scholarly journals Humanizing intensive nursing care for people with COVID-19

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e62584
Author(s):  
Sergio Vital da Silva Junior ◽  
Aline Gomes Machado ◽  
Anny Michelle Rodrigues da Silva Alves ◽  
Katia Jaqueline da Silva Cordeiro ◽  
Maíra Bonfim Barbosa ◽  
...  

Objective: to understand the impact of music on the intensive care for COVID-19 as an instrument to humanize assistance from the perspective of nurses who work on assistance. Methods: qualitative study carried out with seven intensive care nurses working in the COVID-19 Intensive Care Unit of a public state hospital. Sample reached through theoretical saturation. Data were collected using interviews through the on-line application WhatsApp, guided by a semi-structured guide. Results: the following discursive categories emerged: Feelings of health professionals and humanized actions in intensive care; Music therapy to provide integral care for people with COVID-19 in the score of intensive care; Living in the moment; Music therapy as an instrument for spirituality in the intensive care environment. Conclusion: the nursing intensive care did not only carry out a biological treatment, but considered all aspects of the human being, using to do so humanization by music.

2008 ◽  
Vol 17 (4) ◽  
pp. 338-346 ◽  
Author(s):  
Carol Tweed ◽  
Mike Tweed

Background Critically ill patients are at high risk for pressure ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this complication. Objective To assess intensive care nurses’ knowledge of pressure ulcers and the impact of an educational program on knowledge levels. Methods A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed 3 times: before an educational program, within 2 weeks after the program, and 20 weeks later. Multivariate analysis was performed to determine if attributes such as length of time since qualifying or level of intensive care unit experience were associated with test scores. The content and results of the assessment test were evaluated. Results Completion of the educational program resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational program. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Conclusion Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational program, but soon returned to baseline.


2014 ◽  
Vol 3 (6) ◽  
pp. 143
Author(s):  
Brett Abbenbroek ◽  
Christine Duffield ◽  
Doug Elliott

Objective: To determine an appropriate survey instrument to evaluate the impact of organizational structures on the work environment of intensive care nurses. Background: Internationally the demand for intensive care is increasing. Solely increasing bed capacity is not sustainable. Large capacity multi-specialty Intensive Care Units are emerging as the preferred organizational model with benefits resulting from optimizing operational synergies and economies of scale. The impact of this organizational transition on intensive care nurses is not well understood. An appropriate survey instrument for intensive care nurses is required. Design: Integrative literature review. Data Sources: CINAHL, PubMed, EMBASE and OVID Nursing databases searched for studies published between 2005 and 2013. Review methods: An integrative review and quality assessment of the studies was undertaken to select nurse outcome measures associated with organizational structures across a range of acute and critical care settings. Congruence between nurse outcome measures and nurse survey instruments tested in the literature was assessed to select instruments for further psychometric evaluation. Results: Thirty-one cross sectional quantitative studies, from fourteen countries, were reviewed. Twenty one nurse outcome measures associated with organizational factors were identified and a total of twenty five survey instruments used in the studies reviewed. Assessment of congruence and psychometric properties determined that a combination of two instruments is required to comprehensively assess the organizational environment of nurses working in intensive care units. Conclusion: The environment of nurses working in intensive care is effectively evaluated with an instrument that combines subscales from the Practice Environment Scale-Nurse Work Index and Maslach’s Burnout Inventory. 


2017 ◽  
Vol 8 (2) ◽  
pp. 1
Author(s):  
Fabrício Horácio Sales Pereira ◽  
Raquel Oliveira Prates ◽  
Cristiano Maciel ◽  
Vinícius Carvalho Pereira

Digital posthumous communication systems are those that allow users to create messages that will only be sent to the intended recipients after their deaths. In these systems users have to express their wishes through configuration settings which will only take effect in the future, when the user is no longer available. In this paper, we propose a methodology that allows us to analyze posthumous communication systems and focuses on users’ decisions and how users can understand their future impact at the moment when they are making such decisions. To do so, we have combined the Semiotic Inspection Method (SIM) with the Configuration for Interaction Anticipation Challenges and recommendations on volitional aspects in digital legacy systems. Such analytical lenses were used to inspect three digital posthumous communication systems: If I Die, Se Eu Morrer Primeiro and Dead Man's Switch. The result of our analysis is a thorough account of the decisions designers have made available to users, as well as how they convey what the impact of these decisions will be when they come into effect. Our discussion of these systems and of the challenges identified contributes to the research and development of digital legacy systems in general. The methodology described is a relevant contribution to research on digital legacy and on digital posthumous communication, and also supports the consolidation of the challenges and recommendations used in this analysis.


2017 ◽  
Vol 36 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Sara L. Mosher

AbstractEducating NICU families during their child’s hospitalization and prior to hospital discharge is an integral task for staff from the moment an infant is admitted to the unit. Staff has the responsibility of providing parents with a myriad of education regarding the intensive care environment and information concerning their child’s medical condition. With first-time parents, staff teaching topics extend to also include training on how to perform basic newborn care such as diapering, bathing, feeding, and numerous other primary parenting responsibilities. True comprehensive education, however, should include information about and evidence on the significance of parental self-care in not only their own health and emotional stability but also the cognitive and behavioral development of their child prior to leaving the comfort of their NICU support network. Recommendations for this essential education are presented so NICU providers can best prepare parents for this critical responsibility.


Author(s):  
Bronwyn Winter

In a globalised world, an assumption prevails that the nation has somehow lost its power to regulate our lives, being undermined by other forces, either top-down through the impact of global capitalism or bottom-up through migrations, transnational religious, ethnic or social movement communities or other transversal politics. A related idea is that ‘culture’ is now irrevocably hybridised and border-zoned, that we no longer live in a world of discrete, located, identifiable and historically grounded cultures but in some unstable and for-the-moment insterstitiality, a sort of cultural interlanguage that sits outside well-mapped structures of power. Yet, just as the nation and the boundaries it sets around culture are being conceptually chased from our maps of the world, they come galloping back to reassert themselves. They do so politically, economically, legally, symbolically. Amidst all the noise of our transnationalisms, hybridities and interstitialities, the idea of what it is to be ‘Australian’ or ‘French’ or ‘Filipino’ or ‘Asian’ reaffirms itself, in mental geographies and constructed histories, as our ‘imagined community’ (to use Benedict Anderson’s famous term [Anderson 1983]), or indeed, ‘imagined Other’, even if it is an imagined ‘Other’ that we would somehow wish to incorporate into our newly hybridised Self. Using the notion of transcultural mappings, the articles in this special issue investigate this apparent paradox. They look at how the Self and Other have been mapped through imagined links between geography, history and cultural location. They interrogate the tension between the persistence of mappings of the world based on discrete national or cultural identities on one hand, and, on the other hand, the push to move beyond these carefully guarded borders and problematise precise notions of identity and belonging.


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