Percorrer por autor "da Rocha, Carla Gomes"
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- Environments of professional nursing practice in the context of the COVID-19 pandemicPublication . Ribeiro, Olga; Trindade, Letícia de Lima; Sousa, Clemente Neves; Teles, Paulo João Figueiredo Cabral; Cardoso, Maria Filomena Passos Teixeira; da Rocha, Carla Gomes; Barros, Sónia Cristina Costa; Ventura-Silva, João Miguel AlmeidaBackground: Although COVID-19 attracted attention to the environments of professional nursing practice, triggering a series of responses to address some of the most pressing problems, it is important to identify the size and scope of other weaknesses that have emerged. Methods: In an observational and cross-sectional study, using the Scale for the Evaluation of the Environment of Professional Nursing Practice, 752 nurses from a Portuguese university hospital, provided socio-demographic and professional data about the components structure, process and outcome of their professional nursing environment. Data collection took place from June 1–30, 2020, immediately after the first critical period of the COVID-19 pandemic in Portugal. Results: In the analysed environment of professional nursing practice, Process factors were favourable to the quality of care, while the Structure and Outcome factors had a moderately favourable effect. Structure factors related to work contexts (P<.001) and nursing functions in patient care areas with COVID-19 (P=.001). Process factors related significantly to work contexts (P<.001). A significant association was found between Outcome factors and work contexts (P<.001) and nursing functions in patient care areas with COVID-19 (P=.005). Conclusion: The environments of professional nursing practice in the hospital under study are moderately favourable to the quality of care. However, the need to invest in nurses’ participation, involvement and professional qualification is clear. Maintenance of a sustainable nursing workforce requires attention to be given to ensuring that practice environments are conducive to the quality of care and geared to promoting professional involvement and job satisfaction among nurses.
- From the first to the fourth critical period of COVID-19: what has changed in nursing practice environments in hospital settings?Publication . Ribeiro, Olga; Cardoso, Maria Filomena; de Lima Trindade, Letícia; da Rocha, Carla Gomes; Teles, Paulo João Figueiredo Cabral; Pereira, Soraia; Coimbra, Vânia; Ribeiro, Marlene Patrícia; Reis, Ana; da Conceição Alves Faria, Ana; da Silva, João Miguel Almeida Ventura; Leite, Paula; Barros, Sónia; Sousa, Clemente NevesBackground The COVID-19 pandemic reinforced the need to invest in nursing practice environments and health institutions were led to implement several changes. In this sense, this study aimed to analyze the impact of the changes that occurred in nursing practice environments between the first and fourth critical periods of the pandemic. Methods Quantitative, observational study, conducted in a University Hospital, with the participation of 713 registered nurses. Data were collected through a questionnaire with sociodemographic and professional characterization and the Scale for the Environments Evaluation of Professional Nursing Practice, applied at two different points in time: from 1 to 30 June 2020 and from 15 August to 15 September 2021. Data were processed using descriptive and inferential statistics. Results Overall, the pandemic had a positive impact on nursing practice environments. However, the Process component remained favourable to quality of care, while the Structure and Outcome components only moderately favourable. Nurses working in Medicine Department services showed lower scores in several dimensions of the Structure, Process and Outcome components. On the other hand, nurses working in areas caring for patients with COVID-19 showed higher scores in several dimensions of the Structure, Process and Outcome components. Conclusions The pandemic had a positive impact on various dimensions of nursing practice environments, which denotes that regardless of the adversities and moments of crisis that may arise, investment in work environments will have positive repercussions. However, more investment is needed in Medicine Department services, which have historically been characterised by high workloads and structural conditions that make it difficult to promote positive and sustainable workplaces.