Revista de Enfermagem e Cuidados

Objective: To evaluate the effectiveness and patient satisfaction of the implementation and systematization of a specialized nursery office in a Lithotripsy and Endourology Unit following the Lean Healthcare methodology.

Material and Methods: A total quality project management (TQPM) was developed in 2012 and applied in a Lithotripsy and Endourology Unit from a tertiary public Spanish hospital. The initial phase of the BPM was to evaluate the outcomes of our clinical practice and to identify improvement opportunities. The office process is the initial contact of the patient with the Unit in which is made a treatment decision. One of the main steps in the office process was the implementation and systematization of a specialized nursing office. To evaluate the implementation and systematization several indicators were designed and used. A specific satisfaction survey was designed and used for calculating the satisfaction index.

Results: A total of 5510 office processes were included and analyzed from 2014 to 2019. The initial organization and implementation of the nursing office into office process showed an improvement of the perception of information care quality. The posterior systematization of the tasks showed an improvement in the analysis of the office time. The percentage of patients that took more than 60 minutes for office visit was reduced significantly over the years until a value of 9% in 2018. The detailed analysis of the times by stages into the office process showed a reduction of the nursing office assessment time in more than 2 minutes (from an average of 14.56 in 2016 to 12.03 minutes in 2019). It allowed increasing the number of total nursing office visits in the last year (a total of 346 visits more). There was a global satisfaction increase from 90% to 98% in these years after achieving the improvement of the times.

Conclusion: The implementation and systematization of a specialized nursery office in a lithotripsy and Endo- Urology unit increases assistance quality and patient satisfaction. Lean methodology can effectively be applied to improve efficiency.

Aims and objectives: To establish the relationship between sociodemographic factors and other specific ones as well as satisfaction of patients with night-time services in clinical hospitals.

Introduction: Concern for a good night’s sleep in a hospital is a basic condition for recovery. The optimal level of nursing care at night determines all the bio-psycho-social-spiritual needs of the patient.

Method: The method of diagnostic survey, estimation and statistical methods were used with survey and test research techniques. Research tools are Author’s survey questionnaire and the Newcastle Satisfaction with Nursing Scale.

Results: The mean ratings between residents of rural areas and cities were over 12 points. There was a correlation between the assessment of satisfaction with nursing care and the professional status.

Conclusion: Socio-demographic and other factors partially differentiate the level of satisfaction with night.

Background: Stress has been one of the most commonly spoken about topics when it comes to nursing practice especially in hospitals. Stress has been linked with poor performance and increased intention of staff to leave the hospitals

Aim: This review aims to 1) Critical review all papers related to stress among nursing staff and explore the relationship of job stress among nursing staff with job performance, job satisfaction, intention to leave and quality of nursing care, 2) Identify the strategies deployed by nurses and organizations to manage stress among nurses and mitigate its effect, 3) Identify research gaps related to strategies engaged by organizations and nurses to manage nurses’ stress

Methods: Various databases were used for searching papers on stress like Google scholar, Ebscohost and Proquest. Key words included job stress, burnout, nursing staff and patient safety. The review included papers published from the year 2000 till 2019, conducted and published in any country as long as the language is English. Eligibility criteria were met by a total of 16 studies from the total of 35 papers which matched the search.

Conclusion: Many studies have reported that job stress is negatively correlated with job satisfaction, job satisfaction and quality of nursing care. Major contributors for job stress are identified as work load, shift works, long working hours and relationship with supervisors. Stress is reported to increase attrition, intention to leave and reduce retention and recruitment among nurses. Some studies have suggested that empowerment, support from supervisors and colleagues and planful problem solving tend to reduce job stress in nurses. One study reported that mindfulness meditation helped in reducing perceived stress and burnout among nurses. However, there is limited knowledge on how patient demands and expectations from the nursing professionals and as well as hospitals are contributing to job stress. Similarly, there are only few studies which have highlighted the strategies implemented by hospitals to reduce job stress among nursing staff and increase their job performance and this requires further research.

Background: Although there is much literature on Problem-Based Learning (PBL) in medical and nursing education, there is little from the cultural perspective. Therefore, the study aims to examine the outcome abilities including critical thinking, problem-solving, and self-directed learning of nursing students receiving PBL vs. traditional lecture.

Methods: A randomized controlled trial (RCT) design was used with 85 undergraduate students who studied in level seven and were enrolled to a psychiatric nursing course. Four instruments were used including: 20-items selfreport PBL Evaluation Questionnaire (PBLEQ). The Self-assessment Scale on Active Learning and Critical Thinking (SSACT) scale consists of 14 items of two domains “active learning” and “critical thinking.” All scales had good reliability with coefficient alpha >0.8.

Results: the survey response rates were 100%, the study results revealed that the experimental group was considered PBL is effective in their learning process (t=3.568; p ≤ 0.05). The overall SSACT also showed a significant difference in experimental group at pre and post intervention (t=6.413; p ≤ 0.05). There was also a significantly different percentage score between experimental and control group in pretest (t=2.374 p ≤ 0.05).

Conclusion: This study offers information on student’s perspective regarding the effectiveness of PBL in constructing professional knowledge, developing problem solving skills, developing self-directed learning, and improving motivation. Moreover, it promotes effective group collaboration and enhances active learning and critical thinking. Therefore, PBL is easily considered as an alternative method of teaching nursing students since, it helps students act as professionals in clinical situations with insufficient information and encourages them to think not only deeply, but also rigorously while developing lifelong learning skills.