Salud, Ciencia y Tecnología (Journal)
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Nursing organization and management in the practice of blood sample collection
Full text linkLaboratory testing of blood samples is essential for the diagnosis and treatment of patients. This article aims to describe preanalytical errors in the clinical laboratory from a nursing management approach. Diagnostic tests are clinical decision support tools. Their use is said to be adequate or appropriate if the result answers the question that the clinician had asked himself before its request and, at the same time, if it helps him to decide some therapeutic action that benefits the patient. Venous blood collection is one of the most frequent nursing interventions in the ED, as well as a conclusive diagnostic test to establish a clinical judgment. Laboratory results have been estimated to affect up to 70 % of the medical diagnosis, thus impacting the course of treatment and prognosis of patients. Therefore, it is necessary to have excellent quality control throughout the laboratory process to ensure that the results released to the clinician are reliable and truthful. In the pre-analytical process there is a wide variety of errors, these errors cover several areas; those related to the blood test request, i.e., that it is inadequate or incorrectly performed, lost or misidentifie
Omitted nursing care and its reasons in a public institution in the province of Chubut, Argentina
Full text linkBackground: patient care is the core of the nursing profession, which can be defined as: an activity that requires personal and professional values to preserve, restore and care for life from the nursing-patient relationship.
Aim: to describe the prevalence and reasons for the omission of nursing care, according to the perception of the nursing staff of a hospital in the province of Chubut in Argentina.
Methods: descriptive, cross-sectional observational study conducted with 76 nursing professionals. Data were collected using the MISSCARE instrument.
Results: 76 nursing professionals participated in the study, 75 % were female, with a median age of 40.5 years (IIQ: 36), mean 41.02 (SD: 7.6), ranging from 29 to 60 years. Nursing care that obtained the highest prevalences of omission were participation in the interdisciplinary team discussion of patient care, if present (75.0 %), walking three times a day or as prescribed (61.8 %), sitting the patient out of bed (52.6 %), requests for administration of prescribed medications Y/N are attended within fifteen minutes.
Conclusions: This study highlighted the fact that omission of care is a real and frequent phenomenon. The most frequent reasons for omission of nursing care were related to human resources and material resources. These reasons are centered on managerial and systemic failures, which should be analyzed and corrected in favor of patient safety
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Full text linkLeadership style and organizational performance indicators from the nursing staff\u27s perspective
Full text linkBackground: leadership in nursing has been widely discussed over time as a necessary professional competence and a field of action that should be exercised by these professionals.
Aim: to analyze leadership styles and organizational outcome indicators from the point of view of the nursing staff of a public hospital in the Autonomous City of Buenos Aires.
Method: a cross-sectional descriptive study was carried out. The sample consisted of 83 nursing professionals, selected by non-probabilistic convenience sampling. Data collection was performed using the MLQ 5x, which was validated in content and construct.
Results: 77,1 % of the respondents were women, with a mean age of 40 ± 9,44, and 9,23 ± 7,25 years of work; 74,7 % performed a care function. Transformational (4,07 ± 0,55) and transactional (3,99 ± 0,62) leadership styles have similar averages. According to the relationship between sociodemographic variables and leadership styles and their dimensions, no significant differences were found between men and women. In relation to organizational outcome variables, it is evident that extra effort is often more present in women, however, no significant differences were found between both groups.
Conclusions: Leadership in nursing is considered essential. This, according to the results, is exercised by the nursing staff within their work team, regardless of age, years of work, type of organization, area of work or function performe
Does mobbing impact witnesses? An observational study on the nursing staff of a hospital in Buenos Aires
Full text linkIntroduction: mobbing is a set of unacceptable behaviors and practices, aimed at, causing or likely to cause physical, psychological, sexual or economic harm, and includes gender-based violence and harassment.Objective: to analyze the impact of mobbing on witnesses and its relationship to job performance.Method: an observational, descriptive, cross-sectional, descriptive study was carried out in a hospital in the Buenos Aires suburban area. The sample consisted of 64 nursing professionals. Four evaluation instruments were used.Results: In the sample studied, 51,6 % had been victims of mobbing, 79,68 % had witnessed this type of act and 37,5 % reported that they currently feel harassed or psychologically bullied at work. The mean score obtained in the HPT-R was 65,51 ± 25,96. The results show that witnesses suffer significantly more stress symptoms than non-witnesses. Witnesses presented higher means for the vast majority of the stress symptoms analyzed. When ANOVA test was applied, it was found that those who were witnesses had higher number of stress symptoms, HPT-R scores and lower professional performance.Conclusions: Witnesses of psychological harassment at work had a higher perception of stress symptoms than those who did not, in addition to a higher overall score of perceived harassment and lower job performanc