Aims
To test the role of the nursing team leader's (nurse leader) proactivity in attenuating the adverse effect of the nursing team's workload on the team learning and subsequent performance and to ...consider the role of intellectual stimulation by the nurse leader in this moderated mediation effect.
Design
A cross‐sectional design.
Methods
Data on 63 nursing teams were collected from various healthcare organizations by having 455 nursing team members and 63 nurse leaders complete validated questionnaires during 2016–2017.
Results
As was hypothesized, the nurse leader's proactivity significantly attenuated the adverse effect of nursing team workload on both nursing team learning and intellectual stimulation. Furthermore, intellectual stimulation significantly predicted nursing team learning. Overall, when the nurse leader's proactivity was low, there was a significant indirect effect of nursing team workload on nursing team performance mediated successively by intellectual stimulation and nursing team learning. When the nurse leader's proactivity was high, however, this indirect effect faded.
Conclusions
Proactive nurse leaders attenuate the adverse effect of nursing team workload on nursing team learning and subsequent performance. While less proactive nurse leaders demonstrate lower levels of intellectual stimulation under high nursing team workloads, the highly proactive nurse leaders sustain its level and thus maintain nursing team learning.
Impact
This study addresses the nursing team workload–learning relationship. It was found that the indirect negative effect of nursing team workload on team performance, which is mediated by intellectual stimulation, followed by team learning, is substantially reduced when the nurse leader's proactivity is high rather than low.
目的
测试护理组长(护士长)的主动性在减轻护理团队工作量对团队学习和后续绩效的不利影响方面的作用,并考虑护士长的智力刺激在这一适度中介效应中的作用。
设计
一项横断面设计。
方法
2016至2017年,从拥有455名护理团队成员和63名护士长的63个护理团队那里收集到了数据,他们完成了有效问卷调查。
结果
正如假设的那样,护士长的主动性显著减少了护理团队工作量对护理团队学习和智力刺激的不利影响。此外,智力刺激对护理团队学习有显著的预测作用。总的来说,当护士长的主动性较低时,在智力刺激和护理团队学习的先后影响下,护理团队工作量对护理团队绩效有显著的间接影响。但是,当护士长的主动性较高时,这种间接影响会逐渐消失。
结论
积极主动地护士长会减轻护理团队工作量对护理团队学习和后续绩效的影响。在护理团队高负荷工作量下,积极性较低的护士长表现出较低的智力刺激水平,而积极性高的护士长则维持其水平,保持护理团队学习状态。
影响
本研究探讨护理团队工作量——学习之间的关系。研究发现,当护士长的主动性较高时,护理团队工作量对团队绩效的间接不利影响显著降低,这种影响能立即被智力刺激所调节,其次是团队学习。
Aim: To determine the level of teamwork among nursing staff in a selected teaching hospital and identify factors that influence the level of teamwork.Design: A descriptive cross-sectional ...study.Methods: The sample included 292 nursing staff working in a teaching hospital in the Žilina region of Slovakia. Data collection was carried out between April and June 2022 using the Nursing Teamwork Survey (NTS). Data were analyzed using descriptive and inferential statistics.Results: The mean score for the NTS was 2.87 (SD = 0.56) demonstrating a positive perception of teamwork less than 75% of the time. The highest evaluated subscale was the shared mental model (3.23 ± 0.62). Differences were found in the evaluation of teamwork according to education, job position, working hours, total and current professional experience, intention to leave, and staffing adequacy. The correlation analysis revealed associations between teamwork and variables related to satisfaction and quality and safety evaluation. Several variables predicted the general evaluation of teamwork (p < 0.05).Conclusion: The evaluation of teamwork may point to its different perception among members of nursing teams. It may also help to identify strengths and weaknesses of nursing teams and, consequently, to implement effective techniques focused on improving teamwork and, thus, the quality of nursing care in hospitals.
Background & Aim: Teamwork represents a fundamental prerequisite for providing quality and safe care. This study aimed to determine the level of teamwork and the factors that influence the level of ...teamwork in selected hospitals in the Slovak Republic.
Methods & Materials: The descriptive cross-sectional study included 207 nurses from 12 departments of three district hospitals in the Slovak Republic. Data were collected between November 2022 and February 2023 using a questionnaire that evaluated nursing teamwork, the Nursing Teamwork Survey. Data were analyzed using descriptive and inferential statistics.
Results: Nurses evaluated the level of teamwork as (3.74± 0.64), which means ideal less than 75% of the time during the last working shift. The best-rated subscale was the Shared mental model (4.17± 0.49), while the worst-rated subscale was Team orientation (2.47± 0.85). Differences in teamwork level were found based on unit type, education, number of hours worked, number of overtime hours, and perceived staff adequacy (p≤ 0.05). The correlation analysis revealed associations between teamwork and job satisfaction, teamwork satisfaction, subjective quality evaluation, and patient safety, as well as with the number of patients in the last shift, including the number of admitted and discharged patients.
Conclusion: By regularly determining teamwork levels, it is possible to identify the strengths and weaknesses of nursing teams. Analyzing team weaknesses and implementing targeted measures can lead to strengthening teamwork and improving team functioning.
Objective
To understand the challenges faced in terms of permanent education in health, for achieving quality improvements and patient safety at a public hospital undergoing hospital accreditation.
...Methods
This was a descriptive, cross-sectional study with a qualitative approach. Semi-structured interviews were conducted with 22 professionals, lasting an average of 22 minutes. The interviews were subsequently analyzed and interpreted using Bardin’s thematic content analysis. The software Iramuteq was used to analyze the textual corpus, and BioEstat 5.3 was used to analyze the profile of the participants. The data collection took place in June 2022, following approval by the Research Ethics Committees.
Results
The descending hierarchical classification analysis, generated by Iramuteq, was applied, resulting in three categories: Challenges of Permanent Education through the Continuous Improvement Process, Permanent Education for the Promotion of Quality and Patient Safety in the Context of Hospital Accreditation, and Educational Strategies for Improving Quality and Patient Safety.
Conclusion
Challenges inherent to the actions of permanent education in health were identified, such as resistance to cultural change, adherence to activities, high turnover of professionals, and difficulty in releasing the nursing team to participate in activities, due to work demand.
ABSTRACT Objective: To know the performance of nursing professionals in accredited outpatient radiology and diagnostic imaging services. Methods: Exploratory, qualitative study, conducted in January ...2019, through interview with 21 coordinators in three outpatient imaging services in the Southeast region of Brazil. A textual corpus was formed and processed by a software and the data was analyzed using Reinert’s method. Results: After the organization of the content, two thematic blocks were elaborated: nursing assignments when assisting imaging exams, with three classes with similar content; and nursing and patient safety in radiology, with two classes with similar content. Conclusion: Nursing had a relevant role in quality management, developing actions to mitigate risks and damages, recording and managing adverse events and acting in educational processes, focusing on the quality of care and of images from the perspective of patient safety.
RESUMEN Objetivo: Conocer la atuacción de la enfermería en los servicios ambulatorios de radiología e imágenes diagnósticas acreditados. Métodos: Estudio exploratorio, cualitativo, realizado en enero de 2019, a través de entrevista con 21 profesionales coordinadores en tres servicios de imágenes ambulatorios en la región sureste. Se formó un corpus textual que fue procesado por un software, compatible con el análisis de los datos, a través del método Reinert. Resultados: A partir de la organización del contenido se produjeron dos bloques temáticos: atribuciones de enfermería en asistencia a exámenes de imagen, donde surgieron tres clases con contenido similar; otro bloque, enfermería y seguridad del paciente en radiología, formado por dos clases que demostraron temas similares. Conclusion: La enfermería actuó en la gestión de la calidad, reduciendo riesgos, registrando y manejando eventos adversos, actuando en los procesos educativos, con calidad en la atención y imágenes, desde la perspectiva de la seguridad del paciente.
RESUMO Objetivo: Conhecer a atuação da enfermagem nos serviços ambulatoriais de radiologia e diagnóstico por imagem acreditados. Métodos: Estudo exploratório, qualitativo, realizado em janeiro de 2019, através de entrevistas com 21 profissionais coordenadores em três serviços ambulatoriais de imagem na região Sudeste. Formou- se um corpus textual processado por um software e a análise dos dados ocorreu por meio do método de Reinert. Resultados: Foram produzidos dois blocos temáticos a partir da organização do conteúdo: atribuições da enfermagem na assistência aos exames de imagem, onde três classes emergiram de conteúdo similar e o outro bloco, a enfermagem e segurança do paciente na radiologia formados por duas classes que demonstraram temáticas análogas. Conclusão: A enfermagem teve uma atuação relevante na gestão da qualidade, executando ações para mitigação dos riscos, registrando e gerenciando eventos adversos; atuando em processos educativos, focando na qualidade do atendimento e das imagens na perspectiva da segurança do paciente.
ABSTRACT Objective: To conduct the cross-cultural adaptation and evaluate the evidence of content validity of the Adverse Events Associated with Nursing Practices instrument in the Brazilian context. ...Method: Psychometric study, conducted between June 2021 and February 2023, following the stages of the Patient-Reported Outcomes Measurement Information System protocol. Semantic, idiomatic, experimental and conceptual equivalences were evaluated, along with content validity evidence, considering Content Validity Ratio (CVR) parameters, with the participation of 25 experts. Results: A Brazilian version with 55 items was obtained, demonstrating good linguistic equivalence to the original version (agreement rate=99.2%), and adjustments in the items writing. CVR values remained above 0.60. Cognitive testing indicated good understanding, confirmed by the 31 participants in this stage, with a short application time (average = 17 minutes). Conclusion: The final version of the instrument showed good linguistic equivalence, strong evidence of content validity and a good response process in the Brazilian context.
RESUMEN Objetivo: Realizar la adaptación transcultural y evaluar las evidencias de validez de contenido del instrumento Eventos Adversos Asociados a las Prácticas de Enfermería en el contexto brasileño. Método: Estudio psicométrico, realizado entre junio de 2021 y febrero de 2023, según los pasos del protocolo del Patient-Reported Outcomes Measurement Information System. Se evaluaron equivalencias semánticas, idiomáticas, experimentales y conceptuales, además de evidencias de validez de contenido, considerando parámetros de Relación de Validez de Contenido (RCV), con 25 participaciones de especialistas. Resultados: Se obtuvo una versión brasileña con 55 ítems, buena equivalencia lingüística a la versión original (tasa de acuerdo=99,2%), y ajustes en la redacción de los ítems. Los valores de RCV se mantuvieron por encima de 0,60. Las pruebas cognitivas indicaron una buena comprensión, confirmada por los 31 participantes en este paso de la investigación, con un tiempo de aplicación corto (promedio = 17 minutos). Conclusión: La versión final del instrumento mostró buena equivalencia lingüística, fuerte evidencia de validez de contenido y buen proceso de respuesta en el contexto brasileño.
RESUMO Objetivo: Realizar a adaptação transcultural e avaliar as evidências de validade de conteúdo do instrumento Eventos Adversos Associados às Práticas de Enfermagem no contexto brasileiro. Método: Estudo psicométrico, realizado entre junho de 2021 e fevereiro de 2023, de acordo com as etapas do protocolo Patient-Reported Outcomes Measurement Information System. Avaliadas as equivalências semântica, idiomática, experimental e conceitual, além das evidências de validade de conteúdo, considerando parâmetros de Content Validity Ratio (CVR), com participação de 25 especialistas. Resultados: Obteve-se versão brasileira com 55 itens, boa equivalência linguística à versão original (taxa de concordância=99,2%), e ajustes na redação dos itens. Os valores de CVR mantiveram-se acima de 0,60. A testagem cognitiva indicou boa compreensão, confirmada pelos 31 participantes dessa etapa, com curto tempo de aplicação (média = 17 minutos). Conclusão: A versão final do instrumento apresentou boa equivalência linguística, fortes evidências de validade de conteúdo e bom processo de resposta no contexto brasileiro.
Nursing staff teamwork and job satisfaction KALISCH, BEATRICE J.; LEE, HYUNHWA; ROCHMAN, MONICA
Journal of nursing management,
November 2010, Letnik:
18, Številka:
8
Journal Article
Recenzirano
Odprti dostop
kalisch bj, lee h & rochman m. (2010) Journal of Nursing Management 18, 938–947 Nursing staff teamwork and job satisfaction
Aim The aim of the present study was to explore the influence of unit ...characteristics, staff characteristics and teamwork on job satisfaction with current position and occupation.
Background Teamwork has been associated with a higher level of job satisfaction but few studies have focused on the acute care inpatient hospital nursing team.
Methods This was a cross‐sectional study with a sample of 3675 nursing staff from five hospitals and 80 patient care units. Participants completed the Nursing Teamwork Survey (NTS).
Results Participants’ levels of job satisfaction with current position and satisfaction with occupation were both higher when they rated their teamwork higher (P < 0.001) and perceived their staffing as adequate more often (P < 0.001). Type of unit influenced both satisfaction variables (P < 0.05). Additionally, education, gender and job title influenced satisfaction with occupation (P < 0.05) but not with current position.
Conclusions Results of this present study demonstrate that within nursing teams on acute care patient units, a higher level of teamwork and perceptions of adequate staffing leads to greater job satisfaction with current position and occupation.
Implications for Nursing Management Findings suggest that efforts to improve teamwork and ensure adequate staffing in acute care settings would have a major impact on staff satisfaction.
ABSTRACT Objective: To analyze the sociodemographic, work and health profile of nursing professionals working in university outpatient clinics and their association with presenteeism. Method: ...Cross-sectional study carried out with 388 nursing workers from 11 university outpatient units in the city of Rio de Janeiro. A sociodemographic questionnaire and the SPS-6 scale were used. The crossed-product odds ratio and their respective 95% confidence intervals were calculated. Results: Presenteeism was found in more than half of the professionals (51%, n=198), with the odds ratio being 2.12 times higher (95% CI 1.02-4.40) in professionals with a stable work bond, 6.67 times (95% CI 2.51-17.67) in chronic patients, and 3.06 times (95% CI 1.97-4.74) in patients with absenteeism behavior. Conclusion: There is a relationship between presenteeism and the profile of nursing professionals. Many productive hours may be being lost, in view of the presenteeism behavior of the participants.
RESUMO Objetivo: Analisar o perfil sociodemográfico, laboral e de saúde dos profissionais de enfermagem atuantes em ambulatórios universitários e sua relação com o presenteísmo. Método: Estudo transversal realizado com 388 trabalhadores de enfermagem de 11 Unidades Ambulatoriais universitárias no município do Rio de Janeiro. Utilizou-se um questionário sociodemográfico e a escala SPS-6. Calculou-se as razões de chance de produtos cruzados e seus respectivos intervalos de confiança de 95%. Resultados: Evidenciou-se o presenteísmo em mais da metade dos profissionais (51%, n=198), sendo a razão de chances de ocorrer o presenteísmo maior 2,12 vezes (IC 95% 1,02-4,40) entre profissionais com vínculo permanente, 6,67 vezes (IC 95% 2,51-17,67) entre doentes crônicos, e 3,06 vezes (IC 95% 1,97-4,74) entre absenteístas. Conclusão: Há relação entre o presenteísmo e o perfil dos profissionais de enfermagem. Concluiu-se que muitas horas produtivas podem estar sendo perdidas, tendo em vista o comportamento presenteísta dos participantes.
RESUMEN Objetivo: Analizar el perfil sociodemográfico, laboral y de salud de los profesionales de enfermería actuantes en ambulatorios universitarios y su relación con el presentismo. Método: Estudio transversal realizado con 388 trabajadores de enfermería de 11 unidades de consulta externa universitaria de la ciudad de Río de Janeiro. Se utilizó un cuestionario sociodemográfico y la escala SPS-6. Se calcularon razones de chances de productos cruzados y sus respectivos intervalos de confianza de 95%. Resultados: Se evidenció presentismo en más de la mitad de los profesionales (51%, n=198), siendo la razón de probabilidad 2,12 veces mayor (IC 95% 1,02-4,40) entre los profesionales con vínculo permanente, 6,67 veces (IC 95% 2,51-17,67) entre aquellos con enfermidades crónicas y 3,06 veces (IC 95% 1,97-4,74) entre los ausentes. Conclusión: Existe una relación entre el presentismo y el perfil de los profesionales de enfermería. Se concluye que muchas horas productivas pueden estarse perdiendo, teniendo en vista el comportamiento de presentismo de los participantes.
ABSTRACT Objective: Associate the absenteeism of nurses and nursing technicians with the work environment in the urgency and emergency care unit. Method: Cohort study, urgency and emergency care unit ...of a public hospital, 57 nursing technicians and 14 nurses, from October 2017 to October 2018. Application of an instrument with sociodemographic and labor data, reported absenteeism and validated Brazilian version of the Nursing Work Index Revised. Multiple logistic regression analysis, significant associations if p<0.05. Results: Work environment showed an average score of 3.10 for nurses and nursing technicians. The more unfavorable the environment, the greater the likelihood employees will no show up for work. Factors that increase the probability of absenteeism: being single or divorced and working night shifts. Factors that reduce this probability: being a nurse and having another job. Conclusion: A work environment unfavorable to professional practice increases the probability of absenteeism for nurses and nursing technicians.
RESUMEN Objetivo: Asociar el absentismo de enfermeros y técnicos de enfermería con el entorno laboral en la unidad de urgencia y emergencia. Método: estudio de cohorte, unidad de urgencia y emergencia de un hospital público, 57 técnicos de enfermería y 14 enfermeras, de octubre de 2017 a octubre de 2018. Aplicación de un instrumento con datos sociodemográficos y laborales, absentismo reportado y versión brasileña validada del Índice de Trabajo de Enfermería Revisado. Análisis de regresión logística múltiple, asociaciones significativas si p <0,05. Resultados: El ambiente de trabajo mostró un promedio de 3,10 para enfermeras y técnicos de enfermería. Cuanto más desfavorable sea el entorno, mayor será la posibilidad de no presentarse a trabajar. Factores que aumentan la probabilidad de absentismo: ser soltero o divorciado y trabajar en turnos de noche. Factores que reducen las posibilidades: ser enfermera y tener otro trabajo. Conclusión: Un ambiente de trabajo desfavorable para la práctica profesional aumenta las posibilidades de absentismo de enfermeros y técnicos de enfermería.
RESUMO Objetivo: Associar o absenteísmo dos enfermeiros e técnicos de enfermagem com o ambiente de trabalho na unidade de urgência e emergência. Método: Estudo de coorte, unidade de urgência e emergência de hospital público, 57 técnicos de enfermagem e 14 enfermeiros, de outubro de 2017 a outubro de 2018. Aplicação de instrumento com dados sociodemográficos e laborais, absenteísmo referido e versão brasileira validada do Nursing Work Index Revised. Análise por regressão logística múltipla, associações significativas se p< 0,05. Resultados: Ambiente de trabalho apresentou média 3,10 para enfermeiros e técnicos de enfermagem. Quanto mais desfavorável o ambiente, maior a chance de não comparecimento ao trabalho. Fatores que aumentam a chance de absenteísmo: ser solteiro ou divorciado e trabalhar em período noturno. Fatores que diminuem a chance: ser enfermeiro e possuir outro emprego. Conclusão: O ambiente de trabalho desfavorável à prática profissional aumenta a chance de absenteísmo dos enfermeiros e técnicos de enfermagem.
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