scholarly journals The Use of the Nursing Interventions Classification in Identifying the Workload of a Nursing Team in a Pediatric Oncology Center

2021 ◽  
Author(s):  
Jiwen Sun ◽  
Yihan Li ◽  
Nanping Shen
Keyword(s):  
Patient Safety ◽  
Working Conditions ◽  
Pediatric Oncology ◽  
Nursing Interventions ◽  
Nursing Team ◽  
Workload Distribution ◽  
Time Required ◽  
Oncology Center ◽  
Accurate Indicator

The activities/interventions performed by the nursing team and the time required for their performance have become a widely discussed topic due to their impact on the quality of patient safety and staff working conditions. Nursing Interventions Classification (NIC) was used as a more accurate indicator as it identified activities/interventions. This study analyzed the workload distribution of nursing team in a pediatric oncology center.

scholarly journals Uso da preparação alcoólica para higienização das mãos

2018 ◽  
Vol 12 (2) ◽  
pp. 320
Author(s):  
Flávia Maria Derhun ◽  
Verusca Soares De Souza ◽  
Maria Antônia Ramos Costa ◽  
Liliana Yukie Hayakawa ◽  
Kelly Cristina Inoue ◽  
...  
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Health Personnel ◽  
Cross Infection ◽  
Nursing Team ◽  
Enhance Patient Safety ◽  
Level Of Knowledge ◽  
Time Required ◽  
Nursing Professionals ◽  
Structured Questionnaire

RESUMOObjetivo: verificar o conhecimento de profissionais de enfermagem sobre a fricção antisséptica das mãos com preparação alcoólica. Método: estudo quantitativo, descritivo e exploratório realizado com 27 profissionais de enfermagem de um hospital de operadora de plano privado de saúde, que preencheram um questionário semiestruturado. O nível de conhecimento foi analisado com base no Índice de Positividade e considerado satisfatório quando os acertos foram ≥80%. Os resultados foram apresentados em tabelas. Resultados: para as questões sobre a cobertura das mãos com o produto e necessidade de secagem após fricção, o conhecimento foi satisfatório (92,6% e 85.2%, respectivamente); mas, para o tempo mínimo do procedimento e necessidade das mãos estarem previamente secas foi insatisfatório (18.5% e 59.3%, respectivamente). Conclusão: o conhecimento da equipe de enfermagem foi insuficiente. Este estudo chama a atenção para a necessidade de ações de educação permanente sobre higienização das mãos com a preparação alcoólica a fim de fortalecer a cultura de segurança do paciente. Descritores: Segurança do Paciente; Infecção Hospitalar; Controle de Infecções; Pessoal de Saúde; Equipe de Enfermagem; Higiene das Mãos.ABSTRACTObjective: to determine nursing professionals’ knowledge about alcohol-based hand rub for hand hygiene. Method: descriptive, exploratory and quantitative study conducted with 27 nursing professionals of a hospital belonging to a private health plan provider, who completed a semi-structured questionnaire. The level of knowledge was assessed based on the index of positivity. Correct answers ≥80% were considered satisfactory. The results are presented in tables. Results: for questions addressing the full coverage of hands with the product and the need of drying the hands after rubbing, the knowledge was satisfactory (92.6% and 85.2%, respectively); however, for the minimal time required by the procedure and need of having the hands dried prior to the procedure, the answers were unsatisfactory (18.5% and 59.3%, respectively). Conclusion: nursing professionals’ level of knowledge was insufficient. This study draws attention to the need for continuing education on hand hygiene using alcoholic preparations in order to enhance patient safety. Descriptors: Patient Safety; Cross Infection; Infection Control; Health Personnel; Nursing Team; Hand Hygiene.RESUMENObjetivo: verificar el conocimiento de los profesionales de enfermería acerca del lavado de manos con preparación alcohólica. Método: estudio descriptivo, exploratorio y cuantitativo llevado a cabo con 27 profesionales de enfermería de un hospital perteneciente a una compañía privada de plan de salud, quienes respondieron un cuestionario semiestructurado. Se analizó el nivel de conocimiento basado en el índice de positividad y considerando satisfactorio ≥80% de respuestas correctas. Los resultados se presentan en tablas. Resultados: para preguntas acerca de la cobertura completa de las manos con el producto y la necesidad de secado de ellas después del lavado, el conocimiento fue satisfactorio (92.6% y 85,2%, respectivamente); pero, sobre el tiempo mínimo de realización del procedimiento y la necesidad de que las manos estuviesen previamente secas fue insatisfactorio (18.5% y 59,3%, respectivamente). Conclusión: el conocimiento del personal de enfermería fue insuficiente. Este estudio llama la atención sobre la necesidad de educación permanente sobre la higiene de las manos con una preparación alcohólica con el fin de fortalecer la seguridad del paciente. Seguridad del Paciente; Infeccion Hospitalaria; Control de Infecciones; Personal de Salud; Grupo de Enfermería; Higiene de las Manos.

scholarly journals A Identificação do paciente no alcance de práticas seguras: concepções e práticas

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Andréia Guerra
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Descriptive Study ◽  
Quality And Safety ◽  
Patient Identification ◽  
Nursing Team ◽  
Study Sites

Objetivo: Avaliar as dificuldades, ações e estratégias realizadas pela equipe de enfermagem para alcançar a meta de segurança de identificação dos pacientes em uma unidade de internação de um hospital filantrópico. Método: estudo descritivocom abordagem qualitativa. A coleta de dados foi realizada de junho a julho de 2016, por meio de entrevistas, com roteirosemiestruturado, com vinte profissionais da equipe de enfermagem. Resultados: foram construídas três categorias temáticas: Identificação do Paciente: concepções, ações e dificuldades vivenciadas; Identificação do Paciente: riscos existentes;Estratégias para desenvolver a cultura de segurança do paciente. Conclusão: evidenciou-se a falta de cultura de segurançado paciente nos locais de estudo. Surge a necessidade de criar estratégias educativas que possibilitem uma melhor capacitação, planejamento e organização das ações, assim como as notificações de eventos adversos garantindo qualidade esegurança aos pacientes.Palavras chave: Segurança do Paciente. Qualidade da Assistência à Saúde. Cultura Organizacional. ABSTRACTObjective: To evaluate the difficulties, actions and strategies carried out by the nursing team in order to achieve the goalof identifying patients in an inpatient unit of a philanthropic hospital. Method: descriptive study with qualitative approach.Data collection was carried out from June to July of 2016, through interviews, with semi-structured script, with twentyprofessionals of the nursing team. Results: three thematic categories were constructed: Patient Identification: conceptions,actions and difficulties experienced; Patient identification: existing risks; Strategies for developing a patient safety culture.Conclusion: the lack of safety culture of the patient in the study sites was evidenced. The need to create educationalstrategies that allow better training, planning and organization of actions, as well as the notifications of adverse events,guaranteeing quality and safety to the patients.Keywords: Patient Safety. Quality of Health Care. Organizational Culture

scholarly journals O que significa trabalhar em hospital acreditado? Percepções da equipe de enfermagem

2018 ◽  
Vol 12 (6) ◽  
pp. 1524
Author(s):  
Aline Togni Braga ◽  
Mileide Morais Pena ◽  
Inahiá Pinhel
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Patient Safety ◽  
Health Care Quality ◽  
Care Patient ◽  
Care Quality ◽  
Hospital Accreditation ◽  
Health Care Quality Assurance ◽  
Nursing Team

RESUMOObjetivo: conhecer a percepção acerca do processo de Acreditação no cotidiano da equipe de Enfermagem de um hospital universitário nas dimensões avaliativas de estrutura, processo e resultado. Método: estudo quantitativo, exploratório e descritivo, com 563 profissionais. Para a coleta de dados, utilizou-se a Escala de Likert e o tratamento dos dados foi realizado por meio de estatística descritiva e o teste Alpha de Cronbach. Resultados: na análise dos resultados, observou-se que a equipe de Enfermagem demonstrou percepção com maior grau de favorabilidade para a dimensão de processo, com escore médio 0,7463 (dp±0,1466); seguida pelas dimensões resultado, com 0,7256 (dp±0,1804), e estrutura, com 0,6800 (dp±0,1714), evidenciando que os benefícios derivados da Acreditação Hospitalar são reconhecidos pelos membros da equipe de Enfermagem. Conclusão: os escores menos favoráveis residiram na dimensão estrutura, requerendo maior atenção dos gestores, tendo em vista que uma estrutura mais adequada aumenta a probabilidade de uma assistência de melhor qualidade. O estudo permitiu compreender o contexto da Acreditação Hospitalar no ambiente da prática sugerindo possíveis intervenções para a melhoria desse processo. Descritores: Acreditação Hospitalar; Qualidade, Acesso e Avaliação da Assistência à Saúde; Garantia da Qualidade dos Cuidados de Saúde; Qualidade da Assistência à Saúde; Segurança do Paciente; Enfermagem.ABSTRACTObjective: to get to know the perception about the Accreditation process in the routine of the Nursing team of a university hospital in the evaluative dimensions of structure, process and outcome. Method: a quantitative, exploratory and descriptive study, with 563 professionals. For the data collection, the Likert Scale was used and data treatment was carried out using descriptive statistics and the Cronbach Alpha test. Results: in the analysis of the results, it was observed that the Nursing team showed a perception with a higher degree of favorability for the process dimension, with a mean score of 0.7463 (sd ± 0.1466); followed by the result dimensions, with 0.7256 (sd ± 0.1804), and structure, with 0.6800 (sd ± 0.1714), showing that the benefits derived from Hospital Accreditation are recognized by the members of the Nursing team. Conclusion: less favorable scores resided in the structure dimension, requiring more attention from managers, since a more adequate structure increases the probability of better quality care. The study allowed for the understanding on the context of Hospital Accreditation in the environment of the practice suggesting possible interventions to improve this process. Descriptors: Hospital Accreditation; Quality, Access and Evaluation of Health Care; Quality Assurance of Health Care; Quality of Health Care; Patient safety; Nursing. Descriptors: Hospital Accreditation; Health Care Quality, Access, and Evaluation; Quality of Health Care; Quality Assurance Health Care; Patient Safety; Nursing.RESUMENObjetivo: conocer la percepción acerca del proceso de Acreditación en el cotidiano del equipo de Enfermería de un hospital universitario en las dimensiones evaluativas de estructura, proceso y resultado. Método: estudio cuantitativo, exploratorio y descriptivo, con 563 profesionales. Para la recolección de datos, se utilizó la Escala de Likert y el tratamiento de los datos fue realizado por medio de estadística descriptiva y la prueba Alpha de Cronbach. Resultados: en el análisis de los resultados, se observó que el equipo de Enfermería demostró percepción con mayor grado de favorabilidad para la dimensión de proceso con puntaje medio 0,7463 (dp ± 0,1466); seguido por las dimensiones resultado, con 0,7256 (dp ± 0,1804), y estructura, con 0,6800 (dp ± 0,1714), evidenciando que los beneficios derivados de la Acreditación Hospitalaria son reconocidos por los miembros del equipo de Enfermería. Conclusión: los puntajes menos favorables residían en la dimensión estructura, requiriendo una mayor atención de los gestores, teniendo en vista que una estructura más adecuada aumenta la probabilidad de una asistencia de mejor calidad. El estudio permitió comprender el contexto de la Acreditación Hospitalaria en el ambiente de la práctica, sugiriendo posibles intervenciones para la mejora de ese proceso. Descriptores: Acreditación de Hospitales; Calidad, Acceso y Evaluación de la Atención de Salud; Calidad de la Atención de Salud; Garantía de la Calidad de Atención de Salud; Seguridad del Paciente; Enfermería.

scholarly journals Cuidamos dos outros, mas quem cuida de nós? Vulnerabilidades e implicações da COVID-19 na enfermagem

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Delmair Oliveira Magalhães Luna Filha ◽  
Beatriz De Castro Magalhães ◽  
Mauro Mccarthy de Oliveira Silva ◽  
Grayce Alencar Albuquerque
Keyword(s):  
Working Conditions ◽  
Structural Changes ◽  
Health Workers ◽  
Protective Equipment ◽  
Factors Associated ◽  
Nursing Team ◽  
Current Scenario ◽  
Nursing Professionals ◽  
Nursing Professional

Resumo Objetivo: refletir sobre os fatores associados à vulnerabilidade do profissional de enfermagem e as repercussões na assistência durante a pandemia COVID-19. Método: ensaio teórico de cunho reflexivo, oriundo de estudos e debates referentes à vulnerabilidade dos profissionais de enfermagem, enquanto trabalhadores da saúde, e aproximação desta condição com o cenário atual de enfrentamento à pandemia da COVID-19.  Resultados: a pandemia do novo coronavírus expôs a vulnerabilidade que já assolava os profissionais de enfermagem frente à desvalorização da profissão, salários baixos, subdimensionamento da equipe de enfermagem, cargas horárias exorbitantes e condições de trabalho insatisfatória, com escassez de equipamentos de proteção individual; e que em conjunto, elevam a susceptibilidade à contaminação pelo COVID-19, adoecimento mental e redução da qualidade da assistência prestada. Considerações finais: com elevada vulnerabilidade ao adoecimento e contaminação, percebe-se a necessidade emergencial de mudanças estruturais no que concerne a valorização da enfermagem.Descritores: Equipe de Enfermagem; Pandemias; Assistência à Saúde; Saúde do trabalhador.WE CARE FOR THE OTHERS, BUT WHO CARES FOR US?VULNERABILITIES AND IMPLICATIONS OF COVID-19 IN NURSINGObjective: to reflect on the factors associated with the vulnerability of the nursing professional and the repercussions in care during the COVID-19 pandemic. Method: a theoretical essay of reflective nature, coming from studies and discussions relating to the vulnerability of nursing professionals, while health workers, and approximation of this condition with the current scenario of coping with the COVID-19 pandemic. Results: the pandemic of the new coronavirus exposed the vulnerability that has already been ravaging nursing professionals facing the devaluation of the profession, low wages, under-dimensioning of the nursing team, exorbitant hourly loads and poor working conditions, with a scarcity of personal protective equipment, which, together, increase the susceptibility to contamination by COVID-19, mental illness and reduced quality of assistance provided. Final Thoughts: with high vulnerability to illness and contamination, there is the urgent need for structural changes concerning the enhancement of nursing.Descriptors: Nursing, Team; Pandemics; Delivery of Health Care; Occupational Health.CUIDAMOS DE LOS DEMÁS, SINO ¿QUIÉN CUIDA DE NOSOTROS? VULNERABILIDADES Y CONSECUENCIAS DE LA COVID-19 EN ENFERMERÍA Objetivo: reflexionar sobre los factores asociados a la vulnerabilidad de los profesionales de enfermería y las repercusiones en la atención durante la pandemia COVID-19. Método: un ensayo teórico de naturaleza reflexiva, procedente de estudios y debates relativos a la vulnerabilidad de los profesionales de enfermería, en cuanto trabajadores de salud, y la aproximación de esta condición con el actual escenario de enfrentamiento de la pandemia del COVID-19. Resultados: la pandemia del nuevo coronavirus puso de manifiesto la vulnerabilidad que ha asolado a los profesionales de enfermería frente a la devaluación de la profesión, los bajos salarios, la falta de dimensionamiento del equipo de enfermería, exorbitantes cargas horarias y las malas condiciones de trabajo, con una escasez de equipamiento de protección individual, que, juntos, aumentan la susceptibilidad a la contaminación por COVID-19, enfermedad mental y disminución de la calidad de la asistencia prestada. Consideraciones finales: con un alto grado de vulnerabilidad a la enfermedad y a la contaminación, hay una necesidad urgente de cambios estructurales en lo que se refiere a la mejora de la enfermería.Descriptores: Grupo de Enfermería; Pandemias; Prestación de Atención de Salud; Salud Laboral.

Heat Transfer Enhancement in Separation Process of Ethanol from Ethanol Water Mixture by Using Surfactants

2020 ◽  
pp. 9-14 ◽  
Author(s):  
Acharya Anil Ramchandra ◽  
R. Kadam ◽  
A. T. Pise
Keyword(s):  
Heat Transfer ◽  
Ammonium Chloride ◽  
Sodium Dodecyl ◽  
Water Mixture ◽  
Transfer Enhancement ◽  
Surface Tension Reduction ◽  
Surface Active Agents ◽  
Surface Active ◽  
Time Required

Here the investigations are done while distillation of ethanol-water mixture for separating ethanol from fermentation process. Focus is to study reduction in time required and hence saving in energy for the distillation process of ethanol-water mixture under the influence of surface-active agents (Surfactants). This novelty is from observation of these surfactants to enhance heat transfer rate because of surface tension reduction in aqueous solutions. SDS (Sodium Dodecyl Sulphate), NH4Cl (Ammonium Chloride) and SLBS (Sodium lauryl benzene sulphonate) surfactants in different concentration are experimented. The concentration of these surfactant is varied from 1700 ppm to 2800 ppm. This range is decided by observing critical micelle concentration of used surfactants. Results showed that time is reduced and hence energy consumption is also reduced. Results shown by NH4Cl are found to be more useful as it is ecofriendly surfactant which is not affecting ethanol-water mixture. Use of ammonium chloride as surfactant in distillation is actually useful to reduce energy without hampering the quality of process is the novelty of this work.

scholarly journals Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047102
Author(s):  
Gemma Louch ◽  
Abigail Albutt ◽  
Joanna Harlow-Trigg ◽  
Sally Moore ◽  
Kate Smyth ◽  
...  
Keyword(s):  
Learning Disabilities ◽  
Patient Safety ◽  
Adverse Events ◽  
Grey Literature ◽  
Good Practice ◽  
Hospital Setting ◽  
Eligibility Criteria ◽  
Infant Outcomes ◽  
Safety Outcomes

ObjectivesTo produce a narrative synthesis of published academic and grey literature focusing on patient safety outcomes for people with learning disabilities in an acute hospital setting.DesignScoping review with narrative synthesis.MethodsThe review followed the six stages of the Arksey and O’Malley framework. We searched four research databases from January 2000 to March 2021, in addition to handsearching and backwards searching using terms relating to our eligibility criteria—patient safety and adverse events, learning disability and hospital setting. Following stakeholder input, we searched grey literature databases and specific websites of known organisations until March 2020. Potentially relevant articles and grey literature materials were screened against the eligibility criteria. Findings were extracted and collated in data charting forms.Results45 academic articles and 33 grey literature materials were included, and we organised the findings around six concepts: (1) adverse events, patient safety and quality of care; (2) maternal and infant outcomes; (3) postoperative outcomes; (4) role of family and carers; (5) understanding needs in hospital and (6) supporting initiatives, recommendations and good practice examples. The findings suggest inequalities and inequities for a range of specific patient safety outcomes including adverse events, quality of care, maternal and infant outcomes and postoperative outcomes, in addition to potential protective factors, such as the roles of family and carers and the extent to which health professionals are able to understand the needs of people with learning disabilities.ConclusionPeople with learning disabilities appear to experience poorer patient safety outcomes in hospital. The involvement of family and carers, and understanding and effectively meeting the needs of people with learning disabilities may play a protective role. Promising interventions and examples of good practice exist, however many of these have not been implemented consistently and warrant further robust evaluation.

Working Conditions and Special Educators’ Reading Instruction for Students With Emotional and Behavioral Disorders

2021 ◽  
pp. 001440292199982
Author(s):  
Hannah Morris Mathews ◽  
Jennifer L. Lillis ◽  
Elizabeth Bettini ◽  
David J. Peyton ◽  
Daisy Pua ◽  
...  
Keyword(s):  
Reading Instruction ◽  
Behavioral Disorders ◽  
Working Conditions ◽  
Special Educators ◽  
Emotional And Behavioral Disorders ◽  
Collegial Support ◽  
Instruction Time ◽  
Role Conceptions ◽  
Students With Ebd

Working conditions may be an important lever to support special educators’ reading instruction for students with emotional and behavioral disorders (EBD). Thus, we explored how working conditions relate to the quality of special educators’ reading instruction in upper-elementary, self-contained classes for students with EBD. Using mixed methods to examine video observations of reading instruction and varied data sources on working conditions, we found that special educators who provided stronger instruction had a partner coleading their program, and consistent paraprofessionals, with time and support for training. Partners and paraprofessionals, together, protected special educators’ instruction time. Other conditions (i.e., material resources, role differentiation, role conceptions, planning time) emerged as potentially important, but evidence was less robust. Results indicate partners and paraprofessionals may be important forms of collegial support. These findings have important implications for improving the quality of instruction in self-contained settings for students with EBD.

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