Changes implemented in the work environment of nurses in the COVID-19 pandemic

Santos, José Luís Guedes dos; Menegon, Fernando Henrique Antunes; Andrade, Gustavo Baade de; Freitas, Etiane de Oliveira; Camponogara, Silviamar; Balsanelli, Alexandre Pazetto

doi:10.1590/0034-7167-2020-1381

Cited by 18 publications

(39 citation statements)

References 15 publications

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“…On the other hand, the increased time working in the service and the performance of functions in care areas to patients with COVID-19 culminated in a lower mean score in the Structure component, showing that despite the investment in these contexts [ 7 , 22 ], the demands were higher. The increased time spent working in services that already had significant problems, such as the high workload and pace of work, as well as the lack of human and material resources [ 28 ], may have determined a lower mean score in the Structure component.…”

Section: Discussionmentioning

confidence: 99%

“…With regard to the dimensions of the Structure component after the fourth critical period of COVID-19, nurses with significant professional experience presented higher mean scores in the dimensions “people management and service leadership”, “physical environment and conditions for appropriate service running” and “quality and safety of nursing care”. Work for an extended period of time often represents having had difficult professional experiences, which, in the context of a pandemic, facilitates the recognition of the work performed by the institutions’ middle and senior managers in the creation of conditions to respond with quality and efficiency to the needs arising from the pandemic, ensuring the quality and safety of care [ 7 , 29 ]. Nurses working in areas caring for patients with COVID-19 showed higher mean scores in the dimensions “physical environment and conditions for appropriate service running” and “nurses’ participation and involvement in the institution’s policies, strategies and management”.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the high pressure COVID-19 placed on various health systems and their professionals [ 5 ], the disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2), which quickly spread worldwide, having determined that in March 2020, the World Health Organization (WHO) would declare a pandemic [ 6 ], brought relevance and visibility to the nurses’ role in health care, as well as in the management area, particularly in the rapid restructuring of services [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is known that nurses were asked to work in highly complex and uncertain environments, where all individual resources had to be mobilized to quickly adapt to the numerous changes imposed by the pandemic [ 5 , 8 ]. Along with the need for reorganization of health services [ 7 ], one study highlights that the current pandemic has triggered psychological experiences shaped by the structural conditions of the health system and its institutions, with its repercussions on professional practice [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Representing the main workforce in the health area, nursing professionals were on the front lines from the beginning of the pandemic, and experienced a negative impact on their mental health [ 5 , 10 ], whose severity was aggravated by the poor working conditions, which, in many situations, were present before the pandemic [ 7 ]. In fact, over the last decade, nurses have been paying attention to the need to improve the nursing professional practice environments, but this investment has not been sufficiently noticeable.…”

Section: Introductionmentioning

confidence: 99%

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The COVID-19 Pandemic and Professional Nursing Practice in the Context of Hospitals

et al. 2022

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The COVID-19 pandemic has imposed challenges to health systems and institutions, which had to quickly create conditions to meet the growing health needs of the population. Thus, this study aimed to assess the impact of COVID-19 on professional nursing practice environments and to identify the variables that affected their quality. Quantitative, observational study, conducted in 16 Portuguese hospitals, with 1575 nurses. Data were collected using a questionnaire and participants responded to two different moments in time: the pre-pandemic period and after the fourth critical period of COVID-19. The pandemic had a positive impact on the Structure and Outcome components, and a negative trend in the Process component. The variables associated with the qualification of the components and their dimensions were predominantly: work context, the exercise of functions in areas of assistance to COVID-19 patients, length of professional experience and length of experience in the service. The investment in professional practice environments impacted the improvement of organizational factors, supporting the development of nurses’ work towards the quality of care. However, it is necessary to invest in nurses’ participation, involvement and professional qualifications, which are aspects strongly dependent on the institutions’ management strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The COVID-19 Pandemic and Professional Nursing Practice in the Context of Hospitals

et al. 2022

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Impact of COVID‐19 on professional nursing practice environments and patient safety culture

Ribeiro

Trindade

Fassarella

et al. 2022

J Nursing Management

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Aim To analyse the impact of COVID‐19 on professional nursing practice environments and patient safety culture. Background The relationship between work environments and patient safety has been internationally recognized. In 2020, the pandemic imposed enormous challenges, yet the impact on these variables remains unknown. Method This is a quantitative observational study, conducted in a Portuguese hospital, with 403 registered nurses. A self‐completion questionnaire was used. Results The impact on the Structure and Outcome components of nursing professional practice environments was positive. Although the Process component remained favourable to quality of care, a negative trend was confirmed in almost all dimensions. The results regarding safety culture showed weaknesses; ‘teamwork within units’ was the only dimension that maintained a positive culture. Conclusion Positive responses regarding patient safety were significantly associated with the quality of the nursing professional practice environment. The need to invest in all dimensions of safety culture emerges to promote positive professional environments. Implications for nursing management Improving professional nursing practice environments can be achieved through managers' investment in the participation and involvement of nurses in the policies and functioning of institutions, as well as promoting an open, fair and participatory safety culture that encourages reporting events and provides adequate support for professionals.

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A construção de um protocolo de transição do cuidado de idosos do hospital para casa na perspectiva de quem cuida e de quem é cuidado

Valente¹

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AGRADECIMENTOS À Deus, todo poderoso, e aos meus queridos anjos guardiões pela oportunidade de evolução intelectual nessa reencarnação. Aos amores da minha vida, Ronaldo e Felipe, por compartilharem comigo essa experiência. Foram resilientes, abrindo mão, em muitos momentos, da minha presença junto a eles. À minha orientadora, Profª. Drª. Ione Carvalho Pinto, pela oportunidade de desenvolvimento e aprendizado, pela paciência e pelo coração enorme. Foi o seu apoio e motivação, em tempos de Pandemia, que me fizeram manter firme a execução desta pesquisa. Ao Grupo de Altos Estudos de Avaliação de Processos e Práticas da Atenção Primária à Saúde e Enfermagem (GAAPS), em especial a Fabiana Costa Machado Zacharias, pelo trabalho em equipe e pelo compartilhamento de novos conhecimentos.

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Changes implemented in the work environment of nurses in the COVID-19 pandemic

Cited by 18 publications

References 15 publications

The COVID-19 Pandemic and Professional Nursing Practice in the Context of Hospitals

The COVID-19 Pandemic and Professional Nursing Practice in the Context of Hospitals

Impact of COVID‐19 on professional nursing practice environments and patient safety culture

A construção de um protocolo de transição do cuidado de idosos do hospital para casa na perspectiva de quem cuida e de quem é cuidado

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