Development of critical care rehabilitation guidelines in clinical practice: a quality improvement project

Physiotherapy ◽  
2016 ◽  
Vol 102 ◽  
pp. e69-e70
Author(s):  
S. Elliott
Keyword(s):  
Critical Care ◽  
Quality Improvement ◽  
Clinical Practice ◽  
Quality Improvement Project ◽  
Improvement Project

scholarly journals Assessing Nurses’ Knowledge of Noise in the Intensive Care Unit: An Educational Intervention Project

2021 ◽  
Author(s):  
Jennifer Fortes
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Quality Improvement ◽  
Educational Intervention ◽  
Quality Improvement Project ◽  
Minimal Risk ◽  
Improvement Project ◽  
Staff Members ◽  
Nurses Knowledge

Noise in the intensive care unit (ICU) has been studied for over thirty years, but it continues to be a significant problem and a top complaint among patients. Staff members are now reporting detrimental health effects from excessive noise. One of the significant factors of inadequate noise control in the ICU is that nurses have insufficient awareness regarding the hospital noise issue and its negative impact on health status. The level of knowledge of clinical staff on the topic of noise is not known. A quality improvement project to explore noise in the ICU could facilitate better understanding of the phenomenon and formulation of new ways to continue to reduce noise at a community hospital in Massachusetts. The purpose of this quality improvement project was to evaluate nurses’ knowledge of the potentially harmful effects of noise on patients as well as on nurses, to identify opportunities for improvement of the environment, and to conduct an educational intervention aimed at reducing noise in the intensive care unit. The methodology for this project included a pre-test, followed by an educational session, and completion of a post-test. The participants included registered nurse staff members in the Intensive Care Unit (ICU) and the Critical Care Unit (CCU). Exclusion criteria included staff members who are not registered nurses. The project posed minimal risk. No identifying or biographical data was collected, and results included analysis of aggregate data. Descriptive statistics were used to assist with analysis. Results were disseminated to the staff of the ICU and CCU, posted on a bulletin board in the critical care area, presented as a poster presentation at the Spring RIC MSN Symposium, and available as a manuscript on the RIC Digital Commons.

scholarly journals Assessment of serum calcium in ­patients referred for suspected lung cancer: A quality ­improvement project to enhance patient safety in clinical practice

2021 ◽  
Vol 8 (1) ◽  
pp. e109-e112
Author(s):  
Christina Apthorp ◽  
Sagana Kirisnathas ◽  
Nikolaos Stavrakas ◽  
Isuru Warakagoda ◽  
Stephen Crooks ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Patient Safety ◽  
Quality Improvement ◽  
Clinical Practice ◽  
Serum Calcium ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Enhance Patient Safety

scholarly journals Improving critical care discharge summaries: a collaborative quality improvement project using PDSA

2015 ◽  
Vol 4 (1) ◽  
pp. u203938.w3268 ◽  
Author(s):  
Lucy Goulding ◽  
Hannah Parke ◽  
Ritesh Maharaj ◽  
Robert Loveridge ◽  
Anne McLoone ◽  
...  
Keyword(s):  
Critical Care ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Discharge Summaries

scholarly journals Effect of Clinical Opiate Withdrawal Scale Educational Intervention on Intensive Care Unite Nurses' Knowledge and Confidence

2021 ◽  
Author(s):  
Lauren Schneider
Keyword(s):  
Critical Care ◽  
Quality Improvement ◽  
Educational Intervention ◽  
The United States ◽  
Opioid Withdrawal ◽  
Quality Improvement Project ◽  
World Health ◽  
Opiate Withdrawal ◽  
Percentage Increase ◽  
Improvement Project

The opioid epidemic is a significant concern for the United States. Forty-eight and a half million Americans have either used illicit drugs such as heroin or have misused prescription opioid drugs. The exponential rise in opioid use increases the risk of opioid withdrawal, thus making opioid withdrawal assessment a top priority, especially for hospitalized individuals. The Clinical Opiate Withdrawal scale (COWS) is highly recommended to assess opioid withdrawal in hospitalized individuals and is well supported by the American Society of Addiction Medicine National Practice guideline and the World Health Organization. Despite the availability of reliable opioid withdrawal assessment scales, improper use and underuse of these scales are reported. Nurses education on the use of the COWS could address this gap. The purpose of this quality improvement project was to determine the effectiveness of an educational intervention concentrating on the COWS to improve critical care nurse’s knowledge and confidence in scale use. The quality improvement project utilized a pre-test, educational intervention and a posttest design. Twenty-eight out of the possible 60 critical care nurses participated in the quality improvement session. The mean scores on the pretest and post-test were 41.2 % and 83.5%, respectively. This showed a percentage increase in knowledge of 42.3. Furthermore, participants reported higher level of confidence in their ability to utilize the COWS. Receipt of COWS education could promote proper use of the scale. The advanced practice nurse can assist in establishing and implementing educational programs that focus on the importance of opioid withdrawal assessment through evidence-based practice.

scholarly journals Compassion Fatigue in Critical Care Nurses: An Educational Quality Improvement Project

2021 ◽  
Author(s):  
Natasha Teixeira
Keyword(s):  
Critical Care ◽  
Quality Improvement ◽  
Compassion Fatigue ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Compassion Satisfaction ◽  
Critical Care Nurses ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Educational Session

Compassion fatigue is estimated to affect 40% percent of the 2.9 million registered nurses in the United States. There exists a critical need to explore how nurses understand compassion fatigue, how they identify it in self and others, and what strategies they enact to lessen the eventual threats to health. With the current COVID pandemic, along with the high intensity nature of the intensive care unit (ICU), critical care nurses are vulnerable to the symptoms and side effects of compassion fatigue. This quality improvement project evaluated the impact of an educational session on compassion fatigue and self-care in relation to critical care nurses’ perceived levels of compassion fatigue. Pre education session and post educational session Professional Quality of Life (ProQOL-5) survey measuring perceived levels of compassion satisfaction, burnout, and secondary traumatic stress, were administered to a sample of critical care nurses in a community hospital in Massachusetts. The educational session was conducted via a virtual audio-enabled PowerPoint presentation. Pre and post education scores were assessed between time points to determine if the education was successful at decreasing perceived level of compassion fatigue. Post ProQOL scores presented a 6.76% increase in level compassion satisfaction, 3.28% decrease in level of burnout, and an 8.66% decrease in level of secondary traumatic stress. This project illustrates the potential for targeted education with critical care nurses as a vulnerable group who experience higher levels of compassion fatigue as a group. Strategies to reduce the effects of compassion fatigue have the potential to improve mental and emotional health essential for continual safe patient care with more positive outcomes in the critical care area.

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