Using Simulation to Improve Adherence to Get With the Guidelines Time to First Shock

Background Evidence demonstrates that shocking patients in ventricular fibrillation or pulseless ventricular tachycardia in 2 minutes or less leads to improved outcomes. At our facility in Orlando, Florida, 4 of 7 time to first shock fallouts occurred in the intensive care unit. No standardization for conducting code situations existed in the intensive care unit. Objective To develop nurse simulation education and training to standardize intensive care unit code processes and improve compliance with timely defibrillation. Methods The sample consisted of intensive care unit nurses. Interventions included online education, simulation, and a postintervention survey. Analysis was conducted using the Get With the Guidelines program as well as descriptive statistics. Interventions Online education assigned to all intensive care unit nurses included electrocardiogram recognition and code documentation. Nurses and physicians collaborated to develop a diagram to identify roles needed for successful conduct of a code situation. A code simulation video was created, reflecting these roles, and embedded in the online education. The education was graded and remediated one-on-one with nurses. Intensive care unit nurses completed structured code simulations, allowing them to practice serving as the leader. Three months after the intervention, a survey was distributed to nurses. Results The time to first shock fallouts in the intensive care unit decreased by 100%, and the facility’s fallouts decreased by 71%. The facility’s adherence to the time to first shock metric increased from 42% to 83%. In a postintervention survey, 89% of nurses reported perceived improvement in knowledge, team leadership and communication, and confidence associated with code events. Conclusions Online education and code simulation positively affected time to first shock in code situations and empowered nurses to confidently function in these situations.

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Empowering critical care nurses to improve Compliance with protocols in the intensive care unit

American Journal of Critical Care ◽

10.4037/ajcc2007.16.2.153 ◽

2007 ◽

Vol 16 (2) ◽

pp. 153-156 ◽

Cited By ~ 13

Author(s):

Gerald Plost ◽

Delores Privette Nelson

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Compliance Rate ◽

Critical Care Nurses ◽

Evidence Based ◽

Audit Tool ◽

Adult Intensive Care Unit ◽

Improve Compliance ◽

Intensive Care Unit Nurses

•Background Practitioners often do not comply with evidence-based protocols. •Objective To improve compliance with evidence-based protocols in an intensive care unit. •Methods A baseline compliance range was obtained by using a sampling of 9 protocols for a 100% audit of 35 beds in an adult intensive care unit. Nurses were given positive rewards to promote an initiative to improve compliance with protocols. The original audit tool was used to assess compliance at intervals during a trial period and for a follow-up audit 3 years after implementation of the initiative. •Results One month after the initiative was started, compliance with protocols increased from a range of 62% to 77% to a compliance of almost 90%. Within 4 months, the compliance rate increased to a mean of more than 95%. Three years later, the compliance rate was greater than 90%. •Conclusion Extrinsic rewards improved compliance with protocols and resulted in a change in the culture in the intensive care unit that had a cumulative outcome.

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An analysis of the mediating effect of self-compassion on perceived stress and prosocial behavior among Intensive care unit nurses

2020 International Conference on Public Health and Data Science (ICPHDS) ◽

10.1109/icphds51617.2020.00083 ◽

2020 ◽

Author(s):

Lingyao Meng ◽

Lingli Peng ◽

Ting Dai ◽

Pan Li

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Prosocial Behavior ◽

Perceived Stress ◽

Mediating Effect ◽

Self Compassion ◽

Intensive Care Unit Nurses

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Experiences of intensive care unit nurses with COVID-19 patients

Revista da Escola de Enfermagem da USP ◽

10.1590/1980-220x-reeusp-2021-0194 ◽

2021 ◽

Vol 55 ◽

Author(s):

Claudete Aparecida Conz ◽

Vanessa Augusta Souza Braga ◽

Rosianne Vasconcelos ◽

Flávia Helena Ribeiro da Silva Machado ◽

Maria Cristina Pinto de Jesus ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Physical Space ◽

Physical And Mental Health ◽

Public And Private ◽

Professional Recognition ◽

Public And Private Hospitals ◽

Training And Support ◽

Continuous Use ◽

Intensive Care Unit Nurses

ABSTRACT Objective: To understand the experiences of intensive care unit nurses who provide care to patients with COVID-19. Methods: Qualitative study grounded in Alfred Schütz’s social phenomenology in which 20 nurses who work in intensive care units at public and private hospitals were interviewed between July and September 2020. Data were analyzed according to the adopted theoretical-methodological framework and the literature related to the subject. Results: The interviewed nurses mentioned demands about working conditions, professional recognition and training, and support to physical and mental health, which proved necessary considering the care intensity experienced by these professionals during the COVID-19 pandemic. Conclusion: Learning the nurses’ experiences evidenced the need to adjust to a new way of providing care that included the physical space, new institutional protocols, continuous use of protective equipment, and patients’ demand for special care. This originated the necessity to be around situations that interfered with their health and motivated them to carry out professional projects after the COVID-19 pandemic.

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Quantifying Occupational Stress in Intensive Care Unit Nurses: An Applied Naturalistic Study of Correlations Among Stress, Heart Rate, Electrodermal Activity, and Skin Temperature

Human Factors The Journal of the Human Factors and Ergonomics Society ◽

10.1177/00187208211040889 ◽

2021 ◽

pp. 001872082110408

Author(s):

Nima Ahmadi ◽

Farzan Sasangohar ◽

Tariq Nisar ◽

Valerie Danesh ◽

Ethan Larsen ◽

...

Keyword(s):

Intensive Care Unit ◽

Heart Rate ◽

Intensive Care ◽

Skin Temperature ◽

Electrodermal Activity ◽

Laboratory Research ◽

Prior Literature ◽

High Level ◽

Intensive Care Unit Nurses ◽

Skin Temperatures

Objective To identify physiological correlates to stress in intensive care unit nurses. Background Most research on stress correlates are done in laboratory environments; naturalistic investigation of stress remains a general gap. Method Electrodermal activity, heart rate, and skin temperatures were recorded continuously for 12-hr nursing shifts (23 participants) using a wrist-worn wearable technology (Empatica E4). Results Positive correlations included stress and heart rate (ρ = .35, p < .001), stress and skin temperature (ρ = .49, p < .05), and heart rate and skin temperatures (ρ = .54, p = .0008). Discussion The presence and direction of some correlations found in this study differ from those anticipated from prior literature, illustrating the importance of complementing laboratory research with naturalistic studies. Further work is warranted to recognize nursing activities associated with a high level of stress and the underlying reasons associated with changes in physiological responses. Application Heart rate and skin temperature may be used for real-time detection of stress, but more work is needed to validate such surrogate measures.

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Magnitude of Low Back Pain and Associated Factors Among Nurses Working at Intensive Care Unit in Amhara Region Public Hospitals, Ethiopia

10.21203/rs.3.rs-403679/v1 ◽

2021 ◽

Author(s):

Bitew Tefera ◽

Haymanot Zeleke ◽

Abebe Abate ◽

Haimanot Abebe ◽

Zebene Mekonnen ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Low Back Pain ◽

Back Pain ◽

Public Hospitals ◽

Assistive Device ◽

Low Back ◽

Amhara Region ◽

Patient Handling ◽

Intensive Care Unit Nurses

Abstract Background Low back pain is a common public health problem throughout the world with the global prevalence from 28–86%. Nurses working in intensive care units are handling people who are critically ill and helpless, which requires more assistance for transferring and handling activities. This possesses a risk for low back pain but little is known about it in Ethiopia. The aim of this study was to assess the magnitude of low back pain and associated factors among nurses who work at an intensive care units in Amhara region public hospitals, North Ethiopia. Methods A multi-centered institution-based cross-sectional study was conducted at Amhara region public hospitals from March 1–30/2020. Simple random sampling technique after proportional allocation was used to select the study participants. Data were collected using a standard modified Nordic musculoskeletal assessment tool. After data were checked for completeness and consistency, it was entered into Epidata version 3.1 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistics were computed. A binary logistic regression model was used to identify factors associated with low back pain. Finally, those variables with a p-value of < 0.05 in multivariable analysis were considered statistically significant. Result -The study was conducted among 412 intensive care unit nurses giving a response rate of 97.6%. The magnitude of low back pain was 313 (76 %) [95% CI: (71.6%-79.9%)]. Being female [AOR = 2.674 (1.404, 5.076)], unavailability of assistive device for patient handling [AOR = 2.139 (1.035, 4.410)], lack of training on intensive care [AOR = 2.017 (1.092 ,3.943)], lack of regular exercise [AOR = 2.164 (1.164 ,4.108)] and job stress [AOR = 3.66 (1.955, 6.498)] were factors significantly associated with low back pain. Conclusions In this study the magnitude of low back pain was high. Being female, unavailability of assistive device for patient handling, lack of training on intensive care, lack of regular exercise and job stress were factors associated with low back pain. Policy makers and concerned bodies should give emphasis on accessability of assistive devices for patient care, provision of training on intensive care and adaptive working environment for intensive care unit nurses.

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