Use of assessment scales, turnover and job strain in nursing staff: A study in a Colombian hospital

Triana-Palencia, Eddy; Cárdenas-Cárdenas, Luz Mery; García, Arturo Juárez; Quiroz-Muysina, Julia; Idrovo, Álvaro J.

doi:10.1111/jonm.12647

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…Consistent with other studies(Huang et al, 2019;Triana-Palencia et al, 2019;Wu et al, 2020), long working time per week increased stress, which may be correlated with the fear of infection, excessive physical consumption, etc. COVID-19 infection is caused by respiratory droplet and close contact transmission; this infection is highly contagious (e.g., social network or clinical setting; Notice on Issuing a New Coronary Virus Pneumonia Diagnosis and Treatment Plan [Trial Version 6], 2020).…”

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confidence: 90%

Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic

et al. 2020

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supporting

confidence: 90%

Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic

et al. 2020

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“…Also, nurses were already facing structural challenges in many countries as lack of energy and water supply, internet access, enough clean uniforms, appropriate space for breaks, lockers or changing rooms and laundry services, as well as lack of safety, for example during night shifts in isolated areas [ 12 ]. Evidence from countries in South Africa [ 20 ], Kenya, Tanzania and Uganda [ 21 ], Catalonia [ 17 , 22 ], Brazil [ 23 ], Chile [ 24 ], Colombia [ 25 ], Mexico [ 26 – 28 ], and Thailand [ 29 ] show that employment and working conditions of nurses before this pandemic were already associated to poor physical and mental health, and in some cases leading to fatality outcomes as suicide [ 30 , 31 ]. A particular mention to the nurses working in conflict and war zones.…”

Section: Resultsmentioning

confidence: 99%

Employment and working conditions of nurses: where and how health inequalities have increased during the COVID-19 pandemic?

Vračar²,

et al. 2021

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Background Nurses and midwives play a critical role in the provision of care and the optimization of health services resources worldwide, which is particularly relevant during the current COVID-19 pandemic. However, they can only provide quality services if their work environment provides adequate conditions to support them. Today the employment and working conditions of many nurses worldwide are precarious, and the current pandemic has prompted more visibility to the vulnerability to health-damaging factors of nurses’ globally. This desk review explores how employment relations, and employment and working conditions may be negatively affecting the health of nurses in countries such as Brazil, Croatia, India, Ireland, Italy, México, Nepal, Spain, and the United Kingdom. Main body Nurses’ health is influenced by the broader social, economic, and political system and the redistribution of power relations that creates new policies regarding the labour market and the welfare state. The vulnerability faced by nurses is heightened by gender inequalities, in addition to social class, ethnicity/race (and caste), age and migrant status, that are inequality axes that explain why nurses’ workers, and often their families, are exposed to multiple risks and/or poorer health. Before the COVID-19 pandemic, informalization of nurses’ employment and working conditions were unfair and harmed their health. During COVID-19 pandemic, there is evidence that the employment and working conditions of nurses are associated to poor physical and mental health. Conclusion The protection of nurses’ health is paramount. International and national enforceable standards are needed, along with economic and health policies designed to substantially improve employment and working conditions for nurses and work–life balance. More knowledge is needed to understand the pathways and mechanisms on how precariousness might affect nurses’ health and monitor the progress towards nurses’ health equity.

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“…In one study, critical care nurses opined that the person‐centred approach to patient care suffered when following a targeted sedation protocol and that this impacted their personal desire to provide holistic care (Everingham, Fawcett, & Walsh, 2014). Other findings similarly suggest that frequent use of patient assessment tools can result in significant job strain (Triana‐Palencia, Cárdenas‐Cárdenas, Juárez‐García, Quiroz‐Muysina, & Idrovo, 2019) possibly contributing to the high levels of burnout experienced by ICU staff (Alharbi, Wilson, Woods, & Usher, 2016; Browning, 2019; van Mol, Kompanje, Benoit, Bakker, & Nijkamp, 2015). This concern further highlights the need for ICU nurse well‐being support by nurse management (Adams, Chamberlain, & Giles, 2019a, 2019b).…”

Section: Discussionmentioning

confidence: 98%

Care erosion in sedation assessment: A prospective comparison of usual care Richmond Agitation‐Sedation Scale assessment with protocolized assessment for medical intensive care unit patients

et al. 2020

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Objectives To determine concordance between an explicit protocolized assessment of the Richmond Agitation‐Sedation Scale and an assessment performed during usual care nursing practice. Research Design In an urban, safety‐net hospital, intensive care nurses previously trained in sedation assessment recorded a bedside Richmond Agitation‐Sedation Scale assessment, while study investigators used an explicit script to perform the assessment at a similar time point. Kappa indices determined concordance of the assessments. Bivariate analyses explored factors associated with discordance and unresponsiveness. Results Twenty‐one subjects with 38 observations were analysed. Bedside nursing assessment was poorly concordant with protocolized assessment (ƙ = 0.21) with the former reporting significantly lighter sedation (median −2 vs. −5, p = .01). Bedside assessment was significantly less likely than protocolized assessment to categorize subjects as unresponsive (29 vs. 50%, p = .02). Conclusion Methods used in usual clinical practice to assess adequacy of sedation frequently led to oversedation. We propose that care erosion, the deterioration of skills over time, may help explain this finding. Implications for Nursing Management Results suggest sedation assessment may be particularly vulnerable to care erosion. Nurse managers should monitor for signs of care erosion and consider utilization of explicit scripts during sedation assessment and/or frequent education to ensure sedation assessment accuracy.

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Use of assessment scales, turnover and job strain in nursing staff: A study in a Colombian hospital

Abstract: The findings of this study suggest possible opportunities for managers to improve nursing processes, the work conditions of nursing staff, and the quality of institutions.

Cited by 7 publications

References 30 publications

Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic

Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic

Employment and working conditions of nurses: where and how health inequalities have increased during the COVID-19 pandemic?

Care erosion in sedation assessment: A prospective comparison of usual care Richmond Agitation‐Sedation Scale assessment with protocolized assessment for medical intensive care unit patients

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