Critical Care Nursing in Sri Lanka: Brief History and Recent Advances

2019 ◽  
Vol 13 (3) ◽  
pp. 110-117
Author(s):  
Gerald Williams ◽  
P. N. Sajeewani
Keyword(s):  
Critical Care ◽  
Sri Lanka ◽  
Critical Care Nurses ◽  
Policy Support ◽  
Critical Care Nursing ◽  
Nurse Training ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Career Development Plan ◽  
Care Nursing

This article summarizes the development of critical care nursing in Sri Lanka. After years of development, Sri Lanka steadily progresses to establish critical care medicine as a separate specialty with fully trained Intensivists and nurses playing pivotal roles. However, courses of critical care nurse training are still lacking. Other barriers in developing critical care nursing in Sri Lanka include lacking career development plan, financial and policy support. The formulation of the Sri Lanka Society of Critical Care Nurses is helpful to fill this gap and to build up a local critical care nursing community in Sri Lanka.

Respiratory Pharmacology and the Weaning Patient: Implications for Critical Care Nursing

1991 ◽  
Vol 2 (3) ◽  
pp. 361-371
Author(s):  
Beverly Ryan ◽  
Jill M. Luer
Keyword(s):  
Mechanical Ventilation ◽  
Critical Care ◽  
Critical Care Nursing ◽  
Weaning From Mechanical Ventilation ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Care Nursing

The process of weaning patients from mechanical ventilation may be facilitated by the appropriate selection and use of bronchodilators, mucolytics, steroids, and sedatives. This article discusses implications for the critical care nurse, focusing on the indications, applications, and evaluations of the drugs most commonly administered to patients prior to or during weaning from mechanical ventilation

A guideline for competency of the critical care nurse

1996 ◽  
Vol 5 (3) ◽  
pp. 217-226 ◽  
Author(s):  
J Scribante ◽  
ME Muller ◽  
J Lipman
Keyword(s):  
Critical Care ◽  
South African ◽  
Professional Competence ◽  
High Standard ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Care Patterns ◽  
The Individual

BACKGROUND: To maintain a high standard of quality nursing care the individual critical care nurse s competencies should be determined objectively. Few international guidelines describe the qualities required by critical care nurses to function effectively in a critical care unit. These guidelines often focus only on the education and training of critical care nurses. OBJECTIVE: To formulate and describe guidelines for the competency requirements of registered critical care nurses. METHOD: A focus group interview, a qualitative research method, was conducted as an open conversation in which each participant could ask questions, comment, or respond to comments. Interaction among the respondents was encouraged to stimulate in-depth discussion. The study was conducted within the framework of South African critical care nursing. RESULTS: The four main categories that were identified are as follows: professional competence, cognitive competence, interpersonal skills, and critical care patterns of interaction. These are described in detail along with a formulated guideline for critical care nurse competency requirements. CONCLUSION: This study describes an attempt to formulate objective guidelines for critical care nurses competency requirements.

Critical Care Nurse Burnout in Veterans Health Administration: Relation to Clinician and Patient Outcomes

2021 ◽  
Vol 30 (6) ◽  
pp. 435-442
Author(s):  
David C. Mohr ◽  
Lakshmana Swamy ◽  
Edwin S. Wong ◽  
Meredith Mealer ◽  
Marc Moss ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Outcomes ◽  
Employee Satisfaction ◽  
Veterans Health Administration ◽  
Critical Care Nurses ◽  
Veterans Health ◽  
Health Administration ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Nurse Burnout

Background Critical care nurses have a burnout rate among the highest of any nursing field. Nurse burnout may impact care quality. Few studies have considered how temporal patterns may influence outcomes. Objective To test a longitudinal model of burnout clusters and associations with patient and clinician outcomes. Methods An observational study analyzed data from annual employee surveys and administrative data on patient outcomes at 111 Veterans Health Administration intensive care units from 2013 through 2017. Site-level burnout rates among critical care nurses were calculated from survey responses about emotional exhaustion and depersonalization. Latent trajectory analysis was applied to identify clusters of facilities with similar burnout patterns over 5 years. Regression analysis was used to analyze patient and employee outcomes by burnout cluster and organizational context measures. Outcomes of interest included patient outcomes (30-day standardized mortality rate and observed minus expected length of stay) for 2016 and 2017 and clinician outcomes (intention to leave and employee satisfaction) from 2013 through 2017. Results Longitudinal analysis revealed 3 burnout clusters among the 111 sites: low (n = 37), medium (n = 68), and high (n = 6) burnout. Compared with sites in the low-burnout cluster, those in the high-burnout cluster had longer patient stays, higher employee turnover intention, and lower employee satisfaction in bivariate models but not in multivariate models. Conclusions In this multiyear, multisite study, critical care nurse burnout was associated with key clinician and patient outcomes. Efforts to address burnout among nurses may improve patient and employee outcomes.

Quality assurance and the critical care nurse

1991 ◽  
Vol 11 (9) ◽  
pp. 34-40
Author(s):  
P Brown-Stewart
Keyword(s):  
Quality Assurance ◽  
Critical Care ◽  
Critically Ill ◽  
Monitoring And Evaluation ◽  
Critical Care Nurses ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Appropriateness Of Care ◽  
External Sources ◽  
The Way

Care of the critically ill has become increasingly challenging due to demands from external sources to measure the quality and appropriateness of care provided. Quality assurance is the responsibility of every critical care nurse and requires vigilance as well as a knowledge of the principles of standards, monitoring and evaluation. Through quality assurance activities, the contribution of critical care nurses in the achievement of patient outcomes can be measured. Quality assurance challenges us to evaluate the way we practice, and assists us to continuously improve the way we provide care to critically ill patients.

Perceptions and significance of patient deaths for pediatric critical care nurses

1992 ◽  
Vol 12 (3) ◽  
pp. 72-75 ◽  
Author(s):  
SW Benica ◽  
CB Longo ◽  
JH Barnsteiner
Keyword(s):  
Critical Care ◽  
Stress Management ◽  
Critical Care Nurses ◽  
The Other ◽  
Recruitment Strategies ◽  
Pediatric Critical Care ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Hospital Administrator ◽  
Dying Patients

This study provides nursing administrators with data regarding stressors of the pediatric critical care nurse in order of priority. Death of patients was the only item isolated and compared to the other stress categories. It is suggested that death of patients be compared to all other items on the audit. The authors recommend expanding this study by asking two additional questions: Does the amount of time spent caring for dying patients correlate with the nurses' estimate of patient deaths and is there a relationship between the time spent caring for patients who die and perception of death as a stressor? This information can be utilized at the unit level in the development of stress management activities. At the hospital administrator level, this information can assist in the expansion of retention and recruitment strategies.

Care: an ethical foundation for critical care nursing

1995 ◽  
Vol 15 (3) ◽  
pp. 131-135 ◽  
Author(s):  
AL Gaul
Keyword(s):  
Critical Care ◽  
Ethic Of Care ◽  
Ethical Dilemmas ◽  
Ethical Reasoning ◽  
Critical Care Nursing ◽  
Special Relationship ◽  
Patient Relationship ◽  
Care Nurse ◽  
Life Threatening ◽  
Care Nursing

Critical care nursing by definition focuses on human responses to life-threatening problems. An increasing number of ethical dilemmas confronts the critical care nurse. A traditional principled orientation to ethical reasoning requires detachment that does not acknowledge the special nature of the nurse-patient relationship and, by itself, does not give satisfactory direction in resolving ethical dilemmas. An ethic of care that acknowledges the special relationship and connection of one human being with another may provide the necessary guidance to assist the nurse in resolving these dilemmas. Critical care nursing practice based on an ethic of care acknowledges and legitimizes care for patients as well as oneself.

Determining AACN's research priorities for the 90s

1993 ◽  
Vol 2 (2) ◽  
pp. 110-117 ◽  
Author(s):  
R Lindquist ◽  
J Banasik ◽  
J Barnsteiner ◽  
PC Beecroft ◽  
S Prevost ◽  
...  
Keyword(s):  
Critical Care ◽  
Phase 1 ◽  
Research Priorities ◽  
Consensus Conference ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Research Topics ◽  
Research Committee ◽  
Priority Ranking ◽  
Care Nursing

The American Association of Critical-Care Nurses completed a three-phased process of priority identification for critical care nursing research. In phase 1, a 78-item survey was generated following a comprehensive review of potential research topics. In phase 2, approximately 1000 critical care nurses rated each item on the survey for importance to critical care nursing. Based on these results, the AACN Research Committee formulated a clinical and a nonclinical (contextual) list of research topics. Each list contained 25 topics. In phase 3, topics were given final rankings at a 1-day Consensus Conference on Research Priorities. Both Likert-type and magnitude estimation scaling were used to determine priority ranking of items on each list. As a result, both clinical and contextual research priorities were established for AACN.

Provision of Critical Care Nurse Education: WFCCN Position Statement

2020 ◽  
Vol 14 (2) ◽  
pp. 50-54
Author(s):  
Keyword(s):  
Critical Care ◽  
Position Statement ◽  
Educational Programs ◽  
Nurse Education ◽  
Critical Care Nursing ◽  
Educational Facilities ◽  
Care Nurse ◽  
Universal Principles ◽  
Nursing Organizations ◽  
Care Nursing

ObjectiveThe objective of the WFCCN review group was to review and update the existing Declaration of Madrid (2005). The aim of the revised Position Statement is to provide international recommendations based on universal principles to help guide health services, educational facilities and critical care nursing organizations in the development of appropriate educational programs for critical care nurses.MethodsFollowing establishment of a review group comprised of critical care clinicians, leaders, and researchers from four continents, a literature search was undertaken, which informed the review of the 2005 Declaration and its subsequent revision contained in this 2020 Position Statement.ResultsThe 2020 Position Statement on the Provision of Critical Care Nurse Education was developed.ConclusionsCritically ill patients have unique needs and must be cared for by registered nurses with specialized critical care knowledge and competence. The recommendations made in this position statement represent universal principles to help guide health centers, educational facilities, and critical care nursing organizations in the development of appropriate educational programs for registered nurses who are required to care for critically ill patients and their families.

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