Nursing staff's perceptions and experiences of primary nursing practice in intensive care 4 years on

1997 ◽  
Vol 6 (4) ◽  
pp. 277-287 ◽  
Author(s):  
Kim Manley ◽  
Jane-Marie Hamill ◽  
Martha Hanlon
Keyword(s):  
Intensive Care ◽  
Nursing Practice ◽  
Primary Nursing

Co-Primary Nursing in I the Intensive Care Unit

1989 ◽  
Vol 20 (12) ◽  
pp. 41???46
Author(s):  
ROBERTA KAPLOW ◽  
NANCY ACKERMAN ◽  
ELIZABETH OUTLAW
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Primary Nursing

Towards an Ontology for Interdisciplinary Handoff Communication in Intensive Care

2014 ◽  
Vol 3 (1) ◽  
pp. 196-202 ◽  
Author(s):  
Joanna Abraham ◽  
Thomas G. Kannampallil ◽  
Vimla L. Patel
Keyword(s):  
Intensive Care ◽  
Current Practice ◽  
Nursing Practice ◽  
Medical Intensive Care Unit ◽  
Care Transitions ◽  
Clinical Workflow ◽  
Significant Research ◽  
Medical Intensive Care ◽  
Practical Implications ◽  
Communication Errors

Handoffs are considered a vulnerable point in the clinical workflow. A recent report by The Joint Commission (TJC) found that nearly 80% of communication errors occur during care transitions. While there has been significant research on handoff tools and their use, it can be argued that there is variability among the handoff tools used in current practice. We conducted a multi-year, longitudinal evaluation on the nature of content and structure of handoffs among residents and nurses in a medical intensive care unit (MICU). In this paper, we report on our top-level findings regarding the use of a body-systems based formatted tool that supported standardized, interactive and effective communication for both medical and nursing practice. We discuss the theoretical and practical implications of our results for the design and development of future handoff tools.

scholarly journals Professional nursing practice: environment and emotional exhaustion among intensive care nurses

2013 ◽  
Vol 21 (3) ◽  
pp. 765-772 ◽  
Author(s):  
Marcia Raquel Panunto ◽  
Edinêis de Brito Guirardello
Keyword(s):  
Job Satisfaction ◽  
Intensive Care ◽  
Quality Of Care ◽  
Emotional Exhaustion ◽  
Nursing Practice ◽  
Intention To Leave ◽  
Professional Nursing Practice ◽  
Nursing Practice Environment ◽  
Perception Of Quality

OBJECTIVE: to evaluate the characteristics of the professional nursing practice environment and its relationship with burnout, perception of quality of care, job satisfaction and the intention to leave the job in the next 12 months. METHOD: cross-sectional study with a quantitative approach to data. The sample was composed of 129 nurses working in adult Intensive Care Units from a region in the interior of São Paulo, Brazil. RESULTS: The structural equation modeling, using path analysis, revealed that characteristics of the environment influence job satisfaction, perception of quality of care, and having an intention to leave their job, when mediated by emotional exhaustion. Nurses with limited autonomy, poor control over their practice, and poor relationships with physicians, experience a greater level of emotional exhaustion, which can negatively influence their perception of quality of care, job satisfaction and an intention to abandon their jobs. CONCLUSION: the mediating role of emotional exhaustion may negatively influence care delivery. Therefore, there is a need to adopt strategies to minimize this condition among nurses.

scholarly journals Transformation in the Nurse-Patient Dyad or the Caregiver-Patient Dyad

2018 ◽  
Vol 5 (2) ◽  
pp. 11-15
Author(s):  
Susan Lee
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Treatment ◽  
Nursing Practice ◽  
Scope Of Practice ◽  
Vasoactive Medications

Dependent nursing practice is following the doctor’s orders for medications, treatments, diet, activity, tests, etc. We ensure that the medical treatment is given.Shared practice is when the doctor is giving us parameters but leaves us to make judgments, as well. One example is giving medications “as needed” or titrating vasoactive medications in the intensive care unit according to blood pressure.Independent practice is what we do in our own scope of practice. What do we do with and for patients for which we do not need an order?

scholarly journals Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?

2015 ◽  
Author(s):  
Karen Schaefer
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Enteral Nutrition ◽  
Current Practice ◽  
Nursing Practice ◽  
Diagnostic Testing ◽  
Advanced Nursing Practice ◽  
Enteral Feedings ◽  
Specific Length

<p>When a patient is unable to eat or eat enough nutrients due to an illness or surgery, nutrition from another source may be required. Supplemental nutrition may be given in the form of enteral nutrition. The current practice is delivering enteral feedings on a rate based protocol to deliver calculated required calories over a specific length of time. Patients who receive enteral nutrition may have feedings interrupted due to a variety of reasons such as a procedure or diagnostic exam. Interruptions reduce the total daily calories delivered. If a patient does not achieve their total daily calories, it can be detrimental to the patient’s health and may increase length of stay and costs of hospitalization. The purpose of this study was to determine if patients receive their recommended total daily calories of enteral nutrition using a rate based protocol. A retrospective research design was used to obtain data from patients who received enteral feedings while in the Intensive Care Unit. Data were collected on patients who were admitted to the unit between June 1, 2014 and August 31, 2014. 41 patients who received enteral feedings were included in this study. 80% of patients had their enteral feedings interrupted; most frequent reasons included diagnostic testing, residual volumes and procedures. Interruptions of the enteral feedings lasted between one hour and 24 hours in duration with a mean of 2.9 hours. The most frequent duration of interruption was one hour. Patients received a mean of 56.4% of their daily prescribed goal calories and 56.7% of their daily prescribed volume of enteral feedings. This study suggests that patients do not receive their daily prescribed calories using a rate based protocol. Recommendations for further research and advanced nursing practice are discussed.</p>

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