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- Impact of COVID‐19 on professional nursing practice environments and patient safety culturePublication . Ribeiro, Olga; de Lima Trindade, Letícia; Silva Fassarella, Cintia; de Abreu Pereira, Soraia Cristina; Figueiredo Cabral Teles, Paulo João; Gomes da Rocha, Carla; da Silva Leite, Paula Cristina; Almeida Ventura‐Silva, João Miguel; Sousa, Clemente NevesAim: To analyse the impact of COVID-19 on professional nursing practice environments and patient safety culture. Background: The relationship between work environments and patient safety has been internationally recognized. In 2020, the pandemic imposed enormous challenges, yet the impact on these variables remains unknown. Method: This is a quantitative observational study, conducted in a Portuguese hospital, with 403 registered nurses. A self-completion questionnaire was used. Results: The impact on the Structure and Outcome components of nursing professional practice environments was positive. Although the Process component remained favourable to quality of care, a negative trend was confirmed in almost all dimensions. The results regarding safety culture showed weaknesses; ‘teamwork within units’ was the only dimension that maintained a positive culture. Conclusion: Positive responses regarding patient safety were significantly associated with the quality of the nursing professional practice environment. The need to invest in all dimensions of safety culture emerges to promote positive professional environments. Implications for nursing management: Improving professional nursing practice environments can be achieved through managers’ investment in the participation and involvement of nurses in the policies and functioning of institutions, as well as promoting an open, fair and participatory safety culture that encourages reporting events and provides adequate support for professionals.
- Sintomatologia musculoesquelética dos enfermeiros no contexto hospitalar: contributo do enfermeiro de reabilitaçãoPublication . Moura, Maria; Martins, MM; Ribeiro, OlgaBackground: Nurses make up the major professional category in the National Health Service, and their work a"ects their musculoskeletal well-being. Objective: To determine the prevalence of musculoskeletal symptoms of nurses and identify their risk factors. Methodology: A quantitative, descriptive, and correlational study, conducted in a Portuguese hospital center, used a non-probabilistic sample by convenience of 260 nurses. A questionnaire was used as data collection instrument, divided into two parts (sociodemographic and professional data/Nordic Musculoskeletal Questionnaire). Results: #e majority of nurses (65.1%) manifests musculoskeletal symptoms, the lumbar spine being the most a"ected body segment. #e female gender, aging, body mass index, time of professional experience, and workload are related to the worsening of symptoms. Conclusion: #e results point out the need to raise awareness of the risk factors among nurses, as well as to promote the adoption of strategies, like workplace gymnastics, to minimize musculoskeletal symptoms.
- Instruments for assessing professional nursing practice environments: An integrative reviewPublication . Ribeiro, Olga; Vicente, Corália Maria Fortuna de Brito; Martins, MM; Vandresen, Lara; Silva, João Miguel Almeida Ventura daObjective: To identify the instruments used to evaluate the professional nursing practice environments in the hospital context. Method: An integrative review, whose research process was conducted independently by two researchers in the period from July to August 2019 in the CINHAL, PubMed and SciELO databases. Results: Based on the inclusion and exclusion criteria, 53 studies published between 2009 and 2019 were considered for analysis. Ten instruments and three thematic areas were identified: instruments for the assessment of the nursing professional practice environments; implications of the use of instruments for the assessment of nursing professional practice environments; limitations of the instruments for the assessment of nursing professional practice environments. Conclusion: Despite the relevance of the instruments identified, this integrative review provides contributions that support the need to use specific tools to assess the nursing practice environments that include the structure, process and outcome components.
- Professional practice models used by nurses in Portuguese hospitalsPublication . Ribeiro, Olga; Martins, MM; Tronchin, Daisy; Ventura-Silva, João Miguel Almeida; Forte, Elaine
- Explanatory approach to the grounding of the professional nursing practicePublication . Ribeiro, Olga; Martins, MM; Tronchin, Daisy Maria; Silva, João MiguelINTRODUCTION. In the current health care environment, the needs of the population provided the perfect opportunity for nurses to (re)de$ne their practice and professional career. Within this framework, this study aimed thus at identifying the bases that are underlying the practice, as well as the factors that stimulate or jeopardise the quality of care and a practice that is consistent with the desired grounding. METHOD. Qualitative study with a phenomenological nature carried out in 19 public hospitals in mainland Portugal with the participation of 56 nurses. The tool used for collecting data was a semi-structured interview. RESULTS. Regarding the factors that stimulate or jeopardise the quality of care a practice that is consistent with the desired grounding, we could highlight features that were perfectly integrated in the triad structure, process and result. In relation to “structure”, we could point out the following: organizational resources, human and material resources, service organization, nursing sustainment practices and organization of nursing care. Concerning “process”, we could analyse: decision-making process, guiding principles for the professional practice, scienti$c methodology of health care service, health care documentation process, communication process, collaborative practice and management practice. In what concerns “result”, the features were less evident in the participants’ speech, and more stressed among clients and nurses. CONCLUSION. The explanatory approach to the grounding of the professional nursing practice, outlined in a three-dimensional perspective, makes clear the theoretical framework that grounds the practice, as well as the factors in hospital environment, that stimulate or jeopardise the quality of the nursing care
- Qualidade dos cuidados de enfermagem: contribuições de enfermeiros especialistas em enfermagem médico-cirúrgicaPublication . Ribeiro, Olga; Martins, MM; Sousa, P.; Trindade, Letícia de Lima; Forte, Elaine Cristina Novatzki; Silva, João Miguel Almeida Ventura daObjective: to identify the performance of activities congruent with the quality standards of nursing care by expert nurses in medical-surgical nursing, in the hospital context. Methods: a descriptive study, carried out in 36 hospitals, in which 259 nurses specialized in medical-surgical nursing participated. For data collection, a questionnaire was used, later analyzed using descriptive statistics. Results: the participating nurses evaluated activities related to the dimensions of responsibility and rigor, customer satisfaction and prevention of complications with better scores; and with lower scores, activities integrated in the dimensions of health promotion, functional readaptation and well-being and self- -care. Conclusion: although the findings show the performance of expert nurses in the medical-surgical nursing area that tends to be consistent with quality standards, gaps in professional practice and potentialities that can support the qualification process of these professionals were signaled, alert managers and qualify nursing care
- 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.