Positive Emotion Skills Intervention to Address Burnout in Critical Care Nurses

2020 ◽  
Vol 31 (2) ◽  
pp. 167-178
Author(s):  
Elaine O. Cheung ◽  
Alison Hernandez ◽  
Emma Herold ◽  
Judith T. Moskowitz
Keyword(s):  
Critical Care ◽  
Positive Emotion ◽  
Critical Care Nurses ◽  
Workplace Stress ◽  
Empirically Supported ◽  
Novel Approach ◽  
The Face ◽  
As Stress ◽  
The Individual ◽  
Emotion Skills

Critical care nurses experience high levels of workplace stress, which can lead to burnout. Many medical centers have begun offering wellness programs to address burnout in their nursing staff; however, most of these programs focus on reducing negative states such as stress, depression, and anxiety. A growing body of evidence highlights the unique, independent role of positive emotion in promoting adaptive coping in the face of stress. This article describes a novel approach for preventing burnout in critical care nurses: an intervention that explicitly aims to increase positive emotion by teaching individuals empirically supported skills. This positive emotion skills intervention has been used successfully in other populations and can be tailored for critical care nurses. Also discussed are recommendations for addressing burnout in intensive care unit nurses at both the individual and organizational levels.

Assisted suicide, recent judicial decisions, and implications for critical care nurses

1997 ◽  
Vol 17 (5) ◽  
pp. 71-79 ◽  
Author(s):  
GS Wlody
Keyword(s):  
Critical Care ◽  
Assisted Suicide ◽  
Healthcare Providers ◽  
Supreme Court Decision ◽  
The United States ◽  
Critical Care Nurses ◽  
Value Systems ◽  
Physician Assisted Suicide ◽  
Death With Dignity Act ◽  
The Individual

The passage of the Oregon Death With Dignity Act on November 8, 1994, heralded a wake-up call for healthcare professionals. Oregon, the first state to systematically "ration care" was thought to be a fertile ground for testing new and, some say, radical concepts in healthcare and government. Although the act was not implemented because it was tied up in legal action until February 1997, the fact that more than 50% of the voters in Oregon voted for it mandates that healthcare providers listen to their patients. Patients want more control of their pain, the way they die, and the resources spent on their care in the final days of their lives. Thoughts of future suffering engender great fear on the part of healthcare consumers. Concern exists that physician-assisted suicide in the ICU will affect not only physicians but also nurses, pharmacists, respiratory therapists, and other clinicians as terminally ill patients make requests for assisted suicide while in the acute and critical care setting of the hospital. Critical care nurses must examine their value systems, review the Code for Nurses, and make their own decisions about participation in deliberately ending lives of patients. With the impending Supreme Court decision due in July 1997, the court may leave these issues to the individual states, opening the door for assisted suicide to occur throughout the United States. Therefore, the possibility will remain that critical care nurses may be put in positions in which physicians are providing assistance to patients who wish to commit suicide and are requesting nurses' assistance to do so.

A call for standardized national guidelines on QT/QTc monitoring in Canada

2021 ◽  
Vol 32 (2) ◽  
pp. 14-19
Author(s):  
Kathleen Hutton ◽  
Darlene Hutton
Keyword(s):  
Critical Care ◽  
Qt Interval ◽  
Medical Personnel ◽  
Critical Care Nurses ◽  
Cardiac Monitoring ◽  
Qtc Interval ◽  
National Guidelines ◽  
Canadian Guideline ◽  
Knowledge Based ◽  
The Individual

Background: With QT-prolonging drugs being trialed for the treatment of COVID-19, national health associations allude to the importance of proficient QT interval assessment. However, in Canada there is no policy in place that clearly identifies a single method for routine QT monitoring. Aim: To demonstrate the need for a clear Canadian guideline for the measurement of the QT/QTc interval and to advocate for a standardized approach to education. Methods: This paper uses a medical anthropological approach to scale this practice gap from the individual provider to the institutions that govern practice and education. Nurses and emergency medical personnel from hospitals across Canada were polled with questionnaires on their confidence and knowledge of assessing the QT/QTc interval. We seek to identify causes for the widespread lack of confidence that goes beyond the context of nursing and is interdisciplinary in nature. Findings: Of the 292 participants who were polled, roughly 75% report measuring the QT interval. However, more than 50% of participants are not confident in their measurement. Although critical care nurses report the highest levels of confidence, the rate of correct answers amongst the whole of participants on knowledge-based questions is shockingly low (only nine percent attempted to provide a value for the QTc; 34% of those who were unsure of the normal QTc say they were not taught). Ninety percent of participants report they do not analyze the QTc, with critical care nurses accounting for 34% of participants. Conclusion: The lack of consensus on a QTc formula and the absence of clear guidelines on this well-documented issue exacerbate the continued gap in practice observed in our findings. We urge leading organizations to create a national guideline that supports a standardized approach to QT/QTc measurement that can be taught to and used by not only critical care nurses, but everyone in healthcare who provides cardiac monitoring.

A guideline for competency of the critical care nurse

1996 ◽  
Vol 5 (3) ◽  
pp. 217-226 ◽  
Author(s):  
J Scribante ◽  
ME Muller ◽  
J Lipman
Keyword(s):  
Critical Care ◽  
South African ◽  
Professional Competence ◽  
High Standard ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Care Patterns ◽  
The Individual

BACKGROUND: To maintain a high standard of quality nursing care the individual critical care nurse s competencies should be determined objectively. Few international guidelines describe the qualities required by critical care nurses to function effectively in a critical care unit. These guidelines often focus only on the education and training of critical care nurses. OBJECTIVE: To formulate and describe guidelines for the competency requirements of registered critical care nurses. METHOD: A focus group interview, a qualitative research method, was conducted as an open conversation in which each participant could ask questions, comment, or respond to comments. Interaction among the respondents was encouraged to stimulate in-depth discussion. The study was conducted within the framework of South African critical care nursing. RESULTS: The four main categories that were identified are as follows: professional competence, cognitive competence, interpersonal skills, and critical care patterns of interaction. These are described in detail along with a formulated guideline for critical care nurse competency requirements. CONCLUSION: This study describes an attempt to formulate objective guidelines for critical care nurses competency requirements.

scholarly journals Upskilling and training of Critical Care Nurses for Pandemic- A Landscape for future

2020 ◽  
Vol 8 (11) ◽  
pp. 295-305
Author(s):  
Derar Gharaibeh ◽  
Cornie Saba ◽  
Diosdado IV Frasco ◽  
Jennifer Dinglasan Marali
Keyword(s):  
Critical Care ◽  
Research Evidence ◽  
Critical Care Nurses ◽  
High Quality Research ◽  
Hospital Administrators ◽  
Literature Reviews ◽  
The Face ◽  
Care Training ◽  
And Training ◽  
Current Experience

This writes up aspire to discourse current challenges encounter during COVID 19 pandemic and envisaging countermeasure to assert future-readiness.This paper is adopting synthetization of literature review based on current experience through COVID 19 pandemic in outlining a considerably efficient framework for surge critical care training for future-readiness. This article aimed to aspire to the challenges encountered during the COVID 19 pandemic and envisaging measures to ensure future readiness if a further outbreak of similar pandemics. This paper is adopting the synthetization of literature reviews based on current experience through COVID 19 pandemic in outlining a considerably efficient framework for surge critical care training for future-readiness. CONCLUSION the significant predicament of the COVID 19 pandemic is towards the ICU community. As a pre-emptive effort, hospital administrators, policymakers, and critical care practitioners have to work on strategies that hasten an organization is bracing itself in the future potentiality of an overwhelming surge of critically ill patients. The cornerstones for future-readiness to coherent collaboration at the local, regional, national, and international levels, focusing on high-quality research, evidence-based practice, sharing data and resources, and ethical integrity in the face of unprecedented challenges likely will be a key to the success of these efforts.

Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thusile Mabel Gqaleni ◽  
Busisiwe Rosemary Bhengu
Keyword(s):  
South Africa ◽  
Critical Care ◽  
Adverse Events ◽  
Patient Care ◽  
Family Involvement ◽  
Reporting System ◽  
Legal Framework ◽  
Critical Care Nurses ◽  
Kwazulu Natal ◽  
Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

The Effect of Alarm Fatigue Nursing Management Protocol on Critical Care Nurses' Experience

2020 ◽  
Vol 11 (4) ◽  
pp. 224-241
Author(s):  
Amina Mohamed Abdel Fatah Sliman ◽  
Wafaa Wahdan Abd El-Aziz ◽  
Hend Elsayed Mansour
Keyword(s):  
Critical Care ◽  
Critical Care Nurses ◽  
Nursing Management ◽  
Alarm Fatigue ◽  
Management Protocol

Married Life in the Middle Ages, 900-1300

2019 ◽  
Author(s):  
Elisabeth van Houts
Keyword(s):  
Middle Ages ◽  
Married Couple ◽  
Self Determination ◽  
Emotional Life ◽  
Social And Emotional ◽  
Individual Agency ◽  
Married Life ◽  
The Face ◽  
History Of ◽  
The Individual

This book contains an analysis of the experience of married life by men and women in Christian medieval Europe c. 900–1300. The focus will be on the social and emotional life of the married couple rather than on the institutional history of marriage. The book consists of three parts: the first part (Getting Married) is devoted to the process of getting married and wedding celebrations, the second part (Married Life) discusses the married life of lay couples and clergy, their sexuality, and any remarriage, while the third part (Alternative Living) explores concubinage and polygyny as well as the single life in contrast to monogamous sexual unions. Four main themes are central to the book. First, the tension between patriarchal family strategies and the individual family member’s freedom of choice to marry and, if so, to what partner; second, the role played by the married priesthood in their quest to have individual agency and self-determination accepted in their own lives in the face of the growing imposition of clerical celibacy; third, the role played by women in helping society accept some degree of gender equality and self-determination to marry and in shaping the norms for married life incorporating these principles; fourth, the role played by emotion in the establishment of marriage and in married life at a time when sexual and spiritual love feature prominently in medieval literature.

Indices and Correlates of Positive Emotion in Psychopathology

2019 ◽  
pp. 95-118
Author(s):  
Sunny J. Dutra ◽  
Marianne Reddan ◽  
John R. Purcell ◽  
Hillary C. Devlin ◽  
Keith M. Welker
Keyword(s):  
Positive Emotion ◽  
Self Report ◽  
Individual Level ◽  
Advantages And Disadvantages ◽  
Innovative Methods ◽  
Behavioral Coding ◽  
Broad Array ◽  
Positive Valence ◽  
The Individual ◽  
Clinical Populations

This chapter not only draws from previous authoritative measurement overviews in the general field of emotion, but also advances these resources in several key ways. First, it provides a specific focus on positive valence systems, which have not yet received specific methodological attention. Second, the field of positive emotion (PE) has expanded in recent years with new and innovative methods, making an updated review of methodological tools timely. Third, the chapter incorporates discussion of PE disturbance in clinical populations and the methods best suited to capture PE dysfunctions. This chapter also outlines some tools that can allow researchers to capture a broad array of PE quantified by self-report, behavioral coding, and biological correlates as seen through changes in the central and peripheral nervous system (i.e., brain and body). After reviewing PE measurement methods and correlates, this chapter includes several methods for studying PE beyond the individual level (i.e., interpersonal) and traditional laboratory settings (i.e., ambulatory or experience sampling). It provides key examples of their applications to study PE in clinical populations while acknowledging several of their basic advantages and disadvantages.

Focusing on mRNA Granules and Stalled Polysomes Amidst Diverse Mechanisms Underlying mRNA Transport, mRNA Storage, and Local Translation

2020 ◽  
Author(s):  
Mina N. Anadolu ◽  
Wayne S. Sossin
Keyword(s):  
Protein Synthesis ◽  
Liquid Phase ◽  
Mrna Translation ◽  
Rna Transport ◽  
P Bodies ◽  
Rna Granules ◽  
Mrna Granules ◽  
Transport Particle ◽  
As Stress ◽  
The Individual

In neurons, mRNAs are transported to distal sites to allow for localized protein synthesis. There are many diverse mechanisms underlying this transport. For example, an individual mRNA can be transported in an RNA transport particle that is tailored to the individual mRNA and its associated binding proteins. In contrast, some mRNAs are transported in liquid-liquid phase separated structures called neuronal RNA granules that are made up of multiple stalled polysomes, allowing for rapid initiation-independent production of proteins required for synaptic plasticity. Moreover, neurons have additional types of liquid-liquid phase–separated structures containing mRNA, such as stress granules and P bodies. This chapter discusses the relationships between all of these structures, what proteins distinguish them, and the possible roles they play in the complex control of mRNA translation at distal sites that allow neurons to use protein synthesis to refine their local proteome in many different ways.

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