Patients' and Health Care Providers' Perception of Stressors in the Critical Care Units

2013 ◽  
Author(s):  
◽  
Alham Abuatiq
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Critical Care Units

scholarly journals Nurses' compliance to patient and environmental safety guidelines in critical care units

2020 ◽  
Vol 9 (2) ◽  
pp. 61
Author(s):  
Eman Aly Abd Elhamid ◽  
Nehad Ezz Eldin Abdallah ◽  
Safaa Mohamed Abd Elrahman 3
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Patient Safety ◽  
Health Care Providers ◽  
Environmental Safety ◽  
Care Providers ◽  
High Quality ◽  
Critical Care Units ◽  
Study Results ◽  
Safety Guidelines

The ability to provide safe and high-quality care to patients is the primary goal and the focus for many health care providers. Guidelines can be used to reduce adverse event in practice and to promote the delivery of high quality and evidence-based health care. The aim of the study to investigate nurses' compliance to patient and environmental safety guidelines in critical care units. Descriptive research design was utilized to achieve the aim of this study. The study was carried out at three of Minia University Hospitals in Minia city. All available nurses (n= 88) who were working in critical care units at time of data collection in the selected hospitals. An environmental and patient safety guidelines questionnaire was used to achieve the aim of this study. Results: less than two third of studied subject were not compliance to patient safety nurses', while nurses complied to environmental safety with 62.5% in critical care units; also, there is highly statistical significance between departments and nurses' compliance to patient safety. Thus, it was concluded that less than two third of studied subject were not compliance to patient safety. As well as environmental safety in critical care units was appropriate with 62.5% in critical care units. Recommendations: Staff development programs for nurses working in critical care units related to patient and environmental safety as well as ensuring that the organization’s annual budget includes adequate resources to implement and evaluate health and safety activities.  

scholarly journals Innovative COVID-19 Programs to Rapidly Serve New Mexico

2020 ◽  
Vol 136 (1) ◽  
pp. 39-46
Author(s):  
Joanna G. Katzman ◽  
Laura E. Tomedi ◽  
Karla Thornton ◽  
Paige Menking ◽  
Michael Stanton ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Health Care ◽  
Critical Care ◽  
New Mexico ◽  
General Education ◽  
Health Care Providers ◽  
Healthcare Outcomes ◽  
Care Providers ◽  
Project Echo

Project ECHO (Extension for Community Healthcare Outcomes) at the University of New Mexico is a telementoring program that uses videoconferencing technology to connect health care providers in underserved communities with subject matter experts. In March 2020, Project ECHO created 10 coronavirus disease 2019 (COVID-19) telementoring programs to meet the public health needs of clinicians and teachers living in underserved rural and urban regions of New Mexico. The newly created COVID-19 programs include 7 weekly sessions (Community Health Worker [in English and Spanish], Critical Care, Education, First-Responder Resiliency, Infectious Disease Office Hours, and Multi-specialty) and 3 one-day special sessions. We calculated the total number of attendees, along with the range and standard deviation, per session by program. Certain programs (Critical Care, Infectious Disease Office Hours, Multi-specialty) recorded the profession of attendees when available. The Project ECHO research team collected COVID-19 infection data by county from March 11 through May 31, 2020. During that same period, 9765 health care and general education professionals participated in the COVID-19 programs, and participants from 31 of 35 (89%) counties in New Mexico attended the sessions. Our initial evaluation of these programs demonstrates that an interprofessional clinician group and teachers used the Project ECHO network to build a community of practice and social network while meeting their educational and professional needs. Because of Project ECHO’s large reach, the results of the New Mexico COVID-19 response suggest that the rapid use of ECHO telementoring could be used for other urgent national public health problems.

Improving Health Care Provider Communication in End-of-Life Decision-Making

2017 ◽  
Vol 28 (2) ◽  
pp. 124-132 ◽  
Author(s):  
Tracey Wilson ◽  
Cathy Haut ◽  
Bimbola Akintade
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Critical Care ◽  
End Of Life ◽  
Health Care Providers ◽  
Care Providers ◽  
Improvement Project ◽  
Daunting Task ◽  
End Of Life Decision ◽  
Life Decision

Critical care providers are responsible for many aspects of patient care, primarily focusing on preserving life. However, nearly 40% of patients who are admitted to an adult critical care unit will not survive. Initiating a conversation about end-of-life decision-making is a daunting task. Often, health care providers are not trained, experienced, or comfortable facilitating these conversations. This article describes a quality improvement project that identified current views on end-of-life communication in the intensive care unit and potential barriers that obstruct open discussion, and offering strategies for improvement.

scholarly journals The Coronavirus Disease 2019 Pandemic’s Effect on Critical Care Resources and Health-Care Providers

CHEST Journal ◽  
2020 ◽  
Author(s):  
Sarah Wahlster ◽  
Monisha Sharma ◽  
Ariane K. Lewis ◽  
Pratik V. Patel ◽  
Christiane S. Hartog ◽  
...  
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Health Care Providers ◽  
Care Providers

Seeing the Patient and Family Through: Nurses and Physicians Experiences With Withdrawal of Life-Sustaining Therapy in the ICU

2018 ◽  
Vol 36 (1) ◽  
pp. 13-23 ◽  
Author(s):  
Debra L. Wiegand ◽  
Jooyoung Cheon ◽  
Giora Netzer
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Data Analysis ◽  
Health Care Providers ◽  
Quality Care ◽  
Phenomenological Approach ◽  
Critical Care Nurses ◽  
Care Providers ◽  
Therapy Decision ◽  
Nurses And Physicians

Withdrawal of life-sustaining therapy at the end of life is a complex phenomenon. Intensive care nurses and physicians are faced with caring for patients and supporting families, as these difficult decisions are made. The purpose of this study was to explore and describe the experience of critical care nurses and physicians participating in the process of withdrawal of life-sustaining therapy. A hermeneutic phenomenological approach was used to guide this qualitative investigation. Interviews were conducted with critical care nurses and physicians from 2 medical centers. An inductive approach to data analysis was used to understand similarities between the nurses and the physicians’ experiences. Methodological rigor was established, and data saturation was achieved. The main categories that were inductively derived from the data analysis included from novice to expert, ensuring ethical care, uncertainty to certainty, facilitating the process, and preparing and supporting families. The categories aided in understanding the experiences of nurses and physicians, as they worked individually and together to see patients and families through the entire illness experience, withdrawal of life-sustaining therapy decision-making process and dying process. Understanding the perspectives of health-care providers involved in the withdrawal of life-sustaining therapy process will help other health-care providers who are striving to provide quality care to the dying and to their families.

Critical Care Thresholds in Children with Bronchiolitis

2020 ◽  
Vol 37 (S 02) ◽  
pp. S42-S45
Author(s):  
Steve Cunningham
Keyword(s):  
Health Care ◽  
Mechanical Ventilation ◽  
Critical Care ◽  
Health Care Providers ◽  
Clinical Characteristics ◽  
Clinical Aspects ◽  
Care Providers ◽  
Admission Rates ◽  
High Flow Oxygen ◽  
Critical Care Admission

Reduction in mortality from bronchiolitis in developed health is principally achieved from the availability of critical care. Different health care providers and countries demonstrate considerable variance in admission rates, but globally the use and cost of this resource are increasing. The reasons of this are multifold and include organizational, cultural, and clinical aspects. The organization of care has evolved differently in different health care settings at the threshold of critical need, with local priorities and resources determining the location of care (ward or critical care). Critical care areas adopting high-flow oxygen therapy (HFOT) (a ward-based therapy in some institutions) have seen significant increase in their occupancy, without change in rates of mechanical ventilation. Culturally, some countries appear to have a lower threshold for intubation and mechanical ventilation: United States (18%), Finland (4%), and even in countries with high rates of critical care admission (27% in Australia and New Zealand), intubation rates can decline with time (reducing from 27% to 11%). Baseline clinical characteristics of children admitted to critical care are remarkably similar, children are young (c30–60 days) and often born prematurely (21–46%). Clinical thresholds for admission as predefined by critical care units in online guidance focus on presence of apnea (observed in 7–42% of admissions), low pulse oxygen saturation and subjective measures (exhaustion and reduced consciousness). Clinical characteristics of children at the time of admission are commonly reported in relation to the modified Woods Clinical Asthma Score (mean = 3.8 to ≥7) and raised pCO2 (range = 8.0–8.8 kPa), with pCO2 the only significant parameter in a multivariate analysis of factors associated with intubation. Key Points

scholarly journals Family Presence during Resuscitation: A Canadian Critical Care Society Position Paper

2015 ◽  
Vol 22 (4) ◽  
pp. 201-205 ◽  
Author(s):  
Simon JW Oczkowski ◽  
Ian Mazzetti ◽  
Cynthia Cupido ◽  
Alison E Fox-Robichaud
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Health Care Providers ◽  
Family Members ◽  
Hospital Setting ◽  
Educational Interventions ◽  
Position Paper ◽  
Care Providers ◽  
Care Society ◽  
Family Presence

BACKGROUND: Recent evidence suggests that patient outcomes are not affected by the offering of family presence during resuscitation (FPDR), and that psychological outcomes are neutral or improved in family members of adult patients. The exclusion of family members from the resuscitation area should, therefore, be reassessed.OBJECTIVE: The present Canadian Critical Care Society position paper is designed to help clinicians and institutions decide whether to incorporate FPDR as part of their routine clinical practice, and to offer strategies to implement FPDR successfully.METHODS: The authors conducted a literature search of the perspectives of health care providers, patients and families on the topic of FPDR, and considered the relevant ethical values of beneficence, nonmaleficence, autonomy and justice in light of the clinical evidence for FPDR. They reviewed randomized controlled trials and observational studies of FPDR to determine strategies that have been used to screen family members, select appropriate chaperones and educate staff.RESULTS: FPDR is an ethically sound practice in Canada, and may be considered for the families of adult and pediatric patients in the hospital setting. Hospitals that choose to implement FPDR should develop transparent policies regarding which family members are to be offered the opportunity to be present during the resuscitation. Experienced chaperones should accompany and support family members in the resuscitation area. Intensive educational interventions and increasing experience with FPDR are associated with increased support for the practice from health care providers.CONCLUSIONS: FPDR should be considered to be an important component of patient and family-centred care.

Rapid Project Management in a Time of COVID-19 Crisis: Lessons learned from a Global VIRUS: COVID-19 Registry (Preprint)

2021 ◽  
Author(s):  
Janice R. Turek ◽  
Vikas Bansal ◽  
Aysun Tekin ◽  
Mayank Sharma ◽  
Marija Bogojevic ◽  
...  
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Project Management ◽  
Health Care Providers ◽  
Large Scale ◽  
Lessons Learned ◽  
Care Providers ◽  
Healthcare Organizations ◽  
Collect Patient Data ◽  
The Impact

UNSTRUCTURED The COVID-19 pandemic emerged globally in a rapid and precipitous manner devastating healthcare organizations worldwide. The progression of the illness, the impact to the vulnerable and best care for the hospitalized patient, is undefined. Incomplete knowledge of best practices by frontline health care providers may result in error-prone care. Data on symptoms and advancement of the SARS-CoV-2 virus leading to critical care admission has not been captured or communicated well between international organizations experiencing the same impact from the virus. As the SARS-CoV-2 virus quickly reached every country, it was recognized that global communication and data collection on the critical care patients admitted with COVID-19 needed to be rapidly put in place. Developing a global registry to collect patient data and treatment in the critical care setting was of utmost priority with the goal to minimize preventable death, disability, and costly complications for patients with COVID-19. Project management around the prompt implementation of the registry is crucial. Valuable information could be lost daily without a format to record data and the opportunity to share significant findings. Putting the VIRUS: COVID-19 Registry in place could change patient outcomes by gaining insight to progression of symptoms and treatments worldwide. This article addresses project management lessons in a time of crises outlining the methodology used and is meant to be a useful tool for other organizations for rapid project management for a large-scale health care data registry.

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