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1.
J Clin Nurs ; 31(11-12): 1697-1708, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34655269

RESUMEN

AIM: To determine the professional profile and the work conditions of nurses working in intensive care units (ICU) in Colombia, Argentina, Peru and Brazil. BACKGROUND: ICUs require a differentiated professional profile to provide quality care, and appropriate working conditions, leading to a transformation of care and management practices. DESIGN: Descriptive multicentre cross-sectional observational study. METHODS: An online survey was applied to identify both the characteristics of the professional profile and the working conditions. 1,427 ICU nursing professionals were included. RStudio statistical software was used for the analysis of the information. Descriptive statistics were used for the presentation of the results. The STROBE checklist for cross-sectional studies was used in this study. RESULTS: Only 33.6% of the professionals had a specialisation degree in intensive care. The skills that were most frequently put into practice were communication (68.5%) and care management (78.5%). The most predominant nurse-to-patient ratios were 1:2, and greater than 1:6. 59.1% of the nurses had an indefinite term contract, 38.8% worked 48 hours per week and 49.8% had rotating shifts. Only 50.4% of them received incentives. The average salary ranged between 348 and 1,500 USD. 64.5% of the participants were satisfied with their job. CONCLUSION: It is necessary to strengthen nurses' professional profile by promoting both postgraduate education and the development of troubleshooting and teamwork skills. It is necessary to standardise the nurse-to-patient ratio, improve wages and increase incentives to achieve greater job satisfaction. RELEVANCE TO PRACTICE: The knowledge and the improvement of both the professional profile and the work conditions of nurses working in intensive care units will improve the quality of the care given to critical patients and, therefore, the quality of health outcomes.


Asunto(s)
Satisfacción en el Trabajo , Personal de Enfermería en Hospital , Estudios Transversales , Humanos , Unidades de Cuidados Intensivos , Calidad de la Atención de Salud , Encuestas y Cuestionarios
2.
Cult. cuid ; 25(61): 237-252, Dic 16, 2021.
Artículo en Español | IBECS | ID: ibc-217210

RESUMEN

La unidad de cuidado intensivo es un servicio especializado de alta complejidad en el cual sehace necesario una interacción constante entre la enfermera y el equipo interdisciplinario de salud.En este contexto las enfermeras identifican a la ronda interdisciplinaria como un mecanismo paracomunicarse y establecer planes de cuidados. Objetivo: Presentar la categoría: Rondainterdisciplinaria: acto de mayor interacción entre la enfermera y el equipo de salud.Metodología: Estudio cualitativo con las herramientas analíticas de la Teoría Fundamentadasegún Corbin y Strauss, realizado con enfermeras de una unidad de cuidado Intensivo adulto a través de entrevista en profundidad. Resultados: La ronda interdisciplinaria es uno de losencuentros de mayor interacción entre la enfermera y el equipo de salud, es un espacio académicoalrededor del cuidado en el cual es reconocido el saber y labor de enfermería buscando valorar ytomar decisiones para los pacientes. Conclusiones: Las enfermeras consideran que la rondainterdisciplinaria promueve la comunicación con el equipo de salud. Es una rutina clínica formaly programada en la cual cada disciplina tiene la oportunidad de intervenir desde susconocimientos y experiencias.(AU)


The intensive care unit is a specialized service of high complexity, where communicationbetween nurses and interdisciplinary healthcare workers is necessary. In this context, nursesidentify the interdisciplinary round as a mechanism to communicate and to stablish care plans.Objective: To present the category Interdisciplinary round: The moment with the most interactionbetween nurses and healthcare workers.Methodology: A qualitative study, using grounded theory(Corbin and Strauss) analytical tools, carried out with nurses from an adult intensive care unitthrough in-depth interviews. Results: The interdisciplinary round is one of the meetings with mostinteraction between nurses and healthcare workers. It is healthcare based academic setting, whereboth the knowledge and the hard work of nurses are recognized, seeking to evaluate and makedecisions to better help the patients. Conclusions: Nurses consider that interdisciplinary roundspromote constant communication with the healthcare team. It is a clinical routine, formal andscheduled, where each discipline has the opportunity to participate from their knowledge andexperiences.(AU)


A unidade de terapia intensiva é um serviço especializado de alta complexidade, na qual énecessária uma interação constante entre o enfermeiro e a equipe interdisciplinar de saúde. Nessecontexto, as enfermeiras identificam a rodada interdisciplinar como um mecanismo decomunicação e estabelecimento de planos de cuidados. Objetivo: Apresentar a categoria: Rodadainterdisciplinar: ato de maior interação entre a enfermeira e o equipe de saúde. Metodologia:Estudo qualitativo com as ferramentas analíticas da Teoria Fundamentada segundo Corbin eStrauss, realizado com enfermeiras de uma Unidade de Terapia Intensiva para adultos através daentrevista em profundidade. Resultados: A rodada interdisciplinar é um dos encontros de maiorinteração entre a enfermeira e a equipe de saúde, é um espaço acadêmico em torno do cuidado noqual é reconhecido o saber e trabalho de enfermagem procurando valorizar e tomar decisões paraos pacientes. Conclusões: As enfermeiras consideram que a rodada interdisciplinar promove acomunicação constante com a equipe de saúde. É uma rotina clínica formal e programada na qualcada disciplina tem a oportunidade de intervir desde seus conhecimentos e experiências.(AU)


Asunto(s)
Humanos , Femenino , Cuidados Críticos , Unidades de Cuidados Intensivos , Rol de la Enfermera , Grupo de Atención al Paciente , Rondas de Enseñanza , Enfermería , Atención de Enfermería
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