scholarly journals The Effect of Evidence-Based Nursing Education on knowledge of Intensive Care Unit Nurses in Hospitals of Armed Forces

2017 ◽  
Vol 4 (2) ◽  
pp. 120-128
Author(s):  
Esfandani K ◽  
Aliyari Sh ◽  
Phishgooie SA ◽  
Ebadi A ◽  
◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Education ◽  
Armed Forces ◽  
Evidence Based ◽  
Intensive Care Unit Nurses ◽  
Evidence Based Nursing

scholarly journals Delirium in the Intensive Care Unit: Is Dexmedetomidine Effective?

2019 ◽  
Vol 39 (4) ◽  
pp. e8-e21
Author(s):  
Joelle Ungarian ◽  
James A. Rankin ◽  
Karen L. Then
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Care Nurses ◽  
Screening Tools ◽  
Evidence Based ◽  
Antipsychotic Medications ◽  
Delirium Management ◽  
Atypical Antipsychotic Medications ◽  
Published Research ◽  
Evidence Based Nursing

Delirium in the intensive care unit affects approximately 30% of patients despite vigorous efforts to encourage the use of effective screening tools and preventive strategies. The success of pharmacological treatment of delirium remains equivocal; moreover, a paucity of research supports the use of atypical antipsychotic medications. However, dexmedetomidine appears to have a promising role in delirium management. This review includes an overview of the pathophysiology and types of delirium and describes 2 established tools used to screen for delirium. Published research related to the use of dexmedetomidine in the management of delirium is also discussed. The authors make recommendations for critical care nurses on dexmedetomidine use in the context of providing evidence-based nursing care to intensive care unit patients with delirium.

Iranian intensive care unit nurses’ moral distress

2012 ◽  
Vol 19 (4) ◽  
pp. 464-478 ◽  
Author(s):  
Foroozan Atashzadeh Shorideh ◽  
Tahereh Ashktorab ◽  
Farideh Yaghmaei
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Education ◽  
Cultural Values ◽  
Nurse Educators ◽  
Moral Distress ◽  
Nursing Leaders ◽  
Clinical Nurses ◽  
Communication Problems ◽  
Intensive Care Unit Nurses

Researchers have identified the phenomena of moral distress through many studies in Western countries. This research reports the first study of moral distress in Iran. Because of the differences in cultural values and nursing education, nurses working in intensive care units may experience moral distress differently than reported in previous studies. This research used a qualitative method involving semistructured and in-depth interviews of a purposive sample of 31 (28 clinical nurses and 3 nurse educators) individuals to identify the types of moral distress among clinical nurses and nurse educators working in 12 cities in Iran. A content analysis of the data produced four themes to describe the nurses’ moral distress. The four themes were as follows: (a) institutional barriers and constraints; (b) communication problems; (c) futile actions, malpractice, and medical/care errors; (d) inappropriate responsibilities, resources, and competencies. The results demonstrate that moral distress for intensive care unit nurses is different and that the nursing leaders must reduce moral distress among nursing in intensive care.

scholarly journals Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients' safety in Pediatric Units

2020 ◽  
Vol 10 (10) ◽  
pp. 33
Author(s):  
Orban Ragab Bayoumi ◽  
Nahed Saied Mohamed El-Nagger
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Transfusion ◽  
Nursing Care ◽  
Evidence Based ◽  
Before And After ◽  
Evidence Based Nursing ◽  
Quality Of Nursing ◽  
Nurses Knowledge

Background and objective: The new trend that widely accepted in health care institutions is to implement an evidence-based practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However, nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of nursing care and patients' safety as regards blood transfusion to improve transfusion practices and ensure safety.Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a standardized approach for transfusion (before and after).Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly significant differences before and after guidelines implementation.Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to date regarding to safe and efficient administration of blood transfusion.

scholarly journals Cross-cultural Adaptation and Validation of the Korean Version of the Moral Identity Scale in Intensive Care Unit Nurses

2021 ◽  
Author(s):  
Junghoon Lee ◽  
Yeoungsuk Song
Keyword(s):  
Intensive Care Unit ◽  
Factor Analysis ◽  
Intensive Care ◽  
Nursing Education ◽  
Confirmatory Factor Analysis ◽  
Moral Identity ◽  
Reliability And Validity ◽  
Korean Version ◽  
Confirmatory Factor ◽  
Intensive Care Unit Nurses

Abstract Background: Korean intensive care unit (ICU) nurses face a variety of moral conflict situations. What makes nurse give up other values and choose moral values? To answer this question, scholars began to study a concept termed “moral identity.” However, despite the increased importance of nurses’ moral identity, it has not been thoroughly studied using empirical data analysis. Instruments developed to predict moral behavior need evidence of their reliability and validity for rigorous research. The purpose of this paper is to report psychometric properties of the Korean version of the Moral Identity Scale in Intensive Care Unit nurses. Methods: The aim of this study was to assess the reliability and validity of the Korean version of the MIS (K-MIS) developed by Aquino & Reed. Data were collected from 207 ICUs. Exploratory and confirmatory factor analysis were used to test the construct validity. Research question/aim/objectives: The aim of this study was to assess the reliability and validity of the Korean version of the MIS (K-MIS) developed by Aquino & Reed.Results: The results of exploratory factor analysis showed that the Eigen values ranged from 1.63 to 4.47 and comprised 52.17% of the total explained variance. Confirmatory factor analysis showed acceptable model fit indices (χ2 (p) = 28.822 (.051), df = 18, root mean square error of approximation = .076, GFI = .937, Tucker-Lewis index = .93, comparative fit index = .955) and standardized factor loadings (.45 to.82). Conclusion: As a professional, the ICU nurse must protect and advocate for the patient. In this respect, K-MIS is a acceptable tool to measure the moral identity of ICU nurses in Korea. Therefore, it is expected that the K-MIS will be used in nursing education programs to improve the moral identity of ICU nurses.

scholarly journals Predictors of Intensive Care Unit Nurses’ Practice of Evidence-Based Practice Guidelines

2020 ◽  
Vol 57 ◽  
pp. 004695802090232
Author(s):  
Ashraf Abuejheisheh ◽  
Omar Tarawneh ◽  
Jamal A. S. Qaddumi ◽  
Omar Almahmoud ◽  
Muhammad W. Darawad
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Evidence Based Practice ◽  
Research Utilization ◽  
Evidence Based ◽  
Cross Sectional ◽  
New Information ◽  
Predictor Model ◽  
Cross Sectional Design ◽  
Intensive Care Unit Nurses

Although many studies discussed evidence-based practice among general nurses, few studies were found by the researchers among intensive care unit nurses. Also, no study has been conducted to investigate the predictors of evidence-based practice among intensive care unit nurses in Jordan. Therefore, this study aims to identify the predictors of evidence-based practice among intensive care unit nurses in Jordan. A descriptive cross-sectional design was used to conveniently recruit 132 participants. Self-reported questionnaires were utilized including the Evidence-Based Practice Questionnaire and Evidence-Based Practice barrier scale. Participants’ rate of evidence-based practice was 60% (M = 4.2/7), which was significantly correlated with their knowledge ( r = 0.739, P < .01) and attitudes ( r = 0.564, P < .01) of evidence-based practice. The results revealed a 2-predictor model that explained 62.2% of the variance in evidence-based practice among intensive care unit nurses. The 2 variables were attitude (β = 0.245) and knowledge (β = 0.563). The outcomes of this study added new information regarding the prediction of evidence-based practice among intensive care unit nurses. An educational program for nurses regarding this issue is crucial to improve their practice aiming at enhancing nursing care. Also, nursing schools should update their curricula to explain the importance of evidence-based practice and to enhance students’ competencies in research utilization and statistical skills.

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