Critical Care in Critical Times of COVID-19 in Argentina: A Viewpoint

2020 ◽  
Vol 14 (3) ◽  
pp. 147-153
Author(s):  
Laura Alberto ◽  
Roberto Gabriel Pawlowicz ◽  
Elizabeth Barrionuevo ◽  
Mariano Garay ◽  
María del Carmen Martínez

The world is experiencing an unparalleled COVID-19 pandemic which highlighted the important role and contribution of critical care nurses worldwide.Argentinean health authorities and critical care organizations have delivered country wide education and support strategies to upskill the critical care nursing workforce.The challenges include to tailor a pandemic response in a context of a weak and fragmented health system and shortage of critical care nurses.Argentina needs to invest in expanding specialty education, enhancing critical care nursing leadership, and improving working conditions of critical care nurses.

2018 ◽  
Vol 12 (2) ◽  
pp. 40-43
Author(s):  
Prabha Gautam ◽  
Subhash P Acharya ◽  
Ged Williams

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.


1993 ◽  
Vol 2 (2) ◽  
pp. 110-117 ◽  
Author(s):  
R Lindquist ◽  
J Banasik ◽  
J Barnsteiner ◽  
PC Beecroft ◽  
S Prevost ◽  
...  

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.


2019 ◽  
Vol 13 (3) ◽  
pp. 110-117
Author(s):  
Gerald Williams ◽  
P. N. Sajeewani

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.


2021 ◽  
Vol 33 (4) ◽  
pp. 236-241
Author(s):  
Rodwell Gundo ◽  
Beatrice Gundo ◽  
Ellen Chirwa ◽  
Annette Dickinson ◽  
Gael Janine Mearns

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.


1999 ◽  
Vol 8 (5) ◽  
pp. 285-290 ◽  
Author(s):  
M Biel ◽  
JA Eastwood ◽  
P Muenzen ◽  
S Greenberg

BACKGROUND: In 1997, the AACN Certification Corporation, in conjunction with Professional Examination Service, undertook a role delineation study as 1 component of a large-scale, comprehensive, and systematic study of practice to update previous data. Focus groups made up of practicing critical care nurses were used to determine trends and changes in adult, pediatric, and neonatal critical care nursing practice. METHODS: Sixteen focus groups (6 adult, 5 pediatric, and 5 neonatal) used specially prepared protocols to guide discussions. Questions were designed to elicit descriptions of changes in critical care nursing practice in the preceding 5 years. Qualitative comments of the participants were analyzed across all the focus groups, rather than separately for the adult, pediatric, and neonatal focus groups. Then data for the focus groups for each patient-age range were aggregated and reviewed to abstract themes. RESULTS: Trends and changes in practice for adult, pediatric, and neonatal critical care nurses were determined. Common themes include ethical and legal issues, changes in the population of patients, psychosocial factors, and the impact of managed care. CONCLUSIONS: The results of these focus groups can be used to update the test blueprints that underlie the CCRN certification examination programs for adult, pediatric, and neonatal critical care nurses. Critical care nursing practice is changing. Specific knowledge of the changes is important for educators, managers, and clinicians. The results of this role delineation study can be used to teach, adapt systems, and validate practice.


1990 ◽  
Vol 10 (9) ◽  
pp. 8-16 ◽  
Author(s):  
JG Alspach

This paper has explored some of the major trends that we can anticipate encountering as we enter the 21st century. Critical care nurses who wish to participate proactively in shaping their professional destiny will listen closely to what futurists have to say about life in the decades ahead. The more we know about what to anticipate, the more informed our decisions will be, and the more likely we will make our desired future a reality.


Author(s):  
Silas M. Weir

This article reports on research designed to assess the level of grief and the mechanisms of resolution experienced by critical care nurses as they relate to patient death. This prospective exploratory, descriptive study surveyed Registered Nurses (N=92) assigned to Critical Care Units at the University of Colorado Hospital in Denver, Colorado. Based on the findings, the author offers suggestions for ways to provide grief management education to staff as well as timely grief ministry by chaplains.


2009 ◽  
Vol 18 (6) ◽  
pp. 592-588 ◽  
Author(s):  
Kathryn S. Jaramillo ◽  
Elizabeth Scruth ◽  
Eugene Cheng

After receiving mivacurium, a short-acting neuromuscular blocking agent used for intubation before surgery, a patient experienced prolonged paralysis and prolonged apnea that required ventilator support. Although this complication is rare, all critical care nurses should be aware of it so they can be competent in managing and providing holistic and comprehensive nursing care to the patient and the patient’s family. Although this complication has been documented in the anesthesia literature, it has received little mention in critical care nursing journals.


2021 ◽  
Vol 41 (1) ◽  
pp. e9-e16
Author(s):  
Joni L. Dirks

Topic Various approaches facilitate mentoring for critical care nurses. Clinical Relevance Mentoring is an important strategy to help recruit, retain, and develop nurses with critical care expertise. Mentoring benefits nurses at all career stages, from novice to expert. Effective mentoring programs benefit not only mentors and mentees but also organizations and patients by ensuring adequate numbers of nurses with critical care knowledge and skills. Purpose Mentoring programs require careful planning to ensure that the objectives of the program align with the needs of the target audience, and that adequate resources are available to support the mentor-mentee relationship. This article identifies opportunities for mentoring in critical care nursing and provides recommendations from the literature for developing an effective program. Content Covered Various objectives for mentoring programs are described, including supporting retention, providing clinical development, and planning succession. Program logistics are explored, such as selecting mentors, matching mentors with mentees, setting goals and expectations, and evaluating the program. In addition, the article identifies strategies for overcoming common barriers to mentoring, which include a lack of time and poor access to qualified mentors.


2019 ◽  
Vol 13 (2) ◽  
pp. 58-70
Author(s):  
Susan Yeager ◽  
Elizabeth Papathanassoglou ◽  
Laura Brooks ◽  
Lori Delaney ◽  
Sarah Livesay ◽  
...  

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.


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