Evaluación de los aspectos asistenciales, organizativos y laborales desde la perspectiva de los profesionales de enfermería
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Nov 24, 2022
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Resumo
El equipo de enfermería desempeña un papel importante en el contexto sanitario, en el que es necesario alinear el control de los costes elevados con la seguridad y la calidad de los cuidados, lo que puede contribuir a las decisiones de
gestión y al diseño de políticas públicas capaces de inuir en los resultados de los profesionales, los pacientes y los servicios sanitarios. Objetivo: evaluar las condiciones de trabajo, la calidad de los cuidados de enfermería, la satisfacción laboral y la intención de permanecer en el puesto de trabajo actual y en la profesión desde la perspectiva de los profesionales de enfermería. Métodos: se trata de un estudio transversal, descriptivo y correlacional realizado en tres hospitales generales de Brasil. Los datos se recogieron con el apoyo de un formulario que contenía la caracterización personal y profesional y la evaluación de los aspectos asistenciales, organizativos y laborales. Resultados: participaron 452 profesionales de enfermería. Los profesionales de enfermería están satisfechos con su trabajo, informaron su intención de permanecer en su empleo actual y en la profesión durante los próximos 12 meses y declararon tener buenas condiciones de trabajo. Conclusión: la institución que contaba con acreditación hospitalaria mostró mejores resultados, lo que sugiere que lascertificaciones de calidad pueden favorecer la percepción de los profesionales de enfermería en cuanto a la evaluación de los aspectos asistenciales, organizativos y laborales.
Keywords
enfermería, grupo de enfermería, satisfacción en el trabajo, ambiente de instituciones de saludnursing, nursing team, job satisfaction, health facility environmentenfermagem, equipe de enfermagem, satisfação no emprego, ambiente de instituições de saúde
References
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15. AbuAlRub R, El-Jardali F, Jamal D, Al-Rub NA. Exploring the relationship between work environment, job satisfaction, and intent to stay of Jordanian nurses in underserved areas. ApplNurs Res. 2016;31:19-23. Available from: https://doi.org/10.1016/j.apnr.2015.11.014.
16. Bai J, Zhang Q, Wang Y, Yu L-P, Pei X-B, Cheng L, Hsu L. Work environment for Chinese nurses in different types of ICUs: a multisite cross‐sectional survey. J NursManag. 2015;23(4):498-509. Available from: https://doi.org/10.1111/jonm.12163.
17. Burmeister EA, Kalisch BJ, Xie B, Doumit MA, Lee E, Ferraresion A et al. Determinants of nurse absenteeism and intent to leave: an international study. J NursManag. 2019;27(1):143-153. Available from: https://doi.org/10.1111/jonm.12659.
18. Machado MH, Oliveira E, Lemos W, Lacerda WF, Aguiar Filho W, Wermelinger M et al. Mercado de trabalho da enfermagem: aspectos gerais. Enferm Foco. 2016; 7(ESP):35-62. Available from: https://doi.org/10.21675/2357-707X.2016.v7.nESP.691.
19. Fleck LM. Controlling healthcare costs: just cost effectiveness or “just” cost effectiveness? Cambridge Quarterly of Healthcare Ethics. 2018;27(2):271-283. Available from: https://doi.org/10.1017/S0963180117000603.
20. Kowalski MO, Basile C, Bersick E, Cole DA, McClure DE, Weaver SH. What do nurses need to practice effectively in the hospital environment? An integrative review with implications for nurse leaders. Worldviews Evid Based Nurs. 2020; 17(1): 60-70. Available from: https://doi.org/10.1111/wvn.12401.
21. Wynendaele H, Willems R, Trybou J. Systematic review: Association between the patient–nurse ratio and nurse outcomes in acute care hospitals. J NursManag. 2019; 27(5):896-917. Available from: https://doi.org/10.1111/jonm.12764.
22. Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England: an observational study. BMJ open. 2018; 8(1): e019189. Available from: http://dx.doi.org/10.1136/bmjopen-2017-019189.
23. Driscoll A, Grant MJ, Carroll D, Dalton S, Deaton C, Jones I et al. The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2018;17(1): 6-22. Available from: https://doi.org/10.1177/1474515117721561
24. Nantsupawat A, Nantsupawat R, Kunaviktikul W, Turale S, Poghosyan L. Nurse burnout, nurse‐reported quality of care, and patient outcomes in Thai hospitals. J NursScholarsh. 2016;48(1):83-90. Available from: https://doi.org/10.1111/jnu.12187
25. Van Bogaert P, Peremans L, Van Heusden D, Verspuy M, Kureckova V, Van de Cruys Z et al. Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study. BMC nursing. 2017;16(1):5. Available from: https://doi.org/10.1186/s12912-016-0200-4.
26. Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ QualSaf. 2017;26(7):559-568. Available from: https://doi.org/10.1136/bmjqs-2016-005567.
27. Brubakk K, Vist GE, Bukholm G, Barach P, Tjomsland O. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Serv Res. 2015;15:280. Available from: https://doi.org/10.1186/s12913-015-0933-x.
28. Bogh SB, Falstie-Jensen AM, Hollnagel E, Holst R, Braithwaite J, Johnsen SP. Improvement in quality of hospital care during accreditation: A nationwide stepped-wedge study. Int J Qual Health Care. 2016;28(6):715-720. Available from: https://doi.org/10.1093/intqhc/mzw099.
29. Oliveira JL, Gabriel CS, Fertonani HP, Matsuda LM. Management changes resulting from hospital accreditation. RevLatAm Enfermagem. 2017;25:e2851. Available from: https://doi.org/10.1590/1518-8345.1394.2851.
30. Karino ME, Felli VEA, Sarquis LMM, Santana LL, Silva SR, Teixeira RC. Workloads and strain processes of nursing workers at teaching hospital. CiêncCuid Saúde. 2015;14(2):1011-8. Available from: https://doi.org/10.4025/cienccuidsaude.v14i2.21603.
2. McPake B, Mahal A. Addressing the needs of an aging population in the health system: The Australian case. Health Syst Reform. 2017;3(3):236-47. Available from: https://doi.org/10.1080/23288604.2017.1358796.
3. Kutney-lee A, Stimpfel AW, Sloane DM, Cimiotti JP, Quinn LW, Aiken LH. Changes in patient and nurse outcomes associated with magnet hospital recognition. Med Care. 2015;53(6):550-7. Available from: https://doi.org/10.1097/MLR.0000000000000355.
4. Huber E, Kleinknecht‐Dolf M, Kugler C, Spirig R. Patient‐related complexity of nursing care in acute care hospitals–an updated concept. Scandinavian Journal of Caring Sciences. 2021;35(1):178-95. Available from: https://doi.org/10.1111/scs.12833.
5. Cho E, Park J, Choi M, Lee HS, Kim EY. Associations of nurse staffing and education with the length of stay of surgical patients. J NursScholarsh. 2018;50(2): 210-218. Available from: https://doi.org/10.1111/jnu.12366.
6. All-Party Parliamentary Group on Global Health. Triple Impact: how developing nursing will improve health, promote gender equality and support economic growth. Geneve: All-Party Parliamentary Group on Global Health. 2016. Disponible en: https://globalhealth.inparliament.uk/news/triple-impact-how-investing-nursing-will-improve-health-improve-gender-equality-and-support
7. Cho E, Sloane DM, Kim E-Y, Kim S, Choi M, Yoo IY et al. Effects of nurse staffing, work environments, and education on patient mortality: an observational study. Int J Nurs Stud. 2015; 52(2):535-42. Available from: https://doi.org/10.1016/j.ijnurstu.2014.08.006.
8. Keyko K, Cummings GG, Yonge O, Wong CA. Work engagement in professional nursing practice: A systematic review. Int J Nurs Stud [Internet] 2016 [cited 2019 Nov 27]; 61:142-64. Available from: https://doi.org/10.1016/j.ijnurstu.2016.06.003.
9. Dorigan GH. Panorama do ambiente da prática: percepção dos enfermeiros do Estado de São Paulo. Campinas, SP. Tese [Doutorado em Ciências da Saúde]: Universidade Estadual de Campinas; 2016. Available from: https://doi.org/10.47749/T/UNICAMP.2016.972851
10. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. J NursAdm.2008; 38(5):223-9. Available from: https://doi.org/10.1097/01.NNA.0000312773.42352.d7.
11. Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W, Consortium R. Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. Int J Nurs Stud. 2013; 50(2):143-53. Available from: https://doi.org/10.1016/j.ijnurstu.2012.11.009.
12. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012; 344:e1717. Available from: https://doi.org/10.1136/bmj.e1717.
13. Carvalho REFL, Cassiani SHDB. Cross-cultural adaptation of the Safety Attitudes Questionnaire-Short Form 2006 for Brazil. RevLatAm Enfermagem. 2012; 20(3):575-82. Available from: https://doi.org/10.1590/S0104-11692012000300020.
14. Machado MH, Aquiar Filho W, Lacerda WF, Oliveira E, Lemos W, Wermelinger M et al. Características gerais da enfermagem: o perfil sociodemográfico. Enferm Foco. 2016;7(ESP):9-14. Available from: https://doi.org/10.21675/2357-707X.2016.v7.nESP.686.
15. AbuAlRub R, El-Jardali F, Jamal D, Al-Rub NA. Exploring the relationship between work environment, job satisfaction, and intent to stay of Jordanian nurses in underserved areas. ApplNurs Res. 2016;31:19-23. Available from: https://doi.org/10.1016/j.apnr.2015.11.014.
16. Bai J, Zhang Q, Wang Y, Yu L-P, Pei X-B, Cheng L, Hsu L. Work environment for Chinese nurses in different types of ICUs: a multisite cross‐sectional survey. J NursManag. 2015;23(4):498-509. Available from: https://doi.org/10.1111/jonm.12163.
17. Burmeister EA, Kalisch BJ, Xie B, Doumit MA, Lee E, Ferraresion A et al. Determinants of nurse absenteeism and intent to leave: an international study. J NursManag. 2019;27(1):143-153. Available from: https://doi.org/10.1111/jonm.12659.
18. Machado MH, Oliveira E, Lemos W, Lacerda WF, Aguiar Filho W, Wermelinger M et al. Mercado de trabalho da enfermagem: aspectos gerais. Enferm Foco. 2016; 7(ESP):35-62. Available from: https://doi.org/10.21675/2357-707X.2016.v7.nESP.691.
19. Fleck LM. Controlling healthcare costs: just cost effectiveness or “just” cost effectiveness? Cambridge Quarterly of Healthcare Ethics. 2018;27(2):271-283. Available from: https://doi.org/10.1017/S0963180117000603.
20. Kowalski MO, Basile C, Bersick E, Cole DA, McClure DE, Weaver SH. What do nurses need to practice effectively in the hospital environment? An integrative review with implications for nurse leaders. Worldviews Evid Based Nurs. 2020; 17(1): 60-70. Available from: https://doi.org/10.1111/wvn.12401.
21. Wynendaele H, Willems R, Trybou J. Systematic review: Association between the patient–nurse ratio and nurse outcomes in acute care hospitals. J NursManag. 2019; 27(5):896-917. Available from: https://doi.org/10.1111/jonm.12764.
22. Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England: an observational study. BMJ open. 2018; 8(1): e019189. Available from: http://dx.doi.org/10.1136/bmjopen-2017-019189.
23. Driscoll A, Grant MJ, Carroll D, Dalton S, Deaton C, Jones I et al. The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2018;17(1): 6-22. Available from: https://doi.org/10.1177/1474515117721561
24. Nantsupawat A, Nantsupawat R, Kunaviktikul W, Turale S, Poghosyan L. Nurse burnout, nurse‐reported quality of care, and patient outcomes in Thai hospitals. J NursScholarsh. 2016;48(1):83-90. Available from: https://doi.org/10.1111/jnu.12187
25. Van Bogaert P, Peremans L, Van Heusden D, Verspuy M, Kureckova V, Van de Cruys Z et al. Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study. BMC nursing. 2017;16(1):5. Available from: https://doi.org/10.1186/s12912-016-0200-4.
26. Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ QualSaf. 2017;26(7):559-568. Available from: https://doi.org/10.1136/bmjqs-2016-005567.
27. Brubakk K, Vist GE, Bukholm G, Barach P, Tjomsland O. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Serv Res. 2015;15:280. Available from: https://doi.org/10.1186/s12913-015-0933-x.
28. Bogh SB, Falstie-Jensen AM, Hollnagel E, Holst R, Braithwaite J, Johnsen SP. Improvement in quality of hospital care during accreditation: A nationwide stepped-wedge study. Int J Qual Health Care. 2016;28(6):715-720. Available from: https://doi.org/10.1093/intqhc/mzw099.
29. Oliveira JL, Gabriel CS, Fertonani HP, Matsuda LM. Management changes resulting from hospital accreditation. RevLatAm Enfermagem. 2017;25:e2851. Available from: https://doi.org/10.1590/1518-8345.1394.2851.
30. Karino ME, Felli VEA, Sarquis LMM, Santana LL, Silva SR, Teixeira RC. Workloads and strain processes of nursing workers at teaching hospital. CiêncCuid Saúde. 2015;14(2):1011-8. Available from: https://doi.org/10.4025/cienccuidsaude.v14i2.21603.
Como Citar
Silva Dutra, H., Costa Alexandre, N. M., & de Brito Guirardello, E. (2022). Evaluación de los aspectos asistenciales, organizativos y laborales desde la perspectiva de los profesionales de enfermería. Investigación En Enfermería: Imagen Y Desarrollo, 24. https://doi.org/10.11144/Javeriana.ie24.aaao
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