scholarly journals Barriers to disinfection of mobile touch screen devices amongst a multidisciplinary team in intensive care units at a tertiary hospital

GERMS ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 329-336
Author(s):  
Christoffel J Opperman ◽  
Farheen Khan ◽  
Jenna L Piercy ◽  
Nazlee Samodien
Author(s):  
Alberto Bisesti ◽  
Andrea Mallardo ◽  
Simone Gambazza ◽  
Filippo Binda ◽  
Alessandro Galazzi ◽  
...  

In early March 2020, Italy became the epicenter of the Coronavirus Disease 2019 (COVID-19) pandemic in Europe. A different organization of hospital units was required to take care of patients affected by acute respiratory failure caused by COVID-19. This study aimed to evaluate the prevalence of burnout in two sub-intensive care units (SICUs) of the COVID-19 hub center of the Lombardia region in Milan (Italy). All nurses and healthcare assistants working in the SICUs during June 2020 were included in the study. Burnout was assessed via the Maslach Burnout Inventory questionnaire. One hundred and five (84%) SICU staff participated in the study. The prevalence of high burnout for nurses and healthcare assistants was 61.9% for emotional exhaustion, 47.6% for depersonalization and 34.3% for personal accomplishment. Depersonalization was significantly more frequent in younger nurses (p = 0.009). Nurses were 4.5 times more likely to have burnout than healthcare assistants. Burnout was a common condition among healthcare workers operating in SICUs during the pandemic. Urgent actions are needed, especially for nurses, as well as preventive strategies for future pandemic scenarios.


Author(s):  
Danielle Mendes Da S. Albuquerque

RESUMO O objetivo do presente estudo foi analisar a importância da presença do cirurgião-dentista em equipe multidisciplinar nas Unidades de Tratamento Intensivo (UTIs). Para tanto, foram selecionadas 11 unidades hospitalares do Estado do Rio de Janeiro. Como instrumento de pesquisa utilizou-se um questionário semiestruturado entregue aos profissionais responsáveis pelos cuidados da saúde bucal dos pacientes com variáveis relacionadas a procedimentos de higiene bucal e presença de doenças orais nos pacientes internados nestas unidades. Os resultados demonstraram que em 100% dos hospitais não foi encontrado um cirurgião-dentista na equipe multidisciplinar das UTIs. Em 72,70% das unidades era o enfermeiro, o profissional da saúde, responsável pelos procedimentos de higiene bucal dos pacientes internados. Este procedimento era realizado em 45,50% das unidades, duas vezes ao dia, sobre orientação de um profissional não especializado em 81,82% dos casos. Grande parte dos pacientes apresentava desordens bucais, como mau-hálito, cárie, gengivite e tártaro, e apesar disso não existia um profissional qualificado responsável pelo tratamento dessas enfermidades, sendo assim em 100% das unidades as doenças bucais não eram tratadas. Conclui-se que apesar da real e grande necessidade de um cirurgião-dentista nessas unidades, reconhecida inclusive pela maioria dos profissionais responsáveis pela higiene bucal, esta presença ainda não é efetiva, o que dificulta assim o correto tratamento de desordens bucais podendo contribuir para o surgimento e/ou agravamento de doenças sistêmicas. Palavras-Chaves: Unidades de Terapia Intensiva. Odontologia. Higiene Bucal. Equipe de Assistência ao Paciente   ABSTRACT The aim of this study was to analyze the importance of the presence of dentists in a multidisciplinary team in the Intensive Care Units (ICUs). To this end, we selected 11 hospitals in the state of Rio de Janeiro. As a research tool used a semi-structured questionnaire given to the professionals responsible for the care of the oral health of patients with variables related to oral hygiene procedures and presence of oral disease in hospitalized patients in these units. The results showed that 100% of the hospitals was not found a dental surgeon in the multidisciplinary team in ICUs. In 72.70% of the units was the nurse, the health professional responsible for oral hygiene procedures for inpatients. This procedure was performed in 45.50% of the units, twice a day, on guidance of a professional not specialized in 81.82% of cases. Most patients had oral disorders such as bad breath, tooth decay, gum disease and tartar, and there wasn’t qualified professional responsible for the treatment of these diseases, therefore 100% of the units were untreated oral diseases yet. It concludes that despite the real and great need for a dentist in these units, including recognized by most professionals responsible for oral hygiene, this presence is not yet effective, which make it difficult the correct treatment of oral disorders may contribute to the emergence and / or worsening of systemic diseases. Keywords: Intensive Care Units. Dentistry. Oral hygiene. Patient Care Team  


2021 ◽  
Vol 30 (5) ◽  
pp. 391-396
Author(s):  
Gretchen A. Colbenson ◽  
Jennifer L. Ridgeway ◽  
Roberto P. Benzo ◽  
Diana J. Kelm

Background Health care professionals working in intensive care units report a high degree of burnout, but this topic has not been extensively studied from an interdisciplinary perspective. Objective To characterize experiences of burnout among members of interprofessional intensive care unit teams and identify possible contributing factors. Methods This qualitative study involved interviews of registered nurses, respiratory therapists, physicians, pharmacists, and a personal care assistant working in multiple intensive care units of a single academic medical center to assess work stressors. Results Team composition was a factor in burnout, particularly when nonphysician team members felt that their opinions were not valued despite the institution’s emphasis on a multidisciplinary team-based model of care. This was especially true when roles were not well defined at the outset of a code situation. Members of nearly all disciplines stated that there was not enough time in a day to complete all the required tasks. Conclusions Multiple factors contribute to work-related stress and burnout across different professions in the intensive care unit. Improved communication and increased receptivity to diverse opinions among members of the multidisciplinary team may help reduce stress.


2015 ◽  
Vol 30 (4) ◽  
pp. 495 ◽  
Author(s):  
Dong Won Park ◽  
Jae Young Moon ◽  
Eun Yong Ku ◽  
Sun Jong Kim ◽  
Young-Mo Koo ◽  
...  

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 ◽  
...  

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.


2019 ◽  
Vol 4 (1) ◽  
pp. 649-653 ◽  
Author(s):  
Vijay Kumar Sah ◽  
Arun Giri ◽  
Milan KC ◽  
Niraj Niraula

Introduction: Thrombocytopenia is a clinical condition characterized by decrease in number of platelets below the normal range. It is associated with bleeding tendency, hemodynamic instability, impaired inflammatory process and thus affecting host defence mechanism. There has been only few studies published till date in pediatric intensive care units suggesting thrombocytopenia is associated with increased mortality. Objectives: To determine the prevalence of thrombocytopenia in the critically ill children and its relationship with mortality in Pediatric intensive care unit (PICU) admitted children. Methodology: A prospective observational study was performed over a period of 12 months on 102 critically ill children admitted in PICU who fulfilled the criteria. Two patients left the study due to financial problems and as outcome could not be assessed on them, they were excluded from the study. Platelet count was noted at the time of admission and consecutively for the initial four days at PICU. Thrombocytopenia was defined as platelet count less than 150/nL. Mortality in PICU was recorded as primary outcome. Results: The prevalence of thrombocytopenia during consecutive 4 days was 34% (n=34) and at the time of admission in PICU was 16% (n=16) among 100 children analysed in the study. The mortality in the PICU was 27% (n=27). Mortality among thrombocytopenic children was 61.7% (n=21) as compared to 7.6% (n=5) in non-thrombocytopenic children (p=<0.001). Mortality was 18 times more for those who were thrombocytopenic at the time of admission as compared to those who subsequently developed thrombocytopenia during course of stay in PICU. Conclusion: Thrombocytopenia has significant association with increased mortality. Thrombocytopenic children at the time of admission have more likelihood of mortality than nonthrombocytopenic children in intensive care units.


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