scholarly journals Nursing management and the conflict management in emergency care in hospital

2010 ◽  
Vol 5 (1) ◽  
pp. 54
Author(s):  
Janine Lopes Moura ◽  
Simone Cruz Machado Ferreira ◽  
Geilsa Soraia Cavalcanti Valente ◽  
Enilda Moreira Carvalho Alves ◽  
Márcia Rocha da Silva Alves

ABSTRACTObjective: to identify the situations that lead to conflicts in the emergency and to recognize the causes triggering conflicts attributed by nurses. Method: this is about a qualitative report study, which was the scene Rocha Faria State Hospital/RJ, with the subject eight nurses working in the emergency room. The research protocol was approved by the Ethics in Research of the Faculty of Medicine/University Hospital Antonio Pedro, Universidade Federal Fluminense, under number 256/2009. The participation of the subjects was recorded across the term of consent. Data collection was conducted through semi-structured interviews. From the speeches of the interviewees was possible to organize the results, and where the thematic content analysis. Results: The analysis highlighted the situations of conflict identified by nurses and allowed to interpret the statements reflect different views about the causes of conflict situations. Conclusion: data analysis revealed that in view of the interviewees found frozen conflicts, senses and manifest among the members of the nursing staff with their components, with other professionals and with users, especially consequent to structural problems, but also from interpersonal relations. Descriptors: hospital administration; leadership; manpower; ethics; organization & administration. RESUMOObjetivo: identificar as situações que levam aos conflitos na emergência e reconhecer as causas desencadeantes dos conflitos atribuídas pelos enfermeiros. Método: trata-se de estudo de caso qualitativo, cujo cenário foi o Hospital Estadual Rocha Faria/RJ, tendo como sujeitos oito enfermeiros que atuam no serviço de emergência. O protocolo de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Medicina/Hospital Universitário Antonio Pedro da Universidade Federal Fluminense, sob nº 256/2009. A participação dos sujeitos foi registrada pelo aceite ao termo de consentimento livre e esclarecido. A coleta de dados foi realizada com a utilização de entrevistas semi-estruturadas. A partir dos discursos dos depoentes foi possível organizar os resultados, realizando-se a análise temática de conteúdo. Resultados: a análise evidenciou as situações de conflitos identificadas pelos enfermeiros e possibilitou interpretar que os depoimentos refletem diferentes olhares sobre as causas das situações de conflitos. Conclusão: a análise dos dados evidenciou que na visão dos depoentes ocorrem conflitos latentes, sentidos e manifestos entre os membros da equipe de enfermagem com os seus componentes, com os outros profissionais e com os usuários, sobretudo, consequentes a problemas estruturais, mas também oriundos das relações interpessoais. Descritores: administração hospitalar; liderança; recursos humanos; ética; organização & administração.RESUMENObjetivo: identificar las situaciones que dan lugar a conflictos en la emergencia y para reconocer las causas que desencadenan los conflictos atribuidas por los enfermeros. Método: estudio cualitativo de casos, que fue el escenario Rocha Faria Hospital Estatal/RJ, con el tema 08 enfermeras que trabajan en la sala de emergencias. El protocolo de investigación fue aprobado por la Ética en la Investigación de la Facultad de Medicina/Hospital Universitario Antonio Pedro, Universidade Federal Fluminense, con el N º 256/2009. La participación de los sujetos se registró a través de la expresión del consentimiento. La recolección de datos se llevó a cabo a través de entrevistas semi-estructuradas. De las declaraciones de los entrevistados fue posible organizar los resultados, y donde la análisis de contenido temático. Resultados: el análisis puso de relieve las situaciones de conflicto identificadas por las enfermeras y se les permite interpretar las declaraciones reflejan las opiniones diferentes sobre las causas de situaciones de conflicto. Conclusión: el análisis de datos reveló que, en vista de los entrevistados encontraron conflictos congelados sentidos, y se manifiestan entre los miembros del personal de enfermería con sus componentes, con otros profesionales y con los usuarios, especialmente como consecuencia de problemas estructurales, sino también de las relaciones interpersonales. Descriptores: administración hospitalaria; liderazgo; recursos humanos; ética; organización & administración. 

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Eduardo Bassani Dal’Bosco ◽  
Lara Simone Messias Floriano ◽  
Amanda Gabrieli Schuber Spósito Rangel ◽  
Mirian Cristina Ribas ◽  
Ana Paula Garbuio Cavalheiro ◽  
...  

ABSTRACT Objectives: to analyze the coping of individuals in social isolation due to suspicion or confirmation of coronavirus infection from the perspective of Hildegard Peplau’s Theory of Interpersonal Relations. Methods: this is a qualitative, descriptive research, carried out with 34 individuals in social isolation due to suspicion or confirmation of coronavirus infection who passed through a screening tent of a university hospital in Paraná. Data were collected through semi-structured interviews in June and July 2020. Empirical categories were interpreted by content analysis. Results: four categories emerged: Distance; Social and emotional support; Self-awareness and resolution; Learning. These categories established the coping strategies. Conclusions: individuals undergoing social isolation are more likely to present problems related to mental health. It was highlighted that coping strategies, motivated by nurses, anchored in Hildegard Peplau’s theoretical framework, promoted the necessary learning for promoting participants’ mental health in the face of a pandemic context.


2011 ◽  
Vol 19 (2) ◽  
pp. 362-369 ◽  
Author(s):  
Soeli Teresinha Guerra ◽  
Adelina Giacomelli Prochnow ◽  
Maria Auxiliadora Trevizan ◽  
Laura de Azevedo Guido

This qualitative study aimed to analyze how conflicts manifest in interpersonal relations and the dimensions they assume in nursing management in hospitals. Data were collected through semi-structured interviews with 13 nurse managers from hospitals in the interior of Rio Grande do Sul, Brazil. Content analysis was used to interpret the results. Among the results, it was highlighted that: a) 11 of the 13 nurses have been managers for more than 80% of their time since graduation and expressed that they had no idea about the management role before taking up this function; b) the nurses consider that conflicts are immanent in the organization, entailing the need to live and interact with them; c) internal conflicts showed to be the most determining for the managers. There is a need to understand the origin of conflicts and factors favoring their establishment, as well as to acknowledge the importance of an interdisciplinary response.


2021 ◽  
pp. 158-164
Author(s):  
N. I. Pryanikova

The subject of the study is conflict, its essence and conflictological culture from the point of view of the formation of the company’s employees’ behavior style in conflict situations in the organizational field. The article considers components of the conflictological culture, the contexts of conflicts and the optimal styles of behavior of the individual. Due to the fact that the behavior of the opponent is a marker for the adoption of an effective strategy of actions, the author examines effective conflict management based on the study of the types of behavior of the opponent in a conflict situation. The paper notes that the conflictological culture of the individual in the context of problematic interpersonal interaction acts as an integrative quality based on the existential-humanistic apparatus of values, communicative, behavioral and psychological culture, and manifests itself in the optimal tactics of behavior aimed at constructive conflict resolution. The study concludes that conflict, as a phenomenon, contains the potential for the development and improvement of employees’ experience and skills in resolving difficult situations.


2011 ◽  
Vol 5 (2) ◽  
pp. 238
Author(s):  
Diane Dias Nascimento ◽  
Dayse Mary Da Silva Correia

ABSTRACT Objective: to analyze the perception of hospitalized clients in interpersonal interaction with health professionals. Methodology: this is about a descriptive study from qualitative approach, carried out in male and female medical unit of a university hospital located in Niterói city, from July to October 2009. During the structured interview, was applied an instrument with five opened questions, which were analyzed according to Bardin. The research project was approved by the Ethics Committee of the Faculdade de Medicina/UFF under number 058/09. Results: it were interviewed 22 patients admitted, and after analysis three categories emerged: 1) The client hospitalized perception facing the health professionals (sub-categories: perceived attitudes in interpersonal interaction and specific duties to health professionals), 2) Feelings posted by patients on approach by different professionals; 3) The use of language in verbal and nonverbal communication (sub:  appropriate and inappropriate language). Conclusion: the study identified the hospitalized client's perception in communicating with health professionals in daily hospital and its impact. Descriptors: communication; nursing; interpersonal relations. RESUMO Objetivo: analisar a percepção do cliente hospitalizado na interação interpessoal com os profissionais de saúde. Metodologia: trata-se de um estudo descritivo com abordagem qualitativa, realizado nas clínicas médica masculina e feminina de um hospital universitário localizado na cidade de Niterói, no período de julho a outubro de 2009. Durante a entrevista estruturada, foi aplicado um instrumento, contendo cinco perguntas abertas, as quais foram analisadas segundo Bardin. A pesquisa obteve aprovação do Comitê de Ética em Pesquisa da Faculdade de Medicina/UFF sob o nº 058/09. Resultados: foram entrevistados 22 pacientes internados, e após análise emergiram três categorias: 1) Percepção do cliente hospitalizado diante dos profissionais de saúde (subcategorias: atitudes percebidas na interação interpessoal e atribuições específicas aos profissionais de saúde); 2) Sentimentos destacados pelos clientes na abordagem por diferentes profissionais; 3) O uso da linguagem na comunicação verbal e não verbal (subcategorias: Linguagem apropriada e Linguagem inapropriada). Conclusão: o estudo identificou a percepção do cliente hospitalizado na comunicação com os profissionais de saúde no cotidiano hospitalar e seu impacto. Descritores: comunicação; Enfermagem; relações interpessoais. RESUMEN Objetivo: analizar la percepción de los clientes hospitalizados en la interacción interpersonal con profesionales de la salud. Metodología: se trata de un estudio descriptivo con abordaje cualitativo, realizado en la unidad médica para hombres y mujeres de un hospital universitario localizado en Niterói, en el período de julio a octubre de 2009. Durante la entrevista estructurada, se administró un instrumento que contiene cinco preguntas abiertas, las cuales fueron analizadas según Bardin. La investigación fue aprobada por el Comité de Ética de la Facultad de Medicina/UFF con el número 058/09. Resultados: se entrevistó a 22 pacientes hospitalizados, y después de  análise, resultaron tres categorías: 1) Comprensión de los pacientes hospitalizados antes de profesionales de la salud (sub-categorías: las actitudes percibidas en la interacción interpersonal y tareas específicas de los profesionales de la salud); 2) Sentimientos escritos por los clientes en enfoque por distintos profesionales, 3) El uso del lenguaje em La comunicación verbal y no verbal (sub: el lenguaje apropiado e inapropiado). Conclusión: el estudio identificó la percepción del cliente hospitalizado en la comunicación con profesionales de la salud en el hospital todos los días y su impacto. Descriptores: comunicación; enfermería; relaciones interpersonales.


Author(s):  
Allan Roberto Miranda ◽  
Mariana Graziela Pinheiro ◽  
Elaine Reda da Silva

Este estudo objetivou conhecer a percepção da equipe de enfermagem frente ao processo de trabalho no Centro de Material e Esterilização - CME. Tratou-se de um estudo descritivo-exploratório com abordagem quantitativa, realizado com 18 profissionais de enfermagem do CME de um Hospital Universitário, localizado no interior de São Paulo. A coleta de dados foi realizada entre maio e junho de 2018, através de entrevista semiestruturada e a análise estatística por meio de percentual simples. As dificuldades mais frequentes foram: inadequação de recursos materiais/físicos, sobrecarga de trabalho, falta de treinamento, riscos ocupacionais e a não valorização do trabalho. A contratação de profissionais foi a estratégia de melhoria mais citada. Houve satisfação em relação ao trabalho, porém a falta de valorização e os recursos humanos/materiais inadequados, causam desestímulo. Logo, a importância do reconhecimento das fragilidades do setor e das percepções dos funcionários, visando maior valorização profissional e, consequentemente, uma assistência mais eficaz e segura.Descritores: Esterilização, Segurança do Paciente, Equipe de Enfermagem. The work process in the center of material and sterilization: perception of nursing teamAbstract: This study aimed to know the perception of the nursing team regarding the work process at the Material and Sterilization Center - CME. It was a descriptive-exploratory study with a quantitative approach, carried out with 18 CME nursing professionals from a University Hospital, located in the interior of São Paulo. Data collection was performed between May and June of 2018, through semi-structured interviews and statistical analysis using a simple percentage. The most frequent difficulties were: inadequate material / physical resources, work overload, lack of training, occupational risks and non-valorization of work. The hiring of professionals was the most cited improvement strategy. There was satisfaction with the work, but the lack of valorization and the inadequate human / material resources, cause discouragement. Therefore, the importance of recognizing the fragilities of the sector and the perceptions of the employees, aiming for greater professional valorization and, consequently, a more effective and safe assistance.Descriptors: Sterilization, Patient Safety, Nursing Team. El proceso de trabajo en el centro de material y esterilización: percepción del equipo de enfermeríaResumen: Este estudio objetivó conocer la percepción del equipo de enfermería frente al proceso de trabajo en el Centro de Material y Esterilización - CME. Se desarrolló un estudio descriptivo-exploratorio con abordaje cuantitativo, realizado con 18 profesionales de enfermería del CME de un Hospital Universitario, ubicado en el interior de São Paulo. La recolección de datos fue realizada entre mayo y junio de 2018, a través de entrevista semiestructurada y el análisis estadístico por medio de porcentual simple. Las dificultades más frecuentes fueron: inadecuación de recursos materiales/físicos, sobrecarga de trabajo, falta de entrenamiento, riesgos ocupacionales y la no valorización del trabajo. La contratación de profesionales fue la estrategia de mejora más citada. Hubo satisfacción en relación al trabajo, pero la falta de valorización y los recursos humanos / materiales inadecuados, causan desestímulo. Por lo tanto, la importancia del reconocimiento de las fragilidades del sector y de las percepciones de los funcionarios, buscando mayor valorización profesional y, consecuentemente, una asistencia más eficaz y segura.Descriptores: Esterilización, Seguridad del Paciente, Equipo de Enfermería.


1970 ◽  
Vol 6 (1) ◽  
pp. 202-214
Author(s):  
Олена Савченко

У статті розглядається рефлексивна компетентність як інтегративне особистісне утворення, що формується в ході набуття суб’єктом рефлексивного досвіду при застосуванні різних форм рефлексивної активності, спрямованих на розв’язання визначених рефлексивних задач. У структурі рефлексивної компетентності оцінно-мотиваційний компонент виконує наступні функції: оцінку форм рефлексивної активності та її результатів, прогнозування можливих змін у процесі розв’язування проблемно-конфліктних ситуацій, визначення пріоритетних завдань подальшого розвитку себе як суб’єкта рефлексивної активності. На когнітивному рівні функціонує система критеріїв оцінювання власних форм рефлексивної активності, яка характеризується ступенем когнітивної складності, що відображає рівень диференціації та інтеграції системи. Функціонування оцінно-мотиваційного компонента на метакогнітивному рівні забезпечує система здібностей до прогнозування власної активності. Особистісний рівень представлений системою життєвих задач на саморозвиток, які стимулюють суб’єкта докладати зусилля щодо розвитку в себе певних якостей, формування певних вмінь та знань. Розрізненість елементів компонента є індикатором незавершеності процесу формування його внутрішньої структури, низький рівень інтеграції окремих складових не дозволяє системі ефективно компенсувати недорозвинені елементи. Найбільшу вагу у внутрішній структурі оцінно-мотиваційного компонента має показник сформованості системи здібностей до прогнозування власної активності, що підтверджує системотвірну функцію структур метакогнітивного рівня. In the article the reflective competence is seen as an integrative personal formation which develops in the process of acquiring of the reflective experience, when the subject is using various forms of the reflective activity for the solving of specific reflective tasks. In the structure of the reflective competence the value-motivational component performs such functions: an evaluation of forms of the reflective activity and its results, a prediction of the possible changes in the process of solving of the problem-conflict situations, a determining of the priorities for further development of himself as a subject of the reflective activity. The system of the criteria of an evaluating of the reflective activity`s forms functions on the cognitive level of the reflective competence. The level of the cognitive complexity is the basic feature of this system. The predictive abilities` system, that allows to form the expectations of the activity`s results, presents the value-motivational component on the metacognitive level. The system of the life tasks for the self-development, which stimulates the subject to make efforts to develop his own qualities, to form specific skills and knowledge, functions on the personal level. The fragmentation of the elements is an indicator of the incompleteness of the formation of the internal structure of the value-motivational component. The low level of integration of the separate elements does not allow effectively to compensate the functioning of the unformed elements of the system. The index of the formation of the abilities to predict his own activity has the greatest meaning in the internal structure of the value-motivational component. These data confirm the hypothesis about the system-forming function of the metacognitive structures that unite other structures. Thus the development of the predictive abilities will promote the increase of the abilities to the prediction of the others` behavior. An adequate assessment of other people significantly reduces the inconsistency of his own expectations and estimations of others. The development of the predictive abilities creates favorable conditions for the formation of the life tasks for the self-development to increase their value in the system of other tasks


2020 ◽  
Vol 78 (8) ◽  
pp. 494-500 ◽  
Author(s):  
Adalberto STUDART-NETO ◽  
Bruno Fukelmann GUEDES ◽  
Raphael de Luca e TUMA ◽  
Antonio Edvan CAMELO FILHO ◽  
Gabriel Taricani KUBOTA ◽  
...  

ABSTRACT Background: More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse outcomes. Notwithstanding, the role of neurologists in COVID-19 is probably underrecognized. Objective: The aim of this study was to report the reasons for requesting neurological consultations by internists and intensivists in a COVID-19-dedicated hospital. Methods: This retrospective study was carried out at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil, a 900-bed COVID-19 dedicated center (including 300 intensive care unit beds). COVID-19 diagnosis was confirmed by SARS-CoV-2-RT-PCR in nasal swabs. All inpatient neurology consultations between March 23rd and May 23rd, 2020 were analyzed. Neurologists performed the neurological exam, assessed all available data to diagnose the neurological condition, and requested additional tests deemed necessary. Difficult diagnoses were established in consensus meetings. After diagnosis, neurologists were involved in the treatment. Results: Neurological consultations were requested for 89 out of 1,208 (7.4%) inpatient COVID admissions during that period. Main neurological diagnoses included: encephalopathy (44.4%), stroke (16.7%), previous neurological diseases (9.0%), seizures (9.0%), neuromuscular disorders (5.6%), other acute brain lesions (3.4%), and other mild nonspecific symptoms (11.2%). Conclusions: Most neurological consultations in a COVID-19-dedicated hospital were requested for severe conditions that could have an impact on the outcome. First-line doctors should be able to recognize neurological symptoms; neurologists are important members of the medical team in COVID-19 hospital care.


Author(s):  
Mykola Somych ◽  
◽  
Yuiiia Vakulenko ◽  
Liudmyla Horbatiuk ◽  
Yurii Kovryzko ◽  
...  

The article summarizes the theoretical principles of defining the concept of «mechanism», «conflict management mechanism». The main types of conflicts according to the Law of Ukraine «On Civil Service» are clarified: official disputes and conflicts of interest – a situation in which the personal interest of a civil servant affects or may affect the objective performance of his duties and in which there is or may occur contradictions between the personal interest of the employee and the legitimate interests of citizens, organizations, society. The main types of conflict management mechanisms are identified: organizational, legal and socio-psychological, taking into account objective and subjective factors, which covers a system of parameters, sequential actions, a set of methods and measures of socio- psychological nature. The causes of conflict situations in the interaction of public authorities and the public are substantiated: objective (social, political, economic, ideological factors) and subjective (derived from objective). Conflict fields of contradictions that arise in the process of interaction are depicted: legislative principles, political sphere, personnel policy, undemocratic worldview of managers, economic competence. The analysis of the main conflict fields of contradictions of local governments of Poltava region is carried out. New, alternative methods of conflict resolution have been formed: competition, adaptation, compromise, avoidance, cooperation, their general characteristics have been determined. Officials were invited to use the open conversation technique in order to reach a compromise.


Author(s):  
Patrícia Costa ◽  
Sílvia Silva
Keyword(s):  

Os Recursos Humanos e a Medicina do Trabalho são centrais para a promoção da saúde no contexto organizacional. Este trabalho visa estudar as perceções de stress no trabalho destes profissionais, e baseia-se nas teorias leigas e na teoria da atribuição. Procurou-se explorar os significados atribuídos ao conceito de stress, causas, consequências e formas de intervenção. Além disso, compararam-se as perspetivas dos Gestores de Recursos Humanos, a desempenhar funções na área, com as perspetivas de estudantes desta área em fase final de formação. O estudo é de natureza exploratória e qualitativa. Realizaram-se entrevistas semi- estruturadas a 6 profissionais com funções de Gestão de Recursos Humanos e a 4 profissionais de Medicina do Trabalho (das mesmas empresas) e foram recolhidos 21 questionários de estudantes das áreas de RH. Os resultados sugerem que os profissionais referem essencialmente causas organizacionais como responsáveis pelo stress no trabalho e destacam um maior número de consequências centradas nos indivíduos. As intervenções realizadas são essencialmente focadas no indivíduo e de natureza secundária/terciária. Crenças de inevitabilidade do stress e o próprio papel percebido parecem explicar as diferenças no número de intervenções realizadas nas empresas. As perspetivas dos estudantes tendem a estar mais próximas das “boas práticas” defendidas na literatura. Os resultados deste estudo sugerem que é importante aceder às perspetivas da Gestão de Recursos Humanos e da Saúde Ocupacional e identificar prioridades para a mudança destas perspetivas de modo a dar um contributo importante para uma efetiva promoção da saúde e bem-estar no trabalho.


Author(s):  
Pernilla Sundqvist

AbstractIn recent decades the preschool has leaned more towards a learning-oriented pedagogy, where the subject of technology has been given a more prominent place. Still, studies on how individual preschool staff members perceive and teach technology is scarce. This study shows how seven preschool staff in Sweden describe their work with the subject of technology and how technology education is characterized in these descriptions. The data was produced by means of semi-structured interviews and a questionnaire and analyzed with narrative analysis. The results show very diverse practices of technology education, implying the learning possibilities for children in different preschools are not equal. Some of the staff describe a clear and conscious teaching of technology, while others describe teaching what can be viewed as a limited and/or shallow technology education, where technology is sometimes used as means for learning other subjects or contents rather than being the learning objective. Six ways to characterize technology education was found, namely: technology education (1) concerns technological objects and systems in children’s environment, (2) concerns learning to handle technological objects, (3) is doing experiments, (4) involves developing abilities, (5) is naturally included in children’s play and (6) departs from digital technology.


Sign in / Sign up

Export Citation Format

Share Document