Effectiveness of an Educational Program on Critical Care Nurses’ Practices Regarding Endotracheal Suctioning of Adult Patients Who are Mechanically Ventilated in Hospitals at AL-Najaf, Iraq

BackgroundSedation assessment and management is an essential part of critical care nursing. The patients are at significant risks of undersedation and oversedation. Critical care nurses must possess sufficient knowledge about sedation assessment and its management.AimThis study aimed to determine critical care nurses’ knowledge of sedation and its management in mechanically ventilated patients in Pakistan.MethodologyA cross-sectional descriptive study was conducted. The participants were recruited from three critical care units of a tertiary care hospital using a consecutive sampling technique. Data were collected using a self-administered questionnaire.FindingsIn total, 91 critical care nurses participated in this study. Most of them had less than 2 years of experience as registered nurses and as intensive care unit nurses. The majority of them had insufficient knowledge (poor knowledge 18.7% and fair knowledge 63.7%), whereas only 17.6% had good knowledge of sedation and its management. The average correct response rate for general knowledge of sedation management practices was 71.3%. Almost half of the participants (51.6%) had poor knowledge of assessing undersedation and oversedation. Overall, 67% of nurses had good knowledge of managing sedative drugs.ConclusionThe majority of critical nurses lacked sufficient knowledge related to sedation and its management in mechanically ventilated patients. This poses risks to patients’ safety and quality of care.

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Critical care nurses' perception of care coordination competency for management of mechanically ventilated patients

Journal of Clinical Nursing ◽

10.1111/jocn.15191 ◽

2020 ◽

Vol 29 (7-8) ◽

pp. 1341-1351

Author(s):

Abdalkarem F. Alsharari ◽

Ammar M. Aroury ◽

Mohammad H. Dhiabat ◽

Jazi S. Alotaibi ◽

Farhan F. Alshammari ◽

...

Keyword(s):

Critical Care ◽

Care Coordination ◽

Critical Care Nurses ◽

Mechanically Ventilated ◽

Mechanically Ventilated Patients ◽

Perception Of Care ◽

Ventilated Patients

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Critical care nurses’ practices in implementing the “ABCDE bundle” among mechanically ventilated patients

Mansoura Nursing Journal ◽

10.21608/mnj.2021.77147.1053 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Eman ELkady ◽

Nahla Khalil ◽

mohsen ELshafey ◽

Fadia Reshia

Keyword(s):

Critical Care ◽

Critical Care Nurses ◽

Mechanically Ventilated ◽

Mechanically Ventilated Patients ◽

Abcde Bundle ◽

Ventilated Patients

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EFFECTIVENESS OF AN EDUCATIONAL PROGRAM ABOUT BIOLOGICAL HAZARD SAFETY MEASURES KNOWLEDGE AMONG CRITICAL CARE NURSES

10.36106/gjra/0410816 ◽

2021 ◽

pp. 98-100

Author(s):

Yasmin Abdalla

Keyword(s):

Critical Care ◽

Personal Protective Equipment ◽

Educational Program ◽

Critical Care Nurses ◽

Public Hospitals ◽

Work Place ◽

Protective Equipment ◽

Safety Measures ◽

Biological Hazard ◽

Nurses Knowledge

Background: communicable and contagious diseases and exposure to blood-borne pathogens make critical care nurses expose to biological work place hazard. The aim of the study was to assess the effectiveness of an educational program on critical care nurses' knowledge about safety measures of biological hazard. Methodology: It was a pre/post interventional, hospital-based study, study subjects were 200 intensive care nurses (34 males 17% and 166 females 83%) working for one year or more in critical care settings (8 units) in ve public hospitals, Khartoum state, Sudan. A structured face to face questionnaire was used pre and posttest. A program done by lectures about biological hazard, causes, and safety measures, sitting group's discussion and direct individual educational sessions, interview was carried with each hospital's matron. Results: Knowledge about biological hazard as work place hazards was 100% in both pre and post results. Regarding preventive measures of biological hazard, participants showed different values in answer like uses of personal protective equipment (PPE) mentioned by 99% in preprogram test while hand washing was mentioned by 49.5% in pretest evaluation, Personal protective equipment was poorly provided. Conclusion: The educational program for critical care nurses had efcient results, as the noticeable improvement of results of critical care nurses' knowledge about universal precautions.

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Pain assessment using a Polish version of the Behavioral Pain Assessment Scale in sedated and mechanically ventilated patients

Ból ◽

10.5604/01.3001.0009.5271 ◽

2016 ◽

Vol 17 (3) ◽

pp. 27-35

Author(s):

Aleksandra Gutysz-Wojnicka ◽

Dorota Ozga ◽

Ewa Mayzner-Zawadzka

Keyword(s):

Critical Care ◽

Clinical Practice ◽

Pain Assessment ◽

Pain Scale ◽

Adult Patients ◽

Mechanically Ventilated ◽

Mechanically Ventilated Patients ◽

Polish Version ◽

Behavioral Pain Scale ◽

Ventilated Patients

“Gold standard” in the assessment of pain is patient’s subjective assessment by means of standardized numerical, analog-visual or verbal scales. Unconscious, sedated, mechanically ventilated patients are able to subjectively assess pain in this way. Clinical practice guidelines for the management of pain, agitation and delirium in adult patients in the intensive care unit developed by a working group of the American College of Critical Care Medicine (ACCCM) state that adult patients treated in the ICU routinely experience pain at rest and during routine care. The guidelines recommend routine monitoring of pain in all adult patients in the ICU using the Behavioral Pain Scale (BPS) or Critical-Care Pain Observation Tool (CPOT). Cultural adaptation was conducted in Poland, psychometric properties of Polish version of Behavioral Pain Scale (BPS) were evaluated. Internal consistency determined by Cronbach’s alpha amounted to 0.6883. The correlation coefficients between items of the scale and the sum score in the pain phase were in the range 0.27-0.28. The analysis of principal components confirmed that all the components of the scale respectively, the face, the upper limbs, synchronization with the respirator are one factor and explain 63.9% of the rating variation, while discriminatory accuracy of the scale was unconfirmed. The value of pain assessment using the Polish version of BPS increased significantly, also in the case of routine painless procedures, most likely due to other factors. That prevented the unambiguous interpretation of the results of the pain assessment and enforced additional data from other sources in the assessment of pain. The reason for the lack of discriminant accuracy can be vague operationalization of the scale indicators especially in the category: Face and Synchronization with the ventilator and the lack of adequate training for personnel in scale application. The aim of the study was to prepare the Polish version of Behavioral Pain Scale (BPS) with more favorable psychometric properties. Based on the analysis of the literature individual scale indicators included in the categories of Face and Synchronization with the ventilator and the scheme of their scoring were re-defined. The result of the study is modified Polish version of BPS. Conclusions: The validation process of the research tool is not a one-time process. The implementation of the scale into clinical practice is required as well as further monitoring of its reliability and validity indicators. It is necessary to implement the system of personnel training in BPS application

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