scholarly journals MEASURING KNOWLEDGE OF JORDANIAN NURSES WORKING IN CRITICAL CARE UNITS TOWARD STROKE PATIENTS

World Science ◽  
2020 ◽  
Author(s):  
Eslam Abd Alkreem Allsassmah
Keyword(s):  
Critical Care ◽  
Negative Relationship ◽  
Signs And Symptoms ◽  
Public Hospitals ◽  
Stroke Management ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Jordanian Nurses ◽  
The Impact

Background. Stroke is a devastating disease. It is a major cause for the neurological admission to hospitals all over the world. Limited knowledge among the critical care nurses about stroke in general and specifically about the risk factors, signs, and symptoms of stroke usually is a main source of delayed prompt stroke management and non-compliance with follow-up rehabilitation. Therefore, there is a need for a study that examines the impact of these factors in order to promote stroke management and improve nursing care outcomes.Aim. This study aimed at measuring the knowledge of Jordanian nurses working in critical care units toward stroke patients.Methods. This cross-sectional study used the descriptive approach in order to measure the knowledge of the Jordanian nurses working in critical care units regarding stroke patients in the Jordanian hospitals. Data were collected from Jordanian critical care units' nurses from seven hospitals; five private and two public hospitals. Critical care units’ nurses were selected conveniently based on specific inclusion criteria. Eligible participants were required to complete self–reported questionnaires about knowledge in addition to completing demographic questionnaires. The descriptive and inferential statistics were conducted using the SPSS software. Results. A total of (200) Critical care units’ nurses from public and private hospitals participated in the study. The nurses in this study exhibited poor knowledge on the study scales. There were statistically significant differences among nurses according to the type of hospital on the one scales (P< .05). There is a negative relationship between the knowledge and years of nursing practice in ER or ICU (P= .013).Conclusions. The measures of knowledge among the nurses in critical care units in the Jordanian hospitals towards stroke patients seem to be highly poor. Nurses in critical care units seem to have acceptable information, but inadequate to correctly enhance stroke awareness. There is a gap that should be stuffed via planning and implementation of educational and instructional programs focused on hospital nurses as well as community sectors in order to improve the stoke focus and experience and avoid the delay in accessing the medical help which would, in return, improve stroke management and reduce its effect in Jordan.

The impact of emotional intelligence on the emotional state of nurses in public hospitals in Cyprus

2017 ◽  
Vol 41 (S1) ◽  
pp. S184-S184
Author(s):  
M. Symeou ◽  
A. Evstathiou ◽  
G. Charalambous ◽  
E. Jelastopulu
Keyword(s):  
Emotional Intelligence ◽  
Emotional State ◽  
Negative Relationship ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Nursing Personnel ◽  
Cross Sectional ◽  
Emotional Skills ◽  
Leading Position ◽  
The Impact

IntroductionThe term emotional intelligence (EI) has gained more and more popularity in the last two decades and has been studied in various workplace settings.Objectives/aimsThe purpose of the present study was to estimate the EI in nursing personnel, to examine which factors are associated with EI and how EI correlates with their emotional state.MethodsA cross-sectional study was conducted from April to May 2016 in a representative sample of nursing personnel from seven public hospitals of Cyprus. A total of 585 nurses completed the Greek Emotional Intelligence Scale (GEIS), consisting of 52 items measuring four basic emotional skills and scored on a 5-point Likert scale (from low (52) to high (260) EI). Furthermore, the Depression, Anxiety, and Stress Scale (DASS 21) was applied. Statistical analyses were performed using the SPSS v.20.0.ResultsOverall mean EI scores were 184.11 for males and 184.82 for females. Being married and having children as well as having leading position was associated with higher EI (P = 0.024, P = 0.002, P = 0.012, respectively). The highest EI scores were identified between the middle aged nurses (36–50 years, EI = 191.5, P = 0.000) and nurses with more years of work (> 12 years, EI = 189.59, P = 0.000). The overall EI scores have moderate negative correlation with the emotional state of the nurses (P = 0.000).ConclusionsThe present study reveals under-optimal EI scores and confirms the negative relationship with the emotional state of nurses. Based on the literature, the EI can be developed, thus suitable programs could substantially improve the emotional skills in nursing personnel.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Sepsis Code: dodging mortality in a tertiary hospital

2021 ◽  
Author(s):  
Rosa Méndez ◽  
Angels Figuerola ◽  
Marta Chicot ◽  
Ana Barrios ◽  
Natalia Pascual ◽  
...  
Keyword(s):  
Septic Shock ◽  
Critical Care ◽  
Health Personnel ◽  
Analytical Study ◽  
Statistical Significance ◽  
Tertiary Hospital ◽  
Critical Care Units ◽  
Multidisciplinary Group ◽  
Sepsis And Septic Shock ◽  
The Impact

Background. In the hospital of La Princesa, the “Sepsis Code” (CSP) began in 2015, as a multidisciplinary group that provides health personnel with clinical, analytical and organizational tools, with the aim of the detection and early treatment of patients with sepsis. The objective of this study is to evaluate the impact of CSP implantation on mortality and to determine the variables associated with an increase in it. Material and methods. A retrospective analytical study of patients with CSP alert activation from 2015 to 2018 was conducted. Clinical-epidemiological variables, analytical parameters, and severity factors such as admission to critical care units (UCC) and the need for amines were collected. Statistical significance was established at p < 0.05. Results. We included 1,121 patients. The length of stay was 16 days and 32% required admission to UCC. Mortality showed a statistically significant linear downward trend from 24% in 2015 to 15% in 2018. The predictive mortality variables with statistically significant association were lactate > 2 mmol/L, creatinine > 1.6 mg/dL and the need for amines. Conclusions. The implementation of Sepsis Code decreases the mortality of patients with sepsis and septic shock. The presence of a lactate > 2 mmol/L, creatinine > 1.6 mg/dL and/or the need to administer amines in the first 24 hours, are associated with an increase in mortality in the patient with sepsis.

scholarly journals Predictors of moral harassment in nursing work in critical care units

2021 ◽  
Vol 74 (3) ◽  
Author(s):  
Luana Silva de Sousa ◽  
Roberta Meneses Oliveira ◽  
Jênifa Cavalcante dos Santos Santiago ◽  
Érika da Silva Bandeira ◽  
Yane Carmem Ferreira Brito ◽  
...  
Keyword(s):  
Critical Care ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Young Professionals ◽  
Work Related ◽  
Emergency Units ◽  
Nursing Professionals ◽  
Negative Acts

ABSTRACT Objectives: to analyze the predictors of moral harassment in nursing work in critical care units. Methods: a cross-sectional study conducted in a public hospital in Fortaleza, Ceará, with 167 nursing professionals in 2016. Sociodemographic/occupational questionnaire and Negative Acts Questionnaire Revised were applied. The analysis included descriptive statistics, measures of central tendency and dispersion, as well as Mann-Whitney, Kruskal-Wallis and Conover Inman U-tests for multiple comparisons. Results: there was a 33% prevalence of self-perception of moral harassment, highlighting personal/professional disqualification and work-related harassment. The predictors of moral harassment included age, time working in the job and time in the unit, employment relationship and sector. Conclusions: young professionals (< 30 years), cooperative, crowded in intensive care or emergency units, with less time working in the job (< 5 years) or greater time in the unit (above 10 years) are the biggest victims of moral harassment in the work of nursing in critical environments.

scholarly journals Death Notification in Italian Critical Care Unites and Emergency Services. A Qualitative Study with Physicians, Nurses and Relatives

2021 ◽  
Vol 18 (24) ◽  
pp. 13338
Author(s):  
Ines Testoni ◽  
Erika Iacona ◽  
Lorenza Palazzo ◽  
Beatrice Barzizza ◽  
Beatrice Baldrati ◽  
...  
Keyword(s):  
Critical Care ◽  
Qualitative Study ◽  
Protective Factors ◽  
Health Care Professionals ◽  
Emergency Services ◽  
Continuing Bonds ◽  
Critical Care Units ◽  
Death Notification ◽  
The Impact ◽  
Relational Difficulties

This qualitative study was conducted in critical care units and emergency services and was aimed at considering the death notification (DN) phenomenology among physicians (notifiers), patient relatives (receivers) and those who work between them (nurses). Through the qualitative method, a systemic perspective was adopted to recognise three different categories of representation: 23 clinicians, 13 nurses and 11 family members of COVID-19 victims were interviewed, totalling 47 people from all over Italy (25 females, mean age: 46,36; SD: 10,26). With respect to notifiers, the following themes emerged: the changes in the relational dimension, protective factors and difficulties related to DN. With respect to receivers, the hospital was perceived as a prison, bereavement between DN, lost rituals and continuing bonds. Among nurses, changes in the relational dimension, protective factors and the impact of the death. Some common issues between physicians and nurses were relational difficulties in managing distancing and empathy and the support of relatives and colleagues. The perspective of receivers showed suffering related to loss and health care professionals’ inefficacy in communication. Specifically, everyone considered DNs mismanaged because of the COVID-19 emergency. Some considerations inherent in death education for DN management among health professionals were presented.

scholarly journals Assessing the caring behaviors of critical care nurses

2018 ◽  
Vol 8 (10) ◽  
pp. 77 ◽  
Author(s):  
Samah Anwar Shalaby ◽  
Nouf Fahad Janbi ◽  
Khairiah Khalid Mohammed ◽  
Kholud Mohammed Al-harthi
Keyword(s):  
Job Satisfaction ◽  
Critical Care ◽  
Educational Background ◽  
Critical Care Nurses ◽  
Affecting Factors ◽  
Caring Behaviors ◽  
Factors Affecting ◽  
Critical Care Units ◽  
Depth Analysis ◽  
The Impact

Objective: To assess the critical care nurses’ perception of their caring behaviors and factors affecting these behaviors.Methods: Participants of this descriptive correlational exploratory study included 277 critical care nurses selected conveniently from nurses worked in all critical care units in King Khalid Hospital, Jeddah. A self-reported questionnaire namely, “Critical Care Nurses Caring Behavior Perception” developed by the researchers after reviewing related literature was used to assess caring behaviors and their affecting factors as perceived by critical care nurses.Results: Seventy percent of the nurses aged between 31 to 50 years old and more than half of nurses had ICU experience ranged from 6 to 10 years, while two thirds of nurses had no previous training about caring behaviors. The study findings revealed that the majority of nurses had high scores of perceived caring behaviors, whereas the mean of their perception was 296.96 ± 18.32. There was a statistical significant positive relationship between nurses’ perception and their work circumstances, workload, job satisfaction, educational background and patient characteristics.Conclusions: It is important to consider critical units’ circumstances, nurses’ educational background, job satisfaction, as well as the nature of critically ill patients in order to promote nurses awareness and implementation of caring behaviors. Moreover, replication of the current study using qualitative approach for in-depth analysis of the impact of factors could affecting caring behaviors on nurses’ perception in various highly specialized critical care units.

Nurses experience of communication with palliative patients in critical care unit: Saudi experience

2016 ◽  
Vol 5 (2) ◽  
pp. 102 ◽  
Author(s):  
Hanan Alshehri ◽  
Samantha Ismaile
Keyword(s):  
Palliative Care ◽  
Critical Care ◽  
Do Not Resuscitate ◽  
Cross Sectional ◽  
Advanced Directives ◽  
Critical Care Units ◽  
Feeding Tubes ◽  
Common Causes ◽  
Cross Sectional Design ◽  
Palliative Patients

Communication is crucial regardless of a patient's condition in Critical Care Units (CCU). However; communication barriers are common in CCU. In recent years there has been a rapid growth within hospital settings in the provision of palliative care according to patient needs. The purpose of the research study was to investigate nurses’ experiences of communication with palliative patients in CCU. A cross sectional design was conducted using questionnaire. The study sample included nurses who were working in CCU. The total number of completed and submitted questionnaires were 61. The majority of respondents were females. The results show that 49% of respondents have experienced difficulties in palliative care tasks while 41% respondents have complications with communication in palliative care. Also, nurses who took part in this study reported difficultly in discussing decisions such as advanced directives, do not resuscitate orders, and feeding tubes. In conclusion, nurses experience difficulty with communication whilst carrying out palliative care tasks in critical care units. The common causes of communication difficulty are because of the complexity of palliative care tasks, language barriers, shortage of staff and feeling un-empowered. Moreover, there is a lack of education programs centered around enhancing communication difficulties between nurses and palliative patients.

Institution-Wide Quantification of Iatrogenic Blood Loss Using a Novel Informatics-Driven Methodology

Blood ◽  
2010 ◽  
Vol 116 (21) ◽  
pp. 1530-1530
Author(s):  
Donna L. Ledingham ◽  
Don Doiron ◽  
Bryan Crocker ◽  
Calvino K. Cheng
Keyword(s):  
Critical Care ◽  
Blood Loss ◽  
Patient Outcomes ◽  
Service Providers ◽  
Conflicts Of Interest ◽  
Tertiary Care ◽  
Term Care ◽  
Data Set ◽  
Critical Care Units ◽  
The Impact

Abstract Abstract 1530 Rationale: Anemia has been shown to have an adverse impact on patient outcomes. In the transfusion literature, various blood conservation and patient blood management systems have been proposed as a way to reduce the burden of anemia. An important component of limiting blood loss is the reduction of iatrogenic blood loss through diagnostic phlebotomy. Studies in the phlebotomy and transfusion literature largely focus on small patient populations on critical care units. Such research provides a great depth of information about those settings, but the impact of diagnostic phlebotomy on the broader inpatient population is unknown. We present a novel method, not previously described in the literature, characterising the extent of iatrogenic blood loss in inpatients at our institution. Methods and results: Following a pilot project, data from September 1 to December 1, 2009 were queried from the institution's laboratory information system. This comprehensive dataset included records of tests conducted during 7503 admissions of patients (n=6733) at twelve individual facilities within Capital District Health Authority (CDHA). There were 70,790 unique laboratory orders, for which a total of 397,770 individual tests were performed. This required a total of 120,398 tubes of blood drawn for a cumulative volume of 648,350 mL from the entire population. The majority of tests were done on a “routine” basis (44,820/ 70,790 orders, 63%); most testing was also done after the first day of admission (59,051/ 70,790 orders, 83%). Patient demographics and testing burden are contrasted by gender in Table 1; males appear to experience a higher testing burden than females, despite similar mean length of stay. There were 618 (9%) of 6733 inpatients having ≥250mL (approximately 1 unit of packed red cells) phlebotomised (Table 1). Phlebotomy volumes are unevenly distributed across the age range, with patients in the two youngest age groups demonstrating lower mean cumulative volumes than older patients (Table 2). When individual admissions are examined, phlebotomy volume per patient is greater in hospitals providing tertiary care, as contrasted to other facilities. At the nursing unit level, the cumulative phlebotomy volume exceeded the population average on patients admitted to critical care units, long term care units and medical wards. This trend was also reflected in the testing performance of service providers, where patients cared for by critical care physicians and internal medicine teams had greater than average phlebotomy volumes. Conclusions: The study demonstrates consistent findings with the critical care literature and identifies a patient population – elderly males – who may be at risk for greater phlebotomy volumes. This study also demonstrates that informatics-based methods can be used to quantify phlebotomy-related blood loss across a broad range of facilities, and identify patient and institution-related variables associated with higher total blood loss. This data set will also provide the ability to model the impact of interventions such as small-volume tubes, direct clinician education initiatives, and could be the basis for a feedback tool in the future. Given the widespread use of laboratory information systems throughout the industrialized world, this approach is readily transferable to other institutions, where it may be used to help reduce iatrogenic blood loss, reduce testing costs and improve patient outcomes. Disclosures: No relevant conflicts of interest to declare.

Fund Flow Volatility and Performance

2009 ◽  
Vol 45 (1) ◽  
pp. 223-237 ◽  
Author(s):  
David Rakowski
Keyword(s):  
Mutual Fund ◽  
Negative Relationship ◽  
Fund Flows ◽  
Cross Sectional ◽  
Fund Flow ◽  
Performance Differences ◽  
Significant Negative Relationship ◽  
Equity Funds ◽  
And Performance ◽  
The Impact

AbstractThis paper provides a detailed analysis of the impact of daily mutual fund flow volatility on fund performance. I document a significant negative relationship between the volatility of daily fund flows and cross-sectional differences in risk-adjusted performance. This relationship is driven by domestic equity funds, as well as small funds, well-performing funds, and funds that experience inflows over the sample period. My results are consistent with performance differences arising from the transaction costs of nondiscretionary trading driven by daily fund flows, but not with performance differences arising from the suboptimal cash holdings that arise from fund flows.

scholarly journals Perception of Nurses on Needs of Family Members of Patient Admitted to Critical Care Units of Teaching Hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Ishwori Khatri Chhetri ◽  
Bedantakala Thulung
Keyword(s):  
Critical Care ◽  
Teaching Hospital ◽  
Family Members ◽  
College Teaching ◽  
Patient Treatment ◽  
Family Needs ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Medical College ◽  
Significant Difference

Background. Critical care units’ nurses should seek to develop collaborative relationships with patients’ family members based on their needs and help them to cope with their distress. The objective of this study was to find out the perception of nurses on needs of family members of patients admitted to critical care units.Methods. A descriptive cross-sectional study was conducted in Chitwan Medical College Teaching Hospital among all 65 nurses working in critical care units. Ethical clearance was obtained from Chitwan Medical College Institutional Review Committee. Data were collected from March 27 to April 25, 2016, using Critical Care Family Needs Inventory (CCFNI). Obtained data were analyzed using descriptive and inferential statistics.Results. This study found that mean age of the nurses was 23.98 ± 4.05 years. More than half of the nurses had completed PCL in nursing (52.3%) and had 1-5 years of experience in critical care units (58.5%). Nurses ranked the needs for assurance as most important needs with mean percent (86.25%) followed by needs for information (78.58%), need for comfort (69.59%), needs for closeness (69%), and needs for support (64.13%). Out of 45 family needs, 81.5% of nurses perceived that knowing about patient treatment is very important for family members. Married nurses perceived the needs for support to be more important than unmarried nurses (p=0.04) whereas unmarried nurses perceived the needs for information to be more important than married (p=<0.01). There was significant difference on perception of nurses on needs of assurance with ethnicity (p=0.009) and critical care experience (p=0.04).

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