scholarly journals Expressive writing as an intervention to decrease distress in pediatric critical care nurses

2018 ◽  
Vol 6 (3) ◽  
pp. 96 ◽  
Author(s):  
Julie Ann Perry ◽  
Peggy Ward-Smith
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Nursing Staff ◽  
Critically Ill Patients ◽  
Expressive Writing ◽  
Cost Effective ◽  
Critical Care Nurses ◽  
Common Phenomenon ◽  
Staff Satisfaction ◽  
Pediatric Critical Care

Experiencing distress is a common phenomenon among pediatric critical care nurses. Expressive writing provides a cost-effective and easily implemented intervention nurses can utilize to address distress as a consequence of providing care for critically ill patients. This intervention may decrease the array of consequences of distress and improve nursing staff satisfaction and retention.

Evidence-based practice: fever-related interventions

1999 ◽  
Vol 8 (1) ◽  
pp. 481-487 ◽  
Author(s):  
R Henker
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
American Association ◽  
Critical Care Nurses ◽  
Critically Ill Patient ◽  
Evidence Based ◽  
Common Phenomenon ◽  
Research Questions ◽  
Research Studies

Fever is a common phenomenon in critically ill patients. Ideally, all decisions about treatment of fever would be based on results of well-developed research studies. Instead, some research questions related to treatment of fever have been studied more extensively than others. This article is an evaluation of the usefulness of the research studies related to treatment of fever in the critically ill. Two questions are addressed: when is treatment of fever most beneficial to a critically ill patient, and how is fever most effectively treated in the critically ill? Evidence related to the treatment of fever is evaluated by using the recommendation levels of the research-based practice protocols of the American Association of Critical-Care Nurses.

Critical-care medicine and the acute-care laboratory

1990 ◽  
Vol 36 (8) ◽  
pp. 1552-1556 ◽  
Author(s):  
J R Hall
Keyword(s):  
Critical Care ◽  
Data Management ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Ex Vivo ◽  
Hospital Costs ◽  
Cost Effective ◽  
Critical Care Medicine ◽  
Time Utilization

Abstract Critical-care medicine today is practiced by anesthesiologists, internists, pediatricians, and surgeons. Outcome from today's management of critically ill patients is very good, yet associated costs are very high. Over one-half of the hospital costs of critically ill patients emanates from the intensive-care unit (ICU), although the ICU stay accounts for less than 20% of their time in the hospital. Outside of the operating room, the ICU is the most expensive location for patient care in the hospital, and laboratory tests are the most expensive single item. Plans for cost containment should incorporate the following: more effective data management, education of practitioners about appropriateness and costs of tests, conversion from laboratory measurements to appropriate in vivo and ex vivo measurements, and real-time utilization assessment. To provide high-quality, cost-effective critical care in the future, laboratorians and clinicians must work together today to meet the challenges of technology, data management, and staff education.

scholarly journals Effect of an educational programme on critical care nurses’ competence at two tertiary hospitals in Malawi

2021 ◽  
Vol 33 (4) ◽  
pp. 236-241
Author(s):  
Rodwell Gundo ◽  
Beatrice Gundo ◽  
Ellen Chirwa ◽  
Annette Dickinson ◽  
Gael Janine Mearns
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Educational Programme ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Nursing Competence ◽  
Competence Scale ◽  
Tertiary Hospitals ◽  
Care Nursing

BackgroundCritical care specialty deals with the complex needs of critically ill patients. Nurses who provide critical care are expected to possess the appropriate knowledge and skills required for the care of critically ill patients. The aim of this study was to assess the effect of an educational programme on the competence of critical care nurses at two tertiary hospitals in Lilongwe and Blantyre, Malawi.MethodsA quantitative pre- and post-test design was applied. The training programme was delivered to nurses (n = 41) who worked in intensive care and adult high dependency units at two tertiary hospitals. The effect of the training was assessed through participants’ self-assessment of competence on the Intensive and Critical Care Nursing Competence Scale and a list of 10 additional competencies before and after the training.ResultsThe participants’ scores on the Intensive and Critical Care Nursing Competence Scale before the training, M = 608.2, SD = 59.6 increased significantly after the training, M = 684.7, SD = 29.7, p <.0001 (two-tailed). Similarly, there was a significant increase in the participants’ scores on the additional competencies after the training, p <.0001 (two-tailed). ConclusionThe programme could be used for upskilling nurses in critical care settings in Malawi and other developing countries with a similar context.

Access to Continuing Education for Critical Care Nurses in Rural or Remote Settings

2017 ◽  
Vol 37 (2) ◽  
pp. 66-71 ◽  
Author(s):  
Lori Hendrickx ◽  
Charlene Winters
Keyword(s):  
Critical Care ◽  
Continuing Education ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Care Facilities ◽  
Critical Care Nurses ◽  
Skilled Nursing ◽  
Wide Range

Caring for the critically ill does not occur solely in large medical centers or urban areas. Nurses practicing in rural or remote settings practice as nurse generalists, caring for a wide range of patients, including those needing critical care. As a nurse generalist, the need for a wide variety of skill sets challenges nurses in rural areas to maintain current practice through continuing education across many content areas. They also may not come in contact with critically ill patients or emergent situations as often as their urban counterparts, which can make remaining comfortable with more advanced skills difficult. Because nurses working in rural or remote areas may care for critically ill patients less often, the need to remain vigilant in pursuit of continuing education is increased; however, access to continuing education can be problematic because of geographic isolation, difficulty getting time off from work, limited financial resources, and perceived lack of applicable topics. With advances in technology, critical care nurses working in rural areas have more options for continuing education, which is crucial for maintaining a skilled nursing workforce in rural health care facilities. This article addresses challenges critical care nurses working in remote or rural areas face in pursuing continuing education and provides information about available educational opportunities.

Intrahospital transports of critically ill patients: critical care nurses' perceptions

2015 ◽  
Vol 21 (3) ◽  
pp. 178-184 ◽  
Author(s):  
Mona Ringdal ◽  
Wendy Chaboyer ◽  
Margareta Warrén Stomberg
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Critical Care Nurses ◽  
Nurses Perceptions

scholarly journals The Effect of Two Bed Bath Practices in Cost and Vital Signs of Critically Ill Patients

2021 ◽  
Vol 18 (2) ◽  
pp. 816
Author(s):  
Chia-Hui Tai ◽  
Tsung-Cheng Hsieh ◽  
Ru-Ping Lee
Keyword(s):  
Critically Ill ◽  
Nursing Staff ◽  
Critically Ill Patients ◽  
Vital Sign ◽  
Vital Signs ◽  
Personal Hygiene ◽  
Control Group ◽  
Staff Satisfaction ◽  
Chi Square ◽  
Chi Square Test

By promoting personal hygiene and improving comfort, bed baths can decrease the risk of infection and help maintain skin integrity in critically ill patients. Current bed-bathing practices commonly involve the use of either soap and water (SAW) or disposable wipes (DWs). Previous research has shown both bed-bathing methods are equally effective in removing dirt, oil, and microorganisms. This experimental study compared the cost, staff satisfaction, and effects of two bed-bathing practices on critically ill patients’ vital signs. We randomly assigned 138 participants into 2 groups: an experimental group that received bed baths using DWs and a control group that received bed baths using SAW. We compared the bath duration, cost, vital sign trends, and nursing staff satisfaction between the two groups. We used the chi-square test and t-test for the statistical analysis, and we expressed the quantitative data as mean and standard deviation. Our results showed the bed baths using DWs had a shorter duration and lower cost than those using SAW. There were no significant differences in the vital sign trends between the two groups. The nursing staff preferred to use DWs over SAW. This study can help clinical nursing staff decide which method to use when assisting patients with bed baths.

Effect of emergency critical care nurses and emergency department boarding time on in-hospital mortality in critically ill patients

2021 ◽  
Vol 41 ◽  
pp. 120-124
Author(s):  
Jason Nesbitt ◽  
Tsuyoshi Mitarai ◽  
Garrett K. Chan ◽  
Jennifer G. Wilson ◽  
Kian Niknam ◽  
...  
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Hospital Mortality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Critical Care Nurses

Critical Care Nurses’ Perceived Need for Guidance in Addressing Spirituality in Critically Ill Patients

2016 ◽  
Vol 25 (3) ◽  
pp. 206-211 ◽  
Author(s):  
Christina Canfield ◽  
Debi Taylor ◽  
Kimberly Nagy ◽  
Claire Strauser ◽  
Karen VanKerkhove ◽  
...  
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Spiritual Care ◽  
Critically Ill Patients ◽  
Further Education ◽  
Critical Care Nurses ◽  
Spiritual Needs ◽  
Individual Interviews ◽  
Perceived Need ◽  
Working Definition

Background The term spirituality is highly subjective. No common or universally accepted definition for the term exists. Without a clear definition, each nurse must reconcile his or her own beliefs within a framework mutually suitable for both nurse and patient. Objectives To examine individual critical care nurses’ definition of spirituality, their comfort in providing spiritual care to patients, and their perceived need for education in providing this care. Methods Individual interviews with 30 nurses who worked in a critical care unit at a large Midwestern teaching hospital. Results Nurses generally feel comfortable providing spiritual care to critically ill patients but need further education about multicultural considerations. Nurses identified opportunities to address spiritual needs throughout a patient’s stay but noted that these needs are usually not addressed until the end of life. Conclusions A working definition for spirituality in health care was developed: That part of person that gives meaning and purpose to the person’s life. Belief in a higher power that may inspire hope, seek resolution, and transcend physical and conscious constraints.

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