Nursing work in the surgical ward and psychosocial risks related to management modes

ABSTRACT Aim: To evaluate the management modes in the workplace of the nursing staff of the surgical ward of a university hospital. Methods: Cross-sectional, descriptive, quantitative and analytical study performed in the Surgical Ward of a university hospital in southern Brazil. Sample consisted of 160 nursing workers who answered the Management Styles Assessment Scale. Comparisons were made using Student's t-test and One-Way analysis of variance (ANOVA), Pearson's chi-square test, multiple comparisons test and multiple linear regression analyzes. Results: The Collectivist style was classified as “Predominant” by 46.2% (72) of the workers. The Normative and Directive styles were rated as “Moderate Presence” by 53.2% (84) and 50.3% (77), respectively. The Individualist style was rated as “Unremarkable” by 60.6% (94) of the sample. Conclusions: The presence of collectivist management meets the characteristics of nursing work, which is patient care, planned and performed jointly and in line with the multiprofessional team in the pursuit of comprehensive care.

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Frequency of dementia among elderly admitted to a Geriatrics Inpatients Sector of a Brazilian public hospital

Dementia & Neuropsychologia ◽

10.1590/1980-57642018dn12-010005 ◽

2018 ◽

Vol 12 (1) ◽

pp. 35-39 ◽

Cited By ~ 2

Author(s):

Rafael Thomazi ◽

Liciana Vaz de Arruda Silveira ◽

Paulo José Fortes Villas Boas ◽

Alessandro Ferrari Jacinto

Keyword(s):

Univariate Analysis ◽

The Elderly ◽

Sociodemographic Factors ◽

University Hospital ◽

Chi Square ◽

Diagnosis Of Dementia ◽

Elderly Inpatients ◽

Chi Square Test ◽

Student’S T ◽

Clinical Conditions

ABSTRACT Patients with dementia are commonly admitted to inpatient sectors. The aim of this study was to describe the frequency of dementia among elderly inpatients admitted to the Geriatrics Sector of a Brazilian Tertiary University Hospital, and to identify associations between dementia and clinical and sociodemographic factors. Methods: All patients admitted to the Geriatrics Sector of a public Brazilian university-hospital from March 1st 2014 to January 31st 2015 were assessed by geriatricians. The patients were divided into groups "with or without diagnosis of dementia". Univariate analysis was performed between these two groups using the Chi-Square Test, Student's t-test or the Mann-Whitney Test. Results: One hundred and three elderly inpatients, with a mean age of 82 (±7.9) years, were assessed. Overall, 74.7% had low educational level (<4 years), 66% used polypharmacy, 57.2% developed delirium during hospitalization and 59% were totally dependent for basic activities of daily living. The diagnosis of dementia was observed in 59 (57%) subjects. Conclusion: The frequency of dementia was high among the elderly inpatients evaluated. The association between dementia and certain clinical conditions, such as incontinence, delirium and use of psychoactive drugs, was in line with the medical literature.

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Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽

10.1590/2317-1782/20202020069 ◽

2021 ◽

Vol 33 (6) ◽

Author(s):

Silvia Márcia Andrade Campanha ◽

Roberta Lopes de Castro Martinelli ◽

Durval Batista Palhares

Keyword(s):

Visual Inspection ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Hospital Data ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference ◽

Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

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Patient Attitudes towards Physician Nonverbal Behaviors during Consultancy: Result from a Developing Country

ISRN Family Medicine ◽

10.1155/2014/473654 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Fahad Hanif Khan ◽

Raheela Hanif ◽

Rumina Tabassum ◽

Waris Qidwai ◽

Kashmira Nanji

Keyword(s):

Nonverbal Communication ◽

Tertiary Care ◽

Eye Contact ◽

Cross Sectional Study ◽

University Hospital ◽

Care Hospital ◽

Nonverbal Behaviors ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

Background. Nonverbal behaviors have a significant impact on patients during consultations. This study was undertaken to find out the attitudes and preferences of the patients regarding nonverbal communication during consultations with physicians, in a tertiary care hospital. Methods. A questionnaire based cross-sectional study was carried out at the Aga Khan University Hospital, Karachi, Pakistan, during the months of January to March 2012. All patients (>18 years of age) coming for consultancy in the family medicine clinics were approached; out of 133, 120 agreed to participate. The subjects were asked questions regarding physician’s comforting touch and eye contact and their responses were noted. The data were analyzed using SPSS and chi-square test was used to identify corelations. Results. Overall, 120 patients were enrolled. About 58.3% were men and 41.7% were women with a mean age of 34.9±10.9 years. 95.8% were Muslims and 57.6% had more than 12 years of education. Among females 74% wanted supportive touch from doctors, used to comfort the patient (45%) or to show respect (27.5%) or as healing (30%). 86.1% of the respondents believe that establishing eye contact with the patient shows that the doctor is attentive towards his/her patient. The eye contact should be brief but regular (54.1%) and prolonged staring (36.7%) makes them uncomfortable. Conclusion. Nonverbal communication helps to strengthen the doctor-patient relation as patients do appreciate positive touch and eye contact from their physicians.

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Metabolic syndrome in children aged 6 to 12 years with obesity in public schools of seven municipalities in the State of Mexico

Salud Pública de México ◽

10.21149/8470 ◽

2018 ◽

Vol 60 (4, jul-ago) ◽

pp. 395 ◽

Cited By ~ 1

Author(s):

Abelardo Ávila-Curiel ◽

Carlos Galindo-Gómez ◽

Liliana Juárez-Martínez ◽

Mario Luis Osorio-Victoria

Keyword(s):

Metabolic Syndrome ◽

Public Schools ◽

Cardiovascular Risk ◽

Cross Sectional Study ◽

School Age Children ◽

Obese Children ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Student’S T

Objective. To estimate the prevalence of Metabolic Syndrome (MS), its components and its association with obesity and cardiovascular risk in school age children. Materials and methods. A cross-sectional study of 1,017 children from 6 to 12 years of age. Anthropometric information, blood pressure, glucose, insulin, cholesterol, HDLc, LDLc and triglycerides were collected. The presence of MS and its components were determined by criteria of Cook et. al. (2003), modified for children and adolescents. In the analysis, the children were grouped by aged group of 6 to 9 and 10 to 12 years. The association between MS, obesity and cardiovascular risk was estimated using Student’s t-test and Mann-Whitney U test, Chi-square test and logistic regression. Results. The MS was present with 54.6% in obese children. Obesity was the characteristic of greater association to suffer from MS with an OR=8.62 p<0.001. Conclusions. MS is high among children with obesity, and is mostly associated with insulin resistance and atherogenic risk.

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Workloads and burnout of nursing workers

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0659 ◽

2019 ◽

Vol 72 (6) ◽

pp. 1435-1441

Author(s):

Deciane Pintanela de Carvalho ◽

Laurelize Pereira Rocha ◽

Eliana Cardia de Pinho ◽

Jamila Geri Tomaschewski-Barlem ◽

Edison Luiz Devos Barlem ◽

...

Keyword(s):

Lower Limb ◽

Cross Sectional Study ◽

University Hospital ◽

Lumbar Pain ◽

Limb Pain ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Lower Limb Pain ◽

Chi Square Test

ABSTRACT Objective: to identify workloads in nursing work and its association with nursing worker burnout. Method: a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used. Results: the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness. Conclusion: workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.

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Comparing breast feeding practices in baby friendly and non-accredited hospitals in Salvador, Bahia

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292011000400007 ◽

2011 ◽

Vol 11 (4) ◽

pp. 405-413 ◽

Cited By ~ 1

Author(s):

Priscilla Nunes Ortiz ◽

Rafaela Borges Rolim ◽

Mateus Freire Lima e Souza ◽

Poliana Louzada Soares ◽

Tatiana de Oliveira Vieira ◽

...

Keyword(s):

Breast Feeding ◽

Cross Sectional Study ◽

Systematic Evaluation ◽

Baby Friendly Hospital Initiative ◽

Continuous Variables ◽

Chi Square ◽

Cross Sectional ◽

Maternity Hospitals ◽

Chi Square Test ◽

Student’S T

OBJECTIVES: to compare compliance with Steps 4 to 10 of "The Steps to Successful Breastfeeding" in two hospitals accredited by the Baby-Friendly Hospital Initiative (BFHI group) with two not yet accredited hospitals in Salvador. METHODS: a cross-sectional study was conducted with 100 women in BFHI-accredited hospitals and 103 women in non-BFHI-accredited hospitals by collecting data on their obstetric history, any breast feeding counseling received during antenatal care, and data on delivery and hospitalization. Data were obtained by applying questionnaires and reviewing patients' medical charts. The chi-square test was used for bivariate variables and Student's t test for continuous variables. RESULTS: statistically significant differences (p<0.05) were found between the BFHI-accredited group and the non-BFHI group with respect to steps 5 (77% vs 35.9%), 6 (81% vs 31%), 8 (77% vs 52.4%), and 9 (100% vs 94.2%). No differences were found between the two groups with respect to steps 4, 7 or 10. Satisfactory compliance with the requirements of the Baby-Friendly Hospital Initiative in BFHIaccredited hospitals was found only with respect to steps 6, 7 and 9. CONCLUSIONS: these results highlight the benefits of BFHI accreditation but emphasize the need for continuous and systematic evaluation in order to promote breastfeeding and provide support in BFHIaccredited maternity hospitals.

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Route of birth delivery preferred by mothers and their motivations

Escola Anna Nery ◽

10.1590/2177-9465-ean-2017-0013 ◽

2017 ◽

Vol 22 (1) ◽

Cited By ~ 2

Author(s):

Fernanda Kottwitz ◽

Helga Geremias Gouveia ◽

Annelise de Carvalho Gonçalves

Keyword(s):

Descriptive Analysis ◽

Cross Sectional Study ◽

University Hospital ◽

Hospital Data ◽

Chi Square ◽

Cross Sectional ◽

Adequate Knowledge ◽

Chi Square Test ◽

Route Of Delivery ◽

Type Of Delivery

Abstract Objective: Identify the route of birth delivery preferred by mothers and their motivations. Method: Cross-sectional study with 361 mothers from a university hospital. Data were obtained using a structured questionnaire from February to April 2013. Descriptive analysis was performed and the Chi-square test was used to verify association among the variables. Results: 77.6% of the women preferred vaginal delivery and the reason reported by 81.8% of them was easier recovery postpartum; 20.5% believed they took part in the decision-making concerning the type of delivery; 64.5% believed the type of delivery they experienced did not involve risk for themselves, while 21.9% believed it involved risk for the newborn. Statistical association was found between number of deliveries and type of previous delivery with the preferred route of delivery. Conclusion: Women did not have adequate knowledge regarding the risks and benefits of different types of delivery and for this reason were not empowered to exert their autonomy in regard to this decision.

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Assessment of patient safety challenges and electronic occurrence variance reporting (e-OVR) barriers facing physicians and nurses in the emergency department: a cross sectional study

BMC Emergency Medicine ◽

10.1186/s12873-020-00391-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Ahmed I. Albarrak ◽

Ammar S. Almansour ◽

Ali A. Alzahrani ◽

Abdulaziz H. Almalki ◽

Abdulrahman A. Alshehri ◽

...

Keyword(s):

Emergency Department ◽

Patient Safety ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Electronic Reporting ◽

Chi Square Test ◽

Usability Data

Abstract Background The purpose of patient safety is to prevent harm occurring in the healthcare system. Patient safety is improved by the use of a reporting system in which healthcare workers can document and learn from incidents, and thus prevent potential medical errors. The present study aimed to determine patient safety challenges facing clinicians (physicians and nurses) in emergency medicine and to assess barriers to using e-OVR (electronic occurrence variance reporting). Methods This cross-sectional study involved physicians and nurses in the emergency department (ED) at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. Using convenience sampling, a self-administered questionnaire was distributed to 294 clinicians working in the ED. The questionnaire consisted of items pertaining to patient safety and e-OVR usability. Data were analyzed using frequencies, means, and percentages, and the chi-square test was used for comparison. Results A total of 197 participants completed the questionnaire (67% response rate) of which 48 were physicians (24%) and 149 nurses (76%). Only 39% of participants thought that there was enough staff to handle work in the ED. Roughly half (48%) of participants spoke up when something negatively affected patient safety, and 61% admitted that they sometimes missed important patient care information during shift changes. Two-thirds (66%) of the participants reported experiencing violence. Regarding e-OVR, 31% of participants found reporting to be time consuming. Most (85%) participants agreed that e-OVR training regarding knowledge and skills was sufficient. Physicians reported lower knowledge levels regarding how to access (46%) and how to use (44%) e-OVR compared to nurses (98 and 95%, respectively; p < 0.01). Less than a quarter of the staff did not receive timely feedback after reporting. Regarding overall satisfaction with e-OVR, only 25% of physicians were generally satisfied compared to nearly half (52%) of nurses. Conclusion Although patient safety is well emphasized in clinical practice, especially in the ED, many factors hinder patient safety. More awareness is needed to eliminate violence and to emphasize the needs of additional staff in the ED. Electronic reporting and documentation of incidents should be well supported by continuous staff training, help, and feedback.

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Perception of Menstrual Normality and Abnormality in Spanish Female Nursing Students

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17176432 ◽

2020 ◽

Vol 17 (17) ◽

pp. 6432

Author(s):

Ana Abreu-Sánchez ◽

María Laura Parra-Fernández ◽

María Dolores Onieva-Zafra ◽

Elia Fernández-Martínez

Keyword(s):

Nursing Students ◽

Linear Trend ◽

Binary Logistic Regression ◽

Self Report ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Daily Lives ◽

Chi Square Test ◽

Student’S T

Menstrual problems are usually taboo; and often, some, such as dysmenorrhea, are presumed normal. This study seeks to compare the menstrual characteristics and symptoms of female university students reporting self-perceived normality concerning their cycles and menstruation with those who perceive their menstruation as being abnormal. A cross-sectional descriptive study was conducted among 270 nursing students using a self-report questionnaire that included sociodemographic and gynecological issues, together with Visual Analog Scale, the Andersch and Milsom Scale, and the Spanish version of the EuroQol-5 Dimension (EuroQol-5D) to measure self-perceived health status. A bivariate analysis was performed using the chi-square test, linear trend chi-square, and Student’s t-test, and a multivariate analysis of stepwise binary logistic regression was performed to predict the perception of cycle abnormality. In total, 77.4% of participants displayed normality; however, in self-reporting of menstrual characteristics, 67.4% identified alterations. Young women suffering from menstrual dizziness were 1.997 (CI95% = 1.010–3.950; p = 0.047) more likely to manifest abnormal menstruation, 4.518 (CI95% = 1.239–16.477; p = 0.022) more likely if they suffered from Grade 3 menstrual pain, and 2.851 (CI95% = 1.399–5.809; p = 0.004) more likely if they perceived that menstruation interfered with their daily lives. Many menstrual changes and symptoms are still considered normal, making it difficult to identify and address these issues. Therefore, it is necessary to develop health policies and strategies to improve menstrual health literacy for increased knowledge and earlier diagnosis.

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PHLEBITIS IN PERIPHERAL VASCULAR CATHETERS OF HOSPITALIZED PATIENTS

Revista Prevenção de Infecção e Saúde ◽

10.26694/repis.v5i0.8583 ◽

2019 ◽

Vol 5 ◽

Author(s):

Emile Rodrigues Da Silva ◽

Rosane Soares

Keyword(s):

Statistical Analysis ◽

Statistical Significance ◽

Signs And Symptoms ◽

University Hospital ◽

Peripheral Vascular ◽

Chi Square ◽

Multiprofessional Team ◽

Venous Puncture ◽

Chi Square Test ◽

Vascular Catheters

Objective: To identify the occurrence of mechanical and chemical phlebitis in peripheral venous catheters of hospitalized adult patients. Method: a descriptive observational study with 100 patients over 18 years of age who underwent peripheral venous puncture, performed in September and October 2016 at the Adult Hospitalization Unit of a University Hospital. The site of insertion of the peripheral puncture device was evaluated daily in order to identify signs and symptoms of phlebitis. Statistical analysis was performed using the chi-square test, considering statistical significance when p <0.05. Results: Phlebitis occurred in 21% of cases, with grade 1 (52.4%) prevalent. Of the 21 cases, 14 occurred due to mechanical causes, 50% due to repeated punctures and 7 due to chemical causes, which presented a statistically significant value in relation to some medications used (p = 0.008). Conclusion: the result of the study made the importance of the multiprofessional team in the care of these patients perceptible.

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