RESUMO
The present exploratory study was designed to examine the relationship between resilience and job satisfaction in psychiatric nurses working in inpatient units in a large, urban medical centre. The long range goal was to understand the dimensions of job satisfaction in this inpatient environment in order to implement nurse retention programmes specifically targeted toward teaching nurses skills in developing resilience. The nurses (n = 32) reported a high level of resilience and high job satisfaction. The job satisfaction subscale of professional status had the highest mean rating among these nurses, and the physician-nurse interaction subscale had the lowest mean score. Implications for future practice and research are addressed.
Assuntos
Satisfação no Emprego , Transtornos Mentais/enfermagem , Recursos Humanos de Enfermagem Hospitalar/psicologia , Reorganização de Recursos Humanos , Resiliência Psicológica , Adulto , Feminino , Pesquisas sobre Atenção à Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem Psiquiátrica , Estados UnidosRESUMO
Despite recent efforts to educate primary care providers in the identification and management of patients presenting with substance abuse problems, many opportunities to identify and intervene with these patients are overlooked. This project was designed to identify factors that interfere with rates of screening and brief intervention (SBI) of substance abuse problems in a primary care clinic in a major academic medical center in New York City. Six informants representing the disciplines of medicine, nursing, and social work in the primary care clinic provided information regarding SBI. Analysis was focused on substantiation of the need for enhanced diffusion of knowledge related to screening for substance abuse problems to improve rates of SBI in primary care. Recommendations for improvement included continued promotion of SBI by influential role models and opinion leaders, improvement in primary care providers' perceptions of the perceived characteristics of SBI to improve rates of adoption, implementation of interdisciplinary educational initiatives toward the goal of improving rates of SBI in the primary care clinic, and initiation of translational research at the clinic supporting SBI in primary care.
Assuntos
Atitude do Pessoal de Saúde , Difusão de Inovações , Programas de Rastreamento/organização & administração , Avaliação das Necessidades/organização & administração , Recursos Humanos em Hospital , Transtornos Relacionados ao Uso de Substâncias , Adulto , Idoso , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Cidade de Nova Iorque , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem , Teoria de Enfermagem , Recursos Humanos em Hospital/educação , Recursos Humanos em Hospital/psicologia , Atenção Primária à Saúde/organização & administração , Detecção do Abuso de Substâncias , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/terapia , Gestão da Qualidade Total/organização & administraçãoRESUMO
This article aims to increase access to care for patients with chronic hepatitis C who have medical and psychiatric comorbidities by reporting on a clinical advanced practice nursing comanagement model for evaluation, treatment, and follow-up care.
