A Guide for Critical Care Nurses' Self-Management of Psychological and Mental Distress During the Covid-19 Pandemic

2020 ◽  
Vol 14 (2) ◽  
pp. 112-118
Keyword(s):  
Critical Care ◽  
Mental Distress ◽  
Critical Care Nurses ◽  
Self Management

scholarly journals Letting the Patient Decide: A Case Report of Self-Administered Sedation During Mechanical Ventilation

2018 ◽  
Vol 38 (1) ◽  
pp. 17-23
Author(s):  
Breanna Hetland ◽  
Sarah Maryon Hayes ◽  
Debra Skaar ◽  
Mary Fran Tracy ◽  
Craig R. Weinert ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Critical Care ◽  
Case Report ◽  
Study Protocol ◽  
Pilot Trial ◽  
Critical Care Nurses ◽  
Self Management ◽  
Use Of Self ◽  
Patient Controlled Analgesia ◽  
Ventilator Support

It is common for critical care nurses to administer sedative medications to patients receiving mechanical ventilation. Although patient-controlled analgesia is frequently used in practice to promote effective self-management of pain by patients, it is not known if patient-controlled sedation can be used to promote effective self-management of distressing symptoms associated with mechanical ventilation. A randomized pilot trial was conducted to evaluate whether patient self-administered sedation with dexmedetomidine is safe and acceptable for self-management of anxiety during ventilator support. This case report details the experiences of one patient enrolled in the pilot trial who was randomly assigned to the experimental dexmedetomidine intervention, completed the study protocol, and provided feedback. In a poststudy survey, the patient responded positively to the use of self-administered sedation with dexmedetomidine during ventilator support.

Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thusile Mabel Gqaleni ◽  
Busisiwe Rosemary Bhengu
Keyword(s):  
South Africa ◽  
Critical Care ◽  
Adverse Events ◽  
Patient Care ◽  
Family Involvement ◽  
Reporting System ◽  
Legal Framework ◽  
Critical Care Nurses ◽  
Kwazulu Natal ◽  
Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

The Effect of Alarm Fatigue Nursing Management Protocol on Critical Care Nurses' Experience

2020 ◽  
Vol 11 (4) ◽  
pp. 224-241
Author(s):  
Amina Mohamed Abdel Fatah Sliman ◽  
Wafaa Wahdan Abd El-Aziz ◽  
Hend Elsayed Mansour
Keyword(s):  
Critical Care ◽  
Critical Care Nurses ◽  
Nursing Management ◽  
Alarm Fatigue ◽  
Management Protocol

scholarly journals Critical care nurses’ clinical reasoning about physiologic monitor alarm customisation: An interpretive descriptive study

2019 ◽  
Vol 28 (15-16) ◽  
pp. 3033-3041 ◽  
Author(s):  
Halley Ruppel ◽  
Marjorie Funk ◽  
Robin Whittemore ◽  
Shu‐Fen Wung ◽  
Christopher P. Bonafide ◽  
...  
Keyword(s):  
Critical Care ◽  
Clinical Reasoning ◽  
Descriptive Study ◽  
Critical Care Nurses
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