Systematization of nursing care: implementation under optical nurses

2011 ◽  
Vol 5 (3) ◽  
pp. 553
Author(s):  
Viviane Euzébia Santos ◽  
Layanne Crystina Bandeira Nunes ◽  
Adriana Maria Pereira Da Silva ◽  
Amanda Larissa Souza Dos Santos ◽  
Maria de Fatima Alves Aguiar Carvalho

ABSTRACT Objective: to analyze the perceptions of nurses about the SAE in public and private hospitals in Petrolina/PE city. Methodology: this is an exploratory descriptive study from qualitative approach. It was performed in two publics hospitals and two private hospitals in Petrolina-PE city. The sample consisted of nineteen nurses, randomly selected. Preserving the anonymity of the participants they were identified by names of flowers. Data collection was performed by means of recorded interviews using a guided tour, for data analysis was employed as a reference to content analysis of Bardin. The study was approved by the ethics committee of the Instituto Materno Infantil de Pernambuco Professor Fernando Figueira-IMIP, protocol number 1556. Results: there was a predominance of females with recent training and have demonstrated knowledge and use on the NCS during the university. However, many respondents did not recall the SAE and its phases up not to use it in practice. Despite this, the professional advantages and assigned a positive significance to the SAE. Conclusion: we found that we must constantly seek knowledge and building a proper knowledge of nursing to be able to overcome the barriers and promote independence and recovery desired by professionals. Descriptors: nursing education; nursing care; higher education; nursing process; patient-centered care.RESUMOObjetivo: analisar a percepção dos enfermeiros acerca da SAE em hospitais públicos e privados no município de Petrolina - PE. Metodologia: trata-se de um estudo exploratório descritivo, de abordagem qualitativa. Foi realizado em dois hospitais públicos e dois hospitais privados no município de Petrolina/PE. A amostra composta por dezenove enfermeiros, selecionados aleatoriamente. Preservando o anonimato dos participantes os mesmos foram identificados por nomes de flores. A coleta de dados foi realizada por meio de entrevista gravada, utilizando-se um roteiro norteado, para análise dos dados empregou-se como referencial a análise de conteúdo de Bardin. O estudo foi aprovado pelo comitê de ética do Instituto Materno Infantil de Pernambuco Professor Fernando Figueira-IMIP, número de protocolo 1556. Resultados: houve predominância do sexo feminino com formação recente e demonstraram terem conhecimento e utilização acerca da SAE durante a formação acadêmica. Contudo, muitos entrevistados não recordavam da SAE e de suas fases, até por não a utilizar na prática assistencial. Apesar disto, os profissionais atribuíram vantagens e uma significação positiva a SAE. Conclusão: constatou-se que é preciso buscar constantemente o conhecimento e a construção de um saber próprio da enfermagem para se conseguir transpor as barreiras e promover a autonomia e a valorização almejada pelos profissionais. Descritores: educação em enfermagem; cuidados de enfermagem; educação superior; processos de enfermagem; assistência centrada no paciente.RESUMENObjetivo: analizar las percepciones de las enfermeras acerca de la SAE en los hospitales públicos y privados en la ciudad de Petrolina/PE. Metodología: se trata de un estudio exploratorio cualitativo, descriptivo. Se llevó a cabo en dos hospitales y dos hospitales privados en la ciudad de Petrolina-PE. La muestra está formada por diecinueve enfermeras, seleccionadas al azar. Preservar el anonimato de los participantes fueron identificados por nombres de flores. Los datos fueron recolectados por medio de entrevistas grabadas con una visita guiada, para el análisis de datos se utilizó como referencia para el análisis de contenido de Bardin. El estudio fue aprobado por el comité de ética del Instituto Materno Infantil de Pernambuco Profesor Fernando Figueira-IMIP, N. 1556. Resultados: hubo un predominio del sexo femenino con una formación reciente y han demostrado el conocimiento y uso en el SNC en la universidad. Sin embargo, muchos de los encuestados no recordó el SAE y sus fases hasta que no lo uso en la práctica. A pesar de ello, las ventajas profesionales y le asigna un significado positivo a la SAE. Conclusión: se encontró que constantemente debemos buscar el conocimiento y la creación de un conocimiento adecuado de la enfermería para ser capaces de superar las barreras y promover la independencia y la recuperación deseada por los profesionales. Descriptores: educación em enfermería; atención de enfermería; educación superior; procesos de enfermería; atención dirigida al paciente.

2020 ◽  
Vol 3 (2) ◽  
pp. 126-135
Author(s):  
Sideeq Ali ◽  

Background and objective: The 1 to 2 hours for the first 24 hours after surgical operation is a crucial time to perform patient care. The study aimed to assess and compare quality of immediate post operation nursing care for patients undergoing surgeries in the public and private hospitals in Erbil City. Methods: A comparative study design was conducted on non-probability and purposive sample of 106 nurses (53 nurses of public hospitals and 53 nurses from private hospitals) in the surgical unit in all public and some private hospitals in Erbil city. The data was col-lected between February and July, 2019 by direct observation and using an observational questionnaire. Results: The majority of the nurses were young adults who had graduated from a nursing institute who were of middle income and lived in an urban area. The duration of experi-ence as a nurse was between 1 to 10 years. The majority of the nurses (98.1%) in the pub-lic hospitals they practiced poor nursing care practice, while most of the nurses (69.8) in the private hospitals practiced good nursing care practices. Very high significant differ-ence found between immediate post operation nursing care in public and private hospi-tals (P <0.000). Conclusion: The study concluded that; postoperative nursing care is very important to improve health services, but the quality of the nursing care in the public hospitals as a generally was very poor when compared with the private hospitals. We recommended improving their skills by implementation job description, opening training course and monitoring of the nurses as well as awareness and follow-up.


2022 ◽  
Vol 8 ◽  
Author(s):  
Compère Vincent ◽  
Besnier Emmanuel ◽  
Clavier Thomas ◽  
Byhet Nicolas ◽  
Lefranc Florent ◽  
...  

BackgroundChanges in the health system in Western countries have increased the scope of the daily tasks assigned to physicians', anesthetists included. As already shown in other specialties, increased non-clinical burden reduces the clinical time spent with patients.MethodsThis was a multicenter, prospective, observational study conducted in 6 public and private hospitals in France. The primary endpoint was the evaluation by an external observer of the time spent per day (in minutes) by anesthetists on clinical tasks in the operating room. Secondary endpoints were the time spent per day (in minutes) on non-clinical organizational tasks and the number of task interruptions per hour of work.ResultsBetween October 2017 and April 2018, 54 anesthetists from six hospitals (1 public university hospital, two public general hospitals and three private hospitals) were included. They were followed for 96 days corresponding to 550 hours of work. The proportion of overall clinical time was 62% (58% 95%CI [53; 63] for direct care. The proportion of organizational time was higher in public hospitals (11% in the university hospital (p &lt; 0.001) and 4% in general hospitals (p &lt; 0.01)) compared to private hospitals (1%). The number of task interruptions (1.5/h ± 1.4 in all hospitals) was 4 times higher in the university hospital (2.2/h ± 1.6) compared to private hospitals (0.5/h ± 0.3) (p &lt; 0.05).ConclusionsMost time in the operating room was spent on clinical care with a significant contrast between public and private hospitals for organizational time.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abel Demerew Hailu ◽  
Birhanu Demeke Workneh ◽  
Mesfin Haile Kahissay

Abstract Background Prescription drugs constitute the primary source of revenue for the pharmaceutical industry. Most pharmaceutical companies commit a great deal of time and money to market in hopes of convincing physicians about their products. The objective of this study is to assess perceived influence of pharmaceutical marketing mix strategies on physicians’ prescribing behaviors in hospitals, Dessie, Ethiopia. Methods Mixed methods sequential explanatory design was employed in two public and three private hospitals. A cross-sectional study design was employed by including (136) physicians working in public and private hospitals. Percentage, mean, standard deviation, and multiple linear regressions were computed using Statistical Package for Social Science. In the second phase, the phenomenological design was employed to fully explore in-depth information. Purposive sampling was used to select key informants and 14 in-depth interviews were conducted by the principal investigator. Content analysis was performed using Nvivo 11 plus and interpretation by narrative strategies. Results The overall perceived influence of pharmaceutical marketing mix strategies in physicians’ prescribing behavior was 55.9%. The influence of promotion, product, place and price strategy perceived by physicians in their prescribing behavior was 83 (61%), 71(52.2%), 71 (52.2%), 80 (58.8%) respectively. There was a statistically significant difference among marketing mix strategies (β = 0.08, p = < 0.001). Determinants on the influence of physicians’ prescribing behavior were specialty (p = 0.01) and working areas (p = 0.04). The qualitative design also generates additional insights into the influence of pharmaceutical marketing mix strategies on physician prescribing behavior. Conclusions More than half of physicians perceived that pharmaceutical marketing mix strategies influence their prescribing behavior. The qualitative design also revealed that pharmaceutical marketing mix strategies influenced physicians prescribing behavior. Strengthening the regulation and maintaining ethical practice would help to rationalize the physicians’ prescribing practice.


Author(s):  
REGIS SILAS CARDOSO ◽  
ANTONIO ISIDRO DA SILVA FILHO ◽  
LEAR VALADARES VIEIRA

ABSTRACT Purpose: Understand how the user, the provider/supplier and the decision maker interact in the innovative process, as well as identify how the co-production occurs. Originality/gap/relevance/implications: There is evidence that the innovation derives among other factors from elements that characterize the co-production. Studies involving co-production of innovation are scarce. This study contributes to increase the theoretical knowledge in innovation in hospitals, mainly regarding co-production of innovation. Key methodological aspects: It is a qualitative study with case study strategy. Data collection through interviews and documentary research. Analysis of the data by technique of content analysis. Summary of key results: The logic of product development is still applied in the development of technological solutions for the hospital, against the logic of services, involving the interaction of customer with supplier. The results also suggest the possibility of relationship between innovation capacity and occurrence of innovation, pointing out the need to test this relationship in future works. Key considerations/conclusions: It is necessary to understand and investigate the mechanisms that allow the interaction of users, from design to implementation of innovation. It is also important to investigate whether the elements that characterize the co-production are relevant to explain innovation in hospitals, because elements were identified related to the concept of innovation that deserves to be better understood, including in contexts of public and private hospitals.


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