scholarly journals IMPACT OF FATIGUE RISK MANAGEMENT SYSTEM ON FATIGUE AND SITUATION AWARENESS OF SURGICAL INTENSIVE CARE UNIT NURSES

2019 ◽  
Vol 49 (S3) ◽  
pp. 19-19
Keyword(s):  
Intensive Care Unit ◽  
Risk Management ◽  
Intensive Care ◽  
Situation Awareness ◽  
Management System ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Risk Management System ◽  
Intensive Care Unit Nurses

Determinants of Nurses’ Use of Physical Restraints in Surgical Intensive Care Unit Patients

2017 ◽  
Vol 26 (5) ◽  
pp. 373-379 ◽  
Author(s):  
Jeanne Dolan ◽  
Sara E. Dolan Looby
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Patient Specific ◽  
Surgical Intensive Care Unit ◽  
Physical Restraints ◽  
Surgical Intensive Care ◽  
Critical Thought ◽  
Patients At Risk ◽  
Intensive Care Unit Nurses

Background Physical restraints are used in intensive care units, particularly among patients at risk for self-terminating necessary treatment interventions, including endotracheal tubes and invasive catheters. Assessments conducted by intensive care unit nurses often influence the collaborative decision to initiate and discontinue restraints in critical care patients. However, little is known about factors that influence the critical thought processes of intensive care unit nurses in determining use of restraints. Objectives To describe nurses’ determinants of initiation and discontinuation of restraints in surgical intensive care unit patients. Methods Semistructured interviews were conducted to identify and describe determinants of initiation and discontinuation of physical restraints. Demographic and employment data were collected via questionnaire. Interviews were recorded, transcribed, and analyzed by using conventional content analysis to establish categories and identify themes. Results A total of 13 nurses (mean age 43 [SD, 12] years, 92% female, mean of 18 [SD, 12] years of practice as a registered nurse, 69% bachelor of science in nursing) participated in the study. Content analysis revealed 3 general categories and 8 themes that indicated the thoughtful reflection processes nurses in a surgical intensive care unit use to determine use of restraints. Conclusions Top priorities were ensuring patient safety and comfort. Nurses synthesized factors including practice experience, patient-specific behaviors and risk, and patients’ need for devices in determining use of restraints.

Opinions of nurses on the ethical problems encountered while working as a team in intensive care units

2018 ◽  
Vol 13 (3) ◽  
pp. 120-125
Author(s):  
Oya Ögenler ◽  
Ahmet Dağ ◽  
Havva Doğan ◽  
Talip Genç ◽  
Hürmüs Kuzgun ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
University Hospital ◽  
Surgical Intensive Care Unit ◽  
University Graduates ◽  
Surgical Intensive Care ◽  
Ethical Problems ◽  
Item Data ◽  
Intensive Care Unit Nurses

Background The intensive care unit entails working as a team in rescuing patients from life-threatening conditions. The care being given by the team could also be done by nurses and other health professionals through the coordinated use of all medical practices. Objective To determine the opinion of nurses on the ethical problems they experienced while working as a team in the intensive care units of a university hospital. Method The descriptive research was conducted on nurses working in intensive care units (n = 96). A 56-item data collection form consisting of two parts developed by the researchers was used. Frequency (percent) and median were evaluated, and statistical calculations were used for group comparisons. Results Out of the 82 (85.4%) nurses who participated in the study, 65 (82.3%) were university graduates. About 52 (66.7%) of the participants were female with a mean age of 28.12 ± 5.84; 26 (31.6%) had intensive care certification, and 54 (65.1%) had ethical training. The internal intensive care unit nurses were less satisfied with their jobs, able to use tools, said that they had the right to refuse the patient compared to the surgical intensive care unit nurses. Discussion and conclusions: It is a positive situation for the participants to score low with ethical problems based on suggestion as the probability of meeting with their teammates. However, it is important that the problems that affect the motivation of the nurses are different according to the intensive care unit and the employees.

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