Browsing by Author "Jesus, Élvio"
Now showing 1 - 10 of 13
Results Per Page
Sort Options
- Behaviors and strategies in clinical leadership in nursing: scoping reviewPublication . Ramos, Olga Moura; Gomes, Jacinta; Jesus, Élvio; Araújo, BeatrizIntroduction: Clinical leadership in nursing refers to the demonstration of informal leadership skills and behaviors by nurses in clinical practice. It contributes to the construction of innovative and structured healthcare models, which result in the continuous improvement of the quality of care and the satisfaction of health needs. Objective: Mapping the scientific evidence on the behaviors of clinical nurse leaders and the strategies that promote clinical nursing leadership in healthcare organizations. Methods: Scoping review according to the guidelines of the Joanna Briggs Institute. The search was completed in MEDLINE Complete, CINAHL Complete, Scopus, Web of Science, ProQuest and Repositório Científico de Acesso Aberto de Portugal. Primary studies published in Portuguese, English or Spanish were included. Results: A total of 2407 records were identified, of which 24 were included in the review. 47 clinical leadership behaviors in nursing and 18 strategies to promote these behaviors were identified (strategies related to the nurse (n=3), the multi-professional team (n=5), the healthcare organization (n=8) and entities external to the healthcare organization (n=2)). Most of the behaviors are task-oriented (n=25), with behaviors related to clinical practice prevailing (n=18). Conclusion: Leadership behaviors are associated with effective communication skills, decision making, clinical experience, support, mentoring, education and team building. Strategies should be defined to facilitate the development and enhancement of leadership behaviors in clinical practice.
- Dos ambientes da prática de enfermagem à segurança dos doentes: o que tem sido feitoPublication . Jesus, Élvio; Roque, Sofia Maria Borba
- A dotações de enfermeiros e os eventos adversos - uma análise do impactoPublication . Guerra, Nelson; Jesus, Élvio; Vieira, Margarida
- Effect of the primary nursing model on self-care skills of hospitalized older patients with multimorbidity: a quasi-experimental studyPublication . Gonçalves, Isabel; Almeida, Sofia; Jesus, Élvio; Nunes, ElisabeteBackground/Objective: The global increase in life expectancy has led to a higher prevalence of multimorbidity among older patients, often requiring frequent and complex healthcare. Enhancing self-care skills during hospitalization is a key priority in promoting patient autonomy and improving outcomes. The objective of the study was to analyze the effect of the primary nursing model on the therapeutic self-care of older patients with multimorbidity during hospitalization. Methods: It was a quasi-experimental study conducted in two comparable medical-surgical units of a private hospital in Portugal. The intervention unit adopted the primary nursing model, while the control unit maintained standard nursing care. A convenience sample of older patients with multimorbidity was recruited (n = 206; intervention group = 106, control group = 100). Therapeutic self-care was measured using the Portuguese version of the Therapeutic Self-Care Scale at admission, discharge, and follow-up. Statistical analyses included independent samples t-tests to assess between-group differences. Results: At baseline, the intervention group had significantly lower self-care scores than the control group (t(191.045) = −2.24; p = 0.026). However, between admission and follow-up, the intervention group showed significantly greater improvements in self-care scores compared with the control group (t(187.55) = 2.68; p = 0.008). Conclusions: The primary nursing care model contributed to enhanced therapeutic self-care skills in older patients with multimorbidity during and after hospitalization. Nurse managers and clinical teams can consider the primary nursing model as an effective care organization strategy to foster self-care, promote patient-centered outcomes, and improve care continuity for older patients with complex needs. Trial Registration: ClinicalTrials.gov Identifier: NCT06702150 (Registered 12 November 2024).
- Leadership and participation of nurses in hospital governance: impact on the quality and safety of care provided – scoping review protocolPublication . Guerra, Magda; Jesus, Élvio; Araújo, BeatrizContext: The use of the term governance in the area of health is a trend, particularly in the level of discussions about good leadership and management practices that can be adopted to improve the care provided to people and the community in general. One of the main principles of hospital governance is the participation and involvement of nurses in management and decision-making processes, requiring strong involvement in care management, with significant effects on the quality of care provided to the person. Aim: Map the available evidence on the impact of leadership and participation of nurses on hospital governance in what concerns quality and safety of care provided. Methods: Methodology proposed by the Joanna Briggs Institute, defining a scoping review protocol adapted for the identification of relevant studies that meet the inclusion criteria previously outlined. The analysis of relevance of the articles, the extraction and synthesis of the data will be developed by two independent reviewers. Results: Evidence is expected to show that shared governance in the health area plays an important role in patient’s safety and quality of care provided, which requires the involvement of all health professionals, particularly nurses. It is hoped that shared governance systems, which may vary from hospital to hospital organization, according to their institutional values and goals, will help promote environments of leadership and management favourable to a quality professional practice, empowering nurses in decision-making that affect themselves, the rest of the multidisciplinary team and, above all, the patients. The results expected to be achieved will contribute to the dissemination of available evidence. Conclusion: It is believed that this scoping review will contribute to evidence the current state of knowledge about the theme and that the results found are guidelines for the development and applicability of quality indicators that ensure the safety of care provided.
- Mapping and characterizing instruments for assessing family nurses’ workload: scoping reviewPublication . Dias, António; Araújo, Beatriz; Jesus, ÉlvioBackground: 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. Methods: Scoping review, according to the Joanna Briggs Institute, proposed a methodology for scoping reviews, consisting of three research stages: (1) an initial research in Medline and CINHAL; (2) an extended search, using keywords and search terms, in the following databases: JBI, CINAHL Complete, MEDLINE, Cochrane and Scopus; and (3) a search of the reference lists of the selected articles. No time limit was defined. Results: Fourteen studies referring to ten assessment instruments were included. Nine of them analyze workload as a dimension of a broader instrument, and two studies refer to an instrument that focuses exclusively on workload. Conclusions: The diversity of professional competencies and contexts, the conceptual complexity of workload and the absence of a theoretical framework make it difficult to identify consensual instruments to assess the workload of family nurses. This study was prospectively registered with the Open Science Framework® on 6 September 2023, with the registration number: 3k6vr.
- Nurse’s leadership and participation in hospital governance: scoping reviewPublication . Guerra, Magda; Jesus, Élvio; Araújo, BeatrizContext: The structures of hospital governance are demanding and challenging and require an investment by the organization, its leaders, and the team of health professionals, in the case of nurses, in order to obtain care provided with quality and safety of the client. Aim: Map available evidence on the impact of leadership and participation of nurses in hospital governance regarding the quality and safety of care provided. Methods: Scoping review with research of studies in databases dated between January 2014 and July 2020, aiming the most recent possible evidence to answer the investigation question. The sample corpus consisted of 10 articles that met methodological conditions. Results: The evidence suggests a significant relationship between shared governance and involvement at work, indicating that the more nurses participate in shared governance, the greater their involvement in work, with positive results in the care provided and in customer safety. The participation of nurses in hospital governance requires transformational, proactive leaders who strive to transform the environment and organizational culture through innovation. Conclusion: Nurses in the hospital context should be governed by a more autonomous nursing practice model, with active participation in governance and based on collective and shared negotiation, and these conditions are sine qua non to obtain quality care and ensure the safety of the client.
- The nursing practice environment and job satisfaction, intention to leave, and burnout among primary healthcare nurses: a cross-sectional studyPublication . Lucas, Pedro; Jesus, Élvio; Almeida, Sofia; Araújo, Beatriz; Costa, Patrícia; Cruchinho, Paulo; Teixeira, GiselaBackground: The nursing practice environment significantly influences nurses’ job satisfaction, turnover, and burnout; therefore, it is essential to promote favorable environments to ensure the retention of qualified professionals. Improving the nursing practice environment is a low-cost organizational strategy associated with satisfaction, retaining professionals, and reducing burnout. The aim of this study was to assess the relationship between the nursing practice environment and job satisfaction, turnover, and burnout among primary healthcare nurses in Portugal. Methods: A descriptive, cross-sectional, and correlational study was carried out based on data from the RN4CAST Portugal Project. The Nurse Survey Instrument (Core Nurse Survey) of the RN4Cast Project (2018) was used for data collection. The sample consisted of 1059 nurses from fifty-five health center groups in mainland Portugal, fifteen health centers in the Autonomous Region of Madeira, and six health centers in the Autonomous Region of the Azores. Results: Primary healthcare nurses in Portugal rated the nursing practice environment as unfavorable or mixed, with an average (x) of 2.5 (standard deviation (SD) = 0.4), which is associated with lower job satisfaction, with an average of 2.0 (SD = 0.4), moderate intention to leave, with 40.3%, and low levels of burnout, with an average of 1.6 (SD = 0.8). There was also a negative correlation between the nursing practice environment and burnout (r = −0.28) and its dimensions. Emotional exhaustion (r = −0.35) represents the individual dimension of stress and physical exhaustion, corresponding to feelings regarding the depletion of emotional and physical resources, depersonalization (r = −0.18) represents the interpersonal context dimension of burnout, and a lack of personal accomplishment (r = −0.15) represents the self-assessment dimension of burnout and refers to feelings of incompetence and a lack of confidence and self-efficacy at work. Conclusions: The quality of the work environment is associated with greater job satisfaction and a reduction in burnout. For this reason, improving the work environment has therefore been associated with increased job satisfaction and reduced burnout among primary healthcare nurses, promoting nurse retention and the well-being of healthcare teams.
- Relationship of the nursing practice environment with the quality of care and patients’ safety in primary health carePublication . Lucas, Pedro; Jesus, Élvio; Almeida, Sofia; Araújo, BeatrizBackground: 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. Methods: We conducted a descriptive, analytical, and cross-sectional study using data from RN4CAST Portugal. The sample was composed of 1059 nurses from 55 Health Center Groups of the mainland Portugal, 15 Health Centers of the Autonomous Region of Madeira and 6 Health Centers of the Autonomous Region of the Azores. Multivariate analysis and correlation analysis methods were used for data processing. Results: Nurses consider that, in the Portuguese Primary Health Care, there is a mixed and unfavourable nursing practice environment, with a perception of a good quality of care, and both acceptable patients’ safety and safety culture. The Collegial Nurse-Physician Relations and Nursing Foundations for Quality of Care dimensions to have the best ratings. The perception of Primary Health Care nurses on the dimension Nurse Participation in Organization Affairs was the one that showed the lowest score, followed by Staffing and Resource Adequacy and Nurse Manager Ability, Leadership, and Support of Nurses. Based on perception of nurses, the relationship between the nursing practice environment and the safety culture is higher, followed by the quality of care and patients’ safety. Conclusions: The perception of Primary Health Care nurses is that there is an unfavourable and mixed nursing practice environment, with good quality of care, and acceptable patient safety and safety culture. The quality of the nursing practice environments is associated to better quality and safety of care. Thus, improving the nursing practice environments in healthcare organizations is a low-cost organizational strategy to achieve greater patients and nurses’ outcomes, improving the quality of nursing care to patients in the Primary Health Care units.
- RN4Cast study in Portugal: nurses and care left undonePublication . Braga, Maria; Jesus, Élvio; Araujo, BeatrizBackground: Over the past decades, nursing in Portugal has evolved greatly both academically and professionally and this evolution brought along growing concerns about the quality of the healthcare provided. Due to lack of time or poor organization of the workload, nurses are often faced with the need to choose between what must be done and what will have to be postponed or even not be done at all. Objective: To investigate the care activities that are most frequently left undone or are postponed by nurses working in medical and surgical inpatient units in Portugal. Methods: A descriptive, cross-sectional, quantitative study that follows the RN4CAST (Nurse Forecasting in Europe) methodology was carried out from October 2013 to April 2014. A total of 31 hospitals and a random sample of adult medical-surgical units were involved. The data were collected using a socio-demographic questionnaire and a nursing questionnaire that included the identification of the nursing activities of surveillance and direct patient care that were necessary but postponed or not performed by nurses in their most recent shift. Results: A total of 2,235 nurses participated. Almost all participants had a nursing bachelor degree (98.2%). The most frequently left undone or postponed care items were “Educating patients and family” (50.2%) and “Comfort/talk with patients” (50.1%); the least frequently left undone items were “Treatments and procedures” (3.9%) and “Pain management” (5.6%). Nurses in the North and Center regions of the country were the ones who reported less care left undone due to lack of time. Nurses under the age of 40 were those who reported a highest number of activities left undone. Conclusions: Nurses make selective choices about the care activities that are crucial for the patient. Some activities that may not have an immediate impact on the health of the patients are sidelined, although they may have an impact on other important healthcare quality indicators.