Building safety cultures at the frontline: An emancipatory Practice Development approach for strengthening nursing surveillance on an acute care ward

2021 ◽  
Author(s):  
Jacqueline Peet ◽  
Karen A. Theobald ◽  
Clint Douglas
Keyword(s):  
Acute Care ◽  
Building Safety ◽  
Safety Cultures ◽  
Development Approach ◽  
Emancipatory Practice ◽  
Practice Development ◽  
Care Ward

Pre-operative patient teaching in an acute care ward in Hong Kong: A case study

2002 ◽  
Vol 13 (2-3) ◽  
pp. 271-280 ◽  
Author(s):  
David S. Lee ◽  
W. T. Chien
Keyword(s):  
Hong Kong ◽  
Acute Care ◽  
Patient Teaching ◽  
Care Ward

Increasing early ambulation disability in spontaneous intracerebral hemorrhage survivors

Neurology ◽  
2018 ◽  
Vol 90 (23) ◽  
pp. e2017-e2024 ◽  
Author(s):  
Yannick Béjot ◽  
Christelle Blanc ◽  
Benoit Delpont ◽  
Pierre Thouant ◽  
Cécile Chazalon ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Intracerebral Hemorrhage ◽  
Acute Care ◽  
Temporal Trends ◽  
Population Based ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Early Ambulation ◽  
Logistic Regression Models ◽  
Population Based Registry ◽  
Care Ward

ObjectiveTo evaluate temporal trends in early ambulatory status in patients with spontaneous intracerebral hemorrhage (ICH).MethodsAll patients with ICH between 1985 and 2011 were prospectively registered in a population-based registry in Dijon, France, and included in the study. Outcomes of ICH survivors were assessed at discharge from their stay in an acute care ward with the use of a 4-grade ambulation scale. Time trends in ambulation disability and place of discharge were analyzed in 3 periods (1985–1993, 1994–2002, and 2003–2011). Multivariable ordinal and logistic regression models were applied.ResultsFive hundred thirty-one patients with ICH were registered, of whom 200 (37.7%) died in the acute care ward. While the proportion of deaths decreased over time, that of patients with ambulation disability increased (odds ratio [OR] 1.67, 95% confidence interval [CI] 0.87–3.23, p = 0.124 for 1994–2002; and OR 1.97, 95% CI, 1.08–3.60, p = 0.027 for 2003–2011 vs 1985–1993 in ordinal logistic regression). The proportion of patients dependent in walking rose (OR 2.11, 95% CI 1.16–3.82, p = 0.014 for 1994–2002; and OR 2.73; 95% CI 1.54–4.84, p = 0.001 for 2003–2011), and the proportion of patients discharged to home decreased (OR 0.49, 95% CI 0.24–0.99, p = 0.048 for 1994–2002; and OR 0.32, 95% CI 0.16–0.64, p = 0.001 for 2003–2011).ConclusionThe decrease in in-hospital mortality of patients with ICH translated into a rising proportion of patients with ambulation disability at discharge. A lower proportion of patients returned home. These results have major implications for the organization of postacute ICH care.

Satisfied patients are also vulnerable patients ? narratives from an acute care ward

2006 ◽  
Vol 15 (10) ◽  
pp. 1240-1246 ◽  
Author(s):  
Venke Sørlie ◽  
Kirsti Torjuul ◽  
Anita Ross ◽  
Mona Kihlgren
Keyword(s):  
Acute Care ◽  
Vulnerable Patients ◽  
Care Ward

Self and other directed violence on a closed acute-care ward

1984 ◽  
Vol 56 (3) ◽  
pp. 178-188 ◽  
Author(s):  
Kathleen M. Myers ◽  
David L. Dunner
Keyword(s):  
Acute Care ◽  
Self And Other ◽  
Care Ward

scholarly journals Functional Changes during Hospital Stay in Older Patients Admitted to an Acute Care Ward: A Multicenter Observational Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (5) ◽  
pp. e96398 ◽  
Author(s):  
Stefanie L. De Buyser ◽  
Mirko Petrovic ◽  
Youri E. Taes ◽  
Davide L. Vetrano ◽  
Andrea Corsonello ◽  
...  
Keyword(s):  
Observational Study ◽  
Hospital Stay ◽  
Acute Care ◽  
Older Patients ◽  
Multicenter Observational Study ◽  
Functional Changes ◽  
Care Ward

Meeting Ethical Challenges in Acute Care Work as Narrated by Enrolled Nurses

2004 ◽  
Vol 11 (2) ◽  
pp. 179-188 ◽  
Author(s):  
Venke Sørlie ◽  
Annica Larsson Kihlgren ◽  
Mona Kihlgren
Keyword(s):  
Acute Care ◽  
Lived Experiences ◽  
Nurse Managers ◽  
Care Work ◽  
Ethical Challenges ◽  
Comprehensive Investigation ◽  
Return Home ◽  
Care Ward ◽  
Sports Activities

Five enrolled nurses (ENs) were interviewed as part of a comprehensive investigation into the narratives of registered nurses, ENs and patients about their experiences in an acute care ward. The ward opened in 1997 and provides patient care for a period of up to three days, during which time a decision has to be made regarding further care elsewhere or a return home. The ENs were interviewed concerning their experience of being in ethically difficult care situations and of acute care work. The method of phenomenological-hermeneutic interpretation inspired by the French philosopher Paul Ricoeur was used. The most prominent feature was the focus on relationships, as expressed in concern for society’s and administrators’ responsibility for health care and the care of older people. Other themes focus on how nurse managers respond to the ENs’ work as well as their relationships with fellow ENs, in both work situations and shared social and sports activities. Their reflections seem to show an expectation of care as expressed in their lived experiences and their desire for a particular level and quality of care for their own family members. A lack of time could lead to a bad conscience over the ‘little bit extra’ being omitted. This lack of time could also lead to tiredness and even burnout, but the system did not allow for more time.

scholarly journals What actions promote a positive ethical climate? A critical incident study of nurses’ perceptions

2012 ◽  
Vol 19 (4) ◽  
pp. 501-512 ◽  
Author(s):  
Marit Silén ◽  
Sofia Kjellström ◽  
Lennart Christensson ◽  
Birgitta Sidenvall ◽  
Mia Svantesson
Keyword(s):  
Acute Care ◽  
Critical Incident ◽  
Ethical Climate ◽  
Work Group ◽  
Critical Incident Technique ◽  
Qualitative Studies ◽  
Future Research ◽  
Next Of Kin ◽  
Nurses Perceptions ◽  
Care Ward

Few qualitative studies explore the phenomenon of positive ethical climate and what actions are perceived as promoting it. Therefore, the aim of this study was to explore and describe actions that acute care ward nurses perceive as promoting a positive ethical climate. The critical incident technique was used. Interviews were conducted with 20 nurses at wards where the ethical climate was considered positive, according to a previous study. Meeting the needs of patients and next of kin in a considerate way, as well as receiving and giving support and information within the work group, promoted a positive ethical climate. Likewise, working as a team with a standard for behaviour within the work group promoted a positive ethical climate. Future research should investigate other conditions that might also promote a positive ethical climate.

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