Interventions That Improved a Practice Environment: “Making a Difference”

2008 ◽  
Vol 21 (3) ◽  
pp. 29-34 ◽  
Author(s):  
Rena van der Wal ◽  
Judith Globerman

This paper reports on the intervention phase of a participatory action study designed to improve the practice environment within a critical care unit in a research teaching hospital. The intervention strategy involved the hiring of a facilitator who worked with unit staff to engage in a process of addressing their priority issues related to the practice environment. Examples of interventions included staff retreats, communication workshops, task groups and leadership training. Challenges and key learnings are reported.

2016 ◽  
Vol 20 (2) ◽  
pp. 91-96 ◽  
Author(s):  
Sugata Dasgupta ◽  
Dipasri Bhattacharya ◽  
Shipti Shradha Singh ◽  
Arunima Chaudhuri ◽  
Sourav Das Choudhury

2020 ◽  
Vol 10 (3) ◽  
pp. 16-19
Author(s):  
Kanchan Mijar Adhikari ◽  
Hem Kumari Subba

Background:Endotracheal intubation is a most common procedure to maintain oxygenation and ventilation among the patients who admitted to critical care unit. So, meticulous care is necessary to maintain airway patency and prevent from complications. The objective of the study was to assess the practice regarding care of endotracheal tube among nurses working at teaching hospital, Bharatpur. Methods: A descriptive, cross- sectional study was conducted among 56 nurses working in critical care units of a teaching hospital, Chitwan. Sample was selected by using non probability, consecu­tive sampling technique. Data were collected through structured self-administered questionnaire to measure the socio-demographic and professional related information and observation checklist was used to measure the practice regarding care of endotracheal tube. Data were analyzed using descriptive and inferential statistics to find out the association between variables. Results: Majority (89.3%) of the nurses were above 20 years old, 71.4% of them were completed Proficiency Certificate Level, 60.7% had work experience of equal and less than one year in critical care unit and all of them participated in in-service education. Among 56 nurses, 57.1% had satis­factory level of practice regarding care of endotracheal tube. Nurses had highest mean practice score (79.55%) on suctioning and lowest score (19.22%) on cuff pressure management. Conclusions: It is concluded that nurses had marginally satisfactory level of practice regarding care of endotracheal tube. Hence, there is need to provide regular training for nurses regarding patient’s care with endotracheal tube.


2008 ◽  
Vol 21 (2) ◽  
pp. 29-35 ◽  
Author(s):  
Rena van der Wal ◽  
Judith Globerman ◽  
Yuka Numata ◽  
Michael Schulzer ◽  
Mark FitzGerald ◽  
...  

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