scholarly journals Pain Management Barriers in Critical Care Units: A Qualitative study

2013 ◽  
Vol 3 (1) ◽  
Author(s):  
Abdul-Monim Mohammad Batiha
Keyword(s):  
Critical Care ◽  
Pain Management ◽  
Qualitative Study ◽  
Critical Care Units

scholarly journals Death Notification in Italian Critical Care Unites and Emergency Services. A Qualitative Study with Physicians, Nurses and Relatives

2021 ◽  
Vol 18 (24) ◽  
pp. 13338
Author(s):  
Ines Testoni ◽  
Erika Iacona ◽  
Lorenza Palazzo ◽  
Beatrice Barzizza ◽  
Beatrice Baldrati ◽  
...  
Keyword(s):  
Critical Care ◽  
Qualitative Study ◽  
Protective Factors ◽  
Health Care Professionals ◽  
Emergency Services ◽  
Continuing Bonds ◽  
Critical Care Units ◽  
Death Notification ◽  
The Impact ◽  
Relational Difficulties

This qualitative study was conducted in critical care units and emergency services and was aimed at considering the death notification (DN) phenomenology among physicians (notifiers), patient relatives (receivers) and those who work between them (nurses). Through the qualitative method, a systemic perspective was adopted to recognise three different categories of representation: 23 clinicians, 13 nurses and 11 family members of COVID-19 victims were interviewed, totalling 47 people from all over Italy (25 females, mean age: 46,36; SD: 10,26). With respect to notifiers, the following themes emerged: the changes in the relational dimension, protective factors and difficulties related to DN. With respect to receivers, the hospital was perceived as a prison, bereavement between DN, lost rituals and continuing bonds. Among nurses, changes in the relational dimension, protective factors and the impact of the death. Some common issues between physicians and nurses were relational difficulties in managing distancing and empathy and the support of relatives and colleagues. The perspective of receivers showed suffering related to loss and health care professionals’ inefficacy in communication. Specifically, everyone considered DNs mismanaged because of the COVID-19 emergency. Some considerations inherent in death education for DN management among health professionals were presented.

Pain Management in the Critically Ill: What Do We Know and How Can We Improve?

1994 ◽  
Vol 5 (2) ◽  
pp. 159-168 ◽  
Author(s):  
Michele A. Alpen ◽  
Marita G. Titler
Keyword(s):  
Critical Care ◽  
Quality Improvement ◽  
Pain Management ◽  
Critically Ill ◽  
Pain Assessment ◽  
Pain Control ◽  
Critical Care Nurses ◽  
Critical Care Units ◽  
Knowledge And Attitudes ◽  
Nurses Knowledge

Pain management in the critically ill is a challenge and a problem of great concern for critical care nurses. The authors review research on pain in the areas of pain assessment, nurses’ knowledge and attitudes, pharmacologic interventions, and nonpharmacologic interventions for the management of pain. Although the research base is not completely developed in the critically ill population, implications for practice are provided, based upon the findings in populations akin to the critically ill. Strategies are outlined for achieving improved pain control in critical care units through education, adoption of standards on pain management, and quality improvement activities

Chest tube removal practices in critical care units in the United States

1995 ◽  
Vol 4 (6) ◽  
pp. 419-424 ◽  
Author(s):  
MR Kinney ◽  
KT Kirchhoff ◽  
KA Puntillo
Keyword(s):  
United States ◽  
Critical Care ◽  
Pain Management ◽  
Chest Tube ◽  
Management Practices ◽  
The United States ◽  
Chest Tubes ◽  
Critical Care Units ◽  
Tube Removal ◽  
Chest Tube Removal

BACKGROUND: Pain assessment and management are recognized as major problems in critical care settings. However, little is known about pain management practices related to medical procedures performed in the ICU, particularly removal of chest tubes. OBJECTIVES: To describe practices related to chest tube removal in the United States, with an emphasis on pain assessment and management. METHODS: A survey instrument was developed and mailed to 995 members of the American Association of Critical-Care Nurses who cared for patients with chest tubes. They were asked about chest tube removal practices in their institutions. RESULTS: Chest tubes are removed primarily by physicians and house staff, although 11% of respondents reported that specially trained nurses removed the tubes. Only 16% indicated that a prescription for pain medication was routinely available before chest tube removal. The drug administered most frequently was intravenous morphine sulfate, but the dose varied considerably. Nurses were generally satisfied (65.6%) with practices related to chest tube removal in their unit; nurses who were not satisfied (34.4%) wished to see better pain management practices (45%), removal of tubes by the patient's assigned nurse (17.8%), a protocol for tube removal (13.9%), notification of the nurse before removal (12.2%), and other changes (10%). CONCLUSIONS: Practices associated with chest tube removal, especially pharmacologic management of procedure-related pain, vary in critical care units. Caregivers are advised to develop practice policies to guide decisions about management of acute pain in this patient population.

Hospitalized Infants Who Hurt: A Sweet Solution With Oral Sucrose

2012 ◽  
Vol 32 (1) ◽  
pp. 61-69 ◽  
Author(s):  
Tracy Ann Pasek ◽  
Jessica Marie Huber
Keyword(s):  
Critical Care ◽  
Pain Management ◽  
Management Practice ◽  
Newborn Infants ◽  
Current Evidence ◽  
Invasive Procedures ◽  
Critical Care Units ◽  
Sweet Solution ◽  
Oral Sucrose ◽  
Daily Pain

Pain is harmful to newborn infants. Oral sucrose is safe, inexpensive, and effective at preventing and reducing pain in hospitalized babies who undergo invasive procedures. The sugar can be used alone or in combination with analgesics and other nonpharmacological interventions to provide analgesia. Parents expect nurses to serve as pain advocates for the parents’ newborns and to protect the babies from needless suffering. It is incumbent upon nurses to stay abreast of the current evidence and integrate use of oral sucrose into daily pain management practice in emergency, acute, and critical care units.

Data-Driven Optimization Methodology for Admission Control in Critical Care Units

2016 ◽  
Author(s):  
Amirhossein Meisami ◽  
Jivan Deglise-Hawkinson ◽  
Mark Cowen ◽  
Mark P. Van Oyen
Keyword(s):  
Critical Care ◽  
Admission Control ◽  
Data Driven ◽  
Critical Care Units ◽  
Optimization Methodology

Embodied Spatial Practices and the Power to Care

2019 ◽  
pp. 360-377
Author(s):  
Elise Paradis ◽  
Warren Mark Liew ◽  
Myles Leslie
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Ethnographic Study ◽  
Spatial Practices ◽  
Critical Care Units ◽  
Interprofessional Care ◽  
The Social

Drawing on an ethnographic study of teamwork in critical care units (CCUs), this chapter applies Henri Lefebvre’s ([1974] 1991) theoretical insights to an analysis of clinicians’ and patients’ embodied spatial practices. Lefebvre’s triadic framework of conceived, lived, and perceived spaces draws attention to the role of bodies in the production and negotiation of power relations among nurses, physicians, and patients within the CCU. Three ethnographic vignettes—“The Fight,” “The Parade,” and “The Plan”—explore how embodied spatial practices underlie the complexities of health care delivery, making visible the hidden narratives of conformity and resistance that characterize interprofessional care hierarchies. The social orderings of bodies in space are consequential: seeing them is the first step in redressing them.

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