ABSTRACT
Emergency departments are often the first point of contact for individuals presenting to healthcare services for assistance and treatment for mental ill health. Emergency departments, particularly those in regional areas, can experience high staff turnover and rely on novice nurses for workforce sustainability. The aim of this paper is to explore the experiences of novice nurses (nurses with <3 years of experience) in providing care to individuals presenting with mental ill health in the emergency department. Semi-structured interviews were conducted with novice nurses (N = 13) in a regional emergency department, using qualitative description as the guiding framework. The following three main themes were identified: (i) confidence in providing quality and safe nursing care, (ii) perceived barriers to providing quality and safe nursing care, and (iii) factors that increase confidence. Our findings indicate that proving safe and appropriate nursing care is affected in novice nurses by factors that lead to a perceived lack of confidence, such as how individuals present to the emergency department (e.g. intoxicated or violent), an inability to conduct conversations to assess accurately and perceived shortfalls in the emergency department environment itself. Future research should examine the curriculum for relevance of undergraduate education regarding acute mental health presentations and develop training strategies that enhance communication with individuals who present to the emergency department with mental ill health.
Subject(s)
Attitude of Health Personnel , Nurses , Humans , Qualitative Research , Communication , Emergency Service, HospitalABSTRACT
Resumen:
Introducción: la seguridad del paciente se ha convertido en un objeto esencial de los sistemas de salud desde la perspectiva de calidad asistencial, puesto que se identifica con los procesos de mejora de los servicios sanitarios para elevar la calidad de la atención. La Comisión Internacional de Enfermería propone el trato digno como un indicador de calidad. La enfermera es el personaje que tiene más interacción con el paciente. Objetivo: conocer la percepción del familiar y del paciente sobre el trato digno otorgado por el personal de enfermería. Metodología: se realizó una encuesta a 114 sujetos en el Hospital de Especialidades Ignacio García Téllez de Mérida, Yucatán. Se utilizó el cuestionario sobre trato digno; los datos se sometieron a análisis descriptivo y los resultados se presentaron en cuadros y figuras. Resultados: el promedio de edad fue de 40.62 ± 7.77 años. El 55.3 % de los pacientes perteneció al género femenino. El 31.6 % era del servicio de Hematología y el 28.1 % de Oncología. El nivel de escolaridad predominante fue la secundaria. El 82.5 % de los pacientes respondió que siempre recibe trato digno. Conclusiones: el personal de enfermería cumplió con los criterios de trato digno al paciente hospitalizado; sin embargo, no alcanza el indicador del sistema INDICAS, por lo que es necesario plantear p royectos de mejora para elevar la calidad de la atención.
Abstract:
Introduction: Patient safety has become essential object of health systems from the perspective of quality of care and the improvement health services. The International Nursing Commission proposes Fair treatment as a quality indicator. The nurse is the character with more interaction with the patient. Objective: To know the perception of family and patient on fair treatment by the nursing staff. Methodology: We conducted a survey of 114 subjects in the UMAE of Merida, Yucatan. The dignified treatment questionnaire was used; data underwent descriptive analysis and the results are presented in tables and figures. Results: The mean age was 40.62±7.77 years. The 55.3% were female and 44.7% was male. The 31.6% of subjects was from hematology and 28.1% was from oncology. The predominant academic level was highschool. 82.5% of answers was that the subjects always received fair treatment. Conclusions: The nursing staff met the criteria of fair treatment to hospitalized patient; however, it not enough to achieve the INDICAS goal, it is necessary to propose improvement projects to reach the quality of care.
Subject(s)
Humanism , Humanization of Assistance , Personhood , Nursing Staff , Health Services , Mexico , HumansABSTRACT
Em virtude das demandas físicas, emocionais e mentais decorrentes do trabalho, os profissionais de enfermagem estão expostos ao comprometimento de sua qualidade de vida (QV) e capacidade laboral. Este estudo objetivou avaliar a QV e a capacidade para o trabalho (CT) dos profissionais de enfermagem de um hospital de grande porte. Trata-sede um estudo quantitativo, descritivo e de corte transversal. Os participantes foram os profissionais de enfermagem lotados nas unidades de terapia intensiva para adultos, centro cirúrgico e pronto socorro. Aplicaram-se três instrumentos para a coleta de dados: o questionário WHOQOL-Breve, o Índice de capacidade para o trabalho (ICT) e o questionário sociodemográfico. Dentre os 129 profissionais amostrados, obteve-se, na análise dos domínios do WHOQOL-Breve, que as mulheres apresentaram melhor QV do que os homens pelos baixos escores dos domínios físico (p=0,029), psicológico (p=0,008) e meio ambiente (p=0,041). Na correlação ICT/WHOQOL-Breve, obtiveram-se baixos escores nos domínios psicológico (p=0,00), relações pessoais (p=0,00) e meio ambiente (p=0,00). Os profissionais de enfermagem amostrados possuem uma percepção positiva de sua QV e CT e há uma significativa relação entre elas, pois quanto menor o ICT, mais baixos foram os escores de QV. (AU)
Due to the physical, mental, and emotional demands caused by work, the nursing staff may have their quality of life (QOL) and work ability affected. This quantitative, descriptive, and cross-sectional studyaimed at assessing the quality of life and work ability (WA) of the nursing staff of a large hospital. The participants were nurses from the intensive care units for adults, surgery and emergency rooms. Three instruments were administered for data collection: the WHOQOL--BREF, the Work Ability Index (WAI), and the demographic questionnaire. Among the 129 sampled professionals, the WHOQOL-BREFshowed that women had better QOL than men due to the low scoreson the physical (p = 0.029), psychological (p = 0.008) and environment(p = 0.041) domains. The WA/WHOQOL-BREF correlation showed lower scores in the psychological (p = 0.00), personal relationships (p = 0.00) and environment (p = 0,00) domains. The sampled nurses displayed a positive perception of their QOL and WA and there is a significant relationship between them, because the lower the WAI, the lower the QOL scores were. (AU)
Subject(s)
Humans , Male , Female , Nursing , Quality of Life , Job Satisfaction , Work Capacity Evaluation , AptitudeABSTRACT
El Hospital General Tacuba del ISSSTE es una organización de segundo nivel de atención que se encuentra ubicado en la calle Lago Ontario No. 119 de la Colonia Tacuba. El personal de Enfermería tiene una destacada labor en la atención de los pacientes, para lo cual se cuenta con 387 Enfermeras de las cuales existen: jefes, subjefes, supervisoras, especialistas y auxiliares de Enfermería que cubren las 24 horas de atención a los pacientes. Para ello, el personal de Enfermería se organiza en turnos de trabajo, delegando funciones y actividades, en donde la comunicación tiene una destacada función para hacer posible el lenguaje verbal, corporal y gestual que todas las Enfermeras utilizan para comunicarse con los pacientes. Este estudio realizado en el 2004, tiene por objeto identificar las barreras que tiene el personal de Enfermería en la comunicación para determinar las diversas opciones de solución y así disminuir la problemática del proceso de la comunicación del personal. Esta es una investigación diagnóstica, observacional, analítica y transversal. El universo son 387 personas, la población de interés para este estudio fueron 272 personas, y la muestra la conformaron el 100% de la población es decir, las 272 profesionales de Enfermería. Las técnicas e instrumentos utilizados son: fichas de trabajo, la observación, la entrevista y los cuestionarios. En relación con la variable barreras de la comunicación que tiene el personal de Enfermería en el hospital se pudo determinar que el 92.52% no tiene ningún temor al comunicarse, el 85.78% pone atención de lo que se les dice con lo que evitan distorsionar la comunicación y el 73.79% hablan de manera pausada para no generar problemas de comunicación. En otros datos, el 79.04% dicen que siempre están buscando la manera de aclarar todo lo que dicen para que se les entienda, el 80.90% se comunica con mensajes claros que no son distorsionados , el 82.41% no usan palabras raras cuando se comunican y el 83.15% siempre son coherentes cuando se comunican. En conclusión, el personal de Enfermería del Hospital General Tacuba no tiene barreras en la comunicación.
ISSSTE's Tacuba General Hospital is a second-level attention organization located on 119 Lago Ontario Street in Tacuba Colony. The nursing staff has an outstanding job in patients attention, for which there are 387 nurses, ranging from chiefs, sub chiefs, supervisors, specialists, and nursing auxiliaries; all of them cover the 24 hour attention period for the patients. In order to do so, the nursing staff is organized in working shifts, delegating functions and activities, and where communication has an outstanding function to make it possible the verbal, body, and gesture languages that all nurses use for communicating with the patients. This study was carried out in 2004, and aims to identify barriers the nursing staff has for their communication, in order to determine diverse solution options and diminish, thus, the staff communication process problematic. This is a diagnostic, observational, analytical, and transversal research. The universe is 387 people, the interest population for the research were 272 persons, and the sample was formed by the 100% of the population; that is, the 272 nursing professionals. The instruments and techniques used were: working cards, observation, interviews, and questionnaires. Regarding the variable about nursing staff communication barriers within the hospital, it could be determined that 92.52% has no fear in communicating, 85.78% put attention on what one tells them thus avoiding distorting communication and the 73.79% speak in a paused manner in order not to generate communication problems. In another data, 79.04% say they are ever looking for way to clarify everything they say so they could be understood; 82.41% don't use unusual words when communicating and 83.15% are always coherent when the communicate. Concluding, Tacuba General Hospital nursing staff has no barriers regarding communication.
