Base de dados : MEDLINE
Pesquisa : N02.278.388.620 [Categoria DeCS]
Referências encontradas : 19 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 2 ir para página        

  1 / 19 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25816381
[Au] Autor:Pati D; Harvey TE; Redden P; Summers B; Pati S
[Ad] Endereço:Department of Design, Texas Tech University, Lubbock, TX, USA d.pati@ttu.edu.
[Ti] Título:An empirical examination of the impacts of decentralized nursing unit design.
[So] Source:HERD;8(2):56-70, 2015.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The objective of the study was to examine the impact of decentralization on operational efficiency, staff well-being, and teamwork on three inpatient units. BACKGROUND: Decentralized unit operations and the corresponding physical design solution were hypothesized to positively affect several concerns-productive use of nursing time, staff stress, walking distances, and teamwork, among others. With a wide adoption of the concept, empirical evidence on the impact of decentralization was warranted. METHODS: A multimethod, before-and-after, quasi-experimental design was adopted for the study, focusing on five issues, namely, (1) how nurses spend their time, (2) walking distance, (3) acute stress, (4) productivity, and (5) teamwork. Data on all five issues were collected on three older units with centralized operational model (before move). The same set of data, with identical tools and measures, were collected on the same units after move in to new physical units with decentralized operational model. Data were collected during spring and fall of 2011. RESULTS: Documentation, nurse station use, medication room use, and supplies room use showed consistent change across the three units. Walking distance increased (statistically significant) on two of the three units. Self-reported level of collaboration decreased, although assessment of the physical facility for collaboration increased. CONCLUSIONS: Decentralized nursing and physical design models potentially result in quality of work improvements associated with documentation, medication, and supplies. However, there are unexpected consequences associated with walking, and staff collaboration and teamwork. The solution to the unexpected consequences may lie in operational interventions and greater emphasis on culture change.
[Mh] Termos MeSH primário: Ergonomia
Unidades Hospitalares/organização & administração
Decoração de Interiores e Mobiliário
Satisfação no Emprego
Recursos Humanos de Enfermagem no Hospital/organização & administração
Postos de Enfermagem/organização & administração
Saúde do Trabalhador
Equipe de Assistência ao Paciente/organização & administração
[Mh] Termos MeSH secundário: Eficiência Organizacional
Feminino
Seres Humanos
Relações Interprofissionais
Masculino
Recursos Humanos de Enfermagem no Hospital/psicologia
Fatores de Tempo
Caminhada/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/1937586715568986


  2 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28800617
[Au] Autor:Doesburg F; Cnossen F; Dieperink W; Bult W; de Smet AM; Touw DJ; Nijsten MW
[Ad] Endereço:University of Groningen, University Medical Center Groningen, Department of Critical Care, Groningen, The Netherlands.
[Ti] Título:Improved usability of a multi-infusion setup using a centralized control interface: A task-based usability test.
[So] Source:PLoS One;12(8):e0183104, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The objective of this study was to assess the usability benefits of adding a bedside central control interface that controls all intravenous (IV) infusion pumps compared to the conventional individual control of multiple infusion pumps. Eighteen dedicated ICU nurses volunteered in a between-subjects task-based usability test. A newly developed central control interface was compared to conventional control of multiple infusion pumps in a simulated ICU setting. Task execution time, clicks, errors and questionnaire responses were evaluated. Overall the central control interface outperformed the conventional control in terms of fewer user actions (40±3 vs. 73±20 clicks, p<0.001) and fewer user errors (1±1 vs. 3±2 errors, p<0.05), with no difference in task execution times (421±108 vs. 406±119 seconds, not significant). Questionnaires indicated a significant preference for the central control interface. Despite being novice users of the central control interface, ICU nurses displayed improved performance with the central control interface compared to the conventional interface they were familiar with. We conclude that the new user interface has an overall better usability than the conventional interface.
[Mh] Termos MeSH primário: Serviços Centralizados no Hospital/métodos
Bombas de Infusão
Monitorização Fisiológica/instrumentação
Postos de Enfermagem/organização & administração
Interface Usuário-Computador
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Meia-Idade
Monitorização Fisiológica/métodos
Inquéritos e Questionários
Análise e Desempenho de Tarefas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170812
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183104


  3 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26747840
[Au] Autor:Hadi K; Zimring C
[Ad] Endereço:College of Architecture, Georgia Institute of Technology in Atlanta, Atlanta, GA, USA khaterehhadi@gatech.edu.
[Ti] Título:Design to Improve Visibility: Impact of Corridor Width and Unit Shape.
[So] Source:HERD;9(4):35-49, 2016 Jul.
[Is] ISSN:2167-5112
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study analyzes 10 intensive care units (ICUs) to understand the associations between design features of space layout and nurse-to-patient visibility parameters. BACKGROUND: Previous studies have explored how different hospital units vary in their visibility relations and how such varied visibility relations result in different nurse behaviors toward patients. However, more limited research has examined the specific design attributes of the layouts that determine the varied visibility relations in the unit. Changes in size, geometry, or other attributes of design elements in nursing units, which might affect patient observation opportunities, require more research. METHODS: This article reviews the literature to indicate evidence for the impact of hospital unit design on nurse/patient visibility relations and to identify design parameters shown to affect visibility. It further focuses on 10 ICUs to investigate how different layouts diverge regarding their visibility relations using a set of metrics developed by other researchers. Shape geometry and corridor width, as two selected design features, are compared. RESULTS: Corridor width and shape characteristics of ICUs are positively correlated with visibility. Results suggest that floor plans, which are repeatedly broken down into smaller convex (higher convex fragmentation values), or units, which have longer distances between their rooms or between their two opposite ends (longer relative grid distances), might have lower visibility levels across the unit. The findings of this study also suggest that wider corridors positively affect visibility of patient rooms. CONCLUSION: Changes in overall shape configuration and corridor width of nursing units may have important effects on patient observation and monitoring opportunities.
[Mh] Termos MeSH primário: Arquitetura Hospitalar/métodos
Unidades de Terapia Intensiva/normas
[Mh] Termos MeSH secundário: Seres Humanos
Relações Enfermeiro-Paciente
Recursos Humanos de Enfermagem no Hospital
Postos de Enfermagem
Quartos de Pacientes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160110
[St] Status:MEDLINE
[do] DOI:10.1177/1937586715621643


  4 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26597907
[Au] Autor:Shattell M; Bartlett R; Beres K; Southard K; Bell C; Judge CA; Duke P
[Ad] Endereço:Mona Shattell, PhD, RN, FAAN, DePaul University, Chicago, IL, USA mona.shattell@gmail.com.
[Ti] Título:How Patients and Nurses Experience an Open Versus an Enclosed Nursing Station on an Inpatient Psychiatric Unit.
[So] Source:J Am Psychiatr Nurses Assoc;21(6):398-405, 2015 Nov-Dec.
[Is] ISSN:1532-5725
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The inpatient environment is a critical space for nurses and patients in psychiatric settings. In this article, we describe nurses' and patients' perceptions of the inpatient environment both before the removal of a Plexiglas enclosure around a nurses' station and after its removal. Nurses had mixed feelings about the enclosure, reporting that it provided for confidentiality and a concentrated work space but also acknowledged the challenge of the barrier for communication with their patients. Patients unanimously preferred the nurses' station without the barrier, reporting increased feelings of freedom, safety, and connection with the nurses after its removal. It is important to consider the implications of environmental decisions in inpatient settings in order to promote a healthy workplace and healing environment for all community members.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Ambiente de Instituições de Saúde/estatística & dados numéricos
Pacientes Internados/psicologia
Recursos Humanos de Enfermagem no Hospital/psicologia
Postos de Enfermagem/estatística & dados numéricos
Satisfação do Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Feminino
Ambiente de Instituições de Saúde/métodos
Hospitais Psiquiátricos
Seres Humanos
Pacientes Internados/estatística & dados numéricos
Masculino
Relações Enfermeiro-Paciente
Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos
Enfermagem Psiquiátrica
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170111
[Lr] Data última revisão:
170111
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:151125
[St] Status:MEDLINE
[do] DOI:10.1177/1078390315617038


  5 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26548128
[Au] Autor:Hunt S
[Ti] Título:More features, greater connectivity.
[So] Source:Health Estate;69(8):51-4, 2015 Sep.
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Changes in our political infrastructure, the continuing frailties of our economy, and a stark growth in population, have greatly impacted upon the perceived stability of the NHS. Healthcare teams have had to adapt to these changes, and so too have the technologies upon which they rely to deliver first-class patient care. Here Sarah Hunt, marketing co-ordinator at Aid Call, assesses how the changing healthcare environment has affected one of its fundamental technologies - the nurse call system, argues the case for wireless such systems in terms of what the company claims is greater adaptability to changing needs, and considers the ever-wider range of features and functions available from today's nurse call equipment, particularly via connectivity with both mobile devices, and ancillaries ranging from enuresis sensors to staff attack alert 'badges'.
[Mh] Termos MeSH primário: Sistemas de Comunicação no Hospital
Postos de Enfermagem
Integração de Sistemas
[Mh] Termos MeSH secundário: Hospitais Públicos
Telecomunicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1512
[Cu] Atualização por classe:151109
[Lr] Data última revisão:
151109
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:151110
[St] Status:MEDLINE


  6 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26281423
[Au] Autor:Boarer T
[Ti] Título:Systems keeping up with latest technology.
[So] Source:Health Estate;69(1):72-4, 2015 Jan.
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Sistemas de Comunicação no Hospital
Postos de Enfermagem
Tecnologia
[Mh] Termos MeSH secundário: Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1509
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:150819
[St] Status:MEDLINE


  7 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25921908
[Au] Autor:Musanti R; Downing M; Forrester DA; Fochesto D; O'Keefe P
[Ad] Endereço:Rutgers University in New Jersey, United States.
[Ti] Título:Staff perceptions of patient visibility systems in acute care settings.
[So] Source:Nurs Manag (Harrow);22(2):24-9, 2015 May.
[Is] ISSN:1354-5760
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Patient care visibility technology systems provide real-time information about patient admissions, discharges, transport, clinical activities and housekeeping services, in order to enhance patient care and flow. This article reports the results of a descriptive study that explored healthcare professionals' perceptions of and attitudes to a patient care visibility technology system in an acute care setting. The results indicate that staff find the system user friendly, and are positive about its staff- and patient-focused characteristics. Overall, positive staff perceptions and acceptance imply positive use of the system. This study forms the basis for further research on the effects on the patient-care outcomes of healthcare professionals' use of these systems.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Enfermagem de Cuidados Críticos/organização & administração
Pessoal de Saúde
Arquitetura Hospitalar
Monitorização Fisiológica/enfermagem
Postos de Enfermagem
Qualidade da Assistência à Saúde/organização & administração
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
Estudos Prospectivos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:150430
[St] Status:MEDLINE
[do] DOI:10.7748/nm.22.2.24.e1322


  8 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:24958509
[Au] Autor:Omer S; Preventza O; Cornwell LD
[Ad] Endereço:Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas; Division of Cardiothoracic Surgery, The Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas. Electronic address: shuab.omer@bcm.edu.
[Ti] Título:Out of sight, out of mind. Commentary on "intensive care unit design and mortality in trauma patients".
[So] Source:J Surg Res;190(2):413-4, 2014 Aug.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva/estatística & dados numéricos
Postos de Enfermagem
Ferimentos e Lesões/mortalidade
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1409
[Cu] Atualização por classe:140712
[Lr] Data última revisão:
140712
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140625
[St] Status:MEDLINE


  9 / 19 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:24819741
[Au] Autor:Pettit NR; Wood T; Lieber M; O'Mara MS
[Ad] Endereço:Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio.
[Ti] Título:Intensive care unit design and mortality in trauma patients.
[So] Source:J Surg Res;190(2):640-6, 2014 Aug.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The architecture of medical care facilities ca affect the safety of a patient, but it is unknown if the architecture affects outcomes. We hypothesized that patients in rooms who are more visible from the central nursing station would experience better outcomes than those patients in less visible rooms. MATERIALS AND METHODS: A total of 773 patients admitted to the trauma intensive care service over a 12-mo period were retrospectively evaluated. Outcomes were hospital mortality and intensive care unit (ICU) length of stay (LOS). The unit is designed with a bank of high-visibility rooms (HVRs) directly across from the nursing station and two side sections of low-visibility rooms (LVRs). No formal triage occurs, but patients are prioritized to HVRs as available. RESULTS: Patients in the HVRs had a 16% mortality (52 of 320); meanwhile, the patients in the LVRs experienced an 11% mortality (49 of 448, P = 0.03). ICU mortality did not differ significantly when controlling for age, Charlson Comorbidity Index (CCI), Head Abbreviated Injury Score, and the Injury Severity Score (ISS) (P = 0.076). Age, CCI, Head Abbreviated Injury Score, and ISS did individually correlate with mortality (age: P = 0.0008; CCI: P = 0.017; and ISS: P < 0.0001). Visibility was not a predictor of ICU LOS or complications among survivors (mean ICU HVR LOS = 4.8 d; mean ICU LVR LOS = 4.7; P = 0.88, n = 661). Only ISS was a significant predictor of ICU LOS and complications (P < 0.0001). CONCLUSIONS: Trauma patient room placement within the ICU does not relate to mortality rate significantly when corrected for patient acuity. Instead, variables such as age, ISS, and CCI are associated with mortality. A policy of placing more critically ill patients in HVRs may prevent increased mortality in high-acuity patients.
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva/estatística & dados numéricos
Postos de Enfermagem
Ferimentos e Lesões/mortalidade
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Mortalidade Hospitalar
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Ohio/epidemiologia
Estudos Retrospectivos
Ferimentos e Lesões/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1409
[Cu] Atualização por classe:140712
[Lr] Data última revisão:
140712
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140514
[St] Status:MEDLINE


  10 / 19 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
[PMID]:24224364
[Au] Autor:Lorenzi N
[Ti] Título:Favorable response: Nurse call systems evolve to boost patient satisfaction.
[So] Source:Health Facil Manage;26(9):51-5, 2013 Sep.
[Is] ISSN:0899-6210
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sistemas de Comunicação no Hospital/tendências
Postos de Enfermagem
Satisfação do Paciente
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1401
[Cu] Atualização por classe:131114
[Lr] Data última revisão:
131114
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:131115
[St] Status:MEDLINE



página 1 de 2 ir para página        
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde