ABSTRACT
The pandemic has forced nursing teams to incorporate new programmes that modify the organization of care and the use of material resources. AIMS: The purpose of this study was to describe the perspectives of the nursing team about the strengths/opportunities and weaknesses/threats of a novel peer collaboration care programme during the first outbreak of the pandemic. DESIGN: A qualitative case study with focus groups was conducted in June 2020. METHODS: We included 23 participants (seven nurses, seven assistant nursing care technicians and nine charge nurses). Thematic and strengths/opportunities and weaknesses/threats analysis were performed. RESULTS: The strengths of the peer collaboration care programme are the optimization of care and protective equipment. Its weaknesses are that veteran nurses carry the entire burden, and the lack of personal protective equipment makes it difficult to implement the peer collaboration care programme. Finally, misinformation, lack of facilities and time to teach the peer collaboration care programme are considered threats. CONCLUSION: This strengths/opportunities and weaknesses/threats analysis has led to a comprehensive new project to improve the nursing care. IMPACT: The incorporation of the peer collaboration care programme contributed to the development of new organizational and management programmes for the COVID-19 pandemic. This study has gave empirical evidence to nurses and care managers to optimize and organize care, work, human and material resources during the pandemic.
Subject(s)
COVID-19 , Disease Outbreaks/prevention & control , Humans , Pandemics , Qualitative Research , SARS-CoV-2ABSTRACT
The role played by witnesses of bullying in nursing settings remains little studied, despite their potential relevance in explaining the onset and development of bullying. The objective of this study was to develop a model to account for witnesses' intention to help and helping behaviour in response to bullying in a nursing setting. Three hundred and thirty-seven witnesses completed self-report measures of variables predicting intention to help and helping behaviour. A full structural model was constructed using structural equation modelling. The intention to help victims was elicited by tension, group identity, support to peers' initiative to intervene and absence of fear of retaliation. However, engagement in helping behaviour was only predicted by the absence of fear of retaliation. This study shows that witnesses of bullying in nursing settings do not remain impassive, but their experienced discomfort and intention to help victims is not sufficient to predict helping behaviour. Fear of possible retaliation if intervening in favour of victims constitutes a crucial factor explaining witnesses' hesitation to help victims. Several implications for the implementation of policies directed at eradicating bullying in nursing settings are discussed.
Subject(s)
Bullying/prevention & control , Fear/psychology , Helping Behavior , Intention , Nursing Staff, Hospital/psychology , Humans , Social Responsibility , Social Stigma , Surveys and QuestionnairesABSTRACT
El siguiente trabajo presenta una revisión sobre el constructo "incivismo" en el lugar de trabajo. Se retoma el origen de este constructo, las definiciones, conceptos, diferencias con otros constructos de comportamientos contraproducentes en el trabajo, el proceso de escalada en forma de espiral que se puede dar para transformarse en otras formas más severas de conflicto laboral como mobbing, entre otros. Igualmente, se hace mención de las características personales y organizacionales que fomentan el "incivismo" en el lugar de trabajo, las estrategias organizacionales para prevenirlo y los instrumentos y estudios relacionados con el tema hasta el momento. Por último, se hace referencia del impacto de este nuevo constructo sobre el bienestar de la persona y la organización al considerársele como un nuevo factor de estrés laboral.
The following paper presents a review about the construct of Workplace Incivility. The origin of this construct, its definitions, concepts and differences with other counterproductive work behavior constructs are analyzed, as well as the process of its escalation in the form of a spiral that can be transformed into other forms of job conflict such as mobbing. This article, also examines the personal and organizational characteristics that foment Workplace Incivility, the organizational strategies for preventing it and the instruments and studies related to the topic that have been developed up to the present. Finally, this review describes the impact that this new construct is having on the person's and the organizational well-being as a new factor of job distress.
Neste artigo foi revisado o construto "falta de civismo" no sítio de trabalho. Foi retomada a origem deste construto, as definições, os conceitos, as diferenças com outros construtos de comportamentos contraproducentes no trabalho, o processo de escalada em espiral que pode ocorrer para transformar-se em conflitos de trabalho mais severos, como o mobbing, entre outros. Assim mesmo são mencionadas as características pessoais e organizacionais que levam a promover a "falta de civismo" no sítio de trabalho, as estratégias organizacionais para evitá-lo e as ferramentas e estudos relacionados com este tema até hoje. Por último, se refere ao efeito deste novo construto no bem-estar da pessoa e da empresa por considerar-se um novo fator de estresse de trabalho.
Subject(s)
Humans , Male , Female , Working Conditions , Burnout, ProfessionalABSTRACT
En este artículo se presenta parte del proceso de validación al castellano de un instrumento de evaluación de la lactancia materna: el LATCH (Jensen, Wallace & Kelsay, 1994). Se exponen los datos referentes a la fiablidad de la escala en su versión traducida. Dos enfermeras (jueces) evaluaron tres momentos de lactancia a lo largo de la estancia en el hospital de 20 diadas madre-hijo post cesárea, siguiendo la estructura del LATCH. En total se obtuvieron 58 pares de evaluaciones para cada elemento de la escala. En la última evaluación previa al alta el porcentaje de acuerdo entre evaluadores supera el 80% en todos los componentes de la escala y la fiabilidad interjueces analizada a través del coeficiente de correlación de Spearman es adecuada. Sin embargo se encuentran deficiencias en la fiabilidad del elemento de la escala relativa al confort en los otros dos momentos temporales de evaluación. Se hace necesario completar el estudio con el análisis de la validez predictiva de la escala sobre la duración de la lactancia materna tras el alta hospitalaria. La utilidad del LATCH en las áreas asistencial y de investigación será comentada (AU)
This article presents the first part of the validation process of the LATCH assessment tool (Jensen, Wallace & Kelsay, 1994) into Spanish. Authors examine the interrater reliability of the scale through percent of agreement and Spearman correlation coefficients. Two nurses simultaneously assessed three breastfeeding moments of 20 mothers and their neonates during the mother's hospital stay. The evaluation previous discharge reveals the percent of agreement among the two raters for the different elements of LATCH was over 80%, and Spearman coefficients were also acceptable. However two of the three correlations for the comfort element were deficient. Further research is necessary, using the LATCH Spanish version, in order to analyse the difficulties with the comfort element, and the predictive power of the instrument on breastfeeding duration (AU)
Subject(s)
Humans , Female , Infant, Newborn , Infant , Adult , Cultural Characteristics , Breast Feeding , Surveys and Questionnaires , Translating , SpainABSTRACT
Se exponen las características y principales implicaciones de un concepto de reciente estudio: el incivismo en las organizaciones. Se trata de la interacción negativa entre profesionales basada en comportamientos de baja-media intensidad, y de una intencionalidad ambigua de causar daño. Se explica el proceso de escalamiento que puede tener lugar hacia formas más graves de violencia laboral. Además se recalca el enorme potencial que la idea tiene para la prevención de acoso psicológico. Con este objetivo se apuntan algunas formas de intervención sobre incivismo. En el ámbito sanitario apenas ha sido trabajado, y es necesario que sea considerado por parte de investigadores y supervisores(AU)
The author exposes the characteristics and the principal implications of a concept under recent study: uncivil behavior in organizations. This concept deals with the negative interaction among professionals based on low-to-medium behavior, having an ambiguous intention to cause harm. The author explains the process by which this uncivil behavior may increase which can lead to more violent forms of work place strife. Furthermore, the author emphasizes the enormous potential that this concept brings to bear on psychological harassment in the work place. With this objective in mind, the author cites some forms which can be used as intervention methods against uncivil behavior in the work place. In the sanitary field, this concept has barely been analyzed, and it is necessary for researchers and supervisors to consider it(AU)
Subject(s)
Humans , Violence/prevention & control , Social Behavior , Labor Relations , Interpersonal Relations , Interprofessional Relations , Evaluation of Results of Preventive ActionsABSTRACT
El trabajo emocional de los profesionales de Enfermería influye en la consecución de los objetivos de cuidados, por lo que tiene importantes consecuencias en el bienestar del paciente. El propósito de este trabajo consiste en la descripción del trabajo emocional realizado por el equipo de enfermería de una unidad de oncoginecología. Con el objetivo de identificar la asociación de factores sociodemográficos sobre el trabajo emocional realizado, se llevó a cabo un estudio con 18 profesionales del equipo enfermero de dicha unidad. Contestaron el cuestionario de Trabajo Emocional, elaborado por el Dr. Moreno-Jiménez (Índice de consistencia interna de 0,9002), compuesto por 5 dimensiones y 45 ítems, con una escala de respuesta Likert de cuatro puntos. No se encontraron asociaciones estadísticamente significativas, lo que podría quizás explicarse por la baja muestra utilizada. Sin embargo, se mostraron algunas tendencias interesantes sobre el papel del trabajo emocional. Por ello y debido a la importancia teórica que esta idea tiene para la Enfermería, sería aconsejable profundizar en ello
The emotional work carried out by nursing professionals has a direct effect on the attainment of careobjectives and has important consequences on the patients web-being. The purpose of this paper is to describe the emotional work carried out by a nursing team at the Oncogynecology Unit. A study on eighteen nurses working at the said unit was conducted in order toidentify the association of sociodemographic factors regarding the emotional work performed. The nursesresponded to an Emotional Work questionnaire elaborated by Dr Moreno-Jiménez (internal consistency index 0.9002), composed of 5 dimensions and 45 items, with a four-point Likert response scale. No statistically significant associations were found, which could be explained by the small sample size. Nonetheless, some interesting tendencies were identified regarding the role of emotional work. In view of the theoretical importance that this idea has on nursing, it would perhaps be advisable to carry out further studies on the subject (AU)
