scholarly journals Association between workload of the nursing staff and patient safety outcomes

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Ana Maria Müller de Magalhães ◽  
Diovane Ghignatti da Costa ◽  
Caren de Oliveira Riboldi ◽  
Thiane Mergen ◽  
Amanda da Silveira Barbosa ◽  
...  
Keyword(s):  
Patient Safety ◽  
Average Length ◽  
Invasive Procedure ◽  
University Hospital ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Nursing Team ◽  
Safety Outcomes ◽  
Nursing Professionals ◽  
Inpatient Units

Abstract OBJECTIVE To describe the workload of the nursing team and relate it with patient safety outcomes in clinical and surgical inpatient units of a university hospital. METHOD Cross-sectional study, carried out from October 2013 to September 2015. The factor under study was the workload, expressed as the ratio between the mean number of patients and the number of nursing professionals in 24 hours and in the day shifts. RESULTS The sample consisted of 157,481 patients, 502 nursing professionals and 264 observations of safety outcomes. The ratios of patients per nurse and per nursing technician in day shifts indicate a mean estimate of 14-15 and 5-6 patients per professional, respectively. There was a significant association between the workloads in the inpatient units and average length of stay, urinary infection related to invasive procedure and the satisfaction of patients with nursing care. CONCLUSION The increase in the workload of the nursing team had an impact on quality of care and safety for patients. An adequate staffing promotes a safer care environment.

scholarly journals Clima Organizacional em uma Unidade de Terapia Intensiva: percepções da equipe de enfermagem

2021 ◽  
Vol 20 (2) ◽  
pp. 390-425
Author(s):  
Flávia Barreto Tavares Chiavone ◽  
Claúdia Cristiane Filgueira Martins Rodrigues ◽  
Larissa De Lima Ferreira ◽  
Pétala Tuani Candido de Oliveira Salvador ◽  
Manaces Dos Santos Bezerril ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Organizational Climate ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Nursing Team ◽  
Terapia Intensiva ◽  
Nursing Professionals

Objetivo: Medir el clima organizacional del equipo de enfermería en la unidad de cuidados intensivos. Método: Este es un estudio transversal, con enfoque cuantitativo, desarrollado en una unidad de cuidados intensivos de un hospital universitario en el noreste de Brasil. La recolección de datos se realizó en 2016, con la participación de 30 profesionales de enfermería. Se realizó el análisis de datos a partir de estadística descriptiva y análisis de datos bivariados. Resultados: Se encontró que los profesionales de enfermería perciben un clima organizacional bajo en el sector en que trabajan y el desarrollo profesional y los beneficios fueron el factor considerado más bajo entre los trabajadores. El análisis bivariado infiere significativamente que los profesionales que tienen hijos tienen una baja percepción del clima organizacional. Conclusión: La percepción del clima organizacional del equipo de enfermería investigado es baja. Objective: To measure the organizational climate of the nursing team in the intensive care unit. Method: This is a cross-sectional study, with a quantitative approach, developed in the intensive care unit of a university hospital in the Northeast of Brazil. Data collection was carried out in 2016, with the participation of 30 nursing professionals. Data analysis was carried out using descriptive statistics and a bivariate analysis of data. Results: It was found that nursing professionals perceive a low organizational climate score in the sector they work. The professional Development and the benefits were considered the lowest factor by the workers. The bivariate analysis significantly infers that the professionals who have children have a low perception of the organizational climate. Conclusion: The nursing team investigated is perceives the score of the organizational climate to be low. Objetivo: Mensurar o clima organizacional da equipe enfermagem na unidade de terapia intensiva. Método: trata-se de um estudo transversal, de abordagem quantitativa, desenvolvida em uma unidade de terapia intensiva em um hospital universitário no nordeste do Brasil. A coleta de dados foi realizada em 2016, com a participação de 30 profissionais de enfermagem. A análise dos dados se deu por estatística descritiva e análise bivariada dos dados. Resultados: Verificou-se que os profissionais de enfermagem percebem um baixo clima organizacional no setor que atuam e o Desenvolvimento profissional e benefícios foi o fator considerado mais baixo entre os trabalhadores. A análise bivariada infere de maneira significativa que os profissionais que possuem filhos têm uma baixa percepção do clima organizacional. Conclusão: A percepção do clima organizacional da equipe de enfermagem investigada é baixa.

scholarly journals Assessment of safety culture by surgical unit nursing teams

2014 ◽  
Vol 23 (3) ◽  
pp. 581-590 ◽  
Author(s):  
Monique Mendes Marinho ◽  
Vera Radünz ◽  
Sayonara de Fátima Faria Barbosa
Keyword(s):  
Safety Culture ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Nursing Professionals ◽  
Inpatient Units ◽  
Nursing Teams

The objective was to evaluate the patient safety culture from the perspective of the nursing teams at two surgical inpatient units of a university hospital, using the Safety Attitudes Questionnaire. Cross-sectional survey with quantitative approach, conducted at the two surgical inpatient units of the university hospital in Florianópolis, SC, Brazil. The Safety Attitudes Questionnaire was applied to 46 nursing professionals. Data analysis used descriptive and inferential statistics. The results show that all dimensions measured values scored lower than the minimum positive safety culture. The lower scores were found in the dimensions "perceptions of management" and "working conditions". Concerning the age of the professionals, young professionals stood out with higher scores. As for the professional categories, the higher scores were related to nursing assistants. The evaluation of the safety culture in the units studied demonstrates weakness in the six dimensions assessed.

scholarly journals Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey

2019 ◽  
Vol 69 (684) ◽  
pp. e507-e514 ◽  
Author(s):  
Louise H Hall ◽  
Judith Johnson ◽  
Ian Watt ◽  
Daryl B O’Connor
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Patient Safety ◽  
Improve Patient Safety ◽  
Near Miss ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Safety Outcomes ◽  
Administrative Tasks

BackgroundGPs have particularly high levels of burnout and poor wellbeing. Although both are associated with poorer safety outcomes within secondary care, there have been no quantitative studies investigating this within primary care. Furthermore, little is known about how occupational demands, burnout and wellbeing, and patient safety are all associated.AimTo investigate whether occupational variables (demands and support) are associated with patient safety outcomes in general practice through their influence on GP burnout and wellbeing.Design and settingCross-sectional survey in the UK between March 2016 and August 2017.MethodA total of 232 practising GPs completed an online or paper survey measuring burnout, wellbeing, occupational demands and support, and patient safety.ResultsIn all, 93.8% of GPs were classed as likely to be suffering from a minor psychiatric disorder, 94.7% as suffering from mild (22.0%) or severe (72.7%) exhaustion, and 86.8% as having mild (37.9%) or severe (48.9%) disengagement. Structural equation modelling (SEM) analyses showed that spending a higher number of hours on administrative tasks and on call, and feeling less supported in their practice, was associated with lower wellbeing, which in turn was associated with a higher likelihood of having reported a near miss in the previous 3 months. A higher number of hours spent on administrative tasks, a higher number of patients seen per day, and feeling less supported were associated with higher burnout levels, which in turn was associated with worse perceptions of safety.ConclusionTo improve patient safety within general practice changes could be made at both practice and individual levels to promote a healthier work environment for staff and patients.

scholarly journals Analysis of Nursing Team Knowledge About Phlebitis and Its Related Factors

2020 ◽  
Vol 8 (6) ◽  
pp. 351-366
Author(s):  
Crislen Melo Conceição ◽  
Ana Victoria Antonio Jose dos Santos ◽  
Amanda Sthefpanie Ferreira Dantas ◽  
Renata Ewillyn Alves Bemerguy ◽  
Erika Rêgo da Cruz ◽  
...  
Keyword(s):  
Chemical Properties ◽  
Cross Sectional Study ◽  
Control Measures ◽  
University Hospital ◽  
Related Factors ◽  
Cross Sectional ◽  
Nursing Team ◽  
Prevention And Control Measures ◽  
Nursing Professionals ◽  
And Control

Phlebitis is one of the local complications related to intravenous therapy, which must be managed by the nursing team. This study analyzed the knowledge of the nursing team about phlebitis and its main risk factors, prevention, and control measures. This is a cross-sectional study with a quantitative design carried out with 124 nursing professionals from a Brazilian university hospital. The data collection was carried out between the period of August 2018 to July 2019 for that, the researchers applied a multiple-choice questionnaire. The results showed the equivalence of the three nursing categories in terms of knowledge about phlebitis, however, there was a discrepancy concerning the phlebitis visualization scale, use of warm compresses, dressings, chemical properties of the solutions and factors intrinsic to the patient. The need to implement permanent education among professionals became evident.

scholarly journals Patient safety culture according to nursing professionals of an accredited hospital

2020 ◽  
Vol 41 ◽  
Author(s):  
Eliana Melo ◽  
Alexandre Pazetto Balsanelli ◽  
Vanessa Ribeiro Neves ◽  
Elena Bohomol
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Descriptive Analysis ◽  
Patient Safety Culture ◽  
Two Dimensions ◽  
Cross Sectional ◽  
Nursing Team ◽  
Nursing Professionals

ABSTRACT Objective: To evaluate the perception of the nursing team regarding the patient safety culture of an accredited hospital and to identify the differences between shifts, professional category and units. Method: Cross-sectional study, conducted in a private hospital in the city of São Paulo, SP, Brazil, with application of the Survey on Patient Safety Culture Hospital to 497 nursing professionals. Descriptive analysis, instrument consistency and generalized linear mixed model were performed. Results: The organizational learning and continuous improvement dimension was considered a strong area (77%) and the personal adequacy (47%), shift / shift change and transfer (47%) and non-punitive response to errors (25%) dimensions were considered. fragile. Differences in perception were found between the professional categories in two dimensions; between shifts in six and between units in seven dimensions. Conclusion: The nursing team identified weaknesses in the patient safety culture in the hospital, with the need to standardize the improvement processes.

scholarly journals Adverse Events in Home-Care Nursing Agencies and Related Factors: A Nationwide Survey in Japan

2021 ◽  
Vol 18 (5) ◽  
pp. 2546
Author(s):  
Noriko Morioka ◽  
Masayo Kashiwagi
Keyword(s):  
Adverse Event ◽  
Patient Safety ◽  
Adverse Events ◽  
Home Care ◽  
Process Of Care ◽  
Related Factors ◽  
Cross Sectional ◽  
Home Care Nursing ◽  
Number Of Patients ◽  
Care Nursing

Despite the importance of patient safety in home-care nursing provided by licensed nurses in patients’ homes, little is known about the nationwide incidence of adverse events in Japan. This article describes the incidence of adverse events among home-care nursing agencies in Japan and investigates the characteristics of agencies that were associated with adverse events. A cross-sectional nationwide self-administrative questionnaire survey was conducted in March 2020. The questionnaire included the number of adverse event occurrences in three months, the process of care for patient safety, and other agency characteristics. Of 9979 agencies, 580 questionnaires were returned and 400 were included in the analysis. The number of adverse events in each agency ranged from 0 to 47, and 26.5% of the agencies did not report any adverse event cases. The median occurrence of adverse events was three. In total, 1937 adverse events occurred over three months, of which pressure ulcers were the most frequent (80.5%). Adjusting for the number of patients in a month, the percentage of patients with care-need level 3 or higher was statistically significant. Adverse events occurring in home-care nursing agencies were rare and varied widely across agencies. The patients’ higher care-need levels affected the higher number of adverse events in home-care nursing agencies.

scholarly journals Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

2015 ◽  
Vol 23 (5) ◽  
pp. 781-788 ◽  
Author(s):  
João Francisco Possari ◽  
Raquel Rapone Gaidzinski ◽  
Antônio Fernandes Costa Lima ◽  
Fernanda Maria Togeiro Fugulin ◽  
Tracy Heather Herdman
Keyword(s):  
Surgical Care ◽  
Work Load ◽  
Nursing Intervention ◽  
Cross Sectional Study ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Staffing Levels ◽  
Nursing Team ◽  
Nursing Staffing ◽  
Nursing Professionals

Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology.Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing technicians from patient reception who worked in the surgical center during the transoperative period. An instrument was developed to collect data and the interventions were validated according to NIC taxonomy.Results: a total of 266 activities were identified and mapped into 49 nursing interventions, seven domains and 20 classes of the NIC. The most representative domains were Physiological-Complex (61.68%) and Health System (22.12%), while the most frequent interventions were Surgical Care (30.62%) and Documentation (11.47%), respectively. The productivity of the nursing team reached 95.34%.Conclusions: use of the Nursing Intervention Classification contributes towards the discussion regarding adequate, professional nursing staffing levels, because it shows the distribution of the work load.

scholarly journals Vulnerabilities of children admitted to a pediatric inpatient care unit

2014 ◽  
Vol 32 (4) ◽  
pp. 367-373 ◽  
Author(s):  
Larissa Natacha de Oliveira ◽  
Márcia Koja Breigeiron ◽  
Sofia Hallmann ◽  
Maria Carolina Witkowski
Keyword(s):  
Illicit Drugs ◽  
Total Sample ◽  
University Hospital ◽  
Cross Sectional ◽  
Health History ◽  
History Of ◽  
Pediatric Inpatient ◽  
Inpatient Units ◽  
Child Caregiver ◽  
Networks Of Support

OBJECTIVE: To identify the vulnerabilities of children admitted to a pediatric inpatient unit of a university hospital.METHODS: Cross-sectional, descriptive study from April to September 2013 with36 children aged 30 days to 12 years old, admitted to medical-surgical pediatric inpatient units of a university hospital and their caregivers. Data concerning sociocultural, socioeconomic and clinical context of children and their families were collected by interview with the child caregiver and from patients, records, and analyzed by descriptive statistics.RESULTS: Of the total sample, 97.1% (n=132) of children had at least one type of vulnerability, the majority related to the caregiver's level of education, followed by caregiver's financial situation, health history of the child, caregiver's family situation, use of alcohol, tobacco, and illicit drugs by the caregiver, family's living conditions, caregiver's schooling, and bonding between the caregiver and the child. Only 2.9% (n=4) of the children did not show any criteria to be classified in a category of vulnerability.CONCLUSIONS: Most children were classified has having a social vulnerability. It is imperative to create networks of support between the hospital and the primary healthcare service to promote healthcare practices directed to the needs of the child and family.

scholarly journals Work ability in nursing: relationship with psychological demands and control over the work

2013 ◽  
Vol 21 (6) ◽  
pp. 1298-1305 ◽  
Author(s):  
Andrea Prochnow ◽  
Tânia Solange Bosi de Souza Magnago ◽  
Janete de Souza Urbanetto ◽  
Carmem Lúcia Colomé Beck ◽  
Suzinara Beatriz Soares de Lima ◽  
...  
Keyword(s):  
Work Ability ◽  
High Strain ◽  
Disease Process ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Work Ability Index ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Nursing Professionals ◽  
Psychological Demands

OBJECTIVE: to evaluate the association between psychological demands, control over the work and the reduction of work ability of nursing professionals. METHOD: this cross-sectional study involved 498 nursing professionals of a university hospital in the State of Rio Grande do Sul, Brazil. Data collection was carried out in 2009 using the Brazilian versions of the Work Ability Index and Job Stress Scale, with logistic regression models used for the data analysis. RESULTS: the prevalence of 43.3% for reduced work ability and 29.7% for high-strain in the job (high psychological demand and low control) were observed. The chances for professionals presenting reduced work ability under high-strain were higher and significant when compared to those classified as being under low-strain, even after adjusting for potential confounders, except for age and gender. CONCLUSION: a high prevalence of reduced work ability was observed. This evidence indicates the need for investigation and detailed analysis of the psychosocial aspects of the professionals with regard to the health/disease process of nursing professionals.

scholarly journals Ações educativas para identificação correta do paciente: relato de experiência

2021 ◽  
Vol 11 (34) ◽  
pp. 152-159
Author(s):  
Gabriele Malta da Costa ◽  
Paloma Vitória Serra Batista ◽  
Luana Ferreira de Almeida ◽  
Ronilson Gonçalves Rocha ◽  
Bruna Maiara Ferreira Barreto Pires ◽  
...  
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Health Professionals ◽  
Rio De Janeiro ◽  
Inservice Training ◽  
University Hospital ◽  
Correct Identification ◽  
Patient Identification ◽  
Interactive Training ◽  
Inpatient Units

Relatar a experiência vivenciada por discentes e docentes de enfermagem na realização de atividades extensionistas para o aumento da adesão à identificação correta do paciente. Relato de experiencia acerca da importância da identificação correta do paciente realizadas em um hospital universitário do Estado do Rio de Janeiro de setembro de 2019 a março de 2020. Participaram profissionais de saúde, pacientes e acompanhantes. Para profissionais de saúde, foram desenvolvidos treinamentos interativos. Para pacientes e acompanhantes, elencou-se orientações acerca da importância da identificação do paciente. Realizados dezoito treinamentos, a maioria com técnicos de enfermagem (54 - 37,76%) e enfermeiros (23 - 16,08%). Alcançadas 2.050 orientações, sendo com 998 (48,68%) pacientes. As atividades ocorreram em 32 unidades de internação. Pode-se contribuir com atividades da Meta 1 de Segurança do Paciente, além de destacar a importância de Projetos de Extensão Universitária para melhor assistência. Descritores: Segurança do Paciente, Sistemas de Identificação de Pacientes, Capacitação em Serviço, Hospitais Universitários. Educational actions for correct patient identification: experience reportAbstract: To report the experience lived by nursing students and teachers in carrying out extension activities to increase adherence to the correct identification of the patient. Experience report about the importance of correct patient identification performed at an university hospital in the State of Rio de Janeiro from September 2019 to March 2020. The group of participants was health professionals, patients and companions. For health professionals, was developed interactive training. For patients and companions, guidelines were listed on the importance of patient identification. Eighteen training sessions were carried out, most with nursing technicians (54 - 37.76%) and nurses (23 - 16.08%). 2,050 guidelines were reached, with 998 (48.68%) patients. The activities took place in 32 inpatient units. It is possible to contribute to the activities of Patient Safety of Goal 1, in addition to highlighting the importance of University Extension Projects for better assistance.Descriptors: Patient Safety, Patient Identification Systems, Inservice Training, Hospital University. Acciones educativas para la identificación correcta del paciente: informe de experienciaResumen: Relatar la experiencia vivida por estudiantes y docentes de enfermería en la realización de actividades de extensión para incrementar la adherencia a la correcta identificación del paciente. Relato de experiencia sobre la importancia de la correcta identificación del paciente realizado en un hospital universitario del Estado de Rio de Janeiro de septiembre de 2019 a marzo de 2020. Participaron profesionales de la salud, pacientes y acompañantes. Para los profesionales de la salud, se desarrolló una formación interactiva. Para pacientes y acompañantes, se enumeraron pautas sobre la importancia de la identificación del paciente. Se realizaron 18 capacitaciones, la mayoría con técnicos de enfermería (54 - 37,76%) y enfermeras (23 - 16,08%). Se alcanzaron 2.050 guías, con 998 (48,68%) pacientes. Las actividades se desarrollaron en 32 unidades de internación. Es posible contribuir a las actividades de la Meta 1 de Seguridad del Paciente, además de resaltar la importancia de los Proyectos de Extensión Universitaria para una mejor atención.Descriptores: Seguridad del Paciente, Sistemas de Identificación de Pacientes, Capacitación em Servicio, Hospitais Universitarios.

Sign in / Sign up

Export Citation Format

Share Document