scholarly journals OPEN REGIME OF INTENSIVE CARE UNITS PATIENT VISITS: EXPERTS OPINION

2021 ◽  
pp. 89-95
Author(s):  
О. V. Yemyashev ◽  
I. R. Malysh ◽  
S. O. Dubrov ◽  
L. V. Zgrzheblovska ◽  
O. A. Loskutov ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Working Conditions ◽  
Online Survey ◽  
Medical Community ◽  
Results Of Treatment ◽  
Working Groups ◽  
The Media ◽  
Set Up ◽  
The One

Resume. The issue of open visits to intensive care units is currently a topical, acute and ambiguous issue. In Ukraine, it is actively discussed in the media, social networks, the medical community. Appropriate working groups of the Ministry of Health are being set up to optimize the regulatory framework on this issue.The article reviews the literature on the problems of open visits of adult patients undergoing treatment in the intensive care unit. Opinions on this issue are quite contradictory. On the one hand, there is a position that the stay of relatives in the ICU 24/7 improves the results of treatment, creating a more comfortable psychological atmosphere for the patient. On the other hand, and this approach prevails, a number of studies indicate an increase in the number of bacterial complications in patients with unlimited visits, complication of working conditions of medical staff, which leads to a deterioration in treatment outcomes in general.Public organization «Association of Anesthesiologists of Ukraine» conducted an online survey among anesthesiologists - members of the association for find out the opinion of Ukrainian experts about open visits to ICU’s patients. Most of the anesthesiologists surveyed are inclined to a limited visitation regime.

Utilization of echocardiography in Intensive Care Units: results of an online survey in Germany

2019 ◽  
Vol 85 (3) ◽  
Author(s):  
Felix Balzer ◽  
Ralf F. Trauzeddel ◽  
Martin Ertmer ◽  
Joachim Erb ◽  
Matthias Heringlake ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Online Survey

scholarly journals Inappropriateness of Antibiotic Prescribing in Medical, Surgical and Intensive Care Units: Results of a Multicentre Observational Study

Life ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 475
Author(s):  
Margherita Macera ◽  
Federica Calò ◽  
Lorenzo Onorato ◽  
Giovanni Di Caprio ◽  
Caterina Monari ◽  
...  
Keyword(s):  
Intensive Care ◽  
Observational Study ◽  
Intensive Care Units ◽  
Case Report Form ◽  
Antibiotic Prescribing ◽  
Duration Of Treatment ◽  
Campania Region ◽  
Stewardship Program ◽  
Surgical Units ◽  
Set Up

The objectives of the present study were to provide a snapshot analysis of antibiotic appropriateness in two hospitals in Southern Italy in three specific areas, surgical, medical and intensive care, and to evaluate the risk factors associated with inappropriateness in antimicrobial prescriptions. We conducted a multicentre observational study in two hospitals in the Campania region. We collected data of all patients admitted on the day of evaluation to antibiotic therapy or prophylaxis through a case report form. The primary outcome was to assess the inappropriateness of antibiotic prescribing, related to the spectrum, dose, route of administration and duration of treatment—in particular, to assess whether there was a difference in the adequacy of the prescriptive practice in the medical, surgical and intensive sectors. Prescriptive inappropriateness was more frequently observed in surgical units (79.8% of the 104 antimicrobial prescriptions) than in medical units (53.8% of the 65 prescriptions, p = 0.0003) or in intensive care units (64.1% of the 39 prescriptions, p = 0.052). The reasons for the inappropriate antimicrobial prescriptions were similar in the three areas evaluated: antimicrobial unnecessary and antimicrobial not recommended were the most frequent reasons for inappropriateness. Not participating in an antimicrobial stewardship program (ASP) was identified as a factor associated with inappropriate antimicrobial prescriptions in medical and surgical units, but not in Intensive Care Units (ICUs). ASPs may enhance the appropriateness of antimicrobial prescriptions especially in medical and surgical units. In ICUs, specific programs able to limit empirical therapies and encourage the collection of microbiological samples may be useful to set up targeted therapies and to design antimicrobial protocols.

Extubation in intensive care units in the UK: an online survey

2010 ◽  
Vol 15 (6) ◽  
pp. 281-284 ◽  
Author(s):  
Jack Hodd ◽  
Alex Doyle ◽  
Joseph Carter ◽  
John Albarran ◽  
Peter Young
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Online Survey ◽  
The Uk

CNE Article: Safety Culture In Australian Intensive Care Units: Establishing A Baseline For Quality Improvement

2013 ◽  
Vol 22 (2) ◽  
pp. 93-102 ◽  
Author(s):  
Wendy Chaboyer ◽  
Di Chamberlain ◽  
Karena Hewson-Conroy ◽  
Bernadette Grealy ◽  
Tania Elderkin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Intensive Care Units ◽  
Working Conditions ◽  
Safety Culture ◽  
Hospital Management ◽  
Workplace Safety ◽  
Nurse Leaders ◽  
Safety Attitudes

Background Workplace safety culture is a crucial ingredient in patients’ outcomes and is increasingly being explored as a guide for quality improvement efforts. Objectives To establish a baseline understanding of the safety culture in Australian intensive care units. Methods In a nationwide study of physicians and nurses in 10 Australian intensive care units, the Safety Attitudes Questionnaire intensive care unit version was used to measure safety culture. Descriptive statistics were used to summarize the mean scores for the 6 subscales of the questionnaire, and generalized-estimation-equations models were used to test the hypotheses that safety culture differed between physicians and nurses and between nurse leaders and bedside nurses. Results A total of 672 responses (50.6% response rate) were received: 513 (76.3%) from nurses, 89 (13.2%) from physicians, and 70 (10.4%) from respondents who did not specify their professional group. Ratings were highest for teamwork climate and lowest for perceptions of hospital management and working conditions. Four subscales, job satisfaction, teamwork climate, safety climate, and working conditions, were rated significantly higher by physicians than by nurses. Two subscales, working conditions and perceptions of hospital management, were rated significantly lower by nurse leaders than by bedside nurses. Conclusions Measuring the baseline safety culture of an intensive care unit allows leaders to implement targeted strategies to improve specific dimensions of safety culture. These strategies ultimately may improve the working conditions of staff and the care that patients receive. (American Journal of Critical Care. 2013;22:93–103)

scholarly journals O conforto do doente em cuidados intensivos - revisão integrativa

2018 ◽  
Vol 17 (2) ◽  
pp. 477-514
Author(s):  
José Manuel Silva Faria ◽  
Patrícia Pontífice-Sousa ◽  
Mário João Pinto Gomes
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Social Order ◽  
Data Distribution ◽  
Cochrane Library ◽  
Comfort Care ◽  
Palabras Clave ◽  
Theoretical Assumptions ◽  
The One ◽  
Physical Order

Objetivo - Identificar las necesidades y las medidas de comodidad del paciente internado en cuidados intensivos. Material y Método - Las preguntas de la investigación son: ¿cuáles son las necesidades de comodidad del paciente internado en cuidados intensivos? Y¿cuáles las medidas que promueven comodidad al paciente internado en cuidados intensivos? Se procedió al análisis de las palabras clave del DeCS y MeSH en el ámbito de la comodidad del paciente mayor en cuidados intensivos. Búsqueda booleana en los motores de búsqueda de bases de datos: EBSCO, PubMed, B-ON, RCAAP, BVS, Cochrane Library, SciELO. Se obtuvo un total de 6488 artículos, constituyendo la muestra 10 artículos. Se procedió al análisis del contenido del corpus (corresponde a los cuidados de enfermería), del que se obtuvieron 2 categorías con un total de 55 unidades de registro. Resultados - La distribución de los datos ha sido hecha de acuerdo con los presupuestos teóricos de la Teoría de Kolcaba: en la categoría de las Necesidades de Comodidad (28 unidades de registro) - 28% son de contexto fisico, 14% ambiental, 56% psico-espiritual y 14% social; de las Medidas de Comodidad (27 unidades de registro) – 18% son tipo alivio, 56% tranquilidad y 26% transcendencia. Conclusión - Las necesidades de comodidad derivan esencialmente del contexto fisico y psico-espiritual y las medidas de comodidad más a menudo adoptadas son para el alivio y la tranquilidad. La disciplina de Enfermería es la que más preocupación demostra por los cuidados de comodidad. Aims – To identify comfort needs and measures of the patient admitted in intensive care units. Material and Method – The investigation questions are: wthat are the comfort needs of the patient admitted in intensive care and which measures should be undertaken to promote comfort to the patient admitted in intensive care units? It was carried out an analysis of the descriptors (keywords) in DeCS and MeSH within the scope of comfort care to elderly patient in intensive care units. Boolean research through data base searching engines: EBSCO, PubMed, B-ON, RCAAP, BVS, Cochrane Library, SciELO. It was obtained a 6488 article population of which 10 articles composed the sample. It was analysed the content of the corpus (corresponding to nursing care) allowing to obtain 2 categories totalizing 55 registration unities. Results – Data distribution was according to theoretical assumptions of Kolcaba Theory: in the category of Comfort Needs (28 registration unities) - 28% are of physical order, 14% environmental, 56% psycho-spiritual and 14% of social order; as far as Comfort Measures are concerned (27 registration unities) – 18% concern suffering relieve, 56% peaceful atmosphere and 26% transcendence. Conclusion – Comfort needs concern essentially physical and psycho-spiritual context and the comfort measures more frequently adopted are aim to relieve suffering and promote a peaceful atmosphere. Nursing disciplin is the one that shows more concern towards comfort care. Objetivo - Identificar as necessidades e as medidas de conforto do internado em cuidados intensivos. Material e Método - As questões de investigação são: quais as necessidades de conforto do doente internado em cuidados intensivos? e quais as medidas que promovem o conforto do doente internado em cuidados intensivos? Procedeu-se à análise dos descritores no DeCS e MeSH no âmbito do conforto do idoso nos cuidados intensivos. Pesquisa booleana nos motores de busca de bases de dados: EBSCO, PubMed, B-ON, RCAAP, BVS, Cochrane Library, SciELO. Obteve-se uma população de 6488 artigos, constituindo a amostra 10 artigos. Realizada análise de conteúdo ao corpus (corresponde aos cuidados enfermagem), do qual se obteve 2 categorias com um total de 55 unidades de registo. Resultados - A distribuição dos dados foi de acordo com os pressupostos teóricos da Teoria de Kolcaba: na categoria das Necessidades de Conforto (28 unidades registo) - 28% são do contexto físico, 14% do ambiental, 56% psico-espiritual e 14% do social; das Medidas de Conforto (27 unidades de registo) – 18% são do tipo alivio, 56% de tranquilidade e 26% transcendência. Conclusão - As necessidades de conforto decorrem essencialmente do contexto físico e psico-espiritual e as medidas de conforto mais frequentemente adotadas destinam-se ao alívio e à tranquilidade. A disciplina de Enfermagem é a que mais preocupação demonstra pelos cuidados de conforto.

scholarly journals Road to healthcare professional’s burnout: poor empathy and impaired work ability, are they cause or effect?

2019 ◽  
Author(s):  
Alija Sadiković ◽  
Azra Kurtić ◽  
Olivera Sadiković ◽  
Maida Mulić ◽  
Amela Džubur- Alić ◽  
...  
Keyword(s):  
Intensive Care ◽  
Occupational Stress ◽  
Intensive Care Units ◽  
Working Conditions ◽  
Work Ability ◽  
Healthcare Professionals ◽  
Working Environment ◽  
Research Groups ◽  
Working Capacity ◽  
Clinical Departments

Introduction: Occupational stress is inevitable, but prolonged and intense can lead to serious health problems. Neglecting this significant aspect of work and inadequate treatment of the first indicators results in the reduced working capacity of healthcare professionals. Material and methods: Assessing working conditions of 100 healthcare professionals regarding stress impact on empathy and workability was the primary goal of this study. A survey was conducted to identify differences between work in intensive care units and other clinical departments all related to empathy, workability, and stress perceiving to determine what is a better predictor of workability. Results: In the research group “intensive care units”, significantly lower empathy quotients, poorer workability, and different stressors were registered compared to research groups named “other departments”. Conclusion: The main conclusion of the study states different dynamics in the working environment of intensive care units compared to other departments that could potentially harm the personal capacity of healthcare professionals. 

scholarly journals Resistance Rates of Acinetobacter baumannii Against Some Antibiotics: Comparison of 2018 and 2006 Results

ANKEM Dergisi ◽  
2020 ◽  
Author(s):  
Nurullah Uzuner ◽  
Selahhattin Atmaca ◽  
Muhammet Çelik ◽  
Handan Kangül
Keyword(s):  
Intensive Care ◽  
Acinetobacter Baumannii ◽  
Intensive Care Units ◽  
Treatment Options ◽  
Resistance Rate ◽  
Serious Infection ◽  
One Year ◽  
The One ◽  
Comparison Of The Results ◽  
Resistance Rates

Acinetobacter baumannii is a type of bacteria that causes serious hospital infections in intensive care units (ICUs) and immunocompromised patients. In this study, the one-year cumulative antibiogram results of A.baumannii strains, which are serious infection factors especially in intensive care patients, were retrospectively analyzed, at the same time, the results of sensitivity in a similar study conducted in our hospital in 2006 were compared with our results. Of the 388 isolates included in the study, 208 were isolated from male (53.6 %), 180 from female (46.4 %) patients, 87 % of the strains were from adults, 13 % from children (including newborns). 46.4 % of the factors were produced by the respiratory tract, 26.80 % from blood culture, 11.85 % from urine, 9.53 % from the wound 85 % of the samples were sent from intensive care units, 15 % from services (9.4 % internal service, 5.6 % surgical service), 6.95 % from the burn unit. The vast majority of the isolated A.baumannii strains were found to be adults. As a result of the antibiogram, the highest resistance rate to imipenem with 94.84 %; the lowest resistance rate was determined against colistin with 20 %. In the comparison of the results obtained in our hospital with the results of similar studies conducted in 2006, a significant increase in resistance was found for amikacin, ciprofloxacin, imipenem and meropenem (p<0.005), For trimethoprim / sulfamethoxazole, the resistance rate decreased (p>0.005). In this study, we showed that the resistance rates against A.baumannii strains increased over time, and the treatment options related to this are now very limited. Determining the resistance rates of common infectious agents at certain intervals by each hospital will be a guide in the effective treatment of infections that develop due to strains with limited antibiotic options.

Sign in / Sign up

Export Citation Format

Share Document