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Study of general health of traumatic nursing team members of Bam one year after earthquake
Sistanehei F,Goudarzi Z,Rezapour R,Mehran A
Hayat Journal of Faculty of Nursing & Midwifery , 2005,
Abstract: Introduction: It is necessary to understand that psychological reactions after a natural disaster are as complex as disaster itself. Following a catastrophic earthquake like Bam’s, such reactions can be seen in nursing team members as well. Materials and Methods: This study is a descriptive cross sectional analytic research, conducted with cooperation of Japanese Nursing Association to identify somatic and psychological problems of nursing team members of Bam. A total of 92 members of nursing team affiliated to healthcare centers of Bam were studied. Data collection tools were 2 questionnaires; first for evaluating demographic characteristics and general health and second- questionnaire of Goldberg and Williams- for evaluation of four domains of psychosomatic problems, anxiety and insomnia, psychosocial functioning and severe depression. Each domain contained seven questions, each scored from 0 to 3 based on Likert score. Complete score of general health was 0-84. Scores were classified in four groups: 0-20 as optimal, 21-4 as approximately optimal, 41-6 as approximately suboptimal and 61 and higher as suboptimal. Results: One year after the earthquake, evaluation of general health of nursing team members showed 30.3% of subjects had optimal psychosomatic status, 34.8% had moderate problems of anxiety and insomnia, 40.2% had approximately optimal psychosocial functioning and 44.2% of subjects were not severely depressed. Overall, 38.4% of nursing team members had approximately optimal general health. Conclusion: This study showed that following a catastrophic earthquake, most of the victims suffer from several psychological and somatic reactions. In addition to on time rescue procedures, other important allaying factors are cultural and religious values and believing in God.
Together we are more effective: Nursing team members’ experiences of development work on patient education  [cached]
Kaija Lipponen,Helvi Kyng?s,Outi Kanste
Journal of Nursing Education and Practice , 2013, DOI: 10.5430/jnep.v3n9p60
Abstract: Objective: Evaluating care pathways, strengthening patient education, developing staff’s patient education skills, and improving collaboration between healthcare workers in hospitals and health centers are all topical challenges in the field of healthcare. Successful patient education requires seamless co-operation across organizational boundaries throughout the whole nursing process. The aim of this study was to assess personnel’s experiences of a developmental nursing project, involving networking between Finnish primary (health centers) and special (hospitals) healthcare organizations, and the significance of development work on patient education in terms of strengthening information flow, co-operation and know-how. The aim of the study was to explore the healthcare personnel’s experiences of development work in the context of networking between organizations, specifically focusing on the impact of development work with regard to information flow, co-operation and strengthening know-how. The specific research question was addressed: What is the impact of development work in this context in relation to information flow, co-operation and readiness for patient education? Methods: Data were collected from theme interviews (n=24) with primary and special healthcare team members who participated in a collaborative project, then analyzed by qualitative content analysis. Results: The findings indicate that development work on patient education improves collective expertise, key components of which are learning as a patients’ counselor, collective know-how, and the exchange of knowledge. Conclusions: Development work can strengthen individual and collective know-how and nursing expertise. In the examined project, enhanced network co-operation increased collaboration between organizations and improved information flow throughout the nursing process. In addition, promotion of development on nursing and provision of feedback to the participants by the nurse manager appear to be crucial for successful development work on patient education. Workplaces and the nurse managers need to provide adequate resources’ to develop nursing processes as well as motivate employees to improve nursing. Additionally, nurse managers should support and guide the healthcare workers in development work toward this goal. Well planned and executed development project can improve nursing practices across organizational boundaries.
The importance of the formation in the perception of the team of nursing concerning the presence of the companion in childbirth room
Adriana Valongo Zani, Glauciane Alves Afonso Yamagida
Revista de Enfermagem UFPE On Line , 2008,
Abstract: Objective: to describe the perception of the nursing tem regarding the right of the parturient to have a companion in the delivery room. Methods: descriptive and comparative methodology, from quantitative approach. They had been part of the study from 30 nursing professionals from the maternity ward. At the end of the data collection, we noticed that there was a change regarding these professionals’ opinions about the right of the parturient to have a companion in the delivery room. Results: results from the data collected with the first instrument (before the training) showed that 24 (80%) of the professionals believed that the presence of a companion would disturb the work of the nursing team. However, after the training period, this number was reduced to 6 (20%). Conclusion: The professionals believe today that the presence of a companion in the delivery room may help the parturient relax, and consequently, have a better delivery.
The role of the nursing team about home care after discharge from neonatal intensive care unit: a literature review  [cached]
Rafaela Bramatti Silva,Beatriz Rosana Gon?alves de Oliveira,Neusa Collet,Cláudia Silveira Viera
Online Brazilian Journal of Nursing , 2006,
Abstract: The communication between the infants mother’s and the nursing team during the hospitalization period it has a very important role when the infants mother’s did not stay in the Neonatal Intensive Care Unit (NICU). Than this study aim to comprehend which orientation should be give by the nursing team to the infants family’s during the hospitalization period and in the discharge moment about the infants care at home, it needs use the communication approach. This study is a qualitative research that it makes a literature review. The qualitative analysis followed the texts interpretation. The orientation to the infants family’s during the hospitalization period in the NICU include contents about the newborn characteristics, importance of the daily visits to the infant, the stimulation to the mother and infant relationship, the hygiene, food, sleep and rest, schedules of the procedures and the health team assessment, immunization and helth prevention and health promotion. Therefore, it is very important that the nursing team give to the infants family’s this kind of information because they will have the opportunity to take care with assurance be their infants after discharge. The nurse team should avoid fragmented information that can be confused the family or that complicate the achievement of the infant care at home.
The Impact of Nursing Characteristics and the Work Environment on Perceptions of Communication  [PDF]
Dana Tschannen,Eunjoo Lee
Nursing Research and Practice , 2012, DOI: 10.1155/2012/401905
Abstract: Failure to communicate openly and accurately to members of the healthcare team can result in medical error. The purpose of this study was to explore the impact of nursing characteristics and environmental values on communication in the acute care setting. Nurses ( ) on four medical-surgical units in two hospitals completed a survey asking nurses' perceptions of communication, work environment, and nursing demographics. LPNs perceived significantly higher levels of open communication with nurses than did RNs ( ). RNs noted higher levels of accuracy of communication among nurses than did LPNs ( ). Higher experience levels resulted in greater perceptions of open communication. Only environmental values (e.g., trust, respect) were a significant predictor of both openness and accuracy of communication. These findings suggest understanding the environment (e.g., presence or absence of trust, respect, status equity, and time availability) is a foundational step that must occur before implementing any strategies aimed at improving communication. 1. Introduction A significant cause of medical error in health care is poor communication [1, 2]. For the past three years, miscommunication has been identified as one of the most frequently identified root causes of sentinel events reported to The Joint Commission, with 82% of the sentinel events in 2010 identifying communication as the primary root cause [3]. According to Rucker and colleagues, up to 75% of clinical decisions are made without all pertinent clinical information [4]. Differences in status and discipline may be part of the confounding factors associated with poor communication. This includes various job categories (supervisor/supervisee), expertise level (novice/expert), and discipline (doctor/nurse) [2]. Although variations in status and discipline are abundant in the healthcare environment, it is critical for all members of the healthcare team to communicate effectively with one another, despite these differences. In an effort to understand how status and discipline differences may impact perceptions of communication, the purpose of this study was to explore the impact of nursing characteristics (e.g., job category, education, experience, and expertise) on perceptions of communication in the acute care setting, while also considering the impact of the work environment. 2. Literature Review The act of communication between nurses and physicians is a central activity in healthcare, and a failure to communicate has been linked with poor quality and patient errors [5]. Effective communication and
Predicting future conflict between team-members with parameter-free models of social networks  [PDF]
Nuria Rovira-Asenjo,Tania Gumi,Marta Sales-Pardo,Roger Guimera
Physics , 2014, DOI: 10.1038/srep01999
Abstract: Despite the well-documented benefits of working in teams, teamwork also results in communication, coordination and management costs, and may lead to personal conflict between team members. In a context where teams play an increasingly important role, it is of major importance to understand conflict and to develop diagnostic tools to avert it. Here, we investigate empirically whether it is possible to quantitatively predict future conflict in small teams using parameter-free models of social network structure. We analyze data of conflict appearance and resolution between 86 team members in 16 small teams, all working in a real project for nine consecutive months. We find that group-based models of complex networks successfully anticipate conflict in small teams whereas micro-based models of structural balance, which have been traditionally used to model conflict, do not.
Communication in the process of humanization of the assistance
Natália Celi?o Leite, Josilene de Melo Buriti Vasconcelos, Wilma Dias de Fontes
Revista de Enfermagem UFPE On Line , 2010,
Abstract: ABSTRACTObjectives: to report the experience of the nursing team and family members of ICU patients as regards communication; to learn the meaning they attribute to the communication process. Methodology: this is about a quantitative and qualitative exploratory study, carried out at the Intensive Care Unit of the school hospital. Consisting of 15 family members and 15 nursing professionals who happened to be available there during the data collection, the sample resulted from semi-structured interview guidance. The data were analyzed by means of descriptive statistics, taking into account the absolute and percentage numbers, and the technique of the Collective Subject Discourse, with presentation throughout graph, table and charts. Results: the data showed gaps in the communication, which are inherent to some professionals who neither practice nor value the communication process with the family, mainly as regards the need to prepare them for the ICU environment and the real conditions of their family members. Conclusion: the need to adopt an efficient system of communication with relatives of ICU patients is widely known. Thus, the nurse will be adopting new ways of caring, which include valuing the family members as integrating part of the nursing care, with view to humanizing the assistance. Descriptors: communication; humanization of the assistance; intensive care unit.
Stepped Skills: A team approach towards communication about sexuality and intimacy in cancer and palliative care  [PDF]
Hilde de Vocht,Amanda Hordern,Joy Notter,Harry van de Wiel
Australasian Medical Journal , 2011,
Abstract: BackgroundCancer often has a profound and enduring impact on sexuality, affecting both patients and their partners. Most healthcare professionals in cancer and palliative care are struggling to address intimate issues with the patients in their care.MethodsStudy 1: An Australian study using semi-structured interviews and documentary data analysis.Study 2: Building on this Australian study, using a hermeneutic phenomenological approach, data were collected in the Netherlands through interviewing 15 cancer patients, 13 partners and 20 healthcare professionals working in cancer and palliative care. The hermeneutic analysis was supported by ATLAS.ti and enhanced by peer debriefing and expert consultation.ResultsFor patients and partners a person-oriented approach is a prerequisite for discussing the whole of their experience regarding the impact of cancer treatment on their sexuality and intimacy. Not all healthcare professionals are willing or capable of adopting such a person-oriented approach.ConclusionA complementary team approach, with clearly defined roles for different team members and clear referral pathways, is required to enhance communication about sexuality and intimacy in cancer and palliative care. This approach, that includes the acknowledgement of the importance of patients’ and partners’ sexuality and intimacy by all team members, is captured in the Stepped Skills model that was developed as an outcome of the Dutch study.
How Does Kanban Impact Communication and Collaboration in Software Engineering Teams?  [PDF]
Nilay Oza,Fabian Fagerholm,Jürgen Münch
Computer Science , 2013, DOI: 10.1109/CHASE.2013.6614747!
Abstract: Highly iterative development processes such as Kanban have gained significant importance in industry. However, the impact of such processes on team collaboration and communication is widely unknown. In this paper, we analyze how the Kanban process aids software team's behaviours -- in particular, communication and collaboration. The team under study developed a mobile payment software product in six iterations over seven weeks. The data were collected by a questionnaire, repeated at the end of each iteration. The results indicate that Kanban has a positive effect at the beginning to get the team working together to identify and coordinate the work. Later phases, when the team members have established good rapport among them, the importance for facilitating team collaboration could not be shown. Results also indicate that Kanban helps team members to collectively identify and surface the missing tasks to keep the pace of the development harmonized across the whole team, resulting into increased collaboration. Besides presenting the study and the results, the article gives an outlook on future work.
Logistic support provided to Australian disaster medical assistance teams: results of a national survey of team members  [cached]
Peter Aitken,Peter Leggat,Hazel Harley,Richard Speare
Emerging Health Threats Journal , 2012, DOI: 10.3402/ehtj.v5i0.9750
Abstract: It is likely that calls for disaster medical assistance teams (DMATs) continue in response to international disasters. As part of a national survey, the present study was designed to evaluate the Australian DMAT experience and the need for logistic support.Data were collected via an anonymous mailed survey distributed via State and Territory representatives on the Australian Health Protection Committee, who identified team members associated with Australian DMAT deployments from the 2004 Asian Tsunami disaster.The response rate for this survey was 50% (59/118). Most of the personnel had deployed to the South East Asian Tsunami affected areas. The DMAT members had significant clinical and international experience. There was unanimous support for dedicated logistic support with 80% (47/59) strongly agreeing. Only one respondent (2%) disagreed with teams being self sufficient for a minimum of 72 hours. Most felt that transport around the site was not a problem (59%; 35/59), however, 34% (20/59) felt that transport to the site itself was problematic. Only 37% (22/59) felt that pre-deployment information was accurate. Communication with local health providers and other agencies was felt to be adequate by 53% (31/59) and 47% (28/59) respectively, while only 28% (17/59) felt that documentation methods were easy to use and reliable. Less than half (47%; 28/59) felt that equipment could be moved easily between areas by team members and 37% (22/59) that packaging enabled materials to be found easily. The maximum safe container weight was felt to be between 20 and 40 kg by 58% (34/59).This study emphasises the importance of dedicated logistic support for DMAT and the need for teams to be self sufficient for a minimum period of 72 hours. There is a need for accurate pre deployment information to guide resource prioritisation with clearly labelled pre packaging to assist access on site. Container weights should be restricted to between 20 and 40 kg, which would assist transport around the site, while transport to the site was seen as problematic. There was also support for training of all team members in use of basic equipment such as communications equipment, tents and shelters and water purification systems.
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