Background: The importance of knowing the workload of family nurses lies essentially in the possibility of improving health outcomes, care processes and the nurse's professional life. There is a lack of studies that fully describe the nursing workload in primary care, particularly, in the context of family health nursing, and the ideal metrics to be used remain unknown, making it impossible to characterize and therefore provide the necessary insight to acknowledge the different contributions of several aspects that embody the global workload of family nurses. The objective of this scoping review was to map the known evidence and characterize the instruments used to assess the workload of family nurses.
View Article and Find Full Text PDFBackground: Nursing practice environment has impact on the quality of nursing care and on patients' and nurses' outcomes, namely better performances of these healthcare workers. Improving the nursing practice environment is a low-cost organizational strategy to achieve better patients' outcomes and retain qualified nurses, thus improving nursing care of units, healthcare organizations and healthcare system. This study aims to analyse the relationship between nursing practice environment and the nurses` perception of quality of care, patient safety, and safety culture in Primary Health Care in Portugal.
View Article and Find Full Text PDFBackground: The delivery of quality, safe, and patient-centered care is foundational for professional practice. The primary nursing model allows nurses to have excellent knowledge about patients and families and to plan and coordinate care from admission to discharge, with better management of health situations. Nurses play a crucial role in improving patients' outcomes, namely those sensitive to nursing care.
View Article and Find Full Text PDFAim: The aim of this scoping review is to map the nurse-led care management models for patients with multimorbidity in hospital settings.
Background: Patients with multimorbidity in hospital, due their complexity, benefit a nurse-led care management model. This care management model allows for better identification of patients' needs and a person-centred approach.
Unlabelled: Studies related to the work environment in primary health care are scarce in the literature. The present study aimed to validate the psychometric properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) in primary health care (PHC) and to evaluate its construct validity through exploratory and confirmatory factor analyses in a sample of Portuguese nurses. A quantitative, cross-sectional, and validation study design was implemented.
View Article and Find Full Text PDFBackground: The nursing work environment has an impact on patient safety outcomes and its measurement should be a regular practice.
Purpose: To assess the reliability and construct validity of the Practice Environment Scale of the Nursing Work Index in the Portuguese context.
Methods: An exploratory factor analysis followed by a confirmatory factor analysis to assess model adjustment quality was performed with a sample of 3,686 nurses.
Objective: The aims of this study were to summarize the current state of knowledge regarding the relationship between nursing work environment (NWE) and patient outcomes and to identify gaps in the literature.
Background: There was an increased awareness of the impact of NWE on patient outcomes, in particular, related to safety and quality of care.
Method: Scoping review was conducted.
We describe the development of nursing in Portugal since the creation of the National Health Service (SNS) in 1979, focusing on staff numbers, education, work conditions, career, and professional organization. We used the literature on the evolution of the Portuguese health sector and statistical data from the Nursing Council and the SNS. The number of nurses grew by 233% in the last 40 years, but the nurse/physician ratio only increased from 1.
View Article and Find Full Text PDFThe nature of the turnover process calls for the study of more complex relationships among variables beyond simple bivariate or multiple associations between predictors and turnover intentions. The present article aims to examine the predictive value of job demands and resources in the explanation of nurses' intention to leave the organization and to test the mediating roles of professional burnout and engagement in these relationships, within a Portuguese nursing population. The research models were tested within the scope of the Registered Nurse Forecasting project.
View Article and Find Full Text PDFFuture technology developments as applied to healthcare and particularly nursing were discussed. Emerging technologies such as genetics, small unobtrusive monitoring devices, use of information and communication technologies are as tools to not only facilitate but also promote communication among all parties of the healthcare process. These emerging technologies can be used for ubiquitous healthcare (u-health).
View Article and Find Full Text PDFStud Health Technol Inform
December 2006
This investigation focused the clinical decision-making process in a naturalistic context and its relationship to the nurses' abilities of critical thinking, creative thinking and emotional intelligence. Apart from describing a model of the clinical decision-making process in nursing, the results showed its continuous and interactive nature as well as that different patterns of decisions correspond to distinct patterns of those cognitive abilities. Despite some limitations, we consider that this study has implications in the caring, administration, education and nursing informatics areas.
View Article and Find Full Text PDFStud Health Technol Inform
December 2006
The present study concerns the clinical decision-making process in a naturalistic context and its relationship to the nurses' abilities of critical thinking, creative thinking and emotional intelligence. Apart from describing a model of the clinical decision-making process in nursing, the results showed its continuous and interactive nature as well as that different patterns of decisions correspond to distinct patterns of those cognitive abilities. Despite some limitations, we consider that this study has implications in the caring, administration, education and nursing informatics areas.
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