance level of 5% (p<0.05). The internal consistency of the instrument was evaluated using Cronbach’s alpha. Results: the score’s mean for the Brazilian version of the Practice Environment Scale was 2.54, and the participants considered two of the five subscales as unfavorable for the practice, namely: subscale 1, “Nurse Participation in Hospital Affairs” (2.37), and subscale 4, “Staffing and Resource Adequacy” (2.23). Conclusion: the environment of the professional nursing practice has been classified as mixed, being evaluated with favorable conditions for the nursing practice, but the participation and involvement of nurses in hospital matters and the adequacy of resources to provide quality care need improvements.

Tingkat Pengetahuan Perawat Dengan Efektivitas Penerapan Mpkp Di Rsud H. A. Sulthan Daeng Radja Kabupaten Bulukumba

2017 ◽  
Vol 2 (1) ◽  
pp. 29-38
Author(s):  
Muriyati ◽  
Safruddin
Keyword(s):  
Nursing Practice ◽  
District Hospital ◽  
Sampling Technique ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Professional Nursing ◽  
Professional Nursing Practice ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
Nurses Knowledge

Knowledge is one of the factors that influence the implementation of the Professional Nursing Practice Model (MPKP). The phenomena and incidents that occurred in the Seruni treatment room showed that the application of MPKP was still not effective. Where there are some nurses who do not know what MPKP is. The purpose of this study was to determine the relationship of the level of knowledge of nurses about MPKP with the effectiveness of implementing MPKP in Seruni Room of H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. This type of research is an Analytical Observational study with a Cross Sectional design. The population in this study were all nurses in the Seruni Room of the H. Andi Sulthan Daeng Radja Hospital in Bulukumba Regency which numbered 30 people. The sampling technique in this study is the Total Sampling method with a sample of 30 respondents. The statistical test used was the Fisher-Extract Test. The results obtained that, in the form of nurses' knowledge level about MPKP with the effectiveness of the application of MPKP with a value of p = 0.045 <p (0.05). The results show that respondents who have a good level of knowledge are 10 respondents (33.3%) and respondents who have a lack of knowledge level are equal to 20 respondents (66.7%). Effective MPKP implementation was 12 respondents (40%) and ineffective MPKP application was 18 respondents (60%). With the conclusion that there is a relationship between the level of nurses' knowledge about MPKP with the effectiveness of implementing MPKP in the Seruni Room of the H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. Suggestions from this research are expected to be an effort to develop a model of professional nursing practice (MPKP) in each hospital, especially to continue to encourage concrete steps by continuing to increase the frequency of MPKP training for nurses so that the application of MPKP will be continuous with the good quality of service obtained by patients in the hospital.

scholarly journals Relationship Application Of Professional Nursing Practice Models With The Level Of Working Satisfaction Of Nurses In The MPKP Room Of Lasinrang Pinrang Hospital

2020 ◽  
Vol 4 (2) ◽  
pp. 65-74
Author(s):  
Muslimin ◽  
Werna Nontji ◽  
Burhanuddin Bahar ◽  
Safruddin
Keyword(s):  
Nursing Care ◽  
Nursing Practice ◽  
Work Satisfaction ◽  
Sampling Technique ◽  
Regional Hospital ◽  
Practice Model ◽  
Cross Sectional ◽  
Satisfaction Rate ◽  
Professional Nursing ◽  
Professional Nursing Practice

Professional Nursing Practice Model (MPKP) is a method of comprehensive nursing care in providing quality nursing care. This study aims to investigate the correlation between the implementation of the professional nursing practice model and the work satisfaction rate of the working nurses at the MPKP room of the Regional Hospital of Lasinrang in Pinrang. The study is analytically observational with a cross-sectional design. The subject (n=124) are practicing nurses in the inpatient ward of Lasinrang Regional Hospital of Pinrang. The sample was selected employing a systematic random sampling technique. The data were obtained with a questionnaire distribution and observation checklist and the data were analyzed with univariate and bivariate measures. The chi-square test proves that the operand (p=0.000), pre-Competence (p=0.000), competence (p=0.000), competence case (p=0.164), and round (p=0.164) on the work satisfaction rate of the working nurses. This implies that there is a significant correlation the operand evaluation, pre-conference, post-conference, and the work satisfaction rate of the working nurses for the value of p<0.05 but no significant correlation between case competency evaluation as well as round and the work satisfaction of the nurses with p>0.05.

scholarly journals Nursing practice environment in intensive care unit and professional burnout

2021 ◽  
Vol 55 ◽  
Author(s):  
Gisele Möller ◽  
João Lucas Campos de Oliveira ◽  
Daiane Dal Pai ◽  
Karina Azzolin ◽  
Ana Maria Müller de Magalhães
Keyword(s):  
Intensive Care ◽  
Organizational Support ◽  
Private Hospital ◽  
Nursing Practice ◽  
Maslach Burnout Inventory ◽  
Practice Environment ◽  
Cross Sectional ◽  
Public And Private ◽  
Work Index ◽  
Nursing Professionals

ABSTRACT Objective: To evaluate and compare the nursing practice environments in Intensive Care Units of a public and private hospital and the prevalence of burnout among nursing professionals. Method: Cross-sectional, descriptive study with a quantitative approach to the data. The data collection took place between October 2018 and March 2019, and it was carried out through a questionnaire with socio-occupational variables and with metrics of intensity. The practice environment was assessed through the Nursing Work Index Revised (NWI-R); and the burnout was assessed by the Maslach Burnout Inventory (IBM). We included professionals with, at least, six months of employment, and those who were on leave or on a fixed-term employment contract were excluded. Results: The sample consisted of 296 professionals. We found Favorable environments in both institutions, however, low results in the subscales autonomy, control and organizational support in the private hospital. The prevalence of burnout among nurses was 2.5% in the public hospital and 9.1% in the private hospital, and among nursing technicians, it was 9.5% and 8.5%, respectively. Conclusion: The control of the environment, autonomy and support were considered critical points, referring to the importance of assessing institutions factors, that can improve the working conditions for the nursing team.

scholarly journals TINGKAT PENGETAHUAN PERAWAT DENGAN EFEKTIVITAS PENERAPAN MPKP DI RSUD H. A. SULTHAN DAENG RADJA KABUPATEN BULUKUMBA

2017 ◽  
Vol 2 (1) ◽  
pp. 29-38
Author(s):  
Muriyati ◽  
Safruddin
Keyword(s):  
Nursing Practice ◽  
District Hospital ◽  
Sampling Technique ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Professional Nursing ◽  
Professional Nursing Practice ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
Nurses Knowledge

Knowledge is one of the factors that influence the implementation of the Professional Nursing Practice Model (MPKP). The phenomena and incidents that occurred in the Seruni treatment room showed that the application of MPKP was still not effective. Where there are some nurses who do not know what MPKP is. The purpose of this study was to determine the relationship of the level of knowledge of nurses about MPKP with the effectiveness of implementing MPKP in Seruni Room of H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. This type of research is an Analytical Observational study with a Cross Sectional design. The population in this study were all nurses in the Seruni Room of the H. Andi Sulthan Daeng Radja Hospital in Bulukumba Regency which numbered 30 people. The sampling technique in this study is the Total Sampling method with a sample of 30 respondents. The statistical test used was the Fisher-Extract Test. The results obtained that, in the form of nurses' knowledge level about MPKP with the effectiveness of the application of MPKP with a value of p = 0.045 <p (0.05). The results show that respondents who have a good level of knowledge are 10 respondents (33.3%) and respondents who have a lack of knowledge level are equal to 20 respondents (66.7%). Effective MPKP implementation was 12 respondents (40%) and ineffective MPKP application was 18 respondents (60%). With the conclusion that there is a relationship between the level of nurses' knowledge about MPKP with the effectiveness of implementing MPKP in the Seruni Room of the H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. Suggestions from this research are expected to be an effort to develop a model of professional nursing practice (MPKP) in each hospital, especially to continue to encourage concrete steps by continuing to increase the frequency of MPKP training for nurses so that the application of MPKP will be continuous with the good quality of service obtained by patients in the hospital.

Uncertainty about cellulitis and unmet patient information needs: a mixed methods study

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Information Needs ◽  
Qualitative Data ◽  
Information Provision ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Patient Information Needs ◽  
History Of

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.

scholarly journals Assessing burden, risk factors, and perceived impact of uterine fibroids on women’s lives in rural Haiti: implications for advancing a health equity agenda, a mixed methods study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Christophe Millien ◽  
Anatole Manzi ◽  
Arlene M. Katz ◽  
Hannah Gilbert ◽  
Mary C. Smith Fawzi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mixed Methods ◽  
Black Women ◽  
Uterine Fibroids ◽  
Mixed Methods Study ◽  
University Hospital ◽  
Gynecologic Surgery ◽  
Cross Sectional ◽  
Women's Lives

Abstract Background Uterine fibroids, the most common cause of gynecologic surgery, have a reported cumulative incidence of 59% among Black women in the U.S. Uterine fibroids negatively impact the quality of women’s lives. No study has been found in the literature about fibroids in Haiti. We conducted a mixed methods study to assess the burden and risk factors of uterine fibroids, as well as their effects on women’s quality of life. Methods A convergent mixed methods study was conducted between October 1, 2019 and January 31, 2020 at MUH’s (Mirebalais University Hospital) OB-GYN outpatient department. Quantitatively, in a cross-sectional study 211 women completed consecutively a structured questionnaire. In-depth interviews with 17 women with fibroids and 7 family members were implemented for the qualitative component. Descriptive statistics were calculated for clinical and social demographic variables. Logistic regression was performed to examine associations between fibroids and related risk factors. An inductive thematic process was used to analyze the qualitative data. A joint display technique was used to integrate the results. Results Of 193 women analyzed 116 had fibroids (60.1%). The mean age was 41.3. Anemia was the most frequent complication— 61 (52.6%). Compared to women without uterine fibroids, factors associated with uterine fibroids included income decline (AOR = 4.7, 95% CI: 2.1–10.9, p = < 0.001), excessive expenses for transport (AOR = 4.4, 95% CI: 1.6–12.4, p = 0.005), and family history with uterine fibroids (AOR = 4.6, 95% CI: 1.6–13.6, p = 0.005). In contrast, higher level of education and micro polycystic ovarian syndrome were associated with lower prevalence (AOR = 0.3, 95% CI: 0.1–0.9, p = 0.021) and (AOR = 0.2, 95% CI: 0.1–0.97, p = 0.044), respectively. The qualitative findings delineate how contextual factors such as health system failures, long wait times, gender inequality and poverty negatively affect the quality of women’s lives. The poverty cycle of uterine fibroids emerged. Conclusions A vicious cycle of poverty negatively impacts access to care for uterine fibroids in Haiti. Health insurance, social support, and income generating activities may be keys to promote social justice through access to adequate care for women with uterine fibroids in Haiti.

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