scholarly journals Development and Testing of an Algorithm to Prevent Medical Device–Related Pressure Injuries

2021 ◽  
Vol 58 ◽  
pp. 004695802110502
Author(s):  
Yeong-Mi Seong ◽  
Hyejin Lee ◽  
Ji Min Seo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Device ◽  
Incidence Rates ◽  
Control Group ◽  
Braden Scale ◽  
Pressure Injury ◽  
And Control ◽  
Intensive Care Unit Nurses ◽  
Experimental Group

We developed and tested the effectiveness of an algorithm to prevent medical device–related pressure injuries in intensive care unit patients. It was developed in four stages: literature review and analysis of medical records; preliminary algorithm development; validation of the preliminary algorithm by experts in two rounds; and practical feasibility verification of the revised algorithm by 109 intensive care unit nurses. To verify the algorithm’s effectiveness, we compared the incidence of medical device–related pressure injuries between 324 patients without algorithm application (control group) and 312 patients with algorithm application (experimental group). The outcomes were skin inspection of the medical device attachment, pressure injury evaluation, and implementation of pressure injury-preventive nursing care, based on the medical device type. The incidence rates were 1.46 per 100 devices (control group) and 1.19 per 100 devices (experimental group). Since there was no homogeneity in the previous score of the Braden scale in the experimental and control groups, the results regarding the incidence of pressure damage after applying the algorithm should be interpreted with care. Applying this algorithm was a safe intervention that helped prevent medical device–related pressure injuries in this population.

scholarly journals The Effect of Narrative Writing of Mothers on Their Stress With Care in the Neonatal Intensive Care Unit

2020 ◽  
Vol 10 (3) ◽  
pp. 196-205
Author(s):  
Atoosa Tavasoli ◽  
◽  
Golbahar Akhoundzadeh ◽  
Hamid Hojjati ◽  
◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
T Test ◽  
Control Group ◽  
Narrative Writing ◽  
Control Groups ◽  
And Control ◽  
Experimental Group

Objective: Premature birth and hospitalization in the intensive care unit cause many crises and stresses for mothers. In the meantime, narration writing is a method of counseling to reduce mothers' stress. Therefore, we aimed to study the effect of maternal narration on the stress of mothers of premature infants admitted to the neonatal intensive care unit. Methods: This experimental study was performed on mothers of neonates admitted to the intensive care units. The experimental and control groups were selected by simple random sampling method. In the experimental group, based on the instructions given, the mothers recorded their daily events 3 times a day. The obtained data were analyzed in SPSS V. 21 with descriptive statistics (mean and standard deviation) and inferential statistics (paired t-test, independent t-test, ANCOVA test). Results: The Mean±SD score of stress was 97.43±2.66 in the experimental group and 95.26±5.76 in the control group before the intervention. The stress level of mothers was 84.9±5.35 in the experimental group after the intervention and 87.1±5.25 in the control group. The covariance test showed a significant difference between the experimental and control groups (P=0.03 and Eta= 0.07) so that 7% of stress reduction changes are related to mothers' narration. Conclusion: This study showed that narrative writing as an effective supportive intervention has a vital role in reducing stress in mothers of neonates admitted to the intensive care unit. 

scholarly journals Increasing awareness about the neonatal care of fathers whose babies are hospitalized in neonatal intensive care unit

2018 ◽  
Vol 6 (3) ◽  
pp. 72
Author(s):  
Harun Özbey ◽  
İlknur Kahriman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Newborn Care ◽  
Neonatal Care ◽  
Control Group ◽  
Control Groups ◽  
And Control ◽  
Experimental Group

Objective: This research was conducted to determine the efficiency of the training given to the fathers whose babies were hospitalized in the neonatal intensive care unit regarding the improvement of awareness about “Newborn Care” and to develop their awareness about it.Methods: In this experimental study including pre/post tests and control group, the fathers in the experimental group were given theoretical training and brochures about neonatal care. No training was provided to the fathers in the control group. They were only given visually enriched brochures. The data were collected using a father identification form and an information form including questions to determine the knowledge levels of the fathers level about newborn care. In the analysis of the data, numbers, percentages, distributions, Wilcoxon test for the comparison of pre/post training scores, Mann-Whitney U test for the comparison of two independent groups, and chi-square test for the comparison of socio-demographic characteristics of fathers were used. The significance level was accepted as p < .05. Institutional and ethics committee permissions were obtained for the research.Results: While pre-training knowledge scores of the fathers in the experimental and control groups were 12.24 ± 12.24 and 12.48 ± 8.46 respectively, their post training scores increased up to 42.98 ± 3.70 and 18.60 ± 6.05 and the difference between them was statistically significant (Z = -6.157, p = .00; Z = -5.297, p = .00). When the experimental and control groups were compared in terms of knowledge scores, while the pre-training scores were found similar, the post training scores in the experimental group were significantly higher than those of the control group (p = .23, p = .00, respectively).Conclusions: According to these data, the training given to the fathers was found to be effective and their awareness of basic new born care increased.

scholarly journals Effectiveness of Instruction Program on Nurses' Knowledgeabout Clinical Devices Alarm in Intensive Care Unit

2021 ◽  
Vol 15 (5) ◽  
pp. 1424-1427
Author(s):  
A. S. Obeid ◽  
MS CN ◽  
Hudabaker hassan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Care Provider ◽  
Correct Answer ◽  
Control Group ◽  
Level Of Education ◽  
Post Test ◽  
And Control ◽  
Experimental Group ◽  
Nurses Knowledge

The clinical alarms are used to enhance safety by alerting care provider to any deviations from normal status. The alarms alert care provider when there is deterioration in patient’s condition and there is a need for intervention, or when a device is not working as it should (1). Objectives:The aims of present study is to find out the effectiveness of instruction program on nurses knowledge about the clinical devices alarm, and to find out the relationship between the effectiveness of program and nurses level of education, year of experiences in nursing, and year of experiences in intensive care units. Methodology: a quasi-experimental study wascarried out on 80 nurses is divided to two groups (Experimental group who exposed on program, and control group to compare with experimental group) two group of nurse is workingin Al-Imam Al-Hussein Medical City, in holy Kerbala’a City, Iraq. The study started at 3rd of May, 2020 to 25th of May, 2021.The instrument consist of two part; part one deals the characteristics of the sample which of age, gender, level of education, year of experiences in nursing, year of experiences in intensive care units, and specific training course. Part two deals the nurses knowledge related to clinical devices alarm which of 30 items, the validity of instrument and program was obtained from 12 expert in specialty, the reliability was =1.81, the data analysis was done by uses SPSS program version 23, the statistical methods which used in present study is descriptive and inferential statistics. Results: the findings of present study revealed that the correct answer for experimental group at pretest was 42.44% then at post test was 99.87%, and correct answer for control group was 31.71 at pretest and 35.69% at post test., and there were statistical differences between experimental and control group at post test at P≤0.05 Conclusions:the study concluded that the instruction program on nurses knowledge was effective on experimental group through improving their knowledge Recommendations:The researchers recommend that the current program should be applied to all nurses in critical units because of its utmost importance in monitoring and patient safety. Keywords:Effectiveness, InstructionsProgram,Nurses, Knowledge, Clinical, Monitoring, Devices, Alarms, Intensive Care Unit

scholarly journals Oral Care Effect on Intubated Patient with 0.2 per cent Chlorhexidine Gluconate and Tooth Brushing in Intensive Care Unit

2017 ◽  
Vol 8 (1-2) ◽  
pp. 26-33
Author(s):  
Mohammad Khan ◽  
Zeehaida Mohamed ◽  
Saedah Ali ◽  
Norkhafizah Saddki ◽  
Sam’an Malik Masudi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Oral Care ◽  
Chlorhexidine Gluconate ◽  
Tooth Brushing ◽  
Control Group ◽  
Ventilator Associated Pneumonia ◽  
Statistical Software ◽  
Patient Screening ◽  
Experimental Group

Aims and Objectives: Ventilator-associated pneumonia is associated with increased morbidity and mortality. The aim of this pilot study was to determine the effectiveness of oral care with both tooth brushing and 0.2 per cent chlor-hexidine gluconate compared to 0.2 per cent chlorhexidine gluconate alone for the intubated patient in an intensive care unit (ICU). Materials and Methods: Patient screening was done over a period of two months. After taking informed consent, those ICU patients were divided into two groups. Only nine subjects were enrolled. During the study, the experimental group (N = 4) got oral care that consisted of both tooth brushing and 0.2 per cent chlorhexidine gluconate thrice a day. The control group got oral care with 0.2 per cent chlorhexidine gluconate alone thrice a day. The data were analysed by IBM statistical software SPPS, version 24. Results: Preliminary results suggest that the risk of ventilator-associated pneumonia in intubated patients can be reduced by maintaining thrice-daily oral care involving both tooth brushing and 0.2 per cent chlorhexidine gluconate. Conclusion: Thrice-daily oral care consisted of both tooth brushing and 0.2 per cent chlorhexidine gluconate might be a promise as a ventilator-associated pneumonia-reduction strategy in ICU. Furthermore, more studies are required for its application widely.

Self-Concept in Intensive Care Nurses and Control Group Women

2009 ◽  
Vol 16 (3) ◽  
pp. 328-339 ◽  
Author(s):  
Suzana Mlinar ◽  
Matej Tušak ◽  
Damir Karpljuk
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
High School Education ◽  
Self Concept ◽  
Control Group ◽  
Value System ◽  
Intensive Care Nurses ◽  
Clinical Nurses ◽  
And Control ◽  
Group Self

Our self-concept is how we see ourselves in our minds. The goal of this research was to discover any significant differences in the dimensions of self-concept between clinical nurses employed in an intensive care unit in Slovenia and Slovenian women from the general population, who represented the control group. The research included 603 women aged 20—40 years (mean 29.94; standard deviation ±6.0) who had a high-school education. To determine the differences between the groups statistically we used one-way analysis of variance. The results revealed that clinical nurses had a more positive self-concept than members of the control group. Self-concept is very important in nursing because it is closely connected to the existing value system of individuals and their behaviour. Self-concept gives nurses a sense of how they use their abilities and how they perform in relation to patients.

Effect of Nebulized Eucalyptus for Preventing Ventilator-Associated Pneumonia in Patients under Mechanical Ventilation: A Randomized Double Blind Clinical Trial

2018 ◽  
Author(s):  
HasanAli Karimpour ◽  
Behzad Hematpour ◽  
Saeed Mohammadi ◽  
Javad Aminisaman ◽  
Maryam Mirzaei ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Intervention Group ◽  
Control Group ◽  
Pulmonary Infections ◽  
Double Blind ◽  
Double Blind Clinical Trial ◽  
And Control ◽  
And Staphylococcus Aureus

Abstract Background: Pneumonia caused by the ventilator is the most common acquired infection in the intensive care unit, which increases the morbidity and mortality of the patients. Eucalyptus plant has antiseptic properties. Therefore, the present study investigates the effect of eucalyptus incense on prevention of pneumonia in patients with endotracheal tube in the intensive care unit. Methods: This clinical trial study was performed on 100 patients under ventilation in two intervention and control groups in Imam Reza Hospital, Kermanshah, Iran in 2018. The patients in the intervention group, Eucalyptus solution 2% and in the control group received 10 cc distilled water as an inhaler three times a day. The results of the two groups were compared to the incidence of pulmonary infections based on CPIS criteria and compared with SPSS version 19 software. Results: The incidence of late pneumonia was significantly lower in the intervention group (P=0.02). The onset of pneumonia significantly later in the intervention group than the control group (P=0.01). The prevalence of Klebsiella, Candida albicans, and Staphylococcus aureus was significantly decreased in the intervention group (P=0.02) (P=0.04) (P=0.01). Conclusion: The results of this study showed that eucalyptus inhalation is effective in reducing the incidence of pulmonary infection in patients under ventilation. It is recommended that these products be used to prevent pulmonary infections in these patients.

Relationship between skin temperature and medical device-related pressure injury in intensive care unit

2021 ◽  
Vol 31 ◽  
pp. S614-S617
Author(s):  
Sintawati Majid ◽  
Saldy Yusuf ◽  
Yuliana Syam ◽  
Muhammad Darwis ◽  
Deliaty Bagenda Ali
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Skin Temperature ◽  
Medical Device ◽  
Pressure Injury

scholarly journals End-of-Life Care Mobile App for Intensive-Care Unit Nurses: A Quasi-Experimental Study

2021 ◽  
Vol 18 (3) ◽  
pp. 1253
Author(s):  
Jin Hee Yang ◽  
Gisoo Shin
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
Self Efficacy ◽  
End Of Life Care ◽  
Mobile App ◽  
Life Care ◽  
Quasi Experimental ◽  
Intensive Care Unit Nurses ◽  
Experimental Group

Intensive-care unit nurses may experience difficulties in end-of-life care because of frustration or lethargy. The purpose of this study was to develop a mobile end-of-life care program for intensive-care unit nurses and evaluate the effects on competence factors such as knowledge, self-efficacy, and compassion. A quasi-experimental design was used. The participants included 44 nurses who had less than three years of experience in the intensive-care unit, divided into the experimental group and control group. After the intervention, the experimental group showed a significant improvement in self-efficacy in end-of-life care and compassion in end-of-life care. Based on the results of this study, the end-of-life care mobile app was an effective educational method for nurses with experience of less than 3 years in an intensive-care unit. To improve the quality of end-of-life care, it is necessary to develop various educational programs considering the greater role of the fourth industrial revolution in the future.

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