scholarly journals Critical incidents connected to nurses’ leadership in Intensive Care Units

2017 ◽  
Vol 70 (5) ◽  
pp. 1018-1025 ◽  
Author(s):  
Elaine Cantarella Lima ◽  
Andrea Bernardes ◽  
Priscila Lapaz Baldo ◽  
Vanessa Gomes Maziero ◽  
Silvia Helena Henriques Camelo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critical Incident ◽  
Critical Incidents ◽  
Quality Care ◽  
Communication Process ◽  
Leadership Theories ◽  
Leadership Model ◽  
Daily Exercise ◽  
The Face

ABSTRACT Objective: The goal of this study is to analyze nurses’ leadership in intensive care units at hospitals in the state of São Paulo, Brazil, in the face of positive and negative critical incidents. Method: Exploratory, descriptive study, conducted with 24 nurses by using the Critical Incident Technique as a methodological benchmark. Results: Results were grouped into 61 critical incidents distributed into categories. Researchers came to the conclusion that leadership-related situations interfere with IC nurses’ behaviors. Among these situations they found: difficulty in the communication process; conflicts in the daily exercise of nurses’ activities; people management; and the setting of high quality care targets. Final considerations: Researchers identified a mixed leadership model, leading them to the conclusion that nurses’ knowledge and practice of contemporary leadership theories/styles are crucial because they facilitate the communication process, focusing on behavioral aspects and beliefs, in addition to valuing flexibility. This positively impacts the organization’s results.

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.

scholarly journals Nursing care time and quality indicators for adult intensive care: correlation analysis

2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin
Keyword(s):  
Intensive Care ◽  
Correlation Analysis ◽  
Intensive Care Units ◽  
Quality Indicators ◽  
Nursing Care ◽  
Nursing Staff ◽  
Care Delivery ◽  
Average Length ◽  
Quality Care ◽  
Descriptive Study

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.

scholarly journals Operational dilemmas in safety-critical industries: The tension between organizational reputational concerns and the effective communication of risk

2019 ◽  
pp. 1-18
Author(s):  
Ambisisi Ambituuni ◽  
Chibuzo Ejiogu ◽  
Amanze Ejiogu ◽  
Maktoba Omar
Keyword(s):  
Theoretical Model ◽  
Information Disclosure ◽  
Critical Incident ◽  
Critical Incidents ◽  
Press Releases ◽  
Image Repair ◽  
Safety Critical ◽  
Image Repair Theory ◽  
The Face ◽  
Information Manipulation

AbstractOrganizations involved in safety-critical operations often deal with operational tensions, especially when involved in safety-critical incidents that is likely to violate safety. In this paper, we set out to understand how the disclosures of safety-critical incidents take place in the face of reputational tension. Based on the case of the Nigerian National Petroleum Corporation (NNPC), we draw on image repair theory and information manipulation theory and adopt discourse analysis as a method of analyzing safety-critical incident press releases and reports from the NNPC. We found NNPC deploying image repair as part of incident disclosures to deflect attention, evade blame and avoid issuing apologies. This is supported by the violation of the conversational maxims. The paper provides a theoretical model for discursively assessing the practices of incident information disclosure by an organization in the face of reputational tension, and further assesses the risk communication implications of such practices.

scholarly journals Rethinking ‘essential’ and ‘nonessential’: the developmental paediatrician’s COVID-19 response

2020 ◽  
Vol 25 (5) ◽  
pp. 265-267 ◽  
Author(s):  
Alastair Fung ◽  
M Florencia Ricci
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Developmental Disabilities ◽  
Child Development ◽  
Intensive Care Units ◽  
Practical Purpose ◽  
Quality Care ◽  
Emergency Rooms ◽  
Phone Calls ◽  
Provide Quality Care

Abstract While terms such as ‘essential’ and ‘nonessential’ used amidst the COVID-19 pandemic may serve a practical purpose, they also pose a risk of obstructing our view of the harmful indirect health consequences of this crisis. SARS-CoV-2 cases and deaths in children are minimal compared to adults, but the pandemic impacts other ‘essential’ aspects of children’s health including child development and the associated areas of paediatric behaviour, mental health, and maltreatment. Alongside the management of severe SARS-CoV-2 cases in emergency rooms and intensive care units, continuing to care for children with developmental disabilities must also be concurrently championed as ‘essential’ during this crisis. The potentially devastating lifelong effects of the pandemic and isolation on an already vulnerable population demand that action be taken now. Video conferences and phone calls are ‘essential’ instruments we can use to continue to provide quality care for our patients.

Current Practices for Withdrawal of Life Support in Intensive Care Units

2010 ◽  
Vol 19 (6) ◽  
pp. 532-541 ◽  
Author(s):  
Karin T. Kirchhoff ◽  
Jennifer A. Kowalkowski
Keyword(s):  
Intensive Care ◽  
Nursing Education ◽  
Intensive Care Units ◽  
Life Support ◽  
Quality Care ◽  
The United States ◽  
Health Care Team ◽  
Intensive Care Nurses ◽  
Care Plans

BackgroundNurses are present at the bedside of patients undergoing withdrawal of life support more often than any other member of the health care team, yet most publications on this topic are directed at physicians.ObjectivesTo describe the training, guidance, and support related to withdrawal of life support received by nurses in intensive care units in the United States, how the nurses participated, and how the withdrawal of life support occurred.MethodsA questionnaire about withdrawal of life support was sent to 1000 randomly selected members of the American Association of Critical-Care Nurses, with 2 follow-up mailings.ResultsResponses were received from 48.4% of the nurses surveyed. Content on withdrawal of life support was required in only 15.5% of respondents’ basic nursing education and was absent from work site orientations for 63.1% of respondents. Nurses’ actions during withdrawal were most often guided by individual physician’s orders (63.8%), followed by standardized care plans (20%) and standing orders (11.8%). Nurses rated the importance of emotional support during and after the withdrawal of life support very highly, but they did not believe they were receiving that level of support. Most respondents (87.5%) participated in family conferences where withdrawal of life support was discussed. After physicians, nurses were most influential concerning administration of palliative medications. Patients’ families were present during withdrawal procedures between 32.3% and 58.4% of the time.ConclusionsTo improve their practice, intensive care nurses should receive formal training on withdrawal of life support, and institutions should develop best practices that support nurses in providing the highest quality care for patients undergoing this procedure.

scholarly journals Infection factors related to nursing procedures in Intensive Care Units: a scoping review

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Renilly de Melo Paiva ◽  
Larissa de Lima Ferreira ◽  
Manaces dos Santos Bezerril ◽  
Flavia Tavares Barreto Chiavone ◽  
Pétala Tuani Candido de Oliveira Salvador ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Scoping Review ◽  
Descriptive Statistics ◽  
Healthcare Associated Infections ◽  
Invasive Procedures ◽  
Final Sample ◽  
The Face ◽  
Healthcare Associated ◽  
Invasive Techniques

ABSTRACT Objectives: to identify and map the invasive procedures performed by nursing that can cause Healthcare-Associated Infections in patients in Intensive Care Units. Methods: this is a scoping review carried out in the first half of 2018, based on search for studies in national and international databases, in which 2,209 studies were found, of which 35 constituted the final sample. The data were analyzed and organized by simple descriptive statistics. Results: among the invasive procedures performed by nursing that provide Healthcare-Associated Infections, delayed bladder catheter was indicated in 34 (66.67%) studies, the nasogastric catheter in 10 (19.61%) and the nasoenteral catheter in two (03.92%). Conclusions: in the face of such problems, better nursing planning and guidance for care in these invasive techniques becomes relevant and thus minimizes the incidence of infections.

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.

Delayed Cord Clamping and Umbilical Cord Milking among Infants in California Neonatal Intensive Care Units

2019 ◽  
Vol 37 (02) ◽  
pp. 151-157 ◽  
Author(s):  
Chinh L. Tran ◽  
Janella M. Parucha ◽  
Priya Jegatheesan ◽  
Henry C. Lee
Keyword(s):  
Intensive Care ◽  
Confidence Interval ◽  
Intensive Care Units ◽  
Odds Ratio ◽  
Neonatal Intensive Care ◽  
Quality Care ◽  
Patient Characteristics ◽  
Neonatal Intensive Care Units ◽  
Delayed Cord Clamping ◽  
Cord Clamping

Objective To assess the current practice of delayed cord clamping (DCC) and to determine patient and hospital factors that predict DCC. Study Design The California Perinatal Quality Care Collaborative (CPQCC) collects data on preterm and acutely ill infants. In 2016, 52 CPQCC neonatal intensive care units (NICUs) collected data on DCC. Hospital and patient characteristics were analyzed using multivariable logistic regression. Results Of 5,332 deliveries, 1,555 (29%) newborns received DCC. Hospital rates ranged from 0 to 74.5% and increased from 21 to 37% throughout 2016. Infants delivered at <32 weeks or with birth weight <1,500 g were more likely to receive DCC (odds ratio: 2.80; 95% confidence interval: 2.33, 3.36). Cesarean delivery was associated with less likelihood of DCC (odds ratio: 0.68; 95% confidence interval: 0.59, 0.79). After risk adjustment, 17 (33%) hospitals had higher than expected DCC rate. Hospitals with less than 50 NICU beds are more likely to practice DCC, whereas Level 3 American Academy of Pediatrics NICUs, nonprofit owned hospitals, and teaching institutions were less likely to practice DCC (p < 0.001). Conclusion There are opportunities to implement quality improvement activities to increase DCC rates.

Critical incidents rates and types in Italian Intensive Care Units: A five-year analysis

2021 ◽  
Vol 62 ◽  
pp. 102950
Author(s):  
Matteo Danielis ◽  
Fabrizio Bellomo ◽  
Federico Farneti ◽  
Alvisa Palese
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critical Incidents
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