An integrative review of supports, facilitators and barriers to patient-centred nursing in the intensive care unit

2017 ◽  
Vol 26 (23-24) ◽  
pp. 4153-4171 ◽  
Author(s):  
Samantha Jakimowicz ◽  
Lin Perry ◽  
Joanne Lewis
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Integrative Review ◽  
Facilitators And Barriers

scholarly journals Pharmacists’ Perceptions on Their Role, Activities, Facilitators, and Barriers to Practicing in a Post-Intensive Care Recovery Clinic

2019 ◽  
Vol 55 (2) ◽  
pp. 119-125
Author(s):  
Antoinette B. Coe ◽  
Rebecca E. Bookstaver ◽  
Andrew C. Fritschle ◽  
Michael T. Kenes ◽  
Pamela MacTavish ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Providers ◽  
Medical Center ◽  
Academic Medical Center ◽  
Direct Patient Care ◽  
Care Providers ◽  
Medication Regimen ◽  
Medication Reviews ◽  
Facilitators And Barriers

Background: Complex medication regimen changes burden intensive care unit (ICU) survivors and their caregivers during the transition to home. Intensive care unit recovery clinics are a prime setting for pharmacists to address patients’ and their caregivers’ medication-related needs. The purpose of this study was to describe ICU recovery clinic pharmacists’ activities, roles, and perceived barriers and facilitators to practicing in ICU recovery clinics across different institutions. Methods: An expert panel of ICU recovery clinic pharmacists completed a 15-item survey. Survey items addressed the pharmacists’ years in practice, education and training, activities performed, their perceptions of facilitators and barriers to practicing in an ICU recovery clinic setting, and general ICU recovery clinic characteristics. Descriptive statistics were used. Results: Nine ICU recovery clinic pharmacists participated. The average number of years in practice was 16.5 years (SD = 13.5, range = 2-38). All pharmacists practiced in an interprofessional ICU recovery clinic affiliated with an academic medical center. Seven (78%) pharmacists always performed medication reconciliation and a comprehensive medication review in each patient visit. Need for medication education was the most prevalent item found in patient comprehensive medication reviews. The main facilitators for pharmacists’ successful participation in an ICU recovery clinic were incorporation into clinic workflow, support from other health care providers, and adequate space to see patients. The ICU recovery clinic pharmacists perceived the top barriers to be lack of dedicated time and inadequate billing for services. Conclusions: The ICU recovery clinic pharmacists address ICU survivors’ medication needs by providing direct patient care in the clinic. Strategies to mitigate pharmacists’ barriers to practicing in ICU recovery clinics, such as lack of dedicated time and adequate billing for pharmacist services, warrant a multifaceted solution, potentially including advocacy and policy work by national pharmacy professional organizations.

scholarly journals Family intensive care unit syndrome: An integrative review

2020 ◽  
Vol 25 (5) ◽  
pp. 361
Author(s):  
SeyedTayeb Moradian ◽  
Yaser Saeid ◽  
MohammadMahdi Salaree ◽  
Abbas Ebadi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Integrative Review

scholarly journals Cuidados com a pele do recém-nascido internado em unidade de terapia intensiva neonatal: revisão integrativa Skin care to newborns admitted in neonatal intensive care unit: integrative review

2016 ◽  
Vol 8 (4) ◽  
pp. 5156
Author(s):  
Tania Inez Schaefer Mariga ◽  
Angela Maria Naidon ◽  
Eliane Neves Tatsch
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Skin Care ◽  
Integrative Review ◽  
Terapia Intensiva

Objetivo: Descrever a natureza e tendência na produção científica de enfermagem sobre a temática de cuidados com a pele do recém-nascido (RN). Método: Realizou-se uma pesquisa bibliográfica, do tipo exploratório descritiva com abordagem qualitativa. Nas bases de dados Lilacs, Bdenf e Pubmed, com seleção de 11 artigos. Resultados: Mediante a leitura dos estudos, foram analisadas seis publicações nacionais e cinco publicações internacionais. Sendo sete estudos de abordagem qualitativa e quatro estudos de abordagem quantitativa. Este estudo possibilitou conhecer cuidados e formas de acompanhamento na avaliação da pele do neonato. Conclusão: evidenciaram-se poucos estudos sobre a temática de cuidados com a pele do recém-nascido, sendo necessários estudos que colaborem para a elaboração e revisão de protocolos de assistência direcionados a prevenção de agravos ao recém-nascido.

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