Labor resources
|
N
|
%
|
Inadequate staffing. |
53 |
85.4 |
Inadequate staffing for assistance or administrative tasks (e.g., inadequate number of clerks/secretaries, nursing assistants, technicians or nurses). |
50 |
80.7 |
Large number of admissions and discharges. |
43 |
69.3 |
Unexpected increase in volume and/or severity of the patients in the unit. |
41 |
31.1 |
Emergency situations of the patients (e.g.: worsening of a patient's condition). |
40 |
64.6 |
High number of professionals who work sick or with health problems (which prevents them from performing the functions for which they were hired). |
36 |
58.1 |
High number of nurses with little professional experience. |
25 |
40.3 |
The professionals have more than one job, which reduces their commitment/attention/concentration to perform the assistance. |
18 |
29.0 |
Material resources
|
|
|
The medications were not available when needed. |
39 |
62.9 |
The physical plant of the unit/sector is inadequate, which makes it difficult to provide assistance to patients in isolation or in more distant areas. |
38 |
61.3 |
The materials/equipment did not work properly when needed. |
35 |
56.4 |
The materials/equipment were not available when needed. |
33 |
53.2 |
Communication
|
|
|
The distribution of patients by professional is not balanced. |
33 |
53.2 |
Tension /Conflict or communication problems within the Nursing Team. |
33 |
53.2 |
Tension/Conflict or communication problems with the Medical Team. |
33 |
53.2 |
The nursing assistant did not report that the assistance was not performed. |
33 |
53.2 |
Tension/Conflict or problems communicating with other departments/support sectors. |
30 |
48.4 |
The professional responsible for the care was outside the unit/sector or was not available. |
27 |
43.6 |
Other team professionals did not provide assistance at the time it was needed (e.g.: the physical therapist did not assist in the patient's walking). |
26 |
42.0 |
The team members do not help each other. |
26 |
42.0 |
Lack of standardization for performing procedures/care actions. |
24 |
38.7 |
The changeover from the previous shift or from the units that refer patients is inappropriate. |
23 |
37.1 |
Ethical dimension
|
|
|
The professional has no ethical posture and has no commitment and involvement with the work and/or the institution. |
29 |
46.8 |
The professional who did not provide care is not afraid of punishment/dismissal due to job stability. |
27 |
43.5 |
The Nursing professional is negligent (laziness, lack of attention or insensitivity). |
24 |
38.7 |
Institutional Management/Leadership
|
|
|
Lack of preparation of nurses to lead, supervise and conduct teamwork. |
36 |
58.1 |
Lack of in-service education about the care to be performed (which includes training, updating, improvement and professional development). |
29 |
46.8 |
Lack of motivation for work (due to low wages and/or lack of professional appreciation). |
25 |
40.3 |