ABSTRACT
Objetivo. Conocer la percepción del clima laboral del personal sanitario de los diferentes bloques quirúrgicos del Hospital Universitari Vall dHebron (HUVH). Diseño. Estudio observacional, descriptivo y transversal. Ámbito de estudio. Las cuatro áreas quirúrgicas del HUVH en 2014. Sujetos del estudio. Profesionales sanitarios del bloque quirúrgico del HUVH. Se repartieron 138 cuestionarios, de los que 88 se consideraron válidos. Variables. Sexo, edad, categoría profesional, área laboral, años trabajados en el área quirúrgica (AQ) y nivel de carrera profesional. Se valoró la percepción del clima social con la escala WES, y se realizó un análisis descriptivo de las variables, media y DE o mediana y mínimo/máximo según su distribución, y cualitativas con frecuencias absolutas y porcentajes. Se utilizaron la prueba de Kruskal-Wallis y el ANOVA para la asociación entre las variables de interés. Resultados. La estabilidad es prácticamente igual en las cuatro áreas, ligeramente superior en la unidad de cirugía sin ingreso (UCSI) y hubo, levemente, más incomodidad en el área materno-infantil (AMI). No existe relación entre el área laboral y la autonomía (F = 0.1; p = 0.959), la organización (F = 0.94; p = 0.424), claridad (F = 0.03; p = 0.992), control (F = 0.56; p = 0.64) e innovación (F = 1.13; p = 0.34). Se revisaron las pruebas posthoc de Scheffé para las relaciones. Conclusión. Existe más implicación en el AMI que en el área general (AG) y que en la de trauma (ATR). Hay más cohesión en el AMI que en la UCSI y en el ATR, y entre el AG y el ATR. El menor apoyo se percibe en el área de trauma. La presión se percibió como menor y el confort es mayor entre los trabajadores de la UCSI (AU)
Objective. To know the perception of the work environment climate among the health staff between all the surgical areas at Hospital Universitari Vall dHebron (HUVH). Design. Observational, descriptive and transversal research. Study setting. The HUVHs four surgical areas in 2014. Study subjects. HUVHs surgical block of health healthcare professionals. 138 questionnaires were delivered, 88 of which could actually be considered valid and thus taken into account in the present study. Variables. Sex gender, age, professional status, workplace, years worked in the surgical area (AQ), and career level. The perception of social climate with the WES scale was assessed performed after a descriptive analysis of the variables, mean and SD or median and minimum/maximum according to their distribution and qualitative variables with absolute frequencies and percentages. Kruskal Wallis and ANOVA for the association between the variables of interest were calculated. Results. Stability is almost the same in all four areas, slightly higher in the outpatient surgery unit (OS) and slightly more discomfort is perceived in the mother and child area (MCA). There is no relationship between the workplace and autonomy (F = 0.1; p = 0.959), organization (F = 0.94; p = 0.424), clarity (F = 0.03; p = 0.992), monitoring (F = 0.56; p = 0.64) and innovation (F = 1.13; p = 0.34). Post hoc Scheffé test for relations were reviewed. Conclusions. There is more involvement in the MCA than in the general (GA) and trauma (TRA). There are more cohesion in MCA that OS and TRA and also more in GA that TRA. The least support is perceived in the trauma area. Less pressure is perceived and comfort is higher among OS workers (AU)
Subject(s)
Humans , Surgery Department, Hospital , Job Satisfaction , Operating Rooms , 16360 , Health Personnel/statistics & numerical data , Surveys and QuestionnairesABSTRACT
Objective: To know the perception of the work environment climate among the health staff between all the surgical areas at Hospital Universitari Vall d'Hebron (HUVH). Design: Observational, descriptive and transversal research. Study Setting: The HUVH's four surgical areas in 2014. Study Subjects: HUVH's surgical block of health healthcare professionals. 138 questionnaires were delivered, 88 of which could actually be considered valid and thus taken into account in the present study. Variables: Sex gender, age professional status, workplace, years, worked in the surgical area (AQ), and career level. The perception of social climate with the WES scale was assessed performed after a descriptive analysis of the variables, mean and SD or median and minimum/maximum according to their distribution and qualitative variables with absolute frequencies and percentages. Kruskal Wallis and ANOVA for the association between the variables of interest were calculated. Results: Stability is almost the same in all four areas, slightly higher in the outpatient surgery unit (OS) and slightly more discomfort is perceived in the mother and child area (MCA). There is no relationship between the workplace and autonomy (F = 0.1; p = 0.959), organization (F = 0.94; p = 0.424), clarity (F = 0.03; p = 0.992), monitoring (F = 0.56; p = 0.64) and innovator (F =1.13; p = 0.34). Post hoc Scheffé test for relations were reviewed. Conclusions: There is more involvement in the MCA than in the general (GA) and trauma (TRA). There are more cohesion in MCA that OS and TRA and also more in GA that TRA. The least support is perceived in the trauma area. Less pressure is perceived and comfort is higher among OS workers.
Subject(s)
Hospitals, University , Personnel, Hospital , Social Environment , Surgery Department, Hospital , Workplace , Adult , Cross-Sectional Studies , Female , Humans , Male , SpainABSTRACT
UNLABELLED: Our purpose was to evaluate the use of the Harmonic scalpel in neck dissections. MATERIAL AND METHODS: We conducted a randomized prospective intervention study to compare the Harmonic scalpel (32 patients) with the conventional technique (31 patients). RESULTS: Operative time was lowered by 64 min (p < 0.001) and 7.5 min (p = 0.367); blood lost during surgery was lowered by 80.5 ml (p < 0.001) and 76.6 ml (p < 0.001); the length of time the drains were kept in place was lowered by 1.3 days (p < 0.001) and 1.5 days (p < 0.01); and the volume of drainage was lower by 228.7 ml (p < 0.001) and 187.6 ml (p < 0.01) in selective and comprehensive neck dissections respectively in patients treated with the Harmonic scalpel. CONCLUSIONS: The Harmonic scalpel shortens operative time in selective dissections. It reduces blood loss during surgery; time drains are kept in place and the amount of drainage in comprehensive and selective neck dissections.
