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- ItemSomente MetadadadosAmbiente de prática profissional dos enfermeiros que atuam em um hospital de ensino(Universidade Federal de São Paulo (UNIFESP), 2019-11-28) Yanarico, Dilzabeth Margot Imata [UNIFESP]; Bohomol, Elena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: The conditions of the nursing work environment may affect positively or negatively professional performance in an organization and this may impact the quality of care provided to the patient. Objective: Analyze the perception of the work environment of nurses working in a teaching hospital. Method: This is a cross-sectional study conducted at a teaching hospital in the state of São Paulo. For a sample calculation, a pilot test was performed with 17 participants with a confidence level of 95% and a sampling error of 0.10 in a population of 479 nurses, resulting in a sample of 178 professionals. The data was collected from September to October 2018, and a questionnaire was used, with sociodemographic and professional data, with 12 questions and the Practice Environment Scale (PES) - Brazilian version, with 31 items distributed in five subscales. Data analysis was performed using R software version 3.6.0 and a statistical significance of 5% (p <0.05) was adopted between subscales and study variables. The internal consistency of the questionnaire was assessed by Cronbach's alpha. Results: Out of 188 nurses who participated in the 36.2% were aged between 40 and 49 years old; 91% were female; 47.9% married and 41.5% without children. Also it should found 35.1% had more than 15 years of profession; 31.9% working less than five years in the institution; 52.7% with experience of less than five years in the unit; 95.7% worked in the healthcare area; 38.3% worked in the morning shift and 39.9% worked 36 hours a week. Cronbach's alpha for the general questionnaire was 0.91 and for the subscales ranged from 0.67 to 0.83. The average score for PES-Brazilian version was 2.58 and participants considered two of the five unfavorable subscales for practice: subscale 1 “Nurse participation in hospital affairs” (2.43) and subscale 4 “Staffing and resource adequacy” (2.23). Statistically significant differences were found between the professional variables length of experience in the institution (p=0.04) and work unit (p=0.02) with subscale 4 “Staffing and resource adequacy”; length of experience in the unit (p=0.03) with subscale 3 “Nurse manager ability, leadership and support of nurses”; the weekly shift with subscale 4 (p=0.004) and 5 “Collegial nurse-physician relations” (p=0.03). Conclusion: In tis institution, the nurses work environment was considered mixed. The results suggest manager’s attention to the nursing staff since sometimes a mixed work environment can result on either favorable or unfavorable conditions for professional practice. There is need for actions that allow to increase the participation and involvement of nurses in the hospital affairs and to improve the adequacy of resources available in order to provide quality health care services.
- ItemSomente MetadadadosAnálise da percepção do ambiente de prática profissional dos enfermeiros que atuam em um hospital acreditado(Universidade Federal de São Paulo (UNIFESP), 2021) Danno, Camila Hidemi [UNIFESP]; Bohomol, Elena [UNIFESP]; Universidade Federal de São PauloObjective: Evaluate the professional practice environment of nurses working in a hospital. Methods: type survey study, cross-sectional study with a quantitative approach, carried out in two stages, in a hospital in the state of São Paulo. The population consisted of 84 nurses in the first stage and 98 in the second stage, all nurses were invited to participate in the study, and the sample was selected for convenience. For data collection, an instrument consisting of two parts was applied, the first for professional characterization with 12 questions and the second comprised the Practice Environment Scale - PES Brazilian version, composed of 24 items distributed in five subscales. The first collect occurred between March and May 2019, was characterized as Group 1, and the second collect occurred in September 2020, during the COVID-19 pandemic, as Group 2. Data were analyzed by software R studio version 1.2 5001 and the level of significance adopted was p≤ 0.05. The instrument's internal consistency was assessed by Cronbach's alpha. Results: 55 (65.5%) nurses in Group 1 participated in the study, 83.6% of whom were women, 58.2% were married and 47.3% were between 30 and 39 years old; and 53 (54.1%) nurses in Group 2, where 83% were women, 54.7% married and 50.9% aged 30 to 39 years. Cronbach's alpha for the general instrument was 0.93 and 0.92, respectively, for the subscales it varied between 0.71 and 0.84 in Group 1 and between 0.77 and 0.87 in Group 2. The general mean practice of Environment Scale - PES Brazilian version was favorable, with averages of 3.1 and 3.3, respectively, with a significant difference (p = 0.04). All subscales showed favorable results, with emphasis on the subscale 1 “Participation of nurses in the discussion of hospital issues” with an average of 3.2 and 3.4 (p = 0.05), subscale 4 “Adequacy of the team and of resources” with an average of 2.8 and 3 (p = 0.04) and the subscale 5 “Positive work relationships between doctors and nurses” with an average of 3.1 and 3.3 (p = 0.04). There was no significant difference in subscale 2 "Nursing fundamentals focused on quality of care" with 3.2 and 3.4 (p = 0.27) and subscale 3 "Skill, leadership and support of nursing coordinators / supervisors to nurses / nursing staff” with 3.3 and 3.4 (p = 0.07). Conclusion: The professional practice environment of nurses was considered as favorable by both groups, with favorable rating in the five subscales. There was a better favorability of the environment during the pandemic. Even presenting a linearity in the assessments before and during the pandemic. The findings of this study show the importance of assessing the work environment for institutional adjustments in order to favor the development of nursing practice.
- ItemSomente MetadadadosOs efeitos da liderança autêntica dos enfermeiros no ambiente de trabalho em saúde: revisão sistemática de literatura(Universidade Federal de São Paulo (UNIFESP), 2019-05-30) Valle, Rebeca Beatriz Lucena Ribeiro Do [UNIFESP]; Balsanelli, Alexandre Pazetto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: One can define authentic leadership as a leadership based on the true values of a leader not only as someone holding a senior management position, but also as an individual. Goals: To describe the relationship between authentic nursing leaders and structural empowerment, as well as to check if authentic nursing leadership yields increased job satisfaction for the nursing team and decreased burnout. Method: Systematic Literature Review. The search strategy comprised six databases: Virtual Health Library (BVS), Directory of Journals of the Coordination of Improvement of College Degree Individuals (CAPES), Online Medical Literature Search and Analysis System (MEDLINE/PubMed), Scientific Electronic Library Online (Scielo), Latin American and Caribbean Literature in Health (LILACS) and Science Direct/Embase. The data collection was done from January 2017 to April 2019. The articles included were published in English with the following strategies: “authentic leadership and empowerment and burnout and job satisfaction.” The data extracted were assessed and combined in a narrative fashion, and quality assessment, data extraction, and data analysis were completed in all the comprised studies. Results: Thirteen studies were comprised, based on which two papers were prepared. The research had a total population of 5,348 nurses and was published from 2010 to 2018, having Canada as the main production location. Five studies were included in the first paper, showing a relationship between authentic leadership and structural empowerment. All thirteen studies were included in the second paper, which addressed the benefits of authentic leadership in job satisfaction for nurses and burnout. Other variables such as bullying, mental health of nurses, performance, capital stock, work environment, retention of nurses, and patient care quality were also approached in the selected studies. Conclusion: Nursing leaders play a critical role in the creation of work conditions that support the development of their teams, and their behavior directly affects the experience of their subordinates at work. Authentic leadership showed a positive relationship with structural empowerment, improving the engagement of nurses at work, increasing job satisfaction, and decreasing the burnout. The evidence found helps in the creation of new strategies for the implementation of authentic leadership with the aim of improving the work environment of nursing teams, making a negative impact on the occurrence of burnout cases, and improving the quality of care and the development of leadership capacitation programs among the nurses.
- ItemSomente MetadadadosLiderança do enfermeiro na atenção primária à saúde e sua relação com o ambiente da prática profissional em enfermagem(Universidade Federal de São Paulo (UNIFESP), 2020-09-24) Mattos, Julio Cesar De Oliveira [UNIFESP]; Balsanelli, Alexandre Pazetto [UNIFESP]; Universidade Federal de São PauloObjectives: 1-) To assess nurse‘s self-perception in coaching leadership in Primary Health Care; 2-) Verify how nursing assistants assess nurse‘s leadership; 3-) To Classify professional nursing practice environment; 4-) To correlate the perception about nursing leadership with professional nursing practice environment. Methods: this correlational, cross-sectional, descriptive and quantitative study was conducted at 13 health centers in the south of São Paulo, SP, Brazil, in which 150 nursing professionals, 75 nurses and 75 nursing assistants working at these units, participated. Two leadership coaching questionnaires were applied: Questionário de Autopercepção do Enfermeiro no Exercício da Liderança (QUAPEEL) and Questionário de Percepção do Técnico e Auxiliar de Enfermagem no Exercício da Liderança (QUEPTAEEL), Then, the Practice Environment Scale, Brazilian version (PES) was applied. For data analysis, we applied Multivariate Analysis of Variance (MANOVA) with the use of Pillai‘s Multivariate Screening Test, Univariate Analysis of Variance (ANOVA), Pearson’s Correlation Test and Effect Size by the Rosenthal “r” coefficient: small (between 0.100 and 0.299), medium (between 0.300 and 0.500) and large (above 0.500), with a significance level of 5% (p <0.05). Results: through the questionnaires’ measures and total scores and subscales, there was a statistically significant difference between the groups in relation to the measures of QUEPTAEEL/QUAPEEL. Professional nursing practice environment was favorable for both nurses and nursing assistants. Concerning variable “leadership”, the group of nurses had an average scoreclose to findings in the group of nursing assistants. When the self-perception of coaching leadership and the professional nursing practice environment domains were correlated among nurses, two positive linear correlations were noticed: communication and nursing fundamentals focused on quality of care and communication with collegial relations between nurses and physicians. In other words, the greater the communication between leader and team member, the greater the relationship with physician and quality of care. Nursing assistants, when assessing nurses’ coaching leadership and professional practice environment in nursing, significant correlations were obtained between many domains of the two scales. Conclusion: the skills of coaching leadership were perceived in both groups, being better assessed by nurses. The environment of professional nursing practice was assessed as favorable by both nurses and nursing assistants and was related to coaching leadership. Favorable environments associated with leadership contribute to better results and best practices in the organization.