María José López Montesinos

Examining the benefits of learning based on an audience response system when confronting emergency situations.

This article presents an empirical study on the effectiveness of the use of an audience response system called SIstema De Respuesta inmediata de la Audiencia on a nursing course. A total of 130students of mixed gender, age, and computer experience and educational background on a third-year course in nursing administration and management participated in the study. The benefits of an audience response system as regards learning how to confront emergency situations were studied. The innovative aspect of the proposal is twofold: (1) the use of a smartphone to respond to the questions and (2) the analysis of the students’ response time when confronting critical situations while managing nursing resources. A positive impact on the students’ performance was revealed in their final assessments. Our findings show that SIstema De Respuesta inmediata de la Audiencia increases student participation and aids in identifying and correcting misconceptions. The students found SIstema De Respuesta inmediata de la Audiencia to be very motivating and wanted it to be used in additional lectures. Further research is required to study the effectiveness of SIstema De Respuesta inmediata de la Audiencia for it to be widely used in other disciplines.

Stressful situations and factors in students of nursing in clinical practice

OBJECTIVE To assess the risk factors for stress in undergraduate students of nursing in clinical practice in a public university in the Northeast region of Brazil. METHODS Cross-sectional descriptive study with 116 students from the fifth to the ninth period. The bilingual KEZKAK questionnaire, validated for Portuguese, was used. Stress was considered to be present when the score was equal or superior to 2. RESULTS The students with stress in clinical practice were 18 to 22 years old (2.82 ± 0.98), women (2.81 ± 0.96), married (2.80 ± 0.97), and who were permanent contracted employees (2.74 ± 0.94). The factors which were most associated with stress were: Lack of competence (2.99 ± 0.88); Impotence and uncertainty (2.98 ± 0.85); and Patients seeking a closer relationship (2.93 ± 1.01). The students of the sixth period were the most vulnerable to stress (2.85±0.96). CONCLUSION The studies showed the main risk factors for stress among students of nursing in their clinical practice. These results could be used in the development of strategies seeking to reduce stress in this context as well as to contribute to promoting mental health.

A new contribution to the classification of stressors affecting nursing professionals

Objective: to identify and classify the most important occupational stressors affecting nursing professionals in the medical units within a hospital. Method: quantitative-qualitative, descriptive and prospective study performed with Delphi technique in the medical units of a general university hospital, with a sample of 30 nursing professionals. Results: the stressors were work overload, frequent interruptions in the accomplishment of their tasks, night working, simultaneity of performing different tasks, not having enough time to give emotional support to the patient or lack of time for some patients who need it, among others. Conclusion: the most consensual stressors were ranked as work overload, frequent interruptions in the accomplishment of their tasks, night working and, finally, simultaneity of performing different tasks. These results can be used as a tool in the clinical management of hospital units, aiming to improve the quality of life of nursing professionals, organizational models and, in addition, continuous improvement in clinical treatment.Objective: to identify and classify the most important occupational stressors affecting nursing professionals in the medical units within a hospital. Method: quantitative-qualitative, descriptive and prospective study performed with Delphi technique in the medical units of a general university hospital, with a sample of 30 nursing professionals. Results: the stressors were work overload, frequent interruptions in the accomplishment of their tasks, night working, simultaneity of performing different tasks, not having enough time to give emotional support to the patient or lack of time for some patients who need it, among others. Conclusion: the most consensual stressors were ranked as work overload, frequent interruptions in the accomplishment of their tasks, night working and, finally, simultaneity of performing different tasks. These results can be used as a tool in the clinical management of hospital units, aiming to improve the quality of life of nursing professionals, organizational models and, in addition, continuous improvement in clinical treatment.Objetivo: identificar y clasificar los principales factores laborales más estresantes que afectan a los profesionales de enfermería en las unidades médicas del hospital. Método: estudio cuanticualitativo, descriptivo, prospectivo realizado con técnica Delphi en las unidades médicas de un hospital general universitario, con una muestra de 30 profesionales de enfermería. Resultados: los factores estresantes fueron la sobrecarga laboral, interrupciones frecuentes en la realización de sus tareas, trabajar en horario nocturno, la simultaneidad de ejecutar tareas distintas, no tener tiempo suficiente para dar apoyo emocional al paciente o falta de tiempo para algunos pacientes que lo necesiten, entre otros. Conclusión: se clasificaron los factores estresantes de mayor consenso siendo primero la sobrecarga laboral, interrupciones frecuentes en la realización de sus tareas, trabajar en horario nocturno y, finalmente, la simultaneidad de ejecutar tareas distintas. Estos resultados pueden utilizarse como una herramienta en el manejo clínico de las unidades hospitalarias, con el fin de mejorar la calidad de vida del profesional de enfermería, los modelos organizativos y, además, la mejora continua en el tratamiento clínico.

Uma nova contribuição para a classificação dos fatores estressores que afetam os profissionais de enfermagem

Objective: to identify and classify the most important occupational stressors affecting nursing professionals in the medical units within a hospital. Method: quantitative-qualitative, descriptive and prospective study performed with Delphi technique in the medical units of a general university hospital, with a sample of 30 nursing professionals. Results: the stressors were work overload, frequent interruptions in the accomplishment of their tasks, night working, simultaneity of performing different tasks, not having enough time to give emotional support to the patient or lack of time for some patients who need it, among others. Conclusion: the most consensual stressors were ranked as work overload, frequent interruptions in the accomplishment of their tasks, night working and, finally, simultaneity of performing different tasks. These results can be used as a tool in the clinical management of hospital units, aiming to improve the quality of life of nursing professionals, organizational models and, in addition, continuous improvement in clinical treatment.Objective: to identify and classify the most important occupational stressors affecting nursing professionals in the medical units within a hospital. Method: quantitative-qualitative, descriptive and prospective study performed with Delphi technique in the medical units of a general university hospital, with a sample of 30 nursing professionals. Results: the stressors were work overload, frequent interruptions in the accomplishment of their tasks, night working, simultaneity of performing different tasks, not having enough time to give emotional support to the patient or lack of time for some patients who need it, among others. Conclusion: the most consensual stressors were ranked as work overload, frequent interruptions in the accomplishment of their tasks, night working and, finally, simultaneity of performing different tasks. These results can be used as a tool in the clinical management of hospital units, aiming to improve the quality of life of nursing professionals, organizational models and, in addition, continuous improvement in clinical treatment.Objetivo: identificar y clasificar los principales factores laborales más estresantes que afectan a los profesionales de enfermería en las unidades médicas del hospital. Método: estudio cuanticualitativo, descriptivo, prospectivo realizado con técnica Delphi en las unidades médicas de un hospital general universitario, con una muestra de 30 profesionales de enfermería. Resultados: los factores estresantes fueron la sobrecarga laboral, interrupciones frecuentes en la realización de sus tareas, trabajar en horario nocturno, la simultaneidad de ejecutar tareas distintas, no tener tiempo suficiente para dar apoyo emocional al paciente o falta de tiempo para algunos pacientes que lo necesiten, entre otros. Conclusión: se clasificaron los factores estresantes de mayor consenso siendo primero la sobrecarga laboral, interrupciones frecuentes en la realización de sus tareas, trabajar en horario nocturno y, finalmente, la simultaneidad de ejecutar tareas distintas. Estos resultados pueden utilizarse como una herramienta en el manejo clínico de las unidades hospitalarias, con el fin de mejorar la calidad de vida del profesional de enfermería, los modelos organizativos y, además, la mejora continua en el tratamiento clínico.

Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad

Objetivo: determinar qual dos escores avaliados (NEMS e NAS), e o apropriado para as Unidades de Tratamento Intensivo aplicando a metodologia da qualidade. Metodo: apos identificar como uma oportunidade de demonstrar a nao adequacao do escore NEMS para determinar as cargas de trabalho dos enfermeiros na UTI, aplicou-se a metodologia dos ciclos de melhoria para esse escore e para o NAS como propostas de melhorias, avaliando os criterios: medicao da carga horaria por dia e por turnos, incluindo todas as atividades de enfermagem e analise por paciente-unidade. Resultados: o escore NEMS nao demonstrou diferencas significativas na efetividade (67%). Comparando o NEMS-NAS, todos os criterios, exceto o 1o, obtiveram uma melhora significativa. O NEMS valoriza apenas o criterio 1o (64,22%) e o NAS, todos, com efetividade de 64,74% para o 1o, 2o e 4o de e de 100% para o 3o. Conclusao: o escore NAS e o mais apropriado para medir a carga de trabalho de enfermagem na UTI.

Adequação de escores para medir cargas horárias através de uma metodologia de qualidade

Objetivo: determinar qual dos escores avaliados (NEMS e NAS), e o apropriado para as Unidades de Tratamento Intensivo aplicando a metodologia da qualidade. Metodo: apos identificar como uma oportunidade de demonstrar a nao adequacao do escore NEMS para determinar as cargas de trabalho dos enfermeiros na UTI, aplicou-se a metodologia dos ciclos de melhoria para esse escore e para o NAS como propostas de melhorias, avaliando os criterios: medicao da carga horaria por dia e por turnos, incluindo todas as atividades de enfermagem e analise por paciente-unidade. Resultados: o escore NEMS nao demonstrou diferencas significativas na efetividade (67%). Comparando o NEMS-NAS, todos os criterios, exceto o 1o, obtiveram uma melhora significativa. O NEMS valoriza apenas o criterio 1o (64,22%) e o NAS, todos, com efetividade de 64,74% para o 1o, 2o e 4o de e de 100% para o 3o. Conclusao: o escore NAS e o mais apropriado para medir a carga de trabalho de enfermagem na UTI.

Assessing the adequacy of workload measurement tools using a quality-based methodology

Objetivo: determinar qual dos escores avaliados (NEMS e NAS), e o apropriado para as Unidades de Tratamento Intensivo aplicando a metodologia da qualidade. Metodo: apos identificar como uma oportunidade de demonstrar a nao adequacao do escore NEMS para determinar as cargas de trabalho dos enfermeiros na UTI, aplicou-se a metodologia dos ciclos de melhoria para esse escore e para o NAS como propostas de melhorias, avaliando os criterios: medicao da carga horaria por dia e por turnos, incluindo todas as atividades de enfermagem e analise por paciente-unidade. Resultados: o escore NEMS nao demonstrou diferencas significativas na efetividade (67%). Comparando o NEMS-NAS, todos os criterios, exceto o 1o, obtiveram uma melhora significativa. O NEMS valoriza apenas o criterio 1o (64,22%) e o NAS, todos, com efetividade de 64,74% para o 1o, 2o e 4o de e de 100% para o 3o. Conclusao: o escore NAS e o mais apropriado para medir a carga de trabalho de enfermagem na UTI.

Situaciones y factores de estrés en los estudiantes de enfermería en la práctica clínica

OBJECTIVE To assess the risk factors for stress in undergraduate students of nursing in clinical practice in a public university in the Northeast region of Brazil. METHODS Cross-sectional descriptive study with 116 students from the fifth to the ninth period. The bilingual KEZKAK questionnaire, validated for Portuguese, was used. Stress was considered to be present when the score was equal or superior to 2. RESULTS The students with stress in clinical practice were 18 to 22 years old (2.82 ± 0.98), women (2.81 ± 0.96), married (2.80 ± 0.97), and who were permanent contracted employees (2.74 ± 0.94). The factors which were most associated with stress were: Lack of competence (2.99 ± 0.88); Impotence and uncertainty (2.98 ± 0.85); and Patients seeking a closer relationship (2.93 ± 1.01). The students of the sixth period were the most vulnerable to stress (2.85±0.96). CONCLUSION The studies showed the main risk factors for stress among students of nursing in their clinical practice. These results could be used in the development of strategies seeking to reduce stress in this context as well as to contribute to promoting mental health.

Situações e fatores de estresse em estudantes de enfermagem na prática clínica

OBJECTIVE To assess the risk factors for stress in undergraduate students of nursing in clinical practice in a public university in the Northeast region of Brazil. METHODS Cross-sectional descriptive study with 116 students from the fifth to the ninth period. The bilingual KEZKAK questionnaire, validated for Portuguese, was used. Stress was considered to be present when the score was equal or superior to 2. RESULTS The students with stress in clinical practice were 18 to 22 years old (2.82 ± 0.98), women (2.81 ± 0.96), married (2.80 ± 0.97), and who were permanent contracted employees (2.74 ± 0.94). The factors which were most associated with stress were: Lack of competence (2.99 ± 0.88); Impotence and uncertainty (2.98 ± 0.85); and Patients seeking a closer relationship (2.93 ± 1.01). The students of the sixth period were the most vulnerable to stress (2.85±0.96). CONCLUSION The studies showed the main risk factors for stress among students of nursing in their clinical practice. These results could be used in the development of strategies seeking to reduce stress in this context as well as to contribute to promoting mental health.

Relatório de enfermagem no hospital

Objectives To know the opinion of nurses report on the realization of nursing report at hospital discharge. Methods A sociological study - exploratory and cross-sectional incidental in a convenience sample of 400 nurses in the hospitals of the Region of Murcia (Spain), by applying a questionnaire. Results Significant associations between the variable unit of work and writing of the paper (p= 0.000) and continuing education about it (p= 0.027) was obtained. The same applies to the health center variable (p= 0.001) and higher academic education (p = 0.049). Conclusions The nurses say they are not prepared either theoretically or methodologically, to tackle the writing of the Nursing report at hospital discharge.