scholarly journals Critical Care Nurses’ Role in Implementing the “ABCDE Bundle” Into Practice

2012 ◽  
Vol 32 (2) ◽  
pp. 35-47 ◽  
Author(s):  
Michele C. Balas ◽  
Eduard E. Vasilevskis ◽  
William J. Burke ◽  
Leanne Boehm ◽  
Brenda T. Pun ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Care Nurses ◽  
Patient Centered ◽  
Early Mobility ◽  
The Awakening ◽  
Centered Care ◽  
Ventilator Management ◽  
Nurses Role ◽  
Abcde Bundle

Imagine working in an environment where all patients undergoing mechanical ventilation are alert, calm, and delirium free. Envision practicing in an environment where nonvocal patients can effectively express their need for better pain control, repositioning, or emotional reassurance. Picture an intensive care unit where a nurse-led, interprofessional team practices evidence-based, patient-centered care focused on preserving and/or restoring their clients’ physical, functional, and neurocognitive abilities. A recently proposed bundle of practices for the intensive care unit could advance the current practice environment toward this idealized environment. The Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle incorporates the best available evidence related to delirium, immobility, sedation/analgesia, and ventilator management in the intensive care unit for adoption into everyday clinical practice.

scholarly journals Communication by Nurses in the Intensive Care Unit: Qualitative Analysis of Domains of Patient-Centered Care

2012 ◽  
Vol 21 (6) ◽  
pp. 410-418 ◽  
Author(s):  
C. G. Slatore ◽  
L. Hansen ◽  
L. Ganzini ◽  
N. Press ◽  
M. L. Osborne ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Analysis ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals Saberes e práticas do enfermeiro na unidade de terapia intensiva

2019 ◽  
Vol 13 (1) ◽  
pp. 70
Author(s):  
Maria do Carmo Campos Pereira ◽  
Susane de Fátima Ferreira Castro ◽  
Elyrose De Sousa Brito ◽  
Nirvânia Do Vale Carvalho ◽  
Danielle Vilela Lopes ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Quality Care ◽  
Structured Interview ◽  
Care Patient ◽  
Patient Centered ◽  
Centered Care ◽  
Terapia Intensiva

ABSTRACTObjective: to analyze nurses' knowledge and practice about "quality nursing care" in the Intensive Care Unit. Method: this is a qualitative, descriptive, observational study carried out with ten effective ICU nurses. A semi-structured interview script was applied, and the data analyzed through Content Analysis. Results: it is revealed that the majority is female, with a mean age of 44 years and a mean age of 16 years. Two categories were generated, one of which refers to the knowledge of nurses about the quality of nursing care and another about the practice of nurses. Conclusion: it was observed that nurses attributed the quality of care to patient-centered care in a humanized, holistic and safe way. In terms of applicability in practice, routine activities were considered as processes that guarantee quality care. It contributes, through the results, to planning and improvement of Nursing care. Descriptors: Quality of Health Care; Nursing; Nursing Care; Patient Safety; Intensive Care Unit; Health Care.RESUMOObjetivo: analisar o conhecimento e a prática do enfermeiro sobre a “assistência de Enfermagem de qualidade” na Unidade de Terapia Intensiva. Método: trata-se de estudo qualitativo, descritivo, observacional, realizado com dez enfermeiros efetivos da UTI. Aplicou-se um roteiro de entrevista semi-estruturado e analisaram-se os dados por meio de Análise de Conteúdo. Resultados: revela-se que a maioria é do sexo feminino, com idade média de 44 anos e média de formação de 16 anos. Geraram-se duas categorias, sendo que uma refere-se ao conhecimento do enfermeiro sobre a qualidade da assistência de Enfermagem e outra sobre a prática do enfermeiro. Conclusão: observou-se que os enfermeiros atribuíram a qualidade da assistência ao cuidado centrado no paciente de forma humanizada, holística e segura. Consideraram-se, quanto à aplicabilidade na prática, as atividades desenvolvidas na rotina como processos que garantem uma assistência de qualidade. Contribui-se, pelos resultados, para planejamentos e melhoria da assistência de Enfermagem. Descritores: Qualidade da Assistência à Saúde; Enfermagem; Cuidados de Enfermagem; Segurança do Paciente; Unidade de Terapia Intensiva; Assistência à saúde.RESUMENObjetivo: analizar el conocimiento y la práctica del enfermero sobre la "asistencia de Enfermería de calidad" en la Unidad de Terapia Intensiva. Método: se trata de un estudio cualitativo, descriptivo, observacional, realizado con diez enfermeros efectivos de la UTI. Se aplicó un guion de entrevista semiestructurado y se analizaron los datos por medio de Análisis de Contenido. Resultados: se revela que la mayoría es del sexo femenino, con edad media de 44 años y media de formación de 16 años. Se generaron dos categorías, siendo que una se refiere al conocimiento del enfermero sobre la calidad de la asistencia de Enfermería y otra sobre la práctica del enfermero. Conclusión: se observó que los enfermeros atribuyeron la calidad de la asistencia al cuidado centrado en el paciente de forma humanizada, holística y segura. Se consideraron, en cuanto a la aplicabilidad en la práctica, las actividades desarrolladas en la rutina como procesos que garantizan una asistencia de calidad. Se contribuye, por los resultados, para planificaciones y mejora de la asistencia de Enfermería. Descriptores: Calidad de la Atención de Salud; Enfermería; Atención de Enfermería; Seguridad del Paciente; Unidades de Cuidados Intensivos; Prestación de Atención de Salud.

scholarly journals PERCEPÇÃO DOS ACOMPANHANTES SOBRE DISPOSITIVOS INVASIVOS EM UMA UNIDADE DE TERAPIA INTENSIVA PEDIÁTRICA

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Maria Juliana De Morais Ferreira ◽  
Regina Cláudia Melo Dodt ◽  
Adrielle Maia Lima ◽  
Daniele Rocha de Farias Marques ◽  
Sabrina Magalhães Pedrosa Rocha Pinheiro
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Descriptive Study ◽  
Patient Centered ◽  
Reference Hospital ◽  
Centered Care ◽  
Terapia Intensiva

Objetivo: verificar a percepção dos acompanhantes sobre dispositivos invasivos em Unidade de Terapia Intensiva Pediátrica. Metodologia: estudo do tipo descritivo com abordagem qualitativa realizado em Unidade de Terapia Intensiva Pediátrica de um hospital de referência em emergência traumato-ortopédico de Fortaleza, com dezessete acompanhantes, no período de julho a agosto de 2016. Utilizou-se para coleta de dados o formulário, analisados por meio da análise de conteúdo. Resultados: foram organizados em três categorias, intituladas caracterização dos acompanhantes participantes da pesquisa, sentimentos de estar acompanhante: ansiedade e medo, e significação dos dispositivos invasivos para o acompanhante. Conclusão: conclui-se que os acompanhantes que receberam informes sobre os dispositivos invasivos souberam identificar e discorrer sobre sua utilidade de forma parcial ou completa. Aqueles que não obtiveram informações sobre os dispositivos apresentaram sentimentos de medo e ansiedade.Descritores: Assistência Centrada no Paciente, Enfermagem Pediátrica, Unidades de Terapia Intensiva Pediátrica, Família.PERCEPTION OF THE COMPANIONS ABOUT INVASIVE DEVICES IN A PEDIATRIC INTENSIVE CARE UNITABSTRACT: Objective: to verify the perception of the companions about invasive devices in Pediatric Intensive Care Unit. Methodology: a descriptive study with a qualitative approach carried out in a Pediatric Intensive Care Unit of a reference hospital in a trauma-orthopedic emergency in Fortaleza, with seventeen caretakers, from July to August 2016. Data collection was used to collect data analyzed through content analysis. Results: were organized in three categories, entitled characterization of accompanying participants of the research, feelings of accompanying: anxiety and fear, and significance of invasive devices for the companion. Conclusion: it was concluded that the companions who received reports on the invasive devices were able to identify and discuss their usefulness partially or completely. Those who did not get information about the devices had feelings of fear and anxiety.Descriptors: Patient Centered Care, Pediatric Nursing, Pediatric Intensive Care Units, Family.LA PERCEPCIÓN DE LOS COMPAÑEROS EN LOS DISPOSITIVOS INVASIVOS EN UNIDAD DE CUIDADOS INTENSIVOS PEDIÁTRICOSObjetivo: verificar la percepción de los acompañantes sobre dispositivos invasivos en Unidad de Terapia Intensiva Pediátrica. Metodología: estudio del tipo descriptivo con abordaje cualitativo realizado en Unidad de Terapia Intensiva Pediátrica de un hospital de referencia en emergencia traumato-ortopédico de Fortaleza, con diecisiete acompañantes, en el período de julio a agosto de 2016. Se utilizó para la recolección de datos. de acuerdo con el análisis de contenido. Resultados: fueron organizados en tres categorías, tituladas caracterización de los acompañantes participantes de la investigación, sentimientos de estar acompañante: ansiedad y miedo, y significación de los dispositivos invasivos para el acompañante. Conclusión: se concluye que los acompañantes que recibieron informes sobre los dispositivos invasivos supieron identificar y discurrir sobre su utilidad de forma parcial o completa. Aquellos que no obtuvieron información sobre los dispositivos presentaron sentimientos de miedo y ansiedad.Descriptores: Asistencia Centrada en el Paciente, Enfermería Pediátrica, Unidades de Terapia Intensiva Pediátrica, Familia.

scholarly journals Parent Stress in Relation to Use of Bedside Telehealth, an Initiative to Improve Family-Centeredness of Care in the Neonatal Intensive Care Unit

2020 ◽  
Vol 7 (6) ◽  
pp. 1378-1383
Author(s):  
Katherine Guttmann ◽  
Chavis Patterson ◽  
Tracey Haines ◽  
Casey Hoffman ◽  
Marjorie Masten ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Parental Stress ◽  
Neonatal Intensive Care ◽  
Parent Stress ◽  
Patient Centered ◽  
Stress Levels ◽  
Centered Care ◽  
The Impact

Since the onset of the COVID-19 pandemic, telehealth technologies have become critical to providing family and patient-centered care. Little is known about the impact of these technologies on parent stress levels in the Neonatal Intensive Care Unit (NICU). We sought to determine the impact of bedside web cameras on stress levels of parents in the NICU in order to work toward interventions that might improve family-centered care. A validated survey, the Parental Stress Scale NICU, was administered to parents of babies admitted to the Children’s Hospital of Philadelphia Neonatal/Infant Intensive Care Unit on days 7 to 10 of hospitalization. Parents were also asked if they used the available AngelEye Camera while their baby was hospitalized. Stress levels were analyzed for associations with the use of the bedside cameras. Parents who reported using the bedside camera also reported lower levels of stress relating to being separated from their babies. Bedside web camera interventions may hold potential for reducing parent stress related to separation from their babies, especially in the setting of a global pandemic.

scholarly journals Implementation of the “awakening and breathing trials, choice of drugs, delirium management, and early exercise/mobility” bundle in the pediatric intensive care unit of tertiary hospitals in southwestern China: a cross-sectional survey

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098777
Author(s):  
Xiaoming Huang ◽  
Lei Lei ◽  
Shuai Zhang ◽  
Jinrong Yang ◽  
Lin Yang ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Healthcare Professionals ◽  
Pediatric Intensive Care ◽  
Southwestern China ◽  
Early Exercise ◽  
The Awakening ◽  
Delirium Management ◽  
Abcde Bundle

Objective To investigate management and implementation of the “awakening and breathing trials, choice of drugs, delirium management, and early exercise/mobility” (ABCDE) bundle in the pediatric intensive care unit (PICU) in southwestern China Methods A self-designed questionnaire for determining implementation of the ABCDE bundle was distributed to healthcare professionals in the PICU. Multiple linear regression was used to analyze results. Results A total of 270 questionnaires were collected. There was no significant difference in the awareness of the ABCDE bundle rate among Sichuan, Guizhou, and Yunnan workers. Only dynamic adjustment of drug dose accounted for more than half (55.5%) of “frequent implementation” and “general implementation”, followed by implementation of sedation assessment, pain assessment, and spontaneous breathing trials (46.4%, 39.3%, and 35.6%, respectively). A total of 80.4% of healthcare professionals never performed screening of delirium. Multivariate analysis showed that the healthcare professionals’ scores of ABCDE bundle behavior significantly differed regarding awareness of the ABCDE bundle, years of work at the hospital, the region of hospitals, and occupational category. Conclusion Implementation of the ABCDE bundle in the PICU in southwestern China is not sufficient. Existing problems need to be identified and a standardized sedation and analgesia management model needs to be established.

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