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  1. Article ; Online: Repercussions of moving patients on the context of practice: perspectives of the nursing team.

    Campos, Mariana Santos de / Cucolo, Danielle Fabiana / Perroca, Marcia Galan

    Revista latino-americana de enfermagem

    2024  Volume 32, Page(s) e4113

    Abstract: Objective: to examine the nursing team's view of the repercussions of moving patients (admissions, transfers and discharges) on the organization of work and the delivery of care.: Method: this is a qualitative study using the focus group technique, ... ...

    Abstract Objective: to examine the nursing team's view of the repercussions of moving patients (admissions, transfers and discharges) on the organization of work and the delivery of care.
    Method: this is a qualitative study using the focus group technique, conducted with 23 professionals - 12 nurses, eight nurse technicians and three nurse assistants working in three inpatient units at a teaching hospital in the countryside of Sao Paulo. Four meetings took place between November 2021 and March 2022. The reports were analyzed thematically using MAXQDA software.
    Results: two thematic categories emerged: the influence of structural factors and work organization on the intra-hospital moving of patients; it demands time, generates work overload and interferes with the delivery of care.
    Conclusion: the volume of moving patient associated with unforeseen demands, care complexity and insufficient staff and resources have a negative impact on the delivery of care, with clinical risks and work overload. The findings make it possible to improve the regulation of patients entering and leaving the units, work organization and care management, avoiding clinical risks, delays, omissions and work overload.
    Background: (1) Moving patients around the hospital requires structure and work organization.
    Background: (2) Nursing estimates dedicating 10-15 minutes to 2-3 hours of work on these interventions.
    Background: (3) Frequency, unpredictability and complexity of care have a negative impact on care.
    Background: (4) Unfavorable conditions for moving generate care and occupational risks.
    MeSH term(s) Humans ; Brazil ; Qualitative Research ; Focus Groups ; Nursing, Team
    Language Portuguese
    Publishing date 2024-03-15
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105698-5
    ISSN 1518-8345 ; 1518-8345
    ISSN (online) 1518-8345
    ISSN 1518-8345
    DOI 10.1590/1518-8345.7042.4113
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Workload of nurses: observational study of indirect care activities/interventions.

    Campos, Mariana Santos de / Oliveira, Bruna Andrade de / Perroca, Marcia Galan

    Revista brasileira de enfermagem

    2018  Volume 71, Issue 2, Page(s) 297–305

    Abstract: Objective: Observe the workflow of nurses in hospitalization units identifying indirect care activities/interventions; measure the frequency and average time spent in performing them; and to verify the associations between average time of the activities ...

    Abstract Objective: Observe the workflow of nurses in hospitalization units identifying indirect care activities/interventions; measure the frequency and average time spent in performing them; and to verify the associations between average time of the activities interventions grouped into categories and per hospitalization unit.
    Method: Observational exploratory study using the timed technique. It was conducted in medical, surgical and specialized clinic units of a teaching hospital in the northwest of São Paulo Brazil, with 16 attending nurses as participants.
    Results: 90 hours of observation were performed, of which 58% (52 hours and 10 minutes) were related to indirect care activities of the patients. The most frequent activities/interventions were: "Communication" - 1,852 (44.1%), mean 34.6 (SD = 54); "Walking" - 1,023 (24.3%), mean 22 (SD = 49.2); and "Documentation" - 663 (15.8%), mean 82.7 (SD = 144.4).
    Conclusion: These findings favor a redesign of the work process and foster the need to update and refine the current workload measurement instruments.
    MeSH term(s) Adult ; Analysis of Variance ; Brazil ; Female ; Hospitals, Teaching/organization & administration ; Humans ; Male ; Middle Aged ; Nurses/psychology ; Nursing Care/methods ; Workload/psychology ; Workload/standards
    Language Portuguese
    Publishing date 2018-02-07
    Publishing country Brazil
    Document type Journal Article ; Observational Study
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2016-0561
    Database MEDical Literature Analysis and Retrieval System OnLINE

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