scholarly journals Comparison between the working environment of nurse managers and nursing assistants in the hospital context

2018 ◽  
Vol 51 (0) ◽  
Author(s):  
José Luís Guedes dos Santos ◽  
Alacoque Lorenzini Erdmann ◽  
Caroline Cechinel Peiter ◽  
Murilo Pedroso Alves ◽  
Suzinara Beatriz Soares de Lima ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Mixed Methods Research ◽  
Nurse Managers ◽  
Statistical Significance ◽  
Nursing Assistants ◽  
Working Environment ◽  
University Hospital ◽  
Collaborative Relationships ◽  
Work Index ◽  
South Of Brazil

ABSTRACT Objective Comparing the working environment of nurse managers and nursing assistants in the hospital context. Method A mixed methods research with concomitant triangulation of data developed in a university hospital in the South of Brazil. Participants in the quantitative study were 94 nursing assistants and 12 nurse managers. The data were collected using the Brazilian Nursing Work Index − Revised (B-NWI-R) and analyzed through descriptive and inferential statistics. Eight (8) nurse managers and 18 nursing assistants were interviewed for the qualitative study. The data were analyzed through thematic analysis. Results The total B-NWI-R mean score for nurse managers was 2.15±0.39, and for nursing assistants it was 2.22±0.39. No statistical significance was identified in the comparison between the groups (p=0.508). The qualitative results show the existence of collaborative relationships between nurse managers and nursing assistants. Conclusion The working environment was similarly evaluated by nurse managers and nursing assistants in the hospital context.

scholarly journals COMMUNICATION IN NURSING SHIFT HANDOVER: PEDIATRIC PATIENT SAFETY

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Michelini Fátima da Silva ◽  
Jane Cristina Anders ◽  
Patrícia Kuerten Rocha ◽  
Ana Izabel Jatobá de Souza ◽  
Verônica Berumén Burciaga
Keyword(s):  
Patient Safety ◽  
Pediatric Patient ◽  
Thematic Analysis ◽  
Descriptive Study ◽  
Structured Interview ◽  
University Hospital ◽  
Pediatric Inpatient ◽  
South Of Brazil ◽  
Nursing Professionals ◽  
Safe Care

ABSTRACT Qualitative, exploratory-descriptive study. The aim of this study was to discover how nursing professionals perceive the communication during shift handover and its repercussion in pediatric patient safety. This study was performed at a Pediatric Inpatient Unit of a University Hospital in the South of Brazil. Data was collected by a semi-structured interview, involving 32 nursing professionals. To analyze the data, thematic analysis was used. Data was grouped in categories: shift handover and its interface with communication. The results evidenced the importance of shift handover, in which effective communication is essential for safe care. However, greater objectivity is needed in the information transmission, the time used needs to be reduced and the shift handover records need to be systemized.

scholarly journals Constraints and/or determinants of return to sexual activity in the puerperium

2013 ◽  
Vol 21 (3) ◽  
pp. 719-725 ◽  
Author(s):  
Cleci de Fátima Enderle ◽  
Nalú Pereira da Costa Kerber ◽  
Valéria Lerch Lunardi ◽  
Camila Magroski Goulart Nobre ◽  
Luiza Mattos ◽  
...  
Keyword(s):  
Health Professional ◽  
Sexual Activity ◽  
Thematic Analysis ◽  
Critical Time ◽  
Descriptive Study ◽  
Study Data ◽  
University Hospital ◽  
Structured Interviews ◽  
Determinant Factors ◽  
South Of Brazil

OBJECTIVE: to identify factors which constrain or determine the return to sexual activity in the puerperium. METHOD: exploratory and descriptive study undertaken in a university hospital in the South of Brazil. Fifteen women who had recently given birth, who received a consultation with the nurse in the period August - October 2011, took part in the study. Data was collected after the consultation had finished through semi-structured interviews, in which the women who had recently given birth were asked about the return to sexual activity and the feelings involved in this process. RESULTS: the principal determinant/constraint for return to sexual activity in the post-natal period was the fear of a new pregnancy. Fear of feeling pain, permission from the health professional, shame of their own bodies and changes in libido emerged as constraining and/or determinant factors in the thematic analysis. CONCLUSION: it is considered fundamental for the issue of contraception to be addressed with the woman/couple during the pre-natal consultation, so that there may be opportunities for reflection and dialog prior to the critical time itself.

scholarly journals A Study On Nurses Evaluation of Working Environment: University Hospital Sample

2021 ◽  
Author(s):  
Handan Alan ◽  
Şehrinaz Polat ◽  
Hanife Tiryaki Şen ◽  
Tuğba Öztürk Yıldırım
Keyword(s):  
Marital Status ◽  
Work Environment ◽  
Personal Information ◽  
Education Level ◽  
Working Environment ◽  
University Hospital ◽  
Professional Experience ◽  
Environment Scale ◽  
Work Index ◽  
The Difference

INTRODUCTION: This study was carried out to determine the perceptions of nurses working in a university hospital about the working environment. METHODS: The universe of this descriptive study consists of 853 nurses working in a university hospital. The sample of the study was included 598 nurses who agreed to participate in the study. The rate of participation in the research is 70.10%. The data were collected with the Personal Information Form, Nursing Work Index-The Practice Work Environment Scale. In the evaluation of the data, one-way ANOVA, Mann Whitney U and Kruskal Wallis tests were used to evaluate the difference between frequency, arithmetic mean, standard deviation, independent variables, and Tukey HSD test and Benferonni Corrected Mann Whitney U test were used to determine which group the difference originated from. RESULTS: Nursing Work Index-The Practice Work Environment Scale mean score was found to be 2.56 ± 0.57. It was determined that the nurses 'perception of the working environment was influenced by the nurses' age, marital status, education level, duration of work in the institution, duration of professional experience, position and the unit they work in. DISCUSSION AND CONCLUSION: IIn this study, it was found that nurses evaluated the working environment at a intermediate. It was determined that the nurses' perception of the working environment: was influenced by age, marital status, education level, working time in the institution, professional experience duration, management duty status and the unit they work in.

P0203EARLY DETECTION OF BREAST ARTERIAL CALCIFICATION IN DIFFERENT STAGES OF CHRONIC KIDNEY DISEASE PATIENTS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Basma Sultan ◽  
Hamdy Omar ◽  
Housseini Ahmed ◽  
Mahmoud Elprince ◽  
Osama Anter adly ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Lipid Profile ◽  
Statistical Significance ◽  
University Hospital ◽  
Arterial Calcification ◽  
Control Group ◽  
Inpatient Ward ◽  
Stage 4 ◽  
Ckd Stage

Abstract Background and Aims Vascular calcification (VC) plays a major role in cardiovascular disease (CVD), which is one of the main causes of mortality in patients with chronic kidney disease (CKD). The study aims at early detection of breast arterial calcification (BAC) in different stages of CKD (stage 2, 3& 4) patients as an indicator of systemic VC. Method A case control study was conducted targeting CKD women, aged 18- 60 years old. The sample was divided into 3 groups; A,B,C (representing stage 2, 3 & 4 of CKD) from women who attended nephrology and Internal medicine clinics and admitted in inpatient ward in Suez Canal University Hospital. A 4th group (D) was formed as a control group and included women with normal kidney functions (each group (A, B, C, D) include 22 women). The selected participants were subjected to history taking, mammogram to detect BAC and biochemical assessment of lipid profile, Serum creatinine (Cr), Mg, P, Ca, PTH and FGF23. Results Our study detected presence of BAC in about 81.8% of hypertensive stage 4 CKD patients compared with 50% in stage 3 CKD, also in the majority of stage 4 CKD patients who had abnormal lipid profile parameters and electrolyte disturbance. Most of the variables had statistical significance regarding the presence of BAC. Conclusion Although it is difficult to determine the definite stage at which the risk of VC begins but in our study, it began late in stage 2 CKD, gradually increased prevalence through stage 3 and became significantly higher in stage 4. These results suggest that preventive strategies may need to begin as early as stage 2 CKD.

scholarly journals POS1281 HOW DOES OBESITY INFLUENCE THE FEATURES OF KNEE OSTEOARTHRITIS?

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 923.4-924
Author(s):  
H. Hachfi ◽  
D. Khalifa ◽  
M. Brahem ◽  
N. Ben Chekaya ◽  
M. Younes
Keyword(s):  
Knee Osteoarthritis ◽  
Functional Impairment ◽  
Statistical Significance ◽  
Obese Group ◽  
University Hospital ◽  
Obese Patients ◽  
Cross Sectional ◽  
Duration Of Symptoms ◽  
Lequesne Index ◽  
The Mean

Background:Knee osteoarthritis and obesity are both major health problems. It is now admitted that the prevalence of knee osteoarthritis gets higher with obesity and that weight loss helps knee function and allows patients to avoid surgery.Objectives:The aim of this study was to study the influence of obesity on knee osteoarthritis features.Methods:A cross-sectional study was conducted in the university hospital Taher Sfar of Tunisia over a period of 6 months. Patients who had knee osteoarthritis confirmed by radiographs were included. Sociodemographic, clinical, radiological and therapeutic data were collected from medical records and visits. Obesity was defined by a body mass index (BMI) ≥30. Functional impairment was assessed by the Womac index and Lequesne index.Results:The study included 186 patients. There were 31 males and 155 femmes. The mean age was 60±10 years. The percentage of obese patients was 53,8%. The mean age was similar in both groups obese and non obese. There were more women in the obese group compared to the non obese group (p=0.0001), more patients who had diabetes mellitus and dyslipidemia (p=0.002). Non-obese patients had a shorter duration of symptoms with no statistical significance (p=0.151). Obese patients had more involvement of both knees (p<0.0001). Obesity did not have an impact on pain severity. Severity of radiological images (p=0,0001) were more frequent in obese patients. Functional impairment was similar in both groups. However, the percentage of patients having a very important functional impairment with Lequesne index was higher in obese patients (p<0.029). Obese patients also needed more physical therapy sessions (p=0.035).Conclusion:Knee osteoarthritis in obese patients is characterized with the femlae gender predominance, bilateral knee involvement, and a more severe images on radiographs. Thus the need for better control of weight and the importance of physical activity.References:[1]Coggon D, Reading I, Croft P, et al. Knee osteoarthritis and obesity. Int J Obes Relat Metab Disord J Int Assoc Study Obes 2001; 25: 622–627.Disclosure of Interests:None declared

scholarly journals Evaluation of Pregnancy Outcomes at Advanced Maternal Age

2019 ◽  
Vol 7 (12) ◽  
pp. 1951-1956 ◽  
Author(s):  
Małgorzata Radoń-Pokracka ◽  
Beata Adrianowicz ◽  
Magdalena Płonka ◽  
Paulina Danił ◽  
Magdalena Nowak ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Maternal Age ◽  
Statistical Significance ◽  
Advanced Maternal Age ◽  
Neonatal Outcomes ◽  
University Hospital ◽  
Large For Gestational Age ◽  
Predisposing Factor ◽  
Over 40 Years

AIM: The study aimed to investigate the association between advanced maternal age (AMA) and the risk of adverse maternal, perinatal and neonatal outcomes about parity in singleton pregnancies.METHODS: We retrospectively analysed 950 women who gave birth in the Department of Obstetrics and Perinatology of the University Hospital in Kraków for six months (between 1st January and 30th June 2018). The patients were divided into 3 groups according to their age (30-34 years old, 35-39 years old and over 40 years old). Each of these groups was subsequently subdivided into 2 groups depending on parity (primiparae and multiparae). Maternal, perinatal and neonatal outcomes were compared between the groups and the subgroups.RESULTS: Comparison of the three age groups revealed that advanced maternal age might constitute a predisposing factor for preterm birth, caesarean section and large for gestational age (LGA). From these parameters, statistical significance was reached in case of greater risk of LGA (OR = 2.17), caesarean section (OR = 2.03) and elective C-section (OR = 1.84) in women over 40 years old when compared to the patients aged 30-34. Furthermore, AMA increases the risk of postpartum haemorrhage (OR = 6.43). Additionally, there is a negative correlation between maternal age and gestational age at delivery (R = -0.106, p < 0.05).CONCLUSIONS: Advanced maternal age can undoubtedly be associated with several adverse perinatal outcomes. At the same time, the risk of perinatal complications begins to increase after the age of 35 but becomes significant in women aged ≥ 40.

scholarly journals Developing a Professionalism Manual for Nurse Managers to Improve Their Perception Regarding Professionalism and Professional Identity

2021 ◽  
Vol 7 ◽  
pp. 237796082110261
Author(s):  
Marwa H. Ageiz ◽  
Hayam A. Elshrief ◽  
Huda M. Bakeer
Keyword(s):  
Professional Identity ◽  
Nurse Managers ◽  
Test Phase ◽  
University Hospital ◽  
Performance Review ◽  
Post Test ◽  
Quasi Experimental ◽  
Different Levels ◽  
Assessment Questionnaire

Background Developing a professional identity is rooted in the dimensions of professionalism and professional development. Moreover, the need for teaching professionalism has a mutual relationship with the formation of a desirable professional identity. Aim The current study aimed at developing a professionalism manual for the nurse managers to improve their perception regarding professionalism and professional identity. Design Quasi-experimental research design with pre-test, post-test, and follow-up was used. Setting The study was conducted at two different hospitals; Menoufia University hospital and Al-helal Insurance hospital, Menoufia Governorate, Egypt. Subjects The participants included all nurse managers at different levels from the two different hospitals ( n =100). Tools: tool 1: Professionalism Questionnaire and tool 2: Professional Identity Assessment Questionnaire were used to collect data. Results there was a statistically significant improvement in professionalism perception and professional identity level immediately after administering the professionalism manual and after three months in the follow-up phase than the pre-test phase. Additionally, there was a statistically significant positive correlation between two variables of the study at the post and follow-up phases, but not significant at the pre-test phase. Conclusion the professionalism manual was effective in improving nurse managers’ perceptions regarding professionalism and professional identity. Recommendations: Incorporate the attributes of professionalism that were included in the professionalism manual as a guide for the performance review processes of nurses.

scholarly journals Barriers for the inclusion of sexuality in nursing care for women with gynecological and breast cancer: perspective of professionals

2015 ◽  
Vol 23 (1) ◽  
pp. 82-89 ◽  
Author(s):  
Simone Mara de Araújo Ferreira ◽  
Thais de Oliveira Gozzo ◽  
Marislei Sanches Panobianco ◽  
Manoel Antônio dos Santos ◽  
Ana Maria de Almeida
Keyword(s):  
Breast Cancer ◽  
Nursing Care ◽  
Nursing Assistants ◽  
University Hospital ◽  
Biomedical Model ◽  
Institutional Dynamics ◽  
Individual Interviews ◽  
The Social ◽  
Care Practices ◽  
Two Sectors

AIM: qualitative study, which aimed to identify the barriers that influence nursing care practices related to the sexuality of women with gynecological and breast cancer.METHODS: the study was conducted with 16 professionals of the nursing area (nurses, nursing technicians and nursing assistants) from two sectors of a university hospital situated in the state of São Paulo, Brazil. The data was collected using semi-structured, in-depth individual interviews. All the interviews were recorded and the participants' responses were identified and categorized using Content Analysis.RESULTS: three major themes were identified. These are as follows: 1) barriers related to the biomedical model; 2) barriers related to institutional dynamics and 3) barriers related to the social interpretations of sexuality.CONCLUSIONS: the results of this study showed that the systematized inclusion of this issue in nursing care routines requires changes in the health paradigm and in the work dynamic, as well as reflection on the personal values and social interpretations related to the topic. A major challenge is to divest sexuality of the taboos and prejudices which accompany it, as well as to contribute to the nursing team being more aware of the difficulties faced by women with gynaecological and breast cancer.

scholarly journals STRATEGIES OF FAMILIES IN THE CARE OF CHILDREN WITH CHRONIC DISEASES

2015 ◽  
Vol 24 (3) ◽  
pp. 662-669 ◽  
Author(s):  
Marli dos Santos Salvador ◽  
Giovana Calcagno Gomes ◽  
Pâmela Kath de Oliveira ◽  
Vera Lúcia de Oliveira Gomes ◽  
Josefine Busanello ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Qualitative Approach ◽  
University Hospital ◽  
Support Network ◽  
Exploratory Research ◽  
Work Study ◽  
Positive Coping ◽  
Care Seek ◽  
The Family ◽  
South Of Brazil

ABSTRACTthis study aimed to know the strategies of families in the care of children with chronic diseases. A descriptive and exploratory research was carried out using a qualitative approach, in a Pediatric Unit of a university hospital in the south of Brazil, during the first and second halves of 2013. The study involved 15 participating families. Data were collected by means of interviews subjected to thematic analysis. It was identified as strategies: balance work, study and care, share tasks throughout the day, adapt the physical area of the house, engage the child in their own care, seek resources in the network of social support and faith, seek assistance in another city; and engage in physical activity to reduce stress. It was concluded that it is necessary that the nurses participate of the family support network, as a support source for the strengthening of the family to the care, acquiring skills and expertise to a positive coping of the child's chronic disease.

scholarly journals O7B.2 Pilot project for identifying psychosocial risk factors among senior physicians in the pediatric medical center of a university hospital center

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A62.3-A63
Author(s):  
Marie-Agnès Denis ◽  
Fabienne Dumetier ◽  
Ghislaine Poyard-Berger ◽  
Marie-Michèle Mantha-Belisle ◽  
Michel Vézina
Keyword(s):  
Occupational Health ◽  
Management Practices ◽  
Medical Center ◽  
Theoretical Models ◽  
Pilot Project ◽  
Working Environment ◽  
University Hospital ◽  
Junior Doctors ◽  
Warning Signals ◽  
Interview Guide

ContextAfter several warning signals coming from senior physicians working in a Department of pediatrics at a large university hospital, the Department of occupational health decided to assess objectively the psychosocial risks to which this personnel was exposed.MethodsA research team from the scientific unit of the Institut National de Santé Publique du Québec has developed an identification grid with markers that help understanding and limiting physical and psychological risks at work. This grid includes characteristics of the workplace environment and various aspects of management practices. It is based on theoretical models such as ‘Demand-Latitude-Support’ (Karasek & Theorell, 1990), ‘effort-reward imbalance’ (Siegrist, 1996), ‘organizational justice’ (Adams, 2000), and ‘prevention’ (Kristensen, 1999). The assessment involved an interview guide with a scoring system of data collected from credible persons familiar with the working environment.After adequate training in the use of the interview guide, an occupational physician and an occupational psychologist interviewed jointly each of 34 pediatricians and 3 managers and scored the 12 items of the guide according to specific recommendations. The data collected from the interviews were submitted to a thematic analysis.ResultsThe analysis showed that the working environment of the Department was not favorable to the return to work or work-life balance. Regarding management, the warning signals pointed to heavy workloads, lack of recognition, and communication problems. There were some protecting factors such as support from colleagues, some decision latitude (but limited possibilities of knowledge development) and, unevenly between wards, support from the hierarchy. The most negative indicators were reported by junior doctors and, as expected, by temporary personnel.DiscussionAccording to these results, group involving the assessment team, pediatricians, and ward managers will be formed to suggest improvements in the fields of human-resource management, communication, recognition, workloads, and occupational health.

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