scholarly journals Clima Organizacional em uma Unidade de Terapia Intensiva: percepções da equipe de enfermagem

2021 ◽  
Vol 20 (2) ◽  
pp. 390-425
Author(s):  
Flávia Barreto Tavares Chiavone ◽  
Claúdia Cristiane Filgueira Martins Rodrigues ◽  
Larissa De Lima Ferreira ◽  
Pétala Tuani Candido de Oliveira Salvador ◽  
Manaces Dos Santos Bezerril ◽  
...  

Objetivo: Medir el clima organizacional del equipo de enfermería en la unidad de cuidados intensivos. Método: Este es un estudio transversal, con enfoque cuantitativo, desarrollado en una unidad de cuidados intensivos de un hospital universitario en el noreste de Brasil. La recolección de datos se realizó en 2016, con la participación de 30 profesionales de enfermería. Se realizó el análisis de datos a partir de estadística descriptiva y análisis de datos bivariados. Resultados: Se encontró que los profesionales de enfermería perciben un clima organizacional bajo en el sector en que trabajan y el desarrollo profesional y los beneficios fueron el factor considerado más bajo entre los trabajadores. El análisis bivariado infiere significativamente que los profesionales que tienen hijos tienen una baja percepción del clima organizacional. Conclusión: La percepción del clima organizacional del equipo de enfermería investigado es baja. Objective: To measure the organizational climate of the nursing team in the intensive care unit. Method: This is a cross-sectional study, with a quantitative approach, developed in the intensive care unit of a university hospital in the Northeast of Brazil. Data collection was carried out in 2016, with the participation of 30 nursing professionals. Data analysis was carried out using descriptive statistics and a bivariate analysis of data. Results: It was found that nursing professionals perceive a low organizational climate score in the sector they work. The professional Development and the benefits were considered the lowest factor by the workers. The bivariate analysis significantly infers that the professionals who have children have a low perception of the organizational climate. Conclusion: The nursing team investigated is perceives the score of the organizational climate to be low. Objetivo: Mensurar o clima organizacional da equipe enfermagem na unidade de terapia intensiva. Método: trata-se de um estudo transversal, de abordagem quantitativa, desenvolvida em uma unidade de terapia intensiva em um hospital universitário no nordeste do Brasil. A coleta de dados foi realizada em 2016, com a participação de 30 profissionais de enfermagem. A análise dos dados se deu por estatística descritiva e análise bivariada dos dados. Resultados: Verificou-se que os profissionais de enfermagem percebem um baixo clima organizacional no setor que atuam e o Desenvolvimento profissional e benefícios foi o fator considerado mais baixo entre os trabalhadores. A análise bivariada infere de maneira significativa que os profissionais que possuem filhos têm uma baixa percepção do clima organizacional. Conclusão: A percepção do clima organizacional da equipe de enfermagem investigada é baixa.

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Edineia Miranda Machado ◽  
Tatiana Brusamarello

Objetivo: Verificar o nível de conforto na dimensão segurança de familiares de pacientes internados em leitos de Unidade de Terapia Intensiva. Método: Estudo quantitativo, descritivo, transversal, realizado no período de junho a setembro de 2019, com 40 familiares de pacientes internados em leitos de Unidade de Terapia Intensiva de um hospital universitário do sul do Brasil. Os dados foram coletados por meio da Escala de Conforto para Familiares de Pessoas em Estado Crítico de Saúde e analisados por estatística descritiva simples. Resultados: Dos familiares entrevistados a maioria era do sexo feminino, com faixa etária de 40 a 59 anos, parentes de primeiro grau, com ensino médio completo. A média geral do nível de conforto em relação a dimensão segurança foi de 4,36 para Unidade de Terapia Intensiva I e 4,31 para a Unidade de Terapia Intensiva II, resultando em médio conforto. Conclusão: O nível de conforto na dimensão segurança mostrou-se médio, evidenciando reflexos positivos da inclusão familiar no contexto hospitalar relacionado ao acolhimento, interação com a equipe de saúde e confiabilidade no cuidado prestado.Descritores: Cuidados de Enfermagem; Família; Cuidados Críticos.COMFORT LEVEL IN THE SAFETY DIMENSION OF FAMILY MEMBERS OF PATIENTS HOSPITALIZED IN INTENSIVE CARE UNIT  Objective: To verify the level of comfort in the safety dimension of family members of patients admitted to beds in the Intensive Care Unit. Method: Quantitative, descriptive, cross-sectional study, carried out from June to September 2019, with 40 family members of patients admitted to beds in the Intensive Care Unit of a university hospital in southern Brazil. The data were collected using the Comfort Scale for Family Members of People in Critical Health and analyzed using simple descriptive statistics. Results: Of the interviewed family members, most were female, aged 40 to 59 years old, first-degree relatives, with high school education. The general average of the comfort level in relation to the safety dimension was 4.36 for the Intensive Care Unit I and 4.31 for the Intensive Care Unit II, resulting in medium comfort. Conclusion: The level of comfort in the safety dimension was shown to be medium, showing positive reflexes of family inclusion in the hospital context related to welcoming, interaction with the health team and reliability in the care provided.Descriptors: Nursing Care; Family; Critical Care. NIVEL DE CONFORT EN LA DIMENSIÓN DE SEGURIDAD DE LOS FAMILIARES MIEMBROS DE PACIENTES HOSPITALIZADOS EN LA UNIDAD DE ATENCIÓN INTENSIVAObjetivo: Verificar el nivel de confort en la dimensión de seguridad de los familiares de pacientes hospitalizados en camas de la Unidad de Cuidados Intensivos. Método: Estudio cuantitativo, descriptivo, transversal, realizado de junio a septiembre de 2019, con 40 familiares de pacientes ingresados en camas en la Unidad de Cuidados Intensivos de un hospital universitario en el sur de Brasil. Los datos fueron recolectados usando la Escala de Confort para los miembros de la familia de personas en estado crítico de salud y analizados usando estadísticas descriptivas simples. Resultados: De los familiares entrevistados, la mayoría eran mujeres, de 40 a 59 años, familiares de primer grado, con educación secundaria. El promedio general del nivel de comodidad en relación con la dimensión de seguridad fue 4.36 para la Unidad de Cuidados Intensivos I y 4.31 para la Unidad de Cuidados Intensivos II, lo que resultó en un confort medio. Conclusión: Se demostró que el nivel de comodidad en la dimensión de seguridad era medio, mostrando reflejos positivos de inclusión familiar en el contexto hospitalario relacionados con la acogida, la interacción con el equipo de salud y la confiabilidad en la atención brindada. Descriptores: Atención de Enfermería; Familia; Cuidados Críticos


2004 ◽  
Vol 9 (1) ◽  
Author(s):  
Ligia Aparecida Palú ◽  
Liliana Maria Labronici ◽  
Leomar Albini

Trata-se de uma pesquisa qualitativa de abordagem fenomenológica hermenêutica, que teve como objetivo compreender a percepção de morte dos profissionais de enfermagem no seu cotidiano de trabalho em uma Unidade de Terapia Intensiva, de um hospital de ensino da cidade de Curitiba. Foram realizadas 9 entrevistas gravadas, no período de outubro a novembro de 2004, com a equipe de enfermagem, respeitando a Resolução nº 196/96 do Conselho Nacional de Saúde sobre pesquisa envolvendo seres humanos. A análise dos depoimentos se deu mediante três momentos: a descrição, a redução e a compreensão fenomenológica e o tema que emergiu foi: a morte geradora de uma multiplicidade de sentimentos. Evidenciou-se que estes trabalhadores desenvolvem suas atividades cercadas de muita emoção e questionamentos, por não terem sido preparados para trabalhar com a morte, e sim para trabalhar com a vida.Death in the daily working routine of nursing professionals in an intensive care unitAbstractIt is a qualitative research with a phenomenological-hermeneutic approach, which objectified to apprehend the perception of death for nursing professionals along their daily working routine in an Intensive Care Unit in a University Hospital. Nine (9) recorded interviews with a nursing team were carried out between October and November/ 2004. The interviews conformed to Resolution N.196/96 of National Health Council on research involving human beings. The analysis of the accounts went through three steps: description, reduction and phenomenological understanding. It was pointed out that living surrounded by death can bring about a multitude of feelings, such as: compassion, guilt, detachment, denial, emotional involvement/ empathy. It was evidenced that those professionals perform their tasks surrounded by a lot of emotion and inquiries as they have not been prepared to cope with death but work with life.


2019 ◽  
Vol 17 (2) ◽  
Author(s):  
Jéssica Araújo Olímpio ◽  
Jéssica Naiara de Medeiros Araújo ◽  
Vanessa Pinheiro Barreto ◽  
Raianny Alves Costa Medeiros ◽  
Mércio Gabriel de Araújo ◽  
...  

Aim: characterize the sociodemographic and clinical profile of patients with the diagnosis of dry eye risk nursing in intensive care unit. Methods: this is a cross-sectional study carried out at the intensive care unit of a university hospital located in the northeastern region of Brazil between January and July 2016. Results: it was observed that 51% of the patients were male, the mean age was 59.5 years, and 65.6% had a partner. Regarding the reasons for hospitalization, 53.1% were in the postoperative period and 46.9% were clinical patients; 49% were on invasive mechanical ventilation. Conclusion: to know the characteristics of patients with the diagnosis of dry-eye risk nursing in an intensive care unit becomes important in order to direct care for the prevention and early detection of the problem in order to reduce ocular complications


2010 ◽  
Vol 18 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Amália de Fátima Lucena ◽  
Maria Gaby Rivero de Gutiérrez ◽  
Isabel Cristina Echer ◽  
Alba Lucia Bottura Leite de Barros

This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes ‘respiratory management’ and ‘self-care facilitation’. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body’s physical and homeostatic functioning.


2019 ◽  
Vol 13 (08) ◽  
pp. 744-747 ◽  
Author(s):  
Uluhan Sili ◽  
Pinar Ay ◽  
Huseyin Bilgin ◽  
Seyhan Hidiroglu ◽  
Volkan Korten

Introduction: While improvement of hand hygiene (HH) compliance is considered as the best approach to reduce healthcare-associated infections, the instructional interventions in HH among healthcare workers of intensive care unit (ICU) of our hospital was not successful enough. The following study was conducted to evaluate HH knowledge, perception, practice and effectiveness of the trainings among healthcare workers of ICU in our hospital. Methodology: A cross-sectional study was conducted in the ICU containing 8 medical and 16 surgical beds with 284 filled questionnaires about HH knowledge and 1187 observed opportunities for HH compliance. Results: Overall observed HH compliance rate was 40.6%; lowest compliance was 21.7% for “before clean/aseptic procedure” indication and highest compliance was 68.6% for “after touching a patient” indication. Although > 90% healthcare workers correctly identified the World Health Organization’s five indications for HH, 82 – 85% failed to recognize non-indications, i.e. when it was not necessary to perform HH. Our study showed that 15.1% of healthcare workers neither received nor felt the need for HH training. Conclusions: Despite regular HH trainings, healthcare workers could not differentiate when HH was not required which suggested failure to understand HH rationale. This may explain poor HH compliance rates. A systematic study is needed in order to find out the reasons behind of this noncompliance and improve HH training methods for educating healthcare workers.


2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Ana Tamara Kolecha Giordani Grebinski ◽  
Francislene Aparecida Biederman ◽  
Caroline Berte ◽  
Grasiely Masotti Scalabrin Barreto ◽  
João Lucas Campos De Oliveira ◽  
...  

Objetivo: Mensurar a carga de trabalho da equipe de enfermagem de uma Unidade de Terapia Intensiva Neonatal (UTIN) e dimensionar o quadro de pessoal necessário para o suprimento desta demanda. Metodologia: Estudo transversal, documental e quantitativo. Foram coletadas variáveis de caracterização clínica e demográfica da amostra (n=105) de recém-nascidos e da carga de trabalho da enfermagem por meio do Nursing Activities Score (NAS). O dimensionamento foi calculado com base em equação para terapia intensiva e ajustado à Resolução nº 543/2017 do Conselho Federal de Enfermagem. Resultados: A média do NAS da UTIN foi de 749,9. Obteve-se quadro dimensionado de 43 profissionais, com déficit de 17 enfermeiros em comparação ao quadro disponível. Conclusão: O quadro de enfermeiros da UTIN é insuficiente.Descritores: Carga de trabalho; Dimensionamento; Equipe de enfermagem; Unidades de terapia intensiva neonatal.WORKLOAD AND SIZING OF THERAPY IN NURSING STAFF INTENSIVE NEWBORNObjective: To measure the workload of the nursing team of a Neonatal Intensive Care Unit (NICU) and to size the personnel needed to supply this demand. Method: Cross-sectional, documentary and quantitative study. Clinical and demographic characterization variables of the sample (n = 105) of newborns and the nursing workload were collected through the Nursing Activities Score (NAS). The design was calculated based on a formula for intensive therapy and adjusted to Resolution 543/2017 of the Federal Nursing Council. Results: The mean of the NICU NAS was 749.9. It was obtained a dimensioned picture of 43 professionals, with a deficit of 17 nurses in comparison to the available picture. Conclusion: Nurses from the NICU are insufficient.Descriptors: Workload; Sizing; Nursing team; Neonatal intensive care units.CARGA DE TRABAJO Y DIMENSIONAMIENTO DE PERSONAL DE ENFERMERÍA EN TERAPIA INTENSIVA NEONATALObjetivo: Medir la carga de trabajo del equipo de enfermería de una Unidad de Terapia Intensiva Neonatal (UTIN) y dimensionar el cuadro de personal necesario para el aprovisionamiento de esta demanda. Metodologia: Estudio transversal, documental y cuantitativo. Se recogieron variables de caracterización clínica y demográfica de la muestra (n = 105) de recién nacidos y de la carga de trabajo de la enfermería por medio del Nursing Activities Score (NAS). El dimensionamiento fue calculado con base en fórmula para terapia intensiva y ajustado a la Resolución 543/2017 del Consejo Federal de Enfermería. Resultados: El promedio del NAS de la UTIN fue de 749,9. Se obtuvo un cuadro dimensionado de 43 profesionales, con déficit de 17 enfermeros en comparación al cuadro disponible. Conclusión: El cuadro de enfermeros de la UTIN es insuficiente.Descriptores: Carga de trabajo; Dimensionamiento; Equipo de enfermería; Unidades de terapia intensiva neonatal.


2019 ◽  
Vol 13 ◽  
Author(s):  
Sara Maria Costa ◽  
Juliane Araújo Silva ◽  
Maria Erineide Santos ◽  
José César Cerqueira ◽  
Josineide Soares Silva ◽  
...  

Objetivo: traçar o perfil epidemiológico dos pacientes internados na Unidade de Terapia Intensiva. Método: trata-se de um estudo quantitativo, descritivo e transversal, com prontuários de 212 pacientes. Analisaram-se os dados por meio do pacote estatístico software Statistical Package for Social Science. Realizaram-se média, desvio-padrão, correlação de Pearson e o valor de p <0,05 foi considerado para significância estatística. Resultados: demonstrou-se que a maioria dos pacientes foi composta por homens, jovens, vítimas de acidentes automobilísticos, em especial, as quedas de moto, diagnosticados com traumatismo cranioencefálico, permanecendo até sete dias internados sendo transferidos para a unidade de internação do mesmo hospital. Conclusão: conclui-se que a caracterização do perfil dos pacientes possibilita a implementação de estratégias de prevenção dentro e fora do hospital, visando a diminuição dos acidentes automobilísticos e o melhor direcionamento da assistência prestada em Unidade de Terapia Intensiva. Descritores: Epidemiologia; Cuidados de Enfermagem; Cuidados Intensivos; Enfermagem em Cuidados Críticos; Perfil de Saúde; Enfermagem.AbstractObjective: to outline the epidemiological profile of patients admitted to the Intensive Care Unit. Method: this is a quantitative, descriptive and cross-sectional study with medical records of 212 patients. Data was analyzed using the Statistical Package for Social Science software package. Mean, standard deviation, Pearson correlation and p <0.05 were considered for statistical significance. Results: it was shown that most patients were men, young people, victims of car accidents, especially motorcycle crashes, diagnosed with traumatic brain injury, staying up to seven days in hospital being transferred to the inpatient unit of the same hospital. Conclusion: it is concluded that the characterization of the patients profile allows the implementation of prevention strategies inside and outside the hospital, aiming at the reduction of car accidents and the better direction of care provided in Intensive Care Unit. Descriptors: Epidemiology; Nursing Care; Critical Care; Critical Care Nursing; Health Profile; Nursing.ResumenObjetivo: describir el perfil epidemiológico de los pacientes ingresados en la Unidad de Cuidados Intensivos. Método: este es un estudio cuantitativo, descriptivo y transversal, con registros médicos de 212 pacientes. Los datos se analizaron utilizando el paquete estadístico de software Statistical Package for Social Science. La media, la desviación estándar, la correlación de Pearson y p <0,05 se consideraron para la significación estadística. Resultados: se demostró que la mayoría de los pacientes eran hombres, jóvenes, víctimas de accidentes automovilísticos, especialmente, las caídas de motocicletas, diagnosticados con lesiones cerebrales traumáticas, que permanecieron hasta siete días en el hospital y fueron trasladados a la unidad de hospitalización del mismo hospital. Conclusión: se concluye que la caracterización del perfil del paciente permite la implementación de estrategias de prevención dentro y fuera del hospital, con el objetivo de reducir los accidentes automovilísticos y la mejor dirección de la atención brindada en la Unidad de Cuidados Intensivos. Descriptores: Epidemiología; Cuidados de Enfermería; Cuidados Intensivos; Enfermería en Cuidados Críticos; Perfil de Salud; Enfermería.


2021 ◽  
Author(s):  
Astawus Alemayehu Feleke ◽  
Mohammed Yusuf Abdella ◽  
Abebaw Demissie W/mariam

Introduction: Neonatal sepsis is a serious blood bacterial infection in neonates at the age of equal to or less than 28 days of life, and it's still the major significant cause of death and long-term morbidity in developing countries. Therefore, this study has assessed the prevalence and related factors with neonatal sepsis among new born admitted to the neonatal intensive care unit at Hiwot Fana Comprehensive Specialized University Hospital, Harar, Ethiopia. Methods: An institutional based retrospective cross-sectional study design was conducted among 386 neonates admitted to NICU from September 2017 to August 2019 G.C. A systematic random sampling method was used. Data was analyzed using SPSS V.26. Descriptive summary statistics was done. Bivariate analysis was computed to identify association between dependent and independent variables. Multivariate analysis was used to control possible confounder variables and variables with p-value <0.05 were declared as having statistically significant association. Result: The prevalence of neonatal sepsis was 53.1% and 59.5% were males. Among the total neonates who had sepsis, 67.8% had early neonatal sepsis. Among neonatal factors, preterm neonates (AOR: 8.1, 95%CI: 2.1, 31.2), birth asphyxia (AOR: 4.7, 95%CI: 1.6, 13.6); and among maternal factors, urban residence (AOR: 0.26, 95%CI: 0.1, 0.5), ANC attendance (AOR: 0.32, 95%CI: 0.2, 0.6), SVD (AOR: 0.047, 95%CI: 0.01, 0.2), Maternal antibiotic use (AOR: 0.39; 95%CI: 0.2, 0.8), duration of rupture of membrane < 12 hours (AOR: 0.11; 95%CI: 0.05, 0.2) were found to have significant association with neonatal sepsis. Conclusion: Overall, the magnitude of neonatal sepsis was high. Being preterm, low birth weight and having birth asphyxia were found to significantly increase the odds of neonatal sepsis. Urban residence, having ANC follow up, giving birth by SVD and CS, history of antibiotic use and having rupture of membrane < 18 hours were found to significantly decrease the odds of neonatal sepsis. Key words: Neonatal Sepsis, Intensive Care Unit, Harar


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Hilde Myhren ◽  
Øivind Ekeberg ◽  
Olav Stokland

Introduction. Nurses and physicians working in the intensive care unit (ICU) may be exposed to considerable job stress. The study aim was to assess the level of and the relationship between (1) job satisfaction, (2) job stress, and (3) burnout symptoms.Methods. A cross-sectional study was performed at ICUs at Oslo University Hospital. 145 of 196 (74%) staff members (16 physicians and 129 nurses) answered the questionnaire. The following tools were used: job satisfaction scale (scores 10–70), modified Cooper's job stress questionnaire (scores 1–5), and Maslach burnout inventory (scores 1–5); high score in the dimension emotional exhaustion (EE) indicates burnout. Personality was measured with the basic character inventory. Dimensions were neuroticism (vulnerability), extroversion (intensity), and control/compulsiveness with the range 0–9.Results. Mean job satisfaction among nurses was 43.9 (42.4–45.4) versus 51.1 (45.3–56.9) among physicians,P<0.05. The mean burnout value (EE) was 2.3 (95% CI 2.2–2.4), and mean job stress was 2.6 (2.5–2.7), not significantly different between nurses and physicians. Females scored higher than males on vulnerability, 3.3 (2.9–3.7) versus 2.0 (1.1–2.9) (P<0.05), and experienced staff were less vulnerable, 2.7 (2.2–3.2), than inexperienced staff, 3.6 (3.0–4.2) (P<0.05). Burnout (EE) correlated with job satisfaction (r=-0.4,P<0.001), job stress (r=0.6,P<0.001), and vulnerability (r=0.3,P=0.003).Conclusions. The nurses were significantly less satisfied with their jobs compared to the physicians. Burnout mean scores are relatively low, but high burnout scores are correlated with vulnerable personality, low job satisfaction, and high degree of job stress.


2018 ◽  
Vol 15 (2) ◽  
pp. 732
Author(s):  
Türkan Karaca ◽  
Emine Derya İster

Aim: The aim of the study is to determine the frequency of aspiration, nebulization and oxygenization practices and factors that affect these practices after tracheostomy operation in seven days period.Method: This cross-sectional study was carried out in internal intensive care unit in a university hospital in Turkey. The sample of the study consisted of 60 patients with tracheostomy. Data was collected by using two forms. First one was patient descriptive characteristics form and second one was patient observation form about aspiration, nebulization and oxygenization practices.Results. Mean of aspiration number was 9.9±1.3, and aspiration was carried out more frequently than oxygeniation (8.4±1.7) and nebulization (6.5±1.5) practices. Patients’ age, their habit of cigarette smoking and having chronic disease situations affect aspiration, nebulization and oxygenization practices patients with tracheostomy (p<0.001).Conclusions. The frequency of aspiration, nebulization and oxygenization practices was changed according to post-operation days and affected by some of patients’ descriptive characteristics.


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