Values and self-perception of behaviour among critical care nurses

2021 ◽  
pp. 096973302199973
Author(s):  
Kaoru Ashida ◽  
Aki Kawakami ◽  
Tetsuharu Kawashima ◽  
Makoto Tanaka
Keyword(s):  
Critical Care ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Working Environment ◽  
Self Perception ◽  
Cross Sectional ◽  
Team Members ◽  
The Difference ◽  
Tokyo Medical

Background: Moral distress has various adverse effects on nurses working in critical care. Differences in personal values, and between values and self-perception of behaviour are factors that may cause moral distress. Research aims: The aims of this study were (1) to identify ethical values and self-perception of behaviour of critical care nurses in Japan and (2) to determine the items with a large difference between value and behaviour and the items with a large difference in value from others. Research design: A nationwide, cross-sectional study was conducted. Participants and research context: We developed a self-administered questionnaire with 28 items, which was completed by 1014 critical care nurses in Japan. The difference between value and self-perception of behaviour was calculated from the score of each value item minus the score of each self-perception of behaviour item. The size of the difference in value from the others was judged by the standard deviation of each item. Ethical considerations: The study was approved by the Ethics Committee of the Tokyo Medical and Dental University (approval nos. M2018-214, M2019-045). Results: The items with a large difference between value and behaviour sources were related to the working environment and decision-making support. The items with a large difference in value from others were related to hospital management and disclosure of information to patients. Discussion: Improving the working environment for nurses is important for reducing moral distress. Nurses are faced with a variety of choices, including advocating for patients and protecting the fair distribution of medical resources, and each nurse’s priorities might diverge from those of other team members, which can lead to conflict within the team. Conclusion: This study revealed items with particularly high risks of moral distress for nurses. The results provide foundational information that can guide the development of strategies to mitigate moral distress.

scholarly journals Moral distress and avoidance behavior in nurses working in critical care and noncritical care units

2012 ◽  
Vol 20 (5) ◽  
pp. 589-603 ◽  
Author(s):  
Mary Jo De Villers ◽  
Holli A DeVon
Keyword(s):  
Critical Care ◽  
Avoidance Behavior ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Cross Sectional ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Avoidance Behaviors ◽  
Distress Scale

Nurses facing impediments to what they perceive as moral practice may experience moral distress. The purpose of this descriptive, cross-sectional study was to determine similarities and differences in moral distress and avoidance behavior between critical care nurses and non-critical care nurses. Sixty-eight critical care and 28 non-critical care nurses completed the Moral Distress Scale and Impact of Event Scale (IES). There were no differences in moral distress scores ( F = 0.892, p = 0.347) or impact of event scores ( F = 3.80, p = 0.054) between groups after adjusting for age. There was a small positive correlation between moral distress and avoidance behaviors for both the groups. Moral distress is present in both critical care and noncritical care nurses. It is important that nurses are provided with opportunities to cope with this distress and that retention strategies include ways to reduce suffering and mitigate the effects on professional practice.

scholarly journals The Pandemic and Changes in the Self-Perception of Teacher Digital Competences of Infant Grade Students: A Cross Sectional Study

2021 ◽  
Vol 18 (9) ◽  
pp. 4756
Author(s):  
Rosalía Romero-Tena ◽  
Carmen Llorente-Cejudo ◽  
María Puig-Gutiérrez ◽  
Raquel Barragán-Sánchez
Keyword(s):  
Intervention Group ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Digital Competence ◽  
Cross Sectional ◽  
Self Perceptions ◽  
Group A ◽  
Different Dimensions ◽  
The Difference ◽  
Group B

Without having a reaction time, the pandemic has caused an unprecedented transformation in universities around the world, leading to a revolution from structured models anchored in the conception of transmission of training towards a teaching approach-learning saved thanks to the incorporation of technology. This study aims to verify whether the pandemic situation has influenced the digital competence self-perception of students. Comparing two groups during the academic years 2019/2020 and 2020/2021, the instrument used is the questionnaire for digital competence “DigCompEdu Check-In” for future teachers. After the educational intervention, group A (before COVID-19) presented higher self-perceptions of competence than group B (during COVID-19); the pandemic situation caused by COVID-19 has negatively influenced students’ self-perception of their digital skills in the pretest in the different dimensions under study. Before receiving the training, the group that did not experience the pandemic enjoyed a higher self-perception of their competencies than the group that experienced the pandemic. The data obtained indicate that the difference exists, and that it is statistically significant, and may be a consequence of the clear relationship between self-perception and the way in which students face reality through their personal and subjective vision.

scholarly journals Perception of the learning environment among the students in a nursing college in Eastern Nepal

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Erina Shrestha ◽  
Ram Sharan Mehta ◽  
Gayanand Mandal ◽  
Kriti Chaudhary ◽  
Nirmala Pradhan
Keyword(s):  
Nursing Students ◽  
Learning Environment ◽  
Cross Sectional Study ◽  
Educational Environment ◽  
Health Science ◽  
Positive Perception ◽  
Self Perception ◽  
Science Data ◽  
Cross Sectional ◽  
The Difference

Abstract Background Learning environment is an important base for learning processes of students and for preferences of future workplaces. It is considered as an essential factor in determining the success of an effective curriculum and the students’ academic achievements. This study attempts to assess the perception of learning environment among the nursing students. Methods A descriptive cross-sectional study design was used to conduct the study among 122 nursing students studying at B.P. Koirala Institute of Health Science. Data were collected following total enumerative sampling method using a self-administered questionnaire. Dundee Ready Educational Environment Measure (DREEM) inventory tool was used to assess the perception of learning environment. Descriptive statistics (frequency, percentage, mean and standard deviation) was used to describe the demographic and other related variables. One way Analysis of Variance (ANOVA) was used to find out the difference in the overall scale score and its subscales across the selected socio-demographic variables (age, ethnicity, residence, year of enrollment) of the respondents. Results The mean age of the students was 21 ± 1.46 years. Majority of the students were from Province no. 1 (57.4%) and largely from Sunsari district (25.4%). First year students were found to be more satisfied (68.23%) with the educational environment (136.45 ± 16.93) compared to student of other years. Academic self-perception (21.94 ± 3.42) was the highest scoring subscale (68.57%) while the social self-perception (16.43 ± 2.96) was the lowest (58.66%). The overall DREEM score (131.25 ± 15.82 out of 200) indicated that perception of learning environment among the students was positive. Despite overall positive perception, students perceived that the teachers were authoritative and there is lack of good support system for the students at the time of stress. The total DREEM score varied significantly between the years of enrollment (p < 0.05). Conclusion The current study showed positive perception of learning environment which varied significantly according to the year of enrollment. However improvements are required across all the five domains for the high quality educational environment. Future qualitative studies are recommended to confirm and to have in-depth understanding of this finding.

scholarly journals LEVELS OF BURNOUT SYNDROME IN CROATIAN CRITICAL CARE NURSES: A CROSS-SECTIONAL STUDY

2020 ◽  
Author(s):  
Adriano Friganović ◽  
Polona Selič
Keyword(s):  
Critical Care ◽  
Emotional Exhaustion ◽  
Healthcare Workers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Burnout Syndrome ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Dependency

Background: Burnout syndrome occurs in people who work in jobs which involve frequent and intense contact with people, especially healthcare workers. High dependency departments such as critical care units are very stressful environments, and this can lead to a greater incidence of burnout, especially of emotional exhaustion and poor personal accomplishment. Nurses are the largest group of healthcare workers, and so it is reasonable to expect they would have a high prevalence of burnout.Subjects and methods: The aim of this study was to assess the prevalence of burnout in critical care nurses in Croatia and explore its association with demographic features. A cross-sectional study of 620 nurses was conducted in several university hospitals, using convenience sampling. The Maslach Burnout Inventory was administered, together with questions about the sociodemographic and work characteristics of the participants (age, gender, length of work in ICU, education, type of ICU).Results: The majority of the sample were female nursing staff (87.7%), aged 26-35 (38.9%). The results showed that approximately every fifth nurse (22.1%) expressed a high emotional exhaustion (EE), with lesser burden of a high depersonalisation (D) in 7.9%, yet every third nurse (34.5%) scored low on PA. Male nurses reported more depersonalisation (p=0.045), yet neither EE nor the PA dimensions differed by gender.Conclusion: The results of this study concerning burnout are comparable to those of studies of other professions, but the results vary with regard to the sample and the working conditions of the countries.

scholarly journals Needs of family members of patients admitted to a university hospital critical care unit, Izmir Turkey: comparison of nurse and family perceptions

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11125
Author(s):  
Sibel Büyükçoban ◽  
Zehra Mermi Bal ◽  
Ozlem Oner ◽  
Necmiye Kilicaslan ◽  
Necati Gökmen ◽  
...  
Keyword(s):  
Critical Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Family Needs ◽  
Cross Sectional ◽  
Significant Difference ◽  
Care Approach ◽  
Service Training ◽  
The Difference ◽  
Family Perceptions

Purpose: This study aims to compare the perceptions of nurses and families on the needs of the relatives of the patients in Intensive Care Unit (ICU). Methods This cross-sectional study was conducted in the ICU of a university hospital. The study comprised 213 critical care patients’ relatives and 54 nurses working in the same ICU. Data were collected using the Turkish version of Critical Care Family Needs Inventory (CCFNI) and a questionnaire on the characteristics of the participants. The difference between the perceptions of families and nurses was analyzed using Student t-test. Results: CCFNI’s assurance/proximity subscale mean scores ranked first among bothpatients and nurses. The item “To be assured the best care possible is being given to the patient” was the top priority for both groups. Mean assurance/proximity and information dimensions of relatives were significantly higher compared to nurses (p < 0.001). No significant difference was found between the perception of patient relatives and nurses related to support and comfort dimensions (p < 0.05). Conclusion The needs of the relatives of patients are underestimated by nurses. This inhibited the performance of ICU nurses in line with the holistic care approach. Educational objectives that include the needs of ICU patients’ relatives should be incorporated into the undergraduate and in-service training of nurses. Policies should be established to create space and time for effective relative-nurse communication.

Physical assessment skills practised by critical care nurses: A cross‐sectional study

2022 ◽  
Author(s):  
Syeril Nadia Rosli ◽  
Kim Lam Soh ◽  
Swee Leong Ong ◽  
Azura Abdul Halain ◽  
Rosna Abdul Raman ◽  
...  
Keyword(s):  
Critical Care ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physical Assessment ◽  
Assessment Skills ◽  
Physical Assessment Skills

scholarly journals Differential antibiotic dosing in critical care: survey on nurses’ knowledge, perceptions and experience

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Sarah Fawaz ◽  
Stephen Barton ◽  
Laura Whitney ◽  
Shereen Nabhani-Gebara
Keyword(s):  
Critical Care ◽  
Nursing Education ◽  
Antimicrobial Resistance ◽  
Continuous Infusion ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Antibiotic Administration ◽  
Cross Sectional ◽  
Treatment Regimens ◽  
Nurses Knowledge

Abstract Background With the discovery of new antibiotics diminishing, optimizing the administration of existing antibiotics has become a necessity. Critical care nurses play a crucial role in combating antimicrobial resistance and are involved in preparing and administering antibiotics as well as monitoring their effects on patients. A dosing strategy proposed to reduce the development of ever-evolving antimicrobial resistance involves differential dosing regimens such as prolonged/continuous infusions. Objectives To assess critical care nurses’ knowledge, perceptions, comfort and experience in relation to prolonged/continuous infusion antibiotics. Methods A descriptive cross-sectional study was conducted using an investigator-developed, self-administered survey consisting of open- and closed-ended questions. Obtained data were computed using SPSS. Descriptive and inferential statistics were used to analyse the data. Results Fifty-two critical care nurses participated in the survey. Data revealed that nurses have adequate levels of knowledge and comfort relating to the use of prolonged/continuous infusion antibiotics along with the ability to communicate effectively on the topic. Results indicate there is a need for further learning, especially in terms of multiplicity of methods for preparing and administering prolonged/continuous infusions and dose calculations. Overall, results are promising as nurses support the wider implementation of prolonged/continuous infusion treatment regimens in critical care. Conclusion Although critical care nurses had a good understanding surrounding the use of prolonged/continuous infusion antibiotics, there is a need for further learning beyond information gained from nursing education courses. Findings from this study indicate that nurses are supportive of prolonged/continuous infusion antibiotics. However, further research is needed to determine the most effective mode of antibiotic administration.

scholarly journals Awareness and practice of patient’s oral care among critical care nurses in a rural tertiary care hospital

2019 ◽  
Author(s):  
Singla Bhavika ◽  
Akshaya N. N.Shetti ◽  
Rachita Mustilwar ◽  
Singla Anshul
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Oral Care ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

Background and aim: Oral care contributes significantly to the patients’ health outcome in a critical care unit. Nurses play a vital role in maintaining good oral health. However, there remains a dearth of literature regarding oral care practices among nurses workingin an Indian critical care unit. In this descriptive cross sectional study, we assessed the level of awareness and the existing practices of patients’ oral care among our critical care unit (CCU) nurses. Methodology: After obtaining approval from the institutional ethics committee, 64 CCU nurses, having work experience of atleast 6 months in the CCU, were enrolled in this descriptive cross sectional study. A self-structured questionnaire was used to assess the awareness and practice of the nurses. The data collected was analyzed using descriptive statistics and results were expressed as percentages.Result: Of the 64 nurses enrolled in the study, there were no dropouts. It was found that 62 (96.87%) nurses provided oral care to all the CCU patients. 60 (93.7%) nurses claimed that a standard oral care protocol has been provided to them. Documentation of the oral care was carried out by 54 (84.37%) nurses. Although 50% of the nurses had been trained to provide oral care, 54 (84.37%) nurses felt the need of fresh training. 60 (93.7%) nurses preferred using toothbrush in conscious patients. Chlorhexidine was the most commonly used solution. Bleeding, extubation and biting were among the few complications that they faced during routine oral care.Conclusion: Despite working in a rural set up with limited resources available, oral care was provided by most of the nurses. Following a standard protocol and documentation of the same, has helped maintain consistency in oral care of all critical care patients.Citation: Bhavika S, Shetti AN, Mustilwar R, Anshul S. Awareness and practice of patient’s oral care among critical care nurses in a rural tertiary care hospital. Anaesth pain & intensive care 2019;23(3):295-300

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