scholarly journals The core qualities and competencies of the intensive and critical care nurse, a meta‐ethnography

Author(s):  
Kjersti Forbech Henriksen ◽  
Britt Sætre Hansen ◽  
Hilde Wøien ◽  
Siri Tønnessen
Author(s):  
Pamela J.L. Rae ◽  
Susie Pearce ◽  
P. Jane Greaves ◽  
Chiara Dall'Ora ◽  
Peter Griffiths ◽  
...  

2021 ◽  
Vol 30 (6) ◽  
pp. 435-442
Author(s):  
David C. Mohr ◽  
Lakshmana Swamy ◽  
Edwin S. Wong ◽  
Meredith Mealer ◽  
Marc Moss ◽  
...  

Background Critical care nurses have a burnout rate among the highest of any nursing field. Nurse burnout may impact care quality. Few studies have considered how temporal patterns may influence outcomes. Objective To test a longitudinal model of burnout clusters and associations with patient and clinician outcomes. Methods An observational study analyzed data from annual employee surveys and administrative data on patient outcomes at 111 Veterans Health Administration intensive care units from 2013 through 2017. Site-level burnout rates among critical care nurses were calculated from survey responses about emotional exhaustion and depersonalization. Latent trajectory analysis was applied to identify clusters of facilities with similar burnout patterns over 5 years. Regression analysis was used to analyze patient and employee outcomes by burnout cluster and organizational context measures. Outcomes of interest included patient outcomes (30-day standardized mortality rate and observed minus expected length of stay) for 2016 and 2017 and clinician outcomes (intention to leave and employee satisfaction) from 2013 through 2017. Results Longitudinal analysis revealed 3 burnout clusters among the 111 sites: low (n = 37), medium (n = 68), and high (n = 6) burnout. Compared with sites in the low-burnout cluster, those in the high-burnout cluster had longer patient stays, higher employee turnover intention, and lower employee satisfaction in bivariate models but not in multivariate models. Conclusions In this multiyear, multisite study, critical care nurse burnout was associated with key clinician and patient outcomes. Efforts to address burnout among nurses may improve patient and employee outcomes.


2017 ◽  
Vol 12 (4) ◽  
pp. 36-42
Author(s):  
Kendra Greenberg ◽  
Suzanne Morrison

2000 ◽  
Vol 28 (7) ◽  
pp. 2626-2630 ◽  
Author(s):  
Shari L. Derengowski ◽  
Sharon Y. Irving ◽  
Pamela V. Koogle ◽  
Robert M. Englander

2013 ◽  
Vol 33 (2) ◽  
pp. 92-92
Author(s):  
Jenna Blind

2018 ◽  
Vol 19 (6) ◽  
pp. 564-571 ◽  
Author(s):  
Kristen M. Brown ◽  
Shawna S. Mudd ◽  
Elizabeth A. Hunt ◽  
Julianne S. Perretta ◽  
Nicole A. Shilkofski ◽  
...  

1990 ◽  
Vol 10 (8) ◽  
pp. 73-77
Author(s):  
ME Schnieber

In view of possible adverse consequences resulting from being turned to the prone position on the Stryker frame, the critical care nurse should be alert for evidence of brainstem ischemia and subsequent cardiac arrhythmias and should take steps to minimize respiratory fatigue in the spinal cord patient. In addition, the nurse should be cognizant of the necessity of maintaining a properly aligned cervical spine to prevent complications secondary to hyperextension.


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