scholarly journals Investigation of Intensive Care Nurses’ Organizational Innovation Levels

2020 ◽  
Author(s):  
Elif Gezginci ◽  
Bediye Öztaş ◽  
Gönül Kurt
Keyword(s):  
Intensive Care ◽  
Marital Status ◽  
Intensive Care Units ◽  
Organizational Innovation ◽  
Educational Status ◽  
Intensive Care Nurses ◽  
Significant Difference ◽  
Training And Research ◽  
The Mean ◽  
One Way Anova

Aim: The aim of this study was to investigate intensive care nurses’ organizational innovation levels. Methods: This descriptive study was conducted with 90 nurses working in the Intensive Care Units of a Training and Research Hospital in Ankara. Data were collected by Descriptive Information Form and Organizational Innovation Scale. Descriptive statistics, One-Way ANOVA test, Mann-Whitney U test and Kruskal-Wallis test were used to evaluate the data. Results: The mean age of participants was 28.01±5.6. It was found that most of the participants (68.9%) did not use resources effectively for innovative practices and 66.7% of them did not intend to develop a project related to innovative practices. Eighty-eight percent of participants stated that intensive care units are suitable places for innovative practices. There was no statistically significant difference between age, marital status, educational status, occupational year, working year in intensive care unit with organizational innovation sub-scales (p<0.05). Conclusion: According to this study, intensive care nurses’ socio-demographic characteristics such as age, marital status, education level, occupational year and working time in intensive care did not affect their organizational innovation tendencies.

scholarly journals Intensive Care Nurses’ Knowledge and Practice of Evidence-Based Recommendations for Endotracheal Suctioning: A Multisite Cross-Sectional Study in Changsha China

2021 ◽  
Author(s):  
Wenjun Chen ◽  
Shuang Hu ◽  
Xiaoli Liu ◽  
Nina Wang ◽  
Junqiang Zhao ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Care Practice ◽  
Evidence Based ◽  
Endotracheal Suctioning ◽  
Cross Sectional ◽  
Intensive Care Nurses ◽  
Significant Difference ◽  
Knowledge And Practice ◽  
Nurses Knowledge

Abstract Background: Endotracheal suctioning is one of the most frequently operated invasive procedures by intensive care nurses. Nurses should have adequate knowledge and skills to perform endotracheal suctioning based on the best evidence. Litter is known about intensive care nurses' knowledge and practice of evidence-based endotracheal suctioning in Chinese hospitals. The purpose of this study is to investigate intensive care nurses' knowledge and practice of the evidence-based recommendations regarding endotracheal suctioning. Specifically, the study aims to examine 1) intensive care nurses' awareness of and adherence to the endotracheal suctioning guideline; and 2) their influencing factors.Methods: The cross-sectional online questionnaire survey was distributed to 310 intensive care nurses working in intensive care units of five tertiary hospitals in Changsha, China. Results: 281 nurses completed and returned the survey (response rate= 90.6%). Participants' awareness of and adherence to the evidence-based guideline was at a poor to moderate level. There was a significant difference regarding the awareness of the guideline between experienced and inexperienced nurses. Nurses who worked 6-15 years in intensive care units had a higher awareness of evidence-based endotracheal suctioning practices than nurses who worked within five years and over 16 years. Nurses with endotracheal suctioning training demonstrated significantly higher awareness of endotracheal suctioning recommendations and higher adherence levels than those untrained nurses.Conclusion: There are considerable evidence-practice gaps in ETS among Chinese intensive care practice. further research should emphasis on revealing barriers and facilitators of implementing the evidence-based endotracheal suctioning practices, developing context-suitable interventions for the guideline implementation. We suggest a systematic training of the ETS guidelines along with innovative implementation strategies from implementation science to promote the ETS practice changes.

scholarly journals Resilience Skills Training Versus Metacognitive Therapy: A Comparison of Effectiveness on Anxiety in Nurses Working in Intensive Care Units and Emergency Department

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Halimeh Hasani ◽  
Bahare Zarei ◽  
Zahra Danaie ◽  
Gholam Hossein Mahmoudi Rad
Keyword(s):  
Emergency Department ◽  
Intensive Care ◽  
Intensive Care Units ◽  
State Anxiety ◽  
Repeated Measures ◽  
Skills Training ◽  
Metacognitive Therapy ◽  
Significant Difference ◽  
Trait And State Anxiety ◽  
The Mean

Background: Anxiety is an outcome of stressful work environments like clinical environments, which harms the mental health and delays provision of services to patients, consequently. Objectives: This study examined the effects of resilience skills training and metacognitive therapy on nurses’ anxiety who work in intensive care units and an emergency department. Methods: This randomized controlled field trial was carried out on 54 nurses working in ICU, PICU, and NICU units and the emergency department of Valiasr Hospital, Birjand, Iran. The participants were allocated via permuted block randomization into three groups of resilience, metacognitive therapy, and control. Research instruments include a demographics form and the Spielberger anxiety inventory. Parametric statistics (e.g., ANOVA, repeated measures ANOVA, Chi square and Fisher’s exact test) were employed for data analysis in SPSS (V.19) (P < 0.05). Results: In the resilience group, the mean scores of trait and state anxiety significantly decreased immediately and one month after the intervention compared to the period before the intervention (P < 0.001). However, there was no significant difference in the metacognitive therapy group in terms of the mean score of trait and state anxiety in the three stages of study (P > 0.05). There were significant differences between the three groups in terms of trait and state anxiety mean score changes before and immediately after the intervention, and before and one month after the intervention (P < 0.05). Conclusions: Resilience skills training were more efficient than metacognitive therapy in attenuating anxiety in emergency and intensive care nurses. Nursing managers are recommended to hold resilience skills training sessions to alleviate nurses’ anxiety.

THE EMPATHY LEVELS OF WOMEN PLAYING IN BASKETBALL LEAGUES

2020 ◽  
Vol 6 (25) ◽  
pp. 760-768
Author(s):  
Nida Gencer ÖZKAN ◽  
◽  
Tülin ATAN
Keyword(s):  
Marital Status ◽  
Leadership Style ◽  
Female Athletes ◽  
Educational Status ◽  
Basketball Players ◽  
Coaching Behaviors ◽  
Significant Difference ◽  
Women's Basketball ◽  
Coaching Behavior ◽  
And Behavior

The aim of this study was to investigate the basketball players’, active in Turkey Women’s Basketball Super and 1st Leagues, empathy levels according to their marital status, educational status in addition to age and marital status of their coach; and to evaluate leadership characteristics and behavior of their coaches according to athlete’s perception. Another aim was to analyze the relation between empathy levels of the athletes and athletes’ perception of coaching behavior. 264 (age; 24.61±5.53 year) female athletes playing in Turkey Women’s Basketball Super and 1st Leagues participated in this study. Leadership Scale for Sports (LSS)-version of Athletes’ Perception of Coaching Behavior that developed by Chelladurai and Saleh, and adapted by Tiryaki and Toros in 2006 was used as data collection tool. Athletes’ perceptions of leadership style and behavior of their coach were evaluated in five different factors. A five-factor solution with 40 items describing the most salient dimensions of coaching behavior was selected as the most meaningful. Empathy levels of the athletes were determined by using Emphatic Tendency Scale which was developed by Dökmen (1988) and composed of 20 items. Empathy levels of the athletes showed no statistically significant difference in terms of any variable (p>0.05). There was no statistically significant difference in athletes’ perceptions of coaching behaviors in terms of marital status of the athlete and age of their coach (p>0.05). In terms of educational status of athletes and marital status of their coach, there were statistically significant differences in athletes’ perceptions of coaching behaviors (p<0.05 and p<0.01). Positive and meaningful correlation was found between empathy scores of the athletes and training and instruction behavior (r=.172**) and autocratic behavior (r=.154*) of the coach (p<0.05 and p<0.01). Educational status of the athletes and marital status of their coach are influental in athletes’ evaluation of their perceptions of coaching behavior. Empathy levels of the athletes are related to their perceptions of coaching behavior.

scholarly journals Detection of SARS-CoV-2 and Other Infectious Agents in Lower Respiratory Tract Samples Belonging to Patients Admitted to Intensive Care Units of a Tertiary-Care Hospital, Located in an Epidemic Area, during the Italian Lockdown

2021 ◽  
Vol 9 (1) ◽  
pp. 185
Author(s):  
Adriana Calderaro ◽  
Mirko Buttrini ◽  
Sara Montecchini ◽  
Giovanna Piccolo ◽  
Monica Martinelli ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Tract ◽  
Intensive Care Units ◽  
Lower Respiratory Tract ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Infectious Agents ◽  
Epidemic Area ◽  
Significant Difference

The aim of this study was the detection of infectious agents from lower respiratory tract (LRT) samples in order to describe their distribution in patients with severe acute respiratory failure and hospitalized in intensive care units (ICU) in an Italian tertiary-care hospital. LRT samples from 154 patients admitted to ICU from 27 February to 10 May 2020 were prospectively examined for respiratory viruses, including SARS-CoV-2, bacteria and/or fungi. SARS-CoV-2 was revealed in 90 patients (58.4%, 72 males, mean age 65 years). No significant difference was observed between SARS-CoV-2 positives and SARS-CoV-2 negatives with regard to sex, age and bacterial and/or fungal infections. Nonetheless, fungi were more frequently detected among SARS-CoV-2 positives (44/54, 81.4%, p = 0.0053). Candida albicans was the overall most frequently isolated agent, followed by Enterococcus faecalis among SARS-CoV-2 positives and Staphylococcus aureus among SARS-CoV-2 negatives. Overall mortality rate was 40.4%, accounting for 53 deaths: 37 among SARS-CoV-2 positives (mean age 69 years) and 16 among SARS-CoV-2 negatives (mean age 63 years). This study highlights the different patterns of infectious agents between the two patient categories: fungi were prevalently involved among SARS-CoV-2-positive patients and bacteria among the SARS-CoV-2-negative patients. The different therapies and the length of the ICU stay could have influenced these different patterns of infectious agents.

Analysis of Support for Parents in Raising Children with Dyslexia

2020 ◽  
pp. 0192513X2094892
Author(s):  
Athira Amira Abd Rauf ◽  
Maizatul Akmar Ismail ◽  
Vimala Balakrishnan ◽  
Loh Sau Cheong ◽  
Novia Indriaty Admodisastro ◽  
...  
Keyword(s):  
Marital Status ◽  
Self Esteem ◽  
Peer To Peer ◽  
Government Support ◽  
Anova Analysis ◽  
Raising Children ◽  
The Social ◽  
Significant Difference ◽  
Different Types ◽  
One Way Anova

The parents of children with dyslexia often experience more parenting stress and depressive symptoms compared to other parents. Studies have shown that supporting and encouraging such parents help in reducing their frustrations, fear, anger, and low self-esteem towards their children. The purpose of this study was to identify and examine the different types of support needed by the parents of children with dyslexia and to explore the relationships between the required support with the parents’ marital status. Fifty questionnaires were distributed to the parents of children with dyslexia and analyzed. The findings showed that the type of support needed for parents of children with dyslexia could be grouped into social, peer-to-peer, financial, and government support. Furthermore, the analysis indicated that there were no significant differences between the social (p = 0.4014), peer-to-peer (p = 0.5020), and government (p = 0.7121) support with parents’ marital status. However, based on one-way ANOVA analysis, there was a significant difference found between the parents’ marital status and financial support (p = 0.0241). Accordingly, it is anticipated that the implication of this research could be used as a guide and a reference for supporting and encouraging parents of children with dyslexia and other learning disabilities.

scholarly journals Effects of prophylactic ketamine and pethidine to control postanesthetic shivering: A comparative study

2018 ◽  
Vol 5 (12) ◽  
pp. 2898-2903 ◽  
Author(s):  
Masoum Khoshfetrat ◽  
Ali Rosom Jalali ◽  
Gholamreza Komeili ◽  
Aliakbar Keykha
Keyword(s):  
Normal Saline ◽  
Pearson Correlation ◽  
Saline Group ◽  
Normal Saline Group ◽  
Chi Square ◽  
Double Blind ◽  
Postanesthetic Shivering ◽  
Significant Difference ◽  
The Mean ◽  
One Way Anova

Background: Shivering is an undesirable complication following general anesthesia and spinal anesthesia, whose early control can reduce postoperative metabolic and respiratory complications. Therefore, this study aims to compare the effects of prophylactic injection of ketamine and pethidine on postoperative shivering. Methods: This double-blind clinical trial was performed on 105 patients with short-term orthopedic and ENT surgery. The patients were randomly divided into three groups; 20 minutes before the end of the surgery, 0.4 mg/kg of pethidine was injected to the first group, 0.5 mg/kg of ketamine was injected to the second group, and normal saline was injected to the third group. After the surgery, the tympanic membrane temperature was measured at 0, 10, 20, and 30 minutes. The shivering was also measured by a four-point grading from zero (no shivering) to four (severe shivering). Data were analyzed by one-way ANOVA, Kruskal Wallis, Chi-square and Pearson correlation. Results: The mean age of patients was 35.8+/-11.45 years in the ketamine group, 34.8+/-11.64 years in the normal saline group, and 33.11+/-10.5 years in the pethidine group. The one-way ANOVA showed no significant difference in the mean age between the three groups (P=0.645). The incidence and intensity of shivering were significantly higher in the normal saline group than in the ketamine and pethidine groups (p=0.001). However, there was no significant difference in the incidence and the intensity of shivering between the ketamine and the pethidine groups (p=0.936). Conclusion: The results showed that the 0.5 mg/kg of ketamine could control the post-anesthetic shivering.  

scholarly journals Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units

2021 ◽  
Vol 39 (2) ◽  
Author(s):  
Amirhossein Yousefinya ◽  
Camellia Torabizadeh ◽  
Farid Zand ◽  
Mahnaz Rakhshan ◽  
Mohammad Fararooei
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Blood Pressure Monitoring ◽  
Post Intervention ◽  
Alarm Management ◽  
Effective Interventions ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control ◽  
Time Type

Objective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital in southeastern Iran. The intervention was a 4-hour workshop was on topics related to the adverse effects of alarms, standardization of ECG, oxygen saturation and blood pressure monitoring systems, and the use of ventilators and infusion pumps. Data were collected thorough 200 hours of observation of 60 ICU nurses (100 hours’ pre-intervention and 100 hours’ post-intervention). Response time, type of response, customization of alarm settings for each patient, the person responding to an alarm, and the cause of the alarm were analyzed. Alarms were classified into three types: false, true and technical. Results. The results showed a statistically significant difference between the pre- and post-intervention frequency of alarm types, frequency of monitoring parameters, customized monitoring settings for patients, and individuals who responded to alarms. The percentage of effective interventions was significantly higher for all parameters after the intervention (46.9%) than before the intervention (38.9%). Conclusion. The employment of a manual for management of alarms from electronic equipment in ICUs can increase the frequency of appropriate responses to alarms in these units.

scholarly journals The Effects of Lavender and Citrus aurantium on Anxiety and Agitation of the Conscious Patients in Intensive Care Units: A Parallel Randomized Placebo-Controlled Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Zahra Karimzadeh ◽  
Mansooreh Azizzadeh Forouzi ◽  
Elham Rahiminezhad ◽  
Mehdi Ahmadinejad ◽  
Mahlagha Dehghan
Keyword(s):  
Intensive Care ◽  
Placebo Group ◽  
Essential Oils ◽  
Intensive Care Units ◽  
Controlled Trial ◽  
Routine Care ◽  
Citrus Aurantium ◽  
Positive Effects ◽  
Recovery Processes ◽  
Significant Difference

Background. Conscious patients admitted to intensive care units (ICU) suffer from anxiety and agitation for various reasons, which can affect their recovery processes. Aims. To compare the effects of lavender and Citrus aurantium essential oils on anxiety and agitation of conscious patients admitted to ICUs. Design. A randomized parallel placebo-controlled trial. Methods. One hundred and fifty conscious patients admitted to ICUs were selected by convenience sampling and were randomly divided into three groups, groups of lavender aromatherapy and Citrus aurantium aromatherapy, in addition to the routine care and inhalation of five drops of lavender or Citrus aurantium essential oils for 30 minutes. The placebo group, in addition to routine care, was provided with 5 drops of normal saline for 30 minutes. Anxiety was assessed with the state subscale of State-Trait Anxiety Inventory, and agitation was examined with Richmond Agitation-Sedation Scale before, immediately, one hour, and three hours after the intervention. Results. All three groups suffered from relatively severe state anxiety before the intervention. The level of anxiety in the lavender and Citrus aurantium groups was significantly lower than that of the placebo group immediately and three hours after the intervention ( P < 0.05 ). No significant difference was observed between the two groups of lavender and Citrus aurantium. The majority of the samples in all three groups were agitated before the intervention, but agitation of all three groups decreased after the intervention. Restless/agitation reduced significantly in all three groups. Although restless/agitation of the lavender and Citrus aurantium groups reduced more than that of the placebo, no significant difference was found between the three groups. Conclusion. The results of the present study showed the positive effects of lavender aromatherapy and Citrus aurantium aromatherapy on reducing the anxiety of patients admitted to ICUs. Relevance to Clinical Practice. Aromatherapy can be used as an effective and safe intervention to reduce anxiety in ICUs.

scholarly journals Comparison of electrocardiographic parameters of racing and non-racing horses in Sokoto Nigeria

2020 ◽  
Vol 18 (1) ◽  
pp. 33-38
Author(s):  
B. Saidu ◽  
A.J. Ishaq ◽  
H.M. Ibrahim ◽  
A. Dahiru ◽  
A.M. Abdullahi ◽  
...  
Keyword(s):  
Standing Position ◽  
P Wave ◽  
Average Weight ◽  
T Wave ◽  
Qt Intervals ◽  
Significant Difference ◽  
The Mean ◽  
Electrocardiographic Parameters ◽  
Electrical Activities ◽  
One Way Anova

The study was conducted due to the economic importance of horses and shortage of information on electrocardiographic parameters of horses in Sokoto, Nigeria. This study established the normal electrocardiographic parameters of racing and non-racing horses in Sokoto and statistically compared the values. The study used forty horses comprising of 20 racing and 20 non-racing horses with mean age of 8 ± 0.5 years and average weight of 200 ± 2.0 kg. ECG was recorded using the base apex system with the animals in standing position using single lead channel ECG recorder (EDAN VE-100 manufactured by Edan instruments China). The paper speed was set at 25mm/s while the sensitivity of the machine was adjusted to 10 mm/mV. The durations and amplitudes of P, R and T, the durations of Q and S and the durations of PR, QRS and QT intervals were all determined. These parameters were determined for the three standard limb leads (I, II and III) as well as the augmented limb leads (aVR, aVL and aVF). Descriptive statistics using SPSS version 16 was used to calculate the means and standard error of mean at 95 % confidence interval. One-way ANOVA was used to compare between the values of the racing and non-racing horses. The highest values of P amplitude, R amplitude, Q amplitude, QRS complex and P-R interval were recorded in racing horses, while highest T wave amplitude was recorded in non-racing horses. Highest duration of P wave, T wave and QRS was recorded in racing horses while highest duration of Q wave was recorded in non-racing horses. Significant difference was found in the T amplitude in racing horses in lead aVF. The mean heart rate for the racing and non-racing horses was 80.3 ± 8.4 and 63.1 ± 9.2 beats/minute respectively. Higher values recorded in racing horses indicates that exercise has influence on electrical activities in horses. Keywords: Electrocardiograph, Non-racing horses, Parameters, Racing horses, Sokoto

Abstract 3091: Image Sharing Prior To Transfer Of Patients With Stroke

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Minal Jain ◽  
Anunaya Jain ◽  
Abhijit R Kanthala ◽  
Kate C Young ◽  
Babak S Jahromi
Keyword(s):  
Intensive Care ◽  
Sinus Thrombosis ◽  
Statistical Significance ◽  
Tertiary Care ◽  
Admission Diagnosis ◽  
Stroke Severity ◽  
Image Sharing ◽  
Interhospital Transfer ◽  
Significant Difference ◽  
The Mean

Introduction: The lack of 24X7 availability of sub-specialty neurologists and neurosurgeons in regional county hospitals frequently leads to transfer of patients with stroke/ICH to higher tertiary care centers. Transfer of patients without prior communication may delay both diagnosis as well as time sensitive treatments. Recently our institution adopted image sharing prior to transfer to facilitate triage of inter-hospital transfers. Aim: To analyze if image sharing enabled judicious selection of patients more likely to require intensive care/intervention. Methods: We analyzed consecutive adult patients with an admission diagnosis of stroke/TIA/carotid stenosis/carotid-dissection/aneursym/hemiplegia/cerebral venous sinus thrombosis for whom an interhospital transfer request was made. Results: The cohort had 197 subjects with 52.6% females. The mean age of subjects was 61.1 years (SD 16.1 years). The mean distance of healthcare facilities requesting transfer from our center was 47.7 miles (SD 28.5 miles). Of all transfer requests, 78.7% (155) were accepted to our facility, 14.7% (29) were asked to follow up in outpatient clinics, 3% (6) transfers were cancelled because a higher level of care was deemed unnecessary, 1% (2) patients declined transfer and 2.5% (5) were lost to other facilities. The median stroke severity measured by NIHSS on arrival was 3 (IQR 1 to 8). Images were shared prior to decision making for transfer for 20.3% (40) patients. Fewer patients were accepted for transfer with image sharing (73%) than without (83.7%), although this did not reach statistical significance (z statistic -1.51; p=0.132). There was no significant difference in NIHSS (p=0.3919), neurological status measured by GCS (p=0.294) or age (p=0.9942) between subjects who had image sharing versus those who did not. Amongst all accepted patients 45.1% were deemed to need intensive care and 47.7% received interventions (surgical, medical or advanced diagnostic testing). The proportion of patients who underwent intervention or were admitted to an intensive care unit was much higher when patients’ images were shared prior to transfer (85.2%) when compared to patients transferred without image sharing (56.8%; z statistic 2.755; p=0.006). The odds of undergoing intervention when patients were transferred after image sharing was 4.37 as compared to patients transferred without image sharing (95% CI 1.43 to 13.39). Conclusion: Subjects who had their images shared prior to transfer had significantly higher intervention rate. Thus image sharing is a possible tool to increase specificity for selecting patients with stroke related diagnoses, who would benefit from transfer to a tertiary care center.

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