scholarly journals Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multicentre Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Mazen Alqahtani ◽  
Faizan Kashoo ◽  
Msaad Alzhrani ◽  
Fuzail Ahmad ◽  
Mohammed K. Seyam ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Physical Therapy ◽  
Research Literature ◽  
Current Status ◽  
Current Standard ◽  
Positive Health ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background. Early mobilisation of patients in the intensive care unit (ICU) is associated with positive health benefits. Research literature lacks insight into the current status of ICU physical therapy (PT) practice in the Kingdom of Saudi Arabia. Aim. To determine the current standard of ICU PT practice, attitude, and barriers. Methods. A questionnaire was e-mailed to physiotherapists (PTs) working in the hospital. The questions pertained to experience, qualification, barriers, and most frequently encountered case scenarios in the ICU. Results. The response rate was 28.1% (124/442). Frequent cases referred to the PTs were traumatic paraplegia (n = 111, 89%) and stroke (n = 102, 82.3%) as compared to congestive heart failure (n = 20, 16.1%) and pulmonary infections (n = 7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n = 102, 82.2%) and positioning (n = 73, 58.8%), whereas functional electrical stimulation (n = 12, 9.6%) was least preferred irrespective of the condition. Perceived barriers in the ICU PT management were of low confidence in managing cases (n = 89, 71.7%) followed by inadequate training (n = 53, 42.7%), and the least quoted barrier was a communication gap between the critical care team members (n = 8, 6.4%). Conclusion. PTs reported significant variation in the choice of treatment for different clinical cases inside ICU. The main barriers in the ICU setting were low confidence and inadequate training.

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

2019 ◽  
Author(s):  
Faizan Zaffar Kashoo ◽  
Mazen Alqahtani ◽  
Msaad Alzhrani ◽  
Fuzial Ahmad ◽  
Mehrunnisha Ahmad ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Physical Therapy ◽  
Online Survey ◽  
Road Traffic ◽  
Current Status ◽  
Positive Health ◽  
Cross Sectional Survey ◽  
Therapy Management

Abstract Background: Early mobilization of patients in the intensive care unit (ICU) is associated with positive health benefits. The available literature does not provide insights into the current status of physical therapy practice in the ICU in the Kingdom of Saudi Arabia (KSA). To determine the current standard of ICU physical therapy practice, attitude, and barriers, an online survey was administered to KSA physiotherapists (PTs) working in the hospitals. Methods: A total of 124 PTs volunteered to participate, and the questionnaire consisted of closed-ended questions with regard to their experiences, qualifications, barriers, and most frequently encountered case scenarios in the ICU. Results: The most commonly referred cases were traumatic paraplegia (n=111, 89%) and stroke (n=102, 82.3%) compared to congestive road traffic accidents (n=20, 16.1%) and pulmonary infections (n=7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n=102, 82.2%) and positioning (n=73, 58.8%), whereas functional electrical stimulation (n=12, 9.6%) was the least preferred choice of physical therapy, irrespective of the condition. The perceived barriers in ICU physical therapy management was low confidence in managing cases (n=89, 71.7%), followed by inadequate training (n=53, 42.7%), and the least mentioned barrier was a communication gap among the critical care team members (n=8, 6.4%). Conclusion: PTs reported significant variation in the choice of treatment for different clinical case scenarios in the ICU. Several facilitators and barriers to physical therapy management should be taken into account to improve ICU recovery. Among the most important barriers are low confidence and inadequate training and strategies needed to overcome these barriers.

scholarly journals Clinical characteristics of non-intensive care unit COVID-19 patients in Saudi Arabia: A descriptive cross-sectional study

2020 ◽  
Vol 13 (11) ◽  
pp. 1639-1644 ◽  
Author(s):  
Awad Al-Omari ◽  
Waad N. Alhuqbani ◽  
Abdul Rehman Z. Zaidi ◽  
Maha F. Al-Subaie ◽  
Alanoud M. AlHindi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Clinical Characteristics ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Practised sedation in mechanically ventilated patients: A survey of nurses’ perceptions

2020 ◽  
Vol 40 (2) ◽  
pp. 105-112
Author(s):  
Vivian Nystrøm ◽  
Brita Fosser Olsen ◽  
Idunn Brekke
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuous Infusion ◽  
Assessment Tool ◽  
Scoring Systems ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mechanically Ventilated ◽  
Nurses Perceptions ◽  
Light Sedation

Recent clinical practice guidelines recommend analgosedation in intensive care unit patients, where the patients' pain first is relieved, followed by sedatives only on indication. The aims of the present study was to examine sedation practice today, to evaluate the degree to which there is a difference in sedation practice between units, and to investigate the associations between nurses' demographic characteristics and their perception of sedation practice. A cross sectional survey was conducted to the nurses in three intensive care units in Norway. The results indicated that light sedation was implemented in the three intensive care unit studied. Continuous infusion of propofol and dexmedetomidine were used most frequently, and continuous infusion of midazolam was used occasionally. However, the sedation practices varied significantly between the units. Subjective scoring systems, physician's prescriptions, and prescription follow-up were reported to be most frequently used as guidelines and directives, and Richmond Agitation–Sedation Scale was reported to be the most frequently used sedation assessment tool.

scholarly journals ABCDE, but in That Order? A Cross-Sectional Survey of Michigan Intensive Care Unit Sedation, Delirium, and Early Mobility Practices

2015 ◽  
Vol 12 (7) ◽  
pp. 1066-1071 ◽  
Author(s):  
Melissa A. Miller ◽  
Sushant Govindan ◽  
Sam R. Watson ◽  
Robert C. Hyzy ◽  
Theodore J. Iwashyna
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Early Mobility

scholarly journals Updates to referring clinicians regarding critically ill children admitted to the pediatric intensive care unit: a state-wide survey

Diagnosis ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 123-128
Author(s):  
Christina L. Cifra ◽  
Cody R. Tigges ◽  
Sarah L. Miller ◽  
Loreen A. Herwaldt ◽  
Hardeep Singh
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Patients ◽  
Pediatric Intensive Care ◽  
Electronic Record ◽  
Feedback System ◽  
Critically Ill Children ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractBackgroundFront-line clinicians are expected to make accurate and timely diagnostic decisions before transferring patients to the pediatric intensive care unit (PICU) but may not always learn their patients’ outcomes. We evaluated the characteristics of post-transfer updates received by referring clinicians regarding PICU patients and determined preferences regarding content, delivery, and timing of such updates.MethodsWe administered an electronic cross-sectional survey to Iowa clinicians who billed for ≥5 pediatric patients or referred ≥1 patient to the University of Iowa (UI) PICU in the year before survey administration.ResultsOne hundred and one clinicians (51 non-UI, 50 UI-affiliated) responded. Clinicians estimated that, on average, 8% of pediatric patients they saw over 1 year required PICU admission; clinicians received updates on 40% of patients. Seventy percent of UI clinicians obtained updates via self-initiated electronic record review, while 37% of non-UI clinicians relied on PICU communication (p = 0.013). Clinicians indicated that updates regarding diagnoses/outcomes will be most relevant to their practice. Among clinicians who received updates, 13% received unexpected information; 40% changed their practice as a result.ConclusionsClinicians received updates on less than half of the patients they referred to a PICU, although such updates could potentially influence clinical practice. Study findings will inform the development of a formal feedback system from the PICU to referring clinicians.

scholarly journals Cross‐sectional survey of factors associated with paternal involvement in the neonatal intensive care unit

2019 ◽  
Vol 28 (21-22) ◽  
pp. 3977-3990
Author(s):  
Gina Clarkson ◽  
Mary Jo Gilmer ◽  
Elizabeth Moore ◽  
Mary S. Dietrich ◽  
Brent A. McBride
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Paternal Involvement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Riitta-Liisa Lakanmaa ◽  
Tarja Suominen ◽  
Marita Ritmala-Castrén ◽  
Tero Vahlberg ◽  
Helena Leino-Kilpi
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Nursing Care ◽  
Critical Care Nursing ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Competence Scale ◽  
Intensive Care Unit Nurses ◽  
Care Nursing

Critical care patients benefit from the attention of nursing personnel with a high competence level. The aim of the study was to describe and evaluate the self-assessed basic competence of intensive care unit nurses and related factors. A cross-sectional survey design was used. A basic competence scale (Intensive and Critical Care Nursing Competence Scale version 1, Likert scale 1–5, 1 = poor and 5 = excellent) was employed among Finnish intensive care unit nurses (n=431). Intensive care unit nurses’ self-assessed basic competence was good (mean 4.19, SD 0.40). The attitude and value base of basic competence was excellent whereas experience base was the poorest compared to the knowledge base and skill base of intensive and critical care nursing. The strongest factor explaining nurses’ basic competence was their experience of autonomy in nursing care (Fvalue 60.85,β0.11, SE 0.01, andP≤0.0001). Clinical competence was self-rated as good. Nurses gave their highest competence self-ratings for ICU patient care according to the principles of nursing care. The ICU nurses also self-rated their professional competence as good. Collaboration was self-rated as the best competence. In basic and continuing education and professional self-development discussions it is meaningful to consider and find solutions for how to improve nurses’ experienced autonomy in nursing.

scholarly journals Use of dornase alfa in the paediatric intensive care unit: current literature and a national cross-sectional survey

2020 ◽  
pp. ejhpharm-2020-002507
Author(s):  
Bibiche den Hollander ◽  
Rosalie S N Linssen ◽  
Bart Cortjens ◽  
Fardi S van Etten-Jamaludin ◽  
Job B M van Woensel ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Current Literature ◽  
Paediatric Intensive Care Unit ◽  
Paediatric Intensive Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dornase Alfa
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