scholarly journals Nursing care practices at an outpatient care center from an integrative perspective

2012 ◽  
Vol 20 (5) ◽  
pp. 909-916
Author(s):  
Ione Carvalho Pinto ◽  
Carla Santa Maria Marciliano ◽  
Fabiana Costa Machado Zacharias ◽  
Ana Paula Neroni Stina ◽  
Ivana Astolphi Gandra Passeri ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Care ◽  
Outpatient Care ◽  
Care Center ◽  
Care Practice ◽  
Quality Health Care ◽  
Integrative Health ◽  
Nursing Team ◽  
Care Practices ◽  
Nursing Professionals

AIM: to analyze nursing care practices at a Specialized Outpatient Care Center from the perspective of an integrative health care activity. METHOD: Interviews with 24 nursing professionals were undertaken. For data analysis, Thematic Content Analysis as proposed by Bardin was applied, resulting in the following themes: the team size and its commitment to health care; professional practices and activity of the nursing team. RESULTS: The size of the nursing team was considered insufficient, which compromises the quality of care and results in work overload and dissatisfaction of the nursing professionals. On the other hand, they were satisfied with the tasks performed day-to-day and related integrality to individual care, considered it essential and usually practiced it daily. CONCLUSION: It is considered that the nursing team has the potential and commitment to develop their care practice combined with the integrative perspective, and therefore providing quality health care to the population.

scholarly journals Working conditions of a nursing team in mental health facility

2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Aline Silvia Esteves Morais ◽  
Gisele Fernandes Tarma Cordeiro ◽  
Angela Aparecida Peters ◽  
Tatiana Marques dos Santos ◽  
Rosa Gomes dos Santos Ferreira ◽  
...  
Keyword(s):  
Mental Health ◽  
Working Conditions ◽  
Care Center ◽  
Psychosocial Care ◽  
Structured Interviews ◽  
Nursing Services ◽  
Nursing Team ◽  
Analytical Research ◽  
Interdisciplinary Partnership ◽  
Nursing Professionals

ABSTRACT Objective: To analyze how the nursing team from a Psychosocial Care Center II relates its insertion in the service with the work process. Methods: Descriptive, analytical research outlined as a case study with a qualitative approach. The data were collected through semi-structured interviews with nursing professionals and went through content analysis subsidized by Bardin’s work. Results: Two thematic categories emerged: a) Ways of intake in the nursing services at the Psychosocial Care Center; b) Setbacks in nursing routine at the Psychosocial Care Center. Final considerations: The fact that the professionals have not planned to work in mental health nor have training impacts the rhythm of psychosocial care development at the Psychosocial Care Center, forcing them to seek training in the field after admission. Unmotivated by the working conditions, the nursing team suffers from the absence of an interdisciplinary partnership and goes to great lengths to approach psychosocial care.

Immigration and Contract Problems Experienced by Foreign-Educated Nurses

2012 ◽  
Vol 69 (3) ◽  
pp. 351-365 ◽  
Author(s):  
Patricia Pittman ◽  
Carolina Herrera ◽  
Joanne Spetz ◽  
Catherine R. Davis
Keyword(s):  
United States ◽  
Health Care ◽  
Low Income ◽  
The United States ◽  
Low Income Countries ◽  
Labor Rights ◽  
Care Practice ◽  
Quality Health Care ◽  
International Recruitment ◽  
The Impact

More than 8% of employed RNs licensed since 2004 in the United States were educated overseas, yet little is known about the conditions of their recruitment or the impact of that experience on health care practice. This study assessed whether the labor rights of foreign-educated nurses were at risk during the latest period of high international recruitment: 2003 to 2007. Using consensus-based standards contained in the Voluntary Code of Ethical Conduct for the Recruitment of Foreign-Educated Health Professionals to the United States, this study found 50% of actively recruited foreign-educated nurses experienced a negative recruitment practice. The study also found that nurses educated in low-income countries and nurses with high contract breach fees, were significantly more likely to report such problems. If, as experts believe may occur, the nursing shortage in the United States returns around 2014, oversight of international recruitment will become critically important to delivering high-quality health care to Americans.

scholarly journals Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study

2020 ◽  
Vol 9 ◽  
pp. 216495612094670 ◽  
Author(s):  
Heike Wieser ◽  
Giuliano Piccoliori ◽  
Marianne Siller ◽  
Evi Comploj ◽  
Harald Stummer
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Outpatient Care ◽  
Interprofessional Collaboration ◽  
Qualitative Content Analysis ◽  
Family Physicians ◽  
Diabetes Type 2 ◽  
Care Practice ◽  
Health Care Practice

Introduction: Diabetes mellitus type 2 (DM2), one of the four most important chronic diseases worldwide, is generally considered to be preventable. However, it is not yet sufficiently clear whether an aligned collaboration between different health professions could facilitate behavioral changes to be made by patients with DM2 regarding their eating and physical activity habits. Objective: To explore if and how far in current outpatient care for 3 health-care professions it is an objective to collaborate with each other supporting patients with DM2 in changing their eating and physical activity habits. Methods: We conducted 18 qualitative problem centered interviews with selected family physicians, nurses, dieticians working in outpatient setting and patients with DM2, transcribed verbatim, and analyzed with qualitative content analysis. Results: Issues identified ranged from description and reflection of current health-care practice, strategies, and hindrances to cope with changes of eating and physical activity behaviors as well as for health-care practice regarding interprofessional collaboration and patient-centered care up to considerations about collaboration and patient centricity (for health professionals and patients to achieve goals) and changes and ideas of “ideal care practice”. Discussion: The included professional groups work predominantly for themselves. Collaboration currently only takes place when individually triggered and neither structured nor organized.

Ethically Sensitive Mental Health Care: Is there a Need for a Unique Ethics for Psychiatry?

2003 ◽  
Vol 37 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Andrew Crowden
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Conceptual Analysis ◽  
Practical Wisdom ◽  
Care Practice ◽  
Health Care Practice ◽  
Health Care Practices ◽  
Unique Nature ◽  
Care Practices

Objective: This article takes up the challenge to comment and extend on Jennifer Radden's claims for a ‘unique ethics for psychiatry’ articulated in ‘Notes towards a professional ethics for psychiatry’, Australian and New Zealand Journal of Psychiatry 2002; 36:52–59. Method: The author is analytically trained in bioethics and employs the method of conceptual analysis. Results: Psychiatry is a unique mental health care practice which calls for unique ethical responses. However, it doesn't necessarily follow that a unique ethics for psychiatry is required. Conclusions: A more plausible explanation for how philosophical ethics informs the unique nature of psychiatric practice is better articulated within claims about the role-related nature of particular health care practices and the influence that the virtue of phronesis (practical wisdom) has on a clinician's decision-making and judgement.

FOLK PRACTICES REGARDING CHILDBEARING

2015 ◽  
Vol 25 (1) ◽  
Author(s):  
M E Chauke ◽  
M C Matlakala ◽  
J D Mokoena
Keyword(s):  
Ethnic Groups ◽  
Nursing Care ◽  
Cultural Awareness ◽  
Elderly Women ◽  
Sexual Practices ◽  
Care Practice ◽  
Convenience Sample ◽  
Individual Interviews ◽  
African Context ◽  
Care Practices

 Nurses and other healthcare professionals practice their professions within culturally diverse societies. In order to make meaningful culture-care decisions and actions to their clients, and to provide culturally congruent and sensitive nursing care; nurses should understand the diverse cultures of their patients. The study sought to understand folk practices related to childbearing in the African context in order to promote cultural awareness and knowledge amongst nurses. The aim of this article is to present some of the practices regarding childbearing in Southern African ethnic groups, using a qualitative descriptive design. Participants included a convenience sample of six elderly women from various ethnic groups in South Africa, Lesotho, Malawi and Swaziland. Data were collected through individual interviews in the form of oral narratives and thematic content analysis was done. The three themes that emerged from data, namely sexual practices, pre-, intra-, and post-natal care practices, and baby care practices were found to be potentially beneficial or potentially harmless and, therefore, could be preserved and accommodated in the nursing care practice.

CUIDADO DE PACIENTES EM FINAL DE VIDA: o que profissionais de enfermagem expressam sobre

2021 ◽  
Vol 7 (1) ◽  
pp. 343-361
Author(s):  
Flávia Silvestrin ◽  
Tayna Nayara Nunes ◽  
Luiz Renato de Moraes Braga
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Health Professionals ◽  
Care Center ◽  
Death And Dying ◽  
Structured Interview ◽  
Discussion Groups ◽  
Analysis Technique ◽  
Nursing Team ◽  
Nursing Professionals

The perception that we have about death and dying in our society and the way it is experienced by health professionals can bring important psychic repercussions, especially for those who are closest to patients: the nursing team. Literature often suggests the creation of spaces for speech and/or discussion groups, as a care strategy for these professionals. The present study refers to a qualitative, exploratory and empirical research, whose proposal was to verify, through semi-structured interview, if nursing professionals in a Semi-Intensive Care Center have demands to work on themes related to care of end-of-life patients through an operative group and, according to the results, propose its realization. 21 professionals participated. The interviews were analyzed using the Content Analysis technique, which allowed to list five categories: Frequency; Difficulties; Coping strategies; Established links; Demands for updates and speech spaces. The results showed that the participants considered it necessary a space to talk about their experiences in the context of care for patients at the end of life, however, when it was proposed, it did not have adherence. A number of reasons can be considered about the impediments and difficulties in the implementation of a group with nursing professionals working in intensive care, as the main contingents are issues related to the profession itself, resistance, work overload, the context itself institutional and pandemic, making clear the need for further studies.

The informalisation of professional–patient interactions and the consequences for regulation in the United Kingdom

2018 ◽  
pp. 39-60
Author(s):  
Patrick Brown ◽  
Rubén Flores
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Health Care Professional ◽  
Social Research ◽  
Care Practice ◽  
Health Care Practice ◽  
Quality Health Care ◽  
The United Kingdom ◽  
Patient Interactions ◽  
Quality Health

Seeking to illustrate the usefulness of Eliasian approaches for debates on health care professional regulation, this chapter examines how long-term social processes have transformed the character of health care professional-patient interactions in the United Kingdom in recent decades, rendering them more informal and less asymmetric. The chapter goes on to consider three key implications and challenges of such transformations for regulatory design and practice, first exploring how performances of compassion and care have become more central to understandings of ‘quality’ health care practice. Secondly, these less asymmetric and structured interactions are also less stable, posing problems for quality assurance and regulation. Finally, informalisation processes are bound up with moves away from a more blanket profession-based trust towards a more critical, interaction-won trust. The chapter concludes by considering the implications of new trust dynamics for regulating quality care amid the processes of informalisation, and how heightened demands for reflexivity may open new possibilities for cultivating (professional) virtue through a dialogue between social research and health care practice.

scholarly journals Lean thinking in total nursing care for mechanically ventilated patients: A new concept in ICU

2019 ◽  
Vol 10 (1) ◽  
pp. 1
Author(s):  
Sally Mohammed Farghaly ◽  
Fatma Refaat Ahmed
Keyword(s):  
Nursing Care ◽  
Value Added ◽  
Self Report ◽  
Care Practice ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Total Care ◽  
Care Practices ◽  
The Cost ◽  
Ventilated Patients

Background: Lean approach is one of the coming revolutions for a better, improved, high-value-based care to maximize the benefit from nursing care activities. Additionally, it can shorten the mechanical ventilation duration and the total intensive care unit stay with a time and cost effective process. Lean is an improvement strategy based on the concept of eliminating the waste and creation of value-added care practices to the patients. Applying lean strategy for mechanically ventilated patients requires critical evaluation of all steps of the care to identify which add value and which do not.Methods: A descriptive research design was used in the current study and two tools were used for data collection in this study: “Lean assessment observational checklist of total care for mechanically ventilated patients”, and “Critical care nurses’ self-report about waste during total care of mechanically ventilated patients”.Results: The differences between value added and non-value added care practice items were not statistically significant in ventilator and patient care practices items (p = .232 and .884) respectively, while there was no statistical difference between the value added and non-value added care practice items in tube care. The differences between the time consumed in all care practices items were statistically significant (p < .001). According to the nurses' self-report, direct care for patients was ranked as the first care category that can increase the cost and effort followed by the indirect care category.Conclusions: Not all care items for mechanically ventilated patients have been added value to the patients. Waste outcomes as reported by nurses resulted in increase their efforts, time of care, in addition to increase the cost of care.

scholarly journals Errata a “Factors Influencing the Implementation of Screening and Brief Interventions for Alcohol Use in Primary Care Practices: A Systematic Review Protocol”

2018 ◽  
Vol 31 (2) ◽  
pp. 139
Author(s):  
Frederico Rosário ◽  
Maria Inês Santos ◽  
Kathryn Angus ◽  
Leo Pas ◽  
Cristina Ribeiro ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Health Care Center ◽  
Primary Health ◽  
Review Protocol ◽  
Care Practices ◽  
Primary Health Care Centers ◽  
Primary Care Practices ◽  
Health Care Centers

The article “Factors Influencing the Implementation of Screening and Brief Interventions for Alcohol Use in Primary Care Practices: A Systematic Review Protocol”, published on our edition January 2018 [Acta Med Port 2018 Jan;31(1):45-50] exhibited an error on the authorship line.On page 45, where it currently reads:Frederico ROSÁRIO[AC,1,2], Maria Inês SANTOS[3], Kathryn ANGUS[4], Leo PAS[5], Niamh FITZGERALD[4]It should read:Frederico ROSÁRIO[AC,1,2], Maria Inês SANTOS[3], Kathryn ANGUS[4], Leo PAS[5], Cristina RIBEIRO[1,6], Niamh FITZGERALD[4]Also, on the affiliation informations on the footer in the same page 45, where it reads:1. Institute of Preventive Medicine and Public Health. Faculty of Medicine. Lisbon University. Lisbon. Portugal.2. Tomaz Ribeiro Primary Health Care Center. Dão Lafões Primary Health Care Centers Grouping. Viseu. Portugal.3. Department of Pediatrics. Tondela-Viseu Hospital Center. Viseu. Portugal.4. Institute for Social Marketing (ISM). UK Centre for Tobacco & Alcohol Studies. Faculty of Health Sciences & Sport. University of Stirling. Stirling. United Kingdom.5. Academic Centre for General Practice. KU Leuven. Leuven. Belgium.It should read:1. Institute of Preventive Medicine and Public Health. Faculty of Medicine. Lisbon University. Lisbon. Portugal.2. Tomaz Ribeiro Primary Health Care Center. Dão Lafões Primary Health Care Centers Grouping. Viseu. Portugal.3. Department of Pediatrics. Tondela-Viseu Hospital Center. Viseu. Portugal.4. Institute for Social Marketing (ISM). UK Centre for Tobacco & Alcohol Studies. Faculty of Health Sciences & Sport. University of Stirling. Stirling. United Kingdom.5. Academic Centre for General Practice. KU Leuven. Leuven. Belgium.6. Quality Department. Directorate-General of Health. Lisbon. Portugal.Link for the full published article.

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