Measuring Sleep in the Intensive Care Unit: A Critical Appraisal of the Use of Subjective Methods

2017 ◽  
Vol 34 (9) ◽  
pp. 751-760 ◽  
Author(s):  
Emma L. Jeffs ◽  
Julie L. Darbyshire
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Data Collection ◽  
English Language ◽  
Adult Population ◽  
Subjective Assessment ◽  
Validity And Reliability ◽  
Eligibility Criteria ◽  
Language Studies ◽  
Sleep Measurement

Objectives:To collate and appraise the use of subjective measures to assess sleep in the intensive care unit (ICU).Design:A systematic search and critical review of the published literature.Data Sources:Medline, Scopus, and Cumulative Index to Nursing and Allied Health Literature were searched using combinations of the key words “Sleep,” “Critical Care,” “Intensive Care,” and “Sleep Disorders,” and this was complemented by hand searching the most recent systematic reviews on related topics.Study Eligibility Criteria:Papers were limited to non-gray English-language studies of the adult population, published in the last 10 years.Outcome Measures:Primary outcomes were the number and categorization of quantitative studies reporting measures of sleep, the number of participants for each data collection method, and a synthesis of related material to appraise the use of survey tools commonly used for sleep measurement in the ICU.Results:Thirty-eight papers reported quantitative empirical data collection on sleep, 17 of which used a primary method of subjective assessment of sleep by the patient or nurse. Thirteen methods of subjective sleep assessment were identified. Many of these tools lacked validity and reliability testing.Conclusions:Research using questionnaires to assess sleep is commonplace in light of practical barriers to polysomnography or other measures of sleep. A methodologically sound approach to tool development and testing is crucial to gather meaningful data, and this robust approach was lacking in many cases. Further research measuring sleep subjectively in ICU should use the Richards Campbell Sleep Questionnaire, and researchers should maintain a commitment to transparency in describing methods.

scholarly journals PENDIDIKAN KARAKTER BERBASIS GERAKAN LITERASI DI SEKOLAH DASAR

2020 ◽  
Vol 11 (1) ◽  
pp. 24-34
Author(s):  
Sri Subiyanti ◽  
Murtono Murtono ◽  
Suad Suad
Keyword(s):  
Elementary School ◽  
Data Collection ◽  
Character Education ◽  
Elementary School Students ◽  
T Test ◽  
Fifth Grade ◽  
Validity And Reliability ◽  
Research Subjects ◽  
School Students ◽  
Eligibility Criteria

The purpose of this study was to develop and test the effectiveness of the character education module based on the school literacy movement. This type of research uses Research and Development (RnD). The research subjects used were fifth grade elementary school students in the RA Kartini Cluster, Jaken District, Pati Regency. Data collection techniques by means of observation, interviews, documentation, and questionnaires. The data was collected using observation sheets, interview sheets, photos of activities, and filling out questionnaires. Sources of data obtained from filling out questionnaires, observations, and responses from school principals, class teachers, subject teachers, students, and school committees on the implementation of the module. The resulting module is validated by material experts and module experts. Small group trials were conducted in fifth grade SDN Mojoluhur, Jaken District, Pati Regency. Meanwhile, product use trials were carried out in fifth grade SDNs in the RA Kartini Cluster, Jaken District, Pati Regency. Data analysis techniques are data collection, data presentation, and drawing conclusions and using the t-test to determine the effectiveness of the module. The questionnaire instrument test used validity and reliability, while the quality of the module in the study used expert validation. The results showed: (1) a character education module developed based on the school literacy movement for elementary schools; (2) the character education module based on the school literacy movement is declared valid, the percentage of eligibility criteria for the validator is 75% (feasible) and 83% (very feasible); (3) the character education module based on the school literacy movement is effective for instilling character education in elementary school students. This is shown in the t test the effectiveness of -121.696 1.86 was obtained and the average student character questionnaire before and after using the module increased by 30.08%; (4) the results of teacher responses from observations showed 75.6% (good).

Predictive validity and reliability of the Braden scale for risk assessment of pressure ulcers in an intensive care unit

2018 ◽  
Vol 42 (2) ◽  
pp. 82-91 ◽  
Author(s):  
M. Lima-Serrano ◽  
M.I. González-Méndez ◽  
C. Martín-Castaño ◽  
I. Alonso-Araujo ◽  
J.S. Lima-Rodríguez
Keyword(s):  
Risk Assessment ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Predictive Validity ◽  
Pressure Ulcers ◽  
Validity And Reliability ◽  
Braden Scale

Odontogenic Keratocyst

2021 ◽  
Vol 17 (2) ◽  
pp. 52-61
Author(s):  
Marwa A. Hamied ◽  
Salwa M. Al-Shaikhani ◽  
Zana D. Ali
Keyword(s):  
English Language ◽  
Odontogenic Keratocyst ◽  
Hard Copy ◽  
English Studies ◽  
Eligibility Criteria ◽  
Virtual Database ◽  
Manual Search ◽  
Language Studies ◽  
Wait And See ◽  
Early Diagnose

Purpose: to review in detail various aspects of odontogenic keratocyst, emphasizing recent nomenclature, clinical, histopathological, recurrence, and management of odontogenic keratocyst. Methods: To achieve the objective of this review, a manual search was done in hard copy books of oral and maxillofacial pathology, and an electronic search was done in the google website, oral and maxillofacial pathology E-books, virtual database sites, such as PubMed, Research Gate, Academia, and Google scholar using the descriptors: odontogenic cyst, kerato odontogenic tumor, odontogenic keratocyst, and jaws cystic lesion. The eligibility criteria for selecting articles were: to be in the English language, studies published in journals, or indexed in these databases until 2021. Exclusion criteria were: articles in any languages other than English, studies presented in duplicate between the bases, whose theme did not contemplate the objective proposed in this review, or those not available in the digital environment. Data collection occurred from October to December 2020, followed by a thorough evaluation of the studies found, including an exploratory, selective, analytical, and interpretative reading. Summary and conclusions: the odontogenic keratocyst is noteworthy because of its unusual growth pattern, the tendency to recur, and association with an inherited syndrome. The renaming of odontogenic keratocysts as keratocystic odontogenic tumors has been one of the most debatable changes in the terminology of odontogenic lesions in recent years. Early diagnose of this lesion is important to perform the more conservative treatment. A wait-and-see policy, with yearly follow-up for the first five years and every two years after that, is strongly advocated.

scholarly journals Prevalence and Risk Factors of Thromboembolism among Patients With Coronavirus Disease-19: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 26 ◽  
pp. 107602962096708
Author(s):  
Belayneh Kefale ◽  
Gobezie T. Tegegne ◽  
Amsalu Degu ◽  
Melaku Tadege ◽  
Desalegn Tesfa
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
English Language ◽  
Meta Analysis ◽  
Thrombotic Event ◽  
Cochrane Library ◽  
Pooled Prevalence ◽  
D Dimer

Emerging evidence shows that the recent pandemic of coronavirus disease 19 (COVID-19) is characterized by coagulation activation and endothelial dysfunction. This increases the risk of morbidity, mortality and economic loss among COVID-19 patients. Therefore, there was an urgent need to investigate the extent and risk factors of thromboembolism among COVID-19 patients. English-language based databases (PubMed, Cumulative Index to Nursing and Allied Health Literature, EMBASE, and Cochrane library) were exhaustively searched to identify studies related to prevalence of thromboembolism among hospitalized COVID-19 patients. A random-effects model was employed to estimate the pooled prevalence of thromboembolism. The pooled prevalence of thrombotic events was computed using STATA 16.0 software. Heterogeneity analysis was reported using I2. A total of 19 studies with 2,520 patients with COVID-19 were included. The pooled prevalence of thrombotic events of hospitalized patients with COVID-19 was 33% (95% CI: 25-41%, I2 = 97.30%, p < 0.001) with a high degree of heterogeneity across studies. Elevated D-dimer hospitalized in the intensive care unit and being under mechanical ventilation were the most frequently associated factors for the development of thrombotic events. The pooled prevalence of thrombotic events in COVID-19 patients was 33%. The prevalence of thrombotic event is variables on the basis of study design and study centers. Several risk factors such as, elevated D-dimer, hospitalized in the intensive care unit and being under mechanical ventilation, were the most frequently reported risk factors identified. Therefore, healthcare professionals should consider these risk factors to optimally manage thromboembolism in COVID-19 patients.

Pharmacy Personnel’s Involvement in Transitions of Care of Intensive Care Unit Patients: A Systematic Review

2020 ◽  
pp. 089719002091152
Author(s):  
Mikhaila Rice ◽  
Alyssa Lear ◽  
Sandra Kane-Gill ◽  
Amy L. Seybert ◽  
Pamela L. Smithburger
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medication Safety ◽  
English Language ◽  
Health Care Team ◽  
Error Rates ◽  
Transitions Of Care ◽  
Patient Centered ◽  
Safety Measures ◽  
Team Members

Objective: Do pharmacy personnel- (ie, pharmacist or pharmacy technician) driven interventions at transitions of care into or out of the intensive care unit (ICU) improve medication safety measures compared to interventions made by other health-care team members or no intervention? Data Sources: A literature search of MEDLINE and Embase limited to English language and humans was performed (from 1969 until January 2019). Bibliographies of included investigations were reviewed for additional citations. Methods: Investigations were selected if they described a pharmacy-driven intervention at any point of transfer into or out of an ICU setting. Ten investigations were included. Five described interventions relevant to the entire ICU population, and 5 described interventions targeted to specific medications or disease. Results: A variety of interventions were utilized in the 10 included investigations. A significant improvement was demonstrated with pharmacy-driven intervention in all 4 studies that evaluated the entire ICU patient population. Interventions specific to certain medication and disease improved medication safety measures but were not always statistically significant. Medication error rates are high in patients transferred into and out of the ICU, and limited data exist to address this concern. This review compares and evaluates the current literature to guide future interventions and research in this area. Conclusions: Although pharmacy-driven interventions demonstrated some benefit in various medication safety measures in the majority of studies, additional randomized and prospective trials with patient-centered outcomes that assess morbidity and mortality are needed.

scholarly journals Childrens participation in the PICU from the nurses' perspective

2018 ◽  
Vol 9 (4) ◽  
pp. 65 ◽  
Author(s):  
Elisabeth Wimo ◽  
Ann-Mari Fagerdahl ◽  
Janet Mattsson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Data Collection ◽  
Critically Ill ◽  
Pediatric Intensive Care Unit ◽  
Nursing Care ◽  
Pediatric Intensive Care ◽  
Qualitative Approach ◽  
Interpretive Phenomenology ◽  
Care Intervention

Children who are critically ill are vulnerable and the nurse has a responsibility to meet the child's needs in a pediatric intensive care unit (PICU). The aim was to explore the vulnerable child's participation and how it can be understood through the nurses’ perspective in the nursing care intervention. The study design was an exploratory inductive qualitative approach. Data collection was done through observations and interviews. The data from the observations were analyzed through interpretive phenomenology. The affective elements were viewed as essential for uncover how children participate in the PICU. Three themes emerged through the analysis: Mediated participation, Bodily participation and Participation by proxy. They all highlight different aspect of the vulnerable child's way of participating in the nursing care given, through nurses’ awareness and situated salience. The concept participation should be redefined and broadened; as participation can present itself through the child’s body in diverse ways.

Sign in / Sign up

Export Citation Format

Share Document