scholarly journals PERCEPCIÓN DEL PROFESIONAL DE ENFERMERÍA SOBRE LOS CUIDADOS APLICADOS AL PACIENTE EN POSICIÓN DE DECUBITO PRONO ASOCIADO AL COVID-19.

2021 ◽  
Vol 6 (2) ◽  
pp. 36
Author(s):  
Jennifer Alexandra Vallejo Montaguano ◽  
Eulalia Isabel Analuisa Jiménez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Lived Experience ◽  
Prone Position ◽  
Nursing Staff ◽  
Pulmonary Ventilation ◽  
Structured Interviews ◽  
Investigación Cualitativa ◽  
Therapeutic Behavior ◽  
Nursing Professionals

Introducción: En la unidad de cuidados intensivos (UCI) el personal de enfermería cumple un papel importante al momento del cuidado y atención del paciente con COVID-19, en relación a la posición decúbito prono (DP), para mejorar la ventilación pulmonar de estos pacientes. Objetivo: Describir la percepción del profesional de enfermería sobre la aplicación y efectividad de la posición de decúbito prono en el paciente con COVID-19. Métodos: Investigación cualitativa, de tipo fenomenológico, para abordar nuevos conocimientos y prácticas en la pandemia por COVID-19 desde la asistencia de enfermería con una dimensión humanista y comprensiva, utilizando el tipo de muestreo de bola de nieve o cadena en dos hospitales y dos clínicas con Unidad de Cuidados Intensivos del Cantón Ambato, Provincia Tungurahua, Ecuador,se utilizó entrevistas semiestructuradas que permitió descubrir la experiencia vivida de los profesionales de enfermería en cuanto a su percepción del cuidado aplicado al paciente en posición de decúbito prono. Resultados: Se evidenció que la posición DP, no ha sido utilizada anteriormente por el personal de enfermería y empezó a aplicarse por la pandemia de COVID-19, como medida coadyuvante en la conducta terapéutica, ya que contribuye al incremento de la relación ventilación/perfusión y mejoría clínica del paciente. Existen complicaciones como la aparición de úlceras de presión y movilización del tubo endotraqueal. Conclusiones: La percepción del profesional de enfermería sobre la aplicación y la efectividad de la posición en los pacientes con COVID-19, ha sido favorable, se ha obtenido una información clara y precisa de acuerdo a su efectividad. Palabras Claves: Decúbito prono, Profesional de Enfermería, COVID-19 ABSTRACT Introduction: In the intensive care unit (ICU), the nursing staff plays an important role at the time of the care and attention of the patient with COVID-19, in relation to the prone position (PD), to improve the pulmonary ventilation of these patients. Objective: To describe the nursing professional's perception of the application and effectiveness of the prone position in the patient with COVID-19. Methods: Qualitative research, phenomenological type, to address new knowledge and practices in the COVID-19 pandemic from nursing care with a humanistic and comprehensive dimension, using the type of snowball or chain sampling in two hospitals and two In clinics with the Intensive Care Unit of the Ambato Canton, Tungurahua Province, Ecuador, semi-structured interviews were used that allowed discovering the lived experience of the nursing professionals regarding their perception of the care applied to the patient in the prone position. Results: It was evidenced that the DP position has not been used previously by the nursing staff and began to be applied due to the COVID-19 pandemic, as a coadjuvant measure in the therapeutic behavior, since it contributes to the increase of the ventilation/perfusion ratio and clinical improvement of the patient. There are complications such as the appearance of pressure ulcers and mobilization of the endotracheal tube. Conclusions: The nursing professional's perception of the application and effectiveness of the position in patients with COVID-19 has been favorable, clear and precise information has been obtained according to its effectiveness. Key Words: Prone position, Nursing Professional, COVID-19

scholarly journals The dimensioning of the nursing staff in a intensive care unit

2012 ◽  
Vol 6 (2) ◽  
pp. 252
Author(s):  
Hérvora Santuzza Pereira Araújo ◽  
Ildone Forte de Morais ◽  
Cecília Nogueira Valença ◽  
Marquiony Marques dos Santos ◽  
Raimunda Medeiros Germano
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Rio Grande ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Personnel Downsizing ◽  
Qualitative Descriptive ◽  
Terapia Intensiva ◽  
Investigación Cualitativa

ABSTRACTObjective: to discuss the nursing staff's project in the context of the Intensive Care Unit (ICU) of Hospital Regional do Seridó, Caicó-RN. Method: qualitative descriptive-exploratory research. 19 semi-structured interviews were performed with professional nursing staff working in the ICU. The data were analyzed according to thematic content analysis, which consists of: pre-analysis, material exploration and processing of results. The study was approved by the Ethics Committee in Research of Universidade do Estado do Rio Grande do Norte as Protocol 027/10 and CAAE 0026.0.428.000-10, according to Resolution 196/96. Results: it was showed that the quantity of graduated professionals in nursing staff is unsatisfactory for the development of the necessary assistance to the ICU. Conclusion: this study reflects that the dimensioning of the nursing staff should involve the participation of hospital managers for researching and raising the critical points of functioning of the service, through promoting teamwork. Descriptors: personnel downsizing; intensive care unit; nursing team.RESUMOObjective: discutir o dimensionamento da equipe de enfermagem no contexto da Unidade de Terapia Intensiva do Hospital Regional do Seridó (HRS) em Caicó- RN. Método: pesquisa descritivo-exploratória qualitativa. Foram realizadas 19 entrevistas semiestruturadas com profissionais da equipe de enfermagem que trabalham na UTI. As informações foram analisadas de acordo com a análise de conteúdo temática, que consiste em: pré-análise, exploração do material e tratamento dos resultados obtidos. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade do Estado do Rio Grande do Norte conforme protocolo nº 027/10 e CAAE 0026.0.428.000-10, de acordo com a Resolução 196/96. Resultados: apontaram que o quantitativo dos profissionais de nível superior em enfermagem é insatisfatório para o desenvolvimento da assistência necessária para a UTI. Conclusão: o estudo reflete que o dimensionamento da equipe de enfermagem deve envolver a participação dos gestores do hospital, para pesquisar e levantar os pontos críticos do funcionamento do serviço, através da promoção do trabalho em equipe. Descritores: downsizing organizacional; unidades de terapia intensiva; equipe de enfermagem.RESUMENObjetivo: discutir la dimensión del equipo de enfermería en el contexto de la Unidad de Cuidados Intensivos (UCI) del Hospital Regional de Seridó en Caico-RN. Método: investigación cualitativa descriptivo-exploratoria. Fueron realizadas 19 entrevistas semi-estructuradas con los profesionales del equipo de enfermería que trabajan en la UCI. Los datos fueron analizados según el análisis de contenido temático, que consiste en: pre-análisis, exploración de materiales y tratamiento de los resultados. El estudio fue aprobado por el Comité de Ética en Investigación de la Universidad del Estado de Rio Grande do Norte como Protocolo 027/10 y CAAE 0026.0.428.000-10, de acuerdo con la Resolución 196/96. Resultados: mostraron que el cuantitativo de profesionales de nivel superior en enfermería no es satisfactorio para el desarrollo de la asistencia necesaria a la UCI. Conclusión: este estudio refleja que la escala del equipo de enfermería debe incluir la participación de los administradores del hospital para investigar y levantar los puntos críticos de la funcionamiento del servicio, promoviendo el trabajo en equipo. Descriptores: reducción de personal; unidades de terapia intensiva; grupo de enfermería.

scholarly journals Comfort of the child in intensive pediatric therapy: perception of nursing professionals

2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Patricia Rodrigues Soares ◽  
Carlos Roberto Lyra da Silva ◽  
Thiago Quinellato Louro
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hierarchical Classification ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
Hospitalized Children ◽  
Structured Interviews ◽  
Descriptive Research ◽  
Textual Data ◽  
Nursing Professionals

ABSTRACT Objectives: o analyze the concept of comfort in a Pediatric Intensive Care Unit from the perspective of nursing professionals. Methods: descriptive research, with qualitative-quantitative approach, conducted in an Intensive Care Unit. Data collection occurred between January and May 2017; 40 nursing professionals participated in the study. The textual data obtained in the semi-structured interviews was processed in the Iramuteq 7.2 software. The Descending Hierarchical Classification and Bardin analysis were used for the discussion. Katharine Kolcaba’s concepts were used as theoretical framework. Results: three categories emerged: the environment that promotes (dis)comfort; feasible actions to promote comfort; uncomfortable actions in care. Final Considerations: it was possible to identify that comfort is offered by providing measures that favor the well-being, warmth, safety and tranquility of hospitalized children. The study brings a reflection about the nursing care provided to severely ill hospitalized children.

scholarly journals Papel do acompanhante na hospitalização: perspectiva dos profissionais de enfermagem

2019 ◽  
Vol 14 ◽  
Author(s):  
Mariana Viotti Nogueira Brito ◽  
Damaris Esther Ribeiro ◽  
Rogerio Silva Lima ◽  
Roberta Garcia Gomes ◽  
Silvana Maria Coelho Leite Fava ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Code Of Conduct ◽  
Data Organization ◽  
Structured Interviews ◽  
Nursing Service ◽  
Qualitative Descriptive ◽  
Investigación Cualitativa ◽  
Hospital Institution ◽  
Nursing Professionals

Objetivo: conhecer o significado do papel do acompanhante da pessoa hospitalizada na perspectiva dos profissionais de enfermagem. Método: trata-se de estudo qualitativo, descritivo e exploratório em uma instituição hospitalar, com 19 profissionais de enfermagem e se efetuou a coleta de dados por meio de entrevistas semiestruturadas gravadas. Utilizou-se a técnica de Análise de Conteúdo na modalidade Análise Temática para a organização dos dados. Resultados: delimitou-se um tema, denominado Acompanhante: o auxílio que não deve incomodar, composto por três subtemas: Agir esperado do acompanhante: extensão da equipe de enfermagem; Código de conduta: não divergir da equipe de enfermagem e Determinantes do acompanhar: o real e o oculto. Apreendeu-se que, na perspectiva dos profissionais de enfermagem, o acompanhante deve desenvolver a função de auxílio à equipe, porém, sem interferir nas suas atividades, e que esta perspectiva influencia a decisão de possibilitar a permanência do acompanhante nos casos não previstos pela legislação. Conclusão: percebem-se discrepâncias acerca do papel do acompanhante entre os profissionais de nível médio e os de nível superior e evidencia-se a necessidade de reflexões acerca do significado deste papel. Descritores: Hospitalização; Serviço Hospitalar de Enfermagem; Cuidadores; Enfermagem; Cuidados de Enfermagem; Pesquisa Qualitativa.AbstractObjective: to know the meaning of the role of the companion of the hospitalized person from the perspective of nursing professionals. Method: this is a qualitative, descriptive and exploratory study in a hospital institution, with 19 nursing professionals, and data was collected through recorded semi-structured interviews. It was used the technique of Content Analysis in the Thematic Analysis modality for the data organization. Results: a theme was defined, called Companion: the aid that should not bother, composed of three subthemes: Expected act of the companion: extension of the nursing staff; Code of conduct: do not differ from the nursing staff and determinants of companion: the real and the hidden. It was understood that, from the perspective of nursing professionals, the companion should perform the function of assisting the team, but without interfering in their activities, and that this perspective influences the decision to allow the companion to stay in cases not provided for by the legislation. Conclusion: discrepancies about the role of the companion between the mid-level and the higher-level professionals are noticed and there is a need for reflections about the meaning of this role. Descriptors: Hospitalization; Nursing Service, Hospital; Caregivers; Nursing; Nursing care; Qualitative Research.ResumenObjetivo: conocer el significado del rol del acompañante de la persona hospitalizada desde la perspectiva de los profesionales de enfermería. Método: este es un estudio cualitativo, descriptivo y exploratorio en una institución hospitalaria, con 19 profesionales de enfermería, y los datos fueron recolectados a través de entrevistas grabadas semiestructuradas. Se utilizó la técnica de Análisis de Contenido en la modalidad de Análisis Temático para la organización de datos. Resultados: se definió un tema, llamado Acompañante: la ayuda que no debería molestar, compuesto por tres subtemas: Acto esperado del acompañante: extensión del personal de enfermería; Código de conducta: no difieren del personal de enfermería y los Determinantes del seguimiento: lo real y lo oculto. Se entendió que, desde la perspectiva de los profesionales de enfermería, el acompañante debe realizar la función de ayudar al equipo, pero sin interferir en sus actividades, y que esta perspectiva influye en la decisión de permitir que el acompañante permanezca en casos no previstos por la legislación. Conclusión: existen discrepancias sobre el rol del acompañante entre profesionales de nivel mediano y superior y la necesidad de reflexionar sobre el significado de este rol. Descriptores: Hospitalización; Servicio de Enfermería en Hospital; Cuidadores; Enfermería; Atención de Enfermería; Investigación Cualitativa.

Saúde ocupacional dos profissionais de enfermagem em unidade de terapia intensiva

2013 ◽  
Vol 4 (2) ◽  
pp. 115 ◽  
Author(s):  
Natasha Marques Frota ◽  
Lívia Moreira Barros ◽  
Luana Nunes Caldini ◽  
Thiago Moura De Araújo ◽  
Joselany Áfio Caetano
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Occupational Hazards ◽  
Inclusion Criteria ◽  
Occupational Risks ◽  
Worker Health ◽  
Final Sample ◽  
Terapia Intensiva ◽  
Health Nursing ◽  
Nursing Professionals

Resumo: Objetivou-se identificar os riscos ocupacionais em profissionais de enfermagem em Unidade de Terapia Intensiva. Trata-se de uma revisão integrativa realizada no período de fevereiro a março de 2012. A amostra final do estudo contou com 12 artigos que atenderam os critérios de inclusão. Foi possível identificar que os riscos ocupacionais mais presentes na UTI estão associados aos riscos de acidentes, seguido do biológico, químico e ergonômico. Frente a esta realidade é necessário a implementação de medidas para a prevenção dos riscos, para diminuição do absenteísmo e a promoção da saúde do trabalhador de enfermagem.Palavras-Chave: Enfermagem do trabalho, Riscos ocupacionais, Unidades de Terapia Intensiva.Occupational health of nurses in the Intensive Care UnitAbstract: This study aimed to identify occupational hazards in nursing professionals in the Intensive Care Unit. It is an integrative review carried out during February-March 2012. The final sample included 12 articles that met the inclusion criteria. It was possible to identify the occupational hazards present in the ICU are more associated with the risk of accidents, followed by biological, chemical and ergonomic. Faced with this reality is necessary to implement measures to prevent risks, to reduce absenteeism and promote worker health nursing.Keywords: Occupational Health Nursing, Occupational Risks, Intensive Care Units.Salud en el trabajo de las enfermeras en la Unidad de Cuidados IntensivosResumen: Este estudio tuvo como objetivo identificar los riesgos laborales en los profesionales de enfermería en la Unidad de Cuidados Intensivos. Se trata de una revisión integradora llevada a cabo durante febrero y marzo de 2012. La muestra final incluyó 12 artículos que cumplieron los criterios de inclusión. Fue posible identificar los riesgos laborales presentes en la UCI son más asociado con el riesgo de accidentes, seguido por agentes biológicos, químicos y ergonómicos. Frente a esta realidad es necesario aplicar medidas para prevenir los riesgos, para reducir el absentismo y fomentar la enfermería profesional de la salud.Palabras Clave: Enfermería del Trabajo, Riesgos Laborales, Unidades de Cuidados Intensivos.

scholarly journals Staff cost in direct nursing care at an intensive care unit

2007 ◽  
Vol 15 (5) ◽  
pp. 1005-1009 ◽  
Author(s):  
Sandra Cristina Ribeiro Telles ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Work Load ◽  
Direct Care ◽  
Personnel Cost ◽  
Simple Method ◽  
Personnel Costs ◽  
Staff Cost ◽  
The Cost

This quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. We opted to use a therapeutic intervention score index, TISS-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. Evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. In this exploratory and descriptive study, the average TISS-28 per patient was 31 points, requiring a daily expenditure of care hours of R$ 298.69. It was evidenced in this study that personnel costs are variable since there are patients with different complexities. Therefore is possible to estimate the nursing staff cost by assessing its work load.

scholarly journals Percepção dos trabalhadores de enfermagem acerca da satisfação no contexto do trabalho na UTI

2012 ◽  
Vol 3 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Rosemary Silva Da Silveira ◽  
Cíntia Regina Funck ◽  
Valéria Lerch Lunardi ◽  
Liziani Iturriet Avila ◽  
Wilson Danilo Lunardi Filho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Nursing Satisfaction ◽  
Qualitative Survey ◽  
Terapia Intensiva

Objetivou-se conhecer as percepções dos trabalhadores de enfermagem acerca da satisfação ou ausência de satisfação no contexto do trabalho de uma Unidade de Terapia Intensiva. Realizou-se a pesquisa qualitativa por meio da técnica de entrevista com 13 trabalhadores. Do processo de análise, emergiram duas categorias: o trabalho como fonte de satisfação para os trabalhadores da enfermagem da UTI e a ausência de satisfação no contexto do fazer dos trabalhadores da enfermagem da UTI.Descritores: Trabalhadores, Enfermagem, Satisfação no Trabalho.Perception of nursing staff about the satisfaction in work in the ICUIt was aimed to find out about the perceptions of the Nursing workers regarding the satisfaction or lack of satisfaction in the context of the job in the Intensive Care Unit. A qualitative survey was carried out by means of interviews with thirteen workers. From the process of the analysis, two categories emerged: Working as a source of satisfaction for the nursing workers in the ICU and Lack of satisfaction in the context of the job of the workers in the ICU.Descriptors: Workers, Nursing, Satisfaction at Work.Percepción del personal de enfermería acerca de la satisfacción en el trabajo en la UCISe objetivó conocer la percepción de los trabajadores de enfermería acerca de la satisfacción o falta de satisfacción en el contexto de trabajo en una Unidad de Terapia Intensiva. Se ha realizado la pesquisa cualitativa de encuesta con trece trabajadores. Del proceso de análisis, emergieron dos categorías: el trabajo como medio de satisfacción para los trabajadores de enfermería de la UTI y la falta de satisfacción en el contexto del hacer de los trabajadores de enfermería de la UTI.Descriptores: Trabajadores, Enfermería, Satisfacción en el Trabajo.

scholarly journals Lower Cranial Nerve Palsies in the COVID-19 Pandemic: A 10-Case Series of Intensive Care Unit Patients

2021 ◽  
pp. 1-4
Author(s):  
Pierre Decavel ◽  
Olympe Nahmias ◽  
Carine Petit ◽  
Laurent Tatu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Prone Position ◽  
Cranial Nerve ◽  
Nerve Palsy ◽  
Case Series ◽  
University Hospital ◽  
Cranial Neuropathy ◽  
Lower Cranial Nerve ◽  
Cranial Nerve Palsies

<b><i>Introduction:</i></b> A number of neurological complications of COVID-19 have been identified, including cranial nerve paralyses. We present a series of 10 patients with lower cranial nerve involvement after severe COVID-19 infection requiring hospitalization in an intensive care unit. <b><i>Methods:</i></b> We conducted a retrospective, observational study of patients admitted to the post-intensive care unit (p-ICU) of Besançon University Hospital (France) between March 16 and May 22, 2020. We included patients with confirmed COVID-19 and cranial neuropathy at admission to the p-ICU. All these patients were treated by orotracheal intubation, and all but one underwent prone-position ventilation therapy. <b><i>Results:</i></b> Of the 88 patients admitted to the p-ICU, 10 patients (11%) presented at least 1 cranial nerve palsy. Of these 10 patients, 9 had a hypoglossal nerve palsy and 8 of these also had a deficit in another cranial nerve. The most frequent association was between hypoglossal and vagal palsies (5 patients). None of the patients developed neurological signs related to a global neuropathy. We found no correlation between the intensity of the motor limb weakness and the occurrence of lower cranial nerve palsies. All but 2 of the patients recovered within less than a month. <b><i>Conclusion:</i></b> The mechanical compressive hypothesis, linked to the prone-position ventilation therapy, appears to be the major factor. The direct toxicity of SARS-CoV-2 and the context of immune dysfunction induced by the virus may be involved in a multifactorial etiology.

The need to know: experiences of critically ill patients

2000 ◽  
Vol 9 (3) ◽  
pp. 192-198 ◽  
Author(s):  
JE Hupcey ◽  
HE Zimmerman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Illness ◽  
Critically Ill ◽  
Nursing Staff ◽  
Critically Ill Patients ◽  
Second Phase ◽  
The Past ◽  
Intensive Care Unit Nurses ◽  
Vivid Memories

BACKGROUND: Critically ill patients vary in their memories of their experience in the intensive care unit. Some have little recall and need to learn about their critical illness. Others have more vivid memories of their experiences, some of which were extremely unpleasant. Patients' not knowing what was happening may have exacerbated the unpleasant experiences. OBJECTIVES: To elicit the experience of knowing for critically ill patients and to explore the differences in perceptions between patients who were intubated and those who were not intubated during the illness. METHODS: Grounded theory was used to explore the meaning of knowing and not knowing and the process by which knowing occurs. Unstructured interviews were done with 14 patients. RESULTS: Knowing had 2 phases: the need to know (1) during and (2) after the critical illness. The first phase had 3 facets: needing information, needing to be oriented, and having confusing perceptions. The second phase had 2 facets: needing information about what had happened and piecing together events. Many experiences with knowing during and after a critical illness were similar for both intubated and nonintubated patients. The main difference was the intensity of the experience in some categories. CONCLUSIONS: Critically ill patients have a strong need to know throughout and after their time in the intensive care unit. Nurses must address this need for constant reorientation to the past and present in these patients. In addition, adequate nursing staff must be available for these patients.

Self-scheduling and staff incentives: meeting patient care needs in a neonatal intensive care unit

2001 ◽  
Vol 21 (4) ◽  
pp. 52-59 ◽  
Author(s):  
E Vetter ◽  
LD Felice ◽  
GL Ingersoll
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Neonatal Intensive Care ◽  
Nurse Manager ◽  
The Self ◽  
Care Needs ◽  
New Employees ◽  
Staff Members ◽  
Innovative Process

Nursing staff and leadership in a resource-intensive NICU identified an innovative process for covering the unit's scheduling needs. Early concerns about the feasibility of achieving self-scheduling with a large staff were unwarranted. The use of a unit-based committee and the support of the nurse manager allowed us to develop a process that met the needs of the staff members and maintained the staffing standards of the unit. Contributing to the success of the self-scheduling is a mechanism for recognizing and rewarding staff members who adjust their work schedules to meet the needs of the unit. Satisfaction among staff members with self-scheduling is high, and new employees cite the opportunity for self-scheduling as a contributing factor in their decisions to work in the NICU.

Sign in / Sign up

Export Citation Format

Share Document