scholarly journals Training Needs Assessment for Practicing Paediatric Critical Care Nurses in Malawi To Inform The Development of A Specialized Master’s Education Pathway: A Cohort Study

2021 ◽  
Author(s):  
Kelsey Renning ◽  
Brittney van de Water ◽  
Shelley Brandstetter ◽  
Chisomo Kasitomu ◽  
Netsayi Gowero ◽  
...  
Keyword(s):  
Critical Care ◽  
Child Health ◽  
Needs Assessment ◽  
Training Needs ◽  
Critical Care Nurses ◽  
Arterial Blood Gas ◽  
Governmental Organization ◽  
Arterial Blood ◽  
College Of Nursing ◽  
Paediatric Critical Care

Abstract Background Significant improvements in under-five mortality in Malawi have been demonstrated over the past thirty years; however, Malawian healthcare remains with gaps in availability and access to quality paediatric critical care nursing training and education. To improve expertise of paediatric critical care nurses in Malawi, Kamuzu College of Nursing (KCN), Queen Elizabeth Central Hospital (QECH), and Mercy James Center (MJC) entered a partnership with Seed Global Health, a US non-governmental organization. A needs assessment was conducted to understand the training needs of nurses currently working in paediatric critical care and in preparation for the development of a specialized Master’s in Child Health pathway in Paediatric Critical Care (PCC) Nursing at KCN. Methods The needs assessment was completed using a survey questionnaire formatted using an ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) framework. The questionnaire had Likert scale and yes/no questions. Data was manually entered into excel and was analyzed using descriptive statistics. Results One hundred and fifty-three nurses at QECH and MJC responded to the survey. Most nurses were between the ages of 25 and 35 years (N = 98, 64%), female (N = 105, 69%), and held either a Bachelors (N = 72, 47%) or diploma (N = 70, 46%) in nursing. Nurses had high rates of confidence in certain skills: airway management (N = 120, 99%), breathing assessment & management (N = 153, 100%). However, nurses demonstrated little to no confidence in areas such as: mechanical ventilation (N = 68, 44%), ECG evaluation (N = 74, 48%), and arterial blood gas collection & interpretation (N = 49, 32%). Conclusion It is important to identify priority areas for training and skills development to address in the PCC master’s within the child health pathway at KCN. Ideally this partnership will produce practice-ready PCC nurses and will establish a recognized PCC nursing workforce in Malawi.

scholarly journals Training needs assessment for practicing pediatric critical care nurses in Malawi to inform the development of a specialized master’s education pathway: a cohort study

BMC Nursing ◽  
2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Kelsey Renning ◽  
Brittney van de Water ◽  
Shelley Brandstetter ◽  
Chisomo Kasitomu ◽  
Netsayi Gowero ◽  
...  
Keyword(s):  
Critical Care ◽  
Child Health ◽  
Needs Assessment ◽  
Training Needs ◽  
Critical Care Nurses ◽  
Pediatric Critical Care ◽  
Arterial Blood Gas ◽  
Governmental Organization ◽  
Training Needs Assessment ◽  
Arterial Blood

Abstract Background Significant improvements in under-five mortality in Malawi have been demonstrated over the past thirty years; however, Malawian healthcare remains with gaps in availability and access to quality pediatric critical care nursing training and education. To improve expertise of pediatric critical care nurses in Malawi, Kamuzu University of Health Sciences (KUHeS), Queen Elizabeth Central Hospital (QECH), and Mercy James Center (MJC) entered a partnership with Seed Global Health, a US non-governmental organization. A needs assessment was conducted to understand the training needs of nurses currently working in pediatric critical care and in preparation for the development of a specialized Master’s in Child Health pathway in Pediatric Critical Care (PCC) Nursing at KUHeS. Methods The needs assessment was completed using a survey questionnaire formatted using an ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) framework. The questionnaire had Likert scale and yes/no questions. Data was manually entered into excel and was analyzed using descriptive statistics. Results One hundred and fifty-three nurses at QECH and MJC responded to the survey. Most nurses were between the ages of 25 and 35 years (N = 98, 64%), female (N = 105, 69%), and held either a Bachelors (N = 72, 47%) or diploma (N = 70, 46%) in nursing. Nurses had high rates of confidence in certain skills: airway management (N = 120, 99%), breathing assessment & management (N = 153, 100%). However, nurses demonstrated little to no confidence in areas such as: mechanical ventilation (N = 68, 44%), ECG evaluation (N = 74, 48%), and arterial blood gas collection & interpretation (N = 49, 32%). Conclusion It is important to identify priority areas for training and skills development to address in the PCC master’s within the child health pathway at KUHeS. Ideally this partnership will produce practice-ready PCC nurses and will establish a recognized PCC nursing workforce in Malawi.

An easy method for interpreting the results of arterial blood gas analysis

2001 ◽  
Vol 21 (5) ◽  
pp. 49-54 ◽  
Author(s):  
KM Kirksey ◽  
M Holt-Ashley ◽  
BK Goodroad
Keyword(s):  
Critical Care ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Critical Care Nurses ◽  
Blood Gas ◽  
Easy Method ◽  
Arterial Blood Gas ◽  
Confidence Levels ◽  
Arterial Blood ◽  
Arterial Blood Gas Analysis

Interpretation of acid-base disturbances is an essential skill for critical care nurses. Using the H model makes this process easy. When students and novice critical care nurses feel competent with certain skills, their confidence levels are greatly enhanced. One of us (K.M.K.) has been using the H model for many years to teach students how to interpret the results of arterial blood gas analysis. The students are often amazed at how easy and fun the model makes learning a subject many perceive as complex.

530: Education on End-of-Life Care for Pediatric Critical Care Nurses: A Needs Assessment

2020 ◽  
Vol 49 (1) ◽  
pp. 257-257
Author(s):  
Kelley Groves ◽  
Larissa Anglim ◽  
Tensing Maa ◽  
Megan Daniel ◽  
Markita Suttle
Keyword(s):  
Critical Care ◽  
Needs Assessment ◽  
End Of Life ◽  
End Of Life Care ◽  
Critical Care Nurses ◽  
Life Care ◽  
Pediatric Critical Care

Development of paediatric critical care in northwestern Nigeria: Initial implementation with a needs assessment model

2021 ◽  
Author(s):  
Abdullahi Ibrahim ◽  
Elizabeth Scruth ◽  
Adebayo Adeyinka ◽  
Halima Salisu Kabara ◽  
Lorena Rivera ◽  
...  
Keyword(s):  
Critical Care ◽  
Needs Assessment ◽  
Assessment Model ◽  
Initial Implementation ◽  
Paediatric Critical Care

scholarly journals A COVID-19 Young Girl Patient with Developing Pneumonia and Septic Shock Passing the Death

2020 ◽  
pp. 1-6
Keyword(s):  
Septic Shock ◽  
Critical Care ◽  
Critical Care Unit ◽  
Strong Relationship ◽  
Young Girl ◽  
Arterial Blood Gas ◽  
Reactive Protein ◽  
Arterial Blood ◽  
Venous Catheterization

Rationale: Coronavirus disease is a current worldwide pandemic serious infection. Septic shock is a very common cause of death due to COVID-19 infection. There is a strong relationship between the severity of COVID-19 infection and death. COVID-19 infection is a well-known trigger for severe inflammatory changes and sepsis. Up till now, there is no well-known treatment for COVID-19. Patient concerns: A young girl COVID-19 patient admitted to the critical care unit with severe shock and developing pneumonia. Diagnosis: COVID-19 patient admitted to the critical care unit with COVID-19 young girl patient with septic shock and developing pneumonia. Interventions: Electrocardiography, arterial blood gas test, chest CT scan, central venous catheterization, and intravenous vasopressors infusion. Outcomes: Progressive dramatic clinical electrocardiography and radiological improvement had happened. Lessons: It denotes the role of anticoagulants, vasopressors, steroids, and antibiotics in the management of COVID-19 pneumonic infection and septic shock. C- reactive protein, lymphocytic count, liver enzymes, and CT chest may be used as a good laboratory guide for follow up for the inflammatory activity of COVID-19 patient. Blood pressure, respiratory rate, and O2 saturation are another strong guide for clinical for follow up in COVID-19 patients.

Critical care nurses' knowledge of arterial pressure monitoring

2001 ◽  
Vol 10 (1) ◽  
pp. 43-51 ◽  
Author(s):  
BH McGhee ◽  
SL Woods
Keyword(s):  
Blood Pressure ◽  
Critical Care ◽  
Arterial Pressure ◽  
Arterial Blood Pressure ◽  
Critical Care Nurses ◽  
Pressure Monitoring ◽  
Content Areas ◽  
Arterial Blood ◽  
Knowledge Deficit ◽  
Demographic Subgroups

BACKGROUND: Direct monitoring of arterial blood pressure provides continuous, real-time information about patients' physiological status. Critical care nurses set up and maintain monitoring systems and use the obtained data to guide clinical decisions. Inaccurate measurements may lead to misdiagnosis and mismanagement. PURPOSE: To describe critical care nurses' knowledge in 3 content areas related to direct monitoring of arterial blood pressure: physiology, technical aspects, and waveform and data interpretation. METHODS: Via poster advertisements, 391 critical care nurses in 6 intensive care units at 2 hospitals were invited to complete an 18-item, criterion-referenced questionnaire on monitoring arterial blood pressure and a demographic data sheet. Summary statistics were used to analyze data from 68 subjects. Analysis of variance was used to determine if total and subset scores differed among demographic subgroups. RESULTS: Scores ranged from 11.1% to 61.1% correct answers, with a mean of 36.7% (SD, 11.8%). Item analysis indicated a knowledge deficit in all content areas at all cognitive levels. Questions with highest scores addressed waveform damping and using mean arterial pressure to guide treatment; lowest scores were related to dynamic response characteristics and reflected pressure waves. Mean scores did not differ among demographic subgroups. CONCLUSIONS: The results suggest a general knowledge deficit in arterial blood pressure monitoring. This study should be replicated on a larger scale to validate its findings and to improve the validity and reliability of the research tool. National research-based standards of practice for hemodynamic monitoring should be developed and disseminated among critical care nurses.

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