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"PICU"AND "learning" AND "nursing"

Tina M Slusher, Andrew W Kiragu, Louise T Day, Ashley R Bjorklund, Arianna Shirk, Colleen Johannsen, Scott A Hagen
Pediatric critical care is an important component of reducing morbidity and mortality globally. Currently, pediatric critical care in low middle-income countries (LMICs) remains in its infancy in most hospitals. The majority of hospitals lack designated intensive care units, healthcare staff trained to care for critically ill children, adequate numbers of staff, and rapid access to necessary medications, supplies and equipment. In addition, most LMICs lack pediatric critical care training programs for healthcare providers or certification procedures to accredit healthcare providers working in their pediatric intensive care units (PICU) and high dependency areas...
2018: Frontiers in Pediatrics
Gabrielle Denis-Larocque, Karl Williams, Isabelle St-Sauveur, Margaret Ruddy, Janet Rennick
OBJECTIVES: The aim of this study was to explore nurses' perceptions of caring for parents of children with medical complexity [CMC] in the pediatric intensive care unit [PICU]. RESEARCH METHODOLOGY: An interpretive descriptive design was used to explore nurses' perceptions of caring for parents of CMC in the PICU. Semi-structured interviews were conducted with ten nurses. Interview data were collected and analyzed using qualitative inductive content analysis. FINDINGS: Nurses revealed that their experiences of caring for parents of CMC evolved over time as they learned to tailor a caregiving partnership based on trust...
December 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Martin Stocker, Sina B Pilgrim, Margarita Burmester, Meredith L Allen, Wim H Gijselaers
BACKGROUND: Aiming for and ensuring effective patient safety is a major priority in the management and culture of every health care organization. The pediatric intensive care unit (PICU) has become a workplace with a high diversity of multidisciplinary physicians and professionals. Therefore, delivery of high-quality care with optimal patient safety in a PICU is dependent on effective interprofessional team management. Nevertheless, ineffective interprofessional teamwork remains ubiquitous...
2016: Journal of Multidisciplinary Healthcare
Jennifer Baird, Roberta S Rehm, Pamela S Hinds, Christina Baggott, Betty Davies
BACKGROUND: Parents of children with complex, chronic conditions report a desire for continuity of care, but relatively little is known about the ways in which nursing continuity of care occurs and the extent to which it is delivered in the inpatient setting. OBJECTIVES: The objective of this analysis, which arose from a study on best practices in parent/nurse interactions in the pediatric intensive care unit (PICU), was to explore the delivery of continuity of nursing care in the PICU from the perspective of both parents and nurses...
March 2016: Nursing Research
Katrina A Obas, Jessica M Leal, Michele Zegray, Janet E Rennick
BACKGROUND: Children with congenital heart disease (CHD) who undergo cardiac surgery are hospitalized in a paediatric intensive care unit (PICU) prior to being transferred to a surgical ward. This is a challenging transition for parents of children with CHD who experience high levels of stress related to their child's illness. AIM: To explore parents' perceptions of the transition from the PICU to the surgical ward following their child's cardiac surgery. STUDY DESIGN: A qualitative descriptive design using semi-structured interviews was used to explore parents' perceptions of the transfer experience...
May 2016: Nursing in Critical Care
Leilei Li, Guoping Lu
OBJECTIVE: To learn application status of continuous blood purification (CBP) in pediatric intensive care unit (PICU), to provide reference to promote the development of CBP technology. METHOD: The survey of CBP application was conducted using questionnaire in 40 hospitals providing intensive care, which included children's hospitals and the pediatric sections of general hospitals from 28 provinces/municipalities/autonomous regions in China during March to July of 2012...
March 2014: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Pavani Rangachari, Michael Madaio, R Karl Rethemeyer, Peggy Wagner, Lauren Hall, Siddharth Roy, Peter Rissing
Many hospitals are unable to successfully implement evidence-based practices. For example, implementation of the central line bundle (CLB), proven to prevent catheter-related bloodstream infections (CRBSIs), is often challenging. This problem is broadly characterized as a "change implementation failure." A prospective study was conducted in 2 intensive care units (ICUs), a medical ICU (MICU) and a pediatric ICU (PICU), within an academic health center. Both units had low baseline adherence to CLB and higher-than-expected CRBSIs...
January 2014: Quality Management in Health Care
Cathy Burnweit, Steven Stylianos
PURPOSE: This study outlines the evolution of a pediatric field hospital after the January 2010 Haiti earthquake. METHODS: Project Medishare set up a field hospital in Port-au-Prince 48 hours after the event. Our institution staffed the pediatric component for 45 days, with sequential deployment of 9 volunteer medical teams. Evolving facility and manpower requirements and changing patient demographics over time were evaluated. RESULTS: Delegations consisted of surgeons, pediatricians, nurses, operating room (OR) personnel, physical therapists, pharmacists, and support staff...
June 2011: Journal of Pediatric Surgery
Yu-Hua Deng, Chun-Bao Guo, Ming-Man Zhang, Ying-Cun Li
OBJECTIVE: To summarize experience of pediatric intensive care and explore the incidence of complications, the involved pathogens among liver recipients to determine the effective strategies for preventing complications. METHODS: Between June 2006 and July 2009, 35 children under the age of 14 yr received 35 liver transplantations (LTs) performed at the center. A retrospective review of 22 infants weighing 8.8 kg or less underwent 23 transplants was conducted. Indication for transplantation was biliary atresia...
January 2011: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Margot Thomas, Sonny Dhanani, Danica Irwin, Hilary Writer, Dermot Doherty
Sedation and analgesia are administered to critically ill children to provide comfort and pain relief, decrease anxiety and to promote patient safety in relation to life-saving treatments. A comprehensive practice guideline focused on ways to implement evidence-based sedation and analgesia practices was developed, disseminated and implemented by an interprofessional team in the pediatric intensive care unit (PICU) at the Children's Hospital of Eastern Ontario (CHEO) in Ottawa, Canada. The goals of this quality of care initiative were to (1) reduce inconsistent practices, (2) improve patient outcomes related to comfort, and (3) enhance collaboration among health care team members caring for critically ill children...
2010: Dynamics: the Official Journal of the Canadian Association of Critical Care Nurses
Jill Cochrane, Alexandra Heron, Kerry Lawlor
Student placements in the paediatric intensive care unit (PICU) have a number of benefits including the recruitment of staff to this specialty, students' learning of important observational skills and reenforcing the knowledge and skills of existing staff. However, the combination of critically ill children and large amounts of complex equipment can be daunting for the student nurse commencing a clinical placement in PICU. Careful induction, ongoing mentoring and opportunities to explore issues help to overcome students' fears of being unable to cope, and support the application of theory to practice in this challenging environment...
February 2008: Paediatric Nursing
Susanne Cox, Trevor Murrells, Sarah Robinson
Findings presented in this paper are drawn from a longitudinal study of nurses' careers (Robinson et al 1998, 1999). As part of this study, a large cohort of child branch diplomates were asked about their clinical experience while on the course and its effects on their initial work plans. For 12 of the 23 specialties listed, more than half of the 634 respondents felt that they did not have sufficient experience to comment. Findings indicate that there were five specialties which more than half of those who had experience during the course felt encouraged to work in: general paediatrics (73 per cent), community (63 per cent), oncology (60 per cent), PICU (59 per cent), and cardiac (53 per cent)...
December 2003: Paediatric Nursing
Sonja J Meiers, Patricia S Tomlinson
The purpose of the study was to understand and interpret caring in the family health experience by exploring the interactional phenomenon of family-nurse co-construction of meaning in the paediatric intensive care unit (PICU). A hermeneutic phenomenological method within a framework of existentialism and symbolic interactionism was used in the investigation. The convenience sample for this study was four family-nurse dyads, that is four families of critically ill children (all with positive outcomes) and the four nurses assigned to their care who were participating in a larger study...
June 2003: Scandinavian Journal of Caring Sciences
Jaquelina Hewitt-Taylor, Dinah Gould
AIM: This paper reports the views of students on the teaching and learning strategies used in paediatric intensive care nursing courses. STUDY METHODS: Qualitative methods of data collection and analysis were used. A case study of one paediatric intensive care nursing course was carried out, followed by group interviews with students from a further seven courses. Local ethics committee protocols were followed. Data were analysed using constant comparative analysis...
May 2002: Journal of Advanced Nursing
J Hewitt-Taylor
This article summarizes a report on the findings of a study of the education and training of registered nurses for practice in Paediatric Intensive Care Units (PICUs) in Australia and New Zealand. The study was funded by the Florence Nightingale Foundation and Sandra Charitable Trust, and was carried out in late 1997. One element of the study was the exploration of four Paediatric Intensive Care Courses in Australia and New Zealand. The study firstly identified that these courses appeared to be valued by the PICUs linked with the institutes providing the courses...
April 1998: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
J R Neidig, P Dalgas-Pelish, D L Johnston, J Galligan, E Longfield, K Mosby, A Peterson
Having recognized the need to update and modify their orientation program, a PICU nursing management team decided to develop a competency-based program. The goal was to facilitate transition of an orientee into a competent entry-level practitioner. This article outlines the procedure used to develop the initial phases: lists of competencies, competency evaluation worksheet and performance checklists. Later, various learning options and additional evaluation methods will be explored.
May 1993: Nursing Management
J Harris, S Culp, T Nicolayson, C Waterman, S L Whitehorn
Thirty-three pediatric cases of respiratory syncytial viral (RSV) infections were treated at Providence Hospital's Pediatric Intensive Care Unit (PICU), Anchorage, AK, between September 1987 and March 1988. Our 8-bed PICU nursing and respiratory therapy staff learned effective techniques in caring for patients with RSV. Our aim in this article is to share our approach in providing comprehensive care for patients with RSV infections.
April 1992: Journal of Pediatric Nursing
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