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Chana, Navtej. "Quality of care amongst hospital nursing staff." Thesis, University of Oxford, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531831.
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Fransson, Sellgren Stina. "Nursing management at a Swedish University hospital : leadership and staff turnover /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-330-6/.
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Walls, Steven Edward 1956. "Measuring control over nursing practice among hospital staff nurses." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278133.
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An adequate measure of Control Over Nursing Practice (CONP) at the organizational level of the nurse's work unit was needed. The purpose of this study was to estimate the reliability and validity of a new unit-level version of an existing CONP scale using a descriptive survey design. A convenience sample of 91 staff Registered Nurses from two urban hospitals voluntarily completed two versions (individual-level and unit-level) of the CONP scale, and an index of work satisfaction.
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金達人 and Tat-yan Deyoung Kam. "Workplace violence prevention programme targeting nursing staff in hospital setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720792.
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Kam, Tat-yan Deyoung. "Workplace violence prevention programme targeting nursing staff in hospital setting." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40720792.
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Watson, Karen Elizabeth. "Staff nurses' perceptions of their power bases in a nursing care setting." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28818.
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The purpose of this study was to describe staff nurses' perceptions of their power bases in their work environment. Power, the capacity to set conditions, make decisions and take action that influences others, is an increasingly important issue within the nursing profession. In the nursing literature, nurses have been encouraged to consider the power to influence nursing care as an attainable goal and a necessary element in the change process. Empowering staff nurses may become a strategy for coping with the nursing manpower shortage. However, research about nursing power has focused on the nurse manager and little is written about staff nurses' perception of their power.
A grounded theory research design was used to collect and analyze data. Data were collected through interviews of nine staff nurses in a 369 bed British Columbia community hospital. A comparative content analysis was used to analyze the data.
The findings showed that the staff nurse participants were able to recognize certain factors in their work environment that impacted on their sense of power. The nature of nurses' work and the communication of information were found to be the most significant factors. The communication of information was perceived to positively influence nurses' sense of power, while the nature of
nurses' work was found to limit nurses' sense of power. Nurses' lack of control over client care was found to contribute to a sense of powerlessness and was linked to units using team nursing.
The eight power bases outlined in Randolph's framework, were useful as a basis for describing the staff nurses' perceptions of their organizational power bases. The staff nurses studied were found to have the most affinity for referent, expert, information, and connection power bases. These nurses were found to have the least affinity for reward, coercion, legitimate, and resource power bases. Primary nursing was found to enhance legitimate power while team nursing was found to enhance connection power. The source of power most frequently mentioned by the nurse participants was personal power in relation to oneself. This did not fit into Randolph's framework and was not well defined. This has implications for nursing since support for the professional nature of nurses' work was found to strenghthen nurses' sense of personal power.
Knowledge about the perceptions described by the subjects in this investigation provides information to assist nurses' to identify power bases that they may not recognize. As well, increased understanding about staff nurses' perceptions of power should enable nursing administration to identify strategies for retaining nurses and enhancing client care.Applied Science, Faculty of
Nursing, School of
Graduate
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Latha, Sampath Shakti. "Comprehensive Understanding of Injuries in Hospitals through Nursing Staff Interviews and Hospital Injury Records." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1544101088645945.
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Combes, Jean-Baptiste. "An investigation of the impact of the local labour markets on staff shortages and staff mix of hospitals in England and France." Thesis, University of Aberdeen, 2012. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=195747.
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Ahlström, Mandy, and Valles Carmelle Fajutrao. "Hand hygiene compliance among nursing staff in a Philippine private hospital." Thesis, Sophiahemmet Högskola, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1585.
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Background Healthcare-associated infections constitute a threat to patient safety and an economic burden on health systems worldwide. The most effective way to prevent healthcare-associated infections is through proper hand hygiene practice, but studies show that compliance is low. In 2009, the World Health Organization released hand hygiene guidelines and tools to address the issue. Aim The aim of the study was to measure the compliance to the WHO Guidelines on Hand Hygiene in Health Care among nursing staff in a private hospital in the Philippines using the evaluation framework of the World Health Organization. Method The method used to assess compliance was structured direct observations using the World Health Organization’s observation form. Data was collected in 15 days, during full shifts, and analyzed quantitatively based on overall compliance, according to indication, ward, week day/weekend and shift. Results A total of 1920 opportunities were recorded, of which 336 were hand rub performances, 168 hand wash and 1416 missed opportunities, giving an overall compliance of 26.25 percent. The ward with the highest compliance rate was the Neonatal Intensive Care Unit (45.40 percent) and the lowest was Nursing Station 1 (22.26 percent). Conclusion The overall compliance rate of 26.25 percent is lower compared to most published studies and healthcare workers were more compliant to indications that protect themselves than to indications that protect patients. The results can be useful in improving quality of care and patient safety.
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Nazarian, Masoumeh. "Hospital nursing staff productivity - the role of layout and people circulation." Thesis, Loughborough University, 2014. https://dspace.lboro.ac.uk/2134/14932.
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As a facility that offers an important service to its users, a hospital can be considered as a production unit ; a unit that provides health-care service. Therefore, a range of factors that facilitate this service (i.e. healthcare) need to be considered when speaking of improving the productivity in a hospital ward. Evidence suggests that one of the main factors that affect the productivity level of a hospital ward is how the design of the hospital deals with access and circulation of the people inside the ward (e.g. Joseph and Ulrich, 2007). A productivity-oriented circulation system will need to improve staff performance; enhance patients safety, privacy and rate of recovery; minimise the risk of cross-infection; reduce the delay time of external service delivery; create a more welcoming environment for visitors; and reduce the evacuation time in emergency situations. Thus, the need to design ward layouts that benefit from the most effective circulation system cannot be over-emphasised. The study presented in this thesis focused on finding a method for identifying different systems of access and people circulation in hospital wards and how they could affect nursing staff productivity. The study comprised five main phases. The first phase involved a literature review of existing healthcare environments to identify different types of access and people circulation requirements. In the second phase, data on nursing staff s movements were collected from a case study. The third phase focused on categorising and modelling the existing approaches and layout design systems. Phase four provided a comparative study of different categories of people circulation designs and contrasted their advantages and disadvantages to improve access and people circulation. In the fifth and final phase, the study concluded with proposing guidelines for choosing between different layout options in the design of new hospital wards or the refurbishment of the existing ones. Findings of the study included: further empirical and analytical support for the impact of the ward design on nursing staff s performance; a ranking of the suitability of different design layouts for minimising staff s unnecessary walking in wards similar to the case study; the importance of considering different staff members needs in such analyses; and a ranking of the criticality of different routes within a ward.
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Schwehr, Jamin, and Jolene Tarasiewicz. "An Assessment Of The Impact Of Decentralized Clinical Staff Pharmacists On Nurses At A Tertiary Referral Teaching Hospital." The University of Arizona, 2007. http://hdl.handle.net/10150/624412.
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Class of 2007 AbstractObjectives: To evaluate the impact of decentralized clinical staff pharmacists (CSPs) on nursing staff in a university- affiliated teaching hospital. Areas of interest include perceived quality of patient care, job satisfaction and nursing job retention. Methods: CSP impact was evaluated using a print-based survey utilizing outcomes items and a four-point Likert-type scale with response options ranging from “Agree” to “Disagree.” Nurses also answered demographic questions about experience, time at the institution, education leve and frequency of interaction with a CSP. Analysis of the data included use of descriptive statistics as well as use of Kendall’s tau-b to evaluate differences between groups based frequency of CSP interaction. Results: Respondents included 122 nurses at University Medical Center (UMC) in Tucson, Arizona in positions supported by a CSP during the summer of 2006. Nurses overwhelmingly selected “Agree” or “Somewhat Agree” for all 12 statements about the CSPs indicating that they found their interaction with CSPs valuable. Nurses who interacted more frequently with CSPs were more likely to “Agree” or “Somewhat agree that CSPs were valuable members of the hospital (p=.049), one reason they remained at UMC (p=.007), helpful with medication questions (p=.008) and improved job satisfaction (p=.013), made their job easier (p=<.001) as well as more enjoyable (p=.027)
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Torres, Beth. "FRONTLINE NURSING LEADERS AND STAFF RETENTION IN AN ACUTE CARE COMMUNITY HOSPITAL." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1724.
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The current and projected nursing shortage makes it imperative for healthcare organizations to examine factors that promote staff retention. Previous studies identify nursing leadership as a key component influencing staff retention and turnover. This study supplements these studies by identifying key behaviors and attitudes of frontline nursing leaders that influence staff retention. Using a grounded theory qualitative approach, the researcher interviewed 19 frontline nursing leaders in an acute care community hospital. The researcher also explored the extent to which nursing leaders felt current leadership education and training programs support their practices that promote staff retention. The goal of the study was to create a theory or model of nursing leadership and staff retention grounded in the data. Five major themes emerged from the interview data analysis process using grounded theory strategies. These themes include organizational culture and policies, nursing leaders training and development, behaviors and attitudes, employee factors, and turnover. The researcher interpreted the data within a systems theory conceptual framework. Using this framework aided the researcher in creating a model of frontline nursing leaders and staff retention. This model illustrates the inter-relationship of the five major themes from a systems perspective. The usefulness of the data collected in this study is predicated on three major domains: competency identification; human resource management and development; and education. Competencies form the foundation for the education and practice of frontline nursing leaders (Barker et al., 2006). These role-specific, evidenced-based expectations should be clearly delineated in competency-based job descriptions, which in turn merge into performance evaluations. Explicitly defined competencies provide a conceptual framework for collegiate and hospital-based education and training programs to train current and future frontline nursing leaders.
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Ngcobo, Richard Sibongiseni. "Nursing staff absenteeism at the Red Cross Children's Hospital and it's financial implications." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/9336.
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Includes bibliographical references (leaves 58-60).Absenteeism is a problem affecting the Public and the Private sector institutions alike. Anecdotal evidence from monthly absenteeism statistics and managers' comments suggest that it is also a problem for Red Cross Children's Hospital (RCCH). This dissertation describes the investigation into absenteeism among nurses at RCCH that was conducted by the writer in the year 2004. The writer reviewed attendance records for the year 2003. The main findings from the investigation and recommendations on management of absenteeism are then presented. The overall objective of the study was to establish the determinants of absenteeism among nursing personnel of RCCH and financial implications thereof. This involved establishing the extent of absenteeism among the nursing personnel, identifying major causes, estimating the financial burden and making recommendations on how to manage this problem. The study followed a descriptive as well as analytic methodology in presentation and discussion of results. The methodology included a review of the literature on absenteeism, motivation and migration of health personnel. The study has a qualitative and a quantitative aspect. Focus groups and in-depth interviews were conducted for collection of primary data from nurses. Two questionnaires were used as interview guides. Secondary data was collected from PERSAL database using the data capture sheet. Attendance records of all nurses were reviewed for the quantitative aspect of the study. A major finding of the study was that absenteeism among nursing personnel at RCCH was above what most writers on the subject regard as acceptable level. Staff turnover was found to be high in the nursing department with staff leaving the service and posts remaining vacant. It was felt that there is difficulty in recruiting nurses especially from the outskirts of the Western Cape and other provinces because of lack of accommodation. It was suggested that Staff Residence policy be enforced to address this problem since it confers power of granting or refusing accommodation to management. Stress was identified as the major cause of absenteeism by all interviewees. The source of stress was identified as both personal and work related problems. The financial burden of nurses' absenteeism was estimated at more than one million rands for the year 2003. Important recommendations that emerged from the study were that absenteeism control should be included in the job descriptions of supervisory positions. Development of institutional absenteeism policy was also recommended. it was also recommended that mechanisms be developed to recognize staff members with good attendance records.
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Walker, Janet Helen. "Job satisfaction among hospital-employed nurses." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28817.
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This descriptive study was designed to further the exploration of job satisfaction among hospital-employed nurses by using an established theoretical formulation of job satisfaction called the Job Characteristics Model (Hackman & Oldham, 1976) and a standardized tool called the Job Diagnostic Survey (Hackman & Oldham, 1980) to identify and measure job design variables and job satisfaction. Specific study questions guided investigation into perceptions of job characteristics and satisfactions among nurses, the relationship between job design variables and job satisfaction, and the relationship between selected nurse characteristics and job satisfaction. The study was conducted at three geographically dispersed acute care hospitals in British Columbia. A convenience sample of 96 full-time employed registered nurses completed a Nurse Characteristics Questionnaire and a Job Diagnostic Survey. Data were analyzed and compared to normative data using descriptive statistics. Sample data were further analyzed using Pearson's correlation coefficient and the chi-square test of association. Overall, nurses perceived their jobs to be rich in terms of importance, skill variety, and human interaction; but poor in terms of autonomy and the ability to complete a whole and identifiable piece of work. Significant relationships were identified between specific job design variables and job satisfaction. Compared to other professionals, nurses were less satisfied with the autonomy and motivating potential of their job. There was little evidence to support an association between nurse characteristics and job satisfaction.Applied Science, Faculty of
Nursing, School of
Graduate
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Nilsson, Kajermo Kerstin. "Research utilisation in nursing practice - barriers and facilitators /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-835-1.
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Sheikh, Ahmad Md Khadzir. "Morbidity study among staff nurses in the hospital services : a comparison between the United Kingdom and Malaysia." Thesis, University of Birmingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391023.
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McAdams, Marie. "What do nursing staff in an high security hospital perceive as (traumatic) critical incidents?" Thesis, University of Reading, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.394208.
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Passos, Andréa Rodrigues. "Absenteísmo do pessoal de Enfermagem: percepções e ações de enfermeiros coordenadores de um hospital especializado." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-21082014-110215/.
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Introdução: O termo absenteísmo, palavra de origem francesa, absentéisme, significa pessoa que falta ao trabalho, ausência no serviço por diversos motivos, proposital ou por circunstâncias que não dependem da vontade do trabalhador. Objetivos: Identificar as taxas de absenteísmo, levantar as ações e decisões que os enfermeiros coordenadores adotam frente ao absenteísmo, e as ações de impacto positivo, realizadas frente ao absenteísmo. Método: Descritiva e exploratória adotando o Estudo de Caso desenvolvido em dois momentos: na abordagem quantitativa foram identificadas as taxas de absenteísmo do pessoal de enfermagem das unidades estudadas nos anos de 2010 e 2011. Na abordagem qualitativa, os dados foram coletados mediante a adoção das técnicas da Entrevista e do Grupo Focal. A análise dos dados quantitativos tomou como base a taxa de 6,7%, preconizada pela Resolução do Conselho Federal de Enfermagem 293/04 e dos qualitativos foi efetuada segundo a proposta da análise temática de Minayo. Resultados: Em 2010 e 2011, das 6 unidades que apresentaram as mais altas taxas de absenteísmo, três são Unidades de Terapia Intensiva. No entanto, foram evidenciadas, também, taxas elevadas em unidades como centrais de material esterilizado, ambulatório e internação. Dentre as unidades com as mais baixas taxas de absenteísmo, duas são de hemodiálise, uma unidade transfusional, um laboratório, uma de hematologia e um ambulatório clínico. A análise dos dados obtidos nas entrevistas possibilitou a construção das categorias temáticas e respectivas Unidade de Significado (US): Elementos constitutivos do absenteísmo com as US Característica de absenteísmo, Insatisfação no trabalho e Consequências do absenteísmo; Ações realizadas frente ao absenteísmo com as US Ações de caráter institucional e Ações de caráter profissional; Ações de impacto positivo frente ao absenteísmo com as US Ações de impacto positivo de caráter institucional e Ações de impacto positivo de caráter profissional. O Relatório Síntese resultante desta análise foi o elemento disparador do Grupo Focal que permitiu a elaboração das categorias Elementos constitutivos do absenteísmo com as U.S Características de absenteísmo e Consequências do absenteísmo e Ações de impacto positivo frente ao absenteísmo com as U.S Ações de impacto positivo de caráter institucional e Ações de impacto positivo de caráter profissional. Considerações finais: O presente estudo corrobora resultados de estudos que atribuem as mais altas taxas de absenteísmo às especificidades de algumas unidades, caracterizadas por maior exposição dos profissionais a desgastes físicos e mentais, como as unidades de tratamento intensivo, que atendem pacientes graves com alta dependência de cuidados. Grande parte dos motivos/causas do absenteísmo, não podem ser gerenciados, e principalmente resolvidos, pelos agentes de âmbito decisório das unidades de serviço. São realizados encaminhamentos para atendimento de problemas pessoais, no entanto, existem encaminhamentos de caráter institucional que precisam ser direcionados a agentes organizacionais com maior poder decisório e governabilidade.Absenteeism is a term of French origin absentéisme which means absence from work for a number of reasons, absenteeism rates were determined among nursing staff at the units studied between 2010 and 2011. Secondly, as a quality indicator of the nursing staff management at an oncology-specialized hospital. A descriptive and exploratory methodology was adopted for , at the qualitative approach level, at the quantitative approach level, data were collected through the employment of two techniques: interview and focus group. The analysis of qualitative data was carried out according to, dissatisfaction at work and consequences of absenteeism); Actions against absenteeism and the units of meaning (actions of institutional character and, either voluntary or due to circumstances beyond a workers own will. The objective of this study is to validate absenteeism, of the data obtained from interviews enabled the development of the following thematic categories and their respective units of meaning: Absenteeism c, under a given concrete situation
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Smith, Sheila M. "Retention of Staff Nurses and Nurse Managers in an Acute-Care Hospital| A Qualitative Case Study." Thesis, University of Phoenix, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10623625.
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Nursing is the largest health care profession in the United States, and health care organizations rely heavily on the services of registered nurses to provide quality care to patients. Unfortunately, the nursing shortage makes it critical for health-care leaders to identify potential issues that may be influencing nurses to leave the nursing profession and to develop solutions for retaining nurses in the nursing profession. The purpose of this qualitative case study was to explore the perceptions of three groups of RNs in an acute-care hospital setting regarding perceived issues that might influence nurses? intentions to leave the nursing profession and possible solutions to mitigate these issues. The three groups of nurses were (a) staff nurses with less than 5 years of nursing experience, (b) staff nurses with 5 or more years of nursing experience, and (c) nurse managers in the acute-care hospital setting. Exploring the perceptions of nurses was a practical means of seeking a better understanding of the lived experiences of staff nurses and managers to understand the issue of nurse retention in an acute-care hospital setting. Data were collected using a structured questionnaire that included demographic and open-ended, in-depth interview questions. Results indicated the importance of staff nurses and nurse managers? perceptions of issues influencing nurses to leave or remain in the nursing profession and perceived solutions to the issues and the need for further research to explore how different groups of nurses perceive different issues influencing their intent to leave the nursing profession.
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Garland, Benjamin T., and L. Lee Glenn. "Characteristics of Hospital Nursing Staff and Patient Outcomes: A Commentary on Twigg ET Al (2010)." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/7508.
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Josephson, Malin. "Work factors and musculoskeletal disorders : an epidemiological approach focusing on female nursing personnel /." Solna : National Institute for Working Life (Arbetslivsinstitutet), 1998. http://diss.kib.ki.se/1999/91-7045-506-6/.
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Iwamoto, Helena Hemiko. ""Recursos humanos de enfermagem na rede hospitalar do município de Uberaba-Minas Gerais"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-15052006-101523/.
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A área de enfermagem tem vivenciado algumas problemáticas relativas a recursos humanos, entre elas: escassez de enfermeiros, insatisfação no trabalho e alta rotatividade nos serviços.Este estudo descritivo teve como objetivos: descrever a distribuição das diferentes categorias de trabalhadores de enfermagem segundo variáveis demográficas e de inserção no emprego na rede hospitalar do município de Uberaba-Minas Gerais; mensurar e descrever a rotatividade desses trabalhadores. O estudo foi realizado em 11 hospitais, sendo um público, seis privados e quatro filantrópicos. A população constituiu-se de todos os enfermeiros, técnicos e auxiliares de enfermagem que, no período de 1º de janeiro a 31 de dezembro de 2003, antiveram vínculo empregatício nos hospitais estudados. As variáveis demográficas estudadas foram: sexo e idade; aquelas de inserção no emprego: regime de contrato, jornada semanal, tempo de trabalho e rendimento médio. A rotatividade foi verificada aplicando-se indicadores globais: taxas de admissão (TA) e de desligamento (TD), taxa líquida de substituição (TLS), permanência média no emprego (em anos); e específicos: tempo mediano de trabalho dos demitentes (em meses) e curva de sobrevivência no emprego. Os dados foram coletados mês a mês, em fontes secundárias originárias do cadastro de empregados e folha de pagamento. Durante o ano de 2003 estiveram empregados na rede hospitalar 1.368 trabalhadores de enfermagem, sendo 805 auxiliares de enfermagem, 417 técnicos de enfermagem e 146 enfermeiros. Essa força de trabalho era composta, majoritariamente, por mulheres (81,8%), com idade mediana de 38 anos, a maioria cumprindo jornada de trabalho semanal de 36 horas, sob contrato celetista. Nos hospitais privados e filantrópicos os trabalhadores eram mais jovens que no público; 70% dos técnicos de enfermagem, 60% dos auxiliares de enfermagem e 50% dos enfermeiros tinham menos de cinco anos no emprego atual. Os enfermeiros apresentaram média de rendimentos de 5|-10 SM e os técnicos e auxiliares de enfermagem, de 2|-5 SM. Nos hospitais estudados ocorreram 327 admissões e 276 demissões. As taxas de admissão dos trabalhadores (31%) foram superiores às de desligamento (26,1%). Os hospitais privados apresentam as maiores TA (44,3%) e TD (42,1%). A TLS dos trabalhadores foi de 24,3%. O maior nível de TLS situou-se nos hospitais privados (30,7%). O quadro de trabalhadores da rede hospitalar seria totalmente renovado em 3,6 anos; nos hospitais privados, isso ocorreria em 2,4 anos enquanto no público, em 5,3 anos. Todos os enfermeiros seriam substituídos em 4,7 anos e os técnicos e auxiliares de enfermagem em, aproximadamente, 3,5 anos. A mediana de tempo de trabalho dos 276 trabalhadores que saíram do emprego foi de 19 meses; para os demitentes do hospital público, esse tempo foi de 37 meses; nos hospitais privados, de 13 meses, cerca de um ano; pelas curvas de sobrevivência no emprego dos demitentes, identificou-se maior estabilidade e, por conseqüência, menor rotatividade para o grupo de trabalhadores do hospital público. De modo geral, a rotatividade nos hospitais estudados pode ser considerada elevada. Os resultados do estudo trazem contribuições importantes, tanto à direção dos hospitais e serviços de enfermagem, como ao gestor local com vistas ao gerenciamento de recursos humanos em enfermagem no município.The Nursing area has been facing some difficulties regarding the human resource aspects like nurse scarceness, work dissatisfaction, high turnover rate. The present report aims to describe the allocation of the different Nursing working categories according to demographic variables and working admittance in the hospital network staff of Uberaba - Minas Gerais; to evaluate and portray the turnover of these professionals. The study had embraced eleven hospitals, including a public one, six privates and four philanthropics. The large sample is composed by every Nurse, Technician and Nurse Assistant that had employment relationships with the hospitals aforementioned, in the period of January, 1st to December, 31st of 2003. The demographic variables analyzed were: gender and age; regarding the working admittance: labor agreement, weekly working journey, average income. The turnover was evaluated using global indexes: admission (TA) and dislodgment (TD) rate, liquid replacement rate (TLS), stayers mean service (by years); and specifics: leavers mean service (months), and survival of leavers curve. The data were acquired monthly, using secondary sources, derived from Employees Official Register and Payroll. During 2003, the hospital network engaged 1368 Nursing employees, including 805 nursing assistants, 417 nursing technicians and 146 nurses. This working power was compounded mostly by women (81,8%), with ages varying from 38 years, the majority with 36 hours weekly work journey, under usual rules agreement. The workers are younger in the private and philanthropic hospitals than in the public ones; 70% of nursing technicians, 60% of nursing assistants and 50% of nurses have been less than 5 years in the present work. The nurses have average income of 5 to 10 minimum salaries and the nursing auxiliaries and technicians have 2-5 minimum salaries. In the aforementioned studied hospitals occurred 327 admissions 276 resignations. The admission rate (31%) was higher than the resignation rate (26,1%). The private hospitals presented the biggest TA (44,3%) and TD (42,1%). The TLS was 24,3%. The TLS highest rate is on the private hospitals (30,7%). The entire employee staff would be completed renewed on 3,6 years; in the private hospitals this situation would happen in 2,4 years, while the public would take 5,3 years. All the nurses would be replaced in 4,7 years and the nursing assistants and technicians in 3,5 years. The median service of the 276 workers who left the job were 19 months; for the leavers of the public hospital this time were of 37 months; in the private hospitals, 13 months, approximately a year; by the survival leavers curve could be identified a higher work stability rate, therefore lower turnover rate in the public hospitals. In general, the turnover in the studied hospitals can be considered high. When the issue is the management of human resources in nursing, the results of the study bring important contributions, as much to the hospitals direction and nursing services, as to the local manager in town.
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Killean, Paula. "How do nursing staff experience and managing challenging behaviours in a secure hospital setting : a qualitative study." Thesis, Lancaster University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440377.
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Chery, Joseph Erol. "Adjusting to random demands of patient care : a predictive model for nursing staff scheduling at Naval Medical Center San Diego /." Thesis, Monterey, Calif. : Naval Postgraduate School, 2008. http://edocs.nps.edu/npspubs/scholarly/theses/2008/Sept/08Sep%5FChery.pdf.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, September 2008.Thesis Advisor(s): Fricker, Ronald D. "September 2008." Description based on title screen as viewed on November 5, 2008. Includes bibliographical references (p. 43-46). Also available in print.
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Samuels, Amiena. "Workplace bullying among nurses at a psychiatric hospital in the Western Cape." University of the Western Cape, 2016. http://hdl.handle.net/11394/4902.
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Magister Curationis - MCurWorkplace violence is a worldwide issue, yet it remains underreported. Incidences of workplace violence, include, physical violence, verbal abuse, bullying, as well as sexual and racial harassment. Bullying is defined as any type of repetitive abuse, in which victims suffer verbal abuse, threats, humiliation or intimidating behaviours, or behaviours, by perpetrators that interfere with the victims’ job performance and place their health and safety at risk. The prevalence of workplace bullying might be underreported due to the embarrassment that victims have to endure, or because of fear. Research has revealed that, in South Africa, in the public hospitals of Cape Town, despite the end of Apartheid, there are still subtle, but unspoken, tensions between racial groups. It can be assumed that such tensions are likely to escalate in the work environment and lead to workplace bullying. Yet, there is a lack of documented workplace bullying in Cape Town psychiatric hospitals, especially workplace bullying among nursing staff in public hospitals. This study, therefore, investigated workplace bullying at a psychiatric setting in the Western Cape. The researcher used a quantitative research approach and a cross-sectional design to determine the extent to which workplace bullying occur among nursing staff at a Psychiatric Hospital in the Western Cape. Random sampling was used to obtain 119 completed self- administered questionnaires, during 2015. The Negative Acts Questionnaire-Revised was slightly adapted; a total of fifty eight (58) questions were sub-divided into three sections. The researcher computed the Cronbach Alpha coefficient to test the reliability and internal validity of the data analysis. The Cronbach Alpha coefficient was 0.87, which was above the accepted cut off of 0.7. Therefore, the reliability and internal validity were confirmed. The reliability was also ensured through the factor analysis, which technique was applied in the data analysis. The data analysis was done with the assistance of a statistician. The study used statistical analysis, which included descriptive statistics and bivariate analysis. The bivariate analysis used descriptive statistics and consequently calculated the frequency, proportion, mean and standard deviation of individual items, in order to describe workplace bullying. To determine the association between the variables, the Kolmogorov-Smirmov test was applied, to test the normality of the two variables, before deciding on the application of either Pearson’s or Spearman’rho’s correlation. To establish the difference in means, the t-test and ANOVA was applied. EXCEL and SPSS 22 software were used as tools. The findings indicated that there was high prevalence of workplace bullying, as 67(56.3%) declared that they were bullied in their workplace, during the previous 12 months, and 44(65.7%) disclosed that they considered the acts as typical incidents of bullying in workplace. The majority of the victims, 43(64.2%) were females and 19 (28.4%) were between 30-39 years old. However, most respondents, 32(47.8%), declared that the bullying incidents were not investigated. Additionally, the researcher identified that there were two types of workplace bullying, namely, personal bullying and administrative-social exclusive bullying, based on the Principal Component Analysis. Age-group, ethnicity, length of stay in nursing career and marital status did not play a role in the exposure of nurses to personal bullying, but gender did. Similar results were found for administrative-social exclusive bullying.
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Bentley, Tabitha Anne. "Performance Improvement Data and Staff Responsibility." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3485.
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Improving the role the nurse plays in health care delivery should be embodied in the performance improvement initiatives to successfully improve the quality of care that is delivered. The purpose of this evidence-based practice project was to collect performance improvement data and present it to staff who, in turn, used the information to improve practice and influence patient safety outcomes. The practice-focused question addressed what would occur if a tool that allowed frequent data trending was used to measure effectiveness of care and thereby influence key outcome measures. Duffy's quality caring model provided a framework for the study to support the need for the development of a dashboard for staff and to ensure that staff were informed as they developed interventions to improve patient outcomes. Publicly available data published by the Centers for Medicare/ Medicaid (CMS) for the Quality Star Report were explored to inform the project. Workgroups, comprised of volunteers from leadership and staff providing care at the bedside, were formed to implement practice changes based on the dashboard reports. By bringing the data to the attention of nurses within the organization, improvements were made in the overall score for safety of care from below national average (25th percentile of the reported 3,647 hospitals across the nation) to the same as national average (47th percentile) as reported by CMS. Through staff involvement, social change occurred as strategies were hardwired to improve categories of the Quality Star Report and ultimately patient care. The project showed that quality improvement tools can assist in empowering staff to understand the data needed to implement process improvement strategies.
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Sanders, Tom J. "Factors influencing the adoption of administrative innovations." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. http://www.mhsl.uab.edu/dt/2007p/sanders.pdf.
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Shum, Wai-man, and 沈慧文. "Assessing the effectiveness of the human resources management for nursing staff of the Hospital Authority in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B46759773.
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Bargas, Eliete Boaventura 1980. "Caracterização do absenteísmo doença da equipe de enfermagem de um hospital universitário do estado de São Paulo." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310984.
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Orientador: Maria Ines MonteiroDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O ambiente hospitalar pode ocasionar condições inadequadas de trabalho, expondo os trabalhadores os riscos de ordem biológica, física, química, ergonômica, mecânica, psicológica e social. O objetivo deste estudo foi avaliar a associação do absenteísmo doença com sexo, estado civil, idade, escolaridade, local, turno de trabalho, tempo de trabalho na instituição, função e vínculo empregatício. Estudo descritivo exploratório, com abordagem quantitativa, desenvolvido em um Hospital Universitário público do interior paulista, de alta complexidade. O banco de dados foi obtido do setor de recursos humanos de um de Janeiro de 2011 a 31 de dezembro de 2011. O absenteísmo doença de curto prazo foi considerado aquele até 15 dias consecutivos de atestado médico. Dos 994 profissionais, 645 apresentaram pelo menos um dia de afastamento por licença médica. Quanto os fatores associados com o absenteísmo doença foram: grupo etário de 30-39 anos, categoria profissional técnicos e auxiliares de enfermagem, lotados no CC/CCA/CME, e quanto ao tempo de trabalho na Instituição o grupo de cinco a nove anos foi estatisticamente significante. O absenteísmo doença tem fatores complexos e multifatoriais que precisam ser analisados sob a perspectiva dos processos de trabalho, cultura institucional, saúde e satisfação do trabalhador de enfermagem
Abstract: The hospital environment can lead to poor working conditions, exposing workers to risk of biological, physical, chemical, ergonomic, mechanical, psychological and social. The aims was evaluate the association of the disease with absenteeism sex, marital status, age, education, location, shift work, working time in the institution, role and employment. It's exploratory descriptive study with a quantitative approach, developed in a public university hospital in São Paulo State, high complexity. The database was obtained from the human resources department of 1st January, 2011 to 31th December, 2011. The short-term sickness absenteeism was defined as up to 15 consecutive days of medical certificate. Of 994 professionals, 645 had at least one day of absence due to sick leave. As factors associated with absenteeism disease were: age group of 30-39 years, professional category technicians and nursing assistants, crowded in CC / CCA / CME, and the working time in the institution group of five to nine years was statistically significant. Absenteeism disease is multifactorial and complex factors that need to be analyzed from the perspective of work processes, institutional culture, health and worker satisfaction in nursing
Mestrado
Enfermagem e Trabalho
Mestra em Ciências da Saúde
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Hameed, Imran Boonyong Keiwkarnka. "Human relations among nurses at Pakistan Institute of Medical Sciences, Islamabad /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd363/4637984.pdf.
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Bocangel, Dante, Charlotte Larsson, and Kristina Molén. "”Det finns inget varaktigt förutom förändring” – faktorer som påverkar förändringsarbete inom hälso- och sjukvården." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-2889.
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Det pågår hela tiden stora förändringar och omstruktureringar inom hälso- och sjukvården, i och med organisationens uppbyggnad och komplexitet kan det vara en utmaning för den eller de personerna som vill genomföra förändringar oavsett om initiativet kommer uppifrån eller nerifrån. Ett systematiskt förändringsarbete är nödvändigt för att kvaliteten inom hälso- och sjukvården ska kunna säkras och där har sjuksköterskan en central roll. För att ett lyckat förändringsarbete ska kunna ske krävs att verksamheten har en hög kompetens och att fokus ligger på patienten. Syftet med studien var att belysa faktorer som inverkar på sjuksköterskans möjligheter att initiera, bedriva och påverka förändringsarbete inom hälso- och sjukvården. Studien genomfördes som en litteraturstudie där 18 vetenskapliga artiklar granskades. Resultatet visar att det finns ett antal faktorer som både hindrar och stödjer förändringsarbete inom hälso- och sjukvården. Ett gott ledarskap, en öppen kommunikation samt delaktighet från vårdpersonalen är viktiga faktorer för ett framgångsrikt förändringsarbete. Om dessa faktorer inte fungerar tillfredsställande kan det leda till en negativ utveckling av verksamheten och ett aktivt motstånd bland vårdpersonalen. Ämnet måste uppmärksammas i sjuksköterskeutbildningen eftersom det är en stor del av sjuksköterskans arbetsmiljö. Det behövs mer forskning med fokus på sjuksköterskans roll i förändringsarbete. Genom ökade kunskaper inom ämnet kan sjuksköterskans möjligheter att påverka och ställa krav på förändringsarbete underlättas vilket kan stärka professionen samt höja sjuksköterskans status.
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Tillvitz, Luciana Regina. "Dimensionamento de pessoal de enfermagem do centro cirúrgico de um hospital do norte do Paraná." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-22012014-113329/.
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Assegurar um quadro de trabalhadores adequado aos objetivos e finalidades da instituição constitui um desafio permanente, na medida em que se tomam, por referência, processos assistenciais qualificados. A presente pesquisa teve o objetivo de analisar o quantitativo de trabalhadores de enfermagem do Centro Cirúrgico de um hospital de ensino de um município do norte do Paraná. Trata-se de um estudo de abordagem quantitativa, de corte transversal, descritivo tipo estudo de caso. A população foi constituída por sete enfermeiros, 16 técnicos e 24 auxiliares de enfermagem que atenderam aos critérios de inclusão. O período de coleta compreende o período de agosto de 2011 a julho de 2012 e as fontes de coleta de dados foram a Diretoria de Recursos Humanos, Serviço de Estatística e arquivo documental da unidade. Para caracterização sociodemográfica e profissional dos participantes e da instituição, foram realizadas entrevistas e utilizado questionário estruturado. Para o cálculo de pessoal de enfermagem do Centro Cirúrgico, utilizou-se o modelo de dimensionamento desenvolvido por Possari (2001), baseado na metodologia de Gaidzinski (1998). A coleta de dados foi realizada, identificando-se inicialmente o tempo cirúrgico intraoperatório, seguido pelas etapas propostas no método: classificação das cirurgias segundo o porte cirúrgico; identificação do tempo de espera na recepção do Centro Cirúrgico, do tempo de limpeza da sala de operação e do tempo médio de assistência de enfermagem; determinação do percentual de cada categoria profissional; identificação da jornada de trabalho e identificação das ausências previstas e não previstas da equipe de enfermagem. Foram realizadas 5797 cirurgias, sendo 2666 eletivas e 3131 de urgência/emergência, sendo que, em relação ao porte cirúrgico, o maior percentual de cirurgias foi de porte I, com 43,4% (2518), seguida pelas de porte II, com 38,3% (2219), de porte III, com 12,2% (705), e de porte IV, com 7,2% (415). A quantificação do tempo médio de intraoperatório para as cirurgias eletivas apontou um tempo de 75,5 minutos para as cirurgias de porte I; 175,2 minutos, para as cirurgias de porte II; 293,2 minutos, para as cirurgias de porte III, e de 459,3 minutos, para as cirurgias de porte IV. A média geral de intraoperatório das cirurgias eletivas foi de 176,4 minutos. Para as cirurgias de urgência/emergência, o tempo médio de intraoperatório para o porte I foi de 83 minutos, para o porte II, de 170,2 minutos; para o porte III, de 290,7 minutos, e para as de porte IV, 469,6 minutos. A média geral de intraoperatório obtida para as cirurgias de urgência/emergência foi de 154,6 minutos. No período de estudo, a clínica que mais realizou cirurgias eletivas foi a Ortopedia, com 453 (17,0%) cirurgias, e, em relação às cirurgias de urgência/emergência, o Pronto Socorro Cirúrgico foi a clínica com maior volume cirúrgico, 810 (25,9%). O tempo médio total de assistência para as cirurgias eletivas foi de 5,9 horas, sendo 2,5 horas para o porte I; 5,8 horas para as de porte II, 9,8 horas para as de porte III e 16,7 horas para as de porte IV. Para as cirurgias de urgência/emergência, o tempo médio de assistência de enfermagem, segundo o porte cirúrgico, foi de 5,2 horas, sendo 2,8 horas para o porte I; 5,7 horas para o porte II; 9,7 horas para o porte III, e 15,7 horas para o porte IV. Utilizando as equações propostas por Possari (2001), projetou-se o quadro total de funcionários da equipe de enfermagem para o período intraoperatório, que foi composto por 42 profissionais, assim distribuídos: 6 enfermeiros e 36 auxiliares/técnicos de enfermagem. Esse resultado indicou um equilíbrio entre o quadro de pessoal existente e o projetado pelo modelo utilizado. Recomenda-se, entretanto, que cada instituição e cada unidade de Centro Cirúrgico realize sua investigação de modo a obter um quantitativo de profissionais compatível com as demandas e na perspectiva da realidade institucionalEnsuring an adequate cadre of professionals for the objectives and purposes of the institution is a permanent challenge because qualified care processes are taken by reference. This study aimed to analyze the quantitative nursing staff of the Surgical Center of a teaching hospital in a city in the north of Paraná. This study uses a quantitative approach, of a cross- sectional, descriptive type like a study case. The population consisted of seven nurses, 16 technicians and 24 nursing assistants who met the inclusion criteria. The collecting period covers the period from August, 2011 to July, 2012 and the sources of data were the Human Resources Department, Bureau of Statistics and archive documentary unit. Interviews by using structured questionnaires were conducted for social demographic and professional characterization of the participants and the institution. For the calculation of the nursing staff of the Surgical Center, it was used the dimensional modeling developed by Possari (2001) based on the methodology of Gaidzinski (1998). The data collection was performed at first identifying intraoperative surgical time followed by the steps in the proposed method: classification of the kind of surgery, identification of the waiting time in the Surgical Center reception, the cleaning time of the operating room and the nursing care average time, establishing the percentage of each professional category, identification of the workday and identification of planned and unplanned absences of the nursing team. According to the number of surgeries performed, they were 5797. It means that 2666 were elective and 3131 were urgent or of emergency. In relation to the size of the surgery, the highest percentage of surgeries was size I with 43.4 % (2518), followed by size II with 38.3 % (2219), size III with 12.2 % (705) and size IV with 7.2 % (N415). The intraoperative for the elective surgery showed a time of 75.5 minutes for surgeries sized I, 175.2 minutes for surgeries of size II , 293.2 minutes for surgeries of size III and 459.3 minutes for the surgeries size IV . The intraoperative average time in elective surgery was 176.4 minutes. For urgent surgeries / emergencies, the intraoperative time for size I was 83.0 minutes, for size II, 170.2 minutes, 290.7 minutes for size III and 469.6 minutes for size IV. The intraoperative average time obtained for urgent surgeries / emergencies was 154.6 minutes. During the study, the clinic that more performed elective surgeries was the Orthopaedics with 453 (17.0%) and the Emergency Surgical Clinic also had a greate surgical volume, 810 (25.9%). The total assistance for elective surgery was 5.9 hours, 2.5 hours for size I, 5.8 hours for size II, 9.8 hours for the size III and 16.7 hours for size IV. For urgent surgeries / emergencies, the average nursing care according to the surgical duration was 5.2 hours, 2.8 hours for size I, 5.7 hours for size II, 9.7 hours for size III and 15.7 hours for size IV. By using the equations proposed by Possari (2001), it was designed the total nursing staff for the intraoperative period, which was composed of 42 professionals, distributed as follows: 6 nurses and 36 nursing technicians. This result indicated a balance between existing staff and the one designed by the model. However, it is recommended that each institution and each Surgical Center unit conduct their own research in order to get a quantitative of professional compatible with the demands and the prospect of their institutional reality
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Shu, Hui Wang Santhat Sermsri. "Job satisfaction of staff nurses and their perception on head nurses' leadership: a study in Sakaeo provincial hospital, Thailand /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd363/4637958.pdf.
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Cilliers, Liezel. "Evaluating the knowledge, attitudes and beliefs about the prevention and self-treatment principles for low back pain among nursing staff in Cecilia Makiwane Hospital, East London Hospital Comple." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_8881_1227608404.
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Nursing is a high-risk profession for the development of musculoskeletal problems and low back pain (LBP) in particular. Currently there is limited information available for the prevalence of LBP among the South African nursing population and no evidence on knowledge, attitudes and beliefs about the prevention and self-treatment principles for LBP among this group. The aim of this study was to evaluate the knowledge, attitudes and beliefs about the prevention and self-treatment principles for LBP among nursing staff in Cecilia Makiwane Hospital, East London Hospital Complex. The study found that the majority of the participants experienced LBP on a regular basis.
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Buffenbarger, Jennifer Sylvia. "Nurses' Experiences Transitioning from Staff Nurse to Management in a Community Hospital." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2346.
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This project study addressed the problem of frequent turnover of nurse managers at a Northeastern community hospital. The lack of retention of nurse managers has led to attenuated support for the nursing staff who continued to hold the front line in patient care. The purpose of this qualitative bounded case study was to explore nurse managers' experiences with turnover in order to identify strategies for enhancing retention. Work empowerment and servant leadership theories served as the frameworks for the study. Research questions focused on nurse managers' perceptions of empowerment and servant leadership characteristics that were important in decisions to assume and remain in a management/leadership role. Data collection included audio-recorded interviews with seven current or past full-time nurse managers, and observation of three of the participants at a leadership meeting. Interview transcripts were open coded and thematically analyzed. Observation data were categorized according to empowerment and servant leadership characteristics. Five themes were identified that related to research questions: struggling in management transition, seeking opportunity for transformation, being committed but powerless, embarking unprepared on an unplanned journey, and having the presence to lead others by serving. The findings of this study guided development of a 12-month program for new nurse managers that integrated characteristics of servant leadership to empower leaders and others. These contributions may promote positive social change by preparing new nurse managers for their role and developing their skills to become successful nurse managers.
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Vydelingum, Vasso. "#We treat them all the same' : the experiences of nursing staff and of South Asian patients in a general hospital." Thesis, University of Southampton, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.242502.
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Lancaster, Amanda. "Internal stakeholder communication: exploring communication preferences of various generations of nursing staff at a central hospital in the Western Cape." Thesis, Cape Peninsula University of Technology, 2019. http://hdl.handle.net/20.500.11838/3094.
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Thesis (MTech (Public Relations Management))--Cape Peninsula University of Technology, 2019The context and background for this study is situated in a public healthcare organisation. Communication and corporate stakeholder management, both with external and internal stakeholders, always needs to be fast and effective in a hospital, because it is often under critical pressure and dealing with life and death. The central hospital that has been chosen as the research environment has been associated with excellence in medical achievements and tertiary training for the past eight decades. Yet, the nursing cohorts in the past were more homogenous; they underwent similar training and mostly operated like a well-oiled machine because of that inherent similarity. Ensuing from the South Africa's transition into a full democracy in 1994, the nursing components everywhere became more heterogeneous and dissimilar. The research problem in this study is focused on one diverse group of internal stakeholders: the all-important nursing component. The potential combination of four generations of nurses within healthcare institutions has attracted the attention of global academics and nursing specialists for some time now, who have focused on the ramifications that such a multi-generational staff creates in hospitals. Not only do these nurses have to interact effortlessly with each other in the interest of speed, service delivery and the satisfaction of the clients, being patients and their families, but also be assured of effective communication between themselves and management. Any brand, be it a governmental hospital, NGO or profit-driven company, is as successful as its effectiveness in terms of corporate internal communication. Should nurses sense that they do not share meaning effectively with others, the fallout may well be picked up by patients and their families, with resulting criticism from the community of the Western Cape Metro that accesses the hospital.
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Nordin, Anna. "Patient safety culture in hospital settings : Measurements, health care staff perceptions and suggestions for improvement." Doctoral thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-35424.
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The aim was to psychometrically test the S-HSOPSC and HSOPSC, investigate health care staff’s perceptions of patient safety culture and their suggestions for improvement. Methods: A three-time cross-sectional study with data from health care staff (N= 3721) in a Swedish county council was conducted in 2009 (N = 1,023), 2011 (N = 1,228) and 2013 (N =1,470) using the S-HSOPSC (I, II, III). Health care staff’s suggestions for improvement were analyzed in a qualitative content analysis study (IV). Results: The S-HSOPSC (14 dimensions, 51 items) is acceptable for measuring patient safety culture (I). Health care staff held a positive attitude towards their own unit’s teamwork, and a less favorable attitude towards hospital managers’ support for patient safety work (I). Managers held a more positive attitude towards patient safety than others and enrolled nurses held a more positive attitude than registered nurses and physicians (II, III). Positive attitudes towards learning, nonpunitive response and staffing was associated with positive attitudes towards overall safety (II). Health care staff’s attitudes towards patient safety decreased between 2009- 2013 for 12 dimensions (III). A diversity of approaches, nuanced in relation to the informant’s profession was suggested to improve patient safety, for example ‘Increased staffing’ ‘Teamwork and collaboration’ and ‘Committed management' (IV). Conclusions: The S-HSOPSC is suitable for measuring patient safety culture. Supporting and committed managers, teamwork and collaboration are important for patient safety improvement. RNs have an important coordinating position in patient safety work, since they work in close proximity to the patients, and strategically in teams, where decisions of importance for patient safety are made. Health care staff attitudes towards communication, nonpunitive approach, feedback and learning from mistakes have deteriorated. To prevent from organizational fatigue, actions are needed.Baksidestext: In health care, many patients are being harmed, with leads to suffering and financial costs. Health care staff’s patient safety culture reflects their attitudes towards safety for patients. The overall aim was to psychometrically test the questionnaires S-HSOPSC and HSOPSC for measuring patient safety culture, investigate health care staff’s perceptions of patient safety culture and their suggestions for improvement. In this thesis, respondents in the most common health care staff groups participated. Health care staff held a positive attitude towards patient safety culture within their own unit’s work. The perception of patient safety culture differed between professions and managers had a more positive attitude towards patient safety culture than others. Health care staff’s attitudes towards patient safety decreased during the measurement period for almost all aspects and they suggested many approaches to improve patient safety. Patient safety needs to be a responsibility for everyone. Supporting, committed managers, teamwork and collaboration are important for patient safety improvement. RNs have an important coordinating position in patient safety work.
Syftet var att psykometriskt testa frågeformulären S-HSOPSC och HSOPSC och undersöka sjukvårdspersonals attityder till patientsäkerhet samt förslag till förbättringar. Metod: Tre tvärsnittsundersökningar genomfördes. Sjukhuspersonal (N = 3 721) i ett landsting besvarade enkäten Hospital Survey on Patient Safety Culture om patientsäkerhetskultur år 2009 (n = 1 023), 2011 (n = 1 228) och 2013 (n = 1 470) (I, II, III). Sjukvårdspersonalens förslag på förbättring av patientsäkerhet studerades med kvalitativ innehållsanalys (IV). Resultatet visade att den svenska versionen S-HSOPSC (14 dimensioner, 51 frågor) är acceptabel för att mäta patientsäkerhetskultur (I). Sjukvårdspersonalen hade en positiv attityd till aspekter av patientsäkerhet som handlade om arbete på den egna vårdenheten, men en mindre positiv attityd till högsta ledningens stöd för patientsäkerhetsarbetet (I). Chefer hade en mer positiv attityd till patientsäkerhet än andra och undersköterskor hade en mer positiv attityd än sjuksköterskor och läkare (II, III). Förmågan att dra lärdom av misstag, en icke-skuldbeläggande attityd vid misstag samt bemanning var positivt associerad till en positiv attityd till generell patientsäkerhet (II). Sjukvårdspersonalens attityder till patientsäkerheten försämrades under mätperioden för 12 av 14 dimensioner. (III). Sjukvårdspersonalen föreslog en mängd förbättringar av patientsäkerheten. Förslagen var nyanserade i relation till informanternas egen profession (IV). Konklusioner: Engagerade chefer är viktigt för patientsäkerheten. Teamwork och förståelse för varandras arbete är gynnsamt för patientsäkerheten. Sjuksköterskor är viktiga i patientsäkerhetsarbetet, då de både arbetar nära patienterna och i team där beslut fattas som rör patientsäkerheten. Personalens attityd till kommunikation, icke- bestraffande synsätt, återkoppling och lärande i samband med misstag har försämrats. Detta kan indikera en organisatorisk utmattning och kräver åtgärder.
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Marques, Divina de Oliveira. "O absenteísmo-doença da equipe de enfermagem de um hospital universitário." Universidade Federal de Goiás, 2014. http://repositorio.bc.ufg.br/tede/handle/tede/3424.
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Introduction: Unplanned absenteeism negatively affects the institutional routine in different ways, representing a complex administrative problem. Objective: to analyze absenteeism due to illness among the nursing staff of a university hospital. Methodology: a retrospective study with a quantitative approach, conducted in a university hospital, located in Goiania, Goias, Brazil, for the period 2008 to 2012. Data collection used a script, developed based on the records of workers. The study sample consisted of all employees of the nursing team, belonging to the permanent staff of the institution, who were absent from work with medical justification. Data were collected in conjunction with the workers’ employment records. Results: we identified 1574 medical justification certificates, it was found a majority of certificates involving diseases of the musculoskeletal system (19.7%), followed by mental and behavioral disorders (18.0%), as the most frequent causes of absenteeism. Regarding the professional category, the nurse technicians had the highest number of certificates. The services with the highest number of certificates were: outpatient with 201 reports (12.8%), followed by the Medical Clinic with 177 (11.2%) and Emergency with 143 (9.1%). Conclusion: the study concludes that absenteeism related to illness affects the operation of the health service, directly affecting the nursing staff and patients, resulting in work overload, and consequently hindering nursing care. It is necessary to adopt preventive and curative measures to decrease absences of employees of the nursing staff due to illness as well as increase their level of job satisfaction, with the goal of more human nursing care and a reduction in institutional and public spending.
Introdução: O absenteísmo por ausência não-prevista causa um impacto negativo no cotidiano institucional em diferentes aspectos, representando um problema administrativo complexo. Objetivo: analisar o absenteísmodoença na equipe de enfermagem de um hospital universitário. Metodologia: estudo retrospectivo, com abordagem quantitativa, realizado em um hospital universitário, localizado no município de Goiânia, Goiás, Brasil, referente ao período de 2008 a 2012. Para a coleta de dados, utilizou-se um roteiro elaborado com base nos prontuários dos trabalhadores. A amostra do estudo constituiu-se de todos os trabalhadores da equipe de enfermagem, pertencentes ao quadro permanente da instituição, que apresentaram ausência no trabalho justificada por atestado médico. Os dados foram coletados em consulta ao dossiê funcional dos trabalhadores. Resultados: foram identificados 1.574 atestados médicos. Constatou-se que prevaleceram os atestados com as doenças do sistema osteomuscular (19,7%), seguido dos transtornos mentais e comportamentais (18,0%) como causas mais frequentes de absenteísmo. Em relação à categoria profissional, o técnico de enfermagem foi o servidor com maior número de atestados. As unidades com maior número de atestados foram: Ambulatório com 201 atestados (12,8%), seguido da Clínica Médica, com 177 (11,2%),e Pronto Socorro,com 143 atestados (9,1%). Conclusão: conclui-se que o absenteísmo-doença compromete o funcionamento do serviço de saúde, atingindo diretamente a equipe de enfermagem e os usuários, acarretando sobrecarga de trabalho e, consequentemente, prejudicando a assistência de enfermagem. Diante disso, faz-se necessário adotar medidas preventivas e curativas para diminuir as ausências dos trabalhadores da equipe de enfermagem por motivos de doença, bem como seu nível de satisfação com o trabalho, visando uma assistência de enfermagem mais humanizada e a diminuição de gastos institucionais e públicos.
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Tierney, Shirley J. "Nursing Unit Staffing: An Innovative Model Incorporating Patient Acuity and Patient Turnover: A Dissertation." eScholarship@UMMS, 2010. https://escholarship.umassmed.edu/gsn_diss/18.
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Changes in reimbursement make it imperative for nurse managers to develop tools and methods to assist them to stay within budget. Disparity between planned staffing and required staffing often requires supplemental staffing and overtime. In addition, many states are now mandating staffing committees to demonstrate effective staff planning. This retrospective quantitative study developed an empirical method for building nursing unit staffing plans through the incorporation of patient acuity and patient turnover as adjustments towards planning nursing workload. The theoretical framework used to guide this study was structural contingency theory (SCT).
Patient turnover was measured by Unit Activity Index (UAI). Patient acuity was measured using case mix index (CMI). Nursing workload was measured as hours per patient day (HPPD). The adjustment to HPPD was made through the derivation of a weight factor based on UAI and CMI. The study consisted of fourteen medical, surgical, and mixed medical-surgical units within a large academic healthcare center. Data from 3 fiscal years were used.
This study found that there were significant, but generally weak correlations between UAI and CMI and HPPD. The method of deriving a weight factor for adjusting HPPD was not as important as the decision-making relative to when to adjust planned HPPD. In addition, the measure of unit activity index was simplified which will assist researchers to more easily calculate patient turnover. As a result of this study, nurse managers and will be better able to adjust and predict HPPD in cases where benchmarking has been problematic. Data-driven adjustments to HPPD based on UAI and CMI will assist the nurse manager to plan and budget resources more effectively.
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Jacobs, Lynette Carmen. "Knowledge, attitude and practices of nursing staff regarding the baby friendly hospital initiative in non accredited obstetric units in cape town." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7020_1269541682.
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Background: The Baby Friendly Hospital Initiative (BFHI) is considered one of the most successful international efforts to protect, promote and support breastfeeding. The initiative has proven impact, increasing the likelihood of babies being exclusively breastfed for six months. Official designation as Baby Friendly requires careful assessment completed by a trained external team to confirm that the institution is truly carrying out all Ten Steps of successful breastfeeding and conforming to the International Code of Marketing of Breastmilk Substitutes (BMS).The implementation of these principles are however challenging for facilities as it requires &ldquo
strategic planning, implementation and maintaining change&rdquo
within the facilities. Aim: To assess the factors influencing the implementation of BFHI principles in non accredited MOU` s in the Metropole region of the Western Cape.
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Bhaga, Taramati. "The impact of working conditions on the productivity of nursing staff in the Midwife and Obstetrical Unit of Pretoria West Hospital." Diss., University of Pretoria, 2010. http://hdl.handle.net/2263/27211.
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The purpose of this study was to explore the impact of the working conditions on the productivity of the nursing staff in the Midwife&Obstetrical Unit of Pretoria West Hospital. It was important to establish the working conditions prevailing within the unit and further to determine which factors related to the working conditions that influence productivity of the nursing staff. The findings of the research are intended to provide guidance to the management in dealing with issues regarding working conditions so as to improve the productivity of the nursing staff in the unit. A combination of quantitative and qualitative approaches was used, specifically the dominant-less-dominant model. The research approach was predominantly quantitative with lesser qualitative components incorporated for respondents to give recommendations intended for management so that improvement in their working conditions could be implemented Applied research was relevant in this study as the knowledge gained, can be utilised to address productivity problems emanating from working conditions. The aspects of working conditions that impact on productivity were explored and discussed in the literature study. The literature study also included a discussion on the cost of work stress on individuals and organizations. The section concluded with a discussion on the role of Employee Assistance Programme (EAP) in an organization. A self-developed questionnaire was used as a research tool to collect data from the respondents. No sampling was done because of the small size of the population, hence all members of the population were included in the study. The findings of the study were based on thirty-four questionnaires that were returned by the respondents. The findings were analysed and presented using tables and graphs which were then interpreted in words. The study revealed that the majority of the nursing staff in the Midwife Obstetrical Unit of Pretoria West Hospital perceives their working conditions as being stressful. The working conditions are negatively impacting on their well-being and job performance. The study also revealed that EAP has been implemented at the hospital, but the services of the programme are not being utilised by the majority of the nurses in the unit. Based on the findings of the study conclusions and recommendations were made regarding strategies to improve working conditions and to increase productivity. The important limitation of the study was that through reflections of some of the respondents’ views regarding sensitive issues were not obtained. Participants were given a choice of three responses which included remaining neutral. Unfortunately some respondents chose this option rather than taking a firm stand.Dissertation (MSW)--University of Pretoria, 2010.
Social Work and Criminology
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Monteiro, Laressa Manfio. "Indicadores de qualidade assistencial e Nursing Activities Score análise correlacional em um Hospital Especializado." Botucatu, 2016. http://hdl.handle.net/11449/137790.
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Orientador: Wilza Carla SpiriResumo: O processo reabilitador de uma criança com fissura labiopalatina requer acompanhamento periódico de uma equipe multiprofissional. A produção do cuidado durante a hospitalização destas crianças demanda da equipe de enfermagem tempo e habilidades específicas para identificar a participação ativa dos pais/responsáveis. A adequação quali-quantitativa dos profissionais de enfermagem associados as notificações dos eventos adversos permite atingir níveis de excelência com a assistência prestada, promove a documentação das ações e intervenções de enfermagem, auxilia o enfermeiro na tomada de decisão, além de dar visibilidade a profissão. Neste contexto, este estudo teve por objetivo correlacionar a carga de trabalho dos profissionais de enfermagem com os indicadores assistenciais “lesão de pele”, “saída não planejada de sonda oro/nasogastroenteral para aporte nutricional” e “extubação acidental de cânula nasofaríngea” em uma unidade de cuidados semi-intensiva pediátrica especializada, por meio da aplicação do Nursing Activities Score informatizado. Trata-se de um estudo exploratório, correlacional e descritivo, prospectivo, de delineamento observacional analítico. A execução da pesquisa foi aprovada pelos Comitês de Ética em Pesquisa: da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista “Júlio de Mesquita Filho” – CAEE: 28714114.6.0000.5411, de 22/04/2014, e do Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo – CAAE: 28714114.6.3001.5441,... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The rehabilitating process of a child with clefts lip and palate requires periodic monitoring of a multiprofessional team. The production of care during hospitalization of these children demand of the nursing team time and specific skills to identify the active participation of parents/guardians. The quali-quantitative adequacy of nursing professionals associated with the notifications of adverse events allows to reach levels of excellence with the assistance provided, promotes the documentation of actions and nursing interventions, helps nurses in decision making, in addition to give visibility to the profession. In this context, this study aimed to correlate the workload of nursing professionals with care indicators "skin lesion", “exit not planned probe oro/nasogastroenteral for nutritional support” and “accidental extubation nasopharyngeal tube" in a pediatric semi-intensive care unit specialized, by means of application of the Nursing Activities Score computerized. This is an exploratory study, correlational and descriptive, prospective, observational analytic design. The execution of the study was approved by the Ethics Committee in Research at: the School of Medicine of Botucatu, University Estadual Paulista "Julio de Mesquita Filho" - CAEE: 28714114.6.0000.5411, 22/04/2014, and the Craniofacial Anomalies Rehabilitation Hospital, University of São Paulo - CAAE: 28714114.6.3001.5441, of 27/05/2014. The population consisted of all patients hospitalized in the unit, child... (Complete abstract click electronic access below)
Mestre
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Proctor, Susan. "A study of the effects on the provision of nursing services of dependence on a learner nurse workforce to staff hospital wards." Thesis, Northumbria University, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.236052.
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Vizinha, Maria Jacinta Olivença. "Burnout e Coping nos enfermeiros de pediatria, oncologia e psiquiatria." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2008. http://hdl.handle.net/10362/4884.
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Introdução: Esta investigação, denominada de Burnout e Coping nos enfermeiros foi desenvolvida na área de Pediatria, Oncologia e Psiquiatria em contexto de Mestrado de Saúde Mental na Faculdade de Ciências Médicas da Universidade Nova de Lisboa.
Sendo eu enfermeira a exercer funções na área de saúde mental pareceu-me interessante investir na temática do burnout, e mais especificamente nos enfermeiros, por ser a classe profissional à qual pertenço, as áreas escolhidas para este estudo foram-no pelo conhecimento da expressão manifesta de colegas a exercerem nessas áreas, facto esse confirmado pela literatura existente de Cristina Maslach. De forma a perceber a complexidade da temática introduziram-se as variáveis do apoio social e as estratégias de resolução de problemas. Apesar dos diversos estudos realizados na problemática do burnout, no entanto é ainda difícil definir a influência de algumas variáveis intervenientes neste síndroma e a forma como lidar e prevenir esta situação apresenta-se algo limitada. Esta tese foi organizada em três partes, uma primeira para o enquadramento teórico, na segunda apresenta-se a metodologia utilizada nesta investigação e a terceira é constituída pelos resultados, conclusões e discussão.
No enquadramento teórico são desenvolvidos três temas intervenientes nesta investigação: o burnout, o apoio social e o coping, sendo o burnout apresentado de uma forma mais aprofundada visto ser o pilar deste estudo. Na secção da metodologia é apresentado o problema da investigação, nas suas diferentes vertentes, justificação, objectivos e hipóteses; são descritas também as características da população, as variáveis da investigação, os instrumentos de análise, o procedimento de recolha dos dados e os aspectos éticos. A terceira parte é constituída pela apresentação dos resultados: a caracterização da amostra, as características psicométricas dos instrumentos de avaliação e os dados descritivos dos mesmos, a análise entre as variáveis de estudo e o estudo das hipóteses.
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Patel, Lopa. "Noise Pollution/Reduction Education for Frontline Staff in the Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6942.
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Noise levels in hospital settings have risen beyond the recommended range of 35-40 decibels, resulting in poor patient healing outcomes and other health conditions ranging from sleep deprivation, anxiety, agitation, delirium, depression, and high heart rate and blood pressure. These negative patient health experiences are evidenced by poor scores for the Hospital Consumer Assessment of Healthcare Providers and Systems, which are indicators of patients' perceptions of care. This project explored whether an educational activity for 48 direct care staff, who include registered nurses and nursing assistants, in a cardiac unit on the impact of noise pollution on patient healing would increase staff members' knowledge of interventions to reduce noise pollution. The information processing theory guided this project. Eighty-nine percent of the participants strongly agreed that the educational activity was relevant to their practice as health care providers on the cardiac monitored unit. All participants strongly agreed that they would be able to identify when the unit was noisy and when noise was impacting a patient both physiologically and psychologically. Participants indicated that they could implement the suggested behavioral modifications to promote a healing environment. Participants strongly agreed that the speaker was effective in communicating the importance of noise pollution and its impact on patient healing and ways in which to combat the problem (89%), and they were generally satisfied with the learning activity (91%). Reducing noise pollution might create a healing environment for cardiac patients, thus positively impacting patient satisfaction and well-being.
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Cruz, Carla Weidle Marques da. "Carga de trabalho de profissionais de enfermagem em centro de diagnóstico por imagem." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-09122015-164052/.
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A atuação da equipe de enfermagem em Centro de Diagnóstico por Imagem é pouco estudada e consequentemente, pouco conhecida. Existe lacuna de conhecimento sobre a carga de trabalho desses profissionais e a maneira adequada de calcular o número de profissionais necessários para atender às demandas de uma área caracterizada pela tecnologia e agilidade. Objetivo: Identificar indicadores para o dimensionamento de profissionais de enfermagem em Centro de Diagnóstico por Imagem, por meio da identificação da carga média de trabalho nos setores: Mamografia, Medicina Nuclear, Ressonância Magnética, Radiologia Convencional, Tomografia, Ultrassonografia e Vascular Intervencionista. Método: Pesquisa metodológica de campo com abordagem quantitativa e amostra intencional em três Centros de Diagnóstico por Imagem do munícipio de São Paulo. Para a identificação da carga de trabalho, nos sete setores, foi utilizada a técnica de amostragem do trabalho, com intervalo de 10 minutos entre as observações, durante a jornada de trabalho dos profissionais de enfermagem, por meio do instrumento desenvolvido por Cruz, fundamentado pela Classificação das Intervenções de Enfermagem. Os dados foram coletados no período de julho de 2012 a julho de 2013. O cálculo da carga de trabalho fundamentou-se na metodologia de Gaidzinski. Resultados: O instrumento proposto por Cruz passou a ter 33 intervenções de enfermagem, segundo a Classificação de Intervenções de Enfermagem, após ser validado para os setores de Medicina Nuclear e Vascular Intervencionista. Foram realizadas 19.514 observações de 152 profissionais de enfermagem. Todas as intervenções/atividades observadas em campo estavam contidas no instrumento. A intervenção mais representativa para a carga de trabalho dos técnicos de enfermagem, nos sete setores, foi Assistência em Exames: Pré, variando de 48,4 a 35,5% do tempo de trabalho deste profissional. Para a categoria enfermeiro as intervenções predominantes variaram segundo os setores. As intervenções mais representativas para os enfermeiros foram: Avaliação da Saúde, Documentação, Assistência em Exames: Pré e Supervisão de Funcionários. O tempo dedicado às atividades associadas e pessoais representou para a categoria de técnicos de enfermagem 1,7% e 16,9% e para categoria de enfermeiros 1,2% e 9,0%, respectivamente. Conclusão: Esta pesquisa se reveste de caráter inédito, na área de gerenciamento de recursos humanos em saúde, pois oferece parâmetros para o cálculo do quadro de profissionais de enfermagem, por meio da carga média de trabalho da categoria profissional em cada um dos sete setores de um CDIThe operation role of nursing staff at Diagnostic Imaging Center is insufficiently studied and consequently little known. There is a knowledge gap on the workload of these professionals and the proper way to calculate the number of professionals needed to meet the demands of an area characterized by technology and agility. Objective: To identify indicators for the scalability of nursing professionals at Diagnostic Imaging Center, through the identification of medium workload in the sectors: Mammography, Nuclear Medicine, Magnetic Resonance, Conventional Radiology, Tomography, Ultrasound and Vascular Interventionist Radiology. Method: Field Methodological Research with a quantitative approach and intentional sample in three Image Diagnostic Centers in Sao Paulo city. To identify the workload in seven sectors, was used the work sampling technique with interval of 10 between observations, during the working hours of nurses, through the instrument developed by Cruz, grounded on Classification of Nursing Interventions. The data were collected from July 2012 to July 2013. The calculation to the workload was based on the Gaidzinski methodology. The results: The instrument proposed by Cruz had 33 nursing interventions according to Nursing Interventions Classification, after being validated for the sectors of Nuclear Medicine and Vascular Interventionist Radiology. There were made 19 514 observations of 152 professionals. All interventions/ activities observed in the field were contained in the instrument. The most representative intervention to the workload of nurses aides in seven sectors was Pre Examination Assistance, ranging from 48.4 to 35.5% of the professional working time. For the category nurse, the prevailing interventions varied according to the sectors. The most significant interventions for the nurses were: Health Screening, Documentation, Pre Examination Assistance and Staff Supervision. The time devoted to associated and personal activities represented to the category of nurses aides was 1,7% and 19,9%; and to the nurses category 1.2% and 9.0%, respectively. Conclusion: This research is of unprecedented nature in the management area of human resources for health, because it offers parameters for the calculation the nursing professional staff, through the average workload of nurses category in each of the seven sectors of a Diagnostic Imaging Center
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Boyle, Kathleen Black. "Nurse-physician collaborative communication and safety climate /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2007.
Find full textAbstract:
Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2007.Typescript. Includes bibliographical references (leaves 93-101). Free to UCD affiliates. Online version available via ProQuest Digital Dissertations;
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Silva, Adriana Marques da. "Processo de trabalho e atividades educativas de trabalhadores de enfermagem em hospitais públicos." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/7/7136/tde-20052010-110404/.
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O estudo tem como tema central a educação dos trabalhadores de enfermagem e a sua articulação com o cotidiano de trabalho. Foi desenvolvido com os objetivos de analisar as concepções dos enfermeiros sobre as relações existentes entre atividades educativas de trabalhadores e processo de trabalho de enfermagem, e as possibilidades de mudança nessa relação na perspectiva da integralidade da saúde, da educação permanente em saúde e do trabalho em equipe, conceitos que compõem o referencial teórico. Na pesquisa de campo foram realizadas 22 entrevistas semi-estruturadas com enfermeiros de dois hospitais públicos, 14 em hospital de ensino e 8 em hospital municipal. Os sujeitos foram selecionados com a utilização da técnica de bola-de-neve, iniciando com a gerente da área de enfermagem de cada hospital estudado. Os resultados mostraram que nos dois hospitais o processo de trabalho dos enfermeiros se compõe de duas dimensões complementares: gerencial e assistencial. Na primeira predominam atividades de gerenciamento de recursos humanos e, na segunda, a sistematização da assistência de enfermagem. Contudo, no hospital de ensino a atuação dos enfermeiros na sistematização da assistência de enfermagem refere-se à execução do cuidado e ao gerenciamento do cuidado e, no hospital municipal, apenas ao gerenciamento do cuidado. Há, em ambos os serviços, uma estreita relação entre processo de trabalho e atividades educativas de trabalhadores de enfermagem, porém, de caráter instrumental, técnico; e os enfermeiros têm a expectativa que as atividades educativas sejam realizadas pela área de educação continuada. Foram identificadas possibilidades de mudanças nas relações entre o processo de trabalho e a atividade educativa, em experiências voltadas a gestão participativa e ao trabalho em equipe, porém uma frágil presença de tematização da integralidade e da educação permanente em saúde. Conclui-se pela necessidade de construção de mudanças do modelo assistencial e das atividades educativas de trabalhadores nos hospitais, na perspectiva da atenção integral à saúde contemplando para além do biológico, também as dimensões da vida social, cultural e emocional.The study is focused on nursing workers education and the relationship with the daily work. It was developed with the purpose of analyzing the nursess views on the relationship between educational activities for workers and work processes of nurses, and the possibilities for change in this relationship in perspective for integration of health, of continuing health education and teamwork concepts which constitute the theoretical framework. In the field research were carried out as follows: 22 semi-structured interviews with nurses from two hospitals, 14 in educational hospital and 8 in the public hospital. The subjects were selected using the snowball technic, starting with the nurse area manager at each hospital. The results showed that both hospitals nurses work processes is composed by two complementary dimensions: management and care. The first activities are mostly of human resource management and, second, the nursing care systematization. However, in educational hospital the nurses work in nursing care systematization refers to the care implementation and care management and in public hospital, just care management. In both services, we found a close relationship between work processes and educational activities nursing workers, however of instrumental character, technical; though nurses have the expectation that the educational activities be done by the educational area. We identified opportunities for change in relations between the work processes and educational activities, in experiments aimed at participatory management and teamwork, but a weak presence of thematizing completeness and continuing health education. It is needed to change the assistencial model and educational activities for workers in hospitals, in view of the comprehensive health care in addition to addressing the biological, also the dimensions of social, cultural and emotional.
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Petrie, Simon Keith. "Violence, aggression and traumatic incidents in the workplace : a study of nursing staff employed in acute in-patient psychiatric care in Royal Dundee Liff Hospital." Thesis, University of Edinburgh, 2000. http://hdl.handle.net/1842/26844.
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Nursing staff employed in acute psychiatric care are exposed to incidents of violence, aggression and trauma at a rate far higher than that of the general population. Such staff are at an increased risk of developing psychological symptomatology and/or burnout in response to such stressors. The aims of this study are to investigate the incidence of these and other stressors within a sample of nursing staff, to examine variables within this sample which might mediate or moderate the effects of such stressors, and to examine the outcomes or responses of individuals to these variables. This study investigates the relationship between these variables, and in so doing builds on existing research and models for understanding occupational stress. Semi-structured interviews and questionnaire measures were carried out with a sample of approximately sixty members of nursing staff employed in acute in-patient psychiatric care in Royal Dundee Liff Hospital. The results are discussed in the context of the current literature, and the implications of high levels of psychological symptomatology and burnout in the nursing service are considered.