Work Of Nursing Team Research Articles

AVALIAÇÃO DO SONO E FATORES ASSOCIADOS EM TRABALHADORES DE ENFERMAGEM HOSPITALAR

ABSTRACT Objective: analyze the relationship between sleep quality, excessive daytime sleepiness, and health symptoms among the nursing team working in a hospital. Method: cross-sectional research, carried out with the nursing team of a public hospital in Brazil, between September 2017 and April 2018. A sociodemographic questionnaire, health symptoms, Sleepiness Scale, and the Pittsburgh Sleep Quality Index were used. Data are presented as absolute and relative frequencies, means, standard deviations, bivariate analysis, and binary logistic regression. Results: a total of 308 workers participated in the study, and poor sleep quality and absence of daytime sleepiness predominated among them. There was an association between sleepiness, children (p=0.006), and work accidents (p=0.044). Factors associated with poor sleep quality and drowsiness, appetite disorders, feeling of poor digestion, flatulence, weight gain, irritability, headache, feeling of low self-esteem, and mood lability. Conclusion: appetite disorder was the main factor for poor sleep quality for the nursing team working in a hospital in Brazil. This suggests that it is important to consider sleep quality when examining a worker´s health.

Professional burnout of nursing team working to fight the new coronavirus pandemic.

to identify burnout and associated factors among nursing workers working in coping with COVID-19. a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests. burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified. the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.

The relationship between post-resuscitation debriefings and perceptions of teamwork in emergency department nurses

BackgroundEmergency department nurses are faced with traumatic patient events while functioning as members of multidisciplinary teams. Postresuscitation debriefings have been shown to benefit health care professionals and patient clinical outcomes. The purpose of this study was to examine the relationship between the use of post resuscitation debriefings and perceptions of teamwork in emergency department nurses. The study also addressed the type and timing of debriefing to determine whether these factors are associated with perceptions of teamwork. MethodsA nationwide survey was disseminated to emergency department nurses throughout the United States. The design aimed to compare the results from the Nursing Teamwork Survey with the data regarding frequency, type, and timing of debriefings. An ANOVA and Scheffe post hoc was done as well. ResultsThe 68 responses which were included in the data were from 27 different states. Results showed that when debriefings were done more frequently (η = .41, p = .02), were conducted using a formal debriefing method (η = .36, p = .01), and were held immediately after a situation (η = .36, p = .03), there was a significant positive relationship (eta coefficient) with higher levels of trust, team orientation, backup, shared mental model, and leadership. ConclusionFindings may be used to increase utilization of debriefings and improve perceptions of teamwork among emergency department nurses.

Burnout and job satisfaction among nurses in three Spanish regions.

To determine the levels of job satisfaction and burnout syndrome and related factors among nurses in three Spanish regions. The nursing profession involves high work stress due to emotional involvement, workload and available resources. Descriptive multicentric cross-sectional study. Sociodemographic and migration data were collected and participants completed the Job Satisfaction Questionnaire S20/23 and Maslach Burnout Inventory. The data were analysed using descriptive statistical methods using the program SPSS. The sample included 228 nurses (187 women and 41 men), with a mean age of 37.11±10.87. Reported job satisfaction was medium to high. Overall, values were low in emotional fatigue and medium in depersonalization and personal fulfilment. In terms of migration, 21.59% of the participants had already moved to other Spanish regions or another country, while 18.58% had the intention of doing so. Nurses with a temporary contract showed a high burnout rate, and high levels of emotional fatigue, depersonalization and lack of personal fulfilment. Strategies are needed to improve working and contractual conditions such as enhancing teamwork, management and leadership skills in nurses; achieving internal promotion; and having higher participation in decision-making and a better balance of power between health institution managers and health professionals.

The relationship between missed nursing care and teamwork in emergency nurses: A predictive correlational study

Background & Aim: Missed nursing care can reduce nursing care quality by eliminating or delaying any aspect of the patient’s necessary nursing care. Teamwork has been a solution to improve the quality of care and safety of patients. The present study was conducted to determine the relationship between missed nursing care and emergency nurses’ teamwork in the educational-medical centers affiliated to Iran University of Medical Sciences in 2019. Methods & Materials: This cross-sectional study is predictive correlational in nature. It was conducted on 213 nurses working in the emergency department who were selected based on the census method from March 2018 to December 2019. The self-report data were collected using Nursing Teamwork Survey and Missed Nursing Care questionnaires. The data were analyzed through conducting ANOVA, t-test, Pearson correlation, and multiple regression analysis in SPSS version 16. Results: The mean score of missed nursing care in the emergency nurses was 2.25±0.65, and the nurses’ average teamwork was 3.53±0.55. There was a statistically significant yet inverse correlation between teamwork and missed nursing care (p<0.001) (r= -0.29). The determination coefficient of the multiple linear regression modeling was used to predict the missed nursing care based on the total teamwork score indicated that 14% of the missed nursing care was explained under the influence of independent variables. Conclusion: Due to the inverse relationship between teamwork and missed nursing care, it is necessary to design and plan training courses to further enhance the nurses’ ability to perform teamwork and collaborative work.

Musculoskeletal pain and resilience in a nephrology unit nursing professional

ABSTRACT BACKGROUND AND OBJECTIVES: Stress and experiences in nursing activities can cause physical and mental illness, making it important to monitor the health of these professionals. The aim of the study was to assess the frequency and intensity of musculoskeletal pain and the resilience of nursing professionals working in a nephrology unit. METHODS: Cross-sectional, descriptive study, developed with nursing professionals who work in the nephrology unit of a general hospital. For data collection, a sociodemographic, labor and clinical questionnaire, a Nordic musculoskeletal symptom questionnaire, a numerical pain assessment scale and a resilience scale were used. RESULTS: 15 nursing professionals aged between 31 and 40 years participated in the study. Pain intensity was moderate to high in different anatomical regions. The most affected body regions were shoulders, ankles, feet and the dorsal and lumbar region. 40% of participants showed moderate resilience and 33.4% high resilience. There was no association between resilience, sociodemographic and work variables and pain intensity. CONCLUSION: The nursing team working in the nephrology unit deals with musculoskeletal pain in different anatomical areas and presents moderate to high resilience, which helps them to continue performing their functions.

Dimensionamento de enfermagem na nefrologia

The aim was to compare the dimensioning of nursing staff proposed by Raquel Rapone Gaidzinski, Fernanda Maria Tojeiro Fugulin and Valéria Castilho on “MANAGEMENT IN NURSING” coordinated by Paulina Kurcgant with the guidelines of the Resolution of the Collegiate Board of Directors - RDC No. 154 of June 15th, 2004. This is a retrospective and descriptive study of the dimensioning of the nursing team working in the Hemodialysis Service of a University Hospital in the Municipality of Campinas. The comparison between the existing nursing staff in the Hemodialysis Service of the Hospital of the Municipality of Campinas and the projected one showed a shortage of 9 nurses, absence of 4 assistants and an excess of 2 nursing technicians. The analysis of the intervening variables in the nursing process indicated the need to reorganize the work process regarding the grouping of patients by complexity, suggesting the application, adaptation and validation of an instrument in hemodialysis.

Nursing care for patient in post operatory heart surgery in the Intensive Care Unit.

To investigate the critical nodes related to nursing care for patients in the postoperative period of cardiac surgery. Exploratory study with a qualitative approach. Data collected through semi-structured interviews with 27 members of the nursing team working in the Intensive Care Unit. Material submitted to thematic analysis. Three categories emerged: Flaws in the professional qualification for patient care in the postoperative period of cardiac surgery; Team challenges concerning specific patient care in the postoperative period of cardiac surgery; and (dis) organization of work in the Intensive Care Unit and its impact on nursing care for patients in the postoperative period of cardiac surgery. Given the identification of the critical nodes, the professionals presented suggestions to overcome daily difficulties: investments in strategies for Permanent Education in Health; creation of tools to guide patient assistance in the postoperative of cardiac surgery; and provision of adequate human resources.

Delivering resilience training to pre-registration student nurses in partnership with a reservist military organisation: A qualitative study

BackgroundNurses need resilience to safeguard their well-being. In collaboration with a military reservist organisation the Team Series was designed to foster resilience by promoting teamwork and leadership skills in student nurses. ObjectivesTo explore participants' experiences of engaging with the Team Series and the skills and knowledge acquired. DesignA qualitative design. SettingA Scottish University. ParticipantsFourteen 3rd year pre-registration nursing students, ten academic staff and ten reservists. MethodsAudio-taped focus groups and interviews thematically analysed. ResultsStudents conceptualised resilience as clinical competence, valuing an active learning process enabling them to practice clinical and interpersonal skills, utilising a range of communication, team-building, leadership and problem-solving skills. Participation in the Team Series fostered self-awareness and self-confidence, the foundations of resilience, helping students feel more competent in coping effectively in stressful situations. ConclusionThe positive impact of collaborating with a military organisation experienced in developing team-working and leadership skills is demonstrated. Learning experiences designed to promote physical and emotional resilience should be threaded throughout curricula to ensure these attributes are developed and sustained over time.

Cuidados de enfermagem com pacientes terminais em um hospital de alta complexidade de Teresina-PI

Cuidados paliativos referem-se ao tratamento que pretende melhorar as condições para o bem-estar físico e psíquico dos pacientes e de seus familiares durante o enfrentamento de doenças terminais, a partir do reconhecimento precoce, da análise religiosa e do abrandamento da dor com base nos aspectos de ordem física, espiritual e psicossocial. O objetivo do estudo foi conhecer os cuidados realizados pelos enfermeiros com os pacientes terminais em um hospital de alta complexidade em Teresina-PI. Trata-se de um estudo qualitativo, de caráter descritivo. A pesquisa foi realizada em todas as unidades de internação que apresentavam pacientes terminais. Participaram do estudo onze enfermeiros que realizavam assistência direta aos pacientes terminais. Utilizou-se um roteiro com perguntas direcionadas para a caracterização dos entrevistados, guiadas para as questões norteadoras. A análise dos dados foi executada por meio da técnica de análise de conteúdo proposta por Bardin. A realização de medidas de conforto, alívio da dor, apoio psicológico e comunicação terapêutica com estabelecimento de vínculo entre profissionais, família e paciente são fatores extremamente importantes para indivíduos que enfrentam uma doença terminal. A atuação da equipe de Enfermagem no cuidado paliativo contribui para a manutenção da qualidade de vida de pacientes terminais e a partir disto, verifica-se a necessidade de profissionais qualificados e especializados para atuarem no cuidado a essa clientela dentro de instituições hospitalares de saúde.

Protagonismo da mulher no parto: uma intervenção através da educação permanente

As intervenções obstétricas e o domínio do corpo feminino transferem para o cenário do parto e nascimento o modelo de atenção cercado por tecnologia, com consequente perda do protagonismo da mulher sobre o fenômeno da parturição. Nesse contexto, o Brasil passou direcionar políticas públicas com o foco na humanização do parto e autonomia da mulher, a fim de reduzir práticas intervencionistas, como o Programa de Humanização do Parto e Nascimento. Tais mudanças proporcionaram a inserção da Enfermagem como importante agente de transformações, uma vez que tem por sua essência uma assistência holística baseada em práticas não intervencionista, porém, ainda é constatado que o protagonismo da mulher no parto não é uma realidade hegemônica, ocasionando prejuízos na saúde materna e neonatal. O objetivo deste estudo é favorecer o protagonismo da mulher no parto através da educação em saúde frente à equipe de enfermagem atuante na assistência ao parto em uma maternidade pública no estado do Amapá. Trata- se de uma pesquisa abordagem quali-quantitativa, pois possibilitou a compreensão de significados considerando as subjetividades presentes, ao passo que permitiu classificá-los e analisá-los. A intervenção permitiu reflexão da equipe a respeito da temática, e espera-se que se fomentem qualificações na assistência obstétrica, bem como que o processo de educação em saúde aos trabalhadores do SUS se torne mais concreto na instituição estudada.

A Importância Das Anotações De Enfermagem Em Prontuários De Pacientes Hospitalizados Segundo A Equipe De Enfermagem.

Introdução: A anotação de enfermagem é um indicador que auxilia avaliar a qualidade dos cuidados prestados, quando existe a presença de baixos índices de preenchimento completo das anotações, pode apresentar um prejuízo a continuidade do cuidado e a legitimação do trabalho da equipe de enfermagem. Objetivo: Compreender e descrever a importância das anotações de enfermagem no prontuário do paciente hospitalizado segundo os relatos da equipe de enfermagem. Métodos: Estudo qualitativo, não experimental, exploratório descritivo transversal realizado através entrevista semiestruturada gravada com os profissionais de enfermagem de um hospital do interior paulista. A coleta de dados foi realizada por meio de entrevista organizada pela técnica de Análise de Conteúdo, segundo Bardin. Resultados: Participaram do estudo 15 profissionais de enfermagem. Após análise das entrevistas formou-se três categorias: Anotações de enfermagem como respaldo para a equipe de enfermagem e conhecimento acerca dos cuidados e evolução do paciente; Momentos para realizar as anotações de enfermagem; Dificuldade para realização das anotações de enfermagem. Conclusão: Com a pesquisa foi possível compreender sobre a importância das anotações de enfermagem em prontuário de paciente hospitalizados a partir da visão da equipe de enfermagem, no entanto na prática ainda existem desafios que dificultam a realização efetiva dos registros.

The Relationship between Teamwork and Organizational Agility in Nurses of Shahid Chamran Hospital in Saveh

The Relationship between Teamwork and Organizational Agility in Nurses of Shahid Chamran Hospital in Saveh

Poverty, hunger, and abandonment: representations of the nursing team about homeless persons.

to know the structure of social representations of nursing team with regard to homeless persons. Method a qualitative research based on the structural approach of social representations. A total of 96 professionals from the nursing team working in the Psychosocial Care Network units of a Health District of Salvador, Bahia, Brazil, who answered the test of free association of words and a questionnaire with socio-demographic data. The data obtained were processed in softwares that allowed the organization of the frame of four houses and maximum similarity tree. poverty, hunger, abandonment and unemployment are central elements of the image of homeless persons, living in a context permeated by drugs, dirt, neglect and vulnerability. Final considerations The social representation structure of homeless persons is anchored in stereotypes that can interfere both in the provision of care and in the access of the people to health services.

Quality and Safety Education for Nurses Teamwork and Collaboration Competency: Empowering Nurses.

Improving the safety of health care continues to be a high priority for U.S. health care systems. One of the core competencies identified to improve health care safety focuses on improving teamwork. This article focuses on tools nurses can employ to improve health care team communication, thereby enhancing health care teamwork. [J Contin Educ Nurs. 2019;50(6):252-255.].

Relation between Team Work, Staffing, Satisfaction and Self-Efficacy among Nurses at Main Assiut University Hospital

The study aimed to investigate the relationship between teamwork, staffing, satisfaction and self-efficacy among nurses at Main Assiut University Hospital. Design: A descriptive correlation research design was used. Subjects: The study included (161) nurses, they were convenient sample. Tools: This study utilized two tools: Tool I: The nursing team work questionnaire. Tool II: The Self-Efficacy Scale. Results: Most of nurses at Main Assiut University Hospital perceived their staff as inadequate at all working times but most of them were satisfied with their job position and team work. Conclusion: The highest mean scores of nursing team work dimensions was related to team awareness while the lowest was the team leadership comparing to all nursing team work dimensions. It was found that the higher score of nursing team work was related to ICUs comparing to other departments. Recommendations: Strategies to improve teamwork must be developed by the nurse managers through working on the all dimension of team work. Nurse manager must work to enhance the nurses' satisfaction and self-efficacy though engage the nurses in various activities.

Trabajo en equipo y satisfacción laboral en profesionales de Enfermería del Hospital de Ventanilla

La presente investigación tuvo relevancia porque las intervenciones de la gestión pudieron favorecer a ambas variables, y consecuentemente a los pacientes. La presente tuvo como objetivo relacionar el trabajo en equipo y la satisfacción laboral en profesionales de Enfermería del Hospital de Ventanilla. Se utilizó el tipo de investigación cualitativa, diseño no experimental y descriptivo-correlacional. La muestra estuvo conformada por 71 profesionales de Enfermería; se empleó el muestreo no probabilístico. La técnica utilizada fue la encuesta con un cuestionario que tenía dos partes: Percepción del trabajo en equipo y satisfacción laboral, con 16 preguntas cada una. Los datos fueron analizados con la estadística descriptiva y el análisis inferencial. Los resultados indican que la percepción del trabajo en equipo (82%) y la satisfacción laboral (90%) están en nivel medio. Se encontró una asociación significativa de ambas variables en las pruebas de Chi Cuadrado (p=0.000) y correlación de Spearman (Rho=0.45). La correlación es significativa en los indicadores compromiso (0.53), coordinación (0,53), integración (0,33), equilibrio (0,33) y concertación (0,36). Se concluye que el trabajo en equipo y la satisfacción laboral tienen una asociación significativa, principalmente los indicadores compromiso y coordinación.

Learning to liaise: using medication administration role-play to develop teamwork in undergraduate nurses

Aim: To describe undergraduate nursing students’ situational awareness and understanding of effective liaison and collaboration within the nursing team during interrupted medication administration.Background: Medication errors related to interruptions are a major problem in health care, impacting on patient morbidity and mortality and increasing the burden of related costs. Effective liaison, teamwork and situation awareness are requisite skills for nurses to facilitate the safe management of interruptions during medication administration.Method: A role-play simulation was offered to 528 second-year undergraduate Bachelor of Nursing students. Qualitative written reflective responses were subsequently collected and subject to thematic analysis to derive themes.Results: Participants (451:528) reported an improved understanding of an unfamiliar and challenging situation that required cooperation and collaboration amongst the nursing team to improve outcomes.Conclusion(s): This simulation exposed undergraduate nurses with limited clinical experience to a situation otherwise unavailable to them. The skills required to engage in effective liaison and teamwork in dynamic situations are vital elements in achieving quality care and must begin to be taught at an undergraduate level.

Perception of nursing workers humanization under intensive therapy.

understand the perception of nursing workers working in the Intensive Care Unit (ICU) regarding humanization in the work environment. we used the reference of phenomenology, structure of the phenomenon. Participated 25 nursing professionals working in an adult ICU of a university hospital, through focused interviews, answering the guiding question: What do you understand by humanization of the working conditions of the nursing team working in the ICU? the analysis revealed the themes: humanization in the ICU; working condition in the ICU; management of people in the ICU and management process in the ICU. humanization is necessary through the change of the work environment and the managerial process, privileging the participatory management model as a way to transform theory into practice and value the worker.

Choosing a simulation assessment tool:

BACKGROUND
 To explore whether clinical, teamwork, and interpersonal skills of nurses could be monitored inexpensively at scale, we compared two simulation measurement tools at 160 primary health care facilities in Bihar, India. The aim was to determine if the less expensive, less resource-intensive real-time assessment tool (RTAT) could be used in place of the more expensive, more resource-intensive video coding tool.
 METHODS
 Embedded in a large-scale ongoing nurse mentoring program “AMANAT”, we conducted a cross-sectional study comparing the measurement tools to assess clinical performance in normal and emergency obstetrical and neonatal simulations. The RTAT consisted of a series of seven global questions related to clinical identification, management, use of evidence-based practices, communication and teamwork. We also analysed the simulations using a video coding tool, which included 80 clinical, teamwork and communication indicators. We calculated the means and standard errors for each indicator using both tools. We calculated the Cohen’s kappa coefficient to determine the level of agreement between the two tools.
 RESULTS
 We analysed paired data from the two tools for 222 simulations in three types of scenarios: normal spontaneous vaginal deliveries, neonatal resuscitations and post-partum haemorrhages. The mean scores on the RTAT were generally higher than those on the video coding tool. The kappa coefficients for all indicators indicated no agreement between the two tools.
 CONCLUSION
 RTAT performed poorly against the video coding tool to measure the clinical skills of nurses in simulated normal and complicated births at primary health care facilities in Bihar.