scholarly journals Impact Of Wounds In The Assistance To Basic Human Needs In Intensive Care

10.3823/2385 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Jocelly De Araújo Ferreira ◽  
Nayda Babel Alves de Lima ◽  
Glenda Agra ◽  
Priscilla Tereza Lopes de Souza ◽  
Cecilia Jéssica Azevedo da Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Positive Impact ◽  
Soft Tissue Injuries ◽  
Quantitative Character ◽  
Adult Intensive Care Unit ◽  
Human Needs ◽  
Positive Effects ◽  
Basic Human Needs ◽  
The Impact

Objective: to understand the impact of soft tissue injuries in the provision of assistance to Basic Human Needs of customers by the nursing staff in the Adult Intensive Care Unit of a hospital in Pernambuco, Brazil. Methodology: this is a descriptive study with quantitative character, performed with 104 nurses in December 2015. A questionnaire drawn from Wanda Horta's theory was used for data collection. Results: the most judicious care provided by the multidisciplinary team (81.7%) and the establishment of bond between professionals and clients (57.7%) were found to be the main positive effects. However, negative effects were outstanding, indicated by increased hospital stay (86.5%) and feeling of anxiety (72.1%). Despite the interference of lesions, body care (86%), communication (63.3%), and religiosity/spirituality (43.3%) needs were referred to as met. Conclusion: the presence of wounds represents a difficulty to meet needs, although they bring some positive impact on the client. However, while recognizing the importance of valuing the customer subjectivity, this aspect is not yet addressed with proper attention. Keywords: Intensive Care Unit; Injuries; Nursing Care; Basic needs.  

Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit

2020 ◽  
Vol 35 (2) ◽  
pp. 115-122
Author(s):  
Justin Yeh ◽  
Ruth Wilson ◽  
Lufei Young ◽  
Lisa Pahl ◽  
Steven Whitney ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adult Intensive Care Unit ◽  
The Impact

scholarly journals The nursing workload assessed through the Nursing Activities Score as a predictor for the occurrence of ventilator-associated pneumonia in an adult intensive care unit

2019 ◽  
Vol 9 (9) ◽  
pp. 104
Author(s):  
Fabiola Alves Gomes ◽  
Denise Von Dolinger de Brito Röder ◽  
Thúlio Marquez Cunha ◽  
Rosângela De Oliveira Felice ◽  
Guilherme Silva Mendonça ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Costs ◽  
University Hospital ◽  
Nursing Workload ◽  
Ventilator Associated Pneumonia ◽  
Adult Intensive Care Unit ◽  
Icu Admission ◽  
Stay Time ◽  
The Impact

Objective: Evaluate the relation of nursing workload, evaluated by the Nursing Activities Score (NAS), with the occurrence of Ventilator-associated Pneumonia (VAP) in an Intensive Care Unit (ICU) and the impact of VAP on hospitalization costs.Methods: Retrospective cohort study in Adult ICU of a high complexity Brazilian university hospital. The profile, outcomes, costs, and daily NAS from patients were collected. We also proposed some workload indicators based on NAS daily evaluation.Results: The study included 195 patients, 27.17% diagnosed with VAP. VAP was more prevalent in patients diagnosed with trauma on admission. The total costs of care were higher for VAP patients. In all multivariate models tested were predictive for VAP: the patient's intubation that occurs in days prior of the ICU admission day (higher risk if occurs in days prior the ICU admission day) and ventilation time prior ICU (higher risk if higher time). We found others predictors, but these were dependent on the model tested. Additional risk predictors were tracheostomy, propofol use, neuromuscular blocker use and the higher NAS from admission. The protective factors found were the percentage of adequacy of the assignment based in NAS that measure if the workload measured by the NAS was offered and the increment in NAS during the ventilation time.Conclusions: The offering of an adequate nursing work scale (adequate number of professionals for the care), as a function of the nursing workload measured by the NAS, could be effective in the reduction of VAP, hospital stay time and hospital costs.

scholarly journals MOBILE APP FOR NURSING PROCESS IN A NEONATAL INTENSIVE CARE UNIT

2019 ◽  
Vol 28 ◽  
Author(s):  
Jhonathan Lucas Araujo ◽  
Hugo Cristo Sant’Anna ◽  
Eliane de Fátima Almeida Lima ◽  
Mirian Fioresi ◽  
Luciana de Cassia Nunes Nascimento ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Mobile App ◽  
International Classification ◽  
Southeastern Brazil ◽  
Nursing Process ◽  
Human Needs ◽  
Basic Human Needs

ABSTRACT Purpose: to develop and validate a nursing process application in a neonatal intensive care unit. Method: a methodological study, conducted in a university hospital in southeastern Brazil from January 2017 to February 2018, divided into four stages: definition of requirements and elaboration of the conceptual model; generation of implementation and prototyping alternatives; testing and implementation. The app was developed based on Wanda Horta's Basic Human Needs and International Classification for Nursing Practice and following the User Centered Design method and the standards of the Brazilian Association of Software Engineering Technical Standards for IOS and Android platforms. The product was evaluated and validated by nurses for functional suitability, reliability, usability, performance efficiency, compatibility and safety. Results: the CuidarTech NeoProcesso de Enfermagemapp has screens that integrate the elements for history, diagnosis and nursing interventions. According to the judges' evaluation, it has functional adequacy, reliability, usability, performance efficiency, compatibility and safety. Conclusion: the app designed and validated by nurses is a computerized instrument that contains the stages of the nursing process: history, diagnoses and interventions, organized by Basic Human Needs and following the taxonomy of the International Classification for Nursing Practices. It relates information of newborns admitted to Neonatal Intensive Care Units and the nursing process, being able to provide quality, effectiveness, safety and personal satisfaction to the nurse's care.

Corticosteroids in ARDS: The Never-Ending Story

2007 ◽  
Vol 42 (8) ◽  
pp. 691-701 ◽  
Author(s):  
Zachariah Thomas ◽  
Katarzyna Kimborowicz
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Drug Therapy ◽  
Critically Ill ◽  
Economic Outcomes ◽  
Critically Ill Patient ◽  
Adult Intensive Care Unit ◽  
Recent Advances ◽  
The Impact

This feature examines the impact of pharmacologic interventions on the treatment of the critically ill patient — an area of health care that has become increasingly complex. Recent advances in drug therapy (including evolving and controversial data) for adult intensive-care-unit patients will be reviewed and assessed in terms of clinical, humanistic, and economic outcomes.

scholarly journals Validation and Analysis of the European Quality Questionnaire in Italian Language

2020 ◽  
Vol 17 (23) ◽  
pp. 8852
Author(s):  
Leopoldo M. Amendola ◽  
Alessandro Galazzi ◽  
Irene Zainaghi ◽  
Ivan Cortinovis ◽  
Anna Zolin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Depression Scale ◽  
Family Satisfaction ◽  
Test Phase ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Adult Intensive Care Unit ◽  
Quality Of Dying ◽  
The Impact

The European Quality Questionnaire (euroQ2) is the culturally-adapted version to the European context of the Family Satisfaction in Intensive Care Unit (FS-ICU) and Quality of Dying and Death (QODD) tools in a single instrument divided into three parts (the last is optional). These tools were created for an adult setting. The aim of this study was the Italian validation and analysis of the euroQ2 tool. The Italian version of euroQ2 questionnaire was administered to the relatives, over 18 years of age, of adult intensive care unit patients, with the Hospital Anxiety and Depression Scale (HADS) and the Impact of Event Scale—Revised (IES-r). For the re-test phase the questionnaire was administered a second time. One hundred questionnaires were filled in. The agreement between test and retest was between 17–19 out of 20 participants with an upward trend in the re-test phase. A measure of coherence and cohesion between the euroQ2 variables was given by Cronbach’s alpha: in the first part of the questionnaire alpha was 0.82, in the second part it was 0.89. The linear Pearson’s correlation coefficients between all questions showed a weak positive correlation. The results obtained agreed with the original study. This study showed a good stability of the answers, an indication of an unambiguous understanding of the Italian translation.

scholarly journals Reducing sound and light exposure to improve sleep on the adult intensive care unit: An inclusive narrative review

2017 ◽  
Vol 19 (2) ◽  
pp. 138-146 ◽  
Author(s):  
Victoria Bion ◽  
Alex SW Lowe ◽  
Zudin Puthucheary ◽  
Hugh Montgomery
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Positive Impact ◽  
Light Exposure ◽  
Environmental Interventions ◽  
Adult Intensive Care Unit ◽  
Patient Groups ◽  
Environmental Measures ◽  
Meta Analyses

Purpose Sleep disturbance is common in intensive care units. It is associated with detrimental psychological impacts and has potential to worsen outcome. Irregular exposure to sound and light may disrupt circadian rhythm and cause frequent arousals from sleep. We sought to review the efficacy of environmental interventions to reduce sound and light exposure with the aim of improving patient sleep on adult intensive care units. Methods We searched both PubMed (1966–30 May 2017) and Embase (1974–30 May 2017) for all relevant human (adult) studies and meta-analyses published in English using search terms ((intensive care OR critical care), AND (sleep OR sleep disorders), AND (light OR noise OR sound)). Bibliographies were explored. Articles were included if reporting change in patient sleep in response to an intervention to reduce disruptive intensive care unit sound /light exposure. Results Fifteen studies were identified. Nine assessed mechanical interventions, four of which used polysomnography to assess sleep. Five studies looked at environmental measures to facilitate sleep and a further two (one already included as assessing a mechanical intervention) studied the use of sound to promote sleep. Most studies found a positive impact of the intervention on sleep. However, few studies used objective sleep assessments, sample sizes were small, methodologies sometimes imperfect and analysis limited. Data are substantially derived from specialist (neurosurgical, post-operative, cardiothoracic and cardiological) centres. Patients were often at the ‘less sick’ end of the spectrum in a variety of settings (open ward beds or side rooms). Conclusions Simple measures to reduce intensive care unit patient sound/light exposure appear effective. However, larger and more inclusive high-quality studies are required in order to identify the measures most effective in different patient groups and any impacts on outcome.

Impact of a neurointensivist on outcomes in patients with head trauma treated in a neurosciences intensive care unit

2006 ◽  
Vol 104 (5) ◽  
pp. 713-719 ◽  
Author(s):  
Panayiotis N. Varelas ◽  
Dan Eastwood ◽  
Hyun J. Yun ◽  
Marianna V. Spanaki ◽  
Lotfi Hacein Bey ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Head Trauma ◽  
Positive Impact ◽  
Tertiary Care ◽  
University Hospital ◽  
Discharge Disposition ◽  
Gcs Score ◽  
The Impact

Object The aim of this study was to evaluate the impact of a newly appointed neurointensivist on outcomes in head-injured patients in the neurological/neurosurgical intensive care unit (NICU). Methods The mortality rate, length of stay (LOS), and discharge disposition of all patients with head trauma who had been admitted to a 10-bed tertiary care university hospital NICU were compared between two 19-month periods, before and after the appointment of a neurointensivist. Data regarding these patients were collected using the hospital database and the University HealthSystem Consortium (UHC) database. Samples of medical records were reviewed for Glasgow Coma Scale (GCS) score documentation. The authors analyzed data pertaining to 328 patients before and 264 after the neurointensivist's appointment. The unadjusted mean in-hospital mortality rate increased 1.1% in the after period, but this increase was significantly lower compared with the UHC-based expected increase of 8.1% in the mortality rate during the same period (p < 0.0001). The unadjusted mean mortality rate in the NICU decreased from 13.4 to 12.9% (relative mortality rate reduction 4%) and the mean NICU LOS increased from 3.1 to 3.6 days (relative NICU LOS increase 16%), both nonsignificantly. A 51% reduction in the NICU-associated mortality rate (p = 0.01), a 12% shorter hospital LOS (p = 0.026), and 57% greater odds of being discharged to home or to rehabilitation (p = 0.009) were found in the after period in multivariate models after controlling for baseline differences between the two time periods. Better documentation of the GCS score by the NICU team was also found in the after period (from 60.4 to 82%, p = 0.02). Conclusions The institution of a neurointensivist-led team model had an independent, positive impact on patient outcomes, including a lower NICU-associated mortality rate and hospital LOS, improved disposition, and better chart documentation.

scholarly journals The Impact of Insulin Adsorption onto the Infusion Sets in the Adult Intensive Care Unit

2009 ◽  
Vol 3 (1) ◽  
pp. 213-214 ◽  
Author(s):  
Therese Jakobsson ◽  
Robert Shulman ◽  
Hardyal Gill ◽  
Kevin Taylor
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adult Intensive Care Unit ◽  
The Impact

Unilateral right bullectomy surgery and nursing diagnosis: a report case study

2011 ◽  
Vol 5 (4) ◽  
pp. 1046
Author(s):  
Rejane Marie Barbosa Davim ◽  
Eliane Santos Cavalcante ◽  
Richardson Augusto Rosendo da Silva ◽  
Joana D´Árc de Souza Oliveira ◽  
Ricardo Alves dos Santos ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Quality Care ◽  
University Hospital ◽  
Adult Intensive Care Unit ◽  
Human Needs ◽  
Nursing Diagnosis ◽  
Terapia Intensiva

ABSTRACTObjective: to know the functioning of an Adult Intensive Care Unit; to identify the responsibilities and duties of nursing staff in this sector, to monitor a patient's detailed study of its pathology and surgery who underwent, a Unilateral Right Bullectomy; serve as assessment of Technical Expertise in Adult Intensive Care of Natal Nursing School / UFRN. Methodology: this is a descriptive study with case study type. The sample consisted of one patient admitted to the Adult Intensive Care Unit of the Onofre Lopes University Hospital after being admitted to the 10th ward of this hospital, diagnosed with lung bubble as a sequel of pulmonary tuberculosis. Results: data were analyzed based on the observation, analysis and assessment in the care of postoperative, NANDA grading system, Theory of Basic Human Needs, literature, the patient's medical records and interviews with history. Conclusion: the study allowed us to visualize the role of nursing staff in the context of the Intensive Care Unit Adult in order to provide comprehensive, humane and quality care of the patient. Descriptors: intensive care units; nursing; diagnosis; adult health.RESUMOObjetivo: acompanhar uma paciente em estudo sistematizado sobre sua patologia e procedimento cirúrgico, uma Bulectomia Unilateral Direita; descrever as atribuições de uma Unidade de Terapia Intensiva. Metodologia: trata-se de um estudo descritivo do tipo estudo de caso. A amostra foi composta por uma paciente admitida na Unidade de Terapia Intensiva Adulto do Hospital Universitário Onofre Lopes após ter sido internada na 10ª enfermaria do hospital em questão, com diagnóstico de Bolha Pulmonar como sequela de tuberculose. Resultados: os dados foram analisados com base na observação, análise e apreciação no processo do cuidar pós-operatório, sistema de classificação da NANDA, teoria das Necessidades Humanas Básicas, pesquisa bibliográfica, prontuário da paciente e entrevista com anamnese. Conclusão: o estudo permitiu visualizar o papel da equipe de enfermagem no contexto da Unidade de Terapia Intensiva Adulto no intuito de prestar assistência integral, humanizada e de qualidade ao paciente. Descritores: unidades de terapia intensiva; enfermagem; diagnóstico; saúde do adulto.RESUMENObjetivo: conocer el funcionamiento de una Unidad de Terapia Intensiva de Adultos; identificar las competencias y atribuciones del equipo de enfermería en este sector, acompañar una paciente en estudio detallado sobre su patología y procedimiento quirúrgico por la cual fue sometida, específicamente, una bulectomía unilateral derecha; servir de evaluación de la Especialización Técnica en Terapia Intensiva Adulto de la Escuela de Enfermería de Natal/UFRN. Metodología: se trata de un estudio descriptivo del tipo estudio de caso. La muestra fue compuesta por una paciente admitida en la Unidad de Terapia Intensiva Adulto del Hospital Universitario Onofre Lopes después de haber sido internada en la 10ª enfermería del hospital en cuestión, con diagnóstico de Burbuja Pulmonar como secuela de tisis. Resultados: los datos fueron analizados con base en la observación, análisis y apreciación en el proceso de lo cuidar postoperatorio, sistema de clasificación de la NANDA, teoría de las Necesidades Humanas Básicas, pesquisa bibliográfica, histórico de la paciente y entrevista con anamnesis. Conclusión: el estudio permitió visualizar el papel del equipo de enfermería en el contexto de la Unidad de Terapia Intensiva Adulto en el intuito de prestar asistencia integral, humanizada y de cualidad al paciente. Descriptores: recursos humanos; unidades de terapia intensiva; enfermería; diagnóstico; salud del adulto.

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