Repercussions of moving patients on the context of practice: perspectives of the nursing team.

IF 1.5 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2024-03-15 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.7042.4113

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

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引用次数: 0

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.

查看原文本刊更多论文

病人搬家对工作环境的影响：护理团队的观点。

方法：这是一项采用焦点小组技术的定性研究，共有 23 名专业人员参与，包括 12 名护士、8 名护士技术员和 3 名护士助理，他们在圣保罗郊区一家教学医院的三个住院部工作。2021 年 11 月至 2022 年 3 月期间举行了四次会议。结果：出现了两个主题类别：结构性因素和工作组织对院内病人搬迁的影响；病人搬迁需要时间，造成工作负担过重，干扰了护理工作。结论：与意外需求、护理复杂性、人员和资源不足相关的病人搬迁量对护理工作造成了负面影响，带来了临床风险和工作负担过重。背景：（1）在医院内移动病人需要结构和工作组织。背景：（2）护理人员估计在这些干预措施上需要投入 10-15 分钟至 2-3 小时的工作时间。背景：（3）护理的频繁性、不可预测性和复杂性对护理产生负面影响。背景：（4）不利的移动条件产生护理和职业风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.