The patient and their family’s perspectives on agitation and its management in adult critical care: A qualitative study

2021 ◽  
pp. 103163
Author(s):  
Freeman Samantha ◽  
Yorke Janelle ◽  
Dark Paul
Keyword(s):  
Critical Care ◽  
Qualitative Study

scholarly journals Death Notification in Italian Critical Care Unites and Emergency Services. A Qualitative Study with Physicians, Nurses and Relatives

2021 ◽  
Vol 18 (24) ◽  
pp. 13338
Author(s):  
Ines Testoni ◽  
Erika Iacona ◽  
Lorenza Palazzo ◽  
Beatrice Barzizza ◽  
Beatrice Baldrati ◽  
...  
Keyword(s):  
Critical Care ◽  
Qualitative Study ◽  
Protective Factors ◽  
Health Care Professionals ◽  
Emergency Services ◽  
Continuing Bonds ◽  
Critical Care Units ◽  
Death Notification ◽  
The Impact ◽  
Relational Difficulties

This qualitative study was conducted in critical care units and emergency services and was aimed at considering the death notification (DN) phenomenology among physicians (notifiers), patient relatives (receivers) and those who work between them (nurses). Through the qualitative method, a systemic perspective was adopted to recognise three different categories of representation: 23 clinicians, 13 nurses and 11 family members of COVID-19 victims were interviewed, totalling 47 people from all over Italy (25 females, mean age: 46,36; SD: 10,26). With respect to notifiers, the following themes emerged: the changes in the relational dimension, protective factors and difficulties related to DN. With respect to receivers, the hospital was perceived as a prison, bereavement between DN, lost rituals and continuing bonds. Among nurses, changes in the relational dimension, protective factors and the impact of the death. Some common issues between physicians and nurses were relational difficulties in managing distancing and empathy and the support of relatives and colleagues. The perspective of receivers showed suffering related to loss and health care professionals’ inefficacy in communication. Specifically, everyone considered DNs mismanaged because of the COVID-19 emergency. Some considerations inherent in death education for DN management among health professionals were presented.

scholarly journals The challenges of using physical restraint in intensive care units in Iran: A qualitative study

2020 ◽  
pp. 175114371989278
Author(s):  
Zahra Salehi ◽  
Soodabeh Joolaee ◽  
Fatemeh Hajibabaee ◽  
Tahereh Najafi Ghezeljeh
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Units ◽  
Physical Restraint ◽  
Critical Care Nurses ◽  
Structured Interviews ◽  
Standard Equipment ◽  
Restraint Use ◽  
Ensure Patient Safety

Background Physical restraint is widely used in intensive care units to ensure patient safety, manage agitated patients, and prevent the removal of medical equipment connected to them. However, physical restraint use is a major healthcare challenge worldwide. Aim This study aimed to explore nurses' experiences of the challenges of physical restraint use in intensive care units. Methods This qualitative study was conducted in 2018–2019. Twenty critical care nurses were purposively recruited from the intensive care units of four hospitals in Tehran, Iran. Data were collected via in-depth semi-structured interviews, concurrently analyzed via Graneheim and Lundman's conventional content analysis approach, and managed via MAXQDA software (v. 10.0). Findings Three main themes were identified (i) organizational barriers to effective physical restraint use (lack of quality educations for nurses about physical restraint use, lack of standard guidelines for physical restraint use, lack of standard physical restraint equipment), (ii) ignoring patients' wholeness (their health and rights), and (iii) distress over physical restraint use (emotional and mental distress, moral conflict, and inability to find an appropriate alternative for physical restraint). Conclusion Critical care nurses face different organizational, ethical, and emotional challenges in using physical restraint. Healthcare managers and authorities can reduce these challenges by developing standard evidence-based guidelines, equipping hospital wards with standard equipment, implementing in-service educational programs, supervising nurses' practice, and empowering them for finding and using alternatives to physical restraint. Nurses can also reduce these challenges through careful patient assessment, using appropriate alternatives to physical restraint, and consulting with their expert colleagues.

Population requirement for adult critical-care beds: a prospective quantitative and qualitative study

The Lancet ◽  
2000 ◽  
Vol 355 (9204) ◽  
pp. 595-598 ◽  
Author(s):  
Ronan A Lyons ◽  
Kathie Wareham ◽  
Hayley A Hutchings ◽  
Ed Major ◽  
Bruce Ferguson
Keyword(s):  
Critical Care ◽  
Qualitative Study

scholarly journals Practical knowledge of experienced nurses in critical care: a qualitative study of their narratives

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
María Sagrario Acebedo-Urdiales ◽  
José Luis Medina-Noya ◽  
Carme Ferré-Grau
Keyword(s):  
Critical Care ◽  
Qualitative Study ◽  
Practical Knowledge ◽  
Experienced Nurses

Strategies and Criteria for Clinical Decision Making in Critical Care Nurses: A Qualitative Study

2009 ◽  
Vol 41 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Farhad Ramezani-Badr ◽  
Alireza Nikbakht Nasrabadi ◽  
Zohre Parsa Yekta ◽  
Fariba Taleghani
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Critical Care Nurses
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