Evaluation of Shift Work on Bacterial Contamination of Cellular Phone of Health Care Staff at Adult Trauma Intensive Care Unit

2015 ◽  
Vol 1 (4) ◽  
Author(s):  
Mansoor Masjedi ◽  
Azin Hamidi ◽  
Monireh Feizi ◽  
Hamidreza Abbasi
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Shift Work ◽  
Bacterial Contamination ◽  
Cellular Phone ◽  
Care Staff ◽  
Health Care Staff

scholarly journals Barriers to reporting clinical errors in operating theatres and intensive care units of a university hospital: a qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sedighe Ghobadian ◽  
Mansour Zahiri ◽  
Behnaz Dindamal ◽  
Hossein Dargahi ◽  
Farzad Faraji-Khiavi
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Operating Theatre ◽  
University Hospital ◽  
Care Staff ◽  
Health Care Staff ◽  
Organizational Problems

Abstract Background Clinical errors are one of the challenges of health care in different countries, and obtaining accurate statistics regarding clinical errors in most countries is a difficult process which varies from one study to another. The current study was conducted to identify barriers to reporting clinical errors in the operating theatre and the intensive care unit of a university hospital. Methods This qualitative study was conducted in the operating theatre and intensive care unit of a university hospital. Data collection was conducted through semi-structured interviews with health care staff, senior doctors, and surgical assistants. Data analysis was carried out through listening to the recorded interviews and developing transcripts of the interviews. Meaning units were identified and codified based on the type of discussion. Then, codes which had a common concept were grouped under one category. Finally, the codes and designated categories were analysed, discussed and confirmed by a panel of four experts of qualitative content analysis, and the main existing problems were identified and derived. Results Barriers to reporting clinical errors were extracted in two themes: individual problems and organizational problems. Individual problems included 4 categories and 12 codes and organizational problems included 6 categories and 17 codes. The results showed that in the majority of cases, nurses expressed their desire to change the current prevailing attitudes in the workplace while doctors expected the officials to implement reform policies regarding clinical errors in university hospitals. Conclusion In order to alleviate the barriers to reporting clinical errors, both individual and organizational problems should be addressed and resolved. At an individual level, training nursing and medical teams on error recognition is recommended. In order to solve organizational problems, on the other hand, the process of reporting clinical errors should be improved as far as the nursing team is concerned, but when it comes to the medical team, addressing legal loopholes should be given full consideration.

scholarly journals Gradually Disengaging: Parent–Health care Provider Relationships After a Child’s Death in the Pediatric Intensive Care Unit

2018 ◽  
Vol 24 (3) ◽  
pp. 470-492 ◽  
Author(s):  
Ashleigh E. Butler ◽  
Helen Hall ◽  
Beverley Copnell
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care ◽  
Study Data ◽  
Care Staff ◽  
Constructivist Grounded Theory ◽  
Health Care Staff ◽  
Bereaved Parents ◽  
Child's Death

When a child dies in the intensive care unit, many bereaved parents want relationships with their child’s health care staff to continue in the form of follow-up care. However, the nature of these relationships and how they change across the parents’ bereavement journey is currently unknown. This article explores early and ongoing relationships between parents and health care staff when a child dies in intensive care. Constructivist grounded theory methods were used to recruit 26 bereaved parents from four Australian pediatric intensive care units into the study. Data were collected via audio-recorded, semistructured interviews and analyzed using the constant comparative methods and theoretical memoing. Findings show that these relationships focus on Gradually disengaging, commonly moving through three phases after the child dies: Saying goodbye, Going home, and Seeking supports. These findings provide guidance to health care staff on what families need as they leave the intensive care unit and move through bereavement.

scholarly journals Developing a practical methodology to improve the health-care services: studying a neonatal intensive care unit case in Oman

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nasr Al-Hinai ◽  
Ahm Shamsuzzoha
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Care Services ◽  
Neonatal Intensive Care ◽  
Care Staff ◽  
Content Type ◽  
Care Services ◽  
Time Motion

PurposeThis study aims to develop a practical methodology to identify possible areas of improvements as well as exploring how to improve the health-care staff flow within a selected department in a hospital.Design/methodology/approachIt focuses on showing how to properly study and analyze the health-care services and processes practiced at a selected department within a hospital. For this, several techniques like non-value-adding activities, time motion study, spaghetti diagram, layout analysis, etc. are used.FindingsTo test the proposed methodology, a neonatal intensive care unit (NICU) of a hospital in Oman was considered as a case study. The study revealed that this unit has several potential improvements capabilities. Further, this study also discussed possible areas of improvements of this case unit and suggested how such improvements can be implemented.Originality/valueSeveral possible improvements are suggested and are discussed with the hospital authority, which can be clarified as the re-layout of the NICU rooms, reorganization of the store to improve the staff flow, increase the work efficiency, introduction of Help Us Support Healing policy, etc., which can enhance the entire operational system at the studied NICU.

Grief Reactions of Potential Organ Donors’ Bereaved Relatives: An Observational Study

2020 ◽  
Vol 29 (5) ◽  
pp. 358-368
Author(s):  
María Soria-Oliver ◽  
Begoña Aramayona ◽  
Jorge S. López ◽  
María J. Martín ◽  
José M. Martínez ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Observational Study ◽  
Organ Donation ◽  
Family Members ◽  
Hospital Staff ◽  
Emotional Reactions ◽  
Care Staff ◽  
Health Care Staff ◽  
Organ Donors

Background Most family members of potential organ donors experience the death of their relative in an intensive care unit. While under an emotional burden, bereaved relatives must make a decision that will affect the life of other patients. A better understanding of grief within the context of organ donation will help intensive care unit staff better support families during this process. Objectives To empirically describe the emotional reactions of potential organ donors’ family members facing a loved one’s death and analyze the relationship of these reactions to factors that occur in the process of illness and death. Methods A prospective observational study was conducted in 16 Spanish hospitals for 36 months. Data of 421 relatives of potential organ donors, collected through a previously validated instrument, included relatives’ emotional responses, deceased’s and relatives’ characteristics, circumstances of death, and behavior of health care staff. Results Unexpected deaths were linked to more intense emotional reactions and less acceptance of death than were anticipated deaths. Additional stressors, such as perception of poor treatment by hospital staff, perception of deficient medical care, and poor relationships among family members, were associated with stronger reactions. Conclusions Observation and analysis of the factors studied may help hospital staff members anticipate bereaved relatives’ emotional reactions and provide better support during the grieving process, increasing family members’ well-being and facilitating a better-informed organ donation decision.

Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review

2021 ◽  
Vol 41 (1) ◽  
pp. 32-44
Author(s):  
Valérie Lebel ◽  
Sylvie Charette
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Psychological Symptoms ◽  
Family Members ◽  
Care Staff ◽  
Health Care Staff ◽  
Accurate Information ◽  
Nursing Interventions ◽  
And Behavior

Background Having a family member admitted to an intensive care unit is a stressful experience that may lead to psychological symptoms including depression, anxiety, and posttraumatic stress disorder. Objective To better understand the phenomenon of stress experienced by families of intensive care unit patients and identify nursing interventions that may help reduce it. Methods An integrative literature review was performed to identify principal stressors for families of patients receiving care in neonatal, pediatric, and adult intensive care units and recommended nursing interventions. Results The principal stressors in the 3 types of intensive care units were change in parental role or family dynamics, appearance and behavior of the patient, the care setting, and communication with the health care staff. Nursing interventions should focus on valuing the role of family members in patient care, improving communication, and providing accurate information. Clinical Relevance Family members of intensive care patients will benefit from nursing interventions that adequately acknowledge and address the stress they experience. Conclusion Nurses play a crucial role in helping to reduce the stress experienced by family members of intensive care unit patients.

scholarly journals A framework and toolkit of interventions to enhance reflective learning among health-care professionals: the PEARL mixed-methods study

2020 ◽  
Vol 8 (32) ◽  
pp. 1-82
Author(s):  
Julian Bion ◽  
Olivia Brookes ◽  
Celia Brown ◽  
Carolyn Tarrant ◽  
Julian Archer ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Mixed Methods ◽  
Health Services ◽  
Intensive Care Units ◽  
Reflective Learning ◽  
Mixed Methods Study ◽  
Project Teams ◽  
Care Staff ◽  
Health Care Staff

Background Although most health care is high quality, many patients and members of staff can recall episodes of a lack of empathy, respect or effective communication from health-care staff. In extreme form, this contributes to high-profile organisational failures. Reflective learning is a universally promoted technique for stimulating insight, constructive self-appraisal and empathy; however, its efficacy tends to be assumed rather than proven. The Patient Experience And Reflective Learning (PEARL) project has used patient and staff experience to co-design a novel reflective learning framework that is based on theories of behaviour and learning. Objective To create a toolkit to help health-care staff obtain meaningful feedback to stimulate effective reflective learning that will promote optimal patient-, family- and colleague-focused behaviours. Design A 3-year developmental mixed-methods study with four interlinked workstreams and 12 facilitated co-design meetings. The Capability, Opportunity, Motivation – Behaviour framework was used to describe factors influencing the behaviour of reflection. Setting This took place at five acute medical units and three intensive care units in three urban acute hospital trusts in England. Participants Patients and relatives, medical and nursing staff, managers and researchers took part. Data sources Two anonymous surveys, one for patients and one for staff, were developed from existing UK-validated instruments, administered locally and analysed centrally. Ethnographers undertook interviews and observed clinical care and reflective learning activities in the workplace, as well as in the co-design meetings, and fed back their observations in plenary workshops. Main outcome measures Preliminary instruments were rated by participants for effectiveness and feasibility to derive a final set of tools. These are presented in an attractively designed toolbox with multiple sections, including the theoretical background of reflection, mini guides for obtaining meaningful feedback and for reflecting effectively, guides for reflecting ‘in-action’ during daily activities, and a set of resources. Results Local project teams (physicians, nurses, patients, relatives and managers) chaired by a non-executive director found the quarterly reports of feedback from the patient and staff surveys insightful and impactful. Patient satisfaction with care was higher for intensive care units than for acute medical units, which reflects contextual differences, but in both settings quality of communication was the main driver of satisfaction. Ethnographers identified many additional forms of experiential feedback. Those that generated an emotional response were particularly effective as a stimulus for reflection. These sources of data were used to supplement individual participant experiences in the nine local co-design meetings and four workshops to identify barriers to and facilitators of effective reflection, focusing on capability, opportunity and motivation. A logic model was developed combining the Capability, Opportunity, Motivation – Behaviour framework for reflection and theories of learning to link patient and staff experience to changes in downstream behaviours. Participants proposed practical tools and activities to enhance reflection ‘in-action’ and ‘on-action’. These tools were developed iteratively by the local and central project teams. Limitations Paper-based surveys were burdensome to administer and analyse. Conclusions Patients and health-care staff collaborated to produce a novel reflective learning toolkit. Future work The toolkit requires evaluating in a cluster randomised controlled trial. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 32. See the NIHR Journals Library website for further project information.

Attitudes to Euthanasia in Icus and Other Hospital Departments

2009 ◽  
Vol 16 (3) ◽  
pp. 319-327 ◽  
Author(s):  
Selma Tepehan ◽  
Erdem Özkara ◽  
M. Fatih Yavuz
Keyword(s):  
Internal Medicine ◽  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Terminally Ill ◽  
Patient Rights ◽  
Care Staff ◽  
Health Care Staff ◽  
Terminally Ill Patients ◽  
Doctors And Nurses

The aim of this study was to reveal doctors' and nurses' attitudes to euthanasia in intensive care units and surgical, internal medicine and paediatric units in Turkey. A total of 205 doctors and 206 nurses working in several hospitals in Istanbul participated. Data were collected by questionnaire and analysed using SPSS v. 12.0. Significantly higher percentages of doctors (35.3%) and nurses (26.6%) working in intensive care units encountered euthanasia requests than those working in other units. Doctors and nurses caring for terminally ill patients in intensive care units differed considerably in their attitudes to euthanasia and patient rights from other health care staff. Euthanasia should be investigated and put on the agenda for discussion in Turkey.

scholarly journals Bacterial Colonization of Intensive Care Unit Environment and Healthcare Workers in A Tertiary Care Hospital in Kolar Region, India

2021 ◽  
Vol 15 (1) ◽  
pp. 402-409
Author(s):  
R. Kalyani ◽  
N. Arvind ◽  
N. Suresh Kumar ◽  
Mahendra M Reddy ◽  
K. Dinesh
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Bacterial Contamination ◽  
Diffusion Method ◽  
Bacterial Isolates ◽  
Environmental Surfaces ◽  
Care Workers

Direct shedding of microbes by patients and health care workers results in contamination of Intensive care unit environment. Intensive care unit acquired infections due to microbial contamination is a major concern because the patient’s immunity is already compromised. To determine the rate of bacterial contamination on environmental surfaces of Intensive care unit and health care workers and to determine the antibiogram of the isolates. Air samples and swabs from healthcare workers, their accessories, surrounding environmental surfaces were collected randomly over a period of 2 months in Adult Intensive care units. Bacterial isolates were identified by standard microbiological techniques. Antibiotic sensitivity testing was performed by Kirby Bauer disc diffusion method and data analyzed by Statistical Product and Service Solutions 22 version software. A total of 208 samples were randomly collected over 2 months, of which 56 samples yielded positive bacterial growth. Of 56 growth, 12 isolates were detected from air sampling method and 44 isolates from swabs. Among 44 isolates identified from swabs, 10 were isolated from healthcare workers, 4 from health care worker’s accessories and 30 from environmental surfaces. Six different bacterial isolates were identified, Coagulase Negative Staphylococcus (24) and Micrococcus (15) were the major isolates followed by Non fermenters (6), Staphylococcus aureus(4), Bacillus species(4) and diphtheroids (3) The antimicrobial sensitivity pattern of these bacterial isolates were sensitive to commonly used antibacterial agents. Study results showed Intensive care unit staff and environmental surfaces as probable sources of bacterial contamination. Study highlights the importance of cleaning and disinfection process and educate the health care workers about the possible sources of infections within Intensive care unit.

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