Professional Identity During the COVID-19 Pandemic: A Cross-Sectional Survey of Nurses in China

Background Emergency and intensive care unit nurses are the main workforce fighting against COVID-19. Their professional identity may affect whether they can actively participate and be competent in care tasks during the pandemic. Objective To examine the level of and changes in professional identity of Chinese emergency and intensive care unit nurses as the COVID-19 pandemic builds. Methods A cross-sectional survey composed of the Professional Identity Scale for Nurses plus 2 open-ended questions was administered to Chinese emergency and intensive care unit nurses through an online questionnaire. Results Emergency and intensive care unit nurses had a medium level of professional identity. Participants’ total and item mean scores in 5 professional identity dimensions were higher than the professional identity norm established by Liu (P < .001). The greatest mean item score difference was in the dimension of professional identity evaluation (3.57 vs 2.88, P < .001). When asked about their feelings witnessing the COVID-19 situation and their feelings about participating in frontline work, 68.9% and 83.9%, respectively, reported positive changes in their professional identity. Conclusions The professional identity of emergency and intensive care unit nurses greatly improved during the early stages of the COVID-19 pandemic. This finding may be attributed to more public attention and recognition of nurses’ value, nurses’ professional fulfillment, and nurses’ feelings of being supported, motivated, respected, and valued.

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Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study

BioMed Research International ◽

10.1155/2015/536724 ◽

2015 ◽

Vol 2015 ◽

pp. 1-12 ◽

Cited By ~ 10

Author(s):

Riitta-Liisa Lakanmaa ◽

Tarja Suominen ◽

Marita Ritmala-Castrén ◽

Tero Vahlberg ◽

Helena Leino-Kilpi

Keyword(s):

Intensive Care Unit ◽

Critical Care ◽

Intensive Care ◽

Nursing Care ◽

Critical Care Nursing ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Competence Scale ◽

Intensive Care Unit Nurses ◽

Care Nursing

Critical care patients benefit from the attention of nursing personnel with a high competence level. The aim of the study was to describe and evaluate the self-assessed basic competence of intensive care unit nurses and related factors. A cross-sectional survey design was used. A basic competence scale (Intensive and Critical Care Nursing Competence Scale version 1, Likert scale 1–5, 1 = poor and 5 = excellent) was employed among Finnish intensive care unit nurses (n=431). Intensive care unit nurses’ self-assessed basic competence was good (mean 4.19, SD 0.40). The attitude and value base of basic competence was excellent whereas experience base was the poorest compared to the knowledge base and skill base of intensive and critical care nursing. The strongest factor explaining nurses’ basic competence was their experience of autonomy in nursing care (Fvalue 60.85,β0.11, SE 0.01, andP≤0.0001). Clinical competence was self-rated as good. Nurses gave their highest competence self-ratings for ICU patient care according to the principles of nursing care. The ICU nurses also self-rated their professional competence as good. Collaboration was self-rated as the best competence. In basic and continuing education and professional self-development discussions it is meaningful to consider and find solutions for how to improve nurses’ experienced autonomy in nursing.

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Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multicentre Cross-Sectional Survey

Critical Care Research and Practice ◽

10.1155/2020/6610027 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Mazen Alqahtani ◽

Faizan Kashoo ◽

Msaad Alzhrani ◽

Fuzail Ahmad ◽

Mohammed K. Seyam ◽

...

Keyword(s):

Intensive Care Unit ◽

Saudi Arabia ◽

Intensive Care ◽

Physical Therapy ◽

Research Literature ◽

Current Status ◽

Current Standard ◽

Positive Health ◽

Cross Sectional Survey ◽

Cross Sectional

Background. Early mobilisation of patients in the intensive care unit (ICU) is associated with positive health benefits. Research literature lacks insight into the current status of ICU physical therapy (PT) practice in the Kingdom of Saudi Arabia. Aim. To determine the current standard of ICU PT practice, attitude, and barriers. Methods. A questionnaire was e-mailed to physiotherapists (PTs) working in the hospital. The questions pertained to experience, qualification, barriers, and most frequently encountered case scenarios in the ICU. Results. The response rate was 28.1% (124/442). Frequent cases referred to the PTs were traumatic paraplegia (n = 111, 89%) and stroke (n = 102, 82.3%) as compared to congestive heart failure (n = 20, 16.1%) and pulmonary infections (n = 7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n = 102, 82.2%) and positioning (n = 73, 58.8%), whereas functional electrical stimulation (n = 12, 9.6%) was least preferred irrespective of the condition. Perceived barriers in the ICU PT management were of low confidence in managing cases (n = 89, 71.7%) followed by inadequate training (n = 53, 42.7%), and the least quoted barrier was a communication gap between the critical care team members (n = 8, 6.4%). Conclusion. PTs reported significant variation in the choice of treatment for different clinical cases inside ICU. The main barriers in the ICU setting were low confidence and inadequate training.

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Inspiratory muscle training in intensive care unit patients: An international cross-sectional survey of physiotherapist practice

Australian Critical Care ◽

10.1016/j.aucc.2021.08.002 ◽

2021 ◽

Author(s):

Ellie Hearn ◽

Rik Gosselink ◽

Nicole Freene ◽

Ianthe Boden ◽

Margot Green ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Muscle Training ◽

Cross Sectional Survey ◽

Cross Sectional

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Practised sedation in mechanically ventilated patients: A survey of nurses’ perceptions

Nordic Journal of Nursing Research ◽

10.1177/2057158519899548 ◽

2020 ◽

Vol 40 (2) ◽

pp. 105-112

Author(s):

Vivian Nystrøm ◽

Brita Fosser Olsen ◽

Idunn Brekke

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Continuous Infusion ◽

Assessment Tool ◽

Scoring Systems ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mechanically Ventilated ◽

Nurses Perceptions ◽

Light Sedation

Recent clinical practice guidelines recommend analgosedation in intensive care unit patients, where the patients' pain first is relieved, followed by sedatives only on indication. The aims of the present study was to examine sedation practice today, to evaluate the degree to which there is a difference in sedation practice between units, and to investigate the associations between nurses' demographic characteristics and their perception of sedation practice. A cross sectional survey was conducted to the nurses in three intensive care units in Norway. The results indicated that light sedation was implemented in the three intensive care unit studied. Continuous infusion of propofol and dexmedetomidine were used most frequently, and continuous infusion of midazolam was used occasionally. However, the sedation practices varied significantly between the units. Subjective scoring systems, physician's prescriptions, and prescription follow-up were reported to be most frequently used as guidelines and directives, and Richmond Agitation–Sedation Scale was reported to be the most frequently used sedation assessment tool.

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ABCDE, but in That Order? A Cross-Sectional Survey of Michigan Intensive Care Unit Sedation, Delirium, and Early Mobility Practices

Annals of the American Thoracic Society ◽

10.1513/annalsats.201501-066oc ◽

2015 ◽

Vol 12 (7) ◽

pp. 1066-1071 ◽

Cited By ~ 43

Author(s):

Melissa A. Miller ◽

Sushant Govindan ◽

Sam R. Watson ◽

Robert C. Hyzy ◽

Theodore J. Iwashyna

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Early Mobility

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Perceived Facilitators to Preventing Pressure Ulcer among Intensive Care Unit Nurses

KnE Life Sciences ◽

10.18502/kls.v4i13.5307 ◽

2019 ◽

Author(s):

Ristina Mirwanti ◽

Aan Nuraeni ◽

Ayu Prawesti

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pressure Ulcer ◽

Pressure Ulcers ◽

Wound Care ◽

Cross Sectional ◽

Pressure Ulcer Prevention ◽

Facilitating Factors ◽

Intensive Care Unit Nurses ◽

Ulcer Prevention

Background: Pressure ulcer or pressure injury is one of the complications of immobility patients in the intensive care unit. Nurses play an important role in pressure ulcer prevention. Actual factors like facilitators to preventing pressure ulcers can affect nurses’ behavior to prevent pressure ulcers. Objectives: The objective of this study was to identify nurses’ perceived facilitating factors that affected pressure ulcer prevention in the intensive care unit. Methods: A cross-sectional and quantitative descriptive study design was used to collect data. This study was conducted among nurses working in the intensive care unit in one hospital in West Java. Seventy nurses participated in this study. The facilitator factors questionnaire and information form were used to identify what factors affected pressure ulcer prevention among intensive nurses. Data were analyzed by a computer program using frequency distributive and cross-tabulation. Results: From the total sample size, 68.6% (n=70) were female nurses, while 92.9% (n=70) were civil servant nurses. Only 30% (n=70) were graduated from bachelor degree nursing program, and 77.14%(n=70) said they never attended training about pressure ulcer nor wound care management. All of the respondents claimed that in pressure ulcer prevention, they felt facilitators that made pressure ulcer prevention was easier. Access to pressure ulcer relieving device, equipment, and facilitator (97.14%), good teamwork (75.71%), and knowledge (68.57%) were the most commonly mentioned factors that facilitating pressure ulcer prevention. Otherwise, time and amounts of the staff were perceived facilitators named by 40% and 22.86% respondents, respectively. Only 1.43% of respondents stated that the schedule was a facilitator factor. Conclusion: Considering the results of this study, facilitating factors were important for intensive nurses to prevent patients’ pressure ulcer, and the most commonly named was access to pressure ulcer relieving device, equipment, and facility. To improve the pressure ulcer prevention, the hospital should provide device, equipment, and facility, like pressure distributor; therapeutic linens; protector the skin; and positioner.

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Hubungan Beban Kerja Dengan Tingkat Stres Perawat Ruang Intensive Care Unit dan Instalasi Gawat Darurat

Jurnal Kepemimpinan dan Manajemen Keperawatan ◽

10.32584/jkmk.v2i1.266 ◽

2019 ◽

Vol 2 (1) ◽

pp. 9

Author(s):

Nonik Eka Martyastuti ◽

Isrofah Isrofah ◽

Khalilatun Janah

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

General Hospital ◽

Emergency Departments ◽

Depression Anxiety Stress Scale ◽

Cross Sectional ◽

Stress Scale ◽

Number Of Patients ◽

Stress Levels ◽

Intensive Care Unit Nurses

The workload in the room is not always a cause of stress on nurses, the workload will be a source of stress if the number of workloads is not proportional to the ability of both the physical or expertise and the time available to nurses. Besides, nurses are faced with patients who trigger an increasing stress on nurses. This research was conducted at Siaga Medika General Hospital in Pemalang. The research design used quantitative associative analytic through cross-sectional approach. The sample of this study was 45 nurses who served in the Intensive Care Unit and Emergency Departments because the nurses' stress levels were higher than the nurses’ stress levels in the other treatment rooms (ward) obtained through total sampling because the population was less than 100, so that all population used as research samples. The Work Stress research instrument used the standard Depression Anxiety Stress Scale questionnaire, while the workload questionnaire adopted the previous research and was modified. The results showed that there was a correlation between workload and stress level of Intensive Care Unit nurses and stress of Emergency Departments nurses. This showed that nurses who have a heavy workload that is not comparable to the duties of nurses with the average number of patients, the number of types of work that must be done. If this is not managed properly, it will cause increased stress.H This is what becomes the workload of Intensive Care Unit and Emergency Departments nurses in Siaga Medika General Hospital in Pemalang which can cause an increase of stress.

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Updates to referring clinicians regarding critically ill children admitted to the pediatric intensive care unit: a state-wide survey

Diagnosis ◽

10.1515/dx-2019-0048 ◽

2020 ◽

Vol 7 (2) ◽

pp. 123-128

Author(s):

Christina L. Cifra ◽

Cody R. Tigges ◽

Sarah L. Miller ◽

Loreen A. Herwaldt ◽

Hardeep Singh

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Pediatric Patients ◽

Pediatric Intensive Care ◽

Electronic Record ◽

Feedback System ◽

Critically Ill Children ◽

Cross Sectional Survey ◽

Cross Sectional

AbstractBackgroundFront-line clinicians are expected to make accurate and timely diagnostic decisions before transferring patients to the pediatric intensive care unit (PICU) but may not always learn their patients’ outcomes. We evaluated the characteristics of post-transfer updates received by referring clinicians regarding PICU patients and determined preferences regarding content, delivery, and timing of such updates.MethodsWe administered an electronic cross-sectional survey to Iowa clinicians who billed for ≥5 pediatric patients or referred ≥1 patient to the University of Iowa (UI) PICU in the year before survey administration.ResultsOne hundred and one clinicians (51 non-UI, 50 UI-affiliated) responded. Clinicians estimated that, on average, 8% of pediatric patients they saw over 1 year required PICU admission; clinicians received updates on 40% of patients. Seventy percent of UI clinicians obtained updates via self-initiated electronic record review, while 37% of non-UI clinicians relied on PICU communication (p = 0.013). Clinicians indicated that updates regarding diagnoses/outcomes will be most relevant to their practice. Among clinicians who received updates, 13% received unexpected information; 40% changed their practice as a result.ConclusionsClinicians received updates on less than half of the patients they referred to a PICU, although such updates could potentially influence clinical practice. Study findings will inform the development of a formal feedback system from the PICU to referring clinicians.

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