scholarly journals Experiences of Patients With COVID-19 Admitted to the Intensive Care Units: A Qualitative Study

2021 ◽  
Vol 8 ◽  
pp. 237437352110073
Author(s):  
Reza Norouzadeh ◽  
Mohammad Abbasinia ◽  
Zahra Tayebi ◽  
Ehsan Sharifipour ◽  
Alireza Koohpaei ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Health Care Providers ◽  
Spiritual Support ◽  
Care Providers ◽  
Structured Interviews ◽  
Icu Patients ◽  
Life Challenges ◽  
Care Models ◽  
The Face

This study aimed to describe the experiences of patients with COVID-19 admitted to the intensive care units (ICU). The data were analyzed by content analysis on 16 ICU patients with COVID-19. Data were collected by semi-structured interviews. Three categories were identified: (a) captured by a challenging incident with subcategories: perceived sudden and challenging death, fear of carelessness in overcrowding, worry about the family, and frustration with stigmatizing; (b) the flourishing of life with subcategories: spiritual-awakening, resilience in the face of life challenges, promoting health behaviors, and striving for recovery; and (c) honoring the blessings with subcategories: understanding the importance of nurses, realizing the value of family, and realizing the value of altruism. COVID-19 survivors experienced both positive and negative experiences. The results of this study could help health care providers identify the needs of ICU patients with COVID-19, including psychological, social, and spiritual support and design care models.

Current Practices of Antiseptic Use in Canadian Neonatal Intensive Care Units

2018 ◽  
Vol 36 (02) ◽  
pp. 141-147 ◽  
Author(s):  
Helen McCord ◽  
Elise Fieldhouse ◽  
Walid El-Naggar
Keyword(s):  
Intensive Care ◽  
Adverse Effects ◽  
Intensive Care Units ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Chlorhexidine Gluconate ◽  
Neonatal Intensive Care Units ◽  
Care Providers ◽  
Level Ii ◽  
Canadian Provinces

Objective This article assesses the degree of variability in the current practice of skin antiseptics used in Canadian neonatal intensive care units (NICUs) and different experiences related to each antiseptic used. Methods An anonymous survey was distributed to a clinical representative of each of the 124 Canadian level II and level III NICUs. Results One hundred and two respondents (82.2%), representing all Canadian provinces, completed the survey. Chlorhexidine gluconate with/without alcohol was the antiseptic most used (96%) and the antiseptic with the highest reported adverse effects (68% reported skin burns/breakdown). Other antiseptics used include povidone-iodine (35%) and isopropyl alcohol (22%). Specific guidelines for antiseptic use were available in only 50% of the units with many NICUs lacking gestational and/or chronological age restrictions. Only 23% of responders believed that there was awareness among health care providers of the adverse effects of antiseptics used. Less than half (43%) were completely satisfied with the antiseptics used in their units. Conclusion Chlorhexidine gluconate is the most commonly used antiseptic in Canadian NICUs. The high number of associated adverse effects and the lack of guidelines regulating antiseptic use are of concern. Large clinical trials are urgently needed to guide practice and improve the safety of antiseptics.

scholarly journals Moral sensitivity components identified among nurses from Intensive Care Units

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 2-8 ◽  
Author(s):  
Cláudia Denise Schallenberger ◽  
Jamila Geri Tomaschewski-Barlem ◽  
Edison Luiz Devos Barlem ◽  
Laurelize Pereira Rocha ◽  
Graziele de Lima Dalmolin ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Professional Autonomy ◽  
Moral Perception ◽  
Moral Sensitivity ◽  
Structured Interviews ◽  
Ethical Problems ◽  
Team Members ◽  
The Face ◽  
South Of Brazil

ABSTRACT Objective: to identify ethical problems from the components of moral sensitivity among nurses of Intensive Care Units. Method: qualitative, exploratory-descriptive study developed in a hospital in the South of Brazil with 19 nurses working in intensive care units through semi-structured interviews that were analyzed through discursive textual analysis. Results: ethical education, dialogue, relationships with other health team members, professional autonomy, knowledge, personal values, effective communication, leadership and patients' positive outcomes were identified as important components of nurses' moral sensitivity, and comprise the domains of moral consciousness, benevolent motivation, and spontaneous moral perception. Final considerations: the components of moral sensitivity identified in this study facilitate nurses' instrumentalization in the face of decision making and ethical problems in the intensive care setting.

scholarly journals Jordanian Intensive Care Unit Nurses’ Knowledge of Delirium Recognition

2016 ◽  
Vol 9 (4) ◽  
pp. 182 ◽  
Author(s):  
Mohannad Eid AbuRuz
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Health Care Providers ◽  
Clinical Syndrome ◽  
Basic Knowledge ◽  
Knowledge Level ◽  
Care Providers ◽  
Graduate Studies ◽  
Cross Sectional ◽  
Nurses Knowledge

<p><strong>INTRODUCTION:</strong> Delirium is a clinical syndrome that negatively affects the outcomes of the intensive care units patients if undetected early and treated well. However, this condition remains under recognized and poorly managed by health care providers including nurses. The objective of this study was to check nurses' knowledge level about delirium recognition.</p><p><strong>MATERIALS </strong><strong>&amp; METHODS: </strong>This was a cross-sectional study on 176 intensive care units nurses working in four major hospitals in Amman, Jordan. Data were collected using a self-reported likert scale questionnaire.</p><p><strong>RESULTS: </strong>Nurses lack the basic knowledge about delirium recognition; the mean was (52.65 ± 4.99). Older nurses (aged 31 years and above) have significantly higher levels of knowledge regarding delirium recognition compared to younger nurses (mean ± SD, 56.02 ± 18.1 vs. 49.28 ± 12.65, <em>P </em>&lt; .005). Moreover, nurses with longer experience in intensive care units were more knowledgeable about delirium recognition (r=0.73, p &lt;.001).Graduate studies have a positive effect on the knowledge level. Nurses holding master degree have significantly higher levels of knowledge regarding delirium recognition compared to those with Baccalaureate degree; (mean ± SD, 60.28 ± 16.86 vs. 53.0 ± 12.18, P &lt; .005).<strong></strong></p><p><strong>CONCLUSION: </strong>Delirium is a widespread disorder in the intensive care units. Jordanian nurses lack the basic knowledge regarding essential characteristics of delirium and its recognition. Education of nurses in all care settings is vital and necessary.<strong>     </strong></p>

scholarly journals Satisfaction Domains Differ between the Patient and Their Family in Adult Intensive Care Units

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Amartya Mukhopadhyay ◽  
Ge Song ◽  
Pei Zhen Sim ◽  
Kit Cheng Ting ◽  
Jeffrey Kwang Sui Yoo ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Health Care Providers ◽  
Family Satisfaction ◽  
Care Providers ◽  
General Satisfaction ◽  
Mental Test Score ◽  
Management Domain ◽  
Significant Difference

Background.Patients’ and family’s satisfaction data from the Asian intensive care units (ICUs) is lacking.Objective.Domains between patient and family satisfaction and contribution of each domain to the general satisfaction were studied.Method.Over 3 months, adult patients across 4 ICUs staying for more than 48 hours with abbreviated mental test score of 7 or above and able to understand English and immediate family members were surveyed by separate validated satisfaction questionnaires.Results.Two hundred patients and 194 families were included in the final analysis. Significant difference in the satisfaction scores was observed between the ICUs. Patients were most and least satisfied in the communication (4.2 out of 5) and decision-making (2.9 out of 5) domains, respectively. Families were most and least satisfied in the relationship with doctors (3.9 out of 5) and family’s involvement domains (3.3 out of 5), respectively. Domains contributing most to the general satisfaction were the illness management domain for patients (βcoefficient = 0.44) and characteristics of doctors and nurses domain for family (βcoefficient = 0.45).Discussion.In an Asian ICU community, patients and families differ in their expectations and valuations of health care processes. Health care providers have difficult tasks in attending to these different domains.

scholarly journals Neonatal skin care in tertiary Neonatal Intensive Care Units in Hungary

2014 ◽  
Vol 155 (28) ◽  
pp. 1102-1107
Author(s):  
Zsanett Renáta Csoma ◽  
Péter Doró ◽  
Gyula Tálosi ◽  
Tamás Machay ◽  
Miklós Szabó
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Skin Care ◽  
Neonatal Intensive Care Units ◽  
Care Providers ◽  
Care Protocol ◽  
Skin Disinfection ◽  
Skin Physiology

Introduction: Skin physiology of neonates and preterm infants and evidence-based skin care are not well explored for health care providers. Aim: The aim of our present study was to investigate the skin care methods of the tertiary Neonatal Intensive Care Units in Hungary. Method: A standardized questionnaire was distributed among the 22 tertiary Neonatal Intensive Care Units with questions regarding skin care methods, bathing, emollition, skin disinfection, umbilical cord care, treatment of diaper dermatitis, and use of adhesive tapes. Results: The skin care methods of the centres were similar in several aspects, but there were significant differences between the applied skin care and disinfectant products. Conclusions: The results of this survey facilitate the establishment of a standardized skin care protocol for tertiary Neonatal Intensive Care Units with the cooperation of dermatologists, neonatologists and pharmacists. Orv. Hetil., 2014, 155(28), 1102–1107.

Informational Needs of the Families of Patients Discharged From Intensive Care Units: A Case of Iran

2020 ◽  
pp. 0272684X2097264
Author(s):  
Asma Hajalizadeh ◽  
Mehdi Ahmadinejad ◽  
Mahlagha Dehghan ◽  
Mansoor Arab
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Health Care Providers ◽  
Self Care ◽  
Stressful Event ◽  
Informational Needs ◽  
Care Providers ◽  
Post Discharge ◽  
Cross Sectional ◽  
High Level

Background thousands of patients are admitted to intensive care units annually, which is a stressful event. Many of these patients still require particular care after discharge. In many countries, families play an essential role in taking care of these patients after discharge. This study aimed to determine the informational needs of families of patients discharged from Intensive Care Units (ICU), Kerman, southeast Iran. Methods this study had a cross-sectional design. Families were selected using the information extracted from patients’ medical records. One hundred forty family members of the ICU discharged patients participated in the survey using convenience sampling. Data collection tools were a validated researcher-made questionnaire about informational needs and a demographic characteristics form. Results the mean score of family informational needs was 31.18 ± 3.97 out of 40. Most families required a high level of information in all dimensions. However, the maximum need was associated with self-care subscale (4.89 out of 5), and the minimum need was associated with defecation (3.13 out of 5). Conclusion the families of patients discharged from intensive care units required much information about different areas of care particularly self-care. Health care providers, especially nurses, should be aware of the informational needs of the ICU patients’ families post-discharge to provide better care.

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