Staff views on the extended role of health care assistants in the critical care unit

2004 ◽  
Vol 20 (5) ◽  
pp. 249-256 ◽  
Author(s):  
Jenny Sutton ◽  
Jim Valentine ◽  
Kim Rayment
Author(s):  
Elise Paradis ◽  
Warren Mark Liew ◽  
Myles Leslie

Drawing on an ethnographic study of teamwork in critical care units (CCUs), this chapter applies Henri Lefebvre’s ([1974] 1991) theoretical insights to an analysis of clinicians’ and patients’ embodied spatial practices. Lefebvre’s triadic framework of conceived, lived, and perceived spaces draws attention to the role of bodies in the production and negotiation of power relations among nurses, physicians, and patients within the CCU. Three ethnographic vignettes—“The Fight,” “The Parade,” and “The Plan”—explore how embodied spatial practices underlie the complexities of health care delivery, making visible the hidden narratives of conformity and resistance that characterize interprofessional care hierarchies. The social orderings of bodies in space are consequential: seeing them is the first step in redressing them.


2011 ◽  
Vol 50 (2) ◽  
pp. 143-157 ◽  
Author(s):  
Katherine Hartman-Shea ◽  
Anne Hahn ◽  
Joanne Fritz Kraus ◽  
Grace Cordts ◽  
Jonathan Sevransky

1990 ◽  
Vol 1 (3) ◽  
pp. 585-592 ◽  
Author(s):  
Nancy A. Stotts ◽  
Donna F. Washington

Nutrients are essential to wound healing and patients in critical care are often at risk for lack of sufficient nutrients that may result in impaired healing. Understanding the role of the various nutrients in healing provides the basis for assessment and therapy. Use of a practical and consistent nutritional assessment technique is an important part of care for critically ill patients with wounds. The health care team must provide care based on current knowledge of the effects of nutrition on wound healing and work collaboratively in doing nutritional assessment and providing nutritional support to optimize wound healing outcomes


2020 ◽  
Vol 23 (1) ◽  
pp. 152-154 ◽  
Author(s):  
Manuel Montero-Odasso ◽  
David B. Hogan ◽  
Robert Lam ◽  
Kenneth Madden ◽  
Christopher MacKnight ◽  
...  

Background The Canadian Geriatrics Society (CGS) fosters the health and well-being of older Canadians and older adults worldwide. Although severe COVID-19 illness and significant mortality occur across the lifespan, the fatality rate increases with age, especially for people over 65 years of age. The dichotomization of COVID-19 patients by age has been proposed as a way to decide who will receive intensive care admission when critical care unit beds or ventilators are limited. We provide perspectives and evidence why alternatives approaches should be used Methods   Practitioners and researchers in geriatric medicine and gerontology have led in the development of alternative approaches to using chronological age as the sole criterion for allocating medical resources. Evidence and ethical based recommendations are provided. Results Age alone should not drive decisions for health-care resource allocation during the COVID-19 pandemic. Decisions on health-care resource allocation should take into consideration the preferences of the patient and their goals of care, as well as patient factors like the Clinical Frailty Scale score based on their status two weeks before the onset of symptoms. Conclusions Age alone does not accurately capture the variability of functional capacities and physiological reserve seen in older adults. A threshold of 5 or greater on the Clinical Frailty Scale is recommended if this scale is utilized in helping to decide on access to limited health-care resources such as admission to a critical care unit and/or intubation during the COVID-19 pandemic.


2004 ◽  
Vol 9 (4) ◽  
pp. 151-158 ◽  
Author(s):  
Paula Ormandy ◽  
Andrew F Long ◽  
Claire T Hulme ◽  
Martin Johnson

2020 ◽  
Vol 4 (2) ◽  
pp. 99
Author(s):  
Fatchima L. Moussa

Background: Critical Care Unit (CCU) serves as the most complex unit of the health care sector. The performance of multi-disciplinary team members working in CCU is affected through various factors such as; ineffective leadership, lack of communication, inappropriate team structuring etc. This study aims to evaluate the performance effectiveness of multidisciplinary team members working in the complex, risky and stressful environment of the critical care unit of Alansar General Hospital (AGH). Methods: A descriptive correlational study design is used. Data were collected through a structured questionnaire provided to a sample of 56 nurses working in CCU. Results: Findings indicated that the team working in CCU face problems due to ineffective conflict handling. Competent leadership is effective in providing appropriate team structure. Also, communication between team members helps in making useful decisions by using the knowledge gained through team communication. Conclusion: Multidisciplinary teams must be provided effective training to promote quality communication, knowledge sharing, and proper team structuring to improve quality of health care.


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