keyword
MENU ▼
Read by QxMD icon Read
search

Nursing Workload in the ICU

keyword
https://www.readbyqxmd.com/read/28226040/assessing-the-adequacy-of-workload-measurement-tools-using-a-quality-based-methodology
#1
Maria Fuensanta Hellín Gil, Maria José López Montesinos, Ana Myriam Seva Llor, Maria Pilar Ferrer Bas, Maria Loreto Maciá Soler
Objective: determine which tool (NEMS and NAS) is most suitable for use in intensive care units using a quality-based methodology. Method: after identifying the opportunity for improvement "Inadequacy of the NEMS for determining nursing workload in the intensive care unit (ICU)", we assessed the NEMS and the NAS, as a proposed improvement to the NEMS, using quality improvement cycles methodology based on the following criteria: measurement of daily nursing workload on a daily and shift basis; the tool encompasses all nursing activities undertaken in the ICU; and workload assessed per patient and unit...
January 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28208981/the-effect-of-emotion-regulation-training-on-occupational-stress-of-critical-care-nurses
#2
Darya Saedpanah, Shiva Salehi, Ladan Fattah Moghaddam
INTRODUCTION: Occupational stress is a common, serious and costly health problem in work environment. Nursing is a very stressful job high level of stress in this job affects nurses' physical and mental health. AIM: To investigate the effect of emotion regulation training of occupational stress on critical care nurses in two teaching hospitals in Sanandaj, Iran. MATERIALS AND METHODS: This interventional study was conducted on 60 nurses working in the Intensive Care Unit (ICU) and Critical Care Unit (CCU) in two teaching hospitals in Sanandaj, Iran...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28088171/assessing-the-sustainability-of-daily-chlorhexidine-bathing-in-the-intensive-care-unit-of-a-veteran-s-hospital-by-examining-nurses-perspectives-and-experiences
#3
Jackson S Musuuza, Tonya J Roberts, Pascale Carayon, Nasia Safdar
BACKGROUND: Daily bathing with chlorhexidine gluconate (CHG) of intensive care unit (ICU) patients has been shown to reduce healthcare-associated infections and colonization by multidrug resistant organisms. The objective of this project was to describe the process of daily CHG bathing and identify the barriers and facilitators that can influence its successful adoption and sustainability in an ICU of a Veterans Administration Hospital. METHODS: We conducted 26 semi-structured interviews with a convenience sample of 4 nurse managers (NMs), 13 registered nurses (RNs) and 9 health care technicians (HCTs) working in the ICU...
January 14, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28042054/design-and-rationale-of-heart-and-lung-failure-pediatric-insulin-titration-trial-half-pint-a-randomized-clinical-trial-of-tight-glycemic-control-in-hyperglycemic-critically-ill-children
#4
Michael Sd Agus, Ellie Hirshberg, Vijay Srinivasan, Edward Vincent Faustino, Peter M Luckett, Martha Aq Curley, Jamin Alexander, Lisa A Asaro, Kerry Coughlin-Wells, Donna Duva, Jaclyn French, Natalie Hasbani, Martha T Sisko, Carmen L Soto-Rivera, Garry Steil, David Wypij, Vinay M Nadkarni
OBJECTIVES: Test whether hyperglycemic critically ill children with cardiovascular and/or respiratory failure experience more ICU-free days when assigned to tight glycemic control with a normoglycemic versus hyperglycemic blood glucose target range. DESIGN: Multi-center randomized clinical trial. SETTING: Pediatric ICUs at 35 academic hospitals. PATIENTS: Children aged 2weeks to 17years receiving inotropic support and/or acute mechanical ventilation, excluding cardiac surgical patients...
February 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27959294/intensive-care-unit-nurses-beliefs-about-delirium-assessment-and-management
#5
Kimberly J Oosterhouse, Catherine Vincent, Marquis D Foreman, Valerie A Gruss, Colleen Corte, Barbara Berger
Delirium, the most frequent complication of hospitalized older adults, particularly in intensive care units (ICUs), can result in increased mortality rates and length of stay. Nurses are neither consistently identifying nor managing delirium in these patients. The purpose of this study was to explore ICU nurses' identification of delirium, actions they would take for patients with signs or symptoms of delirium, and beliefs about delirium assessment and management. In this cross-sectional study using qualitative descriptive methods guided by the theory of planned behavior, 30 ICU nurses' responses to patient vignettes depicting different delirium subtypes were explored...
October 2016: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/27930995/predictors-of-clinicians-underuse-of-daily-sedation-interruption-and-sedation-scales
#6
B Sneyers, S Henrard, P F Laterre, M M Perreault, C Beguin, D Wouters, N Speybroeck, A Spinewine
PURPOSE: The purpose of the study is to identify predictors of underuse of sedation scales and daily sedation interruption (DSI). METHODS: We surveyed all physicians and seven nurses in every Belgian intensive care unit (ICU), addressing practices and perceptions on guideline recommendations. Underuse was defined for sedation scales as use less than 3× per day and for DSI as never using it. Classification trees and logistic regressions identified predictors of underuse...
August 11, 2016: Journal of Critical Care
https://www.readbyqxmd.com/read/27878219/financial-impact-of-nursing-professionals-staff-required-in-an-intensive-care-unit
#7
Thamiris Ricci de Araújo, Mayra Gonçalves Menegueti, Maria Auxiliadora-Martins, Valéria Castilho, Lucieli Dias Pedreschi Chaves, Ana Maria Laus
Objective: to calculate the cost of the average time of nursing care spent and required by patients in the Intensive Care Unit (ICU) and the financial expense for the right dimension of staff of nursing professionals. Method: a descriptive, quantitative research, using the case study method, developed in adult ICU patients. We used the workload index - Nursing Activities Score; the average care time spent and required and the amount of professionals required were calculated using equations and from these data, and from the salary composition of professionals and contractual monthly time values, calculated the cost of direct labor of nursing...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27776092/perceived-nonbeneficial-treatment-of-patients-burnout-and-intention-to-leave-the-job-among-icu-nurses-and-junior-and-senior-physicians
#8
Daniel Schwarzkopf, Hendrik Rüddel, Daniel O Thomas-Rüddel, Jörg Felfe, Bernhard Poidinger, Claudia T Matthäus-Krämer, Christiane S Hartog, Frank Bloos
OBJECTIVES: Perceiving nonbeneficial treatment is stressful for ICU staff and may be associated with burnout. We aimed to investigate predictors and consequences of perceived nonbeneficial treatment and to compare nurses and junior and senior physicians. DESIGN: Cross-sectional, multicenter paper-pencil survey on personal and work-related characteristics, perceived nonbeneficial treatment, burnout, and intention to leave the job. SETTING: Convenience sample of 23 German ICUs...
March 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/27680056/nursing-workload-and-occurrence-of-adverse-events-in-intensive-care-a-systematic-review
#9
REVIEW
Andrea Carvalho de Oliveira, Paulo Carlos Garcia, Lilia de Souza Nogueira
OBJECTIVE: To identifyevidences of the influence of nursing workload on the occurrence of adverse events (AE) in adult patients admitted to the intensive care unit (ICU). METHOD: A systematic literature review was conducted in the databases MEDLINE, CINAHL, LILACS, SciELO, BDENF, and Cochrane from studies in English, Portuguese, or Spanish, published by 2015. The analyzed AE were infection, pressure ulcer (PU), patient falls, and medication errors. RESULTS: Of 594 potential studies, eight comprised the final sample of the review...
July 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27635769/healthcare-provider-perceptions-of-causes-and-consequences-of-icu-capacity-strain-in-a-large-publicly-funded-integrated-health-region-a-qualitative-study
#10
Sean M Bagshaw, Dawn Opgenorth, Melissa Potestio, Stephanie E Hastings, Shelanne L Hepp, Elaine Gilfoyle, David McKinlay, Paul Boucher, Michael Meier, Jeanna Parsons-Leigh, R T Noel Gibney, David A Zygun, Henry T Stelfox
OBJECTIVES: Discrepancy in the supply-demand relationship for critical care services precipitates a strain on ICU capacity. Strain can lead to suboptimal quality of care and burnout among providers and contribute to inefficient health resource utilization. We engaged interprofessional healthcare providers to explore their perceptions of the sources, impact, and strategies to manage capacity strain. DESIGN: Qualitative study using a conventional thematic analysis...
September 15, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27583910/influence-of-patient-and-provider-factors-on-the-workload-of-on-call-physicians-a-general-internal-medicine-cohort-observational-study
#11
Nin-Chieh Hsu, Chun-Che Huang, Jih-Shuin Jerng, Chia-Hao Hsu, Ming-Chin Yang, Ray-E Chang, Wen-Je Ko, Chong-Jen Yu
Factors associated with the physician workload are scarcely reported. The study aims to investigate the associated factors of on-call physician workload based on a published conceptual framework.The study was conducted in a general internal medicine unit of National Taiwan University Hospital. On-call physician workloads were recorded on a shift basis from 1198 hospitalized patients between May 2010 and April 2011. The proxy of on-call workloads included night calls, bedside evaluation/management (E/M), and performing clinical procedures in a shift...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27401048/clinical-activity-monitoring-system-cats-an-automatic-system-to-quantify-bedside-clinical-activities-in-the-intensive-care-unit
#12
REVIEW
Peng Guo, Yeong Shiong Chiew, Geoffrey M Shaw, Lei Shao, Richard Green, Adrian Clark, J Geoffrey Chase
Monitoring clinical activity at the bedside in the intensive care unit (ICU) can provide useful information to evaluate nursing care and patient recovery. However, it is labour intensive to quantify these activities and there is a need for an automated method to record and quantify these activities. This paper presents an automated system, Clinical Activity Tracking System (CATS), to monitor and evaluate clinical activity at the patient's bedside. The CATS uses four Microsoft Kinect infrared sensors to track bedside nursing interventions...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27391288/pressure-injury-prevention-in-a-saudi-arabian-intensive-care-unit-registered-nurse-attitudes-toward-prevention-strategies-and-perceived-facilitators-and-barriers-to-evidence-implementation
#13
Nahla Tayyib, Fiona Coyer, Peter Lewis
PURPOSE: The purpose of this study was to examine RNs' attitudes toward pressure injury (PI) prevention strategies. Barriers and facilitators perceived by RNs to potentially impact on the adoption and implementation of PI prevention interventions in the intensive care unit (ICU) were examined. DESIGN: Descriptive cross-sectional survey. SUBJECTS AND SETTING: The target population was RNs practicing in an intensive care unit (ICU) of a major tertiary hospital, King Abdul-Aziz, Mecca, in Saudi Arabia...
July 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27332367/nursing-activities-score-cloud-computerized-structure
#14
Kátia Bottega Moraes, Fabiana Zerbieri Martins, Maximiliano Dutra de Camargo, Débora Feijó Vieira, Ana Maria Muller Magalhães, Denise Tolfo Silveira
This study objective to describe the cloud Nursing Activities Score implementation process in the Intensive Care Unit of the Post-Anesthesia Recovery Room. It is a case study. The tools used were the Google applications with high productivity interconnecting the topic knowledge on behalf of the nursing professionals and information technology professionals. As partial results, it was determined that the average nursing staff workload in the ICU/PARR during the first 24 hours, according to the score on the scale, was 91...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27290297/nursing-workload-evaluation-in-icu-using-the-tiss-28-scale-in-cardiac-surgery-patients
#15
O Didenko, V Isajevas, D Gineityte, V Vicka
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/27222461/the-burden-of-diarrhea-in-the-intensive-care-unit-icu-bd-a-survey-and-observational-study-of-the-caregivers-opinions-and-workload
#16
Claudia-Paula Heidegger, Séverine Graf, Thomas Perneger, Laurence Genton, Taku Oshima, Claude Pichard
BACKGROUND: Diarrhea as a common complication affects 14% patients in our intensive care unit. Risk factors for diarrhea and its clinical consequences for patients are well known, but the impact of diarrhea on caregivers' workload remains undocumented. OBJECTIVES: This study aims at establishing the impact of diarrhea on costs and human burden in intensive care unit caregivers. DESIGN: A survey and observational study. SETTINGS: A mixed 36-bed medical and surgical intensive care unit...
July 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27094447/diarrhoea-in-the-critically-ill-is-common-associated-with-poor-outcome-and-rarely-due-to-clostridium-difficile
#17
Nikhil Tirlapur, Zudin A Puthucheary, Jackie A Cooper, Julie Sanders, Pietro G Coen, S Ramani Moonesinghe, A Peter Wilson, Michael G Mythen, Hugh E Montgomery
Diarrhoea is common in Intensive Care Unit (ICU) patients, with a reported prevalence of 15-38%. Many factors may cause diarrhoea, including Clostridium difficile, drugs (e.g. laxatives, antibiotics) and enteral feeds. Diarrhoea impacts on patient dignity, increases nursing workload and healthcare costs, and exacerbates morbidity through dermal injury, impaired enteral uptake and subsequent fluid imbalance. We analysed a cohort of 9331 consecutive patients admitted to a mixed general intensive care unit to establish the prevalence of diarrhoea in intensive care unit patients, and its relationship with infective aetiology and clinical outcomes...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27035854/differential-perceptions-of-noninvasive-ventilation-in-intensive-care-among-medical-caregivers-patients-and-their-relatives-a-multicenter-prospective-study-the-parvenir-study
#18
Matthieu Schmidt, Emmanuelle Boutmy-Deslandes, Sébastien Perbet, Nicolas Mongardon, Martin Dres, Keyvan Razazi, Emmanuel Guerot, Nicolas Terzi, Pierre Andrivet, Mikael Alves, Romain Sonneville, Christophe Cracco, Vincent Peigne, Francois Collet, Benjamin Sztrymf, Cedric Rafat, Danielle Reuter, Xavier Fabre, Vincent Labbe, Guillaume Tachon, Clémence Minet, Matthieu Conseil, Elie Azoulay, Thomas Similowski, Alexandre Demoule
BACKGROUND: Noninvasive ventilation (NIV) requires a close "partnership" between a conscious patient and the patient's caregivers. Specific perceptions of NIV stakeholders and their impact have been poorly described to date. The objectives of this study were to compare the perceptions of NIV by intensive care unit (ICU) physicians, nurses, patients, and their relatives and to explore factors associated with caregivers' willingness to administer NIV and patients' and relatives' anxiety in relation to NIV...
June 2016: Anesthesiology
https://www.readbyqxmd.com/read/26818706/outcomes-and-nursing-workload-related-to-obese-patients-in-the-intensive-care-unit
#19
Fernanda Souza Angotti Carrara, Suely Sueko Viski Zanei, Mariana Fernandes Cremasco, Iveth Yamaguchi Whitaker
OBJECTIVES: To compare the morbidity and mortality of patients with a body mass index (BMI) < and ≥30kg/m(2) and to identify risk factors related to death and length of stay of obese patients in the intensive care unit (ICU). METHODS: Prospective and cross-sectional study. SETTING: A 35-bed mixed ICU in São Paulo, Brazil. RESULTS: The sample consisted of 530 patients, of which 105 (19.8%) had a BMI ≥30kg/m(2)...
August 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/26761703/nursing-activities-score-an-updated-guideline-for-its-application-in-the-intensive-care-unit
#20
Katia Grillo Padilha, Siv Stafseth, Diana Solms, Marga Hoogendoom, Francisco Javier Carmona Monge, Om Hashem Gomaa, Konstantinus Giakoumidakis, Margarita Giannakopoulou, Maria Cecília Gallani, Edyta Cudak, Lilia de Souza Nogueira, Cristiane Santoro, Regina Cardoso de Sousa, Ricardo Luis Barbosa, Dinis Dos Reis Miranda
Objective To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil). The Delphi technique was used in expertise meetings and consensus...
February 2015: Revista da Escola de Enfermagem da U S P
keyword
keyword
94573
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"