IV inotropic agents: dopamine, dobutamine, and amrinone

1990 ◽  
Vol 10 (2) ◽  
pp. 54-62 ◽  
Author(s):  
J Budny ◽  
K Anderson-Drevs
Keyword(s):  
Critical Care ◽  
Quality Of Care ◽  
Side Effects ◽  
Mechanisms Of Action ◽  
Critical Care Nurses ◽  
Inotropic Agents ◽  
Individual Actions

Three commonly used IV inotropic agents--dopamine, dobutamine, and amrinone--have been discussed in this article. Knowledge of their common mechanisms of action, individual actions, dosages, methods of preparation, precautions, and side effects can only help critical care nurses maintain or improve the quality of care given to patients receiving these medications.

Management of children in status asthmaticus

1998 ◽  
Vol 18 (1) ◽  
pp. 74-82
Author(s):  
EP Briening
Keyword(s):  
Critical Care ◽  
Quality Of Care ◽  
Side Effects ◽  
Status Asthmaticus ◽  
Critical Care Nurses ◽  
Response To Therapy ◽  
Response To Treatment ◽  
Nursing Assessment ◽  
Respiratory Status

Children admitted to the ICU with status asthmaticus require continuous nursing assessment of respiratory status and monitoring of the response to therapy. Nurses must be aware of the progression of respiratory distress and of the expected response to treatment and the side effects that can occur with each therapy. By assuming a greater responsibility in the care of the child with status asthmaticus, critical care nurses can improve the quality of care for these patients.

scholarly journals Burnout, Moral Distress, and Job Turnover in Critical Care Nurses

2018 ◽  
Vol 3 (3) ◽  
pp. 108 ◽  
Author(s):  
Brooke A. Whittaker ◽  
Deborah R. Gillum ◽  
Judith M. Kelly
Keyword(s):  
Critical Care ◽  
Quality Of Care ◽  
Moral Distress ◽  
Nurse Retention ◽  
Critical Care Nurses ◽  
Ethnographic Study ◽  
Job Turnover ◽  
Nurse Turnover ◽  
Excessive Stress

Nurse turnover, shortages, and lack of nurse retention have all been linked to stress among nurses. This ethnographic study explored if burnout and moral distress, often a result of excessive stress, led to job turnover among critical care nurses in northern Indiana and southern Michigan. It also explored the factors that may cause burnout and moral distress in the identified population. Although burnout and moral distress have been studied in various professions and locales over the years, research specific to critical care nurses has been limited in the northern Indiana, southern Michigan area. In this study, 100% of the nurses felt that burnout and moral distress led to turnover. These same nurses attributed burnout and moral distress to affecting the quality of care given to patients. The guiding framework for this study’s design was Corley’s theory of moral distress.

Effect of Stress level and Burnout on Quality of Care and Patients Satisfaction Among Critical Care Nurses.

2022 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Mohamed Alnaiem ◽  
Azahir Mansour ◽  
Mohamed Nemir ◽  
Hammad Fadlalmola ◽  
Higazi Mohamed Awad
Keyword(s):  
Critical Care ◽  
Quality Of Care ◽  
Stress Level ◽  
Critical Care Nurses ◽  
Patients Satisfaction

Effect of Stress level and Burnout on Quality of Care and Patients Satisfaction among Critical Care Nurses.

2022 ◽  
Vol 2 (2) ◽  
pp. 269-277
Author(s):  
Mohamed Alnaiem ◽  
Azahir Mansour ◽  
Mohamed Nemir ◽  
Hammad Fadlalmola ◽  
Higazi Mohamed Awad
Keyword(s):  
Critical Care ◽  
Quality Of Care ◽  
Stress Level ◽  
Critical Care Nurses ◽  
Patients Satisfaction

Nursing Turbulence in Critical Care: Relationships With Nursing Workload and Patient Safety

2020 ◽  
Vol 29 (3) ◽  
pp. 182-191
Author(s):  
Jennifer Browne ◽  
Carrie Jo Braden
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Quality Of Care ◽  
Full Range ◽  
Operational Definition ◽  
Nursing Workload ◽  
Turbulence Scale ◽  
Safety Risk ◽  
Care Relationships

Background Increased nursing workload can be associated with decreased patient safety and quality of care. The associations between nursing workload, quality of care, and patient safety are not well understood. Objectives The concept of workload and its associated measures do not capture all nursing work activities, and tools used to assess healthy work environments do not identify these activities. The variable turbulence was created to capture nursing activities not represented by workload. The purpose of this research was to specify a definition and preliminary measure for turbulence. Methods A 2-phase exploratory sequential mixed-methods design was used to translate the proposed construct of turbulence into an operational definition and begin preliminary testing of a turbulence scale. Results A member survey of the American Association of Critical-Care Nurses resulted in the identification of 12 turbulence types. Turbulence was defined, and reliability of the turbulence scale was acceptable (α = .75). Turbulence was most strongly correlated with patient safety risk (r = 0.41, n = 293, P < .001). Workload had the weakest association with patient safety risk (r = 0.16, n = 294, P = .005). Conclusions Acknowledging the concepts of turbulence and workload separately best describes the full range of nursing demands. Improved measurement of nursing work is important to advance the science. A clearer understanding of nurses’ work will enhance our ability to target resources and improve patients’ outcomes.

Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Critical Care Nurses in Iran

2019 ◽  
Vol 31 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Sedigheh Salimi ◽  
Vahid Pakpour ◽  
Azad Rahmani ◽  
Marian Wilson ◽  
Hossein Feizollahzadeh
Keyword(s):  
Quality Of Life ◽  
Critical Care ◽  
Compassion Fatigue ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Compassion Satisfaction ◽  
Critical Care Nurses ◽  
Professional Quality Of Life ◽  
Professional Quality

Introduction: This study investigated the relationship between compassion fatigue and compassion satisfaction among Iranian nurses working in critical care units. Method: A cross-sectional, descriptive survey using the Professional Quality of Life instrument was administered to 400 nurses working in the intensive care units of Iranian hospitals. Results: High risk levels of burnout and secondary traumatic stress existed among 42% and 96% of participants, respectively. Significant positive relationships were detected between burnout and secondary traumatic stress. An inverse relationship was detected between measures of compassion fatigue and compassion satisfaction. Discussion: To ensure culturally congruent care, it is important to evaluate professional quality of life within the context of specific cultures and societies. Iranian critical care nurses are at risk for burnout and secondary traumatic stress. Personal self-care and organizational wellness approaches that consider cultural norms should be designed to boost compassion satisfaction and reduce negative effects of stressful work environments.

Impact of radiotherapy practice structure on prostate cancer treatment and outcomes.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 47-47
Author(s):  
Karen Elizabeth Hoffman ◽  
Jinhai Huo ◽  
Sharon Hermes Giordano ◽  
Benjamin D. Smith
Keyword(s):  
Prostate Cancer ◽  
Quality Of Care ◽  
Side Effects ◽  
Categorical Variables ◽  
Treatment Toxicity ◽  
Image Guided ◽  
Intensity Modulated ◽  
Radiation Oncologists ◽  
To Receive

47 Background: Traditionally men with prostate cancer were treated in clinics created, managed and overseen by radiation oncologists. Urology-owned “integrated” practices emerged in the 2000s. Proponents of integrated (INT) practices argue they improve quality-of-care by fostering multidisciplinary care while detractors argue they decrease quality-of care because they employ only one or two radiation oncologists which limits quality-assurance peer review. We compared radiation techniques and treatment toxicity for men who received radiation therapy (RT) in INT and non-INT practices. Methods: Men 66 years and older diagnosed with prostate cancer from 2006 to 2009 were obtained from the Texas Cancer Registry. Cancer-directed therapy, comorbid medical conditions and late treatment toxicity (diagnosis or procedure codes for toxicity 12 or more months after diagnosis) were determined from linked Medicare claims. Practice type was classified based on practice location of the treating radiation oncologist. Chi-square statistics compared categorical variables. Cox proportional hazards models evaluated predictors of toxicity. Results: External beam RT (> 20 fractions) was administered to 781 men in INT and 3,257 men in non-INT practices. Median follow up was 44 months. Men treated in INT practices lived in counties with higher income (p<0.001). There was no difference in patient age (p=0.55) or comorbidity (p=0.88) between practice types. Men treated in INT practices were more likely to receive intensity-modulated RT (98% vs. 82%, p<0.001) and image-guided RT (73% vs. 23%, p<0.001). Androgen deprivation therapy use was similar between practice types (p=0.36). Adjusting for patient and tumor characteristics, there was no difference in risk of late gastrointestinal (p=0.52), urinary (incontinence, p=0.10; other p=0.28), or erectile (p=0.28) toxicity between practice types. Conclusions: Men treated in INT practices were more likely to receive intensity-modulated RT and image-guided RT for their prostate cancer. Risk of late gastrointestinal, urinary and sexual side effects for men who received radiotherapy in INT practices was similar to risk of late side effects for men who received radiotherapy in non-INT practices.

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