Self-scheduling and staff incentives: meeting patient care needs in a neonatal intensive care unit

2001 ◽  
Vol 21 (4) ◽  
pp. 52-59 ◽  
Author(s):  
E Vetter ◽  
LD Felice ◽  
GL Ingersoll

Nursing staff and leadership in a resource-intensive NICU identified an innovative process for covering the unit's scheduling needs. Early concerns about the feasibility of achieving self-scheduling with a large staff were unwarranted. The use of a unit-based committee and the support of the nurse manager allowed us to develop a process that met the needs of the staff members and maintained the staffing standards of the unit. Contributing to the success of the self-scheduling is a mechanism for recognizing and rewarding staff members who adjust their work schedules to meet the needs of the unit. Satisfaction among staff members with self-scheduling is high, and new employees cite the opportunity for self-scheduling as a contributing factor in their decisions to work in the NICU.

Author(s):  
Tara Qavi ◽  
Lisa Corley ◽  
Steve Kay

This research gauged nursing staff acceptance of a videoconferencing system within a Neonatal Intensive Care Unit (NICU) and identified a set of recommendations to be integrated into system design to maximize usability of the system by nursing end users. Both qualitative and quantitative data was collected through interview and questionnaire methods, designed to elicit system requirements from the nursing staff perspective. It is argued that videoconferencing should not substitute the physical tradition in which neonatal infants are monitored, nor be seen as a replacement for face-to-face communication. However, videoconferencing may provide a workable alternative when face-to-face communication is not possible. In particular, clinical and medical staff should maintain control over the operation of video links at all times.


2019 ◽  
pp. 30-39 ◽  
Author(s):  
Maria Helena Rubio Grillo

Background: The following article constitutes an effort to make explicit an experience in neonatology within the framework of the exercise of occupational therapy, a discipline belonging to the health sciences. The occupational therapist (OT) in the Neonatal Intensive Care Unit in which he participates in an interdisciplinary health group. Exalts the interaction of person-environment-occupation-performance. Encourage self-regulation of the baby. Encourages family participation in co-participation in routine activities. Objective: To determine the realities and knowledge about the practice of OT in the Neonatal Intensive Care Unit (NICU) by the occupational therapist in the interaction between the baby, the occupation, the caregivers and the environment of the NICU. Methods: A systematic exploratory review of the performance of the OT in the NICU was made. Results: The results transcended the thematic variables, the theories, the methods, the approaches, the characteristics of the baby, the occupations, and the contexts of the management of the premature baby. Conclusion: The education in concepts concerning the occupation of the baby, the interaction with her/his environment and her/his caregivers, the procedures, the guide for the stimulation as the modification of the physical, temporal and social environment facilitate the self-regulation of the baby and we will all be working in pro of your recovery.


2014 ◽  
Vol 23 (1) ◽  
pp. 185-192 ◽  
Author(s):  
Raquel Alves Cordeiro ◽  
Roberta Costa

This is a convergent care study with the aim to build, together with the nursing staff, a proposal for care protocol based on non-pharmacological methods for discomfort and pain management in newborns admitted to a neonatal intensive care unit. The study was carried out in a neonatal intensive care unit of a university hospital with 16 nursing staff professionals. Data were collected in two stages: first, a reflective-educational process was performed and, afterwards, a participant observation during the different work shifts of the nursing staff. The care protocol proposal will enable the standardization of care strategies for pain management in newborns using non-pharmacological methods. Furthermore, it will contribute to provide better care in the neonatal unit, reducing pain and discomfort experienced during hospitalization, as well as resulting in fewer consequences and better quality of life for the newborns and their families.


2012 ◽  
Vol 20 (2) ◽  
pp. 325-332 ◽  
Author(s):  
Fernanda Maria Togeiro Fugulin ◽  
Ana Cristina Rossetti ◽  
Carolina Martins Ricardo ◽  
João Francisco Possari ◽  
Maria Cristina Mello ◽  
...  

This study aimed to evaluate the parameters established in COFEN Resolution 293/04 concerning nursing staff dimensioning in adult intensive care units (AICU). The research was conducted in six hospitals in São Paulo City. The daily quantitative average of professionals needed for patient care was calculated according to the parameters established by COFEN. The obtained results were compared with the existing number of daily staff members in these units. It was observed that the proportions recommended by COFEN for the nurse category are superior to those used in the hospitals studied, which represents a challenge for Brazilian nursing. Mean care time values were found appropriate and represent important standards for dimensioning the minimum number of professionals in AICU. This study contributed to the validation of the parameters indicated in Resolution 293/04 for nursing staff dimensioning in the AICU.


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