Work Of Nursing Team Research Articles

PRODUÇÃO CIENTÍFICA BRASILEIRA SOBRE SOFRIMENTO PSÍQUICO E DEPRESSÃO DA EQUIPE DE ENFERMAGEM NA EMERGÊNCIA

Os profissionais da enfermagem que trabalham nos setores de emergência e urgência estão mais suscetíveis ao sofrimento psíquico e à depressão, pois o ambiente profissional com as características e organização do trabalho de implica em constantes situações estressoras. Objetivo: identificar a produção científica brasileira sobre as causas do sofrimento psíquico e depressão da equipe de enfermagem que atua nos serviços de emergência. Metodologia: revisão integrativa de caráter exploratório e descritivo nas bases de dados Literatura Latino-Americano e do Caribe em Ciências da Saúde (LILACS) e o repositório Scientific Electronic Library Online (Scielo), com as palavras-chave: “sofrimento psíquico” e “emergência” e “depressão”, no período de 2010 a 2016, resultando em uma amostra de sete estudos. Resultados: causas da depressão e sofrimento psíquico são a violência sofrida no seu ambiente de trabalho, os atendimentos emergenciais e os fatores organizacionais como o ambiente físico, normas institucionais, burocracia, comunicação, autonomia, recompensas, segurança) que com outros fatores como os pessoais e do trabalho, a dificuldade em separar o que é estresse físico ou psicológico e a vulnerabilidade psíquica a qual estes profissionais estão expostos, fatos estes que que podem estar associadas a sintomas de sofrimento psíquico e depressão. Conclusão: é necessário a elaboração de ações de prevenção e promoção da saúde do trabalhador que atuam na emergência, principalmente com foco multiprofissional. Ações como a elaboração de grupos de discussão e a prática da escuta qualificada com o auxílio de um psicólogo, poderiam ser implementadas.

EFFECT OF INTERPROFESSIONAL EDUCATION MODEL TO TEAM WORK AND COLLABORATION ATTITUDES OF NURSING STUDENTS IN THE INTENSIVE CARE UNIT OF HOSPITAL

Background: International policy recommends Interprofesional Education (IPE) to improve the practice of interprofessional In an effort to improve the practice of professional nurses, the IPE is the strategy of forming professional conduct of nurses in team work and collaboration between other health professionals, especially doctors in critical care. Objective: to identify the effect of IPE model of team work and collaboration of the attitudes of nursing students in an intensive care unit of Hospital. Methods: This study was conducted with The quasi-experimental design. The number of 30 subjects (15 intervention and 15 control group) by random sampling. The intervention consisted of 1) pretest 2) the provision of material interprofessional education modules on subjects of critical nursing for 2 weeks, 2) posttest. Paired t tests were used to determine the effects of interprofessional Education. Independence t-test were used to determine the difference effect of interprofessional Education. The instrument used was The Attitudes towards interprofessional Health Care Teams Scales to measure the attitude of teamwork and Interprofesional Collaboration Scales to measure the attitude of collaboration. Results: There were differences rates of team work and collaboration attitudes of nurses before and after on intervention group. There werenot differences rates of team work and collaboration attitudes of nurses before and after on control group. There were differences scores of the attitude of team work and collaboration between the intervention and control groups. Conclusions and Recommendations: Giving IPE modules for nurses are commonly regarded to be an essential strategy for improving team work and collaboration attitudes on nurses student at intensive care unit of hospital. Keyword: Interprofessional Education, team work, collaboration, nurses student.

Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: study protocol

BackgroundPsychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method.Methods/DesignThe study will use a mixed method design. Qualitative methodology, through participative action research, will be employed to implement scientific evidence on the therapeutic relationship. A quasi-experimental, one-group, pre-test/post-test design will also be used to quantitatively measure the effectiveness of the implementation of the evidence. Participants will consist of nurses and patients from two psychiatric units in Barcelona. Nurses will be selected by theoretical sampling, and patients assigned to each nurses will be selected by consecutive sampling. Qualitative data will be gathered through discussion groups and field diaries. Quantitative data will be collected through the Working Alliance Inventory and the Interpersonal Reactivity Index. Qualitative data will be analysed through the technique of content analysis and quantitative data through descriptive and inferential statistics.DiscussionThis study will help to understand the process of change in a nursing team working in an inpatient psychiatric ward and will allow nurses to generate knowledge, identify difficulties, and establish strategies to implement change, as well as to assess whether the quality of the care they provide shows a qualitative improvement.

Evaluating the Relationship between Teamwork and Motivation in Nurses and Affecting Factors

Evaluating the Relationship between Teamwork and Motivation in Nurses and Affecting Factors

Provider Perspectives on Safety in Primary Care in Albania.

The purpose of this study was to determine the safety attitudes of specialist physicians (SPs), general physicians (GPs), and nurses in primary care in Albania. The study was cross-sectional. It involved the SPs, GPs, and nurses from five districts in Albania. A demographic questionnaire and the adapted Safety Attitudes Questionnaire (SAQ)-Long Ambulatory Version A was used to gather critical information regarding the participant's profile, perception of management, working conditions, job satisfaction, stress recognition, safety climate, and perceived teamwork. The onsite data collectors distributed questionnaires at the primary care clinics and then collected them. Descriptive statistics were used to summarize the responses. The significance of mean difference among SPs, GPs, and nurses was tested using analysis of variance. Five hundred twenty-three questionnaires were completed. The concept of patient safety in relation to job satisfaction received the highest ratings. Stress recognition had low ratings. There was a high level of teamwork in SPs, GPs, and nurses. Healthcare staff agreed that it was difficult to discuss errors in their primary healthcare center. Physicians in contrast to nurses were most likely to affirm that they do not make errors in hostile situations. Errors are difficult to discuss. It was clear that primary care staff, such as physicians, never considered the likelihood of errors occurring during tense situations. Staff at primary healthcare centers are used to adverse events and errors. Despite the demand for safety improvement and the existing evidence on the epidemiology of outpatient medical errors, most research has only been conducted in hospital settings. Many patients are put at risk and some are harmed as a result of adverse events in primary care. Adequate communication and technical skills should be utilized by primary care providers (PCPs) for improvement of patient safety. The patient safety measures should include assessment of the safety attitudes of PCPs.

The Role of Palliative Care in Patient’s Recovering

Palliative care is the study of specialized medical care for patients with serious illnesses. It is the study of approaches that provide relief from mental stress, pain, physical stress and serious illness, eventually improving the quality of life for both the patients and their family. Palliative care is a teamwork of physicians, nurses, and other health professionals which provides an extra layer of support. Palliative care can be provided in hospitals, or at patient's home and as community palliative care programs.

Factors contributing to nursing team work in an acute care tertiary hospital

Effective nursing teamwork is an essential component of quality health care and patient safety. Understanding which factors foster team work ensures teamwork qualities are cultivated and sustained. This study aims to investigate which factors are associated with team work in an Australian acute care tertiary hospital across all inpatient and outpatient settings. All nurses and midwives rostered to inpatient and outpatient wards in an acute care 600 bed hospital in Sydney Australia were invited to participate in a cross sectional survey between September to October 2013. Data were collected, collated, checked and analysed using Statistical Package for the Social Sciences (SPSS) Version 21. Factors reporting a significant correlation with where p < 0.05 were analysed in a multiple regression model. A total of 501 surveys were returned. Nursing teamwork scores ranged between 3.32 and 4.08. Teamwork subscale Shared Mental Model consistently rated the highest. Mean scores for overall communication between nurses and team leadership were 3.6 (S.D. 0.57) and 3.8 (SD 0.6) respectively. Leadership and communication between nurses were significant predictors of team work p < 0.001. Our findings describe factors predictive of teamwork in an acute care tertiary based hospital setting across inpatient and outpatient specialty units. Our findings are of particular relevance in identifying areas of nurse education and workforce planning to improve nursing team work.

The Impact of Operating Room Distractions on Stress, Workload, and Teamwork.

To investigate whether distractions in the operating room (OR) are associated with higher mental workload and stress, and poorer teamwork among OR personnel. Engaging in multiple tasks can affect performance. There is little research on the effect of distractions on surgical team members' behavior and cognitive processes. Ninety general surgery cases were observed in real time. Cases were assessed by a surgeon and a behavioral scientist using 4 validated tools: OR Distractions Assessment Form, the Observational Teamwork Assessment for Surgery tool, NASA-Task Load Index, and short form of the State Trait Anxiety Inventory. Analysis of variance was performed to evaluate significant differences between teamwork, workload, and stress level among team members. Correlations (Pearson r) were computed to evaluate associations between variables. The most prevalent distractions were those initiated by external staff, followed by case-irrelevant conversations. Case-irrelevant conversations were associated with poorer team performance. Irrelevant conversations initiated by surgeons were associated with lower teamwork in surgeons (across team skills: r = -0.44 to -0.58, P < 0.05 to 0.01) and anesthesiologists (r = -0.38 and r = -0.40, for coordination and leadership; P < 0.05). Equipment-related distractions correlated with higher stress (r = 0.48, P < 0.05) and lower teamwork (across team skills: r = -0.42 to -0.50, P < 0.05) in nurses. Acoustic distractions correlated with higher stress in surgeons (r = 0.32, P < 0.05) and higher workload in anesthesiologists (r = 0.30, P < 0.05). Although some distractions may be inevitable in the OR, they can also be detrimental to the team. A deeper understanding of the effect of distractions on teams and their outcomes can lead to targeted quality improvement.

G233(P) Family support provision by the nursing team in neurorehabilitation following acquired brain injury (abi) in children and young people

<h3>Aims</h3> To examine how family support is provided by the nursing team following acquired brain injury (ABI) in a neurorehabilitation setting within the context of the multidisciplinary team. <h3>Methods</h3> One specialist paediatric rehabilitation centre n = 23 7 week period Children and young people aged 2 to 18 years Acquired brain injury Retrospective data analysis using the Northwick Park Therapy Dependency Assessment (NPTDA) and the Northwick Park Nursing Dependency Scale (NPDS). The NPTDA provides an assessment of a patient’s therapy dependency, including family support, and is designed for use in neurorehabilitation settings where rehabilitation is provided by a multi-disciplinary team. The NPDS provides a measure of care including patient/family psychological support provided by the nursing team. Examined family support processes and relevant training opportunities. <h3>Results</h3> Time spent supporting families The nursing team provide an average of 5.1 h (range 0.1–22.5) family support per week to families of children with ABI. The total time other team members combined (including psychologists and social workers) spent in family support was an average of 2.2 h per week. Processes/systems in place The nursing team work collaboratively with psychology and social work team to ensure a team approach in providing family support Training provided The psychology and nursing teams prepare a case study prior to each child’s admission to ensure the nursing team have a good insight and understanding into the child’s brain injury and family dynamics. The nursing team need to have a good knowledge and understanding of ABI to effectively support parents and receive training to support this. The nursing team receive training in communication, managing grief and loss and the importance of giving information whilst maintaining realistic hope. <h3>Conclusions</h3> The nursing team have a higher number of direct contact hours with families in neurorehabilitation compared to other members of the multidisciplinary team. Nurses need training to be able to give the level of family support and information that is required. Nurses in the acute setting can begin to support families and prepare them for the rehabilitation journey.

Alcohol reduction starts here.

Emma Dermody leads a hospital-based specialist nursing team working with patients who have alcohol-related problems. They aim to reduce admissions by early intervention.

ABSENTEÍSMO NA EQUIPE DE ENFERMAGEM EM UNIDADES DE CUIDADOS CRÍTICOS: UMA REVISÃO INTEGRATIVA

This study aimed to identify what the scientific literature has addressed in regard to i n the nursing team in the context of hospital intensive c are units and urgency/emergency services. A search was conducted in the databases of the Virtual Health Library, PubMed , Scopus and Web of Science. The used terms were absenteeism and nursing, resulting in the selection of six sc ientific papers. The findings allowed a glimpse on the problem among the nursing team working in these units. We highlight the association of non-predicted a bsences among the nursing assistants and workers who labors at ni ght. The major causes of these absences were sickne ss, especially musculoskeletal and mental/behavioral disorders. We also emphasize the negative effects of on the organization and quality of patient care. However, due to the methodological design of the analyzed pa pers, these findings do not provide conclusive evidence on this phenomenon in the considered sectors. Thus, future research should be conducted to guide the development of interventi ons with the purpose to solve this problem and promote positive impact on the quality of working life of these work ers and on the quality of nursing care.

The impact of safety and quality of health care on Chinese nursing career decision-making

The aim of the study was to understand why nurses leave nursing practice in China by exploring the process from recruitment to final exit. This report examines the impact of safety and quality of health care on nursing career decision-making from the leavers' perspective. The nursing shortage in China is more serious than in most developed countries, but the loss of nurses through voluntarily leaving nursing practice has not attracted much attention. This qualitative study draws on a grounded theory approach. In-depth interviews with 19 nurses who have left nursing practice and were theoretically sampled from one provincial capital city in Mainland China. 'Loss of confidence in the safety and quality of health care' became one of the main categories from all leavers' accounts of their decision to leave nursing practice. It emerged from three themes 'Perceiving risk in clinical practice', 'Recognising organisational barriers to safety' and 'Failing to meet expectations of patients'. The findings indicate that the essential work value of nursing to the leavers is the safety and quality of care for their patients. When nurses perceived that they could not fulfil this essential work value in their nursing practice, some of them could not accept the compromise to their value of nursing and left voluntarily to get away from the physical and mental stress. However, some nurses had to stay and accept the limitations on the safety and quality of health care. The study suggests that well-qualified nurses voluntarily leaving nursing practice is a danger signal for patients and hospitals, and has caused deterioration in nursing morale for both current and potential nursing workforces. It suggests that safety and quality of health care could be improved when individual nurses are empowered to exercise nursing autonomy with organisational and managerial support. The priority retention strategies need to remove organisational barriers to the safety and quality of health care. Under the current nursing shortage, Chinese hospital managers might consider recruiting nurses and care assistants of different educational levels, which would effectively improve nursing team work and support nurses' to stay and actively achieve their work values for the safety and quality of health care.

Nurses' Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest

The purpose of this study was to analyze the cardiopulmonary resuscitation skills and teamwork of nurses in simulated cardiac arrests in the hospital. A descriptive study was conducted with 35 teams of 3 to 4 registered nurses each in a university hospital located in Seoul. A mannequin simulator was used to enact simulated cardiac arrest. Assessment included critical actions, time elapsed to initiation of critical actions, quality of cardiac compression, and teamwork which comprised leadership behavior and communication among team members. Among the 35 teams, 54% recognized apnea, 43% determined pulselessness. Eighty percent of the teams compressed at an average elapsed time of 108±75 seconds with 35%, 36%, and 67% mean rates of correct compression depth, rate, and placement, respectively. Thirty-seven percent of the teams defibrillated at 224±67 seconds. Leadership behavior and communication among team members were absent in 63% and 69% of the teams, respectively. The skills of the nurses in this study cannot be considered adequate in terms of appropriate and timely actions required for resuscitation. Future resuscitation education should focus on improving the quality of cardiopulmonary resuscitation including team performance targeting the first responders of cardiac arrest.

Assessment and Training of Teamwork and Leadership for Critical Care Nurses: A Pilot Study

Background: Teamwork and leadership training have been shown to improve subsequent resuscitation performance in a variety of clinical situations. Critical care nurses, in addition to those who may be part of resuscitation team leaders and members, have also the need for such training. This study examines the teamwork and leadership skills of critical care nurses and their perceptions of the need for teamwork and leadership training. Methods: We developed a pilot, interactive 3-hour teamwork, and the leadership training program based on the objectives and teaching methods of the Advanced Life Support (ACLS) course. Participants completed a 1-hour lecture, and discussion for team roles and obstacles, 30 min of script-based role play in resuscitation team training, and finally, a 2-hour simulation-based team training program. Before the completion of the course, participants were anonymously surveyed on the perceived educational value of the teamwork and leadership program. Expert raters reviewed videos of simulated resuscitation events in the course, and scored each video by two existing checklist for the team dynamic. Results: Fifty-one nurses voluntarily participated and six videotaped simulation were rated by an expert rater. Most of the students believed the course was delivered at an appropriate level for them, and that it is a necessary training in their continuing professional education. The video rated average scores were from 68.5 to 72.9 according to the checklists. Conclusions: Critical care nurses can learn teamwork and leadership skills from appropriately designed programs, and believe it is a necessity in their training.

P26 Rapid identification, triage and management of alcohol related hospital admissions

IntroductionPortsmouth Hospitals NHS Trust has the highest rate of alcohol related hospital admissions in the South East of England (1993 per 100 000 population for 2009/2010). Admissions with complications of...

A whole-staff-involved model of quality control

Objective To discuss the application of nursing quality management notebook, a whole-staff-involved model of quality control.Methods A general nursing quality management notebook was designed in 24 departments of the hospital to assess the effects.Results There appeared statistical significance on the nursing quality scores and the satisfication degree of patients between before and after the application (P<0.05).Conclusions The use of nursing quality management notebook method can improve the nursing service quality and the conciousness of nurses to participate in the nursing quality control management. It's also beneficial for the safety of nursing work and the solidity of nursing team work. This method has prospect for clinical application and further promotion. Key words: Whole-staff-involved; Nursing quality management; Effect

Nurse Staffing Levels and Teamwork: A Cross‐Sectional Study of Patient Care Units in Acute Care Hospitals

To determine if nurse staffing predicts teamwork. A cross-sectional, descriptive design with a sample of nursing staff (N = 2,545) on 52 patient care units in four hospitals was utilized. The Nursing Teamwork Survey was utilized to collect data on the level of perceived nursing teamwork on each of the study units. In addition, nursing staffing data were collected for each study unit. Higher levels of nurse staffing were related to better teamwork. Specifically, the greater the hours per patient day, the higher the level of overall teamwork on the unit (β = 0.417, p = .033). Also the greater the skill mix, the higher the level of overall teamwork on the unit (β = 0.436, p = .009). Adequate levels of staffing are needed to ensure nursing teamwork. The ability to provide quality and safe care is associated with teamwork, which in turn requires adequate staffing.

Evaluación del trabajo en equipo en seis unidades de cuidados intensivos de dos hospitales universitarios

Introduction It has been demonstrated that teamwork has a direct positive effect on the quality and the efficiency of patient's care and consequently on hospital costs. Objectives 1.To assess attitudes toward the teamwork of nurses and physicians of 6 ICUs in two teaching hospitals. 2.To analyze if there are any relationships between attitudes toward teamwork and socio-demographic variables. 3.To study if there are differences in the attitudes toward teamwork among professionals of the different units. Method This prospective study evaluated the attitudes of teamwork of 136 professionals with the scale development by Heinemann et al. in 1999. This scale is made up of three subscales that measure the value of being in a team, the efficiency of the team and the function of collaboration of the physician within the team. Results The majority of professionals had a positive attitude towards teamwork. They obtained a mean score of 97.01 for a maximum of 120 points. In regards to sociodemographic variables, statistically significant differences were only found in gender and professional category, as women and female nurses had better attitudes toward teamwork. There were no differences in attitudes towards teamwork in the different units studied. Conclusion Attitude toward teamwork by physicians and nurses of the 6 ICUs studied was good. No differences were found between attitudes toward teamwork among the professionals of the different units.

Simulating Rapid Response in Undergraduate Critical Care Education

This article describes use of high-fidelity patient simulators to simulate patient emergencies in an undergraduate critical care course. Our rapid response scenarios integrate the nursing process, teamwork, communication, and delegation principles to assist students in recognizing and intervening with patients who are physiologically deteriorating and require urgent nursing care. The scenarios were developed to provide students an understanding of who is involved in rapid response situations, how participants behave, and the roles of the registered nurse and an opportunity to practice those roles. Each senior student participates in 8 to 9 patient scenarios, either in the role of the primary nurse, nursing student, nurse associate, or as an observer during the last semester of their senior year.

Problem-based learning and e-learning methods in clinical practice.

The purpose of this study is to describe the curriculum development and introduction of problem-based learning pedagogy (PBL) in the undergraduate nursing education at Savonia University of Applied Sciences in Iisalmi unit. The main points to be described are the integration of PBL and e-learning methods and nursing students' learning outcomes in clinical practice. PBL pedagogy develops information literacy skills, critical thinking and evidence-based nursing skills, communication, co-operation and team working skills, problem solving and self-assessment skills. Integration of PBL and e-learning methods in clinical practice has developed nursing competencies, reflection of learning and peer support of nursing students. The most important results are peer support, feedback and a teacher's encouragement when using e-learning methods.