scholarly journals Níveis de estresse da enfermagem nas unidades de terapia intensiva

2019 ◽  
Vol 13 (3) ◽  
pp. 569
Author(s):  
Reinaldo Dos Santos Moura ◽  
Francisco Joilsom Carvalho Saraiva ◽  
Regina Maria Dos Santos ◽  
Kely Regina Da Silva Lima Rocha ◽  
Vívian Mayara Da Silva Barbosa ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Private Hospital ◽  
Work Conditions ◽  
Cross Sectional Study ◽  
Team Work ◽  
Working Environment ◽  
Hospital Services ◽  
Cross Sectional ◽  
Terapia Intensiva

RESUMO Objetivo: descrever os níveis de estresse entre os profissionais de Enfermagem de nível médio nas unidades de terapia intensiva adulto de alguns serviços hospitalares privados. Método: trata-se de um estudo quantitativo, analítico e transversal, em três serviços hospitalares privados. Aplicaram-se dois questionários, analisando-os dados por meio da estatística analítica. Apresentam-se os resultados em forma de tabelas. Resultados: revela-se que, dos 72 participantes, a maioria (95%) era composta de técnicos de Enfermagem, do gênero feminino (52,8%), de adultos jovens (27,8%) e casada (54,2%). Verificou-se, além do escore de estresse moderado (70,8%), que é mais provável que um profissional que apresente essa sintomatologia possa desencadear um alto nível de estresse laboral. Conclusão: averiguaram-se uma taxa significativa de estresse e de absenteísmo, que o ambiente laboral exerce situações tensiogênicas frequentes e que, pela má remuneração salarial, esses profissionais assumem múltiplas jornadas de trabalho que não cessam nos seus domicílios. Descritores: Equipe de Enfermagem; Condições de Trabalho; Esgotamento Emocional; Enfermagem do Trabalho; Unidades de Terapia Intensiva; Risco Ocupacional.ABSTRACT Objective: to describe the levels of stress among nursing professionals in the adult intensive care units of some private hospital services. Method: this is a quantitative, analytical and cross-sectional study in three private hospital services. Two questionnaires were applied, analyzing them by means of analytical statistics. The results are presented in the form of tables. Results: it was found that of the 72 participants, the majority (95%) were Nursing technicians, female (52.8%), young adults (27.8%) and married women (54.2%). In addition to the moderate stress score (70.8%), it is more likely that a professional presenting this symptomatology could trigger a high level of work stress. Conclusion: a significant rate of stress and absenteeism was verified, that the working environment exerts frequent tensiogenic situations and that, due to the poor salary, these professionals take on multiple workdays that do not cease at home. Descriptors: Nursing team; Work conditions; Emotional Exhaustion; Nursing work; Intensive Care Units; Occupational Risk.RESUMEN Objetivo: describir los niveles de estrés entre los profesionales de enfermería de nivel medio en las unidades de terapia intensiva adulto de algunos servicios hospitalarios privados. Método: se trata de un estudio cuantitativo, analítico y transversal, en tres servicios hospitalarios privados. Se aplicaron dos cuestionarios, analizando los datos por medio de la estadística analítica. Se presentan los resultados en forma de tablas. Resultados: se revela que, de los 72 participantes, la mayoría (95%) estaba compuesta de técnicos de Enfermería, del género femenino (52,8%), de adultos jóvenes (27,8%) y casada (54,2%). Se verificó, además de la puntuación de estrés moderado (70,8%), que es más probable que un profesional que presente esta sintomatología pueda desencadenar un alto nivel de estrés laboral. Conclusión: se verificó una tasa significativa de estrés y de absentismo, que el ambiente laboral ejerce situaciones tensiogénicas frecuentes y que, por la mala remuneración salarial, esos profesionales asumen múltiples jornadas de trabajo que no cesan en sus domicilios. Descriptores: Grupo de Enfermería; Condiciones de Trabajo; Agotamiento Profesional; Enfermería del Trabajo; Unidades de Cuidados Intensivos; Riesgos Laborales.  

scholarly journals Adesão ao protocolo de pneumonia associado à ventilação mecânica

2019 ◽  
Vol 13 (3) ◽  
pp. 655
Author(s):  
Jessica Aparecida André Zigart ◽  
Ligia Marcia Contrin ◽  
Isabela Shumaher Frutuoso ◽  
Ana Maria Rodrigues Da Silveira ◽  
Lucia Marinilza Beccaria ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hospitalization Time ◽  
Nursing Team ◽  
Hme Filter ◽  
Terapia Intensiva ◽  
Quantitative Descriptive

RESUMOObjetivo: conhecer a adesão da equipe de enfermagem ao protocolo de pneumonia associada à ventilação mecânica nas Unidades de Terapia Intensiva. Método: trata-se de estudo quantitativo, descritivo, observacional, transversal, em seis Unidades de Terapia Intensiva de um hospital de ensino. Coletaram-se os dados por meio de um checklist à beira do leito. Utilizou-se para análise dos dados o teste de regressão linear multivariada e estatística descritiva e inferencial. Apresentaram-se os resultados em forma de tabelas e figura. Resultados: participaram 945 pacientes com prevalência do sexo masculino, faixa etária 61 a 80 anos, tempo de internação de até 15 dias e incidência de PAV foi 10,58%. A equipe de enfermagem manteve em acordo com o protocolo institucional aproximadamente 90,05% das cabeceiras elevadas de 30º a 45º. Demonstrou-se estaticamente a relação PAV com o sexo masculino, tempo de internação nos primeiros 15 dias e filtro HME. Houve a correlação de cabeceira elevada com idade e tempo de internação e filtro HME com tempo de internação. Conclusão: a equipe de enfermagem coloca em prática o protocolo de prevenção de PAV reduzindo a incidência dessa infecção na unidade. Descritores: Enfermagem; Protocolos; Pneumonia; Respiração Artificial; Unidades de Terapia Intensiva; Ensino.ABSTRACTObjective: to get to know the adherence of the nursing team to the pneumonia protocol associated with mechanical ventilation in the Intensive Care Units. Method: this is a quantitative, descriptive, observational, cross-sectional study in six Intensive Care Units of a teaching hospital. The data was collected through a checklist at the hospital beds. The multivariate linear regression test and the descriptive and inferential statistics were used for data analysis. Results were presented in the form of tables and figures. Results: 945 patients with a prevalence of males, aged 61 to 80 years, hospitalization time of up to 15 days and incidence of VAP were 10.58%. The nursing team maintained in agreement with the institutional protocol approximately 90.05% of the elevated headrests from 30º to 45º. Statistically, the VAP relationship with the male sex, length of hospital stay in the first 15 days and HME filter was demonstrated. There was a high bedside correlation with age and hospitalization time and HME filter with hospitalization time. Conclusion: the nursing team puts the protocol of prevention of VAP into practice, reducing the incidence of this infection in the unit. Descriptors: Nursing; Protocols; Pneumonia; Respiration, Artificial; Intensive Care Units; Teaching.RESUMENObjetivo: conocer la adhesión del equipo de enfermería al protocolo de neumonía asociada a la ventilación mecánica en las Unidades de Terapia Intensiva. Método: se trata de un estudio cuantitativo, descriptivo, observacional, transversal, en seis Unidades de Terapia Intensiva de un hospital de enseñanza. Se recolectaron los datos por medio de un checklist al borde del lecho. Se utilizó para análisis de los datos la prueba de regresión lineal multivariada y estadística descriptiva e inferencial. Se presentaron los resultados en forma de tablas y figura. Resultados: participaron 945 pacientes con prevalencia del sexo masculino, grupo de edad 61 a 80 años, tiempo de internación de hasta 15 días e incidencia de PAV fue 10,58%. El equipo de enfermería mantuvo de acuerdo con el protocolo institucional aproximadamente el 90,05% de las cabeceras elevadas de 30º a 45º. Se demostró estáticamente la relación PAV con el sexo masculino, tiempo de internación en los primeros 15 días y filtro HME. Hubo la correlación de cabecera elevada con edad y tiempo de internación y filtro HME con tiempo de internación. Conclusión: el equipo de enfermería pone en práctica el protocolo de prevención de PAV reduciendo la incidencia de esa infección en la unidad. Descriptores: Enfermería; Protocolos; Neumonía; Respiración Artificial; Unidades de Cuidados Intensivos; Enseñanza.

scholarly journals Nurses’ use of non-pharmacological pain management methods in intensive care units: A descriptive cross-sectional study

2021 ◽  
Vol 58 ◽  
pp. 102705
Author(s):  
Zeinab Kia ◽  
Maryam Allahbakhshian ◽  
Mahnaz Ilkhani ◽  
Malihe Nasiri ◽  
Atefeh Allahbakhshian
Keyword(s):  
Intensive Care ◽  
Pain Management ◽  
Intensive Care Units ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Sources of Noise and Their Effects on Nurses in Intensive Care Units: A Cross Sectional Study

2021 ◽  
Author(s):  
Zahra Kooshanfar ◽  
Sadra Ashrafi ◽  
Ezzat Paryad ◽  
Yalda Salmanghasem ◽  
Tahereh Khaleghdoost Mohammadi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Work Hours, Overtime, and Break Time of Registered Nurses Working in Medium-Sized Korean Hospitals

2018 ◽  
Vol 66 (12) ◽  
pp. 588-596 ◽  
Author(s):  
Sung-Heui Bae ◽  
Sung-Woo Hwang ◽  
Gunjeong Lee
Keyword(s):  
Intensive Care ◽  
Registered Nurses ◽  
Work Conditions ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Work Hours ◽  
Sectional Study ◽  
Cross Sectional ◽  
Daily Work ◽  
Break Time

This cross-sectional study used quantitative survey data collected from registered nurses (RNs) who worked as staff nurses in medium-sized (300 beds or less) Korean hospitals. Data from 290 RNs were analyzed to examine the nature and prevalence of staff nurses’ work hours, overtime, breaks, and related work conditions. The results showed that staff nurses working in medium-sized Korean hospitals worked 9.6 hours a day on average and had 1.5 breaks daily, including mealtime. The average number of days the nurses skipped a meal due to work during the last month was 6.1. With respect to skipping bathroom breaks due to work, staff nurses reported that they could not visit the bathroom 7.3 times during the last month. Regarding work conditions, staff nurses working in intensive care units reported having longer daily work hours and were more likely to work 10 hours or more per shift. Nurses with less than 3 years of experience reported longer daily work hours and fewer breaks.

scholarly journals Improving the working environment for the delivery of safe surgical care in the UK: a qualitative cross-sectional analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023476 ◽  
Author(s):  
Alice Baggaley ◽  
Lydia Robb ◽  
Simon Paterson-Brown ◽  
Richard J McGregor
Keyword(s):  
Nurse Practitioners ◽  
Surgical Care ◽  
Cross Sectional Study ◽  
Team Work ◽  
Working Environment ◽  
Free Text ◽  
Discussion Paper ◽  
Cross Sectional ◽  
Firm Structure ◽  
The Uk

ObjectivesThe aim of this study was to identify current problems and potential solutions to improve the working environment for the delivery of safe surgical care in the UK.DesignProspective, questionnaire-based cross-sectional study.Setting/participantsFollowing validation, an electronic questionnaire was distributed to postgraduate local education and training board distribution lists, the Royal College of Surgeons of Edinburgh (RCSEd) mailing lists and trainee organisations. This consisted of a single open-ended question inviting five open-ended responses. Throughout the 13-week study period, the survey was also published on a number of social media platforms.ResultsA total of 505 responders completed the survey, of which 35% were consultants, 30% foundation doctors, 17% specialty trainees, 11% specialty doctors, 5% core trainees and <1% surgical nurse practitioners. A total of 2238 free-text answers detailed specific actions to improve the working environment. These responses were individually coded and then grouped into nine categories (staff resources, non-staff resources, support, working conditions, communication and team work, systems improvement, patient centred, training and education, and miscellaneous).ConclusionsThe results of this study have identified a number of key areas that, if addressed, may improve the environment for the delivery of safer surgical care. Common themes that emerged across all grades included: increased front-line staff; a return to a ‘firm’ structure to improve team continuity; greater senior support; and improved hospital facilities to help staff rest and recuperate. While unlimited funding remains unrealistic, many of the suggestions could be implemented in a cost-neutral fashion and include insightful ideas for remodelling or restructuring the workforce to improve the efficiency of the surgical team. The findings of this study formed the basis of a set of recommendations published by the RCSEd as a discussion paper.

scholarly journals Identifying medication errors in neonatal intensive care units: a two-center study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kaveh Eslami ◽  
Fateme Aletayeb ◽  
Seyyed Mohammad Hassan Aletayeb ◽  
Leila Kouti ◽  
Amir Kamal Hardani
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Medication Errors ◽  
Medical Records ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Neonatal Intensive Care Units ◽  
Preterm Neonates ◽  
Cross Sectional ◽  
Quality Of Prescribing

Abstract Background This study aimed to assess the types and frequency of medication errors in our NICUs (neonatal intensive care units). Methods This descriptive cross-sectional study was conducted on two neonatal intensive care units of two hospitals over 3 months. Demographic information, drug information and total number of prescriptions for each neonate were extracted from medical records and assessed. Results A total of 688 prescriptions for 44 types of drugs were checked for the assessment of medical records of 155 neonates. There were 509 medication errors, averaging (SD) 3.38 (+/− 5.49) errors per patient. Collectively, 116 neonates (74.8%) experienced at least one medication error. Term neonates and preterm neonates experienced 125 and 384 medication errors, respectively. The most frequent medication errors were wrong dosage by physicians in prescription phase [WU1] (142 errors; 28%) and not administering medication by nurse in administration phase (146 errors; 29%). Of total 688 prescriptions, 127 errors were recorded. In this regard, lack of time and/or date of order were the most common errors. Conclusions The most frequent medication errors were wrong dosage and not administering the medication to patient, and on the quality of prescribing, lack of time and/or date of order was the most frequent one. Medication errors happened more frequently in preterm neonates (P < 0.001). We think that using computerized physician order entry (CPOE) system and increasing the nurse-to-patient ratio can reduce the possibility of medication errors.

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