scholarly journals Distractions and interruptions in a surgical room: perception of nursing staff

2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Helen Cristiny Teodoro Couto Ribeiro ◽  
Thatiane Marcélia Rodrigues ◽  
Sara Araújo Ferreira Teles ◽  
Rafaela Carvalho Pereira ◽  
Liliane de Lourdes Teixeira Silva ◽  
...  
Keyword(s):  
Operating Room ◽  
Nursing Staff ◽  
Surgical Care ◽  
Structured Interview ◽  
Surgical Patient ◽  
Patient Factors ◽  
Verbal Messages ◽  
Nursing Professionals ◽  
Implementing Strategies

Abstract Objective: To understand the perception of nursing staff about intraoperative distractions and interruptions. Methods: An exploratory qualitative study was performed with 16 nursing professionals of a surgical center in Minas Gerais. The data were collected through a semi-structured interview and thematic content analysis was performed. Results: When reflecting on the occurrence of distractions and interruptions of intraoperative activities, nursing professionals define, identify and value events in a heterogeneous way, but believe that distractions and interruptions negatively affect both the quality of the work environment and the safety of care provided to the surgical patient. Factors contributing to the occurrence of distractions and interruptions are related to aspects inside the operating room such as equipment failure and use of cell phones and to external factors such as verbal messages given at the operating room door. Incidents have been reported due to distractions, but there are no established actions to minimize these events. Conclusion: This study indicates the importance of implementing strategies that minimize the occurrence of distractions and interruptions of intraoperative activities in order to plan surgical care better, and prevent and mitigate harm to patients.

The meaning of the patients death for nursing professionals

2010 ◽  
Vol 5 (1) ◽  
pp. 37
Author(s):  
Maria Jussiany Gonçalves de Abrantes ◽  
Francisco José Gonçalves Figueiredo ◽  
Alana Tamar Oliveira de Sousa ◽  
Isabelle Pimentel Gomes ◽  
Paula Elaine Diniz dos Reis ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Structured Interview ◽  
The Body ◽  
Communication Process ◽  
New Beginning ◽  
Difficult Time ◽  
The Family ◽  
Nursing Professionals ◽  
Inpatient Units ◽  
Santa Maria

ABSTRACTObjective: to assess the death meaning of patients for nursing staff. Methodology: this is about a qualitative study, conducted at the Regional Hospital of Cajazeiras city, Paraíba state, Brazil. The criteria for subjects selection were professional nursing staff, working in the intensive care unit, emergency or inpatient units. It were interviewed 25 nursing staff (10 nurses and 15 nursing technicians) using a semi-structured interview. We performed a thematic analysis for organizing and interpreting data. The project was submitted to the Ethics Committee of the Faculdade Santa Maria, under protocol number 2350309. Results: they generated the categories: the meaning of death for professionals in nursing, nursing in front of the family in the grieving process, the nursing staff and the body after death. Conclusion: it is noticed that for some professionals, death is a natural process, for others a new beginning, a passage, but always a difficult time referring to the loss, failure and impotence. There is difficulty in the communication process of death and comfort to families. Descriptors: death; attitude to death; nurse's role; terminal care; terminally ill.RESUMOObjetivo: conhecer o significado da morte de pacientes para a equipe de enfermagem. Metodologia: trata-se de estudo com abordagem qualitativa, realizado no Hospital Regional de Cajazeiras. Os critérios para a seleção dos sujeitos foram: ser profissional da equipe de enfermagem, atuar na unidade de terapia intensiva, emergência ou enfermarias. Foram entrevistados 10 enfermeiros e 15 técnicos de enfermagem, utilizando um roteiro semi-estruturado. Realizou-se a análise temática para organização e interpretação dos dados. O projeto foi submetido ao Comitê de Ética em Pesquisa da Faculdade Santa Maria, sob o número de protocolo 2350309. Resultados: geraram-se as categorias: o significado da morte para os profissionais da Enfermagem; a Enfermagem diante da família no processo de luto; a equipe de enfermagem e o corpo após o óbito. Conclusão: percebe-se, que para alguns profissionais, a morte é um processo natural, para outros um novo começo, uma passagem, contudo, um momento difícil que remete à perda, à insuficiência e à impotência. Há dificuldade no processo de comunicação do óbito e conforto aos familiares. Descritores: morte; atitude frente à morte; papel do profissional de enfermagem; assistência terminal; doente terminal.RESUMEMObjetivo: conocer el significado de la muerte de pacientes para el personal de enfermería. Metodología: Este estudio toma un enfoque cualitativo, realizado en el Hospital Regional de Cajazeiras. Los criterios de selección fueron: los trabajadores de enfermería, de unidades de cuidados intensivos, salas de emergencia y unidad de internación. Entrevistamos 10 enfermeros y 15 técnicos de enfermería con un guión semi-estructurado. Se utilizó el análisis temático para organizar e interpretar los datos. El proyecto fue presentado al Comité de Ética de la Facultad de Santa María, protocolo 2350309. Resultados: El análisis de datos generaron las categorías: el significado de la muerte para los profesionales de enfermería, la enfermería frente a la familia en el proceso de luto, el personal de enfermería y el cuerpo después de la muerte. Conclusión: Se observa que, para algunos profesionales, la muerte es un proceso natural, para otros un nuevo comienzo, un pasaje, sin embargo, un momento difícil, que se refiere a la pérdida, el fracaso, impotencia. Hay dificultad en el proceso de comunicación de la muerte y la comodidad a las familias. Descriptores: muerte; actitud frente a la muerte; rol de la enfermera; cuidado terminal; enfermo terminal. 

scholarly journals Teamwork in nursing: restricted to nursing professionals or an interprofessional collaboration?

2016 ◽  
Vol 50 (4) ◽  
pp. 642-649 ◽  
Author(s):  
Geisa Colebrusco de Souza ◽  
Marina Peduzzi ◽  
Jaqueline Alcântara Marcelino da Silva ◽  
Brígida Gimenez Carvalho
Keyword(s):  
Qualitative Study ◽  
Interprofessional Collaboration ◽  
Structured Interview ◽  
Mutual Respect ◽  
Interprofessional Practice ◽  
Nursing Professionals

Abstract OBJECTIVE To understand the nursing professionals' conceptions of teamwork and their elements. METHOD A qualitative study conducted in an oncological hospital using a semi-structured interview with 21 nursing professionals. RESULTS Two conceptions emerged from the accounts: teamwork restricted to nursing professionals and teamwork with interprofessional collaboration with particular importance for interactive dimensions: communication, trust and professional bonds, mutual respect and recognition of the other's work, collaboration, and conflict, with this last subcategory considered as an obstacle to teamwork. CONCLUSION Nursing conceives teamwork as an interprofessional practice, which is a result of the quality of interaction among professionals from different areas and involves the recognition and handling of conflicts.

scholarly journals Factors Hampering the Participation of Nursing Staff in the Continuing Education Activities of Hospitals Centers in the Casablanca-Settat Region

2021 ◽  
Vol 15 (1) ◽  
pp. 218-228
Author(s):  
Amina Lhbibani ◽  
Abderrahmane Lamiri ◽  
Said Lotfi ◽  
Malika Tridane ◽  
Said Belaaouad
Keyword(s):  
Continuing Education ◽  
Nursing Staff ◽  
Mixed Method ◽  
Monitoring And Evaluation ◽  
Structured Interview ◽  
Two Phase ◽  
Knowledge And Skills ◽  
Support Measures ◽  
Mixed Method Design

Aim: This study aimed to identify the factors hampering the participation of nurses in the activities of CE sessions at the level of hospitals in the region of Casablanca. Background: Continuing education (CE) for nursing staff represents a strategic asset for hospitals, identifying the constraints of nursing staff participation in continuing training could help improve the quality of care for patients and the population in general. Objective: This study aimed to identify the factors hampering the participation of nurses in the activities of CE sessions at the level of hospitals in the region of Casablanca. Methods: The study used a two-phase mixed method design. First of all, a questionnaire was administered to 930 nurses belonging to 9 hospital centers in the Casablanca-Settat region in order to explore and estimate the frequencies of the factors hindering the participation of nurses in the activities of the FC sessions at the level of hospitals, and a semi-structured interview with 9 persons in charge of continuing education from these different hospitals to complete and explain the data collected by the questionnaire. Results: The data analysis confirmed that the work overload is the first individual difficulty hindering the participation of nurses in CE sessions, i.e., 85.4%. The most mentioned organizational difficulties are schedule recommended in the FC not encouraging and not suitable, i.e., 23%, non-targeted content (does not meet the needs of the nursing staff), i.e., 66.7%. Finally, the absence of support measures in terms of monitoring and evaluation to maintain the knowledge and skills acquired during FC sessions in real situations at the workstation occupied is the first institutional difficulty mentioned by the interviewed (88%). Conclusion: Those responsible for training should take into account the factors nurse’s face in participating in continuing education sessions when designing, developing, and implementing continuing education sessions.

scholarly journals The evolution of surgical education

2021 ◽  
Vol 17 (1) ◽  
pp. 1-5
Author(s):  
Eugen Târcoveanu ◽  
R. Moldovanu
Keyword(s):  
Artificial Intelligence ◽  
Operating Room ◽  
Surgical Education ◽  
Rapid Development ◽  
Surgical Care ◽  
Basic Research ◽  
Surgical Patient ◽  
Training Methods ◽  
Knowledge Based ◽  
Digital Surgery

Surgery is constantly evolving along the history. Surgery has seen an impressive evolution due to advances in anesthesia, basic research, means of exploration, immunology, genetics, pharmacology and especially in artificial intelligence. Surgery has evolved from open surgery to minimally invasive surgery, then to robotic surgery and in future to digital surgery. The five pillars of digital surgery are: (1) robotics, (2) advanced instrumentation, (3) enhanced visualization, (4) connectivity, and (5) data analytics and machine learning. Surgical education has evolved from Halsted's model (one see, one do, one teach) to special training programs such as the Rasmussen model in 3 stages: skill based behavior, ruled based behavior, knowledge based behavior. Digital technologies are changing surgical education. New terms appear such as: Massive open online courses, Flipped classrooms, Digital badges, Virtual anatomy, Medical holograms. Artificial intelligence can improve surgical education. It can bring transparency to the operating room and accelerate surgical education. Digital Mentoring provides the next generation of the digital platform with the transfer of surgical knowledge from an expert to a practitioner and allows surgeons to evolve to achieve the best results. In addition, all members of the operative team can benefit from training using augmented virtual reality. Establishing an infrastructure that allows the perfect integration of robotics, artificial intelligence, advanced instrumentation, advanced training methods, educational programs will allow the rapid development of innovation and surgical progress. In this way, digital surgery will provide globally advanced surgical care in continuous improvement. The classical methods still remain valid in the training of young surgeons. The most important aspect remains the training in the operating room. The new methods do not exclude the classic training that gave good results, but they complement and make general surgery more attractive for the new generation. In the desire to reform surgical education we have actually lost the purpose of training - the surgical patient, which is real, not virtual. The most important aspect that must be transmitted to young surgeons is the humanism of our profession, which for the time being cannot take the digital form.

scholarly journals Application status and progress of experiential teaching in nursing teaching

2020 ◽  
Vol 9 (5) ◽  
pp. 105
Author(s):  
Guigui Zhao
Keyword(s):  
Nursing Staff ◽  
Teaching Methods ◽  
Medical System ◽  
Traditional Teaching ◽  
Experiential Teaching ◽  
Teaching Content ◽  
Traditional Teaching Methods ◽  
Nursing Professionals ◽  
Quality Of Nursing

Nursing staff play a very important role in the modern medical system, and nursing is the key teaching content for training nursing professionals. There are many problems in traditional nursing teaching due to various limitations, which greatly affect the effectiveness of nursing teaching. Experiential teaching can make up for the shortcomings of traditional teaching methods, effectively improve the quality of nursing teaching, and further improve the nursing teaching system. This article analyzes the application status of experiential teaching in nursing teaching, and further elaborates the research on the progress of experiential teaching in nursing teaching.

scholarly journals Awareness of Patient Physical Handling Issues Associated with Routine Nursing Care

2020 ◽  
Vol 10 (2) ◽  
pp. 56-65
Author(s):  
Marie Trešlová ◽  
Drahomíra Filausová ◽  
Lenka Šedová ◽  
Hana Hajduchová
Keyword(s):  
Czech Republic ◽  
Nursing Care ◽  
Nursing Staff ◽  
Nursing Practice ◽  
State Of The Art ◽  
Hospital Staff ◽  
Structured Interview ◽  
Educational Programs ◽  
Practice Method

Introduction: Physical handling (PH) of patients is an essential component of nursing care. It is an intervention that is troublesome for patients and strenuous for general nurses and other nursing staff. Handling techniques and mechanical aids for PH have improved through the years; however, they are not routinely used in nursing practice. Aim: The aim of this research was to determine (1) the level of awareness of PH issues within the management of South Bohemian hospitals, (2) how management perceives, organizes and implements PH protocols, and (3) how PH protocols are applied in everyday nursing practice. Method and Research Sample: Two qualitative methods were used: a semi-structured interview and observation. The participants were management representatives of South Bohemian hospitals in Czech Republic. Fifty nurses were observed during PH at the same hospitals. Results: The study found that PH was not monitored, nor was it provided systematically. In spite of this, no serious drawbacks were found; nonetheless, many areas were identified where the quality of PH could be improved. For example, awareness of PH issues by management, educational programs teaching new handling techniques, and provision of state-of-the-art PH aids. Several issues related to PH were found to be related to staff shortages, which remains a major problem. Conclusion: This issue needs more attention; it should be addressed by both those doing nursing research as well as those engaged in everyday nursing practice. Both will require the assistance of hospital staff and management.

scholarly journals ESTRATÉGIAS DE DEFESA UTILIZADAS POR TRABALHADORES DE ENFERMAGEM ATUANTES EM PRONTO-SOCORRO

2016 ◽  
Vol 7 (2) ◽  
pp. 57 ◽  
Author(s):  
Jeanini Dalcol Miorin ◽  
Silviamar Camponogara ◽  
Camila Pinno ◽  
Etiane De Oliveira Freitas ◽  
Quézia Boeira Da Cunha ◽  
...  
Keyword(s):  
Emergency Room ◽  
Nursing Staff ◽  
Care Setting ◽  
Leisure Activities ◽  
Descriptive Study ◽  
Structured Interview ◽  
Thematic Content Analysis ◽  
Defensive Strategies ◽  
Investigación Cualitativa ◽  
Nursing Professionals

Objetivo: conhecer as estratégias defensivas utilizadas por trabalhadores de enfermagem atuantes em Pronto-Socorro. Metodologia: trata-se de um estudo descritivo com abordagem qualitativa. A coleta de dados ocorreu por meio de entrevista semiestruturada com 13 trabalhadores de enfermagem atuantes em um pronto-socorro, entre agosto e setembro de 2014. A análise dos dados seguiu os pressupostos da análise de conteúdo. Resultados: a partir da análise, emergiu a categoria: ‘Estratégias de defesa utilizadas pela equipe de enfermagem’, quais sejam: diálogo, enfoque nos aspectos técnicos do cuidado, estabelecimento de prioridades na rotina de serviço e desenvolvimento de atividades de lazer. Conclusão: a utilização de estratégias auxilia o trabalhador de enfermagem a vivenciar o trabalho de forma mais prazerosa.Descritores: Trabalho; Enfermagem; Adaptação Psicológica; Serviços Médicos de Emergência.DEFENSE STRATEGIES USED FOR NURSING WORKERS IN EMERGENCY ROOMObjective: the study aimed to know the defensive strategies used by nursing staff working in emergency room. Methodology: this is a descriptive study with a qualitative approach. A data collection was performed by semi-structured interview with 13 nursing professionals who work at an emergency room, between August and September 2014. Results: the analysis followed the assumptions of thematic content analysis. From the data analysis emerged the category: “Defensive strategies used by nursing staff”, which are dialogue, focus on technical aspects of care, setting priorities in the service routine and development of leisure activities. Conclusion: the use of strategies helps the nursing workers experience the work in a more pleasant way.Descriptors: Work; Nursing; Adaptation, Psychological; Emergency Medical Services.ESTRATEGIAS DEFENSIVAS UTILIZADAS POR TRABAJADORES DE ENFERMERÍA ACTIVOS EN PRIMEROS AUXILIOSObjetivo: conocer las estrategias defensivas utilizadas por trabajadores de enfermería que actúan en primeros auxilios. Metodología: investigación cualitativa y descriptiva. La recolección de datos ocurrió a través de entrevista semiestructurada con 13 trabajadores de enfermería que actúan en primeros auxilios, entre Agosto y Septiembre de 2014. El análisis siguió los supuestos del análisis de contenido temático. Resultados: a partir de la análisis de los datos ha surgido la categoría temática: “Estrategias defensivas utilizadas por el equipo de enfermería”, que son el diálogo, el enfoque en los aspectos técnicos de la atención, establecimiento de prioridades en la rutina de servicio y desarrollo de actividades de ocio. Conclusión: el uso de estrategias ayuda a los trabajadores de enfermería experimentar el trabajo de modo más agradable.Descriptores: Trabajo; Enfermería; Adaptación Psicológica; Servicios Médicos de Urgencia.

Quality of life of nursing professionals in the adult ICU of Dourados, MS, Brazil

2014 ◽  
Vol 1 (2) ◽  
pp. 235-241
Author(s):  
M.A.N. Araújo ◽  
R.S. Almeida ◽  
W.D. Lunardi Filho ◽  
A.G. Ferreira ◽  
A.B. Teixeira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Professionals

Supply Chain Integration: Establish the Appropriate Challenges in Improving Integrated SC in an Innovative Approach of IBS

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Ani Saifuza Abd Shukor ◽  
Muhammad Fadhil Muhammad ◽  
Shamsida Saidan Khaderi ◽  
Faridah Muhammad Halil
Keyword(s):  
Supply Chain ◽  
System Integration ◽  
Publishing House ◽  
Structured Interview ◽  
Poor Quality ◽  
Supply Chain Integration ◽  
Project Environment ◽  
The Poor ◽  
International Publishing

The shift to an integrated IBS construction approach requires enhanced supply chain integration to improve the productivity as well as the poor quality of human behavioual aspect in IBS project. This paper is to identify the challenges at each tier between players to facilitate supply chain integration among the IBS players. Findings adopted from semi-structured interview revealed the critical attitude issues of human factors, lack of interaction and sharing knowledge between interdisciplinary people. The findings of this study is useful to improve integration of supply chain and enhance innovation and sharing interaction between players in the IBS Malaysian construction project environment.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Construction Environment; Industrialised Building System; Integration and Supply Chain 

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