scholarly journals Pilot study of a brief psychological intervention for reducing emotional exhaustion and secondary traumatic stress among physicians of intensive care units in Mexico

Salud Mental ◽  
2020 ◽  
Vol 43 (5) ◽  
pp. 219-226
Author(s):  
Jennifer E. Moreno-Jiménez ◽  
María del Carmen Yeo-Ayala ◽  
Andrés Palomera ◽  
Luis Manuel Blanco-Donoso ◽  
Raquel Rodríguez-Carvajal ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Emotional Exhaustion ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Preliminary Evidence ◽  
Control Group ◽  
Work Stressors ◽  
Harmonious Passion ◽  
Self Compassion

Introduction. Physicians of Intensive Care Units (ICU) have a potential risk to develop negative outcomes such as emotional exhaustion and secondary traumatic stress (STS). Specifically, job demands in these units (i.e., work stressors and emotional effort) may positively predict these outcomes, whereas personal resources such as harmonious passion and self-compassion may diminish them. Objetive. To design a specific intervention for physicians in ICU and provide preliminary evidence of its effectiveness. Method. A brief intervention of five weekly sessions (two hour-sessions) was carried out with four physicians in ICU in a hospital in Mexico. Other four physicians were selected as a control group. The intervention was aimed at reducing emotional exhaustion and STS by increasing harmonious passion and self-compassion, and diminishing the emotional effort. Results. The intervention group showed a significant reduction in: a) work stressors (2/4 physicians; RCI = .21); emotional effort (1/4 physicians; (RCI = .60); emotional exhaustion (2/4 physicians; RCI = .34); and STS (3/4 physicians; RCI = .26). One physician experienced a significant increase in harmonious passion (RCI = 1.00), but the intervention seems to maintain high levels of this and self-compassion in comparison with the control group. The control group showed a worse result in its outcomes. Discussion and conclusion. Despite the limitations, this study provides preliminary evidence for effectively reducing emotional exhaustion and STS. Our findings highlight the individual analysis of the effective tools per physician and address interventions focused on harmonious passion and self-compassion. This study calls for future research concerning intervention proposals in ICU with follow-up measures to diminish the negative consequences in the long-term.

The Moderator Role of Passion for Work in the Association between Work Stressors and Secondary Traumatic Stress: A Cross‐Level Diary Study among Health Professionals of Intensive Care Units

2020 ◽  
Vol 12 (3) ◽  
pp. 907-933
Author(s):  
Jennifer E. Moreno‐Jiménez ◽  
Luis Manuel Blanco‐Donoso ◽  
Raquel Rodríguez‐Carvajal ◽  
Mario Chico‐Fernández ◽  
Juan Carlos Montejo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Traumatic Stress ◽  
Health Professionals ◽  
Secondary Traumatic Stress ◽  
Diary Study ◽  
Work Stressors ◽  
Moderator Role ◽  
Passion For Work

Risk and protective factors of secondary traumatic stress in Intensive Care Units: An exploratory study in a hospital in Madrid (Spain)

2020 ◽  
Vol 44 (7) ◽  
pp. 420-428
Author(s):  
J.E. Moreno-Jiménez ◽  
R. Rodríguez-Carvajal ◽  
M. Chico-Fernández ◽  
Ó. Lecuona ◽  
M. Martínez ◽  
...  
Keyword(s):  
Intensive Care ◽  
Protective Factors ◽  
Intensive Care Units ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Exploratory Study ◽  
Risk And Protective Factors

scholarly journals Effect of applying nurses driven electrolyte repletion protocol on electrolyte disturbances control among critically ill patients

2020 ◽  
Vol 10 (4) ◽  
pp. 72
Author(s):  
Mohamed E. Abdelgawad ◽  
Nadia T. Ahmed ◽  
Ahmed M. Elmenshawy
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Improve Patient Care ◽  
University Hospital ◽  
Treatment Modalities ◽  
Control Group ◽  
Electrolyte Disturbances ◽  
Electrolyte Loss

Background and objective: Electrolyte disturbances remain a common lifesaving issue in the intensive care units. They are associated with increased morbidity and mortality. They are mostly resulted secondary to critical illness itself or associated treatment modalities. Therefore, electrolytes repletion should be done effectively and timely. This could be ensured using nurse driven protocols rather than traditional methods of repletion. These protocols are nurse initiated and collaboratively developed. They have been shown to improve patient care outcomes through the provision of high quality care. They are increasingly being used in the critical care setting. Objective: Determine the effect of applying nurses driven electrolytes repletion protocol on electrolytes disturbance control among critically ill patients.Methods: Quasi experimental research design was used. Sixty two critically ill patients with electrolytes loss were enrolled in the study at Alexandria Main University Hospital intensive care units, Egypt. All episodes of electrolyte loss were evaluated. Repletion of electrolyte loss was done according to unit routine for the control group and nurses driven electrolytes repletion protocol for the study group. Episodes of electrolyte disturbances, adverse events and timing of repletion were evaluated.Results: Neurological disorders represent the most encountered diagnosis. The most common cause of electrolyte loss in was the use of diuretics. Furthermore, there was a highly statistical difference between the two groups as regard electrolytes levels, effectiveness and timing of replacement.Conclusions: Application of nurses driven electrolyte repletion protocol resulted in improvements in the effectiveness and timeliness of electrolyte replacement.

scholarly journals Oral care and nosocomial pneumonia: a systematic review

2015 ◽  
Vol 13 (2) ◽  
pp. 290-296 ◽  
Author(s):  
Maria Carolina Nunes Vilela ◽  
Gustavo Zanna Ferreira ◽  
Paulo Sérgio da Silva Santos ◽  
Nathalie Pepe Medeiros de Rezende
Keyword(s):  
Systematic Review ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Nosocomial Pneumonia ◽  
Oral Hygiene ◽  
Oral Care ◽  
Control Group ◽  
Level Of Evidence ◽  
Grade Of Recommendation ◽  
Minimal Bias

To perform a systematic review of the literature on the control of oral biofilms and the incidence of nosocomial pneumonia, in addition to assessing and classifying studies as to the grade of recommendation and level of evidence. The review was based on PubMed, LILACS, and Scopus databases, from January 1st, 2000 until December 31st, 2012. Studies evaluating oral hygiene care related to nosocomial infections in patients hospitalized in intensive care units were selected according to the inclusion criteria. Full published articles available in English, Spanish, or Portuguese, which approached chemical or mechanical oral hygiene techniques in preventing pneumonia, interventions performed, and their results were included. After analysis, the articles were classified according to level of evidence and grade of recommendation according to the criteria of the Oxford Centre for Evidence-Based Medicine. A total of 297 abstracts were found, 14 of which were full articles that met our criteria. Most articles included a study group with chlorhexidine users and a control group with placebo users for oral hygiene in the prevention of pneumonia. All articles were classified as B in the level of evidence, and 12 articles were classified as 2B and two articles as 2C in grade of recommendation. It was observed that the control of oral biofilm reduces the incidence of nosocomial pneumonia, but the fact that most articles had an intermediate grade of recommendation makes clear the need to conduct randomized controlled trials with minimal bias to establish future guidelines for oral hygiene in intensive care units.

Secondary Traumatic Stress and Vigor Among Neonatal Intensive Care Unit Personnel

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Rachel Nissanholtz Gannot ◽  
Yaira Hamama Raz ◽  
Iris Stein ◽  
Ori Hochwald
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Neonatal Intensive Care

scholarly journals Disseminating Trauma-Focused Cognitive Behavioral Therapy with a Systematic Self-care Approach to Addressing Secondary Traumatic Stress: PRACTICE What You Preach

2020 ◽  
Vol 56 (8) ◽  
pp. 1531-1543
Author(s):  
Esther Deblinger ◽  
Elisabeth Pollio ◽  
Beth Cooper ◽  
Robert A. Steer
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Coping Skills ◽  
Behavioral Therapy ◽  
Self Care ◽  
Preliminary Evidence ◽  
Cognitive Behavioral ◽  
Treatment Implementation ◽  
Instrumental Social Support

Abstract This pilot study evaluated the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training programs augmented with a systematic “PRACTICE What You Preach” (PWYP) self-care focus, which has trainees personally utilize the coping skills they teach their clients. Participants were 115 clinicians/supervisors who completed a PWYP TF-CBT training program. Pre- to post-training analyses documented significant increases in participants’ competency and fidelity in implementing TF-CBT (ps < .001), significantly more frequent use of coping skills including instrumental social support (p < .01), active coping (p < .001), humor (p < .01), and restraint (p < .01), and significant decreases in secondary traumatic stress (STS; p < .001). Children’s symptoms of PTSD (ps < .001) and behavior problems (p < .05) also decreased significantly. This preliminary evidence suggests that training augmented with PWYP may enhance clinicians’/supervisors’ personal coping and reduce their levels of STS without compromising treatment implementation efforts and client outcomes.

Burnout and Mindfulness Self-Compassion in Nurses of Intensive Care Units

2017 ◽  
Vol 31 (4) ◽  
pp. 225-233 ◽  
Author(s):  
Pilar Gracia-Gracia ◽  
Bárbara Oliván-Blázquez
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Self Compassion

scholarly journals Cognitive therapy for post-traumatic stress disorder following critical illness and intensive care unit admission

2020 ◽  
Vol 13 ◽  
Author(s):  
Hannah Murray ◽  
Nick Grey ◽  
Jennifer Wild ◽  
Emma Warnock-Parkes ◽  
Alice Kerr ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cognitive Therapy ◽  
Intensive Care Units ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
List Type ◽  
Post Traumatic Stress ◽  
Case Examples ◽  
Post Traumatic

Abstract Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during the COVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months. Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have been published for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU. Key learning aims (1) To recognise PTSD following admissions to intensive care units (ICUs). (2) To understand how the ICU experience can lead to PTSD development. (3) To understand how Ehlers and Clark’s (2000) cognitive model of PTSD can be applied to post-ICU PTSD. (4) To be able to apply cognitive therapy for PTSD to patients with post-ICU PTSD.

scholarly journals MONISEDA project. Improving analgosedation monitoring in Spanish pediatric intensive care units.

2021 ◽  
Author(s):  
Santiago Mencia ◽  
Raquel Cieza ◽  
Jimena Del Castillo ◽  
Jesús López-Herce ◽  
Sedation Group of Spanish Pediatric Critical Care SEDUCIP
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Intervention Program ◽  
Pediatric Intensive Care ◽  
Control Group ◽  
Pediatric Intensive Care Units ◽  
Spanish Society ◽  
Clinical Scales ◽  
Before And After

Abstract Background Analgosedation (AS) assessment using clinical scales is crucial to follow the international recommendations about analgosedation. The Analgosedation workgroup of the Spanish Society of Pediatric Intensive Care (SECIP) carried out two surveys in 2008 and 2015, which verified the gap in analgosedation assessment in Spanish PICUs. The objective of the study was to analyze how analgosedation assessment by clinical scales changed after a multicenter intervention program. Methods multicenter pre-post study comparing the use of sedation, analgesia, withdrawal and delirium scales before and after the MONISEDA project. Results were also compared with a control group formed by non-participating units. A survey about analgosedation management and monitoring was filled out before (year 2015) and after (year 2020) the implementation of the Moniseda project in 2016. Results were compared between those periods of time, but also between participant and non-participants PICUs in the Moniseda project (M-group and non-M group, respectively). Data related to analgosedation of all patients admitted to a Moniseda-participant PICU were also collected for 2 months. Results 15 Spanish PICUs were enrolled in the Moniseda project and other 15 non-participant PICUs formed the control group. In the M-group, the number of PICUs with a written analgosedation protocol increased from 53 to 100% (p = 0.003) and withdrawal protocol from 53 to 100% (p = 0.003), whereas in non-M group the written AS protocol increased from 80 to 87% and withdrawal protocol stayed on 80%.

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