Characteristics of Communication Training Interventions Targeting Intensive Care Unit Health Care Professionals - A Scoping Review

Since 2010, health care organizations have rapidly adopted telemedicine as part of their health care delivery system to inpatients and outpatients. The application of telemedicine in the intensive care unit is often referred to as tele-ICU. In telemedicine, nurses, nurse practitioners, physicians, and other health care professionals provide patient monitoring and intervention from a remote location. Tele-ICU presence has demonstrated positive outcomes such as increased adherence to evidence-based care and improved perception of support at the bedside. Despite the successes, acceptance of tele-ICU varies. Known barriers to acceptance include perceptions of intrusiveness and invasion of privacy.

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Smart Glasses for Caring Situations in Complex Care Environments: Scoping Review

JMIR mhealth and uhealth ◽

10.2196/16055 ◽

2020 ◽

Vol 8 (4) ◽

pp. e16055

Author(s):

Charlotte Romare ◽

Lisa Skär

Keyword(s):

Health Care ◽

Intensive Care ◽

Scoping Review ◽

Health Care Professionals ◽

Qualitative Content Analysis ◽

High Tech ◽

Anesthesia Care ◽

Complex Care ◽

Smart Glasses

Background Anesthesia departments and intensive care units represent two advanced, high-tech, and complex care environments. Health care in those environments involves different types of technology to provide safe, high-quality care. Smart glasses have previously been used in different health care settings and have been suggested to assist health care professionals in numerous areas. However, smart glasses in the complex contexts of anesthesia care and intensive care are new and innovative. An overview of existing research related to these contexts is needed before implementing smart glasses into complex care environments. Objective The aim of this study was to highlight potential benefits and limitations with health care professionals' use of smart glasses in situations occurring in complex care environments. Methods A scoping review with six steps was conducted to fulfill the objective. Database searches were conducted in PubMed and Scopus; original articles about health care professionals’ use of smart glasses in complex care environments and/or situations occurring in those environments were included. The searches yielded a total of 20 articles that were included in the review. Results Three categories were created during the qualitative content analysis: (1) smart glasses as a versatile tool that offers opportunities and challenges, (2) smart glasses entail positive and negative impacts on health care professionals, and (3) smart glasses' quality of use provides facilities and leaves room for improvement. Smart glasses were found to be both a helpful tool and a hindrance in caring situations that might occur in complex care environments. This review provides an increased understanding about different situations where smart glasses might be used by health care professionals in clinical practice in anesthesia care and intensive care; however, research about smart glasses in clinical complex care environments is limited. Conclusions Thoughtful implementation and improved hardware are needed to meet health care professionals’ needs. New technology brings challenges; more research is required to elucidate how smart glasses affect patient safety, health care professionals, and quality of care in complex care environments.

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Do health care professionals worry about delirium? Relatives’ experience of delirium in the intensive care unit: A qualitative interview study

Intensive and Critical Care Nursing ◽

10.1016/j.iccn.2019.04.010 ◽

2019 ◽

Vol 53 ◽

pp. 84-91

Author(s):

Søs Bohart ◽

Ann Merete Møller ◽

Suzanne Forsyth Herling

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Health Care Professionals ◽

Qualitative Interview ◽

Interview Study ◽

Qualitative Interview Study

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Loyalty and Hope: Keys to Parenting in the NICU

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.22.4.39 ◽

2003 ◽

Vol 22 (4) ◽

pp. 39-45 ◽

Cited By ~ 5

Author(s):

Margo Charchuk ◽

Christy Simpson

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Health Care Providers ◽

Health Care Professionals ◽

Neonatal Intensive Care ◽

Care Providers ◽

Medical Needs

When a newborn is admitted to a neonatal intensive care unit the parents may experience a variety of emotions, including a heightened sense of loyalty to their child. While health care providers are working to meet the medical needs of their patients, parents need to find ways to fulfill this sense of loyalty and to express it via hope. Through sharing the experience of having a child in the NICU, I examine hope and loyalty as critical features of parents’ NICU experience, explaining why these emotions need to be acknowledged and encouraged by health care professionals.

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Social Network Analysis of Intensive Care Unit Health Care Professionals Measured by Wearable Sociometric Badges: Longitudinal Observational Study (Preprint)

10.2196/preprints.23184 ◽

2020 ◽

Author(s):

Eiji Kawamoto ◽

Asami Ito-Masui ◽

Ryo Esumi ◽

Mami Ito ◽

Noriko Mizutani ◽

...

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Social Network ◽

Social Network Analysis ◽

Network Analysis ◽

Health Care Professionals ◽

Wearable Sensors ◽

Interaction Data ◽

Face To Face

BACKGROUND Use of wearable sensor technology for studying human teamwork behavior is expected to generate a better understanding of the interprofessional interactions between health care professionals. OBJECTIVE We used wearable sociometric sensor badges to study how intensive care unit (ICU) health care professionals interact and are socially connected. METHODS We studied the face-to-face interaction data of 76 healthcare professionals in the ICU at Mie University Hospital collected over 4 weeks via wearable sensors. RESULTS We detail the spatiotemporal distributions of staff members’ inter- and intraprofessional active face-to-face interactions, thereby generating a comprehensive visualization of who met whom, when, where, and for how long in the ICU. Social network analysis of these active interactions, concomitant with centrality measurements, revealed that nurses constitute the core members of the network, while doctors remain in the periphery. CONCLUSIONS Our social network analysis using the comprehensive ICU interaction data obtained by wearable sensors has revealed the leading roles played by nurses within the professional communication network.

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Health Care Professionals' Perceptions about Sensory-Based Interventions in the NICU

American Journal of Perinatology ◽

10.1055/s-0038-1676536 ◽

2018 ◽

Vol 36 (12) ◽

pp. 1229-1236 ◽

Cited By ~ 1

Author(s):

Roberta Pineda ◽

Jessica Roussin ◽

Elizabeth Heiny ◽

Joan Smith

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Physical Therapy ◽

Health Care Professionals ◽

Neonatal Intensive Care ◽

Biased Sampling ◽

Postmenstrual Age ◽

Multidisciplinary Group ◽

Occupational And Physical Therapy

Objective The main objective of this article is to define perceptions of health care professionals regarding current use of sensory-based interventions in the neonatal intensive care unit (NICU). Study Design A multidisciplinary group of NICU health care professionals (n = 108) defined the types of sensory-based interventions used in their NICU, the postmenstrual age (PMA) sensory-based interventions are administered, conditions under which sensory-based interventions are used, and personnel who administer sensory-based interventions. Results The most commonly reported tactile intervention was infant holding (88% of respondents), the most common auditory intervention was recorded music/singing (69% of respondents), the most common kinesthetic intervention was occupational and physical therapy (85% of respondents), and the most common vestibular intervention was infant swings (86% of respondents). Tactile interventions were initiated most often at 24 to 26 weeks PMA (74% of respondents), auditory interventions at 30 to 32 weeks (60% of respondents), kinesthetic interventions at 30 to 32 weeks (76% of respondents), vestibular interventions at 33 to 34 weeks (86% of respondents), and visual interventions at 32 to 36 weeks (72% of respondents). Conditions under which sensory-based interventions were administered, and personnel who provided them, varied across settings. Conclusion Varied use of sensory-based interventions in the NICU were reported. While this study was limited by biased sampling and the identification of health care professionals' perceptions but not real-world practice, this information can be used to build a comprehensive approach to positive sensory exposures in the NICU.

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Evaluation of the increase in invasive device associated infections in cardiovascular surgical intensive care unit

The Journal of Infection in Developing Countries ◽

10.3855/jidc.10012 ◽

2018 ◽

Vol 12 (07) ◽

pp. 508-513

Author(s):

Esra Kaya Kılıç ◽

Cemal Bulut ◽

Muzaffer Çeliköz ◽

Günay Tuncer Ertem ◽

Çiğdem Ataman Hatipoğlu ◽

...

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Infection Control ◽

Health Care Professionals ◽

Cardiovascular Surgery ◽

Control Measures ◽

Surgical Intensive Care Unit ◽

Hospital Infections ◽

Surgical Intensive Care

Introduction: Infections related to the use of invasive instruments leads to the risk of treatment difficulties, prolonged hospitalization, increased health care costs, and increased mortality and morbidity rates. The present study examines the results of an infection surveillance study that showed an increased incidence of infections related to the use of invasive instruments in the cardiovascular surgery intensive care unit of the Ankara Training and Research Hospital and mitigating measures were taken following the surveillance program. Methodology: Compared with previous surveillance data, an increase was observed in the incidence of infections related to the use of invasive instruments in cardiovascular surgery intensive care unit (CVS-ICU) during the first six months of 2014. A research team was formed comprising one infectious diseases and microbiology specialist, one cardiovascular surgeon, and two infection-control nurses. Patient data was collected. The compliance of the surgeons, nurses, and other health care professionals to the infection control measures was evaluated. Results: The rate of ventilator-associated pneumonia was 8.20% and the rate of catheter-associated urinary tract infection was 4.47% in the CVS-ICU. There were missing or inadvertent practices regarding antibiotic prophylaxis, asepsis and antisepsis and isolation measures in patient preparation and patient care before and after the operations. The rate of inappropriate antibiotic as prolonged use was 72%. Conclusions: It is one of the basic tasks to take appropriate measures to prevent outbreaks of hospital infections. It is possible to prevent an outbreak of hospital infections only by the accurate analysis of data and establishing strict infection control procedures.

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The experiences of health care professionals, patients, and families of the process of referral and admission to intensive care: A systematic literature review

Journal of the Intensive Care Society ◽

10.1177/1751143719832185 ◽

2019 ◽

Vol 21 (1) ◽

pp. 79-86 ◽

Cited By ~ 1

Author(s):

Sophie Rees ◽

Frances Griffiths ◽

Christopher Bassford ◽

Mike Brooke ◽

Zoe Fritz ◽

...

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Thematic Analysis ◽

Health Care Professionals ◽

Research Question ◽

Limited Resources ◽

Review Of The Literature ◽

Life Saving ◽

Professional Environment

Treatment in an intensive care unit can be life-saving but it can be distressing and not every patient can benefit. Decisions to admit a patient to an intensive care unit are complex. We wished to explore how the decision to refer or admit is experienced by those involved, and undertook a systematic review of the literature to answer the research question: What are the experiences of health care professionals, patients, and families, of the process of referral and admission to an intensive care unit? Twelve relevant studies were identified, and a thematic analysis was conducted. Most studies involved health care professionals, with only two considering patients' or families' experiences. Four themes were identified which influenced experiences of intensive care unit referral and review: the professional environment; communication; the allocation of limited resources; and acknowledging uncertainty. Patients' and families' experiences have been under-researched in this area.

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