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ABSTRACT Objective: To determine the correlation between the organizational climate, job satisfaction and burnout in the administrative staff of the Daniel Alcides Carrión National University. Methodology: The research was designed as a quantitative study applied with a correlational approach. A cross-sectional non-experimental design was used, since the measurements of the variables were made at a single time. The study population corresponded to a total of430 employees of the Daniel Alcides Carrión National University, which is why a simple random sampling was applied, with a confidence level of 95 % and a margin of error of 5 %, which allowed to determine a sample of 157 employees. For data collection, the survey technique was applied, therefore, three questionnaires were designed as instruments, one for each variable, with a Likert-type response scale. In the case of the Organizational Climate variable, this was based on three dimensions, namely: a) Recognition, b) Teamwork and c) Innovation, which helped to configure a total of 15 items to be evaluated. For the Job Satisfaction variable, it was based on three dimensions, which were: a) Job satisfaction, b) Satisfaction with remuneration and c) Satisfaction with the physical environment, constituting in turn 15 items to be evaluated, while for the Burnout variable, three dimensions were considered: a) Personal exhaustion, b) Depersonalization and c) Demotivation, for a total of 15 items to be evaluated. The questionnaires were subjected to a validity process according to the opinion of experts, who considered that they were suitable in their construction for application, in addition a pilot test was applied with a sample of 85participants, who were not part of the one included in the study, which allowed to determine that these instruments had an internal consistency of Cronbachs Alpha of0.97, 0.95 and 0.89 for the organizational climate, job satisfaction and burnout variables respectively. The data were systematized in an Excel spreadsheet to perform the descriptive statistical analysis, using measures of central tendency to check the frequency and behavior of the variables. Then, the SPSS version 22 program was used to perform inferential statistical calculations. the distribution of the normality of the data was statistically verified using the Kolmogorov-Smirnov test, since the number of the sample was greater than fifty. For the determination of the correlation between the variables, the Spearman rank correlation coefficient was used, because the sample presented a non-normal distribution. The significance of the correlation was established by a level of p<0.05 for hypothesis testing. Results: The results showed that between the Organizational climate variable and the Recognition dimension there is an average level of satisfaction (61.14 %), 35.67 % showed a high level of satisfaction and 3.19 % a very high level of satisfaction. Between the Organizational climate and the Teamwork dimension, a result of 2.23 was obtained, which indicates a perception that there is good teamwork. Regarding the Organizational climate and Innovation, it was found that 52.23 % of employees almost alwaysfeel stimulated to innovate, 33.12 % always feel motivated to innovate and 14.6 5 % sometimes feel that motivation. With respect to the variable Job Satisfaction and the dimension satisfaction with work, it was obtained that 60.5 % feel indifferent with respect to job satisfaction and 39.5 % are satisfied. For the Satisfaction with Remuneration dimension, 36.4 % of employees feel indifferent about their remuneration, 39.8 % feel satisfied and 13.1 % feel very satisfied with their remuneration. Regarding the dimension Satisfaction with the physical environment, 38.8 % declared themselves indifferent with respect to this dimension, 23.2 %o feel satisfied and 0.8 % of the samplefeel very satisfied with the physical environment. With respect to the Burnout variable and the Personal exhaustion dimension, 47.13 % of the employees presented a high level of personal burnout, 33.12 % revealed to have an average level of burnout and 19.75% showed a very high level of burnout. As for the aspect of Depersonalization, the results showed that the majority represented by 85.35% has a very high level of depersonalization, only 0.64 % presented a high level of depersonalization and 14.01 % presented an average level of depersonalization. As for the Demotivation dimension, it was obtained that 30.57 % of employees showed an average level of demotivation, while 69.43 % of workers showed a high level. Finally, the results revealed a positive and significant correlation (Spearman's Rho = 0.299) between organizational climate and job satisfaction. Likewise, a weak negative correlation (-0.153) was observed between organizational climate and burnout. In relation to the organizational climate and burnout variables, a weak negative correlation was observed with a coefficient of-0.153. While for the variables job satisfaction and burnout, a correlation coefficient of-0.024 was observed very close to zero. Conclusion: There is a positive and significant correlation between organizational climate and job satisfaction, and a negative and significant correlation between organizational climate and burnout, suggesting that a better organizational climate is associated with higher satisfaction and lower burnout in workers. This relationship highlights the importance of promoting a positive and conducive work environment to improve the job satisfaction of administrative staff. The need to focus on recognition as an essential component to promote greater job satisfaction is highlighted, it is also observed that teamwork and innovation are key aspects that contribute to the favorable organizational climate at the university. These conclusions emphasize the importance of implementing policies and practices that promote recognition, teamwork and the promotion of innovation as strategies to improve job satisfaction and prevent burnout in administrative staff. It is also highlighted that at higher levels of organizational climate, lower levels of administrative staff are observed, which is why it is important to create a healthy work environment and support the emotional well-being of employees to prevent job burnout. Ultimately, the relationship between organizational climate, job satisfaction and burnout are a multidimensional dynamic that requires a holistic approach. By continuing to research and apply effective approaches to improving the work climate, organizations can cultivate an environment where employees feel valued, motivated, and able to contribute meaningfully. Doingso will not only benefit the workers and the organization, but also set a higher standardfor well-being in the overall work environment.
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Introduction: Low back pain can be defined as pain and/or discomfort between the coastal margins of the lowest rib and the gluteal fold, and it can cause motor dysfunction, loss of productivity, and changes in job function. There is a greater number of nursing professionals in hospital environments, and, regardless of their numerical contingent, they have the highest percentage of absenteeism due to this condition. Objectives: To evaluate the association between perception of low back pain and occupational stress in hospital nursing professionals. Methods: Eleven nurses and 95 practical nurses (n = 106) were evaluated on their perception of low back pain (Visual Analogue Scale) and occupational stress (job stress scale) using the Demand-Control Model. The chi-square test was used to assess associations between categorial variables (p < 0.05). Results: Low back pain was reported by 74% of the study sample (n = 81). Assessment of occupational stress using the Demand-Control Model showed that 54.7% (n = 58) had low psychological demand and 63.2% (n = 67) had high control at work. Active work was observed in 33% (n = 35) and low demand at work in 30.2% (n = 32). There were no significantly associations between the perception of low back pain and the occupational stress domains described by the Demand-Control Model (p = 0.721). Conclusions: Although there was a high prevalence of low back pain in this sample of nursing professionals, it was not associated with occupational stress.
Introdução: A dor lombar pode ser definida como dor e/ou desconforto entre as margens costais da última costela e a prega glútea, podendo causar disfunções motoras, perda de produtividade e mudança de emprego. Os profissionais de enfermagem atuam em maior número no âmbito hospitalar e, independentemente de seu contingente numérico, apresentam o maior percentual de absenteísmo devido a essa afecção. Objetivos: Avaliar a associação entre a percepção de dor lombar e o estresse ocupacional em profissionais de enfermagem de âmbito hospitalar. Métodos: Foram avaliados 11 enfermeiros e 95 técnicos de enfermagem (n = 106) quanto à percepção da dor lombar (Escala Visual Analógica) e o estresse ocupacional ( Job Stress Scale) por meio do Modelo Demanda-Controle. A associação entre variáveis categóricas foi avaliada pelo teste de qui-quadrado (p < 0,05). Resultados: Houve prevalência de dor lombar em 74% da amostra (n = 81). A avaliação do estresse ocupacional por meio do Modelo Demanda-Controle evidenciou que 54,7% (n = 58) apresentou baixa demanda psicológica e 63,2% (n = 67) apresentou alto controle no trabalho. O trabalho ativo foi evidenciado em 33% (n = 35) e a baixa exigência no trabalho em 30,2% (n = 32). Não houve associação entre a percepção de dor lombar e os domínios do estresse ocupacional (p = 0,721). Conclusões: Houve alta prevalência de dor lombar, sem que tal sintoma tenha se associado ao estresse ocupacional nos profissionais de enfermagem avaliados.
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BACKGROUND: Learning styles are biological and developmental configurations of personal characteristics that make the same teaching method effective for some and ineffective for others. Studies support a relationship between learning style and career choices in medicine, resulting in learning style patterns being observed in different residency programs, including in general surgery, from medical school to the last stages of training. The methodologies, populations, and contexts of the few studies pertinent to the matter are very different from one another, and a scoping review on this theme will enhance and organize what is already known. OBJECTIVE: The goal of this study is to identify and map out data from studies on the learning styles of medical students, surgical residents, medical staff, and surgical teachers. METHODS: The review will consider studies on the learning styles of medical students in a clinical cycle or internship, surgical residents with no restriction on year of residency, medical staff in general surgery, or general surgery's medical faculty. Primary studies published in English, with no specific time frame, will be considered. The search will be carried out in four databases, and reference lists will be searched for additional studies. Duplicates will be removed, and two independent reviewers will screen the titles, abstracts, and full texts of the selected studies. Data collection will be performed using a tool developed by the researchers. A results summary will be presented with figures, narratives, and tables. A quantitative and qualitative analysis will be carried out and further results will be shared. RESULTS: The search was funded on September 25, 2023. Data collection was performed in the two following months. Of the 213 articles found, 135 were excluded due to duplication. The remaining 78 articles will have their titles and abstracts analyzed by three of the researchers independently to select those that meet the eligibility criteria. This data is expected to be published in the first semester of 2025. CONCLUSIONS: Conducting a scoping review is the best way to map what is known about a subject. Understanding how students, residents, staff, and even teachers prefer to learn surgery is key to staying up to date and knowing how to best educate those pursuing a surgical career. TRIAL REGISTRATION: Open Science Framework 75ku4; https://osf.io/75ku4. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/57229.
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Cirugía General , Internado y Residencia , Aprendizaje , Estudiantes de Medicina , Humanos , Docentes Médicos/psicología , Cirugía General/educación , Cuerpo Médico/psicología , Cuerpo Médico/educación , Estudiantes de Medicina/psicología , Estudiantes de Medicina/estadística & datos numéricos , Literatura de Revisión como AsuntoRESUMEN
OBJECTIVES: To identify factors that help explain associations between parent-staff interactions and: (1) parental depression, anxiety, and post-traumatic stress; and (2) parent-child bonding in the neonatal intensive care unit. STUDY DESIGN: Our cross-sectional mixed methods survey investigated the ways in which parental-staff interactions relate to parental distress and parent-child bonding. Parents with babies in the neonatal intensive care unit (n = 165) completed validated measures and open-ended questions about their experiences with staff. Using a sequential explanatory approach, we examined: (1) whether and how parental self-efficacy and personal time mediated parent-staff interactions on distress and bonding; and (2) parental written accounts of experiences with staff. RESULTS: Multiple mediation analyses revealed that parent-staff interactions exhibited an: (1) indirect effect on parental depression (b = -0.05, SE = 0.02, CI [-0.10, -0.01]), anxiety (b = -0.08, SE = 0.04, CI [-0.16, -0.02]), and parent-child bonding (b = -0.26, SE = 0.08, CI [-0.43, -0.11]) through parental self-efficacy; and (2) indirect effect on parental post-traumatic stress (b = -0.08, SE = 0.04, CI [-0.17, -0.00], completely standardized indirect effect = -0.06) through parental personal time. Thematic analyses revealed that emotional and instructional support from staff helped build parental self-efficacy. Trust with staff helped parents feel comfortable leaving the bedside and engage in basic needs (eg, eat, sleep). CONCLUSIONS: Family-staff dynamics are the foundation for high quality family-centered care. Staff who empower parents to participate in care, engage in parenting tasks, and take care of themselves may reduce their distress and improve relationships among staff, parents, and babies.
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Nosocomial infections are a significant cause of morbidity, mortality, and increased treatment costs in hospitals. This study aimed to analyze the factors determining the implementation of biosafety measures by the nursing staff of four hospitals in Piura via a structural equation modeling (SEM) approach. A total of 215 nurses from various hospitals in the region participated by completing an online survey. The results demonstrated that extrinsic factors (FEX) positively influence the implementation of biosafety measures (BIOM) (ß = 0.319 ***), as do intrinsic factors (FINT) (ß = 0.520 **). Furthermore, intrinsic factors mediate the relationship between extrinsic factors and the implementation of biosafety measures (ß = 0.443 ***). In conclusion, this study provides a deeper understanding of biosafety dynamics in healthcare settings and lays the groundwork for the development of customized interventions and ongoing training programs that ensure the optimal implementation of biosafety measures in hospitals.
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The growth of mental illness has aroused the interest of the occupational health area in the study of the relationship between work and mental health. Among health workers, nursing represents the largest contingent of workforce in the sector and, due to frequent exposure to numerous stressors, they present a significant increase in work-related mental illness. The objective of this study was to identify the most frequent illness and mental distress processes among nursing professionals in Brazil and relate them to working conditions and coping strategies described in recent scientific literature. The integrative review was conducted in electronic health databases, in May 2020, and resulted in the selection and analysis of 17 studies. The results show that the hospital environment and its working conditions, overload of activities, precarious working conditions, short deadlines to carry out activities and conflicting relationship with the team and users constitute the main scenario of studies on illness and mental distress of nursing workers. The most frequent illness and mental distress processes involve the consequences of stress such as: anxiety, demotivation, bad mood, body aches, musculoskeletal disorders, irritability, alteration of menstrual flow, insomnia, attention and concentration deficit, gastric and duodenal ulcers, fatigue, migraines, among others. The strategies adopted by workers to minimize work stress are predominantly individual, pointing to a gap in studies, or in reality itself, about collective strategies.
O crescimento do adoecimento psíquico tem despertado o interesse da área de Saúde do Trabalhador no estudo da relação entre trabalho e saúde mental. Entre os profissionais da saúde, a enfermagem representa o maior contingente da força de trabalho no setor, e, devido à frequente exposição a inúmeros fatores estressores, esses trabalhadores apresentam um aumento significativo do adoecimento mental relacionado ao trabalho. O objetivo deste estudo foi identificar os processos de adoecimento e sofrimento mental mais frequentes entre profissionais da enfermagem no Brasil e relacioná-los às condições de trabalho e às estratégias de enfrentamento descritas na literatura científica recente. A revisão integrativa foi conduzida em bases de dados eletrônicas na área da saúde, em maio de 2020, e resultou na seleção e análise de 17 estudos. Os resultados mostram que o ambiente hospitalar, a sobrecarga de atividades, as condições de trabalho precárias, os prazos curtos para realizar as atividades e a relação conflituosa com a equipe e os usuários constituem o principal cenário dos estudos sobre o adoecimento e sofrimento mental dos trabalhadores de enfermagem. Os processos de adoecimento e sofrimento mental mais frequentes envolvem as consequências do estresse, como ansiedade, desmotivação, mau humor, dores no corpo, distúrbios osteomusculares, irritabilidade, alteração do fluxo menstrual, insônia, déficit de atenção e concentração, úlceras gástricas e duodenais, fadiga, enxaquecas, entre outros. As estratégias adotadas pelos trabalhadores para minimizar o estresse no trabalho são predominantemente individuais, apontando para uma lacuna de estudos ou da própria realidade acerca de estratégias coletivas.
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Objective: To evaluate the effectiveness of Virtual Teaching (VT) Programme regarding palliative care on knowledge, self-efficacy and attitude among Nursing Personnel working in selected hospitals of North India. Methods: A quasi-experimental study with non-equivalent control group pre-test-post-test design was conducted on 121 Nursing Personnel, selected by convenient sampling technique. Knowledge, self-efficacy and attitude were assessed using structured knowledge questionnaire, Palliative Care Self-efficacy Scale, and Frommelt Attitudes toward care of dying scale respectively. Nursing personnel in experimental group received Virtual Teaching Programme regarding palliative care whereas those in comparison group received conventional teaching (CT). The study included a pre-test followed by the teaching (virtual/ conventional) on day one. The post-test was conducted on 15th day after the intervention. Results: The results showed that there was a significant difference in mean post-test knowledge (VT group: 17.11 to CT group: 25.05; t=9.25, p<0.001), self-efficacy (VT group: 39.27 to CT group: 43.38; t=6.39, p<0.001) and attitude (VT group: 108.86 to CT group: 133.23; t=9.27, p<0.001) scores between virtual teaching group and conventional teaching group. ANCOVA test revealed statistically significant differences in the mean scores of knowledge [F (1.11) = 86.61, p<0.001], self-efficacy [F (1.11) = 841.75, p<0.001] and attitude [F (1.11) = 82.92, p<0.001] between the groups, with higher means obtained in the CT group. Conclusion: Virtual Teaching programme and Conventional teaching both were effective in enhancing the knowledge, self-efficacy and attitude among Nursing Personnel regarding palliative care with conventional teaching being more effective.
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Diabetes Mellitus Tipo 2 , Conocimientos, Actitudes y Práctica en Salud , Síndrome Metabólico , Autoeficacia , Humanos , Adulto , Femenino , Masculino , Diabetes Mellitus Tipo 2/psicología , Diabetes Mellitus Tipo 2/terapia , Encuestas y Cuestionarios , Síndrome Metabólico/terapia , Síndrome Metabólico/psicología , Cuidados Paliativos/métodos , Cuidados Paliativos/psicología , India , Persona de Mediana Edad , Actitud del Personal de Salud , Estrés Psicológico , Instrucción por Computador/métodos , Adulto Joven , Personal de Enfermería en Hospital/psicología , Personal de Enfermería en Hospital/educaciónRESUMEN
BACKGROUND: Journey to 9 Plus (J9) is an integrated reproductive, maternal, neonatal, and child health approach to care that has at its core the goal of decreasing the rate of maternal and neonatal morbidity and mortality in rural Haiti. For the maximum effectiveness of this program, it is necessary that the data system be of the highest quality. OpenMRS, an electronic medical record (EMR) system, has been in place since 2013 throughout a tertiary referral hospital, the Hôpital Universitaire de Mirebalais, in Haiti and has been expanded for J9 data collection and reporting. The J9 program monthly reports showed that staff had limited time and capacity to perform double charting, which contributed to incomplete and inconsistent reports. Initial evaluation of the quality of EMR data entry showed that only 18% (58/325) of the J9 antenatal visits were being documented electronically at the start of this quality improvement project. OBJECTIVE: This study aimed to improve the electronic documentation of outpatient antenatal care from 18% (58/325) to 85% in the EMR by J9 staff from November 2020 to September 2021. The experiences that this quality improvement project team encountered could help others improve electronic data collection as well as the transition from paper to electronic documentation within a burgeoning health care system. METHODS: A continuous quality improvement strategy was undertaken as the best approach to improve the EMR data collection at Hôpital Universitaire de Mirebalais. The team used several continuous quality improvement tools to conduct this project: (1) a root cause analysis using Ishikawa and Pareto diagrams, (2) baseline evaluation measurements, and (3) Plan-Do-Study-Act improvement cycles to document incremental changes and the results of each change. RESULTS: At the beginning of the quality improvement project in November 2020, the baseline data entry for antenatal visits was 18% (58/325). Ten months of improvement strategies resulted in an average of 89% (272/304) of antenatal visits documented in the EMR at point of care every month. CONCLUSIONS: The experiences that this quality improvement project team encountered can contribute to the transition from paper to electronic documentation within burgeoning health care systems. Essential to success was having a strong and dedicated nursing leadership to transition from paper to electronic data and motivated nursing staff to perform data collection to improve the quality of data and thus, the reports on patient outcomes. Engaging the nursing team closely in the design and implementation of EMR and quality improvement processes ensures long-term success while centering nurses as key change agents in patient care systems.
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Patient safety culture is relevant both in the delivery of care and in the training of nursing staff, its purpose being to prevent and reduce risks associated with health care. This research aims to evaluate patient safety culture from the perspective of the nursing teams in a highly complex public hospital in the city of Valparaíso, Chile. A cross-sectional study with a quantitative approach applying descriptive, bivariate, and inferential statistical analysis was conducted on 259 nurses and nursing assistants from 13 adult medical-surgical units of the Carlos Van Buren hospital. The participants were obtained through a non-probabilistic convenience sample, answering the hospital survey on Patient Safety Culture version 2.0 (HSOPS 2.0), adapted to the Chilean population. The best-evaluated dimension was communication and receptivity; the worst was the support administrators provide for patient safety. This study identified the weaknesses and strengths of the hospital, the most worrying weakness being the shortage of human capital, material, and financial resources necessary to improve patient safety. This study was not registered.
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RESUMO Este estudo objetivou caracterizar o trabalho dos profissionais das equipes de saúde bucal da rede pública na pandemia da covid-19 do ponto de vista dos gestores. Trata-se de um estudo quantitativo-qualitativo, com 163 gestores municipais de saúde da Bahia, que responderam a um questionário virtual, de junho a outubro de 2020. Foi realizada análise descritiva dos dados quantitativos utilizando o Statistical Package for the Social Science, e Análise Temática das respostas subjetivas, com auxílio do IRaMuTeQ. Um escopo de atuação das equipes de saúde bucal, que atuam em todos os níveis de atenção à saúde, foi reconhecido como mais abrangente que o tradicional nesse período. A pandemia deu ênfase às fragilidades crônicas nas condições de trabalho dos cirurgiões-dentistas, técnicos e auxiliares de saúde bucal da rede pública, como a insuficiência de instrumentais odontológicos e de insumos, a precária manutenção dos equipamentos odontológicos, a fragilidade dos vínculos empregatícios e a estrutura física inadequada nas unidades de saúde, comprometendo a biossegurança. Assim, abre-se uma oportunidade para identificar e implementar mudanças necessárias não apenas no contexto de crise sanitária, mas também no período pós-pandemia.
ABSTRACT This study aimed to characterize the work of professionals from oral health teams in the public service, in the COVID-19 pandemic, from the point of view of managers. This is a cross-sectional, quantitative-qualitative study, with 163 municipal health managers in Bahia, who answered a virtual questionnaire, from June to October 2020. The descriptive analysis of the quantitative data was performed using the Statistical Package for the Social Science, and Thematic Analysis was applied to the subjective responses, using IRaMuTeQ. The scope of action of oral health teams, which operate at all levels of health care, was recognized as broader than the traditional in this period. The pandemic emphasized the chronic problems in the working conditions of dentists, technicians, and oral health assistants in the public service, such as the lack of dental instruments and supplies, the precarious maintenance of dental equipment, the fragility of employment relationships, and the inadequate physical structure in the health units, compromising biosecurity. Thus, there is an opportunity to identify and implement necessary changes not only in the context of a health crisis, but in the post-pandemic period.
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Nursing practice in an organization result from the leadership processes developed for the profession. It is reflected in the performance of nurses in interprofessional teams and the quality of care they provide to patients1. Evidence-based practice (EBP) refers to decision-making in the development and delivery of health care services according to the best available research evidence, the experience of health care providers, and the values and preferences of patients. The adoption or implementation of EBP by organizations can lead to safer practices, better outcomes for individuals, and lower healthcare costs2. In the literature, "champions" have been identified as determinants and agents of change to ensure adoption within institutions.
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Práctica Clínica Basada en la Evidencia , Liderazgo , Personal de EnfermeríaRESUMEN
A síndrome do burnout é composta por sintomas de exaustão emocional, despersonalização e redução do sentimento de conquista, estando relacionada a trabalho estressante. Médicos residentes e preceptores estão em alto risco para o surgimento do . O objetivo deste trabalho foi a revisão de estratégias institucionais e individuais para o enfrentamento do burnout por essa população. Trata-se de revisão integrativa, com coleta de dados por meio da base de dados Pubmed. Dentre as estratégias organizacionais, destacam-se a modificação dos processos de trabalho, organização das demandas dos profissionais, melhoria da comunicação, incentivo à capacitação profissional, e organização de serviços de atendimento para prevenção e manejo do burnout. Do ponto de vista individual, destacam-se os hábitos saudáveis, busca espiritual, dedicação a hobbies, meditação e coping. O burnout é um problema de saúde psíquica emergente em residentes e preceptores, sendo necessário que instituições e profissionais sejam ativos no diagnóstico e enfrentamento desse agravo
Burnout syndrome comprises symptoms of emotional exhaustion, depersonalization, and a diminished sense of achievement, associated with stressful work environments. Medical residents and preceptors are at a high risk for the emergence of burnout. This study aimed to review institutional and individual strategies for addressing burnout in this population. It is an integrative review, with data collected from the PubMed database. Among organizational strategies, emphasis is placed on modifying work processes, organizing professional demands, improving communication, encouraging professional development, and establishing support services to prevent and manage burnout. From an individual perspective, healthy habits, spiritual pursuits, dedication to hobbies, meditation, and coping are highlighted. Burnout is an emerging mental health issue in residents and preceptors, necessitating the active involvement of institutions and professionals in the diagnosis and management of this condition.
El síndrome de burnout está compuesto por agotamiento emocional, despersonalización y disminución del sentido de logro, asociado a entornos laborales estresantes. Los médicos residentes y preceptores tienen un alto riesgo de desarrollar burnout. El objetivo de este estudio fue revisar estrategias institucionales e individuales para abordar el burnout en esta población. Se trata de una revisión integradora, con datos recopilados de la base de datos PubMed. Entre las estrategias organizativas, se destaca la modificación de procesos de trabajo, organización de demandas profesionales, mejora de la comunicación, estímulo al desarrollo profesional y establecimiento de servicios para la prevención y el manejo del burnout. Desde una perspectiva individual, se resaltan hábitos saludables, búsqueda espiritual, dedicación a pasatiempos, meditación y el afrontamiento. El burnout es un problema de salud mental emergente en residentes y preceptores, lo que requiere la participación activa de instituciones y profesionales en el diagnóstico y tratamiento de esta condición.
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Salud LaboralRESUMEN
Objective.To evaluate the effectiveness of Virtual Teaching (VT) Programme regarding palliative care on knowledge, self-efficacy and attitude among Nursing Personnel working in selected hospitals of North India. Methods. A quasi-experimental study with non-equivalent control group pre-test-post-test design was conducted on 121 Nursing Personnel, selected by convenient sampling technique. Knowledge, self-efficacy and attitude were assessed using structured knowledge questionnaire, Palliative Care Self-efficacy Scale, and Frommelt Attitudes toward care of dying scale respectively. Nursing personnel in experimental group received Virtual Teaching Programme regarding palliative care whereas those in comparison group received conventional teaching (CT). The study included a pre-test followed by the teaching (virtual/ conventional) on day one. The post-test was conducted on 15th day after the intervention. Results. The results showed that there was a significant difference in mean post-test knowledge (VT group: 17.11 to CT group: 25.05; t=9.25, p<0.001), self-efficacy (VT group: 39.27 to CT group: 43.38; t=6.39, p<0.001) and attitude (VT group: 108.86 to CT group: 133.23; t=9.27, p<0.001) scores between virtual teaching group and conventional teaching group. ANCOVA test revealed statistically significant differences in the mean scores of knowledge [F (1.11) = 86.61, p<0.001], self-efficacy [F (1.11) = 841.75, p<0.001] and attitude [F (1.11) = 82.92, p<0.001] between the groups, with higher means obtained in the CT group. Conclusion. Virtual Teaching programme and Conventional teaching both were effective in enhancing the knowledge, self-efficacy and attitude among Nursing Personnel regarding palliative care with conventional teaching being more effective.
Objetivo. Evaluar la efectividad de un programa de Enseñanza Virtual (EV) sobre cuidados paliativos en cuanto a conocimientos, autoeficacia y actitud entre el personal de enfermería que trabaja en hospitales seleccionados del norte de la India. Métodos. Se llevó a cabo un estudio cuasiexperimental con un diseño de grupo de control no equivalente. Se realizaron pre y post-prueba a 121 miembros del personal de enfermería, seleccionados mediante una técnica de muestreo por conveniencia. Se evaluaron los conocimientos, la autoeficacia y las actitudes mediante un cuestionario estructurado de conocimientos, una escala de autoeficacia en cuidados paliativos y una escala de actitudes de Frommelt hacia el cuidado de personas al final de su vida. El personal de enfermería del grupo experimental recibió un programa de EV sobre cuidados paliativos, mientras que el del grupo de comparación recibió enseñanza convencional (EC). El estudio incluyó una preprueba seguida de la enseñanza virtual o convencional el primer día y una prueba posterior al decimoquinto día después de la intervención. Resultados. Los resultados mostraron que había una diferencia significativa en las puntuaciones medias post-test entre los grupos en: conocimientos (EV: 17.11 y EC: 25.05; t=9.25, p<0.001), autoeficacia (grupo VT: 39.27 y grupo CT: 43.38; t=6.39, p<0.001) y actitud (grupo EV: 108.86 y grupo EC: 133.23; t=9.27, p=<0.001) La prueba ANCOVA también reveló diferencias estadísticamente significativas en las puntuaciones medias de conocimientos [F (1.11) = 86.61, p=<0.001], autoeficacia [F (1.12) =841.75, p=<0.001] y actitud [F (1.11) = 82.91, p<0.001] entre los grupos, obteniéndose medias más altas en el grupo CT. Conclusión. Tanto el programa de enseñanza virtual como la enseñanza convencional fueron efectivos para mejorar los conocimientos, la autoeficacia y la actitud del personal de enfermería en relación con los cuidados paliativos, siendo el beneficio mucho mayor la enseñanza convencional.
Objetivo. Avaliar a eficácia de um programa de Aprendizagem Virtual (VE) sobre cuidados paliativos em termos de conhecimento, autoeficácia e atitude entre a equipe de enfermagem que trabalha em hospitais selecionados no norte da Índia. Métodos. Um estudo quase experimental foi conduzido com um desenho de grupo controle não equivalente. Foram realizados pré e pós-testes em 121 membros da equipe de enfermagem, selecionados por meio de técnica de amostragem por conveniência. Foram utilizados os instrumentos: questionário de conhecimento estruturado, escala de autoeficácia em cuidados paliativos e escala de atitudes de Frommelt em relação ao cuidado de pessoas em fim de vida. A equipe de enfermagem do grupo experimental recebeu um programa de VE sobre cuidados paliativos, enquanto o grupo controle recebeu ensino convencional (CE). O estudo incluiu um pré-teste seguido de ensino virtual ou convencional no primeiro dia e um pós-teste no 15º dia após a intervenção. Resultados. Os resultados mostraram que houve diferença significativa nas médias dos escores pós-teste entre os grupos em: conhecimento (EV: 17.11 e EC: 25.05; t=9.25, p<0.001), autoeficácia (grupo VT: 39.27 e grupo CT: 43.38; t=6.39, p<0.001) e atitude (grupo EV: 108.86 e grupo EC: 133.23; t=9.27, p=<0.001). O teste ANCOVA também revelou diferenças estatisticamente significativas nas pontuações médias de conhecimento [F (1.11) = 86.61, p=<0.001], autoeficácia [F (1.12) =841.75, p=<0.001] e atitude [F (1.11) = 82.91, p<0.001] entre os grupos, obtendo maiores médias em o grupo CT. Conclusão. Tanto o programa de ensino virtual quanto o ensino convencional foram eficazes na melhoria do conhecimento, da autoeficácia e da atitude da equipe de enfermagem em relação aos cuidados paliativos, sendo o benefício muito maior com o ensino convencional.
Asunto(s)
Humanos , Cuidados Paliativos , Grupos Control , Telemedicina , Conocimiento , AutoeficaciaRESUMEN
Resumen Objetivo: Determinar las actitudes hacia la vejez y hacia la sexualidad del personal de enfermería que repercute en la sexualidad en la vejez. (sugerencia mejorar la redacción). Material y métodos: Estudio cuantitativo, observacional, transversal y explicativo, con una muestra de 305 profesionales de enfermería con una edad promedio de 29 años (DE=7.76), se aplicaron las escalas de sexualidad, actitudes hacia la sexualidad en la vejez y el cuestionario de actitudes a la vejez. El análisis fue con estadística descriptiva e inferencial mediante el SPSS versión 26. Resultados: Se encontró que las actitudes hacia la sexualidad, así como hacia la vejez repercuten positiva y significativamente en la sexualidad en la vejez en el personal de enfermería encuestado. Así mismo, se encontró diferencia estadísticamente significativa por sexo para las dimensiones hombres ante la sexualidad (p=.014) y preocupación sexual (p=.001), así como la de estereotipos negativos físicos y conductuales (p=.037) con mayores puntuaciones para los hombres (p<.05). Conclusiones: Los aspectos internos, como la edad, la autoestima sexual y las actitudes hacia el envejecimiento, tienen la capacidad de predecir las actitudes hacia la sexualidad en la vejez.
Abstract Objective: To determine the intrapersonal factors that predict nursing professional attitudes towards sexuality in old age. Material and methods: Quantitative, observational, cross-sectional, and explanatory study, with a sample of 305 nursing professionals with a mean age of 29 years (SD=7.76), sexuality scales were applied, attitudes towards sexuality in old age and the questionnaire of attitudes to old age. The analysis was with descriptive and inferential statistics using SPSS. Results: It was found that attitudes towards sexuality, as well as towards old age, have a positive and significant impact on sexuality in old age in the nursing staff surveyed. Likewise, a statistically significant difference was found by sex for the dimensions of men regarding sexuality (p=.014) and sexual preoccupation (p=.000), as well as that of negative physical and behavioral stereotypes (p=.037) with higher scores for men (p<.05). Conclusion: Intrapersonal factors such as age, sexual self-esteem and attitudes towards old age are predictors of attitudes towards sexuality in old age.
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Frequentemente, subestima-se a importância da manutenção da saúde bucal, negligenciando o fato de que infecções orais não se restringem à cavidade oral. O impacto das infecções orais, como cáries, doenças periodontais e outras patologias bucais não deve ser minimizado. Tais condições têm o potencial de desencadear complicações sistêmicas significativas, incluindo endocardite, pneumonia e até mesmo acidente vascular encefálico. O objetivo deste estudo foi descrever a condição de saúde bucal de pacientes hospitalizados em um hospital público brasileiro. Trata-se de um estudo transversal, que utilizou a análise de prontuários médicos de pacientes admitidos em uma instituição hospitalar pública brasileira e atendidos pelo serviço de odontologia da instituição. As afecções orais mais diagnosticadas, em ordem de frequência, foram: cárie dentária (40%), gengivite (23,7%), queilite angular (22,5%), doença periodontal (18,7%), candidose oral (7,5%), úlceras traumáticas (6,2%), lesão potencialmente maligna (2,5%) e herpes labial (2,5%). O estado de saúde e higiene bucal dos pacientes foi considerado precário. Parte significativa dos pacientes apresentou afecções bucais com potencial risco de complicações à saúde durante a internação e necessidade de tratamento odontológico invasivo e/ou de urgência. A saúde bucal no ambiente hospitalar tem um papel muito importante para a efetivação da saúde integral dos pacientes internados.
Oral health maintenance is often underestimated, neglecting the fact that oral infections are not confined to the oral cavity. The impact of oral infections such as dental caries, periodontal diseases, and other oral pathologies should not be minimized. These conditions can trigger significant systemic complications, including endocarditis, pneumonia, and even stroke. Hence, this study describes the oral health condition of patients hospitalized in a Brazilian public hospital. A descriptive cross-sectional, exploratory and retrospective study was conducted by analyzing medical records of patients admitted to a Brazilian public hospital, and attended by the institution's dentistry service. The most diagnosed oral conditions, in order of frequency, were dental caries (40%), gingivitis (23.7%), angular cheilitis (22.5%), periodontal disease (18.7%), oral candidiasis (7.5%), traumatic ulcers (6.2%), potentially malignant lesion (2.5%), and labial herpes (2.5%). The patients' oral health and hygiene were considered precarious. A significant number of patients presented oral conditions with potential for health complications during hospitalization and a need for invasive and/or urgent dental treatment. Oral health in a hospital setting plays a crucial role in achieving comprehensive care for hospitalized patients.
Se subestima con frecuencia la importancia de mantener la salud bucal, pasando por alto el hecho de que las infecciones orales no se limitan a la cavidad oral. El impacto de las infecciones orales, como caries, enfermedades periodontales y otras patologías bucales, no debe minimizarse. Estas condiciones tienen el potencial de desencadenar complicaciones sistémicas significativas, como endocarditis, neumonía e incluso accidente cerebrovascular. El objetivo de este estudio fue describir la condición de salud bucal de pacientes hospitalizados en un hospital público brasileño. Se trata de un estudio transversal, mediante el análisis de historias clínicas de pacientes ingresados en una institución hospitalaria pública brasileña, atendidos por el servicio de odontología de la institución. Las afecciones orales más diagnosticadas, en orden de frecuencia, fueron: caries dental (40%), gingivitis (23,7%), queilitis angular (22,5%), enfermedad periodontal (18,7%), candidiasis oral (7,5%), úlceras traumáticas (6,2%), lesiones potencialmente malignas (2,5%) y herpes labial (2,5%). Se consideró que el estado de salud e higiene bucal de los pacientes era precario. Una parte significativa de los pacientes presentó afecciones bucales con potencial riesgo de complicaciones para la salud durante la hospitalización y la necesidad de tratamiento odontológico invasivo y/o de urgencia. La salud bucal en el entorno hospitalario desempeña un papel muy importante para la efectividad de la salud integral de los pacientes hospitalizados.
Asunto(s)
HumanosRESUMEN
OBJECTIVE: To investigate the effects of sociodemographic and working condition variables, as well as the coping strategies used by nurses, on their occupational stress during the COVID-19 pandemic. METHODS: A cross-sectional study was conducted with 104 nurses who worked in intensive and emergency care at a public hospital in the state of São Paulo, Brazil. Data collection was performed in person and online using a questionnaire assessing sociodemographic and occupational characteristics, the Nursing Stress Inventory, and the Occupational Coping Scale. RESULTS: The participants had a high level of stress (median = 132), especially in the 'interpersonal relations' domain (median = 63), and made little use of occupational coping strategies (median = 87). Income (p = 0.027), work shift (p = 0.028), being on leave from work (p = 0.020), number of hospitals with employment ties (p = 0.001), and relationship with management were independently associated with the levels of stress among the nurses. CONCLUSION: In the present study, the high levels of stress among nurses were influenced by financial and work-related factors as well as interpersonal relationships. No significant association was found between stress among the nurses and the use of occupational coping strategies.
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Background and Objectives: hand hygiene (HH) is a crucial safety practice, but lack of knowledge can hinder compliance. The objective was to measure and assess the knowledge of nursing professionals who provided care during the COVID-19 pandemic regarding HH and to verify the association between HH knowledge and professional category and regions in Brazil. Methods: an observational study was conducted from November 2020 to December 2021 involving 493 nursing professionals from all regions of Brazil. Data collection was carried out using Google Forms® and social media platforms. The Hand Hygiene Knowledge Test for Healthcare Professionals was used, and results were analyzed descriptively. Pearson's chi-square test (x2) and Fisher's exact test were employed to assess associations. Results: among the participants, the majority (74.7%) had limited or subpar knowledge of HH. Nurses had a higher level of knowledge compared to nursing assistants and licensed practical nurses. Associations were found between professional category and correct answers regarding microorganism destruction time and the type of HH to be used. Conclusion: Brazilian nursing professionals had limited knowledge of HH, with nurses displaying a higher level of knowledge compared to nursing assistants and licensed practical nurse. Continuous education and guidance are necessary to improve HH practices among the nursing staff.(AU)
Justificativas e Objetivos: a higiene das mãos (HM) é uma prática crucial para a segurança, mas a falta de conhecimento pode prejudicar a adesão. Este estudo avaliou o conhecimento dos profissionais de enfermagem que prestaram cuidados durante a pandemia de Covid-19 em relação à HM e explorou a associação entre o conhecimento de HM, categoria profissional e regiões no Brasil. Métodos: um estudo observacional foi conduzido de novembro de 2020 a dezembro de 2021 envolvendo 493 profissionais de enfermagem de todas as regiões do Brasil. A coleta de dados foi realizada usando o Google Forms® e plataformas de mídia social. Foi utilizado o Teste de Conhecimento de Higiene das Mãos para Profissionais de Saúde, e os resultados foram analisados descritivamente. O teste qui-quadrado de Pearson (x2) e o teste exato de Fisher foram empregados para avaliar as associações. Resultados: entre os participantes, a maioria (74,7%) tinha conhecimento limitado ou insuficiente sobre HM. Os enfermeiros apresentaram um nível mais elevado de conhecimento em comparação com os auxiliares e técnicos de enfermagem. Foram encontradas associações entre a categoria profissional e respostas corretas sobre o tempo de destruição de microrganismos e o tipo de HM a ser utilizado. Conclusão: os profissionais de enfermagem brasileiros possuíam conhecimento limitado sobre HM, sendo que os enfermeiros apresentaram um nível mais elevado de conhecimento em comparação com os auxiliares e técnicos de enfermagem. Educação contínua e orientação são necessárias para melhorar as práticas de HM entre a equipe de enfermagem.(AU)
Justificación e Objetivos: la higiene de manos (HM) es una práctica de seguridad crucial, pero la falta de conocimiento puede dificultar el cumplimiento. Este estudio evaluó el conocimiento de los profesionales de enfermería que brindaron atención durante la pandemia de Covid-19 en relación con la HM y exploró la asociación entre el conocimiento de HM, la categoría profesional y las regiones en Brasil. Métodos: se realizó un estudio observacional desde noviembre de 2020 hasta diciembre de 2021 que incluyó a 493 profesionales de enfermería de todas las regiones de Brasil. La recopilación de datos se realizó utilizando Google Forms® y plataformas de redes sociales. Se utilizó el Test de Conocimiento de Higiene de Manos para Profesionales de la Salud, y los resultados se analizaron de manera descriptiva. Se emplearon la prueba chi-cuadrado de Pearson (x2) y la prueba exacta de Fisher para evaluar las asociaciones. Resultados: entre los participantes, la mayoría (74,7%) tenía conocimiento limitado o deficiente de HM. Las enfermeras tenían un nivel de conocimiento más alto en comparación con los auxiliares y técnicos de enfermería. Se encontraron asociaciones entre la categoría profesional y las respuestas correctas sobre el tiempo de destrucción de microorganismos y el tipo de HM que debía utilizarse. Conclusión: los profesionales de enfermería brasileños tenían un conocimiento limitado de HM, siendo que las enfermeras mostraban un nivel de conocimiento más alto en comparación con los auxiliares y técnicos de enfermería. Se requiere educación continua y orientación para mejorar las prácticas de HM entre el equipo de enfermería(AU)
Asunto(s)
Humanos , Brasil , Control de Infecciones , Educación Continua , Higiene de las Manos , COVID-19 , Enfermeras Practicantes , Grupo de EnfermeríaRESUMEN
Com o reconhecimento do exercício da Odontologia Hospitalar e sua aprovação como uma nova especialidade pelo Conselho Federal de Odontologia em 2023, e validação das novas Diretrizes Curriculares Nacionais para o Curso de Odontologia homologadas em 2021, os cursos de graduação em Odontologia no Brasil tendem a qualificar futuros profissionais em formação para atuar em ambiente hospitalar, de forma sistematizada. Isso visa propiciar aosestudantes uma vivência interprofissional inerente aos hospitais, favorecendo a interação positiva entre várias áreas da saúde. Este estudo descritivo tem como objetivo relatar a experiência no processo de aprendizagem colaborativa entre profissionais de saúde residentes do Programa de Residência Multiprofissional em Saúde do Idoso, na área profissional de Odontologia, de um Hospital Universitário de Curitiba e estudantes de graduação do curso de Odontologia de uma instituição de ensino superior. Durante odesenvolvimento de diferentes atividades acadêmicas, observou-se que a utilização desta metodologia de ensino-aprendizagem caracterizou-se como uma ferramenta importante, buscando fortalecer as trocas de vivências práticas, propiciando discussões entre estudantes e profissionais residentes, por meio da mediação dos docentes, os quais buscavam sempre incentivar a construção do conhecimento crítico reflexivo, oportunizando uma experiência de formação discente interprofissional ampliada (AU).
Con el reconocimiento de la práctica de la Odontología Hospitalaria y su aprobación como nueva especialidad por el Consejo Federal de Odontología en 2023, y la validación de las nuevas Directrices Curriculares Nacionales para la Carrera de Odontología aprobadas en 2021, las carreras de pregrado en Odontología en Brasil tienden a capacitar a los futuros profesionales en formación para trabajar en el entorno hospitalario, de forma sistemática. Se pretende proporcionar a los estudiantes una experienciainterprofesional inherente a los hospitales, favoreciendo la interacción positiva entre las diversas áreas de la salud. Este estudio descriptivo tiene como objetivo relatar la experiencia en el proceso de aprendizaje colaborativo entre profesionales de lasalud residentes en el Programa de Residencia Multidisciplinaria en Salud del Adulto Mayor, en el área profesional de Odontología, en un Hospital Universitario de Curitiba y estudiantes de pregrado de la carrera de Odontología en Curitiba de una institución de educación superior. Durante el desarrollo de diferentes actividades académicas, se observó que el uso de esta metodología de enseñanza-aprendizaje se caracterizó como una herramienta importante, buscando fortalecer el intercambio de experiencias prácticas, promoviendo el debate entre estudiantes y profesionales residentes, a través de la mediación de los docentes. que siempre buscó incentivar la construcción de conocimientos reflexivos críticos, brindando una experiencia ampliada de formación interprofesional de los estudiantes (AU).
With the recognition of the Hospital Dentistry practice,its approval as a new specialty by the Federal Dental Council in 2023 and validation of the new National Curricular Guidelines for the Dentistry Course approved in 2021, undergraduate Dentistry courses in Brazil tend to qualify future professionals in training to work in a hospital environment, in a systematic manner. This aims to provide students with an interprofessional experience inherent to hospitals, favoring the positive interaction between various health specialties. This descriptive study reportsthe experience in the collaborative learning process between health professionals residentsof the Multiprofessional Residency Program in Elderly Health in the professional area of Dentistry at a University Hospital in Curitiba,and undergraduate Dentistry students from a higher education institutionin Curitiba. During the development of different academic activities, it was observed that the use of this teaching-learning methodology was characterized as an important tool, seeking to strengthen the exchange of practical experiences, promoting discussions betweenstudents and resident professionals, by the mediation of professors, who always encourage the construction of critical reflective knowledge, providing an expanded interprofessional student training experience (AU).
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Humanos , Masculino , Femenino , Aprendizaje Basado en Problemas , Personal de Odontología en Hospital , Prácticas Interdisciplinarias/métodos , Educación InterprofesionalRESUMEN
OBJECTIVES: We explored views of care home managers when introducing PROCUIDA-Demencia a mixed-methods two-arm cluster randomised controlled pilot and clinical outcomes study aiming to optimise dementia care by introducing psychosocial interventions to reduce antipsychotic medication in care homes. METHOD: We undertook secondary analysis of pre and post in-depth interviews conducted in summer 2018 with not-for-profit care home managers in Mexico who were allocated to the intervention group. Transcribed data were thematically analysed. Themes were mapped out with RE-AIM quality appraisal framework (Reach, Effectiveness, Adoption, Implementation and Maintenance) as preliminary evaluation to identify practice and future intervention development and evaluation. RESULTS: Two pre- and three post-intervention themes were constructed. Participants reported measurable positive impact; one home built a new specialist dementia care unit and others hired a psychologist and psychiatrist to sustain the changes. Antipsychotic medication was reduced for some participating residents which also minimised cost burden on family members. CONCLUSION: Funding, systemic working across families, clinical and social teams and effective systems of governance are urgently required to sustain models like PROCUIDA-Demencia. The RE-AIM preliminary evaluation outlined care home managers' long-term sustainable practice and positive impact on the dementia care system. These findings might inform staff retention strategies and care home systemic care practices. This evaluation is contributing to the Mexican Alzheimer's and other dementias plan.
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Antipsicóticos , Demencia , Humanos , Antipsicóticos/uso terapéutico , Demencia/tratamiento farmacológico , Demencia/psicología , México , Casas de Salud , Evaluación de Programas y Proyectos de Salud , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como AsuntoRESUMEN
BACKGROUND: High school staff can play a key role in supporting students with LGBTQ+ identities through informal strategies; however, more research is needed to understand how staff are employing these strategies. METHODS: We conducted semi-structured interviews, collecting information on informal strategies used to support students identifying as LGBTQ+ from a diverse sample of 23 school staff from high schools across the United States. RESULTS: Staff employed informal support strategies across social ecological levels: within the school community, staff interacted with parents/guardians of students and advocated for more inclusive policies. Within the classroom, staff created inclusive physical environments, implemented inclusive curricula, and employed bullying prevention strategies. Interpersonally, staff listened to and affirmed students and collaborated to employ support strategies. Intrapersonal qualities, including having a personal connection to the LGBTQ+ community and demonstrating open-mindedness, facilitated staff efforts to support students. CONCLUSIONS: Supporting staff in the implementation of the strategies we identified could foster more inclusive school environments, advancing equity for students identifying as LGBTQ+.