Nurses' Understanding and Practice of Minimal Stimulation in the Pediatric Intensive Care Unit.

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

American Journal of Critical Care Pub Date : 2024-07-01 DOI:10.4037/ajcc2024104

Shelley Burcie, Angelica Morris, Virginia Young, Zara Sajwani-Merchant, Lindsey Patton

{"title":"Nurses' Understanding and Practice of Minimal Stimulation in the Pediatric Intensive Care Unit.","authors":"Shelley Burcie, Angelica Morris, Virginia Young, Zara Sajwani-Merchant, Lindsey Patton","doi":"10.4037/ajcc2024104","DOIUrl":null,"url":null,"abstract":"Background: Pediatric patients receiving neurologic and neurosurgical critical care undergo many procedures that result in stimulation of the sympathetic nervous system, which increases their risk of poor outcomes. Nurses typically implement a variety of interventions to minimize such stimulation; however, minimal stimulation has not been specifically defined in the literature or described as a standardized bundle of care.Objective: To examine pediatric intensive care unit nurses' interpretation and practice of minimal stimulation in patients with neurologic and neurosurgical conditions and specifically to triangulate nurses' descriptions of this practice with related findings in the literature.Methods: This was a qualitative, descriptive, exploratory study that used naturalistic inquiry.Results: A total of 13 pediatric intensive care unit nurses participated in the study. Three primary themes were identified regarding minimal stimulation: (1) new knowledge and practice, (2) communication, and (3) impact of minimal stimulation.Conclusions: The findings of this study help to establish a working definition of the nursing practice of minimal stimulation and provide a basis for future research. More detailed study is needed on the concept of a standardized minimal stimulation bundle and its impact on patient outcomes.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"33 4","pages":"272-279"},"PeriodicalIF":2.7000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4037/ajcc2024104","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Pediatric patients receiving neurologic and neurosurgical critical care undergo many procedures that result in stimulation of the sympathetic nervous system, which increases their risk of poor outcomes. Nurses typically implement a variety of interventions to minimize such stimulation; however, minimal stimulation has not been specifically defined in the literature or described as a standardized bundle of care.

Objective: To examine pediatric intensive care unit nurses' interpretation and practice of minimal stimulation in patients with neurologic and neurosurgical conditions and specifically to triangulate nurses' descriptions of this practice with related findings in the literature.

Methods: This was a qualitative, descriptive, exploratory study that used naturalistic inquiry.

Results: A total of 13 pediatric intensive care unit nurses participated in the study. Three primary themes were identified regarding minimal stimulation: (1) new knowledge and practice, (2) communication, and (3) impact of minimal stimulation.

Conclusions: The findings of this study help to establish a working definition of the nursing practice of minimal stimulation and provide a basis for future research. More detailed study is needed on the concept of a standardized minimal stimulation bundle and its impact on patient outcomes.

查看原文本刊更多论文

儿科重症监护室护士对最小刺激的理解和实践。

背景：接受神经和神经外科重症监护的儿科患者在接受许多程序时都会受到交感神经系统的刺激，这增加了他们不良预后的风险。护士通常会采取各种干预措施来尽量减少这种刺激；然而，文献中并未对最小刺激进行具体定义，也未将其描述为标准化的护理捆绑：研究儿科重症监护病房护士对神经系统和神经外科患者最小刺激的解释和实践，特别是将护士对这一实践的描述与文献中的相关研究结果进行三角测量：这是一项定性、描述性、探索性研究，采用自然调查法：共有 13 名儿科重症监护室护士参与了研究。确定了有关最小刺激的三个主要主题：（1）新知识和实践；（2）沟通；（3）最小刺激的影响：本研究的结果有助于确立最小刺激护理实践的工作定义，并为今后的研究奠定基础。需要对标准化最小刺激捆绑概念及其对患者预后的影响进行更详细的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American Journal of Critical Care 医学-护理

CiteScore

4.30

自引率

3.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.