scholarly journals Estrés en graduados y técnicos en cuidados auxiliares de enfermería en las áreas quirúrgicas hospitalarias

2021 ◽  
Vol 20 (1) ◽  
pp. 193-213
Author(s):  
María de los Ángeles Ferraz Mesa ◽  
María del Carmen Serrano Barberá ◽  
María José López Montesinos ◽  
Laura Martínez Alarcón ◽  
Jesús María González Martín

Objetivos: Analizar el nivel de estrés que presentan los Graduados de Enfermería y los Técnicos en Cuidados Auxiliares de Enfermería en las áreas quirúrgicas de los Hospitales Públicos de Gran Canaria.Material y método: Estudio cuantitativo, descriptivo/observacional de prevalencia transversal, de 143 sujetos (Grado de Enfermería y Técnicos en Cuidados Auxiliares de Enfermería, en adelante T.C.A.E.), en Hospital Universitario de Gran Canaria Doctor Negrín, en adelante H.U.G.C. Dr. Negrín, y Complejo Hospitalario Universitario Insular-Materno Infantil de Canarias, en adelante C.H.U. Insular-Materno Infantil de Canarias, en los servicios de Quirófano, Unidad de Reanimación y Cuidados Críticos (R.E.A.), Unidad de Recuperación Post-anestésica (U.R.P.A.) y Cirugía Mayor Ambulatoria (C.M.A.), durante los años 2016-2019. Mediante una encuesta autocumplimentada de carácter anónimo y voluntario formado por la Escala de estrés percibido (PSS) de Cohen, S., Kamarck, T., y Mermelstein, R. Dispuesta en 14 ítems, además se realizó un cuestionario de 19 ítems de carácter demográfico y sociolaboral, efectuándose cruce de variables dependientes e independientes.Resultados: Presentan un nivel de estrés con una mediana de 22%. La media es 21.79, la desviación típica 7.26, el percentil 25 da como resultado 17%, el percentil 50 es 22% y el percentil 75 es 39%. La fiabilidad total da como resultado 0.86 en el Alfa de Cronbach.Conclusiones: Los trabajadores TCAE y Graduados de Enfermería, de las unidades mencionadas presentan un nivel moderado de estrés, pero las instituciones deberían intervenir para minimizarlo lo máximo posible. Objectives: To analyse the stress level in Nursing Graduates and Healthcare Assistants in surgical areas of the Public Hospitals in Gran Canaria. Material and Methods: Quantitative, descriptive/observational study of cross-sectional prevalence in 143 subjects (Nursing Degree and Healthcare Assistant, henceforth (H.C.A.), in the University Hospital of Gran Canaria Doctor Negrín, henceforth U.H.G.C. Dr. Negrín and Complejo Hospitalario Universitario Insular-Materno Infantil de Canarias(Children and maternity care hospital of the Canary Islands), henceforth the C.H.U. Insular-Materno Infantil de Canarias, in the surgery services/operating rooms, Trauma Resuscitation Unit (TRU) , Post-Anesthesia Care Unit (P.A.C.U.), and Major Outpatient Surgery (M.O.S.), from 2016 to 2019. By means of an anonymous and voluntary self-completion survey based on the Perceived Stress Scale (PSS) from Cohen, S., Kamarck, T., and Mermelstein, R. It was distributed in 14 items, a questionnaire of 19 demographic and socio-labour items was also carried out, applying a cross-sectional design of dependent and independent variables.Results: They show a stress level with a median of 22%. The mean is 21.79, the standard deviation is 7.26, the 25th percentile results in 17%, the 50th percentile is 22% and the 75th percentile is 39%. Total reliability is 0.86 using Cronbach's Alpha.Conclusions: H.C.A. workers and Nursing Graduates from the aforementioned units show a moderate level of stress, but institutions should intervene to minimize it as much as possible.

2021 ◽  
Vol 11 (1) ◽  
pp. 25-29
Author(s):  
Dian Ika Puspitasari ◽  
Emdat Suprayitno ◽  
Bustami Bustami

Stress on nurses working in the emergency room, due to the Covid-19 pandemic which results in a higher risk of exposure, this happens because the nurses in the emergency room still don't know whether a patient is infected with a certain disease or not. The purpose of this study was to determine the level of stress on nurses working in the emergency department. This type of research is quantitative descriptive using a non-analytic cross-sectional design. The population in this study were nurses who worked in the emergency department as many as 22 people with total sampling. Based on the results of the study, it can be concluded that almost half of them are included in the very severe stress level, namely 8 people (36%),. It is hoped that all nurses, especially in the emergency unit room, will always comply with the Health protocol in preventing the transmission of Covid-19


2018 ◽  
Vol 2 (1) ◽  
pp. 30
Author(s):  
Meyke Tiku Pasang ◽  
Kusrini Kadar ◽  
Rosdiana Natzir

Introduction: Nurses as professionals must provide services in accordance with the competence and authority possessed either individually or as part of a hospital team. Thus, there is a need to manage the resources of nursing  such as the professional career development system for nurses. The study aimed to identify the perception and expetation of the nurses on the implementation of career ladder in two hospitals in Makassar city. Method: This research used quantitative method with the cross sectional design. There were 105 nurses from Hasanuddin University Hospital and 212 nurses from Dr. Wahidin Sudirohusodo Hospital involved as samples in this study. The samples were chosen using the disproportionate stratified random sampling technique. The data were collected through questionnaires to find out the nurse perception including some open ended  question to explore the nurses expectation from this career ladder program.  The data were  analyzed using descriptive statistic and mann-whitney to seee the differences perception between the groups. Result: The result revealed although that mean of perception about the implementation of career ladder in two hospitals are considered good (m=3.70 dan m=3.94), there was differences of nurses perception in both hospitals (p=0.00). Conclusions: Meanwhile, the result of open-ended questions about nurses' expectation about the implementation of the career ladder emphasized that there should  be a schedule for training for their professional improvement. Evaluation for further assessment for higher levels of career ladder also considered important for the nurses in both hospitals. Furthermore, the rewards or incentives for the nurses received shold be appropriate according to the career levels. In conclusion, the implementation of career ladder program in both hospitals have been considered good, however, the hospitals need to support the nurses and pay attention to factors that could influence the nurses satisfaction of the program.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Karoline Kolås Andersen ◽  
Gunnvald Kvarstein

AbstractObjectivesOpioids are the most potent analgesics in the treatment of postoperative pain. Respiratory depression is, however, a serious side effect. The aims of this study were to evaluate current practice and routines for post-operative administration of opioids in a Norwegian university hospital and to evaluate whether the clinical safeguards adequately protected patients’ safety regarding risk of respiratory depression.MethodsThe study had a retrospective cross-sectional design and included 200 patients, treated with opioids postoperatively. The patients were treated in a post-anesthesia care unit (PACU) before transferal to a surgical ward. Relevant data such as opioid dosages, routes of administration, sedation and respiratory function, routines for patient monitoring, and numbers of patients with opioid induced respiratory depression was collected.ResultsTwo patients (1%) developed respiratory depression that needed naloxone to reverse the effect, and 32 patients (16%) had a respiratory rate (RR) <10/min, which may have been caused by opioids. In the PACU, the patient’s RR was evaluated on a routine base, but after transferal to a surgical ward RR documented in only 7% of the patients.ConclusionsThe lack of routines for patient monitoring, especially RR, represented a risk of not detecting opioid induced respiratory depression.


2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Sandra de Souza Pereira ◽  
Carla Araujo Bastos Teixeira ◽  
Emilene Reisdorfer ◽  
Mariana Verderoce Vieira ◽  
Edilaine Cristina da Silva Gherardi-Donato ◽  
...  

ABSTRACT This is a quantitative, descriptive and exploratory research, with cross-sectional design that investigated the stressors experienced by nursing technicians working in general hospital and identified the coping strategies most used by them. The sample contained 310 participants. A sociodemographic questionnaire and the Ways of Coping Scale were used. For the analysis we used descriptive statistics and calculated the Cronbach's alpha. 60% of professionals used the strategies focused on the problem; 57.4% attributed their stress to working conditions, 26.8% to relationships in the workplace, 5.5% to the lack of reward at work and only 0.6% to problems personal. We conclude that strategies focused on the problems were the most used, indicating an approximation of the stressor in order to fix it. The identified stressors indicate the need for planning, stimulating and recognizing nursing professionals.


2017 ◽  
Vol 4 (2) ◽  
pp. 87
Author(s):  
Teguh Santoso ◽  
Falasifah Ani Yuniarti ◽  
Rossida Rossida

Background: Alcohol consumption in the world at 2015 in the amount of 6.3 litter pure alcohol, the consumer average of age around above 15 years old. Drinking alcohol underage has impact on physical and mental disorders. Purpose: Knowing the relation between employment and income with alcohol consumption in adolescents at Ngemplak Seneng Manisrenggo Klaten Cental Java. Research method: This is a quantitative descriptive study with cross-sectional design. In this used total sampling, 35 subjects participating. Data obtained using question and analyzed by using Chi Square and multiple Regression. Result: Employment (31.4%), income (40.0%), and alcohol consumption (62.9%). From statistical analysis, employment with alcohol consumption shows the p value (0.011) and income with alcohol consumption (0.006). The result from employment and income with alcohol consumption shows the r value (0.819). Conclusion: There is a significant relation between employment and income with alcohol consumption in adolescents.


2020 ◽  
Vol 10 (2) ◽  
pp. 60-65
Author(s):  
Upik Rahmi ◽  
Yoanita Suryani

Abstract Family members are primarily responsible for the care of loved ones with dementia. Family support and living with people with dementia are cultural norms that are expected in Indonesia, where family members with dementia are considered family responsibilities that must be fulfilled. The purpose of this study: to find out Family Support for Dementia sufferers. Quantitative descriptive with cross sectional design. The study was conducted in the city of Bandung with a population of 41 respondents and a sample of (n = 41) primary caregivers / families who care for dementia patients, sampling with total sampling. Family support based on education in the good category (68.3%) and not good 13 respondents (31.7%), emotional factors in the good category 26 respondents (63.4%) and not good 15 respondents (36, 6%), based on spiritual in the good category of 24 respondents (58.5%) and not good 17 respondents (43.9%), social and psychological factors are in the good category 26 respondents (63.4%) and not good 15 respondents (36.6%), and the last indicator of economic factors was in the good category of 25 respondents (61.0%) and not good 16 respondents (39.0%). Family support is very important to improve the quality of life of people with dementia, namely support based on educational, psychological / emotional, spiritual, social and environmental and economic factors. Some have provided good support, but there is still support that is not good Keywords: Dementia, Family Support, Education, Psychology


2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Fehmida Parveen Memon ◽  
Majida Khan ◽  
Samya Aijaz

Objectives: To determine the thrombocytopenia as marker of maternal sepsis and its related maternal morbidity and mortality at tertiary care Hospital. Study Design: Cross-sectional study. Setting: Gynaecological and Obstetrical department of Liaquat University Hospital, Hyderabad. Period: 6 months from March 2017 to August 2017. Material and Methods: All the pregnant females with diagnosis of sepsis were enrolled in the study. All the females with chronic hepatitis were excluded. After complete clinical examination every women underwent 5cc blood sample for complete blood picture. Thrombocytopenia was characterized as a platelet count below 150.000/mm3. Data regarding maternal mortality and maternal complications was filled in the proforma. Results: Total 120 septic mothers were included in the study, 70 patients had thrombocytopenia and 50 were with normal platelets. Most of the women 71.7% were with age groups of 20-30 years. Out of total women 65.0% were un-booked. According to the maternal morbidity, septic shock was most common 36.7%, multi-organ failure was in 08.3%, prolonged Hospital stay was in 16.7%, ICU admission occurred in 18.3% patients, while renal failure, respiratory failure, hepatic failure, coagulopathy and metabolic acidosis were found with percentage of 09.2%, 02.5%, 10.8%, 10.8% and 03.3% respectively. Mortality rate was found among 8.3% out of total cases. Almost all complications were higher among women with thrombocytopenia as compare to women with normal platelets level, while statistically p-value was quite insignificant. Mortality was significantly high among patients with thrombocytopenia p-value 0.032. Conclusion: It was concluded that thrombocytopenia is a good marker for adverse outcome among septic mothers. Maternal morbidity and mortality was higher among septic women with thrombocytopenia.


Author(s):  
Gisela Pineda-García ◽  
Estefanía Ochoa-Ruiz ◽  
Gilda Gómez-Peresmitré ◽  
Silvia Platas-Acevedo

The objective of this study is to assess the effect of alcohol consumption, anxiety, and food restriction before and after consuming alcohol and body image on the risk of anorexia and bulimia in college students from Tijuana, Baja California, through predictive statistical models. A quantitative, descriptive, and cross-sectional design and a non-probabilistic sample of 526 college students from Tijuana, Baja California, México were used. Application of the scales (with acceptable psychometric properties) was conducted in classrooms. Through path analyses, four models were found with adequate indicators of goodness of fit: (1) risk of anorexia in women [Chi Square (X2) = 5.34, p = 0.376, Adjusted Determination Coefficient (R2)= 0.250]; (2) anorexia risk for men (X2 = 13.067, p = 0.192, R2 = 0.058); (3) risk of bulimia in women (X2 = 3.358, p = 0.645, R2 = 0.202); and bulimia risk for men (X2 = 14.256, p = 0.075, R2 = 0.284). The findings provide empirical evidence for the food and alcohol disturbance model.


2013 ◽  
Vol 28 (2) ◽  
pp. 127-131 ◽  
Author(s):  
Nicholas A. True ◽  
Juliana D. Adedoyin ◽  
Frances S. Shofer ◽  
Eddie K. Hasty ◽  
Jane H. Brice

AbstractBackgroundPatients seeking care in public hospitals are often resource-limited populations who have in past disasters become the most vulnerable. The objective of this study was to determine the personal disaster preparedness of emergency department (ED) patients and to identify predictors of low levels of preparedness. It was hypothesized that vulnerable populations would be better prepared for disasters.MethodsA prospective cross-sectional survey was conducted over a one-year period of patients seeking care in a public university hospital ED (census 65,000). Exclusion criteria were mentally impaired, institutionalized, or non-English speaking subjects. Subjects completed an anonymous survey detailing the 15 personal preparedness items from the Federal Emergency Management Agency's disaster preparedness checklist as well as demographic characteristics. Summary statistics were used to describe general preparedness. Chi-square tests were used to compare preparedness by demographics.ResultsDuring the study period, 857/1000 subjects completed the survey. Participants were predominantly male (57%), Caucasian (65%), middle-aged (mean 45 years), and high school graduates (83%). Seventeen percent (n = 146) reported having special needs and 8% were single parents. Most participants were not prepared: 451 (53%) had >75% of checklist items, 393 (46%) had food and water for 3 days, and 318 (37%) had food, water, and >75% of items. Level of preparedness was associated with age and parenting. Those aged 44 and older were more likely to be prepared for a disaster compared to younger respondents. (43.3% vs 31.1%, P = .0002). Similarly, single parents were more likely to be prepared than dual parenting households (47.1 vs 32.9%, P = .03).ConclusionsThis study and others have found that only the minority of any group is actually prepared for disaster. Future research should focus on ways to implement disaster preparedness education, specifically targeting vulnerable populations, then measuring the effects of educational programs to demonstrate that preparedness has increased as a result.TrueNA, AdedoyinJD, ShoferFS, HastyEK, BriceJH. Level of disaster preparedness in patients visiting the emergency department: results of the Civilian Assessment of Readiness for Disaster (CARD) survey. Prehosp Disaster Med.2013;28(2):1-5.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Fahad Hanif Khan ◽  
Raheela Hanif ◽  
Rumina Tabassum ◽  
Waris Qidwai ◽  
Kashmira Nanji

Background. Nonverbal behaviors have a significant impact on patients during consultations. This study was undertaken to find out the attitudes and preferences of the patients regarding nonverbal communication during consultations with physicians, in a tertiary care hospital. Methods. A questionnaire based cross-sectional study was carried out at the Aga Khan University Hospital, Karachi, Pakistan, during the months of January to March 2012. All patients (>18 years of age) coming for consultancy in the family medicine clinics were approached; out of 133, 120 agreed to participate. The subjects were asked questions regarding physician’s comforting touch and eye contact and their responses were noted. The data were analyzed using SPSS and chi-square test was used to identify corelations. Results. Overall, 120 patients were enrolled. About 58.3% were men and 41.7% were women with a mean age of 34.9±10.9 years. 95.8% were Muslims and 57.6% had more than 12 years of education. Among females 74% wanted supportive touch from doctors, used to comfort the patient (45%) or to show respect (27.5%) or as healing (30%). 86.1% of the respondents believe that establishing eye contact with the patient shows that the doctor is attentive towards his/her patient. The eye contact should be brief but regular (54.1%) and prolonged staring (36.7%) makes them uncomfortable. Conclusion. Nonverbal communication helps to strengthen the doctor-patient relation as patients do appreciate positive touch and eye contact from their physicians.


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