scholarly journals Educational Needs of European Intensive Care Nurses with Respect to Multicultural Care. A Mix-Method Study

2022 ◽  
Vol 19 (2) ◽  
pp. 724
Author(s):  
Aleksandra Gutysz-Wojnicka ◽  
Dorota Ozga ◽  
Eva Barkestad ◽  
Julie Benbenishty ◽  
Bronagh Blackwood ◽  
...  
Keyword(s):  
Intensive Care ◽  
Nursing Care ◽  
Culturally Diverse ◽  
Online Survey ◽  
Educational Needs ◽  
Mean Values ◽  
Intensive Care Nurses ◽  
Care Family ◽  
Higher Educational ◽  
Difficult Situations

The aim of the study is the analysis of educational needs of European intensive care nurses (ICNs) with regard to multicultural care. A mixed-method multinational study was performed among 591 ICNs coming from 15 European countries. An online survey was utilised with three research tools: participants’ sociodemographic details, Healthcare Provider Cultural Competence Instrument, and a tool to assess the educational needs of ICU nurses with respect to multicultural care. The highest mean values in self-assessment of preparation of ICU nurses to provide multicultural nursing care and their educational needs in this regard were detected in the case of nurses coming from Southern Europe (M = 4.09; SD = 0.43). With higher age, nurses recorded higher educational needs in the scope of multicultural care (r = 0.138; p = 0.001). In addition, speaking other languages significantly correlated with higher educational needs related to care of patients coming from different cultures (Z = −4.346; p < 0.001) as well as previous education on multicultural nursing care (Z = −2.530; p = 0.011). Experiences of difficult situations when caring for culturally diverse patients in ICU were classified into categories: ‘treatment procedures and general nursing care’, ‘family visiting’, ‘gender issues’, ‘communication challenges’, and ‘consequences of difficult experiences’. The educational needs of intensive care nurses in caring for culturally diverse patients are closely related to experiencing difficult situations when working with such patients and their families.

scholarly journals Promoting Sleep in the Intensive Care Unit

2020 ◽  
Vol 6 ◽  
pp. 237796082093020
Author(s):  
Jorunn Beck Edvardsen ◽  
Fredrik Hetmann
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Cochrane Library ◽  
Critical Care Nursing ◽  
Quiet Time ◽  
Medical Subject Headings ◽  
Intensive Care Nurses ◽  
Intensive Care Patients ◽  
Nonpharmacological Intervention

Introduction Intensive care nurses face several challenges to facilitating sleep in their critically ill patients. With its high noise levels, hectic around-the-clock activity and constant artificial lights, the intensive care environment does not foster sleep. Intensive care unit patients have significant alterations in their sleep architecture with frequent awakenings and lighter sleep; up to 50% of this sleep also occurs during the daytime. Sleep loss increases the risk of developing delirium (especially in elderly patients) and immune system impairment, which prolongs healing. The aim of this article was to develop an evidence-based bundle of nursing care activities that promote adult intensive care patients’ sleep. Methods A broad search was conducted in PubMed, CINAHL, Cochrane Library, and McMaster plus using search words and Medical Subject Headings terms, such as sleep, intensive care unit, intensive care, critical care nursing, sleep promotion, music, white noise, earplugs, pain relief, absence of pain, nonpharmacological intervention, and mechanical ventilation. Eight recommendations emerged from this review: reduce noise, use earplugs and eye masks, use music, promote a natural circadian rhythm, manage pain, use quiet time, cluster nursing care activities at night, and optimize ventilator modes. Conclusion Promoting sleep within this patient population needs to be a higher priority for intensive care nurses. Sleep should be a focus throughout the day and night, in order to sustain patients’ natural circadian rhythms. Novel research in this field could change the strength of these recommendations and add new recommendations to the bundle.

Structure and concept of ICU rounds: the VIS-ITS survey

2021 ◽  
Author(s):  
Bastian Hillmann ◽  
Daniel Schwarzkopf ◽  
Tanja Manser ◽  
Christian Waydhas ◽  
Reimer Riessen
Keyword(s):  
Intensive Care ◽  
Decision Maker ◽  
Online Survey ◽  
Data Management System ◽  
University Hospitals ◽  
Intensive Care Nurses ◽  
Respiratory Therapists ◽  
Tertiary Hospitals ◽  
Anglo American ◽  
German Icus

Abstract Objective To gather data about structural and procedural characteristics of patient rounds in the intensive care unit (ICU) setting. Design A structured online survey was offered to members of two German intensive care medicine societies. Measurements and main results Intensivists representing 390 German ICUs participated in this study (university hospitals 25%, tertiary hospitals 23%, secondary hospitals 36%, primary hospitals 16%). In 90% of participating ICUs, rounds were reported to take place in the morning and cover an average of 12 intensive care beds and 6 intermediate care beds within 60 min. With an estimated bed occupancy of 80%, this averaged to 4.3 min spent per patient during rounds. In 96% of ICUs, rounds were stated to include a bedside visit. On weekdays, 86% of the respondents reported holding a second ICU round with the attendance of a qualified decision-maker (e.g. board-certified intensivist). On weekends, 79% of the ICUs performed at least one round with a decision-maker per day. In 18%, only one ICU round per weekend was reported, mostly on Sundays. The highest-qualified decision-maker present during rounds on most ICUs was an ICU attending (57%). Residents (96%) and intensive care nurses (87%) were stated to be always or usually present during rounds. In contrast, physiotherapists, respiratory therapists or medical specialists such as pharmacists or microbiologist were not regular members of the rounding team on most ICUs. In the majority of cases, the participants reported examining the medical chart directly before or during the bedside visit (84%). An electronic patient data management system (PDMS) was available on 31% of ICUs. Daily goals were always (55%) or usually (39%) set during rounds. Conclusion This survey gives a broad overview of the structure and processes of ICU rounds in different sized hospitals in Germany. Compared to other mostly Anglo-American studies, German ICU rounds appear to be shorter and less interdisciplinary.

Bundle of ventilator-associated to prevention of pneumonia: what know nurses about it?

2010 ◽  
Vol 4 (2) ◽  
pp. 605
Author(s):  
Andréia Macedo Gomes ◽  
Roberto Carlos Lyra da Silva
Keyword(s):  
Intensive Care ◽  
Nursing Care ◽  
Rio De Janeiro ◽  
Average Length ◽  
Artificial Infection ◽  
Intensive Care Nurses ◽  
Data Saturation ◽  
Terapia Intensiva ◽  
Del Rio ◽  
Respiration Artificial

ABSTRACTObjectives: to assess the knowledge of intensive care nurses about the Ventilator Bundle; to identify which nursing care is provided by nurses in the prevention of VAP; correlate that with cares recommended by the Ventilator Bundle. Methodology: this is about a descriptive study, from qualitative approach, approved by the Research Ethics Committee of the Federal University of Rio de Janeiro (protocol number 025/2009), performed with 21 nurses who have some experience in ICU. The sample was defined by data saturation. Data collection occurred during September and October 2009 with the application of a questionnaire. Results: the subjects had average academic background of 9.5 years and average length of experience in intensive care for 6.9 years. Altogether 26 different cares were cited by nurses, being 3 that make up the Bundle. The most cited was rise the head of bed (71%). Conclusion: concluded that nurses have a comprehensive understanding about some of the care that contributes to VAP prevention, but they do not know the Ventilator Bundle, needing expanding this practice. Descriptors: pneumonia; nursing care; intensive care; respiration, artificial; infection; morbidity; mortality.RESUMOObjetivos: avaliar o conhecimento dos enfermeiros de terapia intensiva sobre o Bundle de Ventilação; identificar que cuidados de Enfermagem são prestados pelos Enfermeiros na prevenção da PAV; correlacionar esses cuidados com aqueles recomendados pelo Bundle de ventilação. Metodologia: estudo descritivo de abordagem qualitativa aprovado pelo Comitê de Ética em pesquisa da Universidade Federal do Estado do Rio de Janeiro (número de protocolo 025/2009), realizado com 21 enfermeiros que possuíssem alguma vivência em UTI. A amostra foi delimitada pela saturação de dados. A coleta de dados ocorreu nos meses de setembro e outubro de 2009 com a aplicação de um questionário. Resultados: Os sujeitos apresentaram tempo médio de formação acadêmica de 9,5 anos e tempo médio de experiência em terapia intensiva de 6,9 anos. Ao todo 26 cuidados diferentes foram citados pelos enfermeiros sendo mencionados 3 cuidados que compõem o Bundle. O mais citado foi elevar cabeceira (71%). Conclusão: Constatou-se que os enfermeiros têm uma noção abrangente sobre alguns cuidados que contribuem na prevenção na PAV, porém não conhecem o Bundle de ventilação, tendo a necessidade de aprofundamento sobre esta prática. Descritores: pneumonia; cuidados de enfermagem; terapia intensiva; respiração artificial; infecção; morbidade; mortalidade.RESUMENObjetivos: evaluar los conocimientos de las enfermeras de cuidados intensivos en el Bundle de la Ventilación; identificar los cuidados de enfermería aplicados por enfermeras en la prevención de la NAVM; correlacionar estos cuidados con los recomendados por Bundle de la ventilación. Metodologia: estúdio con un enfoque cualitativo, descriptivo, aprobado por el Comité de Ètica de la Universidad Federal del Rio de Janeiro (número de registro 025/2009), hecho con 21 enfermeras que tienen alguna experiencia en UCI. La muestra fue definida por la saturación de datos. La recopilación de datos ocurrió durante septiembre y octubre de 2009 con la aplicación de un cuestionario. Resultados: los sujetos tenían antecedentes académicos promedio de 9,5 años y la duración media de experiencia en cuidados intensivos de 6,9 años. Un total de 26 diferentes cuidados fueron citados por las enfermeras, siendo mencionados 3 que componen el Bundle. El más citado fue el de elevar la cabecera de la cama (71%). Conclusión: la conclusión de que las enfermeras tienen un conocimiento global sobre algunos de los cuidados que contribuyen a la prevención de la NAVM, pero no sabe el Bundle de la ventilación, necesitando ampliar esta práctica. Descriptores: neumonia asociada al ventilador; atención de enfermería; cuidados intensivos; respiración artificial; infección; morbilidad; mortalidad. 

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

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

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