Author: Yalda Rahimi Publisher: ISBN: Category : Languages : en Pages : 152
Book Description
Background: Pressure injuries (PIs) impose significant human and financial costs on patients and their families and the health care system. Most are considered preventable and therefore are deemed medical errors. Among medical errors, PIs are the costliest. Results from extensive etiology-related and interventional research have been translated into evidence-based clinical guidelines which have been widely disseminated. Yet, hospital acquired pressure injuries (HAPI) have been increasing in recent years while HAPI prevalence rates in intensive care units (ICU) continue being the highest among hospitalized patients. Considering that the majority of PIs are medical errors, researchers and health care organizations have to explore human factors, such as attitudes of main stakeholders, to inform approaches to decreasing HAPIs in ICU patients who are among the most vulnerable of hospitalized patients. Methods: A multi-site, focused ethnographic study was conducted with four major stakeholders in the ICU. Critical care nurses (CCRN), physician and nurse practitioner providers, ICU leaders, and patients and their families from two community hospitals and two academic hospitals participated in interviews or focus groups. Semi-structured interview guides were used to elicit implicit and explicit attitudes of each stakeholder group towards PIP. Results: Findings of three stakeholder groups, CCRNs, providers, and patients and families, are reported here. All participants held preconceptions and misconceptions about PIs and PIP which informed the degree to which they were engaged with PIP processes. Preconceptions and misconceptions affected how they interpreted transition points in the ICU which in turn impacted how they prioritized PIP. Major misconceptions held by both CCRNs and providers were that PIP could not be undertaken with very critical patients, that PIP mostly consisted of side to side turning at various intervals, and that PIs took longer than scientific evidence suggests. Patients' and families' incomplete preconception that affected their attitude toward PIP in the ICU was that PIs only befell frail, bedbound, and debilitated patients in skilled nursing facilities.
Author: Jenny G. Alderden Publisher: Elsevier Health Sciences ISBN: 0323757081 Category : Medical Languages : en Pages : 153
Book Description
Along with Consulting Editor, Dr. Cynthia Bautista, Dr. Jenny Alderden has assembled an expert author list to contribute clinical reviews on best practices for improving outcomes in and prevention of pressure injuries. Articles are specifically devoted to the following topics: Risk Factors for Pressure Injury Development among Critical Care Patients; Best Practice in Pressure Injury Prevention among Critical Care Patients; Best Practices in Pressure Injury Treatment; Pressure Injury Prevention and Treatment in Critically Ill Children; Medical Device-Related Pressure Injuries; Unstageable Pressure Injuries: Identification, Treatment, and Outcomes among Critical Care Patients; Deep Tissue Pressure Injuries: Identification, Treatment, and Outcomes among Critical Care Patients; The Role of Nutrition in Pressure Injury Prevention and Healing; and Heel Pressure Injuries in the Adult Critical Care Population; Pressure Injury Prevention Considerations for Older Adults. Readers will come away with best practices for improving pressure injury outcomes in critical care patients.
Author: Mona Ibrahim Hebeshy Publisher: ISBN: Category : Critically ill Languages : en Pages : 149
Book Description
Background: Prevention of DVT is an effective method in reducing morbidity and mortality among critically patients in the intensive care units. Previous research has found nurses who lack motivation or have little support for practice change contributed to unsuccessful behavioral changes, suggesting that nurses' attitudes and beliefs strongly predict behavioral outcomes. The Theory of Planned Behavior (TPB) was used to investigate attitudes and behavioral relationships and to understand persons' behavioral intentions in relation to their performance. Furthermore, the TPB has not been used as a theory-based approach to predict nurses' intention to use DVT preventive measures in the ICU.Objective: The purposes of this study were 1) to develop a reliable and valid questionnaire to assess the constructs of the TPB in relation to nurses' intention to use DVT preventive measures and 2) to determine whether attitude, subjective norms, and perceived behavior control predict the ICU nurses' intention to use DVT preventive measures. Methods: A cross-sectional study was conducted on 78 ICU nurse of Suez Canal University Hospital in Egypt. Data was collected via online survey questionnaire based on the TPB constructs. The development of the intention to use DVT preventive measures' questionnaire included several steps. First, the instrument was constructed using the TBP construction guidelines, next the panel of experts provided critical feedback to the development of the questionnaire. After which, the questionnaire was piloted with eight ICU nurses. Results: Convergent and discriminant validity supported the construct validity of the instrument. Cronbach's alpha was >82 for the TPB scale. Correlation coefficient r = - .115 (p
Author: Leigh Ann Campbell Publisher: ISBN: 9781109073041 Category : Dissertations, Academic Languages : en Pages : 41
Book Description
Nearly 80% of the population at some point will experience a critical illness or injury either as a patient, family member, or friend. That experience is stressful for the patient and family. Although the literature suggests open/flexible visitation as a solution, ICU nurses implement restrictive visitation practices as a result of negative attitudes and beliefs towards open/flexible visitation. This study analyzed the effectiveness of educational sessions and development of educational material for families in changing the beliefs and attitudes of 80 ICU nurses regarding the effects of open/flexible visitation. Both interventions were found to be effective in altering ICU nurses attitudes regarding the effects of open/flexible visitation. As for ICU nurses' beliefs concerning the effects of open/flexible visitation, the educational session proved to be effective where as the development of educational material resulted in no significant changes.
Author: Dean Bejaoui Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Mental health disorders have become increasingly common in healthcare settings, especially in the Intensive care Unit (ICU), where most patients are critically ill from various conditions. However, despite that, most of such patients tend only to get treatment aimed at addressing the physical symptoms while neglecting the mental aspect of such patients. In that regard, the result of that is that such patients tend to continue to experience significant psychological distress from such illness while going through medical and physical distress. This proposed study is a Quasi experimental design study using the Mental Health Frist Aid Training Program (MHFA) as the training tool for Intensive Care Unit Nurses in aim to improve knowledge and attitudes towards mental health stigma. The MHFA will be provided to participants in the form of an 8-hour educational presentation by a certified MHFA instructor. ICU nurses will be given the Opening Minds Stigma Scale for Healthcare providers pre and post MHFA instruction. The scores from the pre-presentation OMS-HC will be compared to the scores from post-presentation OMS-HC scores to measure the effects of MHFA in causing a change in the knowledge and attitudes towards patients with mental illness. This study is significant to the nursing profession because it addresses the knowledge gap among nurses on the importance of mental wellness among ICU patients.
Author: Linda D. Urden Publisher: Mosby Incorporated ISBN: 9780323040495 Category : Medical Languages : en Pages : 1133
Book Description
This cost-saving package includes both Urden: Thelans Critical Care Nursing, 4th edition and Melander: Case Studies in Critical Care Nursing for the price of the textbook alone. Thelans has become the classic critical care nursing textbook, offering the most comprehensive and detailed presentation available. Melander contains up-to-date case studies on critical care conditions for applied learning. Together these books provide all the critical care nursing information you need, for one low price!
Author: Yalda Rahimi
Author: Jenny G. Alderden
Author: Mona Ibrahim Hebeshy
Author: 
Author: Leigh Ann Campbell
Author: Celia M. Duffett
Author: Dean Bejaoui
Author: Cherlyn Sue Bailey
Author: Linda D. Urden
Author: