scholarly journals Training of intensive care nurses to handle continuous hemodialysis: a latent condition for safety

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 105-113 ◽  
Author(s):  
Bianca Ribeiro Porto de Andrade ◽  
Fabiana de Mello Barros ◽  
Honorina Fátima Ângela de Lúcio ◽  
Juliana Faria Campos ◽  
Rafael Celestino da Silva

ABSTRACT Objective: To analyze the repercussions of the training of nurses working in the Intensive Care Unit for the management of continuous hemodialysis regarding the safety of critical patients with acute renal failure. Method: Qualitative research developed considering James Reason's reference in the Intensive Care Unit of a private hospital. The data was collected with 23 nurses who worked for more than three months in the management of continuous hemodialysis through a semi-structured interview, and analyzed with the thematic content analysis technique. Results: There are weaknesses in the training of intensive care nurses for the management of continuous hemodialysis that become a latent failure. Such a failure results in difficulties in handling hemodialysis, with risks for these professionals to commit active failures. Final considerations: The training program in service for the management of continuous hemodialysis must be perfected, to develop skills and competencies in nurses and improve their performance.

Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
Author(s):  
Erika Steyn ◽  
Marie Poggenpoel ◽  
Chris Myburgh

Background: Many of the 15 million premature babies born worldwide every year survive because of advanced medical interventions. Their parents have intense experiences when their babies are in the intensive care unit (ICU), and these have an impact on their thoughts, feelings and relationships, including their relationships with their premature babies. Objectives: The aim of the study was to explore and describe the lived experiences of parents of premature babies in an ICU. Method: Research design was qualitative, exploratory, descriptive and contextual. A purposive sample of parents with premature babies in an ICU in a private hospital in Johannesburg Gauteng in South Africa was used. Eight parents, four mothers and four fathers, married and either Afrikaans or English-speaking, were included in the study. Data were collected by conducting in-depth phenomenological interviews with them and making use of field notes. Trustworthiness was ensured by implementing the strategies of credibility, transferability, dependability and confirmability. Ethical principles such as autonomy, beneficence, nonmaleficence and justice were adhered to throughout the research process. Results: Thematic analyses were utilised to analyse the data. Two themes in the experiences of parents with premature babies in ICU became apparent. Parents experienced thoughts, emotions and hope while their premature babies were in the ICU as well as challenges in their relationships and these challenges influenced their experiences. Recommendations: Mindfulness of intensive care nurses should be facilitated so that intensive care nurses can promote the mental health of parents with premature babies in the ICU. Conclusion: Parents with premature babies in the ICU have thoughts and emotional experiences which include hope and they affect parents’ relationships.


2016 ◽  
Vol 26 (4) ◽  
pp. 504-524 ◽  
Author(s):  
Elem Kocaçal Güler ◽  
İsmet Eşer ◽  
Imad Hussein Deeb Fashafsheh

Eye care is an important area of critical care. However, lack of eye care studies is a common issue across the globe. The aim of this study is to determine the views and practices of intensive care unit (ICU) nurses on eye care in Turkey and Palestine. This descriptive study was conducted using a self-administrated questionnaire. The data were collected from 111 nurses in nine kinds of ICUs in two education hospital. Normal saline (75.9%) was the most commonly reported solution for eye hygiene among the Palestinian nurses, and gauze soaked in normal saline or sterile water (64.3%) were the most frequently used supplies by the Turkish nurses. Although both Palestinian and Turkish ICU nurses took some precautions to prevent eye complications in critical patients, there were some gaps and insufficiencies in the eye care of ICU patients. There is a need for continuing training in this area.


2018 ◽  
Vol 7 (2) ◽  
pp. 140-155
Author(s):  
Alda Vanessa Cardoso Ferreira ◽  
Gabriela De Sousa Dantas Cunha ◽  
Marcelle Napoleão Do Rêgo Formiga

O presente estudo tem o objetivo de compreender como os profissionais de saúde da Unidade de Terapia Intensiva (UTI) cuidam dos pacientes críticos e quais são as variáveis emocionais que estão implicadas neste cuidado. Especificamente tem o propósito de compreender a percepção que os participantes têm sobre o que é cuidar, quais são as variáveis emocionais que favorecem e dificultam o cuidar, como percebem a própria disponibilidade e habilidade para cuidar e qual a visão que têm de si mesmos como cuidadores. Para tanto, realizou-se uma pesquisa qualitativa, de cunho exploratório descritivo. Foram entrevistados 13 sujeitos de uma UTI de um hospital público de referência na cidade de Teresina-Piauí. Para tanto, utilizou-se um questionário sociodemográfico para categorização dos sujeitos e uma entrevista semiestruturada com perguntas abertas. As entrevistas foram analisadas em seu conteúdo, tendo sido criadas cinco categorias para a discussão dos dados. A análise dos dados foi realizada com base na análise de conteúdo de Bardin, a qual opera em três polos principais: a pré-análise, a exploração do material e os resultados, com base na inferência e interpretação. Os resultados apontam que o cuidar envolve a dimensão física e emocional do paciente, assim como esse processo suscita no profissional vivências emocionais que facilitam e que também dificultam o cuidar, interferindo na qualidade dos cuidados oferecidos. Os discursos também apontam para a necessidade de voltar o olhar para os cuidadores, para que estejam mais atentos para a necessidade de cuidar de si mesmos ou tenham mais habilidade para tal.Palavras-chave: Cuidado intensivo. Profissionais de saúde. Emoções. THE INTENSIVE CARE UNDER THE PERSPECTIVE OF THE HEALTH PROFESSIONALS OF THE INTENSIVE CARE UNIT ABSTRACT: The present study aims to understand how the health professionals of the Intensive Care Unit (ICU) take care of critical patients and what are the emotional variables that are involved in this care. Specifically, it aims to understand the participants' perception about what is care, what are the emotional variables that favor and hinder caring, how they perceive their own availability and ability to care, and how they view themselves as caregivers. For that, a qualitative research was carried out, with a descriptive exploratory character. We interviewed 13 subjects from an ICU of a public reference hospital in the city of Teresina-Piauí. For this purpose, a sociodemographic questionnaire was used to categorize subjects and a semi-structured interview with open questions. The interviews were analyzed in their content, and five categories were created to discuss the data. Data analysis was performed based on the Bardin content analysis, which operates in three main poles: pre-analysis, material exploration and results, based on inference and interpretation. The results indicate that caring involves the physical and emotional dimension of the patient, just as this process raises in the professional emotional experiences that facilitate and also difficult the care, interfering in the quality of care offered. The speeches also indicates to the need to turn the gaze to the caregiveres so that them are more attentives to the need to take care of themselves or have more ability to do this.Keywords: Intensive care. Health Personnel. Emotions.


2018 ◽  
Vol 22 (2) ◽  
Author(s):  
Letícia Neves ◽  
Andressa Alencar Gondim ◽  
Sara Costa Martins Rodrigues Soares ◽  
Denis Pontes Coelho ◽  
Joana Angélica Marques Pinheiro

Abstract Objective: To understand the impact of the hospitalization process on the family companion of critical patients admitted to a Semi-Intensive Care Unit (SICU). Method: Exploratory research with a qualitative approach, conducted in the months of April to July of 2016 through a semi-structured interview applied to relatives who were accompanying patients hospitalized in an SICU of a high complexity care hospital in Fortaleza. The interviews were submitted to content analysis. Results: Three themes emerged through the perception of the family members, which reveal the companion's functioning during the hospitalization period: emotional, familiar and behavioural. Conclusion: The companion experiences an intense process of suffering and emotional fragility, causing changes in the family organization. The companion, being a caregiver, is subjected to high levels of stress, having to use coping skills, with; spirituality and social media among the most evident. The companion is an integral care unit for the hospitalized patient and a key piece in the humanization process of health.


2014 ◽  
Vol 32 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Ethel Cukierkorn Battikha ◽  
Maria Teresa de M. Carvalho ◽  
Benjamin Israel Kopelman

Objective: To analyze and to interpret the psychological repercussions generated by the presence of parents in the Neonatal Intensive Care Unit for residents in Neonatology. Methods: Study based on the psychoanalytic theory, involving a methodological interface with qualitative surveys in Health Sciences. Twenty resident physicians in Neonatology, from five public institutions of São Paulo state, responded to a single semi-structured interview. Based on several readings of the material, achieving the core of emergent meanings that would be significant to the object of the survey, six categories were elected for analysis and interpretation: parents' staying at the Neonatal Intensive Care Unit and its effects on the neonatologists' professional practice; communication of the diagnosis and what parents should know; impasses between parents and doctors when the diagnosis is being communicated; doctor's identification with parents; communication of the child's death and their participation in the interview. Results: The interpretation of the categories provided an understanding of the psychic mechanisms mobilized in doctors in their relationships with the children's parents, showing that the residents experience anguish and suffering when they provide medical care and during their training process, and also that they lack psychological support to handle these feelings. Conclusions: There is a need of intervention in neonatologists training and education, which may favor the elaboration of daily experiences in the Unit, providing a less anguishing and defensive way out for young doctors, especially in their relationship with patients and parents.


2011 ◽  
Vol 19 (3) ◽  
pp. 573-580 ◽  
Author(s):  
Raquel Silva Bicalho Zunta ◽  
Valéria Castilho

This study aimed to: estimate the billing of nursing procedures at an intensive care unit and calculate how much of total ICU revenues are generated by nursing. An exploratory-descriptive, documentary research with a quantitative approach was carried out. The study was performed at a general ICU of a private hospital in the city of Sao Paulo. The sample consisted of 159 patients. It was concluded that the nursing procedures were responsible for 15.1% of total ICU revenues, which breaks down to an average 11.3% of revenues coming from nursing prescriptions and 3.8% from medical prescriptions. Demonstrating how much nursing contributes to hospital revenues is essential information for nursing managers, as it is an important argument to obtain resources and guarantee safe care.


2011 ◽  
Vol 5 (5) ◽  
pp. 1187
Author(s):  
Francislene Fátima Cordeiro ◽  
Ana Maria Dyniewicz ◽  
Luísa Canestraro Kalinowski

ABSTRACT Objectives: to analyze nursing reports at the Intensive Care Unit (ICU) of a private hospital and indentify nursing report features at the ICU. Method: descriptive study held between October/2009 and January/2010, applying a data-collection instrument to 100 nursing reports in patients’ records of an adult ICU of a private hospital in the municipality of Curitiba, Paraná State/Brazil. The criteria for record inclusion in the study were adult patients of both sexes, regardless the pathology and/or complications and health insurance plans, longer than three-day admission in the ICU. This research followed the procedures recommended by Resolution nº 196/96, and was approved by the Research Ethics Committee from Universidade Tuiuti do Paraná (Opinion 000124/2009). Results: among the results, it can be pointed out: missing patients’ identification tags; reports presenting blanks, scratches or correction fluid erasures; missing signing; incorrect checking and incomplete records from Systematization of Nursing Care. Conclusion: as nursing reports mean safety to patients and institutions and reflect the quality of care delivery, it was perceived the need to steady improvement in this recording process. Descriptors: nursing audit; quality of health care; nursing. RESUMOObjetivos: analisar as anotações de enfermagem em Unidade de Terapia Intensiva – UTI de um hospital privado e identificar as características dos registros de enfermagem na UTI. Método: estudo descritivo realizado de outubro de 2009 a janeiro de 2010, aplicando um instrumento de coleta de dados a 100 anotações de enfermagem em prontuários de pacientes de uma UTI geral adulto de um hospital privado do município de Curitiba-PR. Os critérios de inclusão de prontuários no estudo foram: pacientes adultos, de ambos os sexos, independente da patologia e/ou complicações e plano de saúde, com mais de três dias de internação na UTI. Esta pesquisa seguiu os procedimentos recomendados pela Resolução nº 196/96 e foi aprovada pelo Comitê de Ética em Pesquisa em Humanos da Universidade Tuiuti do Paraná, sob o número 000124/2009. Resultados: dentre os resultados destacam-se: falta de etiquetas de identificação de pacientes; anotações com espaços em branco, rasuras e utilização de corretor ortográfico; falta de assinatura; checagem incorreta e registros da Sistematização da Assistência de Enfermagem incompletos. Conclusão: como as anotações de enfermagem representam segurança ao paciente e à instituição e refletem a qualidade da assistência prestada, percebeu-se a necessidade de melhoria contínua desse processo de registros. Descritores: auditoria de enfermagem; qualidade da assistência à saúde; enfermagem.RESUMEN Objetivos: analizar los apuntes de enfermería en Unidad de Terapia Intensiva – UTI de un hospital particular e identificar las características de los registros de enfermería en UTI. Método: estudio descriptivo hecho de octubre de 2009 a enero de 2010, con instrumento de 100 apuntes de enfermería en prontuarios de pacientes de una UTI general para adultos de un hospital de Curitiba-PR. Los criterios de inclusión de registros solicitaban que fuesen pacientes adultos de ambos sexos, independientemente de la patología y/o complicaciones y el plan de la salud, con más de tres días en la UTI. Este estudio dio seguimiento a los procedimientos recomendados por la Resolución 196/96 y aprobado por la Ética en la Investigación Humana de la Universidad Tuiuti con el número 000124/2009. Resultados: entre los resultados, se destacan: ausencia de etiquetas de identificación de pacientes; apuntes con espacios en blanco, tachones y utilización de corrector ortográfico; falta de firma; chequeo incorrecto y registros de la Sistematización da Asistencia de Enfermería incompletos. Conclusión: como los apuntes de enfermería representan seguridad para el paciente y para la institución y reflejan la cualidad de la asistencia prestada, se ha percibido la necesidad de mejoría continua de ese proceso de registros. Descriptores: auditoria de enfermería; calidad de la atención de salud; enfermería.


2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Ainnur Rahmanti ◽  
Dyah Kartika Putri

Patient with critical condition had high morbidity and mortality rate. This condition is worsened by long term immobilization. Instability vital sign made nurses stationed delayed mobilization activities in ICU. Progressive mobilization must be started for ICU patient to decrease respiratory function, level of awareness and cardiovascular function. The objective of this study was to identify progressive mobilization activities on blood pressure parameters among critical patients in ICU. The design of this study was quai experiment design. Thirty respondents were included to the study using concequtive sampling. Progressive mobilization was given with head of bed 300 (HOB 300), head of bed450 (HOB 450) with  passive range of motion, continued with right and left lateral position. Anova repeated measurement was used to identify mean difference each of blood pressure. The result of this study show there is two moment sistolic change between HOB 300 to HOB 450 and HOB 450 to right lateral position (3,3%). There is nine moment diastolic change between HOB 450 to right lateral position (16,7%).   Keywords: blood pressure, ICU, Progressive mobilization


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Mariona Badia ◽  
José Manuel Casanova ◽  
Lluís Serviá ◽  
Neus Montserrat ◽  
Jordi Codina ◽  
...  

Dermatological problems are not usually related to intensive medicine because they are considered to have a low impact on the evolution of critical patients. Despite this, dermatological manifestations (DMs) are relatively frequent in critically ill patients. In rare cases, DMs will be the main diagnosis and will require intensive treatment due to acute skin failure. In contrast, DMs can be a reflection of underlying systemic diseases, and their identification may be key to their diagnosis. On other occasions, DMs are lesions that appear in the evolution of critical patients and are due to factors derived from the stay or intensive treatment. Lastly, DMs can accompany patients and must be taken into account in the comprehensive pathology management. Several factors must be considered when addressing DMs: on the one hand, the moment of appearance, morphology, location, and associated treatment and, on the other hand, aetiopathogenesis and classification of the cutaneous lesion. DMs can be classified into 4 groups: life-threatening DMs (uncommon but compromise the patient's life); DMs associated with systemic diseases where skin lesions accompany the pathology that requires admission to the intensive care unit (ICU); DMs secondary to the management of the critical patient that considers the cutaneous manifestations that appear in the evolution mainly of infectious or allergic origin; and DMs previously present in the patient and unrelated to the critical process. This review provides a characterization of DMs in ICU patients to establish a better identification and classification and to understand their interrelation with critical illnesses.


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