Cultura organizacional de um hospital psiquiátrico e resiliência dos trabalhadores de enfermagem

Rocha, Fernanda Ludmilla Rossi; Gaioli, Cheila Cristina Leonardo de Oliveira; Camelo, Sílvia Helena Henriques; Mininel, Vivian Aline; Vegro, Thamiris Cavazzani

doi:10.1590/0034-7167.2016690501

Cited by 18 publications

(20 citation statements)

References 20 publications

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“…It stands out that one of the essential steps for the adoption of a culture of safety is the knowledge, by the organizations, of their own organization structures. There should be widespread awareness of their objectives and values, which must be transmitted clearly and horizontally to all its members, encouraging attitudes and behavior aimed a reaching its goals (4) .…”

Section: Introductionmentioning

confidence: 99%

Clima de segurança do paciente em um hospital de ensino

Magalhães

Pereira

Luiz

et al. 2019

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Avaliar a percepção do clima de segurança do paciente pelos profissionais de saúde a partir do Questionário de Atitudes de Segurança e investigar a associação entre os escores e variáveis sociodemográficas e profissionais. MÉTODO Estudo quantitativo realizado com 198 profissionais de saúde de hospital filantrópico de Minas Gerais, entre março e junho de 2017. Utilizou-se instrumento com variáveis sociodemográficas e profissionais e Questionário de Atitudes de Segurança. Realizou-se análise estatística com teste t de Student, correlação de Pearson, Anova e regressão linear múltipla. RESULTADOS Profissionais apresentaram percepção negativa quanto ao clima de segurança do paciente (69,5). Domínio Satisfação no Trabalho obteve maior pontuação (81,98), enquanto Percepção da gerência a pior (62,15). Médicos (p=0,005), homens e profissionais de nível superior (p<0,001) apresentaram melhor percepção de segurança. CONCLUSÃO Identificação de variáveis preditoras é importante ferramenta para implementação de uma cultura de segurança, favorecendo qualidade da assistência e redução de eventos adversos.

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Section: Introductionmentioning

confidence: 99%

Clima de segurança do paciente em um hospital de ensino

Magalhães

Pereira

Luiz

et al. 2019

Rev. Gaúcha Enferm.

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“…Work organization at hospital wards may contribute to high-quality care, as well as reducing stressors and enhancing a resourceoriented work environment (Liu et al, 2018;Rocha et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…The redesign of work organization may contribute suitable measures towards the prevention of emotional exhaustion among healthcare workers (Rocha, Gaioli, Camelo, Mininel, & Vegro, 2016;Stab, Hacker, & Weigl, 2016). Accordingly, a well-designed work organization in the wards that follow international standards on well-designed tasks, such as the ISO 6385 (International Organization for Standardization, 2016), could be a source of nurses' job satisfaction and help their physical and mental health.…”

Section: Introductionmentioning

confidence: 99%

A pilot study on the possibility of human‐centred participative redesign of work organization at psychiatric wards

Stab

Hacker

2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Rationalization and an increasing shortage of nurses in psychiatric care require the improvement of working conditions. Work organization of hospital wards determines nurses’ well‐being on the job. In somatic care, observation‐based assessments and participative improvements of work organization in the wards by involved nurses can reduce workload. What the paper adds to existing knowledge? In psychiatric nursing, observation‐based assessment as well as nurses’ self‐reports may identify characteristics of ward organization that determine nurses’ well‐being. This study suggests a system of characteristics of work organization at psychiatric wards that may guide participative analyses and improvement measures. This may contribute to the research on prevention of conflicts and aggressive behaviour in psychiatric wards. What are the implications for practice? Participative analysis and, if necessary, participative redesign of work organization at psychiatric wards may reduce nurses’ perceived work load. An approach to address the above is suggested for psychiatric nursing, which, in another version, is proven effective in somatic care. Abstract IntroductionThe study was based on an approach for participative improvement of work organization at somatic hospital wards related to characteristics that determine nurses’ health. It differed from research seeking to adjust the environment to prevent aggressive behaviour at psychiatric wards. The focus was on the ergonomic principles of the whole work system and its impact on the nurses’ health. Aim/QuestionWe analysed the prerequisites for a transfer of this approach to psychiatric nursing. MethodThis study employed a cross‐sectional design examining 11 wards of a hospital for psychiatry and neurology; 109 nurses participated. We used a multi‐method design with observation‐based assessments and nurses’ self‐reports of ward organization. ResultsTwo clusters with wards of different work organization were identified. One cluster consisted of better‐organized wards. The other included wards with a worse organization. We found substantial convergence between the observation‐based assessments and nurses’ self‐reports. DiscussionThis study results indicated that observation‐based assessments were an acceptable alternative to nurses’ self‐reports, enabling the evaluation of ward organization in a feasible and reliable way. Implications for practiceThis study showed an approach with a specific view on the structural quality of psychiatric wards; this may support work improvement processes in a more systematic way.

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“…According to the authors, organizational cultures that value the control and specialization of activities, with rigid and vertical organization and centralization of the decision process, have environments that do not allow the development of individual skills of the workers. Therefore, workers are exposed to tensions, feelings of dissatisfaction, demotivation, psychic suffering, emotional exhaustion, depersonalization and lack of personal fulfillment, which leads to mental illness 30 - 31 .…”

Section: Discussionmentioning

confidence: 99%

Risks of illness in the work of the nursing team in a psychiatric hospital

Sousa¹,

Gonçalves

Silva

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:To analyze the risks of illnesses related to the work context of nursing workers in a psychiatric hospital. Method:Cross-sectional and quantitative study, developed in a psychiatric hospital with 74 nursing workers. The Work Context Assessment Scale was used to measure the risks of illness at work. Descriptive analyzes were performed with mean and standard deviation. To test the reliability of the data, the Cronbach’s alpha test was used. The correlation between the factors of the work context was tested using the Spearman correlation coefficient. Results:The organization of work was considered serious, social-professional relationships were considered satisfactory and working conditions were considered severe for risks of illness at work. The repetitiveness of tasks, work conditions that pose risks to safety, inadequate furniture and physical structure of the workplace, and the existence of noise in the work environment were indicated as severe risks to workers’ health. Conclusion:The factor working conditions is the one that contributes the most to illness among nursing workers.

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Cultura organizacional de um hospital psiquiátrico e resiliência dos trabalhadores de enfermagem

Abstract: the organizational values reflect the work organization model in the institution that devalues the workers' needs and requires greater capacity of resilience.

Cited by 18 publications

References 20 publications

Clima de segurança do paciente em um hospital de ensino

Clima de segurança do paciente em um hospital de ensino

A pilot study on the possibility of human‐centred participative redesign of work organization at psychiatric wards

Risks of illness in the work of the nursing team in a psychiatric hospital

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