Navegando por Palavras-chave "Hospitals Teaching"

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    Ambiente 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.