scholarly journals Teamwork in a coronary care unit: facilitating and hindering aspects

2016 ◽  
Vol 50 (3) ◽  
pp. 482-489 ◽  
Author(s):  
Bethania Ferreira Goulart ◽  
Silvia Helena Henriques Camelo ◽  
Ana Lúcia de Assis Simões ◽  
Lucieli Dias Pedreschi Chaves
Keyword(s):  
Critical Incident ◽  
Coronary Care Unit ◽  
Physical Therapists ◽  
Critical Incident Technique ◽  
Structured Interviews ◽  
Positive Behaviors ◽  
Coronary Care ◽  
One Year ◽  
Interprofessional Relationship ◽  
Nursing Professionals

Abstract OBJECTIVE To identify, within a multidisciplinary team, the facilitating and hindering aspects for teamwork in a coronary care unit. METHOD A descriptive study, with qualitative and quantitative data, was carried out in the coronary care unit of a public hospital. The study population consisted of professionals working in the unit for at least one year. Those who were on leave or who were not located were excluded. The critical incident technique was used for data collection, by means of semi-structured interviews. For data analysis, content analysis and the critical incident technique were applied. RESULTS Participants were 45 professionals: 29 nursing professionals; 11 physicians; 4 physical therapists; and 1 psychologist. A total of 49 situations (77.6% with negative references); 385 behaviors (54.2% with positive references); and 182 consequences emerged (71.9% with negative references). Positive references facilitate teamwork, whereas negative references hinder it. A collaborative/communicative interprofessional relationship was evidenced as a facilitator; whereas poor collaboration among agents/inadequate management was a hindering aspect. CONCLUSION Despite the prevalence of negative situations and consequences, the emphasis on positive behaviors reveals the efforts the agents make in order to overcome obstacles and carry out teamwork.

scholarly journals The experience of hospitalized children regarding their interactions with nursing professionals

2011 ◽  
Vol 19 (6) ◽  
pp. 1429-1436 ◽  
Author(s):  
Ana Lucía Noreña Peña ◽  
Luis Cibanal Juan
Keyword(s):  
Nursing Care ◽  
Critical Incident ◽  
Participant Observation ◽  
Critical Incident Technique ◽  
Hospitalized Children ◽  
Structured Interviews ◽  
Social And Emotional ◽  
Emotional Factors ◽  
Need To Evaluate ◽  
Nursing Professionals

The aim of this study is to describe the experience of children in their interactions with nursing professionals while in hospital. It is a qualitative study supported by the critical incident technique. Data was collected through participant observation and semi-structured interviews with thirty hospitalized children and teenagers between 8 and 14 years old. The results showed that children positively valued nursing care at the hospital and recognized that interactions with nursing staff included social and emotional factors. It is concluded that communication established with children plays a fundamental role to comprehend their experiences while in hospital. Therefore, nurses need to evaluate their strategies and relational skills used to interact with children at the hospital.

Students’ perception of effective learning experiences at an Iranian dental school: A qualitative study using the critical incident technique

2021 ◽  
Vol 10 (1) ◽  
pp. 24-24
Author(s):  
Rojin Soleimanzadeh ◽  
Kousha Sarpari ◽  
Nasrin Abdi ◽  
Parisa Heydari ◽  
Yadolah Zarezadeh
Keyword(s):  
Qualitative Study ◽  
Learning Process ◽  
Critical Incident ◽  
Clinical Skills ◽  
Critical Incident Technique ◽  
Dental Students ◽  
Structured Interviews ◽  
Process Data ◽  
Effective Learning ◽  
Perceived Experiences

Background: Dental students need to learn effectively to promote their professional services as a part of their daily activities. This study is conducted to determine dentistry students’ experiences of factors that influence their learning. Methods: This qualitative study was conducted using the critical incident technique and content analysis approach to examine dental students’ experiences with factors that influence an effective learning process. Data were collected by individual in-depth semi-structured interviews with dental students at the Kurdistan University of Medical Sciences. Results: In all, 104 primary codes were obtained from the interviews and group discussions, classified into two major themes. The factors facilitating effective learning encompassed three categories: teacher-related perceived experiences (8 subcategories), learning-related perceived experiences (5 subcategories), and compelling student-related perceived experiences (3 subcategories). Two factors inhibited learning: practical teacher-related perceived experiences (3 subcategories) and learning-related perceived experiences (3 subcategories). Conclusion: The results showed that several instructor characteristics, such as being experienced in teaching methods, having the required clinical skills, and "interacting with students and patients" lead to effective learning. Several other factors involved in the learning process, such as student characteristics, a comprehensive curriculum fitting the theoretical and clinical needs of this field, interacting with peers, and keeping calm and being focused are the some of the most critical factors involved in effective learning.

Prospective evaluation of a chest pain pathway in the coronary care unit at green lane hospital; One year follow up study

2003 ◽  
Vol 12 (2) ◽  
pp. A34
Author(s):  
John J. Edmond ◽  
John K. French ◽  
Hanneke Henny ◽  
Ralph A.H. Stewart ◽  
Teena West ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Care Unit ◽  
Prospective Evaluation ◽  
Follow Up Study ◽  
Pain Pathway ◽  
Coronary Care ◽  
One Year

scholarly journals Dysthanasia: nursing professionals' perception

2009 ◽  
Vol 17 (4) ◽  
pp. 443-448 ◽  
Author(s):  
Milene Barcellos de Menezes ◽  
Lucilda Selli ◽  
Joseane de Souza Alves
Keyword(s):  
Quality Of Life ◽  
Content Analysis ◽  
Qualitative Study ◽  
Study Data ◽  
Structured Interviews ◽  
Pain And Suffering ◽  
One Year ◽  
Nursing Professionals

Dysthanasia means slow and painful death without quality of life. This study aimed to know whether nurses identify dysthanasia as part of the final process of the lives of terminal patients hospitalized at an adult ICU. This is an exploratory-qualitative study. Data were collected through semi-structured interviews with ten nurses with at least one year of experience in an ICU, and interpreted through content analysis. Results indicate that nurses understand and identify dysthanasia, do not agree with it and recognize elements of orthonasia as the adequate procedure for terminal patients. We conclude that nurses interpret dysthanasia as extending life with pain and suffering, while terminal patients are submitted to futile treatments that do not benefit them. They also identify dysthanasia using elements of orthonasia to explain it.

scholarly journals Theoretical and practical knowledge of Nursing professionals on indirect blood pressure measurement at a coronary care unit

2014 ◽  
Vol 12 (3) ◽  
pp. 330-335 ◽  
Author(s):  
Juliana Pereira Machado ◽  
Eugenia Velludo Veiga ◽  
Paulo Alexandre Camargo Ferreira ◽  
José Carlos Amado Martins ◽  
Ana Carolina Queiroz Godoy Daniel ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Coronary Care Unit ◽  
Practical Knowledge ◽  
Blood Pressure Measurement ◽  
Theory And Practice ◽  
Coronary Care ◽  
Practice Assessment ◽  
Nursing Professionals ◽  
Indirect Blood Pressure

Objective To determine and to analyze the theoretical and practical knowledge of Nursing professionals on indirect blood pressure measurement. Methods This cross-sectional study included 31 professionals of a coronary care unit (86% of the Nursing staff in the unit). Of these, 38.7% of professionals were nurses and 61.3% nurse technicians. A validated questionnaire was used to theoretical evaluation and for practice assessment the auscultatory technique was applied in a simulation environment, under a non-participant observation. Results To the theoretical knowledge of the stages of preparation of patient and environment, 12.9% mentioned 5-minute of rest, 48.4% checked calibration, and 29.0% chose adequate cuff width. A total of 64.5% of professionals avoided rounding values, and 22.6% mentioned the 6-month deadline period for the equipment calibration. On average, in practice assessment, 65% of the steps were followed. Lacks in knowledge were primary concerning lack of checking the device calibration and stethoscope, measurement of arm circumference to choose the cuff size, and the record of arm used in blood pressure measurement. Conclusion Knowledge was poor and had disparities between theory and practice with evidence of steps taken without proper awareness and lack of consideration of important knowledge during implementation of blood pressure measurement. Educational and operational interventions should be applied systematically with institutional involvement to ensure safe care with reliable values.

A critical incident technique investigation of customers’ waiting experiences in service encounters

2016 ◽  
Vol 26 (3) ◽  
Author(s):  
Prabha Ramseook-Munhurrun
Keyword(s):  
Critical Incident ◽  
Design Methodology ◽  
Affective Response ◽  
Critical Incident Technique ◽  
Service Encounters ◽  
Structured Interviews ◽  
Distinctive Features ◽  
Type Design ◽  
Main Challenge ◽  
Service Organisation

Purpose This study explores customers’ reactions to waiting experiences in service encounters. It seeks to explore the key driving features determining customer satisfaction and dissatisfaction with waiting experiences during service encounters. The main challenge for service organisation is to understand the satisfactory and dissatisfactory features of the waiting experiences so as to design and deliver a memorable experience leading to positive post-consumption reactions. Design/methodology/approach The critical incident technique (CIT) was used to explore the salient factors on which customers forged their evaluation and based their satisfaction while waiting in lines in the context of various service encounters. To elicit incidents, semi-structured interviews were conducted with 25 customers in Mauritius and a total of 297 critical incidents involving customers’ waiting experiences in service encounters were identified. Findings Based on the CIT analysis, four distinctive features associated with the satisfying and dissatisfying waiting experiences emerged: social justice, servicescapes, affective response and service outcome. The customers exhibited mostly dissatisfying reactions to waiting experiences during the service encounters. Originality/value While CIT has been used extensively in services management, it has not been used to explore customers’ reactions to waiting experiences. Therefore, this study extended the waiting experience literature in service encounters to explain customers’ reactions to waiting.

scholarly journals CUIDADOS PALIATIVOS E O MODO DE CUIDAR: ATÉ ONDE VAI O ENVOLVIMENTO?

2009 ◽  
Vol 14 (2) ◽  
Author(s):  
Cristina Faresin ◽  
Marilene Rodrigues Portella
Keyword(s):  
Palliative Care ◽  
Structured Interviews ◽  
Family Behavior ◽  
The Social ◽  
Professional Caregiver ◽  
One Year ◽  
Key Words Palliative Care ◽  
Nursing Professionals ◽  
Elderly Caregivers

Resumo: Este estudo visou averiguar como está ocorrendo o envolvimento da equipe de enfermagem mediante a situação da pessoa que necessita de cuidados paliativos. Desenvolveu-se uma pesquisa qualitativa, com cinco profissionais de enfermagem, de ambos os sexos, maiores de 19 anos, que trabalham há no mínimo um ano em uma das três Instituições de Longa Permanência para Idosos de Passo Fundo/RS, e prestam cuidados paliativos. Os participantes responderam a entrevistas semi-estruturadas, cujo conteúdo foi analisado qualitativamente, desvelando-se as seguintes categorias: entendimento de cuidados paliativos, trabalhando com a morte, seguindo rotinas e observando o comportamento dos familiares. O cuidador profissional apresenta dificuldades em separar os papéis no contexto social e em saber trabalhar com a morte daqueles que estão sob seus cuidados. O suporte de apoio para os cuidadores profissionais e ocupacionais é raro, pois os mesmos vêm sofrendo um desgaste notável tanto nas intervenções junto aos residentes, quanto frente a determinadas circunstâncias que envolvem os familiares. A qualidade da assistência a esse grupo pode ser melhorada se for dada uma atenção diferenciada à questão dos cuidados paliativos, seja por meio de tecnologia de informação e formação, seja por iniciativas que contemplem programas de educação continuada dirigidos aos cuidadores de idosos. Palavras-chave: Cuidados Paliativos; Instituições de Longa Permanência para Idosos; Assistência terminal. Abstract: This study aimed to investigate how the involvement of the nursing team has been occuring against the situation of the person who needs palliative care. A qualitative research was developed with five nursing professionals, of both sexes, over 19 years old, that have been working at least for one year in one of the three longstay institutions for elderly people, in Passo Fundo, RS, and render palliative care. The participants answered to semi-structured interviews, whose content was qualitatively analyzed, being unveiled the following categories: palliative care understanding, working with the death, proceeding with routines and observating the family behavior. The professional caregiver presents difficulties in separating the roles in the social context and, in knowing how to work with the death of those who are under his care. The support for professional and occupational caregivers is rare once they are suffering a remarkable wear in interventions with residents as much as in certain circumstances involving the relatives. The quality of assistance to this group can be improved if special attention is given to palliative care, whether by means of information and training technologies or initiatives that provide continuing education programs directed to elderly caregivers. Key words: Palliative Care; Long-Stay Institutions for the Old-Aged; Terminal Care.

scholarly journals When Commitments Conflict: Making Ethical Decisions Like a Funambulist

M n gement ◽  
2021 ◽  
pp. 44-58
Author(s):  
Jean Nizet ◽  
Pauline Fatien Diochon ◽  
Lakshmi Balachandran Nair
Keyword(s):  
Executive Coaching ◽  
Critical Incident ◽  
Ethical Dilemmas ◽  
Critical Incident Technique ◽  
Structured Interviews ◽  
Multiple Stakeholders ◽  
Executive Coaches ◽  
Ethical Decisions ◽  
The Face ◽  
The Way

Given the complexity of organizations, individuals nowadays are handling an increasing number of commitments. When these commitments come into conflict, they can turn into ethical dilemmas. However, little is known about how individuals make ethical decisions in the face of such conflicting commitments. We investigated this issue within the context of executive coaching, since coaches often interact with multiple stakeholders as part of their assignments. We conducted 37 semi-structured interviews using the critical incident technique, that is, by asking executive coaches to share a situation that was ethically challenging for them. Based on our study, we derive the metaphor of funambulism to depict how individuals make decisions in the case of conflicting commitments. By building on the systemic framework, we show that executive coaches manage an equilibrium ‘along the way’ through an emergent system of practices, which involves making adjustments that can maintain or restore their system’s equilibrium (i.e., compatibility between commitments). This contribution alludes to the dynamic and constructed nature of ethics.

scholarly journals Nursing workload in a coronary unit according to the Nursing Activities Score

2015 ◽  
Vol 36 (3) ◽  
pp. 28-35 ◽  
Author(s):  
Rejane Reich ◽  
Débora Feijó Villas Bôas Vieira ◽  
Luciana Bjorklund de Lima ◽  
Eneida Rejane Rabelo-Silva
Keyword(s):  
Longitudinal Study ◽  
Teaching Hospital ◽  
Coronary Care Unit ◽  
Nursing Workload ◽  
Southern Brazil ◽  
The Mean ◽  
Coronary Care ◽  
Nursing Professionals ◽  
Over Time

Objective: this study aimed to using the Nursing Activities Score to assess nursing workload in a coronary care unit, to assess the distribution of workload between shifts, and to compare the current staff of the care unit with that recommended by the instrument.Method: this was a longitudinal study, conducted in a teaching hospital in Southern Brazil, between April to June 2012.Results: A total of 604 NAS measures were obtained from the 61 patients included. The mean workload per shift was 47% (±12), with the greatest workload being reported in the afternoon shifts.Conclusion: according to the NAS, a mean of two and a maximum of 2.4 nursing professionals would be required per shift to meet all patient demands, suggesting that the current staff size in the CCU is adequate. The NAS was successful in assessing nursing workload and changes in patient demands over time.

Sign in / Sign up

Export Citation Format

Share Document