Rights of the Critically Ill Patient: Position Statement of the World Federation of Critical Care Nurses

2019 ◽  
Vol 13 (2) ◽  
pp. 58-70
Author(s):  
Susan Yeager ◽  
Elizabeth Papathanassoglou ◽  
Laura Brooks ◽  
Lori Delaney ◽  
Sarah Livesay ◽  
...  
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Position Statement ◽  
Critical Care Nurses ◽  
Critically Ill Patient ◽  
World Federation ◽  
Critical Care Nursing ◽  
The World ◽  
Care Nursing

Critical care nursing involves the specialised nursing care of critically ill patients who are vulnerable and may be unable to voice their needs or have their human rights recognized or addressed. The World Federation of Critical Care Nurses (WFCCN) accepts and supports the Universal Declaration of Human Rights and the need for critically ill patients to be cared for with humanity, and to advocate for the rights of their families and communities. In the above context, WFCCN determined the need to create a document that was focused more specifically on the rights of critically ill patients. To this end, in August 2007, the WFCCN released its first Position Statement on the Rights of the Critically Ill Patient - The Declaration of Manila (WFCCN, 2007). The fundamental aim of this Declaration was to inform and assist critical care nursing associations, health services, educational facilities, and other interested parties to realize the rights of critically ill patients. Due to changes in critical care worldwide, as well as increased global migration, the WFCCN Board of Directors commissioned a review of the 2007 Declaration. As a result of this review, revisions were undertaken. This document represents the 2019 revised WFCCN Position Statement on the Rights of the Critically Ill Patient.

scholarly journals Effect of an educational programme on critical care nurses’ competence at two tertiary hospitals in Malawi

2021 ◽  
Vol 33 (4) ◽  
pp. 236-241
Author(s):  
Rodwell Gundo ◽  
Beatrice Gundo ◽  
Ellen Chirwa ◽  
Annette Dickinson ◽  
Gael Janine Mearns
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Educational Programme ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Nursing Competence ◽  
Competence Scale ◽  
Tertiary Hospitals ◽  
Care Nursing

BackgroundCritical care specialty deals with the complex needs of critically ill patients. Nurses who provide critical care are expected to possess the appropriate knowledge and skills required for the care of critically ill patients. The aim of this study was to assess the effect of an educational programme on the competence of critical care nurses at two tertiary hospitals in Lilongwe and Blantyre, Malawi.MethodsA quantitative pre- and post-test design was applied. The training programme was delivered to nurses (n = 41) who worked in intensive care and adult high dependency units at two tertiary hospitals. The effect of the training was assessed through participants’ self-assessment of competence on the Intensive and Critical Care Nursing Competence Scale and a list of 10 additional competencies before and after the training.ResultsThe participants’ scores on the Intensive and Critical Care Nursing Competence Scale before the training, M = 608.2, SD = 59.6 increased significantly after the training, M = 684.7, SD = 29.7, p <.0001 (two-tailed). Similarly, there was a significant increase in the participants’ scores on the additional competencies after the training, p <.0001 (two-tailed). ConclusionThe programme could be used for upskilling nurses in critical care settings in Malawi and other developing countries with a similar context.

scholarly journals Nurses Responsibilities on Providing Enteral Nutrition to the Critically Ill Patient—An European Federation of Critical Care Nursing Associations Position Paper

2018 ◽  
Vol 12 (3) ◽  
pp. 86-89
Author(s):  
Andreas Schaefer ◽  
Julie Benbenishty ◽  
Aleksandra Gutysz-Wojnicka ◽  
Jelena Slijepcevic ◽  
Silvia Scelsi ◽  
...  
Keyword(s):  
Critical Care ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Position Statement ◽  
Nutrition Support ◽  
Critically Ill Patient ◽  
European Federation ◽  
Critical Care Nursing ◽  
Nursing Associations ◽  
Care Nursing

In ICU, one of the nurse's roles is to ensure proper nutrition support to facilitate their recovery. However, few nutrition protocols for nurses are found. The European federation of Critical Care Nursing associations (EfCCNa) position statement provides ICU nurses with evidenced guidelines regarding caring for critically ill patients with enteral nutrition support.

scholarly journals World Federation of Critical Care Nurses 2019 Position Statement: Provision of a Critical Care Nursing Workforce

2019 ◽  
Vol 13 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Melissa J. Bloomer ◽  
Paul Fulbrook ◽  
Sandra Goldsworthy ◽  
Sarah L. Livesay ◽  
Marion L. Mitchell ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Care ◽  
Critical Care Unit ◽  
Position Statement ◽  
Critical Care Nurses ◽  
Nursing Workforce ◽  
World Federation ◽  
Critical Care Nursing ◽  
Patient Acuity ◽  
Care Nursing

BackgroundDue to changes in critical care worldwide, the World Federation of Critical Care Nurses Board of Directors commissioned a review of its 2005 Declaration of Buenos Aires: Position Statement on the Provision of a Critical Care Nursing Workforce.AimTo provide international recommendations to inform and assist critical care nursing associations, health services, governments, and other interested stakeholders in the development and provision of an appropriate critical care nursing workforce.MethodsAn international review group was established, comprised of critical care nurse clinicians, leaders, and researchers. A literature search was undertaken, which informed the revision of the 2005 Declaration, which is contained in the 2019 Position Statement.PositionThe position is supported by six central principles, and is comprised of eight key statements: A critical care unit should have a dedicated nurse leader; Each shift should have at least one registered nurse (RN) designated as the team leader; The majority of RNs providing patient care should hold a recognized post-registration qualification or certification in critical care; Critical care RN staffing should be assessed on a shift-by-shift basis according to patient acuity, the staffing profile, and unit need; An additional critical care RN, not counted in RN-to-patient ratios or allocated a patient load, may provide additional hands-on assistance in patient care, and coordinate other patient-related activities; Support staff (such as nursing and allied health assistants, nursing aides, and care assistants) should work only under the direct supervision of a critical care RN, and never in place of a critical care RN; Where institutionally supported, and in accordance with local legislation, a critical care RN may provide expert critical care consultancy; A critical care unit should be staffed to provide at least one senior nurse, who holds a recognized post-registration critical care qualification or certification, and ideally further qualifications in education.

scholarly journals Rapid Critical Care Training of Nurses in the Surge Response to the Coronavirus Pandemic

2020 ◽  
Vol 29 (5) ◽  
pp. e104-e107
Author(s):  
Diana Brickman ◽  
Andrew Greenway ◽  
Kathryn Sobocinski ◽  
Hanh Thai ◽  
Ashley Turick ◽  
...  
Keyword(s):  
New York ◽  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
New York State ◽  
Care Staff ◽  
Critical Care Nursing ◽  
Care Nursing

Background In response to the coronavirus pandemic, New York State mandated that all hospitals double the capacity of their adult intensive care units In this facility, resources were mobilized to increase from 104 to 283 beds. Objective To create and implement a 3-hour curriculum to prepare several hundred non–critical care staff nurses to manage critically ill patients with coronavirus disease 2019. Methods Critical care nursing leaders and staff developed and implemented a flexible critical care nursing curriculum tailored to the diverse experience, expertise, and learning needs of non–critical care nursing staff who were being redeployed to critical care units during the surge response to the pandemic. Curricular elements included respiratory failure and ventilator management, shock and hemodynamics, pharmacotherapy for critical illnesses, and renal replacement therapy. A skills station allowed hands-on practice with common critical care equipment. Results A total of 413 nurses completed training within 10 days. As of June 2020, 151 patients with coronavirus disease 2019 still required mechanical ventilation at our institution, and 7 of 10 temporary intensive care units remained operational. Thus most of the nurses who received this training continued to practice critical care. A unique feature of this curriculum was the tailored instruction, adapted to learners’ needs, which improved the efficiency of content delivery. Conclusions Program evaluation is ongoing. As recovery and restoration proceed and normal operations resume, detailed feedback from program participants and patient care managers will help the institution maintain high operational readiness should a second wave of critically ill patients with coronavirus disease 2019 be admitted.

Implementation of Structure and Process Standards

1991 ◽  
Vol 2 (1) ◽  
pp. 31-39
Author(s):  
Glenda A. Krum
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Nursing Care ◽  
Critically Ill Patients ◽  
Quality Care ◽  
Quality Assurance Program ◽  
Critical Care Nursing ◽  
Healthcare Organizations ◽  
Policies And Procedures ◽  
Care Nursing

A dilemma in critical care nursing practice is how to develop and implement a practical quality assurance program that incorporates high-quality standards of nursing care for critically ill patients and addresses those aspects of care considered important by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Standards for Nursing Care of the Critically Ill defines and describes structure and process standards and provides a comprehensive guide for the development of a program for the delivery of quality care to critically ill patients. The purpose of this chapter is to discuss practical application of the standards described by the American Association of Critical-Care Nurses (AACN) through the use of policies and procedures that support structure and process standards

Acute Hemodialysis: Issues in the Critically Ill

1992 ◽  
Vol 3 (3) ◽  
pp. 545-557
Author(s):  
Patricia Peschman
Keyword(s):  
Renal Failure ◽  
Critical Care ◽  
Critically Ill ◽  
Vascular Access ◽  
Critically Ill Patients ◽  
Nursing Interventions ◽  
Critical Care Nursing ◽  
Patient Responses ◽  
Hemodialysis System ◽  
Care Nursing

Hemodialysis is a commonly used therapy for renal failure in critically ill patients. This article reviews components of the hemodialysis system, including vascular access, and provides an explanation of principles underlying the hemodialysis process. Expected patient responses and potential complications of hemodialysis therapy are emphasized. Critical care nursing interventions for the care of patients before, during, and after dialysis also are outlined

Evidence-based practice: fever-related interventions

1999 ◽  
Vol 8 (1) ◽  
pp. 481-487 ◽  
Author(s):  
R Henker
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
American Association ◽  
Critical Care Nurses ◽  
Critically Ill Patient ◽  
Evidence Based ◽  
Common Phenomenon ◽  
Research Questions ◽  
Research Studies

Fever is a common phenomenon in critically ill patients. Ideally, all decisions about treatment of fever would be based on results of well-developed research studies. Instead, some research questions related to treatment of fever have been studied more extensively than others. This article is an evaluation of the usefulness of the research studies related to treatment of fever in the critically ill. Two questions are addressed: when is treatment of fever most beneficial to a critically ill patient, and how is fever most effectively treated in the critically ill? Evidence related to the treatment of fever is evaluated by using the recommendation levels of the research-based practice protocols of the American Association of Critical-Care Nurses.

World Federation of Critical Care Nurses: Brisbane Declaration on Culturally Sensitive Critical Care Nursing

2016 ◽  
Vol 10 (3) ◽  
pp. 80-82
Author(s):  
Adriano Friganovic ◽  
Melissa Bloomer ◽  
Holly Northam ◽  
Sonja Kalauz ◽  
Mary Zellinger ◽  
...  
Keyword(s):  
Critical Care ◽  
Culturally Sensitive ◽  
Critical Care Nurses ◽  
World Federation ◽  
Critical Care Nursing ◽  
Care Nursing

scholarly journals Critical care nursing in Nepal: brief history and recent advances

2018 ◽  
Vol 12 (2) ◽  
pp. 40-43
Author(s):  
Prabha Gautam ◽  
Subhash P Acharya ◽  
Ged Williams
Keyword(s):  
Critical Care ◽  
Critical Care Nurses ◽  
List Type ◽  
Critical Care Nursing ◽  
Nursing Leaders ◽  
Care Services ◽  
Recent Advances ◽  
The World ◽  
Care Nursing

SUMMARYNepal is one of the poorest countries in the world, with crippled infrastructure due to the devastation of the 2015 Earthquake. Despite these set backs, critical care services exist and are growing in strength.Critical care nursing leaders in Nepal have recently formed the Critical Care Nurses Association of Nepal (CCNAN).This paper summarizes the development and ambitions of the CCNAN and recommends active support and participation from other more established critical care organizations of the world to help us realize our dreams.

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