scholarly journals Dysthanasia, euthanasia, orthotanasia: the perceptions of nurses working in intensive care units and care implications

2009 ◽  
Vol 17 (5) ◽  
pp. 613-619 ◽  
Author(s):  
Chaiane Amorim Biondo ◽  
Maria Júlia Paes da Silva ◽  
Lígia Maria Dal Secco
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Quantitative Study ◽  
Professional Practice ◽  
Nursing Care ◽  
Daily Practice ◽  
Ethics Committee ◽  
University Hospital ◽  
The Subject

This study aimed to analyze the perceptions of nurses working in the Intensive Care Unit (ICU) of a University Hospital in Brazil concerning dysthanasia, orthotanasia and euthanasia and characterize potential implications of their perceptions for care. This quantitative study was carried out with the application of a questionnaire to 27 nurses after approval from the institution's Ethics Committee and authorization from participants were obtained. None of the nurses were able to explain euthanasia, half of them explained dysthanasia, and only a third explained orthotanasia, 65.39% recognized some of these processes in their daily practice, 25.9% believed nurses cannot provide any contribution even being familiar with these concepts and their applicability, 82.36% believed that knowledge of bioethical principles is relevant but only 14.81% were able to mention these principles. The bases of nurses' professional practice were not homogeneous and knowledge about the subject was limited. Orthotanasia, bioethical principles and the delivery of humanized care should be the foundation of nursing care.

Omission of nursing care, professional practice environment and workload in intensive care units

2020 ◽  
Vol 28 (8) ◽  
pp. 1986-1996
Author(s):  
Renata Pereira Lima Silva ◽  
Mayra Gonçalves Menegueti ◽  
Lilian Dias Castilho Siqueira ◽  
Thamiris Ricci Araújo ◽  
Maria Auxiliadora‐Martins ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Professional Practice ◽  
Nursing Care ◽  
Practice Environment ◽  
Professional Practice Environment

scholarly journals Percieved barriers to early progressive mobilization in the ICU: Multidisciplinary perspectives in an underserved population

2019 ◽  
Vol 9 (5) ◽  
pp. 102
Author(s):  
Jessica Grimm ◽  
Angela Elmore-Silvestri ◽  
Erik Grimm ◽  
Kelly Klinger ◽  
Scott Nye ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Educational Intervention ◽  
Positive Impact ◽  
Daily Practice ◽  
Valuable Insight ◽  
Educational Impact ◽  
Frequency Distributions ◽  
Post Test

Early progressive mobilization is the initiation of movement when a patient is hemodynamically stable, adequately oxygenated, and minimally able to participate. Early progressive mobilization has been linked to decreased morbidity and mortality as inactivity has a profound adverse effect on the brain, skin, skeletal muscle, pulmonary and cardiovascular systems. Literature supports early progressive mobilization and physical therapy as a safe and effective intervention that can have a positive impact on functional outcomes. While the benefits of early progressive mobilization in the intensive care unit have been well documented in recent years, many intensive care units are unable to effectively integrate early progressive mobilization into their daily practice. Therefore, the purpose of this project was to determine whether an educational intervention on the Early Progressive Mobilization Protocol at an urban intensive care unit in Las Vegas, Nevada affected knowledge of, skill in, and attitudes toward implementation of the protocol in practice, as well as to determine whether there was a difference in reported compliance scores among various disciplines. A pre-test survey designed to examine these variables and the reported compliance with the Early Progressive Mobilization protocol was administered. Educational sessions were provided to participants on the Early Progressive Mobilization Protocol after the pre-test. A post-test was administered after the educational session to determine the educational impact on the identified variables. Data analysis was completed using frequency distributions. Valuable insight was gained on the potential impact of targeted educational intervention. Further study is warranted to assess the effects of routine training in intensive care units with similar protocols.

scholarly journals The psychological aspects of intensive care units

Curationis ◽  
1982 ◽  
Vol 5 (3) ◽  
Author(s):  
G. Dannenfeldt
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Nursing Care ◽  
Psychological Problems ◽  
Psychological Aspects ◽  
Critically Ill Patient ◽  
Physical Care

The technical and physical care of the critically ill patient has been perfected, but the psychological aspects of intensive nursing care have to a greater or lesser extent been neglected. The objective of this article is to highlight the causes of psychological problems in an intensive care unit, how to recognise these problems and above all how to prevent or correct them.

scholarly journals Perceived and sources of occupational stress in surgical intensive care nurses

2020 ◽  
pp. 201010582096329
Author(s):  
Semra Bulbuloglu ◽  
Gurkan Kapikiran ◽  
Serdar Saritas
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Stress Management ◽  
Intensive Care Units ◽  
Organ Transplant ◽  
University Hospital ◽  
Spiritual Support ◽  
Surgical Intensive Care ◽  
Computer Environment ◽  
Bonferroni Test

Aim: The study aimed to determine sources of stress and stress levels of nurses working in surgical intensive care units in addition to understanding the stress level in nurses, drawing attention and raising awareness. Material and methods: The study was conducted using a descriptive design with the participation of nurses ( n=132) working in surgical intensive care units of a university hospital. The data were collected through the source of stress identification form and perceived stress scale. The data obtained in the study were transferred to a computer environment, and for statistical analyses, the package for social sciences for Windows 25 software was used. In the analyses of the data, descriptive statistics, independent t-test, one-way analysis of variance and regression analysis, and the Bonferroni test were employed. Results: It was also determined that 28.8% of the surgical nurses were working in an organ transplant intensive care unit and 25% worked in an anaesthesia intensive care unit, that 49.3% had professional experience of between 6 and 11 years and that 92.4% worked on both day and night shifts. In the study, the rate of nurses who perceived a high level of stress was found to be 45.5%, and it was identified that 78.8% needed training in stress management. Conclusion: Imperative funding and human resources should be provided in order to give nurses problem-solving abilities and a stress management course. The financial support of the managers and spiritual support of health professionals and organising regular meetings with nurses can help nurses to experience less stress.

Ethical challenges when intensive care unit patients refuse nursing care

2014 ◽  
Vol 23 (2) ◽  
pp. 214-222 ◽  
Author(s):  
Eva Martine Bull ◽  
Venke Sørlie
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Registered Nurses ◽  
Nursing Care ◽  
University Hospital ◽  
Personal Hygiene ◽  
Human Beings ◽  
Ethical Challenges ◽  
Science Data ◽  
Holistic Nursing

Background: Less sedated and more awake patients in the intensive care unit may cause ethical challenges. Research objectives: The purpose of this study is to describe ethical challenges registered nurses experience when patients refuse care and treatment. Research design: Narrative individual open interviews were conducted, and data were analysed using a phenomenological hermeneutic method developed for researching life experiences. Participants and research context: Three intensive care registered nurses from an intensive care unit at a university hospital in Norway were included. Ethical considerations: Norwegian Social Science Data Services approved the study. Permission was obtained from the intensive care unit leader. The participants’ informed and voluntary consent was obtained in writing. Findings: Registered nurses experienced ethical challenges in the balance between situations of deciding on behalf of the patient, persuading the patient and letting the patient decide. Ethical challenges were related to patients being harmful to themselves, not keeping up personal hygiene and care or hindering critical treatment. Discussion: It is made apparent how professional ethics may be threatened by more pragmatic arguments. In recent years, registered nurses are faced with increasing ethical challenges to do no harm and maintain dignity. Conclusion: Ethically challenging situations are emerging, due to new targets including conscious and aware critical care patients, leaving an altered responsibility on the registered nurses. Reflection is required to adjust the course when personal and professional ideals no longer are in harmony with the reality in the clinical practice. RNs must maintain a strong integrity as authentic human beings to provide holistic nursing care.

scholarly journals Nursing Interventions in the Clinical Practice of an Intensive Care Unit

2010 ◽  
Vol 18 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Amália de Fátima Lucena ◽  
Maria Gaby Rivero de Gutiérrez ◽  
Isabel Cristina Echer ◽  
Alba Lucia Bottura Leite de Barros
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Nursing Interventions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Respiratory Management

This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes ‘respiratory management’ and ‘self-care facilitation’. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body’s physical and homeostatic functioning.

scholarly journals Incidence of pressure injury and nursing care time in intensive care

2020 ◽  
Author(s):  
Yasmin Cardoso Metwaly Mohamed Ali ◽  
Taís Milena Milena Pantaleão Souza ◽  
Paulo Carlos Garcia ◽  
Paula Cristina Nogueira
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Data Analysis ◽  
Nursing Care ◽  
University Hospital ◽  
Central Tendency ◽  
Hospital Data ◽  
Nursing Team ◽  
Pressure Injury

Objectives: To correlate the incidence of pressure injury (PI) with the average time of nursing care in an intensive care unit (ICU). Method: Epidemiological, observational, retrospective study, carried out in the ICU of a university hospital. Data were collected by consulting the PI incidence and the average nursing care time from ICU databases between 2010 and 2014. Measures of central tendency and variability, and Pearson’s correlation coefficient were used for data analysis. Results: The average incidence of PI between 2010 and 2014 was 10.83% (SD = 2.87) and the average time spent in nursing care for patients admitted to the ICU was 15 hours (SD = 0.94). There was no statistically significant correlation between the incidence of PI and the nursing care time (r = -0.17; p = 0.199), however, the results suggested an overload on the nursing team. Conclusion: This study confirms the importance of implementing and reassessing the effectiveness of preventive care protocols for PI, in addition to warning about the work overload of nursing in assisting critically ill patients.

scholarly journals Evaluation of Intensivist-Nurses’ Knowledge Concerning Medication Administration Through Nasogastric and Enteral Tubes

2010 ◽  
Vol 18 (5) ◽  
pp. 888-894 ◽  
Author(s):  
Maria Lurdemiler Sabóia Mota ◽  
Islene Victor Barbosa ◽  
Rita Mônica Borges Studart ◽  
Elizabeth Mesquita Melo ◽  
Francisca Elisângela Teixeira Lima ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Descriptive Study ◽  
Medication Administration ◽  
Tertiary Hospital ◽  
Dosage Forms ◽  
Pharmaceutical Formulation ◽  
Quantitative Approach ◽  
The Subject

This study evaluates the knowledge of nurses working in intensive care units concerning recommendations for the proper administration of medication through nasogastric and enteral tubes. This exploratory-descriptive study with a quantitative approach was carried out with 49 nurses in an intensive care unit of a tertiary hospital in Fortaleza, CE, Brazil. A total of 36.7% of nurses reported they disregard the dosage forms provided by the pharmacy at the time of administering the medication through tubes. Metal, wood, or a plastic mortar is the method most frequently reported (42.86%) for crushing prescribed solid forms; 32.65% leave the drugs in 20ml of water until dissolved; 65.3% place the responsibility for choosing the pharmaceutical formulation and its correlation with the tube site, either into the stomach or into the intestine, on the physician. The results indicate there is a gap between specific literature on medication administered through tubes and knowledge of nurses on the subject.

Condições de conforto do paciente internado em Unidade de Terapia Intensiva neonatal

2009 ◽  
Vol 3 (4) ◽  
pp. 831 ◽  
Author(s):  
Daniele Menon ◽  
Andrea Pereira Martins ◽  
Ana Maria Dyniewicz
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Participant Observation ◽  
Ethics Committee ◽  
Dark Field ◽  
Therapeutic Touch ◽  
University Hospital ◽  
Lighting Conditions ◽  
Terapia Intensiva

Objective: to identify the lighting conditions, noise and types of professional touch to babies at a Neonatal Intensive Care Unit. Methods: it was carried out in a 30-bed unit of a university hospital between June and December of 2005. Data were collected by means of non-participant observation through notes in each one of the five unit rooms adding up to 57 hours of observation, which were transcribed, tabulated and analyzed. This study has been approved by the Research Ethics Committee of the Faculty Evangélica of Paraná (2895/05). Results: loud talk was pointed out in the noise category. Regarding lighting, incubators were covered with a dark field. As for the kinds of touch, instrumental-affective one stood out. Conclusion: from the collected data, it is possible to enhance babies’ comfort conditions by means of educational actions with professionals, specially driven to the awareness that humanized care is a behavior which needs to be incorporated to daily actions. Descriptors: nursing; therapeutic touch; intensive care units, neonatal.

Tetanus - a proposal of interdisciplinary care in an intensive care unit: literature systematic review

2010 ◽  
Vol 4 (3) ◽  
pp. 1535
Author(s):  
Maria Eugênia Pires Pessoa Batista Rafael ◽  
Simone Maria Irineu Leal ◽  
Talita Helena Monteiro De Moura ◽  
Tatiana Prísgida De Oliveira Cavalcanti ◽  
Thaísa Marinho Carneiro De Albuquerque ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Interdisciplinary Care ◽  
Nursing Process ◽  
Trabajo En Equipo ◽  
On Line ◽  
The Subject ◽  
Terapia Intensiva ◽  
General Care

ABSTRACTObjectives: introduce up to date information about the assistance of nursing to the patient with tetanus and write one interdisciplinary guide to be used in a Intensive Care Unit. Method: this is about a bibliographic research that analyzed references available at the Library of Faculdade de Enfermagem Nossa Senhora das Graças and periodicals on databases of Biblioteca Virtual em Saúde with the following descriptors “nursing assistance”, “nursing”, “protocols”, “tetanus”, “intensive care unit”. Results: care proposals were described according to admission, general care while in the hospital and some procedures at “alta hospitalar”. Conclusion: teaching a humanized care does not depend only on routines and procedures, it involves proper nuances linked to the essence of the subject, while being in the world. Nursing Assistance Systematization is important to trace a plan of cares in order to attend integrally and individually the patient. Nursing Process is presented as a model of action capable to assist the care and give credibility to the activities of the professionals. Planning Nursing care allows the continuity and integrality of humanized care, fortifying the work in team. Descriptors: nursing care; tetanus; intensive care units; guideline; intensive care.RESUMO Objetivos: introduzir informações atualizadas a respeito da assistência de enfermagem ao portador de tétano acidental e confeccionar uma pauta de cuidados interdisciplinares. Método: revisão bibliográfica em periódicos de língua portuguesa disponíveis na Biblioteca da Faculdade de Enfermagem Nossa Senhora das Graças e na Biblioteca Virtual em Saúde para consulta on line usando os descritores “assistência de enfermagem”, “enfermagem”, “protocolos”, “tétano” e “unidade de terapia intensiva”. Resultados: as propostas de cuidados em Unidade de Terapia Intensiva foram descritas em relação à admissão, aos cuidados gerais enquanto na Unidade de Terapia Intensiva e procedimentos para alta hospitalar. Conclusão: ensinar um cuidar mais humano não depende apenas de rotinas nos procedimentos, envolve nuances próprias que se ligam à essência do sujeito, enquanto ser-no-mundo. A Sistematização da Assistência de Enfermagem é de suma importância para traçarmos um plano de cuidados para assistirmos ao paciente de forma integral e individualizada. O Processo de Enfermagem é um modelo de ação capaz de auxiliar no cuidado e dar credibilidade às atividades dos profissionais. Planejar a Assistência de Enfermagem permite a continuidade e a integralidade do cuidado humanizado, fortalecendo o trabalho em equipe. Descritores: cuidados de enfermagem; tétano; unidades de terapia intensiva; guia; cuidados intensivos.RESUMENObjetivos: introducir la información sobre la ayuda del cuidado al paciente con tétanos y escribir una guía interdisciplinaria que se utilizará en una Unidad de Cuidados Intensivos. Método: investigación bibliográfica que analizaba referencias en portugués disponible en la biblioteca de Faculdade de Enfermagem Nossa Senhora das Graças y periódicos en bases de datos on line con los descriptores “ayuda cuidado”, “oficio de enfermera”, “protocolos”, “tétanos”, “Unidad de Cuidados Intensivos”. Resultados: propuestas para la atención en la Unidad de Cuidados Intensivos fueron descritos en relación a la admisión, la atención general, mientras que en la Unidad de Cuidados Intensivos y procedimientos para la aprobación de la gestión. Conclusión: la enseñanza del cuidado humanizado no depende de rutinas y los procedimientos, implica los matices apropiados que se ligan a la esencia del tema, mientras que estando en el mundo. La sistematización remonta un plan de cuidados para atender integralmente y individualmente el paciente. El proceso del oficio de enfermera és un modelo de la acción capaz de dar credibilidad a las actividades de los profesionales. Planear permiten la continuidad y la integralidad del cuidado humanizado, fortificando el trabajo en equipo. Descriptores: atención de enfermería; tétanos; unidades de terapia intensiva; guia; cuidados intensivos.  

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