Ambiente de Prática de Enfermagem em contexto hospitalar: Revisão integrativa

Abstract

Resumo: O contexto de trabalho onde os enfermeiros prestam cuidados desempenha um papel relevante nos resultados para o cliente e para os enfermeiros e respetivas equipas. As diferentes características do Ambiente de Prática em Enfermagem (APE) são importantes na construção de estratégias de gestão para a promoção de APE favoráveis, que por consequentemente contribuem para a melhoria contínua da Qualidade dos Cuidados em Enfermagem. Objetivos: examinar a evidência científica acerca do APE em contexto hospitalar. Métodos: Revisão integrativa, com 6 etapas: 1) identificação da pergunta de pesquisa; 2) definição das palavras-chave; 3) definição das informações a serem extraídas dos estudos selecionados; 4) avaliação dos estudos incluídos na revisão; 5) interpretação dos resultados; 6) apresentação da revisão/síntese do conhecimento. Os estudos selecionados foram no período entre 2015 e 2020. Resultados: Foram incluídos 26 artigos; a grande maioria relatou achados do ambiente de prática de enfermagem e resultados para os enfermeiros, para os enfermeiros gerentes, para os clientes e para a eficácia das organizações, em contexto hospitalar. Conclusões: Melhorar o ambiente de prática de enfermagem tem consequências na qualidade dos cuidados de enfermagem, com aumento de resultados para a enfermagem, os clientes e o contexto hospitalar.

Validation of Psychometric Properties of the Nursing Work Index—Revised Scale in Portugal

“…The nursing practice environment is critical for health system success [1][2][3]. It is related to the quality of care, job satisfaction, patient safety, and effective care of clients and is essential for an organization's efficiency [2][3][4][5][6][7].…”

“…The nursing practice environment is critical for health system success [1][2][3]. It is related to the quality of care, job satisfaction, patient safety, and effective care of clients and is essential for an organization's efficiency [2][3][4][5][6][7]. According to Lake [6], the nursing practice environment can be described as the organizational attributes of a working ambience that promote or constrict a nurse's practice.…”

“…The promotion of the quality of the services provided by the nursing team and their contribution to improving the contexts of professional practices are key elements of the nursing practice environment [2,3]. The quality of care is a crucial element in the profession and refers, among other aspects, to the direct relationship between the patient and the nurse, which is dependent on many factors, especially the nursing practice environment [2,3,7,8].…”

Nursing practice environment in hospital context

“…The Nursing Practice Environment (NPE) is essential for the success of health care systems 1,2 and is related to the quality of nursing care, job satisfaction, client safety, and the effectiveness of care for clients and the efficiency of organizations. [1][2][3] The presence of organizational attributes, especially autonomy, control over the environment and collaboration between health professionals, makes the NPE beneficial to the development of care, as well as to the contribution to better outcomes for the client, health professionals and the institution itself, resulting in the Quality of Nursing Care (QNC) provided. 1,4…”

“…[1][2][3] The presence of organizational attributes, especially autonomy, control over the environment and collaboration between health professionals, makes the NPE beneficial to the development of care, as well as to the contribution to better outcomes for the client, health professionals and the institution itself, resulting in the Quality of Nursing Care (QNC) provided. 1,4…”