A Cross-sectional Descriptive Study of Prevalence and Nature of Psychiatric Referrals from Intensive Care Units in a Multispecialty Hospital

This study aims to determine Turkish Muslim physicians’ and nurses’ views about the Do Not Resuscitate order and the factors influencing these views. This was a cross-sectional, descriptive study. The sample consisted of 327 health workers including 77 physicians and 250 nurses employed in internal and surgical clinics, intensive care units and emergency services of two different university hospitals located in the northeast of Turkey. 90.9% of Muslim Turkish physicians and 74.4% of nurses request the Do Not Resuscitate order to be legally implemented. The factors predicting 40.0% of Muslim Turkish physicians and nurses requesting the legal implementation of the Do Not Resuscitate order were determined as working at institution 1; requesting implemented before emergencies occur, in emergencies and in both cases; considering informing the patient and their surrogates about as a patient's right; and requesting to be a surrogate for one relatives.

Download Full-text

Nurses’ use of non-pharmacological pain management methods in intensive care units: A descriptive cross-sectional study

Complementary Therapies in Medicine ◽

10.1016/j.ctim.2021.102705 ◽

2021 ◽

Vol 58 ◽

pp. 102705

Author(s):

Zeinab Kia ◽

Maryam Allahbakhshian ◽

Mahnaz Ilkhani ◽

Malihe Nasiri ◽

Atefeh Allahbakhshian

Keyword(s):

Intensive Care ◽

Pain Management ◽

Intensive Care Units ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Download Full-text

Barriers of Palliative Care in Neonatal Intensive Care Units

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909115616597 ◽

2016 ◽

Vol 34 (3) ◽

pp. 205-211 ◽

Cited By ~ 10

Author(s):

Mansooreh Azzizadeh Forouzi ◽

Marjan Banazadeh ◽

Jila Soltan Ahmadi ◽

Farideh Razban

Keyword(s):

Palliative Care ◽

Organizational Culture ◽

Intensive Care ◽

Intensive Care Units ◽

Neonatal Intensive Care ◽

Attitude Scale ◽

Neonatal Intensive Care Units ◽

Cross Sectional ◽

Neonatal Nurses ◽

Eol Care

Objective: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses’ attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses’ attitude toward barriers in providing NPC in Southeast Iran. Method: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Results: Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of “insufficient resources” (3.42 ± 0.65) and “inappropriate personal and social attitudes” (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of “inappropriate organizational culture” and/or “inadequate nursing proficiency.” Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). Conclusion: The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants’ EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.

Download Full-text

Sources of Noise and Their Effects on Nurses in Intensive Care Units: A Cross Sectional Study

SSRN Electronic Journal ◽

10.2139/ssrn.3949466 ◽

2021 ◽

Author(s):

Zahra Kooshanfar ◽

Sadra Ashrafi ◽

Ezzat Paryad ◽

Yalda Salmanghasem ◽

Tahereh Khaleghdoost Mohammadi ◽

...

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Download Full-text

Nursing care time and quality indicators for adult intensive care: correlation analysis

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692012000400004 ◽

2012 ◽

Vol 20 (4) ◽

pp. 651-658 ◽

Cited By ~ 16

Author(s):

Paulo Carlos Garcia ◽

Fernanda Maria Togeiro Fugulin

Keyword(s):

Intensive Care ◽

Correlation Analysis ◽

Intensive Care Units ◽

Quality Indicators ◽

Nursing Care ◽

Nursing Staff ◽

Care Delivery ◽

Average Length ◽

Quality Care ◽

Descriptive Study

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.

Download Full-text

Assessment of patient safety culture in intensive care units and factors affecting it

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.530 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M A Tlili ◽

W Aouicha ◽

H Lamine ◽

E Taghouti ◽

M B e n Dhiab ◽

...

Keyword(s):

Patient Safety ◽

Intensive Care ◽

Adverse Events ◽

Intensive Care Units ◽

Safety Culture ◽

Improve Patient Safety ◽

Healthcare Quality ◽

Patient Safety Culture ◽

Cross Sectional ◽

Learning From Errors

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.

Download Full-text

Are mobile phones of health care workers portals of pathogenic organisms causing hospital acquired infections in intensive care units? A mini systematic review

Nigerian Journal of Paediatrics ◽

10.4314/njp.v47i3.3 ◽

2020 ◽

Vol 47 (3) ◽

pp. 207-214

Author(s):

M. Mukhtar-Yola ◽

B. Andrew

Keyword(s):

Health Care ◽

Intensive Care ◽

Intensive Care Units ◽

Mobile Phones ◽

Health Care Workers ◽

Pathogenic Bacteria ◽

Cross Sectional ◽

Hospital Acquired Infections ◽

Care Workers ◽

Hospital Acquired

Background: Health care workers at the bedside of critically ill babies freely carry their mobile phones in between procedures and handling patients. Concerns are rising as this may contribute to nosocomial infections with pathogenic bacteria. Aim: To determine if mobile phones of health care workers in Intensive care units carry potentially pathogenic bacteria leading to hospital acquired infections. Design: Systematic review.Data sources: Electronic databases (Medline via ovid, CINAHL, Web of science) and hand Searching of references and citations were done to identify studies. Screening and inclusion criteria were used to identify studies with a cross-sectional or cohort design. The search was limited to journal articles published between 2008-2015 and to English language. Quality assessment was done using the National Institute of Health tool for observational studies. Data was extracted on to excel sheets and analysed using SPSS version 22.Results: Six studies with a cohort (1) or cross-sectional design (5) involving 1, 131 health care workers were reviewed. The overall quality of the studies was fair, and a narrative synthesis was done. The colonization rate of the mobile phones ranged between 46.3 % and a 100% with 13-50% carrying potentially pathogenic multidrug resistant microorganisms. Methicillin resistant staphylococcus aureus, Vancomycine resistant enterococci, acinobacter and coagulase negative staphylococci were reported across all studies and were recognized as leading causes of morbidity and mortalityin the ICU. Conclusion: Mobile phones Of HCW are portals of potentially pathogenic microorganisms, which could result in morbidity and mortality.Although no causal relationship could be established, strong associations have been reported. Guidelines by hospital infection control committees are needed on restriction, care and routine cleaning of mobile phones as well as further research. Key words: Health care worker, Intensive care unit, Hospital Acquired Infections, mobile phones

Download Full-text