Commentary on Kiekas P, Karga M, Poulopoulou M, Karpouhtsi I, Papadoulas V & Koutsogiannis C (2006) Use of technological equipment in critical care units: nurses? perceptions in Greece. Journal of Clinical Nursing 15, 178?187

BACKGROUND: Previous research has emphasized the importance of visitation in critical care units and its beneficial effects on patients and their families. However, nurses' attitudes and beliefs about visitation did not correlate with those of patients and their families, nor did actual visitation practices correlate with written policy. OBJECTIVE: To investigate nurses' perceptions about open vs restricted visiting hours and the effects on the patient, the patient's family, and the nurse. METHODS: Quantitative and qualitative data were collected from 201 nurses who completed a survey instrument about nurses' perceptions of visitation at five metropolitan hospitals in a midwestern city. RESULTS: Seventy percent of official policies for visitation were restrictive. In practice, 78% of nurses were nonrestrictive in their visitation practices. Variables that affected practices regarding visiting hours were the patient's need for rest, the nurse's workload, and the beneficial effects of visitation on patients. Requests from patients and their families were ranked least important. Significant differences in practices were found regarding restriction of visiting by immediate family members and of the number of visitors. Restricted hours were perceived to decrease noise (83%) and promote patients' rest (85%). Open visitation practices were perceived to beneficially affect the patient (67%) and the patient's family (88%) and to decrease anxiety (64%). Perceptions of ideal visiting hours included restrictions on the number of visitors (75%), hours (57%), visits by children (55%), and duration of visits (54%), but no restriction on visitation by immediate family members (60%). Qualitative data revealed recurrent themes in visitation practices, policies and exceptions, control of visitation by patients, and nurses' wishes. CONCLUSION: Data indicate that most nurses do not restrict visitation, regardless of whether restrictive policies are in place. Most nurses base their visitation decisions on the needs of the patient and the nurse. Needs of the family were ranked as less important in decision making about family visitation.

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Effectiveness of a technology-based communication intervention for suddenly speechless patients in critical care units: Nurses perceptions and experiences

Cogent Social Sciences ◽

10.1080/23311886.2018.1552734 ◽

2018 ◽

Vol 4 (1) ◽

pp. 1552734

Author(s):

Carmen S. Rodriguez ◽

Heather J. Spring ◽

Meredeth Rowe ◽

Grace Spencer

Keyword(s):

Critical Care ◽

Communication Intervention ◽

Critical Care Units ◽

Nurses Perceptions

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The Correlation between Spiritual Care Giving and Nurses’ Competences at Critical Care Units

JURNAL PENDIDIKAN KEPERAWATAN INDONESIA ◽

10.17509/jpki.v6i2.27057 ◽

2020 ◽

Vol 6 (2) ◽

Author(s):

Muhammad Deri Ramadhan ◽

Destiya Dwi Pangestika ◽

Nurul Fatwati Fitriana

Keyword(s):

Critical Care ◽

Spiritual Care ◽

Strong Correlation ◽

Critical Care Nurses ◽

Main Task ◽

Cross Sectional ◽

Critical Care Units ◽

Care Giving ◽

Competence Scale ◽

Nurses Perceptions

ABSTRACTPatients’ complex and critical conditions may influence humans to fulfill their basic daily needs. One nurses’ main task is giving the nursing care based on the patients’ daily needs including spiritual care. However, the critical care nurses only focused on the patients’ physical needs, without paying more attentions to the spiritual care. Many factors may influence the nurses’ competences in giving the spiritual care, including nurses’ perceptions, involvements with the other health workers, spiritual care input as a part of nursing curriculum. Thus, it is greatly important to r reveal the correlation between spiritual care giving and nurses’ competences in developing the spiritual care to the patients. This study aims at revealing the correlation between spiritual care giving and nurses’’ competences at critical care units. This quantitative non experimental research employed a cross sectional design. Seventy seven critical care nurses at the intensive care units participated in this research and two research instruments consisting of Spiritual Care Giving Scale (SCGS) and Spiritual Care Competence Scale (SCCS) were employed. The data were then bivariately analyzed to reveal the nurses’ perceptions on spiritual care. The research results showed that spiritual care giving and nurses’ competences had a strong correlation. Each domain in spiritual care giving scale had a strong correlation with nurses’ competences. ABSTRAK Kondisi pasien kritis yang komplek dapat menganggu terpenuhinya kebutuhan dasar manusia. Fokus perawat dalam merawat pasien adalah dengan memberikan asuhan keperawatan yang berdasar pada kebutuhan dasar manusia dimana salah satu kebutuhan dasar manusia yang juga harus dipenuhi adalah kebutuhan spiritual. Namun, kenyataannya perawat dalam memberikan perawatan kepada pasien hanya berfokus kepada perawatan medis dan fisik saja, tanpa melakukan pendekatan secara spiritual. Beberapa faktor dapat mempengaruhi kompetensi perawat dalam memenuhi kebutuhan spiritual pasien seperti persepsi perawat, keterlibatan dengan multidisiplin lain, melibatkan materi spiritual dalam kurikulum keperawatan. Berdasarkan paparan di atas, maka penting untuk dilakukan kajian mengenai hubungan kompetensi perawat dengan pemberian perawatan spiritual. Jika hal tersebut sudah dapat diketahui, maka ruangan intensif akan lebih mudah dalam mengembangkan bentuk pemberian kebutuhan spiritual pada pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara kompetensi perawat dan pemberian perawatan spiritual pada perawat kritis. Jenis penelitian yang digunakan adalah penelitian kuantitatif korelasi dengan desain penelitian cross sectional. Responden pada penelitian ini adalah perawat yang bekerja di Unit Rawat Intensif sebanyak 78 orang. Instrumen penelitian yang digunakan adalah Spiritual Care Giving Scale (SCGS) dan Spiritual Care Competence Scale (SCCS). Pada penelitian ini, data dianalisis secara bivariat untuk mengetahui hubungan kompetensi perawat dan pemberian perawatan spiritual. Secara umum, pemberian perawatan spiritual mempunyai hubungan yang kuat dengan kompetensi perawat (r=0.619) dimana setiap domain dalam Spiritual Care Giving Scale (SCGS) mempunyai hubungan yang kuat (p value 0.00) dengan kompetensi perawat dalam memberikan perawatan spiritual. Hasil analisa tersebut dapat disimpulkan bahwa kompetensi perawat tentang perawatan spiritual dapat mempengaruhi bagaimana pemberian perawatan spiritual kepada pasien. Penelitian selanjutnya diharapkan dapat melakukan intervensi berupa pelatihan pemberian perawatan spiritual untuk perawat agar dapat diaplikasikan di rumah sakit.

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The needs of relatives of patients admitted to Italian critical care units: a survey comparing relatives and nurses perceptions

Connect The World of Critical Care Nursing ◽

10.1891/1748-6254.4.1.23 ◽

2005 ◽

Vol 4 (1) ◽

pp. 23-26 ◽

Cited By ~ 9

Author(s):

Fabrizio Moggia ◽

Stefano Biagi ◽

Viviana Pompei

Keyword(s):

Critical Care ◽

Critical Care Units ◽

Nurses Perceptions

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Incivility and Professional Comportment in Critical Care Nurses

AACN Advanced Critical Care ◽

10.4037/aacnacc2017106 ◽

2017 ◽

Vol 28 (4) ◽

pp. 345-350 ◽

Cited By ~ 4

Author(s):

Kenneth John Oja

Keyword(s):

Critical Care ◽

Regression Analysis ◽

Patient Outcomes ◽

Critical Care Nurses ◽

Work Environments ◽

Critical Care Units ◽

Healthy Work ◽

Nurses Perceptions ◽

Healthy Work Environments ◽

The Relationship

Background: Civility among critical care nurses is important for achieving positive patient outcomes. Professional comportment refers to nurse behaviors that are respectful, knowledgeable, deliberate, and compassionate. Objective: To examine the relationship between perceptions of nurse-to-nurse incivility and professional comportment among critical care nurses, and the extent to which nurse characteristics influence their perceptions. Methods: Data were collected from nurses in 14 critical care units. Correlational analysis examined the relationship between nurses’ perceptions of nurse-to-nurse incivility and professional comportment. Regression analysis was used to identify predictors of nurse-to-nurse incivility. Results: Decreased perceptions of nurse-to-nurse incivility were associated with increased perceptions of professional comportment. Nurses’ reports of receiving education about professional comportment was a significant predictor of increased nurse perceptions of professional comportment. Conclusion: Professional comportment education for critical care nurses is important and may provide an option to decrease incivility and promote healthy work environments for nurses.

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Nurses’ perceptions about the dignity of intubated patients

Nursing Ethics ◽

10.1177/0969733020985268 ◽

2021 ◽

pp. 096973302098526

Author(s):

Nasreen Rafiq ◽

David Arthur ◽

Shirin Rahim ◽

Yasmin Amarsi ◽

Eunice Ndirangu

Keyword(s):

Critical Care ◽

Nursing Care ◽

Tertiary Care ◽

Well Being ◽

Ethical Review ◽

Care Hospital ◽

Care Providers ◽

Critical Care Units ◽

High Dependency ◽

Nurses Perceptions

Background: The intensive and critical care units are high-dependency areas, with patients requiring complex care. The intubated status of the intensive and critical care patients makes them dependent on healthcare providers not only for acute care, but also for intimate care, imposing a threat to their dignity. Nurses, being the central care providers, become the stakeholders for dignity promotion. The incorporation of dignity in patient care improves the quality of care, and promotes the health and well-being of intubated patients. Objective: The purpose of the study was to explore nurses’ perceptions about the dignity of intubated patients in the intensive and critical care units. Research design: A qualitative descriptive exploratory study design was used to explore the nurses’ perceptions about the dignity of intubated patients. Participants and research context: The intensive and critical care nurses of a tertiary care hospital were recruited using the purposive sampling technique. The data were collected through in-depth individual interviews, using a semi-structured interview guide. The findings were manually analyzed into themes and categories through content analysis. Ethical consideration: The study was conducted after the approval from the Ethical Review Committee of the Aga Khan University. Findings: Four major themes emerged from the data analysis: (1) two sides of the contemporary nursing practice; (2) benefits of dignified nursing care; (3) challenges to the dignity of intubated patients; and (4) strategies for promoting the dignity of intubated patients. Discussion: Dignity incorporates both the science and the art of nursing. The provision of dignified care is the core component of the quality nursing care and patient well-being in the high-dependency units. Conclusion: This is the first exploratory and descriptive study conducted in Pakistan that explored the nurses’ perceptions about the dignity of intubated patients, and also generated contextual understanding about the phenomenon.

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