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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 ; Online: Interprofessional actions in responsible discharge: contributions to transition and continuity of care.

    Zanetoni, Tatiane Cristina / Cucolo, Danielle Fabiana / Perroca, Marcia Galan

    Revista da Escola de Enfermagem da U S P

    2023  Volume 57, Page(s) e20220452

    Abstract: Objective: To analyze the interprofessional team's perception of the actions carried out by means of responsible hospital discharge, and their contribution to improving the transition and continuity of patient care.: Methods: A qualitative study was ... ...

    Abstract Objective: To analyze the interprofessional team's perception of the actions carried out by means of responsible hospital discharge, and their contribution to improving the transition and continuity of patient care.
    Methods: A qualitative study was carried out in two hospitalization units, in October - November 2020, interviewing health professionals from a teaching hospital in the state of São Paulo. The reports were transcribed and subjected to thematic content analysis.
    Results: Twelve professionals participated (doctor, nurse, physiotherapist, nutritionist, speech therapist and social worker) and three thematic categories emerged from the interviews: 1. informational continuity in responsible discharge; 2. interaction between professionals and services for the transition of care; and 3. workload management for better transition and continuity of care.
    Conclusion: The team recognized interprofessional advances and challenges in responsible discharge related to the informational and relational continuity of patient care and highlighted the (over)workload as an unfavorable aspect in the transition process, generating impacts for patients, professionals and health services.
    MeSH term(s) Humans ; Patient Discharge ; Brazil ; Hospitalization ; Body Fluids ; Health Personnel
    Language Portuguese
    Publishing date 2023-12-04
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2411320-7
    ISSN 1980-220X ; 1980-220X
    ISSN (online) 1980-220X
    ISSN 1980-220X
    DOI 10.1590/1980-220X-REEUSP-2022-0452en
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  3. Article ; Online: Responsible hospital discharge: content validation of nurse's activities.

    Zanetoni, Tatiane Cristina / Cucolo, Danielle Fabiana / Perroca, Marcia Galan

    Revista gaucha de enfermagem

    2022  Volume 43, Page(s) e20210044

    Abstract: Objective: To develop and validate a list of activities to be performed by the nurse at the responsible hospital discharge.: Method: Content validation study. The 14 generated items were organized on a Likert scale and submitted to judges' ... ...

    Abstract Objective: To develop and validate a list of activities to be performed by the nurse at the responsible hospital discharge.
    Method: Content validation study. The 14 generated items were organized on a Likert scale and submitted to judges' appreciation, using the Delphi Technique. Relevance, explicitness in the statements and the sequential order of execution were evaluated. The consensus for the answers was pre-established at 0.80 and the content validity index was calculated.
    Results: Eight professionals participated in the validation of the created list. In Delphi 1, the content validity index ranged from 0.7 (post-discharge contact and home visit scheduling) to 1.0 and in Delphi 2, a range from 0.60 (post-discharge telephone contact) to 1.0.
    Conclusion: 13 of the 14 proposed activities were validated. The created list of activities can contribute to the safe discharge process, the continuity and comprehensiveness of care and, also, to the reduction of readmissions.
    MeSH term(s) Aftercare ; Consensus ; Delphi Technique ; Hospitals ; Humans ; Patient Discharge
    Language Portuguese
    Publishing date 2022-05-23
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2639673-7
    ISSN 1983-1447 ; 1983-1447
    ISSN (online) 1983-1447
    ISSN 1983-1447
    DOI 10.1590/1983-1447.2022.20210044.en
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  4. Article ; Online: Impact of interruptions on the duration of nursing interventions: A study in a chemotherapy unit.

    Bertolazzi, Luana Gaino / Perroca, Marcia Galan

    Revista da Escola de Enfermagem da U S P

    2020  Volume 54, Page(s) e03551

    Abstract: Objective: To investigate interruptions during nursing interventions in a chemotherapy unit (sources and causes); measure their frequency, duration and the total elapsed time to complete the interventions.: Method: This is an observational analytical ...

    Abstract Objective: To investigate interruptions during nursing interventions in a chemotherapy unit (sources and causes); measure their frequency, duration and the total elapsed time to complete the interventions.
    Method: This is an observational analytical study performed using a digital stopwatch. It was conducted in a teaching hospital between 2015/2016. The interventions performed and their interruptions were mapped and classified according to the Nursing Interventions Classifications (NIC) taxonomy.
    Results: There were 492 interruptions recorded in the 107 hours observed, especially in indirect care interventions. They were mainly caused by nursing professionals (n = 289; 57.3%) to supply materials (n = 65; 12.8%) and exchange care information (n = 65; 12.8%). The duration of interruptions ranged from 0:08 to 9:09 (average 1:15; SD 1:03) minutes. On average, interventions took 2:16 (SD 0:27) minutes to complete without interruption; however, the average was 5:59 (SD 3:01) minutes when interrupted.
    Conclusion: The interruptions were constant during the nursing work in the chemotherapy unit, including during the preparation and administration of medications, and increased the time to complete the interventions by an average of 163.9%.
    MeSH term(s) Adult ; Antineoplastic Agents/administration & dosage ; Female ; Hospitals, Teaching ; Humans ; Male ; Nursing Staff, Hospital/organization & administration ; Oncology Nursing/organization & administration ; Standardized Nursing Terminology ; Time Factors ; Workflow ; Young Adult
    Chemical Substances Antineoplastic Agents
    Language Portuguese
    Publishing date 2020-04-06
    Publishing country Brazil
    Document type Journal Article ; Observational Study
    ZDB-ID 2411320-7
    ISSN 1980-220X ; 0080-6234
    ISSN (online) 1980-220X
    ISSN 0080-6234
    DOI 10.1590/S1980-220X2018047503551
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  5. Article ; Online: Transfer of patients in hospital units: impacts on nursing workload.

    Trovó, Simone Aparecida / Cucolo, Danielle Fabiana / Perroca, Márcia Galan

    Revista da Escola de Enfermagem da U S P

    2021  Volume 55, Page(s) e0327

    Abstract: Objective: To measure the average time spent by the nursing team in transferring patients; to compare the activities observed during the performance of this intervention with those described by the Nursing Interventions Classification and to investigate ...

    Abstract Objective: To measure the average time spent by the nursing team in transferring patients; to compare the activities observed during the performance of this intervention with those described by the Nursing Interventions Classification and to investigate the intensity of its influence on the workload.
    Method: Observational study using timekeeping software conducted in two hospitals in the northwest region of the State of São Paulo. 200 patient transfers were monitored by the team using two validated instruments.
    Results: The average time spent by nurses on transfers ranged from 9.3 (standard deviation = 3.5) to 12.2 (standard deviation = 2.5) minutes and by assistants/ technicians between 7.1 (standard deviation = 2,8) and 11.0 (standard deviation = 2.2) minutes. 63 transfers made by nurses and 87 by assistants/technicians were considered qualified (>70% of the score). The team expended 19.3 to 29% of the working day time in this intervention.
    Conclusion: The transfer of patients has an impact on the workload of the team and needs to be considered in the measurement of nursing activities for the calculation and distribution of personnel to improve the quality and continuity of care.
    MeSH term(s) Hospital Units ; Hospitals ; Humans ; Nursing Staff, Hospital ; Nursing, Team ; Standardized Nursing Terminology ; Workload
    Language Portuguese
    Publishing date 2021-06-18
    Publishing country Brazil
    Document type Journal Article ; Observational Study
    ZDB-ID 2411320-7
    ISSN 1980-220X ; 1980-220X
    ISSN (online) 1980-220X
    ISSN 1980-220X
    DOI 10.1590/S1980-220X2020024903727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Hospital - primary care articulation in care transition: both sides of the process.

    Mauro, Adriéli Donati / Cucolo, Danielle Fabiana / Perroca, Marcia Galan

    Revista da Escola de Enfermagem da U S P

    2021  Volume 55, Page(s) e20210145

    Abstract: Objective: To analyze how the articulation between hospital and primary health care related to patient discharge and continuity of care after hospitalization takes place.: Method: Qualitative study, using the focus group technique to explore the ... ...

    Abstract Objective: To analyze how the articulation between hospital and primary health care related to patient discharge and continuity of care after hospitalization takes place.
    Method: Qualitative study, using the focus group technique to explore the experience of 21 nurses in hospitals (n = 10) and at primary care (n = 11) in a municipality in the northwest area of the State of São Paulo. Data collection took place between December 2019 and April 2020. Four focus groups were carried out (two in the hospital and two in the health units) and the findings underwent thematic analysis.
    Results: The categories identified were: Patient inclusion flow in the responsible discharge planning, Patient/family member/caregiver participation, Care planning, Communication between services, and Challenges in the discharge process. According to reports, the discharge process is centered on bureaucratic aspects with gaps in communication and coordination of care.
    Conclusion: This research allowed understanding how nurses from different points of health care experience the discharge and (dis)articulation of the team work. The findings can equip managers in the (re)agreement of practices and integration of services to promote continuity of care.
    MeSH term(s) Brazil ; Continuity of Patient Care ; Hospitals ; Humans ; Patient Discharge ; Patient Participation ; Patient Transfer ; Primary Health Care ; Qualitative Research
    Language Portuguese
    Publishing date 2021-09-17
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2411320-7
    ISSN 1980-220X ; 1980-220X
    ISSN (online) 1980-220X
    ISSN 1980-220X
    DOI 10.1590/1980-220X-REEUSP-2021-0145
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  7. Article ; Online: The qualitative dimension of Nursing workload: a measurement proposal.

    Cucolo, Danielle Fabiana / Perroca, Marcia Galan

    Revista latino-americana de enfermagem

    2019  Volume 27, Page(s) e3238

    Abstract: Objective: construct and test a proposal to measure the qualitative dimension of nursing workload; identify the workload cut-off point and its indicator as predictors of the good and optimal nursing care product score.: Method: this is a descriptive ... ...

    Abstract Objective: construct and test a proposal to measure the qualitative dimension of nursing workload; identify the workload cut-off point and its indicator as predictors of the good and optimal nursing care product score.
    Method: this is a descriptive study conducted in four inpatient units and four intensive care units of a Brazilian teaching hospital, considering 308 evaluations performed by 19 nurses. Four measurement instruments were used: three to assess the care demand in relation to nursing and the other to classify the care product delivered at the end of the shift. The workload was calculated and its indicator was constructed.
    Results: a weak and inverse correlation was found between the care product score, workload and the workload indicator and the workload indicator in the units and moderate and inverse between Nursing care planning and Care needs assistance with the number of hospitalized patients.
    Conclusion: it is possible to associate workload and its indicator with the care product. Nursing workload ≤ 173 hours (24 hours) and indicator ≤ 12.3 hours / professional were associated with a higher probability of obtaining a "good" and "optimal" score in the care product in the inpatient units.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Female ; Humans ; Inpatients ; Intensive Care Units ; Male ; Nursing Assessment ; Nursing Staff, Hospital/organization & administration ; Nursing Staff, Hospital/statistics & numerical data ; ROC Curve ; Workload/standards ; Workload/statistics & numerical data
    Language Spanish
    Publishing date 2019-12-05
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105698-5
    ISSN 1518-8345 ; 1518-8345
    ISSN (online) 1518-8345
    ISSN 1518-8345
    DOI 10.1590/1518-8345.3274.3238
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  8. Article ; Online: Effects of interprofessional practice on nursing workload in hospitals: A systematic review.

    Cucolo, Danielle Fabiana / de Campos Oliveira, João Lucas / Rossit, Rosana Aparecida Salvador / Mininel, Vivian Aline / Perroca, Marcia Galan / Silva, Jaqueline Alcântara Marcelino da

    The International journal of health planning and management

    2024  Volume 39, Issue 3, Page(s) 824–843

    Abstract: Objective: To synthesise scientific evidence on interprofessional practice in hospital care and the effects on nursing workload.: Methods: Systematic mixed method review, registered in PROSPERO (CRD42021225627) and conducted in the following ... ...

    Abstract Objective: To synthesise scientific evidence on interprofessional practice in hospital care and the effects on nursing workload.
    Methods: Systematic mixed method review, registered in PROSPERO (CRD42021225627) and conducted in the following databases: CINAHL, Medline, Web of Science and Scopus, with no restrictions on the publication period of the studies. Primary studies were recruited on nurses' interprofessional practice (actions and interactions with other professional categories) in hospitals and the effects on one or more dimensions of nursing workload (quantitative, qualitative, physical, cognitive, emotional, time and variation). Scientific articles available in open access, in English, Spanish or Portuguese, were included. The searches were carried out in January 2021. The studies were evaluated by pairs of independent researchers to verify methodological quality, through the Mixed Method Appraisal Tool, and data extraction. To summarise the studies, thematic analysis was adopted.
    Results: A total of 1774 publications were assessed for eligibility and 17 studies were included. Of these, two were mixed methods, four were qualitative, and 11 were quantitative, published between 2011 and 2020. The main scenarios investigated were Intensive Care Units and/or Inpatient Units. During data analysis, three thematic categories emerged: Interprofessional practice in coping with emotional overload; Time dedicated by nurses to professional communication; and Working conditions and patient care. The third category consisted of three subthemes: Conflict and flexibility in the context of practice; Working conditions and interprofessional practice; and Effects on patient care.
    Conclusions: The evidence points to the emotional overload of nurses in the face of uncooperative practices. Interprofessional actions, especially communicative ones, demand nurses' time and impact the care provided. The results contribute to political decisions and health work management.
    MeSH term(s) Workload ; Humans ; Nursing Staff, Hospital/psychology ; Interprofessional Relations
    Language English
    Publishing date 2024-02-14
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 632786-2
    ISSN 1099-1751 ; 0749-6753
    ISSN (online) 1099-1751
    ISSN 0749-6753
    DOI 10.1002/hpm.3779
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    Zs.B 2897: Show issues Location:
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  9. Article ; Online: Approaches to workload in psychiatric and mental health nursing.

    Pedroso, Tássia Ghissoni / Pedrão, Luiz Jorge / Perroca, Marcia Galan

    Revista brasileira de enfermagem

    2020  Volume 73 Suppl 1, Page(s) e20190620

    Abstract: Objective: to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature review using six databases, covering January 2005 to March 2019. Articles in ...

    Abstract Objective: to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included.
    Results: the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies.
    Conclusion: strategies were found for measuring workload and assessing the impact of stressors on nursing teams.
    MeSH term(s) Adaptation, Psychological ; Brazil ; Humans ; Occupational Stress ; Psychiatric Nursing ; Workload ; Workplace
    Language English
    Publishing date 2020-07-17
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731983-6
    ISSN 1984-0446 ; 0034-7167
    ISSN (online) 1984-0446
    ISSN 0034-7167
    DOI 10.1590/0034-7167-2019-0620
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3392: Show issues Location:
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  10. Article ; Online: Time and quality of admissions: nursing workload.

    Trovó, Simone Aparecida / Cucolo, Danielle Fabiana / Perroca, Marcia Galan

    Revista brasileira de enfermagem

    2020  Volume 73, Issue 5, Page(s) e20190267

    Abstract: Objectives: to measure the average time spent by the nursing staff during patient admission and investigate their compliance with the activities described by the Nursing Interventions Classification; evaluate the degree of interference in the workload ... ...

    Abstract Objectives: to measure the average time spent by the nursing staff during patient admission and investigate their compliance with the activities described by the Nursing Interventions Classification; evaluate the degree of interference in the workload of the team.
    Methods: observational with time measurement through software. We followed 199 admissions made by the nursing staff in seven units, using two validated instruments. Total scores ≥ 70% and 50% validated the process.
    Results: the average time of nurses ranged from 5.5 (standard deviation = 2.3) to 13 (standard deviation = 1.1) minutes; and the auxiliary / technician, between 4.7 (standard deviation = 2.1) and 6.8 (standard deviation = 2.0) minutes (p ≤ 0.01). We qualified six admissions made by nurses and 33 by assistants/technicians. The intervention spent 16.3% to 31.5% of the working hours of the team.
    Conclusions: admission impacts nursing workload and needs to be considered both in the measurement of activities and in the sizing of the nursing staff.
    MeSH term(s) Adult ; Brazil ; Female ; Humans ; Male ; Nursing Care/methods ; Nursing Care/standards ; Patient Admission/statistics & numerical data ; Time Factors ; Workload/psychology ; Workload/standards
    Language English
    Publishing date 2020-07-06
    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 10.1590/0034-7167-2019-0267
    Database MEDical Literature Analysis and Retrieval System OnLINE

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