The activity of the nurse manager is extremely bureaucratic, and seen by the Nursingteam as hierarchical, contributing to distance the manager from the conviviality with the team. The professionals recognize that the job requires a lot from those who work in such position, mainly knowledge and skills related not only to clinical practice but also to contextually dependent activities such as teamwork, conflict resolution among others.
Objective: to evaluate the patient safety culture from the perspective of the nursingteam. Methods: cross- sectional design, survey-type inquiry performed with 221 nursing professionals from a University Hospital. The instrument used was the Hospital Survey on Patient Safety Culture. The Kolmogorov-Smirnov test, the Spearman’s correlation coefficient and the Cronbach’s alpha coefficient were used in the analyses. Results: the patient safety culture has been moderately developed; teamwork within units corresponded to a strong area (75.5%) and the nonpunitive response to errors corresponded to an area for improvement (47.0%). It was observed that the greater the impression of nonexistence of problems and adequacy of the implanted systems, the better the rating assigned to the hospital. Conclusion: patient safety culture is in the process of development; the dimension with more positive answers was teamwork within units and, the one with less positive answers was nonpunitive response to errors.
To evaluate DNA damage in lymphocytes and cognitive deficits in a nursingteam occupationally exposed to ionizing radiation in a university hospital in southern Brazil. Method: Cross-sectional study, case-control design, included 79 women working in a nursingteam in Hemodynamics, Radiology, Ambulatory and Midwifery Units. They were classified in two groups: 1_Exposed to ionizing radiation, n=38 (Hemodynamics and Radiology Units) and 2_Unexposed to ionizing radiation, n=41 (Ambulatory and Midwifery Unit). Blood was collected and DNA damage in lymphocytes was analyzed using the comet assay and micronucleus test (MN). The cells were classified according to the damage frequency (DF) and index (DI) based on the comet tail size. Cognition was also evaluated according to the scores obtained in Stroop test, the digit and word span. No difference was found for the variables DI, DF, MN, Stroop_word, Stroop_color, Stroop_color/word between the groups. However, when the groups were analyzed independently of their exposure condition, the damage index in the Hemodynamics was lower than in all other Units. The damage frequency in Midwifery Unit was higher than in Ambulatory and Hemodynamics. The frequency of micronucleus was not different among the employees from the four Units. DNA damage in lymphocytes did not differ between nursing teams occupationally exposed or not exposed to ionizing radiation. However, higher damage in a non exposed group may indicate other risks to the healthcare team.
In specific situations - such as in cases of interpersonal conflicts between the nursingteam, which directly interfe- re with the continuity of care - some attitudes may be the best way to solve the stressors. Among them, the nurse’s positioning was highlighted, which should be carried out in a participative, dialogical and flexible way among the team. This stimulated the sharing of the difficulties expe- rienced, potentialities, proposing suggestions for the im- provement of the work of the group and the resolution of adverse situations, examples of active coping strategies to avoid the occurrence of work stress (15) .
Concerning the employment relationship for the nursingteam, there are advantages and disadvantag- es in reducing absenteeism. For tenured employees, the benefits lie in the fact that they have a number of benefits, mainly stability, but the disadvantages are related to the difficulty of nurses to manage a team of employees considered “stable”, being sup- ported by a statute, and the process of conduct in cases of absence or failure becomes bureaucratic. That way, many servers end up missing work with- out justification and this results in overworking other employees.
Objective: To knowing the perception of the nursing staff of a unit of chemotherapy about care. Method: A descriptive and qualitative study, performed in a hospital of a general philanthropic and private character in Vitória/Espírito Santo, Brazil. The participants were eight nurses working in the unit. The data were recorded and collected through a semi-structured interview with the following question: What is care for you? Results: For the analysis of information followed the steps recommended for thematic analysis, resulting in structuring the analytical category called: Nursing care in chemotherapy. Conclusion: The results indicate that care requires much more than technical scientific knowledge, it requires understanding of the background of your individuality, from an interpersonal valuation of the human person, therefore contributing with the process of humanization of care. Descriptors: Caring, Oncologic patient, Nursingteam.
Objective: To understand the concept of humane neonatal care in view of the nursing staff. Method: this is a qualitative study that used for data collection to semi-structured interviews with 23 members of nursing staff in a NICU of a university hospital in the city of Curitiba in the first half of 2010. Results: Four categories were obtained through content analysis. Conclusion: it was noted that professionals recognize the importance of the presence of parents with newborns, providing humane care of the nursing staff to the newborn. Descriptors: Humanization of assistance, Nursingteam, Professional-family relations, Neonatal nursing.
Objective: To discuss the perceptions of the nursingteam about oral hygiene of hospitalized dependent patients. Method: this is a descriptive and qualitative study, performed in the medical and surgical clinics of a hospital in the countryside of Bahia, between March and July of 2006. The data were collected through a semi-structured interview, applied to seventeen participants and complemented by structured observation. Results: after an analysis of thematic content, emerged three categories that say: oral hygiene is an important care to patients; oral hygiene avoids discomfort of the team providing care; and oral hygiene may be delegated to the family. Conclusion: In studied context, there is no protocol to administer oral hygiene; the oral odors define their periodicity, oral hygiene is performed by family members; and the nurses do not participate directly in such care. Descriptors: Nursing care, Hospitalization, Nursingteam, Oral hygiene, Disabled people.
The nursingteam welcomes families with necessary guidelines regarding institutional routines and doubts about the disease and treatment, resulting in an approximation between professionals and families, which strengthens the affective bonds, as well as attenuates negative effects of hospitalization. This demonstrates the commitment and awareness of some professionals, as evidenced: Welcoming the mother during hospitalization favors the bond between mother and baby (N8). Welcoming the newborn and their family upon admission strengthens communication (T9). I transmit care and zeal to the newborn to provide safety to the mother (T18) .
Objective: to analyze the adhesion of the nursingteam to the practice of hands hygiene (HH) and the use of latex gloves in a hemodialysis service. Method: this is a descriptive-exploratory study with a quantitative approach, performed between August and October 2016 in a hemodialysis service in the countryside of São Paulo State, Brazil, where the nursingteam adhered to HH and the use of gloves. All ethical aspects have been contemplated. Results: there were 1090 opportunities for HH, with the adhesion rate being only 16.6%. Regarding the use of gloves, of the 510 opportunities observed, there was correct use in 45%, reuse in 25% and absence of latex gloves in 29% of the time. Conclusion: the rate of HH and adherence to gloves is far from ideal, contributing to the increased risk of infection for both the user and the professional.
The formulary used, of self-completion type, was composed by sociodemographic variables for characterization of the sample, and contained 42 closed questions distributed in eight blocks, with a Likert scale that offered three response options (yes, no and I don't know). In this study, results concerning three blocks of questions (18 questions in total) will be presented: (1) policies written in the hospital documents; (2) nursingteam practices in the work unit and (3) health team practices as a whole in the work unit. The place where the study was carried out had not institutional documents to describe the PFCC as a model or care concept to guide the organizational processes and the assistance practice. However, since 2014, pediatric and maternal-infant units (Group I) have been going through an internal process for inclusion of the families in the care, with actions of awareness of the nursingteam of the theme, as part of a managerial goal to the PFCC implementation in a consolidated way. Therefore, it has been made a comparison of perceptions between the Groups I and II in the data analysis.
is that, soon after the implementation, participation in meetings and decisions increased, which apparently enhanced the groups’ motivation. They report, however, that compliance with the model was strongly impaired, as the team’s training/orientation about the premises guiding collective action was incipient. Thus, the nursingteam knew neither whom to report to, nor the responsibilities of each member in the management group. This important inding is closely related with the more imposing attitude of the people who idealized the proposal, who implemented it independently of the need the multidisciplinary team perceived. This means that, despite knowing and experience the care dificulties the institution had been going through at the time of the implementation, all professional categories were unaware of the organizational set that contribute to or even enhanced these dificulties.
Objective: The aim of this study was to analyze the understanding of the nursing staff on the educational processes experienced by her in a psychiatric hospital. Method: The methodological course was conducted in the light of Institutional Analysis, through participant observation and focus groups with nursing staff. CAAE 0130.0.258.000-10. Results: The focus group participants mentioned that there needs to be: the time available to participate in educational spaces, more institutional investment, co-responsibility in the formation of a multidisciplinary team of nursing professionals. Themed show that every aspect of education requires a particular device. Conclusion: The organization of educational activities for nursing staff in the psychiatric hospital study should be built by co-workers, people with psychological distress, family members and managers to search for processes of change in the care and responsible work. Need to consider strategies to over come fear or resistance to change, without showing the increase in response. Descriptors: Psychiatric nursing, Mental health, Education continuing, Autoanalysis.
To capture the communicative process of nursing, nurses were observed while per- forming the arterial puncture, and technicians and nursing assistants in the execution of the heel-lancing in both daytime and nighttime periods. At this point, we used an observational script developed by the authors to evaluate the verbal communication (speech) of the profes- sional toward the NBs, before, during and after the painful procedure. The professionals were observed throughout the period from the prepa- ration of the material to be used in the procedure at the time of puncture, until the stabilization of physiological parameters. The data relating to verbal communication were analyzed from the speech, based on content analysis, and were found to consist of three stages: organization and systematization of ideas, material explora- tion, and treatment of the results, inference and interpretation (10) .
The complex action of deconstructing concepts pro- posed by the Brazilian Psychiatric Reform does not occur solely in the community domain. Those most responsible for the mistaken opinion regarding the mental disorder may be the actual health professionals. Their work environment ultimately perpetuates particular perceptions and knowl- edge which produce the social exclusion of this patient. In this context, the model advocated by the Reform aims to look to the subject and their subjectivity, considering the quotidian life of this individual, their family, school, church, clubs and other aspects. Thus, the actions of the nurses will aim for care that contemplates the totality of the sub- jects: considering them people full of feelings and inserted in a social context, with these factors used in support of their treatment. The constant search for dialogue between the nursingteam and patient serves to cultivate trust be- tween the parties, through the respect and empathy em- ployed in the care. Regardless of the clinical diagnosis, the patients feel weak in several aspects, therefore the kind of attention they receive in the hospital can contribute to an improvement in their condition, making them perceive that this communication can assist in their improvement.
and use of pharmacological and non-pharmacological meth- ods for pain relief in neonates. The instrument was devel- oped and administered by the researchers themselves to the professionals from the nursingteam who worked in the neo- natology area, in the period August -September 2008, after approval from the respective administrations of the hospitals and authorization from the Committee for Ethics in Research Involving Human Beings of the Federal University of Alfenas (UNIFAL-MG) - Protocol n° 23087.001170/2008-60, in line with Resolution 196/96 of the National Health Council (NCS).
Objective: analyze healthcare and managerial indicators after nursing personnel upsizing. Method: a retrospective, descriptive study was conducted using data from computer systems of a university hospital in southern Brazil. Healthcare and managerial indicators related to the fi rst half of 2013 and 2014 were statistically analyzed. Results: increases of 40.0% in the number of nurses and 16.0% in the number of nursing technicians led to reductions of 12.0% in the number of sickness absences, 21.8% in positive balance for compensatory time off, 92.0% in paid overtime. Reductions of 75.0% in pressure ulcer rates, 10.5% in the number of falls and 50.0% in infections due to indwelling catheter use were also observed. Conclusion: nursing staff upsizing caused a positive impact on managerial and healthcare indicators and helped qualify care and improve work conditions for the nursingteam.
In this area, studies have explored the association between the workload of the nursingteam and the quality and safety of care given to the patient, showing an inverse relationship between the nurse/patients ratio and negative effects for patients and nurses. Among the negative effects for patients: increases in the failure to rescue; increased incidence of urinary tract infection; pneumonia and upper gastrointestinal bleeding; patients’ falls and increased mortality(6-8). Furthermore, research has shown that insuficient nursing stafing cause job dissatisfaction, stress and intention of quitting the job (9-11) .
The study was developed with 19 members of the AICU nursingteam. They were interviewed in their workplace during working hours. Data were collected through semi-structured interviews with closed questions to characterize the population, identify their satisfaction at work and preparedness for delivering care to potential organ and tissue donors. Open questions were also included asking participants about stressors common to their work in the ICU, their perception about the care delivered to potential organ donors and ways they found to minimize stress during their daily routine.
Objective: To adapt the contents of the Nursing Activities Score (NAS) tool to assist patients with cancer. Method: Methodological research that according to the Delphi Technique is a method aiming at the validation of content through agreement of experts. Results: It took two rounds of opinion of experts, which added content contributions without modifying the structure and score of the original tool. The level of agreement ranged from 71 to 86%, and biological factors and assistance were more suggested: Monitoring and controls; Laboratory investigations; Support and care for family members and patients; Intravenous replacement; Renal support; Management activities. Conclusion: A high level of complexity of patients with cancer, and the demand for care and biopsychosocial-spiritual care was diagnosed. This tool will enable the measurement of the workload of the Oncology Nursingteam, which can contribute to the staffi ng dimensioning.