Home to die from the intensive care unit: A qualitative descriptive study of the family’s experience

2017 ◽  
Vol 43 ◽  
pp. 116-122 ◽  
Author(s):  
Amy L. Hutchinson ◽  
Kim A. Van Wissen
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Descriptive Study ◽  
Qualitative Descriptive

scholarly journals Qualitative descriptive study to explore nurses’ perceptions and experience on pain, agitation and delirium management in a community intensive care unit

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e024328 ◽  
Author(s):  
Jennifer L Y Tsang ◽  
Katie Ross ◽  
Franziska Miller ◽  
Ramez Maximous ◽  
Priscilla Yung ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Focus Group ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Descriptive Study ◽  
Medium Size ◽  
Healthcare Teams ◽  
Qualitative Descriptive ◽  
Professional Perspectives

ObjectivesThe purpose of this study was to explore the experiences, beliefs and perceptions of intensive care unit (ICU) nurses on the management of pain, agitation and delirium (PAD) in critically ill patients.DesignA qualitative descriptive study.SettingThis study took place in a community hospital ICU located in a medium size Canadian city.ParticipantsPurposeful sampling was conducted. Participants included full-time nurses working in the ICU. Forty-six ICU nurses participated.MethodsA total of five focus group sessions were held to collect data. There were one to three separate groups in each focus group session, with no more than seven participants in each group. There were 10 separate groups in total. A semistructured question guide was used. Thematic analysis method was adopted to analyse the data, and to search for emergent themes and patterns.ResultsThree main themes emerged: (1) the professional perspectives on patient wakefulness state, (2) the professional perspectives on PAD management of critically ill patients and (3) the factors impacting PAD management. Nurses have different opinions on the optimal level of patient sedation and felt that many factors, including environmental, healthcare teams, patients and family members, can influence PAD management. This potentially leads to inconsistent PAD management in critically ill patients. The nurses also believed that PAD management requires a multidisciplinary approach including healthcare teams and patients’ families.ConclusionsMany external and internal factors contribute to the complexity of PAD management including the attitudes of nursing staff towards PAD. The themes emerged from this study suggested the need of a multifaceted and multidisciplinary quality improvement programme to optimise the management of PAD in the ICU.

Experience of care through patients, family members and health professionals in an intensive care unit: a qualitative descriptive study

2019 ◽  
Vol 33 (4) ◽  
pp. 912-920
Author(s):  
Julian Rodriguez‐Almagro ◽  
María Azucena Quero Palomino ◽  
Elena Aznar Sepulveda ◽  
María Del Mar Fernandez‐Espartero Rodriguez‐Barbe ◽  
Francisca Ortiz Fernandez ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Professionals ◽  
Family Members ◽  
Descriptive Study ◽  
Experience Of Care ◽  
Qualitative Descriptive

scholarly journals Importância da presença dos pais durante o internamento neonatal

2019 ◽  
Vol 13 ◽  
Author(s):  
Rosália Teixeira Luz ◽  
Talita Brito Silva Trindade ◽  
Diana De Souza Lima ◽  
Layres Canuta Cardoso Climaco ◽  
Ivana Santos Ferraz ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Education ◽  
Thematic Analysis ◽  
Neonatal Intensive Care ◽  
Descriptive Study ◽  
Neonatal Intensive Care Units ◽  
Structured Interviews ◽  
Qualitative Descriptive ◽  
Terapia Intensiva

RESUMOObjetivo: averiguar o conhecimento de pais e mães sobre a importância das suas presenças durante o internamento de filhos na UTI neonatal. Método: trata-se de estudo qualitativo, descritivo, envolvendo 20 pais a partir de entrevistas semiestruturadas e analisadas por meio da técnica de Análise Conteúdo na modalidade Análise Temática. Resultados: evidenciou-se que os pais compreendem que suas presenças colaboram para a recuperação da saúde do filho, diminuindo o tempo de internação. Conclusão: mostrou-se a educação em saúde realizada pelos profissionais uma excelente estratégia que serviu para instruir e sensibilizar os genitores quanto à importância das suas presenças durante o internamento, tornando-lhes corresponsáveis pelos cuidados voltados ao filho. Descritores: Recém-Nascido; Hospitalização; Unidades de Terapia Intensiva Neonatal; Pais; Mães; Educação em Saúde. ABSTRACT Objective: to verify the knowledge of parents about the importance of their presence during the hospitalization of children in the neonatal intensive care unit. Method: this is a qualitative, descriptive study, involving 20 parents from semi-structured interviews and analyzed through the technique of Content Analysis in the Thematic Analysis modality. Results: it was evidenced that the parents understand that their presences collaborate to recover the health of the child, reducing the time of hospitalization. Conclusion: it was shown the health education carried out by the professionals an excellent strategy that served to educate and sensitize the parents about the importance of their presence during the hospitalization, making them co-responsible for the care for the child. Descriptors: Newborn; Hospitalization; Neonatal Intensive Care Units; Parents; Mothers; Health education. RESUMEN Objetivo: averiguar el conocimiento de padres y madres sobre la importancia de sus presencias durante el internamiento de hijos en la UTI neonatal. Método: se trata de estudio cualitativo, descriptivo, involucrando a 20 padres a partir de entrevistas semiestructuradas y analizadas por medio de la técnica de Análisis Contenido en la modalidad Análisis Temático. Resultados: se evidenció que los padres comprenden que sus presencias colaboran para la recuperación de la salud del hijo, disminuyendo el tiempo de internación. Conclusión: se mostró la educación en salud realizada por los profesionales una excelente estrategia que sirvió para instruir y sensibilizar a los genitores en cuanto a la importancia de sus presencias durante el internamiento, haciéndoles corresponsables por los cuidados dirigidos al hijo. Descritores: Recién Nacido; hospitalización; Unidades de Cuidado Intensivo Neonatal; Padres; Madres; Educación en Salud.

scholarly journals Collective aeromedical evacuations of SARS-CoV-2-related ARDS patients in a military tactical plane: a retrospective descriptive study

2021 ◽  
pp. bmjmilitary-2021-001876
Author(s):  
Thibault Martinez ◽  
K Simon ◽  
L Lely ◽  
C Nguyen Dac ◽  
M Lefevre ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Respiratory Distress Syndrome ◽  
Intensive Care ◽  
Respiratory Distress Syndrome ◽  
Selection Criteria ◽  
Distress Syndrome ◽  
Descriptive Study ◽  
Military Aircraft ◽  
Life Threatening ◽  
The Military

After the appearance of the COVID-19 pandemic in France, MEROPE system was created to transform the military tactical ATLAS A400M aircraft into a flying intensive care unit. Collective aeromedical evacuations (aero-MEDEVAC) of patients suffering from SARS-CoV-2-related acute respiratory distress syndrome was performed from June to December 2020. A total of 22 patients were transported during seven missions. All aero-MEDEVAC was performed in safe conditions for patients and crew. No life-threatening conditions occurred during flight. Biohazard controls were applied according to French guidelines and prevented crew contamination. Thanks to rigorous selection criteria and continuous in-flight medical care, the safe transportation of these patients was possible. To the best of our knowledge, this is the first description of collective aero-MEDEVAC of these kinds of patients using a tactical military aircraft. We here describe the patient’s characteristics and the flight’s challenges.

scholarly journals Mapping nursing goals of an Intensive Care Unit to the Nursing Outcomes Classification

2012 ◽  
Vol 20 (5) ◽  
pp. 854-862 ◽  
Author(s):  
Tânia Couto Machado Chianca ◽  
Patrícia de Oliveira Salgado ◽  
Juliana Peixoto Albuquerque ◽  
Camila Claudia Campos ◽  
Meire Chucre Tannure ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Records ◽  
Descriptive Analysis ◽  
Descriptive Study ◽  
Nursing Process ◽  
Nursing Outcomes ◽  
Nursing Outcomes Classification ◽  
Mapping Process ◽  
Nursing Diagnoses

AIM: to analyze whether nursing goals formulated for nursing diagnoses can be mapped to nursing outcomes classification and to identify the scales most appropriate to the outcomes mapped. METHOD: a descriptive study was developed in an intensive care unit. Data collection involved extraction of goals in 44 medical records, content standardization, cross-mapping to the outcomes, identification of appropriated scales and validation. Descriptive analysis and agreement with the cross-mapping process were performed. RESULTS: nursing goals (59) were mapped to (28) different outcomes, with agreement of 83% in the mapping process. All goals were mapped to outcomes, which allows to affirm that these outcomes contemplates the goals elaborated to patient care. CONCLUSION: these results favor the inclusion of outcomes and scales validated in the planning and evaluation phases of the nursing process of a software in construction.

scholarly journals The dimensioning of the nursing staff in a intensive care unit

2012 ◽  
Vol 6 (2) ◽  
pp. 252
Author(s):  
Hérvora Santuzza Pereira Araújo ◽  
Ildone Forte de Morais ◽  
Cecília Nogueira Valença ◽  
Marquiony Marques dos Santos ◽  
Raimunda Medeiros Germano
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Rio Grande ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Personnel Downsizing ◽  
Qualitative Descriptive ◽  
Terapia Intensiva ◽  
Investigación Cualitativa

ABSTRACTObjective: to discuss the nursing staff's project in the context of the Intensive Care Unit (ICU) of Hospital Regional do Seridó, Caicó-RN. Method: qualitative descriptive-exploratory research. 19 semi-structured interviews were performed with professional nursing staff working in the ICU. The data were analyzed according to thematic content analysis, which consists of: pre-analysis, material exploration and processing of results. The study was approved by the Ethics Committee in Research of Universidade do Estado do Rio Grande do Norte as Protocol 027/10 and CAAE 0026.0.428.000-10, according to Resolution 196/96. Results: it was showed that the quantity of graduated professionals in nursing staff is unsatisfactory for the development of the necessary assistance to the ICU. Conclusion: this study reflects that the dimensioning of the nursing staff should involve the participation of hospital managers for researching and raising the critical points of functioning of the service, through promoting teamwork. Descriptors: personnel downsizing; intensive care unit; nursing team.RESUMOObjective: discutir o dimensionamento da equipe de enfermagem no contexto da Unidade de Terapia Intensiva do Hospital Regional do Seridó (HRS) em Caicó- RN. Método: pesquisa descritivo-exploratória qualitativa. Foram realizadas 19 entrevistas semiestruturadas com profissionais da equipe de enfermagem que trabalham na UTI. As informações foram analisadas de acordo com a análise de conteúdo temática, que consiste em: pré-análise, exploração do material e tratamento dos resultados obtidos. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade do Estado do Rio Grande do Norte conforme protocolo nº 027/10 e CAAE 0026.0.428.000-10, de acordo com a Resolução 196/96. Resultados: apontaram que o quantitativo dos profissionais de nível superior em enfermagem é insatisfatório para o desenvolvimento da assistência necessária para a UTI. Conclusão: o estudo reflete que o dimensionamento da equipe de enfermagem deve envolver a participação dos gestores do hospital, para pesquisar e levantar os pontos críticos do funcionamento do serviço, através da promoção do trabalho em equipe. Descritores: downsizing organizacional; unidades de terapia intensiva; equipe de enfermagem.RESUMENObjetivo: discutir la dimensión del equipo de enfermería en el contexto de la Unidad de Cuidados Intensivos (UCI) del Hospital Regional de Seridó en Caico-RN. Método: investigación cualitativa descriptivo-exploratoria. Fueron realizadas 19 entrevistas semi-estructuradas con los profesionales del equipo de enfermería que trabajan en la UCI. Los datos fueron analizados según el análisis de contenido temático, que consiste en: pre-análisis, exploración de materiales y tratamiento de los resultados. El estudio fue aprobado por el Comité de Ética en Investigación de la Universidad del Estado de Rio Grande do Norte como Protocolo 027/10 y CAAE 0026.0.428.000-10, de acuerdo con la Resolución 196/96. Resultados: mostraron que el cuantitativo de profesionales de nivel superior en enfermería no es satisfactorio para el desarrollo de la asistencia necesaria a la UCI. Conclusión: este estudio refleja que la escala del equipo de enfermería debe incluir la participación de los administradores del hospital para investigar y levantar los puntos críticos de la funcionamiento del servicio, promoviendo el trabajo en equipo. Descriptores: reducción de personal; unidades de terapia intensiva; grupo de enfermería.

scholarly journals A HOSPITALIZAÇÃO DO ADOLESCENTE NA ÓTICA DOS PROFISSIONAIS DE ENFERMAGEM

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Nathália Da Silva Pimentel Reis ◽  
Maria Fabiane Galdino Dos Santos ◽  
Inez Silva De Almeida ◽  
Helena Ferraz Gomes ◽  
Dayana Carvalho Leite ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Medical Records ◽  
Rio De Janeiro ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Legal Aspects ◽  
Quantitative Approach ◽  
Patient Identification

Objetivo: Compreender a ótica dos profissionais de enfermagem sobre a hospitalização de adolescentes. Metodologia: Pesquisa qualitativa, descritiva, utilizando entrevista com perguntas semi-estruturadas, realizada em uma enfermaria especializada em saúde do adolescente no Rio de Janeiro, no período de fevereiro a abril de 2016, com 15 profissionais de enfermagem. Resultados: A partir da análise de conteúdo de Bardin, definiram-se três categorias: a inexperiência no cuidado de enfermagem ao adolescente como um desafio, especificidades da adolescência, e sentimentos gerados pela hospitalização do adolescente no profissional de enfermagem. Conclusão: Conclui-se que os profissionais de enfermagem se colocaram inexperientes em cuidar desse público e declararam que o cuidado a essa população é um desafio para a equipe.Descritores: Adolescente, Enfermagem, Hospitalização.THE ADOLESCENT’S HOSPITALIZATION IN THE OPTICS OF NURSING PROFESSIONALSObjective: Analyze the contents of nursing notes in patients’ records in an intensive care unit (ICU) of a public tertiary hospital in Fortaleza, CE. It is a descriptive study with quantitative approach that analyzed 151 medical records of patients admitted to an ICU, from September 2014 to February 2015, whose 48 hour and discharge notes were evaluated. Data revealed notes with poor content, which did not express the patients’ situation, nor the nursing care provided. Data concerning date, time, and patient identification were adequate. However, the COREN number and the professional’s signature raised concern given the high percentage of non-compliance regarding ethical and legal aspects. Nursing notes did not reflect the severity of patients, nor the dynamics in the ICUDescriptors: Adolescent, Nursing, HospitalizationADOLESCENTE EN PERSPECTIVA DE LOS PROFESIONALES DE ENFERMERÍAComprender la óptico del profesional de enfermería de hospitalización de los adolescentes. Metodología: cualitativos, investigación descriptiva, utilizando entrevistas con preguntas semi-estructuradas en una sala especializada para la salud de los adolescentes en Río de Janeiro, en el período de febrero a abril 2016 con 15 profesionales de enfermería. Resultados: A partir del análisis de contenido de Bardin, definido tres categorías: la falta de experiencia en la atención de enfermería a la adolescente como un desafío, características de los adolescentes y los sentimientos generados por la hospitalización de los adolescentes en profesionales de enfermería. Conclusión: Se concluye que los profesionales de enfermería se colocaron inexpertos en cuidar de ese público y declararon que el cuidado a esa población es un desafío para el equipo.Descriptores: Adolescente, Enfermería, Hospitalización

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