scholarly journals Assessment of Anxiety in Healthcare Providers Working in ICU during COVID-19 Pandemics

2020 ◽  
pp. 46-53
Author(s):  
Hakan Dal ◽  
Esra Sultan Karabulut Keklik ◽  
Baris Kaki
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Work Experience ◽  
Healthcare Providers ◽  
Psychological Status ◽  
Anxiety And Depression ◽  
Social Psychological ◽  
Factors Associated ◽  
The Relationship

Objective: After onset of coronavirus disease (COVID-19), the risk for exposure or having the disease is increased among healthcare providers involved in the treatment of the disease. There are reports of healthcare providers died due to COVID-19 disease who became ill during work. This resulted in psychological distress in healthcare providers. In this study, we aimed to investigate anxiety in healthcare providers working at intensive care units, considered as an area at highest risk, and to confirm social psychological factors among healthcare providers working in hospitals. Materials and Methods: The study included 106 healthcare providers working in intensive care unit who accepted participation to the survey. The healthcare providers responded to survey were stratified into 2 groups as those working in pandemic intensive care unit (pandemic group; n=55) and those working in remaining intensive care units (others; n=51). The relationship between sociodemographic characteristics and levels of anxiety and depression was evaluated using State-Trait Anxiety Inventory. Results: In our study, it was found that STAI anxiety scores were higher in healthcare providers working in pandemic intensive care unit during COVID-19 outbreak (p<0.05). In the pandemic group, anxiety scores were significantly higher in male healthcare providers when compared to female healthcare providers (p>0.05). However, it was seen that healthcare providers with work experience of 1-10 years had higher mean anxiety level in STAI-II scale. It was also seen that anxiety score was significantly higher in those with work experience of 1-10 years when compared to those work experience of 11-20 years or ≥21 years (p<0.05). Work setting, male gender, experience of intensive care and concerns about outbreak were identified as factors associated to anxiety. Conclusion: Our study showed that STAI anxiety scores were higher in healthcare providers working in pandemic ICU during COVID-19 outbreak. The COVID-19 period has led psychological problems in healthcare providers working in ICU. It is important to provide psychological support and information, and to monitor psychological status in healthcare providers.

Patient’s dignity in intensive care unit: A critical ethnography

2017 ◽  
Vol 26 (3) ◽  
pp. 738-752 ◽  
Author(s):  
Farimah Shirani Bidabadi ◽  
Ahmadreza Yazdannik ◽  
Ali Zargham-Boroujeni
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Healthcare Providers ◽  
Cultural Knowledge ◽  
Medical Sciences ◽  
Interactive Communication ◽  
Major Barrier ◽  
Ethical Approval

Background: Maintaining patient’s dignity in intensive care units is difficult because of the unique conditions of both critically-ill patients and intensive care units. Objectives: The aim of this study was to uncover the cultural factors that impeded maintaining patients’ dignity in the cardiac surgery intensive care unit. Research Design: The study was conducted using a critical ethnographic method proposed by Carspecken. Participants and research context: Participants included all physicians, nurses and staffs working in the study setting (two cardiac surgery intensive care units). Data collection methods included participant observations, formal and informal interviews, and documents assessment. In total, 200 hours of observation and 30 interviews were performed. Data were analyzed to uncover tacit cultural knowledge and to help healthcare providers to reconstruct the culture of their workplace. Ethical Consideration: Ethical approval for the study from Ethics committee of Isfahan University of Medical Sciences was obtained. Findings: The findings of the study fell into the following main themes: “Presence: the guarantee for giving enough attention to patients’ self-esteem”, “Instrumental and objectified attitudes”, “Adherence to the human equality principle: value-action gap”, “Paternalistic conduct”, “Improper language”, and “Non-interactive communication”. The final assertion was “Reductionism as a major barrier to the maintaining of patient’s dignity”. Discussion: The prevailing atmosphere in subculture of the CSICU was reductionism and paternalism. This key finding is part of the biomedical discourse. As a matter of fact, it is in contrast with dignified care because the latter necessitate holistic attitudes and approaches. Conclusion: Changing an ICU culture is not easy; but through increasing awareness and critical self-reflections, the nurses, physicians and other healthcare providers, may be able to reaffirm dignified care and cure in their therapeutic relationships.

scholarly journals Comorbidity and survival after admission to the intensive care unit: A population-based study of 41,230 patients

2020 ◽  
pp. 175114372091422
Author(s):  
Alasdair Simpson ◽  
Kathryn Puxty ◽  
Philip McLoone ◽  
Tara Quasim ◽  
Billy Sloan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Admission ◽  
Intensive Care Units ◽  
Odds Ratio ◽  
Intensive Care Unit Mortality ◽  
Population Based ◽  
Logistic Regression Models ◽  
Rheumatological Disease ◽  
The Relationship

Purpose To describe the relationship between comorbidities and survival following admission to the intensive care unit. Methods Retrospective observational study using several linked routinely collected databases from 16 general intensive care units between 2002 and 2011. Comorbidities identified from hospitalisation in the five years prior to intensive care unit admission. Odds ratios for survival in intensive care unit, hospital and at 30 days, 180 days and 12 months after intensive care unit admission derived from multiple logistic regression models. Results There were 41,230 admissions to intensive care units between 2002 and 2011. Forty-one percent had at least one comorbidity – 24% had one, 17% had more than one. Patients with comorbidities were significantly older, had higher Acute Physiology and Chronic Health Evaluation II scores and were more likely to have received elective rather than emergency surgery compared with those without comorbidities. After excluding elective hospitalisations, intensive care unit and hospital mortality for the cohort were 24% and 29%, respectively. Asthma (odds ratio 0.79, 95% confidence interval 0.63–0.99) and solid tumours (odds ratio 0.74, 0.67–0.83) were associated with lower odds of intensive care unit mortality than no comorbidity. Intensive care unit mortality was raised for liver disease (odds ratio 2.98, 2.43–3.65), cirrhosis (odds ratio 2.61, 1.9–3.61), haematological malignancy (odds ratio 2.29, 1.85–2.83), chronic ischaemic heart disease (odds ratio 1.53, 1.19–1.98), heart failure (odds ratio 1.79, 1.35–2.39) and rheumatological disease (odds ratio 1.53, 1.18–1.98). Conclusions Comorbidities affect two-fifths of intensive care unit admission and have highly variable effects on subsequent outcomes. Information on the differential effects of comorbidities will be helpful in making better decisions about intensive care unit support and understanding outcomes beyond surviving intensive care unit.

Factors Influencing Length of Stay in the Intensive Care Unit

2006 ◽  
Vol 15 (5) ◽  
pp. 502-509 ◽  
Author(s):  
David A. Gruenberg ◽  
Wayne Shelton ◽  
Susannah L. Rose ◽  
Ann E. Rutter ◽  
Sophia Socaris ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
English Language ◽  
Institutional Factors ◽  
Healthcare Personnel ◽  
Social Psychological ◽  
Factors Associated ◽  
Outcomes Of Care ◽  
Organizational Pattern

• Background Long stays in the intensive care unit are associated with high costs and burdens on patients and patients’ families and in turn affect society at large. Although factors that affect length of stay and outcomes of care in the intensive care unit have been studied extensively, the conclusions reached have not been reviewed to determine whether they reveal an organizational pattern that might be of practical use in reducing length of stay in the unit. • Objective To identify and categorize the factors associated with prolonged stays in the intensive care unit and to describe briefly the nonmedical interventions to date designed to reduce length of stay. • Methods Articles published between January 1990 and March 2005 in English-language journals indexed by MEDLINE were searched for studies on outcomes and costs of care in the intensive care unit and on care at the end of life. • Results The emerging consensus is that length of stay in the intensive care unit is exacerbated by several increasingly discernible medical, social, psychological, and institutional factors. At the same time, several nonmedical, experimental interventions have been designed to reduce length of stay. • Conclusions Interventions involving palliative care, ethics consultations, and other methods to increase communication between healthcare personnel, patients, and patients’ families may be helpful in decreasing length of stay in the intensive care unit. Further studies are needed to provide a strategy for targeting specific risk factors indicated by the literature review.

scholarly journals RELAÇÃO FAMILIAR NA UNIDADE DE TERAPIA INTENSIVA NEONATAL: REVISÃO INTEGRATIVA

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Maria Solange Nogueira Dos Santos ◽  
Karla Maria Carneiro Rolim ◽  
Mirna Frota Albuquerque ◽  
Carlon Washington Pinheiro ◽  
Fernanda Jorge Magalhães ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Intensive Therapy ◽  
Neonatal Intensive Care Units ◽  
Neonatal Nursing ◽  
Terapia Intensiva ◽  
The Relationship

Objetivo: Identificar a produção do conhecimento, na literatura, acerca das relações familiares do neonato e os profissionais da Enfermagem atuantes na Unidade de Terapia Intensiva Neonatal. Metodologia: Revisão integrativa realizada no período de junho a agosto de 2016, nas bases de dados Scopus, PUBMED/Medline, Ebsco, Lilacs e Scielo. Os descritores foram: Unidades de Terapia Intensiva Neonatal, Enfermagem Neonatal, Relações Mãe-Filho, em português, inglês e espanhol. Como critério de inclusão teve-se: responder a questão norteadora “Qual o conhecimento produzido, na literatura sobre as relações entre pais/filhos e profissionais da saúde na UTIN” e estar disponível eletronicamente na íntegra. A população foi de 101 estudos, sendo selecionada uma amostra de 13 artigos. A análise foi realizada mediante a Teoria Fundamentada em Dados. Resultados: Evidenciou-se duas temáticas que demonstram as frágeis relações familiares e interpessoais da equipe de Enfermagem na complexidade do ambiente da Unidade de Terapia Intensiva Neonatal e a labilidade do vínculo entre profissionais, pais/família/ recém-nascido. Conclusão: Concluiu-se que foi possível identificar as estratégias de humanização para favorecer as relações entre o recém-nascido internado em Unidade de Terapia Intensiva Neonatal e seus familiares. Sugere-se o aprofundamento de tal problemática de modo contribuir com novas pesquisas que possam auxiliar na prática clínica na neonatologia.Descritores: Unidades de Terapia Intensiva Neonatal; Enfermagem Neonatal; Relações Familiares.FAMILY RELATIONSHIP IN NEONATAL INTENSIVE THERAPY UNIT: INTEGRATIVE REVIEWObjective: Analyze the production of knowledge about the relationship between parents -children and nursing professionals in Neonatal Intensive Care Unit. Methodology: Integrative Review that occurred in the period from June to August of 2016, in the databases Scopus, PUBMED/Medline, Ebsco, Lilacs and Scielo. The descriptors were: Neonatal Intensive Care Units AND Neonatal Nursing AND mother-child Relationships, in Portuguese, English and Spanish. What knowledge is produced in the literature on the relationship between parents / children and health professionals in the NICU? The sample was of 13 articles in which they used the Theory based on data, such as search method of analysis. Results: Two themes have come to attention demonstrating the fragile family and interpersonal relationships with the nursing staff on the complexity of the environment of the Neonatal Intensive Care Unit and the liability of the bond between professionals, parents/family/newborn. Conclusion: In conclusion, that it was possible to identify the strategies of humanization in order to facilitate the relationships between the newborn admitted to Neonatal Intensive Care Unit and their families. It is suggested the deepening of such problems in order to contribute with new research that may assist in clinical practice in neonatology.Descriptors: Neonatal Intensive Care Units; Neonatal Nursing; Mother-son relationships.RELACIÓN FAMILIAR EN LA UNIDAD DE TERAPIA INTENSIVA NEONATAL: REVISIÓN INTEGRATIVAObjetivo: Analizar la producción del conocimiento acerca de las relaciones entre padres-hijos y profesionales de la Enfermería en la Unidad de Terapia Intensiva Neonatal. Metodología: Revisión integrativa que ocurrió en el período comprendido entre junio y agosto de 2016 en las bases de datos Scopus, PUBMED / Medline, Ebsco, Lilacs y Scielo. Los descriptores fueron: Unidades de Terapia Intensiva Neonatal AND Enfermería Neonatal AND Relaciones Madre-Hijo, en portugués, inglés y español. ¿Cuál es el conocimiento producido en la literatura sobre las relaciones entre padres / hijos y profesionales de la salud en la UTIN? La muestra fue de 13 artículos en que se utilizó la Teoría Fundamentada en Datos, como método de análisis de la investigación. Resultados: Se evidenció dos temáticas que demuestran las frágiles relaciones familiares e interpersonal del equipo de Enfermería en la complejidad del ambiente de la Unidad de Terapia Intensiva Neonatal y la labilidad del vínculo entre profesionales, padres / familia / recién nacido. Conclusión: Se concluyó que fue posible identificar las estrategias de humanización para favorecer las relaciones entre el recién nacido internado en Unidad de Terapia Intensiva Neonatal y sus familiares. Se sugiere la profundización de tal problemática de modo contribuir con nuevas investigaciones que puedan auxiliar en la práctica clínica en la neonatología.Descriptores: Unidades de Cuidado Intensivo Neonatal; Enfermería Neonatal; Relaciones Madre-Hijo.

YENİDOĞAN YOĞUN BAKIM ÜNİTELERİNDE İŞ KAZALARI RİSKLERİ VE NEDENLERİNE YÖNELİK BİR ARAŞTIRMA

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Haluk Tanrıverdi ◽  
Orhan Akova ◽  
Nurcan Türkoğlu Latifoğlu
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Physical Environment ◽  
Neonatal Intensive Care ◽  
Organizational Factors ◽  
Occupational Accidents ◽  
Neonatal Intensive Care Units ◽  
Work Related ◽  
Physical Conditions ◽  
The Relationship

This study aims to demonstrate the relationship between the qualifications of neonatal intensive care units of hospitals (physical conditions, standard applications, employee qualifications and use of personal protective equipment) and work related causes and risks, employee related causes and risks when occupational accidents occur. Accordingly, a survey was prepared and was made among 105 nurses working in 3 public and 3 private hospital's neonatal intensive care units, in the January of 2010. The survey consists of questions about the qualifications of neonatal intensive care units, work related causes and risks, and employee related causes and risks. From the regression analysis conducted, it has been found that confirmed hypotheses in several studies in the literature were not significant in this study. The sub-dimensions in which relationships has been found show that the improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications can reduce the rate of occupational accidents. According to the results of this study management should take care of the organizational factors besides to improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications.

Parameters of bed occupancy of intensive care units in Hungary

2011 ◽  
Vol 152 (24) ◽  
pp. 946-950 ◽  
Author(s):  
Miklós Gresz
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Insurance ◽  
Intensive Care Units ◽  
Emergency Care ◽  
Present Author ◽  
Bed Occupancy ◽  
National Network ◽  
Bed Capacity

According to the Semmelweis Plan for Saving Health Care, ”the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present”. Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary because patients occupying these beds were discharged to their homes directly from the intensive care unit. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.

Healing experience for family caregivers after an intensive care unit death

2019 ◽  
pp. bmjspcare-2018-001561 ◽  
Author(s):  
Susan DeSanto-Madeya ◽  
Dan Willis ◽  
Julie McLaughlin ◽  
Aristotle Boslet
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Caregivers ◽  
Phenomenological Study ◽  
Healthcare Providers ◽  
Loved One ◽  
Hermeneutic Phenomenological ◽  
Telephone Interviews ◽  
Hermeneutic Phenomenological Study ◽  
Purposive Sample

ObjectivesFamily caregivers suffer a high burden of emotional and psychological distress following the death of a loved one in the intensive care unit and often struggle to heal in the weeks following their loss. The purpose of this hermeneutic phenomenological study was to describe and interpret the experience of healing for family caregivers six weeks following the death of a loved one in the ICU.MethodsSemi-structured telephone interviews were conducted with a purposive sample of twenty-four family caregivers six weeks following the death of their loved ones in the ICU. Qualitative analysis techniques were used to identify common themes central to the experience of healing across all interviews.ResultsSeven themes were interpreted from the data: searching for clarity from a time of uncertainty; riding an emotional rollercoaster; seeking peace in one’s decisions; moving forward with each new day; taking comfort in the memories; valuing layers of support; and discovering life on one’s own.ConclusionBy identifying and gaining an understanding of healing following the death of a loved one in the ICU, nursing and other healthcare providers have an opportunity to promote healing and positively impact family caregiver’s bereavement.

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