Critical Care Nursing Quarterly最新文献_第2页

Analysis of Nurses' Perceptions of Handover Practices: A Comparative Study in Different Medical Settings. 护士对交接班做法的看法分析：不同医疗环境下的比较研究。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000523

Hanan F Alharbi, Sahar A A Sayed, Karima H Abdelhafez, Mimi M Mekkawy, Rania A E Farrag, Sherif A A Mohamed, Ghada S K Mahran

引用次数: 0

Foreword. 前言

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000530

Scot Nolan

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Care Bundle Approach for Oral Health Maintenance and Reduction of Ventilator-Associated Pneumonia. 维护口腔健康和减少呼吸机相关肺炎的护理包方法。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000522

Nagwa Yehya Ahmed Sabrah, Jeffrey L Pellegrino, Hend El-Sayed Mansour, Marwa Fathallah Mostafa, Nahed Attia Kandeel

{"title":"Care Bundle Approach for Oral Health Maintenance and Reduction of Ventilator-Associated Pneumonia.","authors":"Nagwa Yehya Ahmed Sabrah, Jeffrey L Pellegrino, Hend El-Sayed Mansour, Marwa Fathallah Mostafa, Nahed Attia Kandeel","doi":"10.1097/CNQ.0000000000000522","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000522","url":null,"abstract":"Caring for patients in the intensive care unit (ICU) creates competing priorities of interventions for nurses and other health care providers. Oral care might be prioritized lower; however, its neglect may lead to sequelae such as extended time in the ICU, nosocomial diseases most notably ventilator-associated pneumonia (VAP), or oral problems. Safe patient care depends on effective and efficient oral care. The aim of this study was to lower the incidence of VAP and maintain oral health through implementing an \"oral care bundle\" for mechanically ventilated (MV) patients. Using a quasi-experimental design, we divided 82 adult MV patients in the ICUs of a university-based hospital in Egypt into a control group (n = 41) that received the standard of care and a bundle group (n = 41) that received an \"oral care bundle.\" The results of the study reported a significantly lower incidence of VAP in the intervention group (P = .015). It can be concluded that there is a significant relationship between receiving an oral care bundle and improved oral health and a reduction in the VAP rate among MV patients. This highlights the need to incorporate the oral care bundle in the daily nursing care for MV patients.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Missed Nursing Care and Relationship to Burnout and Leave the Profession. 护理服务缺失与职业倦怠和离职的关系。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000508

Azar Jafari-Koulaee, Tahereh Heidari, Majid Khorram, Soraya Rezaei, Roya Nikbakht, Hedayat Jafari

{"title":"Missed Nursing Care and Relationship to Burnout and Leave the Profession.","authors":"Azar Jafari-Koulaee, Tahereh Heidari, Majid Khorram, Soraya Rezaei, Roya Nikbakht, Hedayat Jafari","doi":"10.1097/CNQ.0000000000000508","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000508","url":null,"abstract":"Nurses are at high risk of burnout, desire to leave the profession, and possibly missed nursing care due to the exhausting nature of caring. Missed nursing care may also affect nurses' burnout and desire to leave the profession. Therefore, the objective of this study was to determine the missed nursing care and its relationship with burnout and desire to leave the profession among intensive care unit nurses. The participants of this descriptive analytical study were 249 Iranian nurses working in intensive care units in 2022. The data were collected using a Demographic Information Questionnaire, Kalish's Missed Nursing Care Questionnaire, Maslach Burnout Inventory, and desire to leave the profession questionnaire. The majority of nurses (71%) were females. The generalized linear regression model showed that there was a significant relationship between missed care with gender (B = 5.55, P < .001), marital status (B = -7.37, P = .04), working shift (B = 7.80, P < .001), and employment status (B = -2.87, P = .02). Using structural equation modeling, it was found that the effect of missed care on burnout was significant. Considering the effect of missed care on burnout among nurses working in intensive care units, it seems that creating better working conditions, providing sufficient resources for nurses, supporting them, and changing the factors affecting missed care in order to improve the conditions can reduce the possibility of missing nursing care and, finally, burnout.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of Eyes Care Bundle for Mechanically Ventilated Patients. 机械通气患者眼部护理包的开发与验证。

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Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000515

Sahar Ahmed Ali, Tark Ahmed Mohammed, Mona Aly Mohammed, Asmaa Aly Mahgoub

{"title":"Development and Validation of Eyes Care Bundle for Mechanically Ventilated Patients.","authors":"Sahar Ahmed Ali, Tark Ahmed Mohammed, Mona Aly Mohammed, Asmaa Aly Mahgoub","doi":"10.1097/CNQ.0000000000000515","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000515","url":null,"abstract":"Lack of proper eye care (EC) for mechanically ventilated patients can lead to serious ocular complications. Objective of this study is to develop and validate eyes care bundle for mechanically ventilated patients. A Delphi design study was conducted between March and May 2021. The Content Validity Index (CVI) was used to calculate the degree of agreement among the experts to analyze the bundle. Content validity was determined by 5 experts using a 4-point Likert scale. They evaluated the items in terms of the following: 1 = \"irrelevant,\" 2 = \"somewhat relevant if the phrasing is profoundly adjusted,\" 3 = \"relevant with some adjustment,\" and 4 = \"very relevant.\" The CVI was applied, and the accepted value was ≥0.50. The validation of EC bundle was conducted through 3 rounds after developed it based on the evaluated research evidence. The items were reviewed for content and face validity. The bundle was validated with 5 items with a total CVI of 0.96, a face validity of 1, and a Scale-Level Content Validity Index/Universal Agreement calculation method value of 0.8. This bundle can help critical care nurses, doctors, academics, and students assess and provide standard EC for mechanically ventilated patients.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Essential Review of Oncological Emergencies. 肿瘤急症必读》。

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Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000510

Sara Bekele, Nicole Kuhnly, Leon L Chen

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When Life-Supporting Interventions Lead to Moral Distress. 当支持生命的干预措施导致道德困扰时。

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Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000509

Kerstin Hudgins

{"title":"When Life-Supporting Interventions Lead to Moral Distress.","authors":"Kerstin Hudgins","doi":"10.1097/CNQ.0000000000000509","DOIUrl":"10.1097/CNQ.0000000000000509","url":null,"abstract":"Moral distress can impact nurses and the care team significantly. A profession dedicated to the principles of caring and compassion is often subjected to patients receiving futile treatment. With the proliferation of extreme life-prolonging measures come the difficulties in the withdrawal of those medical modalities. If a prognosis is poor and care is perceived as curative rather than palliative, providers may often feel conflicted and distressed by their interventions. The American Association of Colleges of Nursing has expressed growing concern about an increase in the use of inappropriate life-support treatments related to futile care. The compelling case of a severely beaten 69-year-old homeless man who had cardiac-arrested and was resuscitated after an unknown amount of down-time, provides the contextual framework for this report. Ethical conflicts can become very challenging, which inevitably increases the suffering of the patient and their caregivers. Research findings suggest that health care organizations can benefit from enacting processes that make ethical considerations an early and routine part of everyday clinical practice. A proactive approach to ethical conflicts may improve patient care outcomes and decrease moral distress.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurses Lived Experiences, Burdens and Coping Strategies During COVID-19 Pandemic. 护士在 COVID-19 大流行期间的生活经历、负担和应对策略。

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Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000512

Reem Ahmad Jarrad, Khadeejeh Yousef Abdul Aziz ALdasoqi, Malak Tareq Talib ALnatsheh

{"title":"Nurses Lived Experiences, Burdens and Coping Strategies During COVID-19 Pandemic.","authors":"Reem Ahmad Jarrad, Khadeejeh Yousef Abdul Aziz ALdasoqi, Malak Tareq Talib ALnatsheh","doi":"10.1097/CNQ.0000000000000512","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000512","url":null,"abstract":"This is a qualitative phenomenological study that was designed to navigate through nurses' lived experiences, burdens, and coping strategies while working with COVID-19 patients. The sample included 20 nurses who had worked with COVID-19 patients for more than or equal to 6 months. The interviews were conducted between October 1, 2021, and April 15, 2022. At that time, the third COVID wave had elapsed, and we were peaking on a fourth pandemic wave, so included participants had lived through a minimum of 2 to 3 peaks. Six themes emerged, which were: nurses coping with COVID-19 crisis, professional relationship burden, personal burden, environmental burden, physical symptom burden, and emotional burden of the crisis. Nurses' lived experiences during the pandemic were deep, intense, and moderately to highly affecting their ways of thinking, feeling, and behaving. That experience opened nurses' eyes on countless number of challenges that require special attention, care, and preparation on many levels. The minimal preparatory levels are personal, departmental, organizational, and strategic.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burnout Among Nurses Working in Critical Care Units During the COVID-19 Pandemic. COVID-19 大流行期间重症监护室护士的职业倦怠。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000514

Omar Almahmoud, Imad Asmar, Ahmad Kahala, Nour Awadallah, Wala Awad, Nida'a Sarhan, Sadeen Joulany

{"title":"Burnout Among Nurses Working in Critical Care Units During the COVID-19 Pandemic.","authors":"Omar Almahmoud, Imad Asmar, Ahmad Kahala, Nour Awadallah, Wala Awad, Nida'a Sarhan, Sadeen Joulany","doi":"10.1097/CNQ.0000000000000514","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000514","url":null,"abstract":"Burnout is a state of emotional and physical depletion. Its occurrence among critical care nurses (CCNs) is a concept that has gained traction yet remains an issue with global consequences. Nurses are especially vulnerable to burnout due to the persistent stressors they are exposed to, which include the general work environment, biological factors, and emerging changes caused by COVID-19. This study aims to assess the severity of burnout among CCNs during the COVID-19 pandemic and its associated factors. A descriptive cross-sectional questionnaire was used in this study to measure the estimated burnout rate among CCNs in Palestine and establish associations with potential factors. Maslach Burnout Inventory questionnaire was used for the task. The results showed out of the 173 participants, more than 35% reported severe overall burnout. Per burnout domains, it was found that around 70% of participants suffered from low personal accomplishment, while 59.5% had severe levels of depersonalization, and finally, more than 65% of critical nurses had severe emotional exhaustion. Out of the various variables tested, gender, age, type of hospital, PPE, and fear of transmission were found to be associated with overall burnout. CCNs in Palestine were found to be severely burned out and should be dealt with before getting out of hand. The research found variables related to burnout contributed to burnout. Recommendations for further studies and prioritization should be made.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Tribute to Janet Barber, MSN, RN, FAAFS - Editor CCNQ from 1976 to 2023. 向珍妮特-巴伯（Janet Barber）、MSN、RN、FAAFS致敬--1976年至2023年的CCNQ编辑。

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Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000516

引用次数: 0