Assessment of Staffing Needs for Registered Nurses and Licensed Practical Nurses at Primary Care Units in Brazil Using the Workload Indicators of Staffing Need (WISN) Method

2021 ◽  
Author(s):  
Daiana Bonfim ◽  
Ana Carolina Cintra Nunes Mafra ◽  
Danielle da Costa Palacio ◽  
Talita Rewa
Keyword(s):  
Primary Care ◽  
Registered Nurses ◽  
Supply And Demand ◽  
Licensed Practical Nurses ◽  
Primary Health ◽  
Practical Nurses ◽  
High Workload ◽  
Planning Methods ◽  
Staffing Needs ◽  
The City

Abstract Background The balance between supply and demand for primary health care (PHC) services is one of the main challenges to the health system in Brazil. In this context, the application of planning methods could benefit the decision-making process for human resources organizations. Hence, the objective of this study was to assess the staffing needs for registered nurses (RNs) and licensed practical nurses (LPNs) at PHC services using the WISN method. Methods The Workload Indicators of Staffing Need (WISN) methodology was applied at 13 Primary Care Units (PCU) located in the city of São Paulo, Brazil. It included 87 RNs and 174 LPNs, and used data from 2017 to 2019. Results The WISN results found that RNs were under high workload pressure at 10 PCUs (77%) in 2017 and 2018, with a decrease to 8 PCUs (61%) in 2019. For LPNs, high workload pressure increased from 2 PCUs (15%) in 2017 to 13 PCUs (100%) in 2018, with a decrease to 11 (85%) in 2019. Conclusion The assessment of staffing needs for RNs and LPNs at the PCUs included in the study identified a consistent deficit in the number of professionals, and high workload pressure in most services throughout the study period.

scholarly journals A Qualitative Study of Patients’ Perceptions of Dental Care in Primary Health Care

2020 ◽  
Author(s):  
Heriberto F. Sanchez ◽  
Andrea Maria D. Vargas ◽  
Marcos Azeredo F. Werneck ◽  
Efigênia F. Ferreira
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Qualitative Study ◽  
Health Services ◽  
Citizen Participation ◽  
Care Services ◽  
Primary Health ◽  
Primary Care Services ◽  
Belo Horizonte ◽  
The City

Knowledge of patients' views can contribute to the strengthening of health services. The aim of this study is to describe the patients' perception of a public oral health service, contributing to evaluations in health services. This is a qualitative study in which a focus group was conducted, with the participation of six patients of the oral health system in the city of Belo Horizonte, MG, Brazil, all with a minimum experience of three years of using the service. A theoretical model with dimensions aimed at assessing integrality and primary care services was used. In conducting the research, a semi-structured script was used. The data were analyzed by content analysis. The most representative categories for evaluating oral health actions in primary care are the health unit; the welcoming and its relation with the creation of the bond; service with a strong emphasis on the humanized relationship between professional and patient and on teamwork and; as a highlight, citizen participation, based on the recognition of a “system” that prevents the proper functioning of services and that must be fought with citizenship. Patients’ perceptions can be used to assess oral health in primary care from the perspective of those who actually use health services, seeking ultimately to constantly improve them. Knowledge of patients' perceptions may enable organizations to know their performance, through assessment methodologies based on the established perceptions.

Multifaceted competence requirements in care homes: Ethical and interactional competence emphasized

2017 ◽  
Vol 38 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Outi Kiljunen ◽  
Tarja Välimäki ◽  
Pirjo Partanen ◽  
Päivi Kankkunen
Keyword(s):  
Older People ◽  
Registered Nurses ◽  
Delphi Study ◽  
Care Home ◽  
Care Homes ◽  
Interactional Competence ◽  
Licensed Practical Nurses ◽  
Modified Delphi ◽  
Practical Nurses ◽  
Care For Older People

Nurses need versatile competence to care for older people in care home settings. A modified Delphi study was conducted to identify competencies registered nurses and licensed practical nurses need to care for older people in care homes. A total of 38 panelists consisting of experienced professionals in clinical and managerial roles were recruited to identify types of competencies these nurses require. In total, 80 competencies for licensed practical nurses and 81 competencies for registered nurses were identified as necessary. This study has shown that licensed practical nurses are required to have similar competencies to registered nurses in care homes. Nurse managers, nurse educators, and policy makers should pay more attention, to nurses’ work requirements, especially for licensed practical nurses, and support nurses to meet the needs of older people living in care homes.

scholarly journals The Nursing Stress Scale-Spanish Version: An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings

2020 ◽  
Vol 17 (22) ◽  
pp. 8456
Author(s):  
Ana María Porcel-Gálvez ◽  
Sergio Barrientos-Trigo ◽  
Sara Bermúdez-García ◽  
Elena Fernández-García ◽  
Mercedes Bueno-Ferrán ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Registered Nurses ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Short Form ◽  
Licensed Practical Nurses ◽  
Stress Scale ◽  
Nursing Stress ◽  
Practical Nurses ◽  
Good Internal Consistency

Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess occupational stressors among nurses. This study updates the psychometric properties of the “NSS-Spanish version” and validates a short-form version. A cross-sectional design was carried out for this study. A reliability analysis and a confirmatory factor analysis and an exploratory factor analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing and criterion validity confirmed scale equivalence. A total of 2195 Registered Nurses and 1914 Licensed Practical Nurses were enrolled. The original 34-item scale obtained a good internal consistency but an unsatisfactory confirmatory and exploratory factor analysis. The short-form Nursing Stress Scale (11-items) obtained a good internal consistency for Registered Nurses (α = 0.83) and for Licensed Practical Nurses (α = 0.79). Both Nursing Stress Scales obtained a strong correlation for Registered Nurses (rho = 0.904) and for Licensed Practical Nurses (rho = 0.888). The 11-item version of the Nursing Stress Scale is a valid and reliable scale to assess stress perception among Registered Nurses and Licensed Practical Nurses. Its short-form nature improves the psychometric properties and the feasibility of the tool.

scholarly journals Second Job Holding Among Direct Care Workers and Nurses: Implications for COVID-19 Transmission in Long-Term Care

2020 ◽  
pp. 107755872097412
Author(s):  
Reagan A. Baughman ◽  
Bryce Stanley ◽  
Kristin E. Smith
Keyword(s):  
Registered Nurses ◽  
Long Term Care ◽  
The United States ◽  
Personal Care ◽  
Term Care ◽  
Licensed Practical Nurses ◽  
Care Workers ◽  
Practical Nurses ◽  
Nursing Aides

One reason that nursing homes are a primary source of COVID-19 infections and deaths in the United States may be that workers hold multiple jobs. We use 2010-2019 Current Population Survey data to document the rate of second jobholding among nursing and long-term care workers. On average, 6.41% of personal care and nursing aides and 6.23% of licensed practical nurses and registered nurses hold second jobs; second job holding rates are 35% and 32% higher than those of other workers, respectively. Both wages and hours in the primary job are negatively associated with the probability of holding a second job for personal care and nursing aides, while lower hours are more strongly correlated with a second job for registered nurses and licensed practical nurses. Many of these workers move across health settings from their first to second jobs, and 15% of second jobs for personal care and nursing aides are in other “essential” occupations.

scholarly journals Comprehensiveness and programmatic vulnerability to stds/hiv/aids in primary care

2014 ◽  
Vol 48 (spe) ◽  
pp. 145-151 ◽  
Author(s):  
Luciane Ferreira do Val ◽  
Lucia Yasuko Izumi Nichiata
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Online Survey ◽  
Health Centers ◽  
Multidisciplinary Teams ◽  
Primary Health ◽  
The City ◽  
Hiv Aids




This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs). This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform), involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%), of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others).




scholarly journals Voices That Care: Licensed Practical Nurses and the Emotional Labour Underpinning Their Collaborative Interactions with Registered Nurses

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Truc Huynh ◽  
Marie Alderson ◽  
Michelle Nadon ◽  
Sylvia Kershaw-Rousseau
Keyword(s):  
Registered Nurses ◽  
Emotional Regulation ◽  
Nursing Leadership ◽  
Interpersonal Process ◽  
Licensed Practical Nurses ◽  
Emotional Labour ◽  
Collaborative Interactions ◽  
Practical Nurses ◽  
Group 2 ◽  
Interpersonal Factor

Recognizing the emotional labour underlying interprofessional collaborations (IPCs) could be considered a crucial step towards building a cohesive nursing team. Although IPCs between registered nurses (RNs) and licensed practical nurses (LPNs) have been linked to quality nursing care, little is known about the emotions experienced by LPNs during their interactions with RNs or those factors that influence IPCs. A questionnaire administered to 309 LPNs found that (1) the professional identity of LPNs has evolved into a that of a unique social group; (2) LPNs define IPC as an interpersonal process of exploring similar or dissimilar assessments of a patient's status with RNs and, together, establishing a course of nursing actions; (3) the primary organizational factor facilitating IPCs is inclusive nursing leadership; (4) the interpersonal factor promoting IPCs is the level of trust RNs extend to LPNs; and (5) an LPN's emotional labour (i.e., internal emotional regulation) is most tangible during uncollaborative interactions with RNs.

Death Concern and Attitudes toward the Elderly in Nursing Home Personnel as a Function of Training

1994 ◽  
Vol 29 (3) ◽  
pp. 231-248 ◽  
Author(s):  
Stephen J. Depaola ◽  
Roberta Neimeyer ◽  
Stephanie K. Ross
Keyword(s):  
Nursing Home ◽  
Registered Nurses ◽  
The Elderly ◽  
Nursing Assistants ◽  
Licensed Practical Nurses ◽  
Positive Attitudes ◽  
Practical Nurses ◽  
Personal Anxiety ◽  
Nursing Professionals ◽  
The Relationship

The present project investigated the relationship between death fear, attitudes toward the elderly, and personal anxiety toward one's own aging in a group of nursing home employees. Contrary to predictions, nursing professionals (i.e., Registered Nurses, Licensed Practical Nurses) did not have higher levels of death concern when compared to Nursing Assistants; in fact, Nursing Assistants had higher levels of death concerns on four components of death fear (fear of the dead, fear of the unknown, fear of consciousness when dead, and fear for body after death). The results also indicated that Nursing Assistants displayed significantly fewer positive attitudes toward the elderly than did nursing professionals.

scholarly journals Avaliação dos atributos essenciais da atenção primária em Montes Claros –MG

Bionorte ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 134-142
Author(s):  
Ludmila Cotrim Fagundes ◽  
Caio Fagundes Quadros Lima ◽  
Luciana Cristine Dias ◽  
Maria Alice Miranda Fortes ◽  
André Augusto Dias Silveira ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Descriptive Study ◽  
Primary Health ◽  
Level Of Satisfaction ◽  
Health Strategy ◽  
Family Health Strategy ◽  
The City

Objective:to evaluate the essential attributes of primary care in a Family Health Strategy in the city of Montes Claros -MG from the perspective of the assisted population. Materials and Methods:this is a quantitative and descriptive study, with a sample of 130 patients. The Sociodemographic Questionnaire and the Questionnaire for the Evaluation of the Attributes of Primary Care were applied between the months of September and October 2018. The results were tabulated in an Excel spreadsheet. Results:the four Essential Attributes of Primary Care were mostly answered with a reasonable level of satisfaction or above. Overall average satisfaction was 6.8 points. Conclusion:the reduction of waiting time for appointments with general practitioners and the absence of specialists in the FHS were the main demands. However, in the eyes of users, it was evident that the four Essential Attributes of Primary Health Care, in general, are well exerted.

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