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Upplevelsen av att handleda sjuksköterskestudenter i omvårdnadsprocessen på en akutvårdsavdelning : en intervjustudie / The experience of precepting student nurses in the nursing process in an emergency ward : an interview studyHasselrot, Lottie January 2015 (has links)
SAMMANFATTNING Att arbeta i svensk hälso- och sjukvård idag innebär att arbeta i en balans mellan stressiga och stimulerande arbetssituationer. I sjuksköterskors arbetsuppgifter ingår det, utöver de arbetsuppgifter som utförs inom ens verksamhet, att handleda sjuksköterskestudenter. Tidigare studier visar på att handledning kräver mycket tid och energi och kan leda till stress hos personalen. Samtidigt kan handledning vara väldigt givande för personalen då man ser studenten växa i sin yrkesroll och att handledare i och med det kan växa i sin egen yrkesroll som sjuksköterska. Omvårdnadsprocessen är en central del i sjuksköterskestudenters utbildning och framförallt i verksamhetsförlagd utbildning i termin tre under sjuksköterskeutbildningen. På en akutvårdsavdelning kan patienter som har kort förväntad vårdtid eller patienter som är i behov av extra övervakning eller kontroller vårdas. Tidigare studier som genomförts på sjuksköterskor som är verksamma inom akutsjukvård visar att handledning kräver mycket tid och energi av de som handleder. Syftet med studien var att belysa sjuksköterskors upplevelse av att handleda sjuksköterskestudenter i omvårdnadsprocessen på en akutvårdsavdelning. Metoden som användes var en kvalitativ intervjustudie där semistrukturerade intervjuer genomfördes med sju respondenter från ett sjukhus i Stockholmsområdet. Intervjuerna analyserades med hjälp av kvalitativ innehållsanalys. Analysen resulterade i fem kategorier med tillhörande underkategorier. Ur dessa kategorier kunde författaren fastställa tre teman som var Förhållningssätt, Begränsningar och Möjligheter. Resultatet visade att upplevelsen av att handleda sjuksköterskestudenter i omvårdnadsprocessen på en akutvårdsavdelning kan skilja sig från handledare till handledare. Oavsett vilken vana sjuksköterskor har i rollen som handledare eller vilka strategier de skapar sig i sin handledarroll så finns det strukturella faktorer på en akutvårdsavdelning som påverkar lärandet för studenten. Det kan vara en bra miljö att möta redan tidigt under utbildningen men gentemot de lärandemål i termin tre där omvårdnadsprocessen står i centrum så upplevs akutvårdsavdelning inte som en optimal lärandemiljö. Sjuksköterskor kan trots detta uppleva att handledningen i sig kan leda till professionell utveckling i den egna yrkesrollen då handledare lär sig själv genom att lära andra. Slutsatsen är att handledande sjuksköterskor upplever att en akutvårdsavdelning inte är en optimal miljö för handledning i omvårdnadsprocessen. För att framöver kunna ta emot studenter i termin tre så finns det ett behov av att lärandemiljön anpassas mer efter studenterna och de som handleder snarare än att studenterna ska anpassa sig efter verksamheten. Det finns ett värde i att skapa en välfungerande lärandemiljö för studenten då det även leder till en professionell utveckling hos de som handleder samt en god omvårdnad för patienterna.
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Sjuksköterskors uppfattning om dokumentation och dess påverkan på omvårdnadsarbetetKonovalova, Anastasia, Lissel, Linnéa January 2013 (has links)
SAMMANFATTNING Syfte: Syftet med detta arbete var att undersöka sjuksköterskors uppfattning om omvårdnadsdokumentation och dess påverkan på omvårdnadsarbetet. Metod: Kvalitativ intervjustudie med innehållsanalys enligt Lundman och Hällgren Graneheim (2008). Bekvämlighetsurval med fem sjuksköterskor från olika avdelningar på ett Universitetssjukhus i Mellansverige. Resultat: Sjuksköterskor i denna studie uppfattade att dokumentationen tar tid, det är mycket som ska dokumenteras och att kvalitén varierade. De uppfattade också att information kunde gå förlorad på grund av att många skrev på flera olika ställen. Dokumentationen upplevdes ibland som inkonsekvent eftersom sjuksköterskorna inte dokumenterade exakt lika. De belyste också att systemet var rörigt och ologiskt. Dokumentationen upplevdes ge vägledning. Det är viktigt att samarbeta mellan olika professioner samt att dokumentationen följs upp av den som tar efter. Sjuksköterskorna prioriterade det medicinska framför omvårdnaden och arbetsbördan gjorde det svårt att hinna dokumentera. Dokumentationen synliggjorde omvårdnaden samt att den kunde användas för att utvärdera vården. Slutsats: Sjuksköterskor uppfattade dokumentation som problematisk och tidsödande. Samtidigt tyckte de att det fanns vinster med dokumentation då det gav patientsäkerhet och kunde användas för att utvärdera vården. Mer arbete behövs för att nå konsensus i hur dokumentation på avdelning skall se ut. Det behövs mer forskning kring hur dokumentation påverkar omvårdnadsarbetet. / ABSTRACT Aim: The aim of this study was to investigate nurses’ perception of nursing documentation and its impact on nursing. Method: Qualitative interview study with content analysis according to Lundman and Hällgren Graneheim (2008). Convenience sample of five nurses from different wards of a University hospital in central Sweden. Result: Nurses in this study perceived the documentation as time consuming, there is a lot to be documented and that the quality varied. They also observed that the information could be lost due to many writing in several different places. The documentation is sometimes perceived as inconsistent because nurses did not document exactly alike. They also highlighted that the system was messy and illogical. Documentation was perceived as giving guidance. It is important to cooperate between different professions and that the documentation is followed up by the next person. The nurses prioritized the medical instead of nursing care and workload made it difficult to find time to document. Documentation made nursing care visible and it could be used to evaluate healthcare. Conclusion: Nurses perceived documentation as problematic and time consuming. They also thought there were gains of documentation when it gave patient safety and could be used to evaluate care. More work is needed to reach consensus in the documentation should be carried out. More research is required on how documentation affects nursing.
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An analysis of nursing unit drug and laboratory activities in two hospitals having different approaches to the organization of pharmacy and laboratory services submitted in partial fulfillment ... for the degree of Master in Hospital Administration ... /Clark, Lawrence J. January 1967 (has links)
Thesis (M.H.A.)--University of Michigan, 1967.
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Utilization of elements of the nursing minimum data set for determining outcomes a report submitted in partial fulfillment ... for the degree of Master of Science (Nursing Administration) ... /Blewitt, Darby K. January 1995 (has links)
Thesis (M.S.)--University of Michigan, 1995.
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An analysis of nursing unit drug and laboratory activities in two hospitals having different approaches to the organization of pharmacy and laboratory services submitted in partial fulfillment ... for the degree of Master in Hospital Administration ... /Clark, Lawrence J. January 1967 (has links)
Thesis (M.H.A.)--University of Michigan, 1967.
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Utilization of elements of the nursing minimum data set for determining outcomes a report submitted in partial fulfillment ... for the degree of Master of Science (Nursing Administration) ... /Blewitt, Darby K. January 1995 (has links)
Thesis (M.S.)--University of Michigan, 1995.
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Effects of hierarchical position on perceptions of nursing technologyJanuary 1900 (has links)
Thesis (M.S.)--University of Wisconsin--Madison, 1984. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 132-134).
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Perfil diagnóstico de enfermagem de pacientes acometidos por infarto do miocárdio, à luz do Modelo de Florence NightingaleMartins, Denyse Luckwu 20 September 2004 (has links)
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Previous issue date: 2004-09-20 / The infarcts are, in these days, a great problem of world health, in virtue of the
crescent number of cases annually. Understanding the importance of the thematic
developed a descnptive study, whose objective was to estabiishing, to the light of
Florence Nightingaie Conceptual Model and tending for base the taxonomy li of
Nanda, a profile nursing diagnosís of patients attacked by the myocardium infarct
intemed in unit of intensive therapy (UTJ). The research was accompished at two
located hospitais in the municipal distnct of João Pessoa - PB, considered units of
reference for attendance to medical emergencies and cardiac surgical. The
population of the study was constituted by patients attacked by the myocardium
infarct, independent of sex, in the 40 year-old age group or pius, intemed in the unit
of intensive therapy, of those institutions. For the organization of the sample, was
determined a temporary cutting, dunng which the data of twenty patient were
collected, among the ones which 10 (50%) were of the masculine sex and 10 (50%)
of the feminíne sex. The predominant age groups were the ones from 43 to 53years
with 8 (40%) patient, being the 57 year-old the medium age. It was verified that, the
patients met, on average, in the fourtti day of the intem; 17 (85%) patients presented
regular general state. Were firmed for those patient 19 different nursing diagnoses,
with a total of 148 djagnosis affimiatives and an approximate average of 7 diagnoses
for patient. For component of the Florence Nightingale model, 44 (28,4%) belong to
the concept Hydration and Nutrition; 29 (18,7%) belong to the componeni Variation;
29 (18,7%) to the component Taiking about hopes and advices; 17 (11%) to the
concepts Noise and Iliumination; 15 (9,6%) to lhe component Biood Circulation; 12
(7,7%) to the concept Cleaning and 2 (1,3%) belong to the concept Ventilation.
Among the 19 different nursing diagnoses, 8 (40%) obtained a frequency = 50% and
started to constitute the profile of nursing diagnosis of patients attacked by the
myocardium infarct intemed in UTI, they are: Risk for infection (90%), Disturbed
paftem of sleep (85%), Deficient recreation activities (80%), Reduced heart debit
(75%), Constipation (70%), Deficit in lhe setf-care for bath/hygiene (60%), Risk for
intolerance to the activity (55%) and Anxiety (50%). We believe that the research
reached the estabiished objectives and, can contnbute with the ímprovement of the
quality of the nursing attendance rendered to the studied dientele. / O infarto do miocárdio é, atualmente, um grande problema de saúde mundial, em
virtude do crescente número anual de casos. Compreendendo a importância da
temática, desenvolveu-se um estudo descritivo, cujo objetivo foi o de estabelecer, à
luz do Modelo Conceitual de Florence Nightingale e tendo por base a taxonomia II
da Nanda, um perfil diagnóstico de enfermagem de pacientes acometidos por infarto
do miocárdio internados em unidade de terapia intensiva. A pesquisa foi realizada
em dois hospitais localizados no município de João Pessoa - PB, considerados
unidades de referência para atendimento a emergências médicas e cirúrgicas
cardiológicas. A população do estudo foi constituída por pacientes acometidos por
infarto do miocárdio, independente de sexo, na faixa etária dos 40 anos ou mais,
internados na unidade de terapia intensiva, dessas instituições. Para a organização
da amostra determinou-se um recorte temporal, durante o qual foram coletados os
dados de vinte pacientes, dentre os quais 10 (50%) eram do sexo masculino e 10
(50%) do sexo feminino. As faixas etárias predominantes foi a de 43 a 53 anos com
8 (40%) pacientes, sendo a idade média de 57 anos. Verificou-se que, os pacientes
encontravam-se, em média, no quarto dia de internamento; 17 (85%) pacientes
apresentavam estado geral regular. Foram firmados para esses pacientes 19
diferentes diagnósticos de enfermagem, com um total de 148 afirmativas
diagnósticas e média aproximada de 7 diagnósticos por paciente. Por componente
do modelo de Florence Nightingale, 44 (28,4%) pertencem ao conceito Hidratação e
Nutrição; 29 (18,7%) pertencem ao componente Variação; 29 (18,7%) ao
componente Conversando sobre esperanças e conselhos; 17 (11%) aos conceitos
Ruído e iluminação; 15 (9,6%) ao componente Circulação sangüínea; 12 (7,7%) ao
conceito Limpeza e 2 (1,3%) pertencem ao conceito Ventilação. Entre os 19
diferentes diagnósticos de enfermagem, 8 (40%) obtiveram uma freqüência alta ou
média (2! 50%): Risco para infecção (90%), Padrão de sono perturbado (85%),
Atividades de recreação deficientes (80%), Débito cardíaco diminuído (75%),
Constipação (70%), Déficit no autocuidado para banho/higiene (60%), Risco para
intolerância à atividade (55%) e Ansiedade (50%). Acredita-se que a pesquisa
alcançou os objetivos estabelecidos e que pode contribuir com a melhoria da
qualidade da assistência de enfermagem prestada à clientela estudada.
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Conhecimento dos enfermeiros do Hospital Universit?rio Onofre Lopes sobre sistematiza??o da assist?ncia de EnfermagemMendes, Neyse Patricia do Nascimento 19 November 2010 (has links)
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Previous issue date: 2010-11-19 / Nursing as a profession goes in search on quality of their care through new frameworks,
trying to break postures of the health care system so fragmented in the care. To change
professional practices, it is necessary to build their own knowledge grounded on Nursing Care
System. The aim of this study was to analyze the influence of nurses' knowledge on care
systematization in nursing in the University Hospital Natal-RN. It is an analytical descriptive
study carried out at the Onofre Lopes University Hospital (HUOL), Natal-RN, 2010, the
sample was composed of 40 active nurses working in hospitalization units of the hospital, the
inclusion criteria were being in the monthly scale sector and agree to participate in the study.
The non-participant observation and another interview were used for collecting data,
statistical analysis was descriptive and inferential with reliability test, Pearson test, chi-square
and Fischer, the variables that correlated were analyzed in a model Multiple logistic ,
calculating odds ratio. The results were: predominance of female professionals (90%),
predominantly in the age range 39-46 years (37.5%), nurses who have the undergraduate
degree at the Federal University of Rio Grande do Norte (80%), and who have expertise
training as a minimal degree (62.5%). Among the surveyed, the knowledge showed
significance with the graduation time (p = 0.018) and time working in HUOL (p = 0.036). The
majority of the professionals surveyed do not know which organ is responsible for the SAE
legislation (52.5%), aware of the steps needed to build the nursing diagnosis (92.5%),
understand the characteristics of nursing planning (90% ). However the same professionals do
not perform physical examination in patients (50.0%) did not classify the clinical findings
(68.4%), and identify the problems encountered as a classification (13.2%). The planning of
nursing care is carried out by verbal order of nurses (82.5%), 41% of the professionals assess
only the intervention stage, in other words, the actions taken. Regarding the practical
application of nursing records 53% of nurses do not realize records, 30.8% is incomplete, the
other held notes (p = 0.003). The nurses know the nursing process (90% of appropriate
responses), despite the actions defined by the theory are not applied in practice. Investigators
believe the condition of the hospital teacher (22.5%) could positively affect the
implementation of the SAE associated with the interest of professionals (20%). Of the
respondents, 17.5% accept as truth the lack of facilities to assist the SAE implementation in
the hospital. It was concluded that nurses know the theory that underlies the SAE and the
nursing process, but do not develop the service know as well, there is need for action to boost
the SAE implementation as practice of nurses in the hospital investigated / A enfermagem como categoria profissional segue em busca da qualidade de sua assist?ncia
atrav?s da reestrutura??o do modelo de trabalho vigente, procurando romper com posturas de
a??es fragmentadas. Para mudan?a de pr?ticas profissionais, faz-se necess?ria a constru??o de
conhecimento pr?prio com base na sistematiza??o da assist?ncia de enfermagem. O objetivo
do estudo foi analisar o conhecimento dos enfermeiros sobre a sistematiza??o da assist?ncia
de Enfermagem, no Hospital Universit?rio Onofre Lopes, Natal/RN. Estudo descritivo
anal?tico transversal, realizado no HUOL, Natal/RN, 2010, a amostra foi composta de 40
enfermeiros que trabalhavam nas unidades de interna??o do hospital ou que recebiam
pacientes internados.O crit?rio de inclus?o foi: estar na escala mensal dos setores escolhidos.
Foram utilizados um instrumento de observa??o n?o participante e um roteiro de entrevista
para a coleta de dados. O tratamento estat?stico foi descritivo e inferencial com teste de
confiabilidade, teste de Pearson, qui-quadrado e Fischer. As vari?veis que se correlacionaram
foram analisadas segundo um modelo de regress?o log?stica m?ltipla, calculando raz?o de
chance (odds ratio). Encontraram-se como resultados: predomin?ncia de profissionais do sexo
feminino (90%), com idades entre 39 a 46 anos (37,5%), enfermeiros que conclu?ram curso de
gradua??o na Universidade Federal do Rio Grande do Norte (80%), e que possu?am
especializa??o (62,5%). Entre os pesquisados, o conhecimento demonstrou signific?ncia em
rela??o ao tempo de forma??o (p=0,018) e tempo de trabalho no HUOL (p=0,036). A maioria
dos profissionais investigados n?o sabia qual o ?rg?o respons?vel pela resolu??o da SAE
(52,5%), tinha conhecimento dos passos necess?rios para a constru??o do diagn?stico de
enfermagem (92,5%), compreendia as caracter?sticas do planejamento de enfermagem (90%,).
Entretanto, os mesmos profissionais n?o realizavam exame f?sico nos pacientes (50%), n?o
classificavam os achados cl?nicos (68,4%), e identificavam os problemas dos pacientes como
classifica??o de diagn?stico de enfermagem (13,2%). O planejamento da assist?ncia de
enfermagem era realizado por ordem verbal dos enfermeiros (82,5%), 41% dos profissionais
realizavam avalia??o apenas da etapa de interven??o, ou seja, das a??es executadas. Referente
? aplica??o pr?tica da evolu??o de enfermagem 53% dos enfermeiros n?o realizavam
evolu??o, 30,8% o faziam de maneira incompleta, os demais realizavam anota??es (p=0,003).
Os enfermeiros conheciam o processo de enfermagem (90% de adequa??o nas respostas), n?o
obstante as a??es definidas pela teoria n?o eram aplicadas na pr?tica. Os investigados
acreditavam que a condi??o de hospital-escola (22,5%) possa interferir positivamente na
implanta??o da SAE, associada ao interesse dos profissionais (20%). Dos entrevistados,
17,5% aceitavam como verdade a inexist?ncia de facilidades que auxiliem na implanta??o da
SAE no hospital. Conclui-se que os enfermeiros conheciam a teoria que embasa a SAE e o
processo de enfermagem, no entanto n?o desenvolviam a assist?ncia conforme a conheciam;
assim, h? necessidade de a??es que impulsionem a implanta??o da SAE como pr?tica dos
enfermeiros no hospital investigado
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Ensino do processo de enfermagem: vis?o dos discentes de gradua??o de Natal/RNNascimento, Luzia Kelly Alves da Silva 13 December 2012 (has links)
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Previous issue date: 2012-12-13 / The nursing process (NP) it s the systematized way of offering humanized care with
the objective of reaching the expected results. The concern of the health and
education institutions of elaborating implementation strategies of it is growing. The
objective of this research was to know the vision of the senior students of the nursing
graduation courses from Natal/RN, about the teaching of the NP. It s about a
descriptive and exploratory study of the qualitative and quantitative type, done in five
teaching institutions of the undergraduate nursing course of the municipality of Natal-
RN in 2011. The research was composed by 48 students of the last 2 years of the
nursing course. The gathering of the data was done through an online survey with
open and closed questions via SurveyMonkey. For the quantitative data it was used
the descriptive statistics from Microsoft Office Excel and for the qualitative data the
Content Analysis of Bardin. The results pointed a predominance of female students
(81,25%) with an age between 21- 39 years old (75,00%) and in the last year of the
course (62,50%). As the opinion of the students about the NP two categories
emerged: 1) Nursing Process as grounded method in scientific knowledge and
established in two stages; 2) Nursing Assistance Quality, with two subcategories:
Nursing Process as Nursing Practice and Nursing Process as instrument of
improvement of the aid quality and promotion of well-being. In relation to the tuition of
the NP the students (45,83%) said that the knowledge on the subject of the instructor
was good; 81,25% reported that the professors use a traditional teaching
methodology with the problem solving components and 45,83% answered that is
addressed in specific disciplines in an isolated way starting from the professional line.
The phase of NP that the nursing students have more difficulties of learning and
implementing, being mentioned 22 times (29,70%). In relation to the student s
difficulties, in the fields of supervised internships, in applying the NP it was stated for
83,50% that the barriers were related to the non implementation of the practice,
overwork and the lack of trust of the nurse in the NP. The teaching-care strategies
described as the internship fields were: the training of nurses to be able to contribute
with the University in the implementation of the service and teaching; and the need of
the universities to focus, continuously throughout the course, the NP with the
involvement and incentive of the instructors in this process. These results show that
the NP for the nursing students is a work methodology of the profession that needs to
be implemented effectively in the practical reality for its teaching to turn effective and
for the future professionals to be able to bring real contributions in the achievement
of systematized actions trying to improve the assistance quality and the nursing
actions. It is expected that this study could help bringing some strategies to facilitate
the merging between theory and practice in teaching the NP and stimulate a
discussion about the topic at the Nursing Schools where the research was held
together with the coordinators, instructors and students / O processo de enfermagem (PE) ? o meio sistematizado de oferecer cuidados
humanizados com o objetivo de atingir os resultados esperados. ? crescente a
preocupa??o das institui??es de sa?de e de ensino em elaborar estrat?gias de
implementa??o do mesmo. O objetivo desta pesquisa foi conhecer a vis?o dos
discentes do ?ltimo ano dos cursos de gradua??o de enfermagem de Natal/RN,
sobre o ensino do PE. Trata-se de um estudo descritivo e explorat?rio do tipo quantiqualitativo,
realizado em cinco institui??es de ensino com o curso de gradua??o em
enfermagem do munic?pio de Natal- RN em 2011. A amostra foi composta de 48
discentes dos pen?ltimos e ?ltimos per?odos dos cursos de enfermagem. A coleta
dos dados foi realizada por meio de question?rio on line com perguntas abertas e
fechadas via SurveyMonkey. Foi utilizada para os dados quantitativos a estat?stica
descritiva atrav?s do programa Microsoft Office Excel e para os dados qualitativos, a
t?cnica de An?lise de Conte?do de Bardin. Os resultados apontaram um predom?nio
de discentes do sexo feminino (81,25%) com idade entre 21- 39 anos (75,00%) e no
?ltimo per?odo do curso (62,50%). Quanto ? opini?o dos discentes sobre o PE
surgiram duas categorias: 1)Processo de Enfermagem como m?todo fundamentado
em conhecimento cient?fico e estabelecido por etapas; 2)Qualidade da Assist?ncia
de Enfermagem, com duas subcategorias: Processo de Enfermagem como Pr?tica
de Enfermagem e Processo de Enfermagem como instrumento de melhoria da
qualidade da assist?ncia e promo??o do bem-estar. Em rela??o ao ensino do PE os
discentes (45,83%) disseram que o conhecimento do docente sobre o tema ? bom;
81,25% relataram que os professores utilizam uma metodologia de ensino tradicional
com componentes problematizadores e 45,83% respondeu que ? abordado em
disciplinas espec?ficas de forma isolada a partir do eixo profissional. A fase do PE
que os discentes de enfermagem t?m mais dificuldades de apreens?o ? a
implementa??o, sendo citada 22 vezes (29,70%). Em rela??o ?s dificuldades dos
discentes, nos campos de est?gio supervisionados, em aplicar o PE foi relatado por
83,50% que os entraves estavam relacionados a n?o implementa??o na pr?tica,
sobrecarga de trabalho e falta de cren?a do enfermeiro no PE. As estrat?gias de
integra??o docente-assistenciais descritas quanto aos campos de est?gio foram: a
capacita??o dos enfermeiros para que possam contribuir com a Universidade na
implementa??o no servi?o e ensino; e a necessidade das universidades focarem, de
forma cont?nua no decorrer do curso, o PE com o envolvimento e est?mulo dos
docentes nesse processo. Esses resultados mostram que o PE para os discentes de
enfermagem ? uma metodologia de trabalho da profiss?o que precisa ser
implementada efetivamente na realidade pr?tica para que o seu ensino se torne
efetivo e os futuros profissionais possam trazer contribui??es reais na realiza??o de
a??es sistematizadas com vistas a melhoria da qualidade da assist?ncia e das
a??es da enfermagem. Espera-se que esse estudo possa contribuir em trazer
algumas estrat?gias para facilitar a integra??o entre teoria e pr?tica no ensino do PE
e estimular uma discuss?o sobre o tema nas Escolas de Enfermagem onde a
pesquisa foi realizada junto aos coordenadores, docentes e discentes
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