scholarly journals 12-Hour nursing shifts in critical care: A service evaluation

2018 ◽  
Vol 19 (3) ◽  
pp. 214-218 ◽  
Author(s):  
Ceri Battle ◽  
Paul Temblett
Keyword(s):  
Critical Care ◽  
Healthcare Provider ◽  
Service Evaluation ◽  
Critical Care Nursing ◽  
Single Centre ◽  
Burn Out ◽  
Single Centre Study ◽  
Care Outcomes ◽  
Provider Outcomes ◽  
The Impact

The aim of this single-centre study was to investigate the impact of the introduction of 12-h critical care nursing shifts on healthcare provider and patient care outcomes. A single-centre, prospective service evaluation was completed over a two-year period, comparing the 8-h and 12-h shifts. Outcomes included number of clinical incidents, levels of burn-out, sick rates, personal injuries and training. There were no significant differences between the clinical incidents, sickness rates, personal injuries and staff training between the two data collection periods. The results of the burn-out analysis demonstrate that emotional exhaustion and depersonalisation improved, from the 8-h to 12-h shifts (both p < 0.05). In conclusion, the results of this service evaluation have demonstrated that 12-h nursing shifts can be introduced safely into the critical care environment, without any detriment to patient or healthcare provider outcomes.

Student Nurses' Perception on the Impact of Information Technology on Teaching and Learning

2018 ◽  
pp. 53-66
Author(s):  
Nahed Kandeel ◽  
Youssreya Ibrahim
Keyword(s):  
Information Technology ◽  
Critical Care ◽  
Nursing Students ◽  
Teaching And Learning ◽  
Student Nurses ◽  
Critical Care Nursing ◽  
Nurses Perceptions ◽  
The Impact ◽  
Nursing Course ◽  
Care Nursing

This paper investigates student nurses' perceptions of the impact of using information technology (IT) on teaching and learning critical care nursing. This study was conducted at the Faculty of Nursing, Mansoura University, Egypt. The sample included 163 of fourth year Bachelor of Nursing students enrolled in a critical care nursing course during the first semester of the academic year 2007-2008. The data was collected using a questionnaire sheet that gathered information about student nurses' IT skills and use, perception of the access to and use of IT at Faculty of Nursing, perception of the impact of using IT on teaching and perception, and on the impact of using IT on learning the critical care nursing course. The findings indicate that nursing students had a positive perception on the impact of using IT on teaching and learning the critical care nursing course. Students wanted access to IT at the Faculty, and expressed their need for more training on using Internet and Microsoft PowerPoint, and for IT resources in classrooms.

Student Nurses’ Perception on the Impact of Information Technology on Teaching and Learning

2010 ◽  
Vol 6 (3) ◽  
pp. 38-50 ◽  
Author(s):  
Nahed Kandeel ◽  
Youssreya Ibrahim
Keyword(s):  
Information Technology ◽  
Critical Care ◽  
Nursing Students ◽  
Teaching And Learning ◽  
Student Nurses ◽  
Critical Care Nursing ◽  
First Semester ◽  
The Impact ◽  
Nursing Course ◽  
Care Nursing

This paper investigates student nurses’ perceptions of the impact of using information technology (IT) on teaching and learning critical care nursing. This study was conducted at the Faculty of Nursing, Mansoura University, Egypt. The sample included 163 of fourth year Bachelor of Nursing students enrolled in a critical care nursing course during the first semester of the academic year 2007-2008. The data was collected using a questionnaire sheet that gathered information about student nurses’ IT skills and use, perception of the access to and use of IT at Faculty of Nursing, perception of the impact of using IT on teaching and perception, and on the impact of using IT on learning the critical care nursing course. The findings indicate that nursing students had a positive perception on the impact of using IT on teaching and learning the critical care nursing course. Students wanted access to IT at the Faculty, and expressed their need for more training on using Internet and Microsoft PowerPoint, and for IT resources in classrooms.

The Impact Of Massachusetts Healthcare Insurance Reform On Critical Care Outcomes

2012 ◽  
Author(s):  
Colin R. Cooke ◽  
Sarah M. Lyon ◽  
Hannah Wunsch ◽  
Theodore J. Iwashyna ◽  
Jeremy M. Kahn
Keyword(s):  
Critical Care ◽  
Critical Care Outcomes ◽  
Insurance Reform ◽  
Care Outcomes ◽  
Healthcare Insurance ◽  
The Impact

Revisiting cytomegalovirus serostatus and replication as risk factors for inferior long-term outcomes in the current era of renal transplantation

2020 ◽  
Vol 35 (2) ◽  
pp. 346-356
Author(s):  
Nicole Bischof ◽  
Caroline Wehmeier ◽  
Michael Dickenmann ◽  
Patricia Hirt-Minkowski ◽  
Patrizia Amico ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Transplantation ◽  
Patient Survival ◽  
Long Term Outcomes ◽  
Single Centre ◽  
Centre Study ◽  
Single Centre Study ◽  
Cmv Disease ◽  
The Impact

Abstract Background Cytomegalovirus (CMV) serostatus and CMV replication are considered as risk factors for inferior graft and patient survival after renal transplantation, but long-term outcome data are limited. The aim of this retrospective single-centre study was to investigate the impact of CMV serostatus and CMV replication/disease on long-term outcomes in a well-defined cohort managed by a standardized CMV prevention/treatment protocol. Methods We investigated 599 consecutive kidney transplantations having a CMV prevention protocol consisting of either prophylaxis (D+/R− and R+ with ATG induction) or screening/deferred therapy (R+ without ATG induction). Patients were grouped according to CMV serostatus [high risk (D+/R−): n = 122; intermediate risk (R+): n = 306; low risk (D−/R−): n = 171] and occurrence of CMV replication/disease (no CMV replication: n = 419; asymptomatic CMV replication: n = 110; CMV syndrome: n = 39; tissue-invasive CMV disease: n = 31). The median follow-up time was 6.5 years. Results Graft and patient survival were not different among the three CMV serostatus groups as well as the four CMV replication/disease groups (P ≥ 0.44). Eighty-seven patients died, 17 due to infections (21%), but none was attributable to CMV. The overall hospitalization incidence for CMV-related infection was 3% (17/599 patients). The incidence of clinical and (sub)clinical rejection was similar among the groups (P ≥ 0.17). In a multivariate Cox proportional hazard model, neither CMV serostatus, nor CMV replication, nor CMV disease were independent predictors for patient death or graft failure, respectively. Conclusions This retrospective single-centre study suggests that the negative impact of CMV infection on long-term patient and allograft survival as well as on allograft rejection can be largely eliminated with current diagnostic/therapeutic management.

Telenursing in the Intensive Care Unit: Transforming Nursing Practice

2012 ◽  
Vol 32 (6) ◽  
pp. 62-69 ◽  
Author(s):  
Lisa-Mae Williams ◽  
Kenneth E. Hubbard ◽  
Olive Daye ◽  
Connie Barden
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Nursing Practice ◽  
Care Patient ◽  
Critical Care Nursing ◽  
Telecommunication Technology ◽  
Use Of Technology ◽  
The Impact ◽  
Care Nursing

In tele–intensive care units, informatics, telecommunication technology, telenursing, and telemedicine are merged to provide expert, evidence-based, and cutting-edge services to critically ill patients. Telenursing is an emerging subspecialty in critical care that is neither well documented in the extant literature nor well understood within the profession. Documentation and quantification of telenursing interventions help to clarify the impact of the telenurse’s role on nursing practice, enhancement of patient care, patient safety, and outcomes. Tele–intensive care unit nursing will continue to transform how critical care nursing is practiced by enhancing/leveraging available resources through the use of technology.

scholarly journals Rationing care by frailty during the COVID-19 pandemic

2020 ◽  
Author(s):  
Emma Grace Lewis ◽  
Matthew Breckons ◽  
Richard P Lee ◽  
Catherine Dotchin ◽  
Richard Walker
Keyword(s):  
Critical Care ◽  
Older People ◽  
Adverse Outcome ◽  
Older Individuals ◽  
Short Term ◽  
Clinical Frailty Scale ◽  
Widespread Implementation ◽  
Care Outcomes ◽  
Resource Allocation Strategy ◽  
The Impact

Abstract The coronavirus disease 2019 (COVID-19) pandemic is disproportionately affecting older people and those with underlying comorbidities. Guidelines are needed to help clinicians make decisions regarding appropriate use of limited NHS critical care resources. In response to the pandemic, the National Institute for Health and Care Excellence published guidance that employs the Clinical Frailty Scale (CFS) in a decision-making flowchart to assist clinicians in assessing older individuals’ suitability for critical care. This commentary raises some important limitations to this use of the CFS and cautions against the potential for unintended impacts. The COVID-19 pandemic has allowed the widespread implementation of the CFS with limited training or expert oversight. The CFS is primarily being used to assess older individuals’ risk of adverse outcome in critical care, and to ration access to care on this basis. While some form of resource allocation strategy is necessary for emergencies, the implementation of this guideline in the absence of significant pressure on resources may reduce the likelihood of older people with frailty, who wish to be considered for critical care, being appropriately considered, and has the potential to reinforce the socio-economic gradient in health. Our incomplete understanding of this novel disease means that there is a need for research investigating the short-term predictive abilities of the CFS on critical care outcomes in COVID-19. Additionally, a review of the impact of stratifying older people by CFS score as a rationing strategy is necessary in order to assess its acceptability to older people as well as its potential for disparate impacts.

scholarly journals The impact of FSH receptor polymorphism on time-to-pregnancy: a cross-sectional single-centre study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Birute Zilaitiene ◽  
Marius Dirzauskas ◽  
Rasa Verkauskiene ◽  
Rytas Ostrauskas ◽  
Joerg Gromoll ◽  
...  
Keyword(s):  
Fsh Receptor ◽  
Single Centre ◽  
Time To Pregnancy ◽  
Cross Sectional ◽  
Centre Study ◽  
Single Centre Study ◽  
The Impact ◽  
Fsh Receptor Polymorphism ◽  
Receptor Polymorphism

scholarly journals Incidence of chronic subdural haematoma: a single-centre exploration of the effects of an ageing population with a review of the literature

2021 ◽  
Author(s):  
D. J. Stubbs ◽  
M. E. Vivian ◽  
B. M. Davies ◽  
A. Ercole ◽  
R. Burnstein ◽  
...  
Keyword(s):  
Subdural Haematoma ◽  
Incidence Rates ◽  
Chronic Subdural Haematoma ◽  
Population Projections ◽  
Ageing Population ◽  
Single Centre ◽  
Crude Incidence ◽  
Single Centre Study ◽  
The Uk ◽  
The Impact

Abstract Background Chronic subdural haematoma (cSDH) is a common neurosurgical pathology frequently occurring in older patients. The impact of population ageing on cSDH caseload has not been examined, despite relevance for health system planning. Methods This is a single-centre study from the UK. Operated cases of cSDH (n = 446) for 2015–2018 were identified. Crude and directly standardised incidence rates were calculated. Medline and EMBASE were systematically searched to identify studies reporting on the incidence of cSDH by year, so an estimate of rate of incidence change could be determined. Local incidence rates were then applied to population projections for local catchment area to estimate operated cSDH numbers at 5 yearly intervals due to shifting demographics. Results We identified nine studies presenting incidence estimates. Crude estimates for operative cases ranged from 1.3/100,000/year (1.4–2.2) to 5.3/100,000/year (4.3–6.6). When non-operated cases were included, incidence was higher: 8.2/100,000/year (6.0–11.2) to 48/100,000/year (37.7–61.1). Four pairs of studies demonstrated incidence rate increases of 200–600% over the last 50 years, but data was deemed too heterogeneous to generate formal estimate of incidence change. Local crude incidence of operated cSDH was 3.50/100,000/year (3.19–3.85). Directly standardised incidence was 1.58/100,000/year (1.26–1.90). After applying local incidence rates to population projections, case numbers were predicted to increase by 53% over the next 20 years. Conclusions The incidence of cSDH is increasing. We project a 53% increase in operative caseload within our region by 2040. These are important findings for guiding future healthcare planning.

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