Two models of nursing practice: a comparative study of motivational characteristics, work satisfaction and stress

Rantanen, Anja; Pitkänen, Anneli; Paimensalo-Karell, Irmeli; Elovainio, Marko; Aalto, Pirjo

doi:10.1111/jonm.12313

Cited by 12 publications

(9 citation statements)

References 36 publications

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“…Contudo, aplicar o Primary Nursing pode causar estresse aos profissionais de Enfermagem, pelo fato destes serem responsáveis pelo cuidado de seus pacientes desde a internação até a alta hospitalar. Por esse motivo, é essencial que os gerentes de Enfermagem das instituições forneçam apoio suficiente aos enfermeiros para que eles possam lidar com as exigências do seu trabalho (21) .…”

Section: Discussionunclassified

Aplicação Do Modelo De Enfermagem Primary Nursing No Serviço De Transplante De Medula Óssea

et al. 2019

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Objetivo: descrever a aplicação do modelo de Enfermagem Primary Nursing a pacientes submetidosao transplante de células-tronco hematopoiéticas.Método: pesquisa Convergente Assistencial, realizada de junho a dezembro de 2016, com 20 profissionaisde Enfermagem do Serviço de Transplante de Medula Óssea de um Hospital Públicobrasileiro. Os resultados foram obtidos por meio de entrevista semiestruturada. Os dados foramanalisados com base na Análise Temática de Creswell.Resultados: emergiram seis classes temáticas baseadas na aplicabilidade do Primary Nursing, denominadas:A ambiência e o processo de cuidado; O conhecer o paciente; As relações interpessoais;Os aspectos favoráveis e desfavoráveis; A organização do processo de cuidado; e o Processode Enfermagem.Conclusão: o estudo demonstra melhorias e dificuldades no processo de cuidado em Enfermagemcom a aplicação Primary Nursing, mas sobretudo mostrou-se um modelo de Enfermagem viávelpara o cuidado a pacientes submetidos ao transplante de células-tronco hematopoéticas.

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Section: Discussionunclassified

Aplicação Do Modelo De Enfermagem Primary Nursing No Serviço De Transplante De Medula Óssea

et al. 2019

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“…The work itself and turnover caused more stress to the nurses working in the primary nursing model, whereas patientrelated stress was higher in the individual patient allocation model. [10]. Instead, a study examined the relationship between leadership style of nurse managers and nurses' job satisfaction.…”

Section: Management Allocates Energy; Leadership Creates Energy (…)mentioning

confidence: 99%

The Nurse Manager’s Role in the Primary Nursing Care Model: A Review of Clinical and Management Aspects

Bertoldi¹

2019

AJNS

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Implementation of the primary nursing care model requires a change in the role of the nurse manager from "a collector of information and responses" to a nurses' trainer in care planning and related decision-making and support. To describe the experience of introducing the primary nursing care model in a surgical setting; to describe methods designed to change the nurse manager's role; and to provide organizational elements and data based on practical experience. In order to apply the four cornerstones of primary nursing to a surgical setting, the staff was given full assistance by creating the necessary organizational and relational conditions and promoting the transition from "being a primary nurse" to "feeling a primary nurse" in their provision of care to, and relationship with patients, as well as in their experience with their respective families and social environment. The transition from a team nursing to primary nursing model was prepared by defining care standards, reshaping organizational processes, mapping nursing competencies, defining materials and resources, building instruments such as clinical care pathways, and administering a questionnaire for nurses and patients as both a fact-finding survey tool preceding the introduction of the model and an impact-assessment tool at one year's distance of such introduction. The application of the primary nursing model created a positive environment in professional relationships where nurses could test their accountability; in addition, patients' satisfaction with the care provided was higher; their perception of dignity improved with regard to privacy, autonomy and relational aspects; and, finally, pain perceived at rest and on movement dropped. The manager's satisfaction does not derive from knowing anything about his or her patients and controlling the situation at any time, but rather from seeing patients recognize and seek care from their attending nurses, who are closely involved in care provided to patients and feel comfortable about what they are doing and their own professional growth. The primary nursing model implies a necessary renewal in the cordinatoor's role to include clinical and managerial components in its leadership activities at the patient's bedside. When the model is applied, a nurse manager becomes a clinical manager who works out standards for the care practice, assesses the performance of his or her staff, teaches nurses, supports them in decision-making, oversees care, coordinates care activities, and has a direct experience in the relationship that a nurse establishes with a patient.

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“…It is noted that there are multiple interpretations of PN in several health institutions, although the common principle behind each version is the importance of the nurse-patient relationship and the continuity of care. 1,[11][12]14 The various slightly different ideas about how best to apply PN for this model is based on a conceptual model and how it is implemented and used in practice may differ between health institutions. 1 It should be borne in mind as to how this model is used, the management and care models of the institution, as well as the needs and specificities of the team and the work process, being valid adaptations aimed at its improvement.…”

Section: It Is Emphasized That the Development Of The Nursing Process Based On Wanda De Aguiarmentioning

confidence: 99%

“…It is explained that, in this way, the nurse is responsible for performing the most complex tasks, supervising and coordinating those performed by professionals of auxiliary and technical levels, while they perform most tasks. 12 It was perceived that, although this model is recognized as providing quality care, there is a need to move to a model that fosters the link between professionals and patients / family and contributes to the provision of safe care with the minimization of risks, besides allowing the continuity of care and the satisfaction of the patients and their relatives / companions. It was verified that, within the model of Team Nurse previously used in the Unit of Surgical Care of the Adult, there were some activities developed by the nurse that provided a more direct and centered attention to certain groups of patients, becoming a reference for them in the situations in which they needed guidance and health care and approaching the model of care to the current Nurse Reference model.…”

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confidence: 99%

Implantação do modelo enfermeiro de referência em um hospital univeristário

Santos

Cavalcante

Ribeiro

et al. 2019

Rev enferm UFPE on line.

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Objective: to report the experience of the implantation of the Reference Nursing model in Nursing care in the Unit of Adult Surgical Care in a university hospital. Method: this is a qualitative, descriptive study, a type of experience report. The practical aspects experienced by nursing assistants and residents during the implementation of the Reference Nursing model in the referred hospitalization unit are discussed. Data was collected through direct observation and from discussions, lectures, courses and seminars held with the Nursing team, from March to December 2017, presenting them in the form of a report. Results: the ideal Reference Nursing model was shown to provide integral and individualized care to the patient, allowing continuity of care. Conclusion: it is hoped, from this report, to divulge the importance of the Reference Nurse as an assistance model of Nursing, aiming at an individualized and quality assistance to the patients, as well as to contribute so that the Nursing can conquer its space and autonomy. Descriptors: Primary Nursing; Nurse-Patient Relations; Nursing Process; Nursing; Comprehensive Health Care; Nursing Care.RESUMO Objetivo: relatar a experiência da implantação do modelo Enfermeiro de Referência na assistência de Enfermagem na Unidade de Cuidados Cirúrgicos do Adulto em um hospital universitário. Método: trata-se de estudo qualitativo, descritivo, tipo relato de experiência. Abordam-se os aspectos práticos vivenciados por enfermeiros assistenciais e residentes durante a implantação do modelo Enfermeiro de Referência na referida unidade de internação. Coletaram-se os dados por meio de observação direta e a partir de discussões, palestras, cursos e seminários realizados com a equipe de Enfermagem, nos meses de março a dezembro de 2017, apresentando-os em forma de relato. Resultados: mostrou-se o modelo Enfermeiro de Referência ideal para a prestação de cuidados integrais e individualizados, ao paciente, permitindo a continuidade da assistência. Conclusão: espera-se, a partir deste relato, divulgar a importância do Enfermeiro de Referência como modelo assistencial de Enfermagem, visando a uma assistência individualizada e de qualidade aos pacientes, assim como contribuir para que a Enfermagem possa conquistar seu espaço e autonomia. Descritores: Enfermagem Primária; Relação Enfermeiro-Paciente; Processo de Enfermagem; Enfermagem; Assistência Integral à Saúde; Cuidados de Enfermagem.RESUMEN Objetivo: relatar la experiencia de la implantación del modelo Enfermero de Referencia en la asistencia de Enfermería en la Unidad de Cuidados Quirúrgicos del Adulto en un hospital universitario. Método: se trata de un estudio cualitativo, descriptivo, tipo relato de experiencia. Se abordan los aspectos prácticos vivenciados por enfermeros asistenciales y residentes durante la implantación del modelo Enfermero de Referencia en la referida unidad de internación. Se recogen los datos por medio de observación directa y a partir de discusiones, conferencias, cursos y seminarios realizados con el equipo de Enfermería, en los meses de marzo a diciembre de 2017, presentándolos en forma de relato. Resultados: se mostró el modelo enfermero de referencia ideal para la prestación de cuidados integrales e individualizados, al paciente, permitiendo la continuidad de la asistencia. Conclusión: se espera, a partir de este relato, divulgar la importancia del Enfermero de Referencia como modelo asistencial de Enfermería, visando una asistencia individualizada y de calidad a los pacientes, así como contribuir para que la Enfermería pueda conquistar su espacio y autonomía. Descriptores: Enfermería Primaria; Relaciones Enfermero-Paciente; Proceso de Enfermería; Enfermería; Atención Integral de Salud; Atención de Enfermería.

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Two models of nursing practice: a comparative study of motivational characteristics, work satisfaction and stress

Abstract: Nursing directors and ward managers should be aware of the positive and negative features of the various nursing models.

Cited by 12 publications

References 36 publications

Aplicação Do Modelo De Enfermagem Primary Nursing No Serviço De Transplante De Medula Óssea

Aplicação Do Modelo De Enfermagem Primary Nursing No Serviço De Transplante De Medula Óssea

The Nurse Manager’s Role in the Primary Nursing Care Model: A Review of Clinical and Management Aspects

Implantação do modelo enfermeiro de referência em um hospital univeristário

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