A Study of Workspace Design Characteristics Exemplified by Nurses’ Satisfaction Within Three Intensive Care Units in a University Hospital

2021 ◽  
pp. 193758672110557
Author(s):  
Bushra Obeidat ◽  
Mohammad Bani Younis ◽  
Esra’a Al-Shlool ◽  
Ahmad Alzouby
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Study Data ◽  
Layout Design ◽  
University Hospital ◽  
Critical Conditions ◽  
Cross Sectional ◽  
Design Characteristics ◽  
Nursing Station ◽  
Workspace Design

Background: The critical conditions of intensive care patients require providing them with a higher acuity of care. Thus, it is essential to focus on critical care nurses and improve their work environment in a way that maximizes productivity, collaboration, satisfaction, and leads to improved patient care. Purpose: This study aims to explore the role the workplace layout design play in determining nurses’ satisfaction in three intensive care units (ICUs) at a university hospital. Method: A prospective, cross-sectional, single-center, survey-based design was employed in this study. Data were obtained, via a standardized questionnaire, from 36 morning shift nurses. The nurses’ self-reported satisfaction scores in three different ICUs with differing overall layouts, nursing station locations, and workplace design were statistically compared. Results: The study found that ICU 1 (private rooms, single corridor, central nursing station, close to supported services) had higher nursing satisfaction levels than ICUs 2 and 3 (open wards with separate service zones), F (2,34) = 5.054, p = .012. However, overall satisfaction was higher with the ICU 2 primary workspace design, possibly due to the perceived acoustic privacy in this configuration, F (2,34)= 4.492, p = .019. The ability of the ICU layout design to enhance teamwork and minimize traffic in patients care areas was found to be an important predictor of nurses’ satisfaction. The primary workspace design capacity to minimize congestion and the presence of large numbers of providers in a confined workplace might account for variation in nurses’ satisfaction. Conclusion: Physical environment variables in the ICU design may contribute to staff workplace satisfaction scores and may help in guiding informed choices regarding the future ICU design.

scholarly journals 1211. Microbiologic Evaluation of Mobile Phones and Hands of Healthcare Professionals in Two Intensive Care Units in a Brazilian University Hospital

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S435-S435
Author(s):  
Evelyn Patricia Sanchez Espinoza ◽  
Lauro Viera Perdigão Neto ◽  
Sania Alves dos Santos ◽  
Camila Risek ◽  
Maria Renata Gomes Franco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Mobile Phones ◽  
Bacterial Colonization ◽  
Healthcare Setting ◽  
University Hospital ◽  
High Rate ◽  
High Morbidity ◽  
Dominant Hand ◽  
Cross Sectional

Abstract Background Healthcare-associated infections (HAIs) are a worldwide concern because of their high morbidity, mortality, and associated costs. Mobile phones (MP) are an important work tool in the healthcare setting, but they can be a reservoir of nosocomial pathogens if not carefully cleaned and cause re-contamination of the healthcare professional’s (HCP) hands. We aimed to evaluate bacterial colonization of HCP’s hands and their respective MPs. Methods A cross-sectional study was performed in two Intensive Care Units (ICUs), an internal medicine and a burn unit, of a Brazilian tertiary university hospital. These units were chosen because of their different hand hygiene (HH) compliance. We assessed HH and MP handling practices by an electronic inquiry and collected samples from the dominant hand (DH) by the sterile bag technique and of MPs by moistened sterile swab. MALDI-TOF was used for bacterial identification and Dilution Agar (DA) was used to screen Gram-negative bacteria (GNB) susceptibility to carbapenems and colistin. Results Forty-seven HCPs were evaluated; of whom, 30% were medical residents, 19% nurses, 17% nurse-technicians, 17% physiotherapists, 13% cleaning staff, and 4% radiology technicians.Overall, 85% of HCPs reported use of MP at work, 26% had never cleaned it, and 34% reported optimal HH compliance practices. All of them believed that MPs can have HAIs agents. DH culture showed 94% of colonization and the most common Gram-positive bacteria (GPB) and GNB were S. epidermidis (n = 17∕44) and A. baumannii complex (n = 11∕44), respectively. MP were colonized in 89% of the cases and the most common GPB and GNB were S. epidermidis (n = 16∕42) and Pseudomonas spp (n = 9∕42), respectively. Overall, in the screening 38% of GNB were resistant to meropenem and 22% to colistin. A. baumannii was the most common meropenem (n = 4) and colistin (n = 2) resistant GNB. In the two units, 32% of HCPs had the same microorganism species isolated in the MP and in the DH (Table 1). Conclusion There was a high rate of bacterial colonization on the MP and DH of HCPs and some of these bacteria were carbapenem or colistin resistant. A policy for MP handling in the healthcare setting should be implemented in order to avoid cross-contamination between the MP and the hand of HCPs. Disclosures All authors: No reported disclosures.

scholarly journals Occupational stress and stressors experienced by the newly practicing nurses in intensive care units

2018 ◽  
Vol 9 (3) ◽  
pp. 7
Author(s):  
Mona Abdel Wareth ◽  
Sameh Eltaybani
Keyword(s):  
Intensive Care ◽  
Occupational Stress ◽  
Intensive Care Units ◽  
Perceived Stress ◽  
Work Experience ◽  
Death And Dying ◽  
Clinical Work ◽  
University Hospital ◽  
Survey Study ◽  
Cross Sectional

Background and objective: Nurses working in critical care units face occupational stress particularly in the first six months of their practice; however, research on nurses’ perceived stress during this period is extremely limited. The aim of the study was to assess occupational stress and stressors experienced by the newly practicing nurses in intensive care units (ICUs).Methods: Design: A cross-sectional, descriptive, quantitative research design. Settings: Four ICUs in a university hospital in Alexandria governorate, Egypt. Participants: A convenient sample of 100 intern nurses who had their first clinical work experience in ICU during the internship. Method: This is a cross-sectional, descriptive, quantitative survey study conducted in four ICUs in Alexandria university hospital, Egypt. A questionnaire sheet consisting of two parts was used to collect data. Part one is the nursing stress scale and part two is the respondents’ socio-demographic and work-related data. Descriptive and bivariate statistical analyses were used to describe study variables and their associations.Results: All of the studied newly practicing nurses in ICUs experienced either moderate (43%) or high (57%) stress level. There are differences between the perceived stress reported by the studied nurses according to their characteristics (e.g., sex, marital status, having private work). These differences were not statistically significant. Death and dying, workload, and inadequate preparation are the top ranked stressors; average scores are 2.22, 2.20, and 2.13 respectively. In their first two months of experiences, nurses perceived inadequate preparation and death and dying as the highest stressors. This ranking differs among nurses with 3-4 months of experience and nurses with 5-6 months of experience.Conclusions and recommendations: Newly practicing nurses in ICUs face a significant level of stress. Death and dying, workload, and inadequate preparation are the top ranked stressors. Recommendations: Stress-management program must be initiated for new practicing nurses in ICU. Death and dying in ICU are highly needed topics to be embedded into nursing curriculum. Strategies to help graduate nurses cope must be implemented.

scholarly journals Effects of Nurse’s Work Environment and Practice on Patient’s Safety

2020 ◽  
Author(s):  
Montaha Mohammed Ibrahim ◽  
Hammad Ali Fadlalmola
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Poor Performance ◽  
University Hospital ◽  
Medical Illness ◽  
Nursing Assessment ◽  
Cross Sectional ◽  
Prime Concern ◽  
Assessment Approach ◽  
Assessment Performance

Background: When a patient with an acute medical illness is admitted to a hospital, their safety is a prime concern for healthcare professionals. Ongoing nursing assessment is a type of nursing assessment that commences at the beginning of every shift. and **is completed on every patient. This information is used to develop a plan of care. The aim of this study is to assess the application of ongoing nursing assessment approaches in intensive care units.  Methods: This cross-sectional hospital-based study included a total of 135 nurses, of which 23 (17%) were from Khartoum hospital, 62 (46%) from Alshaab hospital, 15 (11%) from Soba University Hospital, and 35 (26%) from National Center for Neurological Science. Results: The ongoing nursing assessment approaches were available in most intensive care units of the study area with the domination of ABCDE approach. Factors that can impact the thoroughness of the ongoing nursing assessment performance suggested by the studied participants were nurses' knowledge and competency, followed by insufficient time and resources to carry out the assessment. Conclusions: Most participants did not complete the assessment suggesting a poor performance. The knowledge base of the participants was not reflected in their practice with a wide difference between them. Key words: Nursing assessment approach, intensive care unit, assessment performance, Sudan

scholarly journals Professional nursing practice in critical units: assessment of work environment characteristics

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Luiz Felipe Sales Maurício ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Angélica Gonçalves Silva Belasco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Work Environment ◽  
Intensive Care Units ◽  
Organizational Support ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Work Index ◽  
Brazilian Culture

ABSTRACT Objective: assess the autonomy, control over environment, and organizational support of nurses' work process and the relationships between physicians and nurses in critical care units. Method: cross-sectional study conducted with 162 nurses working in the intensive care units and emergency service of a university hospital. The workers' satisfaction with their work environment was assessed using Brazilian Nursing Work Index - Revised, translated and adapted for the Brazilian culture. Results: average age was 31.6 ± 3.9 years; 80.2% were women; 68.5% Caucasians and 71.6% worked in intensive care units. The nurses considered autonomy (2.38 ± 0.64) and their relationship with physicians (2.24 ± 0.62) to be characteristics of the work environment that favored professional practice. Control over environment (2.78 ± 0.62) and organizational support (2.51 ± 0.54), however, were considered to be unfavorable. No statistically significant differences were found between the units based on the scores obtained by the professionals on the Brazilian Nursing Work Index - Revised. Conclusion: autonomy, relationship between physicians and nurses, and organizational support were considered by the units to be characteristics that favored nurses' professional practices. On the other hand, control over environment and organizational support were considered unfavorable.

scholarly journals Trend of healthcare-associated infections in a teaching hospital in Tunisia, 2014-2019

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Ghali ◽  
A Ben Cheikh ◽  
S Bhiri ◽  
S Khefacha Aissa ◽  
L Dhidah ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Study ◽  
University Hospital ◽  
World Health ◽  
Healthcare Associated Infections ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Gram Negative ◽  
Healthcare Associated

Abstract Background National surveys on the prevalence of HAIs on a given day have regularly taken place in health facilities. During this period, actions to improve HAI prevention were implemented, including strengthened isolation measures; hand hygiene promotion using the World Health Organization multimodal strategy; and promotion of appropriate antimicrobial use. We aimed to examine trends in HAI in Sahloul Hospital over six years. Methods Annual prevalence surveys of healthcare-associated infections (HAIs) between 2014 and 2019 were conducted in the university hospital in Tunisia. It is a cross-sectional study of one-day prevalence with a single pathway. All departments were included in the survey, except emergency and hemodialysis services due to their very short length of stay. Data collection was carried out using NosoTun plug (national HAI prevalence survey). Results Over six years, prevalence of HAI ranged from 11.4% in 2014 to 9.5% in 2019. The prevalence of HAIs did not show a significant change across the six surveys. However, there were significant (P = 0.008) reductions in the prevalence of total HAIs in intensive care units, which had the highest frequencies of HAIs over those six years. In 2014, bacteriological analysis was performed in 55.8% of HAI cases. In 66.6% of cases (n = 16), isolated bacteria were gram negative bacilli, the most frequent were Pseudomonas aeroginosa. In 2019, 27 germs were identified, the most frequent were Gram Negative Bacilli (74%), mostly Escherichia coli. Conclusions This HAI prevention strategy was influential in decreasing infections among hospitalized patients in intensive care units. Challenges for the future are to minimize infection with gram-negative bacilli while limiting the emergence of antibiotic resistant organisms. Key messages Using prevalence surveys, we were able to have an insight into the most common isolates identified throughout the last six years. Repeated prevalence surveys are an effective tool for monitoring HAI frequency and contributing to the establishment of effective infection control.

scholarly journals Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar?

2017 ◽  
Vol 11 (12) ◽  
pp. 5305
Author(s):  
Ana Maria Laus ◽  
Mayra Gonçalves Menegueti ◽  
Maria Auxiliadora-Martins ◽  
Lucieli Dias Pedreschi Chaves ◽  
Silvia Helena Camelo
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Statistical Significance ◽  
Apache Ii ◽  
University Hospital ◽  
Nursing Workload ◽  
Apache Ii Score ◽  
Cross Sectional ◽  
Terapia Intensiva ◽  
Score Apache

RESUMOObjetivo: analisar comparativamente a carga de trabalho de Enfermagem em duas unidades de terapia intensiva. Método: estudo quantitativo, de coorte transversal, descritivo, realizado em duas UTI de um hospital universitário. A amostra foi aleatória constituindo-se de 100 pacientes. A análise foi realizada por meio da regressão multivariada, cuja variável dependente foi carga de trabalho de Enfermagem, permanecendo, no modelo final, as variáveis independentes com significância estatística menor que 0,05. Resultados: a maioria dos pacientes foi do sexo masculino (60%), com média de idade de 52,3 anos. A carga de trabalho de Enfermagem nas UTI apresentou a média do escore NAS total do conjunto de pacientes de 75,65 e escore APACHE II de 25,5. Conclusão: o tempo de permanência, o sexo e a faixa etária não apresentaram associação significativa com a carga de trabalho de Enfermagem, porém, esta se associou ao escore de gravidade (APACHE II) e à condição de saída do paciente (alta/óbito). Descritores: Carga de trabalho; Unidades de Terapia Intensiva; Enfermagem. ABSTRACT Objective: to analyze comparatively the Nursing workload in two intensive care units. Method: quantitative, cross-sectional, descriptive study performed in two ICUs of a university hospital. The sample was random and consisted of 100 patients. The analysis was performed through multivariate regression, whose dependent variable was Nursing workload, remaining, in the final model, the independent variables with statistical significance lower than 0.05. Results: the majority of the patients were male (60%), with a mean age of 52.3 years. The workload of Nursing in the ICU presented the mean of the total NAS score of the set of patients of 75.65 and APACHE II score of 25.5. Conclusion: length of stay, sex and age group did not present a significant association with the nursing workload, however, this was associated with the severity score (APACHE II) and the patient's exit status (discharge / death). Descritores: Workload; Intensive Care Units, Nursing. RESUMEN Objetivo: analizar comparativamente la carga de trabajo de Enfermería en dos unidades de terapia intensiva. Método: estudio cuantitativo, de cohorte transversal, descriptivo, realizado en dos UTI de un hospital universitario. La muestra fue aleatoria constituyéndose de 100 pacientes. El análisis fue realizado por medio de la regresión multivariada, cuya variable dependiente fue carga de trabajo de Enfermería, permaneciendo, en el modelo final, las variables independientes con significancia estadística menor que 0,05. Resultados: la mayoría de los pacientes fue la del sexo masculino (60%), con promedio de edad de 52,3 años. La carga de trabajo de Enfermería en las UTI presentó la media del score NAS total del conjunto de pacientes de 75,65 y score APACHE II de 25,5. Conclusión: el tiempo de permanencia, el sexo y el grupo de edad no presentaron asociación significativa con la carga de trabajo de Enfermería, pero, ésta se asoció al score de gravedad (APACHE II) y la condición de salida del paciente (alta / óbito). Descritores: Carga de Trabajo; Unidades de Terapia Intensiva; Enfermagem.

scholarly journals Results of screening for emergent highly resistant bacteria in Tunisian intensive care units

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ben Rejeb ◽  
A Ben Cheikh ◽  
S Bhiri ◽  
H Ghali ◽  
M Kahloul ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Early Identification ◽  
Infection Prevention ◽  
Screening Program ◽  
Control Measures ◽  
University Hospital ◽  
Infection Prevention And Control ◽  
Resistant Bacteria ◽  
Prevention Interventions

Abstract Background The infections caused by emergent highly resistant bacteria (eHBR) that develop in intensive care units (ICUs) may result in significant patient illnesses and deaths, extend the duration of hospital stays and generate added costs. Facing this problem, the screening that emphasizes early identification of colonized patients, reduces the prevalence and incidence of infection, improves patient outcomes and reduces healthcare costs. In this context, we have implemented a screening for eHBR in ICUs of Sahloul university hospital of Sousse (Tunisia), which we report in this study the first six-months outcomes. Methods Rectal swab cultures were collected to detect Vancomycin resistant enterococcus (VRE) and Carbapenemase producing Enterobacteriaceae (CPE) among patients admitted in six ICUs of Sahloul university hospital of Sousse (Tunisia) and more than three times, at least one week apart, between 1 June and 31 December 2018. Results During the study period 174 patients were screened. Of them, 69.5% were male and 73.6% were admitted in surgical ICU. In total, 161 and 152 samples were realized respectively for the detection of CPE and VRE. These samples were positive in 15% and 8.5% respectively for CPE and VRE. Klebsiella pneumoniae OXA 48 was the most isolated CPE (80%). Conclusions Our screening program helped us in infection control by early identification of patients, thereby facilitating an informed decision about infection prevention interventions. Moreover, these results encouraged us to improve and generalize this program throughout the hospital. Key messages eHRB screening becomes an important axis in the prevention of eHRB infections in our facilities. eHRB screening allows the reinforcement of the basic infection prevention and control measures.

Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study

2021 ◽  
pp. 107839032199972
Author(s):  
Erman Yıldız
Keyword(s):  
Intensive Care ◽  
Emotional Exhaustion ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Anxiety Depression ◽  
The Relationship

BACKGROUND: Although previous studies have separately revealed that parameters such as anxiety, depression, and secondary traumatic stress (STS) are associated with burnout, there is still a limited understanding of the relationship between anxiety, depression, and STS and burnout in intensive care unit (ICU) nurses. AIMS: To investigate the relationship between levels of burnout, anxiety, depression, and STS in ICU nurses. METHOD: A cross-sectional study was conducted with ICU nurses ( N = 164) from a university hospital in eastern Turkey. The participants completed the anxiety, depression, STS, and burnout scales along with the descriptive characteristics form. The data were analyzed using descriptive statistics, correlation, and logistic regression analysis. RESULTS: The mean scores for STS, anxiety, depression, and burnout were 40.60 ± 13.77, 17.14 ± 12.90, 13.28 ± 9.75 and 41.39 ± 14.87, respectively. The results showed that, in the ICU nurses, anxiety, depression, and STS components explained 61% of emotional exhaustion, 38% of depersonalization, and 13% of personal accomplishment. CONCLUSIONS: While the present findings supported the paradigm that burnout in ICU nurses is associated with STS, anxiety, and depression, they also revealed some details about the psychopathological factors associated with burnout. These details were as follows: (1) individuals who resorted to avoidance as a component of STS on a high level were more likely to experience emotional exhaustion and depersonalization, (2) individuals with severe depressive symptoms were more likely to experience a decrease in their personal accomplishment, and (3) individuals with anxiety symptoms were more likely to experience both emotional exhaustion and personal accomplishment.

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