RESUMO
ABSTRACT: For nurses, the challenges posed by demanding work environments and schedules often lead to fatigue, and this can be exacerbated during crises like the COVID-19 pandemic. In this article, the authors discuss causes and challenges of nurse fatigue and consider several evidence-based strategies and solutions for individual nurses and organizations. Barriers to implementation, including a negative workplace culture and inadequate staffing, are also described, and several resources are presented.
Assuntos
Fadiga/epidemiologia , Fadiga/prevenção & controle , Enfermeiras e Enfermeiros/psicologia , COVID-19/enfermagem , Humanos , Recursos Humanos/estatística & dados numéricos , Local de Trabalho/organização & administração , Local de Trabalho/psicologiaRESUMO
The purpose of this pilot study was to (a) determine the feasibility of providing a heart failure disease management program through an in-home telehealth communication device (Health Buddy) and (b) compare the effectiveness of the Health Buddy with traditional home management strategies (telephonic, home visit) in achieving selected patient outcomes (self-efficacy, functional status, depression, and health-related quality of life). Ninety participants completed the study through 2 months. Thirty percent of participants were either eliminated prior to or withdrawn after enrollment from the study based on Health Buddy issues. A mixed model ANOVA revealed those who received telephonic disease management experienced decreased confidence in their ability to manage their heart failure whereas all other groups experienced increased confidence. Further ANOVA analyses indicated improvement over time with no group differences for functional status, depression, or health-related quality of life. These findings suggest that delivering a disease management program through a telehealth communication device is feasible and may be as effective as traditional methods.
Assuntos
Gerenciamento Clínico , Insuficiência Cardíaca/terapia , Serviços de Assistência Domiciliar/normas , Avaliação de Resultados em Cuidados de Saúde , Autocuidado/instrumentação , Adulto , Assistência ao Convalescente/normas , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto/normas , Projetos Piloto , Qualidade de VidaRESUMO
Symptom occurrence, symptom characteristics (frequency, severity, interference with activities and enjoyment of life), and quality of life were examined in heart failure patients after release from the hospital and 2 months after enrollment in a home-based disease management program. The results provide information on the most common and distressing symptoms in a community-based heart failure population. This information may be useful in guiding assessments and designing specific nursing interventions to include in a home-based disease management program.
