Critical Care Nursing Quarterly最新文献_第2页

Developing and Validating a Bundle for Safe Intra-Hospital Transporting of the Critically Ill Patients: Mixed Qualitative Design With Delphi Approach. 开发并验证危重病人院内安全转运捆绑包：德尔菲法混合定性设计。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000518

Ghada Shalaby Khalaf Mahran, Mimi M Mekawy, Wafaa W Abd El-Aziz, Aida F A Ali, Doaa A El Demerdash, Magdy M M Sayed

{"title":"Developing and Validating a Bundle for Safe Intra-Hospital Transporting of the Critically Ill Patients: Mixed Qualitative Design With Delphi Approach.","authors":"Ghada Shalaby Khalaf Mahran, Mimi M Mekawy, Wafaa W Abd El-Aziz, Aida F A Ali, Doaa A El Demerdash, Magdy M M Sayed","doi":"10.1097/CNQ.0000000000000518","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000518","url":null,"abstract":"The aim of this study was to develop a bundle to increase safety of intra-hospital transport in critically ill patients. A qualitative design with Delphi approach was conducted for creation of an intra-hospital transport bundle in 3 steps. First, doctors and nurses were questioned about their encounters with intra-hospital transport incidents. Second, several databases were looked through to find published checklists and recommendations for intra-hospital transport. Third, using this strategy, a bundle was created and reviewed with subject matter experts. The content validity index (CVI), which assesses the degree of expert agreement, was utilized to evaluate each item in the generated bundle. Two evaluation cycles were required before a minimal index could be reached. We looked at the content validity and important weighting of the items. The scale-CVI was calculated using the average of all the elements, and it was 1. The created bundle serves as a framework for directing doctors and nurses during intra-hospital transportation and offers continuity of care to improve patient safety. The techniques suggested in this study can be used to adapt this bundle to the needs of other hospitals.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 4","pages":"378-399"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281646","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

Hypoglycemia in Critically Ill Patients: A Concise Clinical Review. 重症患者的低血糖症：简明临床综述》。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000525

Terilyn Ma, Leon L Chen

引用次数: 0

Effectiveness of the ABCDEF Bundle to Manage and Prevent Delirium: Pre- and Postintervention Quasi-Experimental Study. ABCDEF 束管理和预防谵妄的有效性：干预前后的准实验研究》。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000519

Tahany Nagy Nagm Eldean, Mohamed Hassan Bakri, Mervet Anwar Abdel Aziz, Ghada Shalaby Khalaf

{"title":"Effectiveness of the ABCDEF Bundle to Manage and Prevent Delirium: Pre- and Postintervention Quasi-Experimental Study.","authors":"Tahany Nagy Nagm Eldean, Mohamed Hassan Bakri, Mervet Anwar Abdel Aziz, Ghada Shalaby Khalaf","doi":"10.1097/CNQ.0000000000000519","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000519","url":null,"abstract":"To investigate effectiveness of the ABCDEF bundle to manage and prevent delirium.Background: ICU delirium is a common hospital problem that 80% of critically ill patients in the ICU experience. The ABCDEF bundle is one of the tools that included in Delirium guidelines to manage critically ill patients.Research design: Pre- and post intervention a quasi-experimental design was utilized in the present study.Setting: This study was conducted in the intensive care units of Assiut University Hospital.Methods: A total of 60 mechanically ventilated patients were recruited using inclusion and exclusion criteria. The ABCDEF bundle was implemented every day for the first 7 days of ICU admission, and patient sedation and delirium status were assessed using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Sedation instrument measures were utilized in data collection.Results: Significant differences were found in the incidence of delirium: 20% in the study group versus 70% in the control group. The increased mean of days without delirium ICU stay was 4.6333 in the study group and 1.1000 in the control group, with P value = .001.Conclusion: The mechanically ventilated patients exposed to the implementation of the ABCDE bundle experienced fewer delirium signs than before the ABCDE bundle was implemented.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 4","pages":"275-285"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281649","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

Cryoanalgesia for Reducing Unconscious Patients' Pain During Arterial Puncture. 低温镇痛减轻昏迷患者动脉穿刺时的疼痛

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000521

Sara Elsayed Hegazy, Hend Elsayed Mansour, Alexandra Hare, Nahed Attia Kandeel

{"title":"Cryoanalgesia for Reducing Unconscious Patients' Pain During Arterial Puncture.","authors":"Sara Elsayed Hegazy, Hend Elsayed Mansour, Alexandra Hare, Nahed Attia Kandeel","doi":"10.1097/CNQ.0000000000000521","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000521","url":null,"abstract":"Arterial puncture is a painful procedure performed to assess patients' respiratory status. Pain is a stressful situation for unconscious patients as they cannot communicate their feeling verbally. To control patients' pain and prevent the adverse effects of painkillers, nonpharmacological pain management strategies have been solicited. The aim of this study is to investigate the effect of cryoanalgesia on unconscious patients' pain during arterial puncture. We adopted a quasi-experimental one-group research design. A sample of 86 unconscious patients in a surgical intensive care unit were recruited in this study. The intervention was applying an ice pack over the puncture site for 5 minutes before the arterial puncture procedure. Pain was assessed for 2 times; before and after application of cryoanalgesia. A statistically significant difference in participants' pain scores between pre-tests and post-tests was noted. For the intubated ventilated participants, the mean pain score before and after applying cryoanalgesia was 5.26 versus 4.00 (P ≤ .05). For the non-intubated or intubated non-ventilated participants, the mean pain score was 6.66 versus 4.63 (P ≤ .05). Cryoanalgesia is a feasible and effective method incorporate during arterial puncture along with standard procedure elements to achieve maximum pain reduction for unconscious patients during arterial punctures.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 4","pages":"370-377"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281645","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

Significance of a Simulation for the Relocation of an Intensive Care Unit. 重症监护室搬迁模拟的意义。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000529

Youichi Yanagawa, Hiroki Nagasawa, Shinya Tada, Saori Nakamura, Mika Onitsuka, Eiko Suzuki, Shino Sasaki

{"title":"Significance of a Simulation for the Relocation of an Intensive Care Unit.","authors":"Youichi Yanagawa, Hiroki Nagasawa, Shinya Tada, Saori Nakamura, Mika Onitsuka, Eiko Suzuki, Shino Sasaki","doi":"10.1097/CNQ.0000000000000529","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000529","url":null,"abstract":"There have been few reports concerning simulation drills for the relocation of severely ill or injured patients treated in intensive care units (ICUs). We herein report our experience of one such simulation drill. It is a Narrative method. A simulation drill was performed on a weekday 2 weeks prior to the actual relocation. We selected 3 mock patients. The first one was a severely ill and unstable patient, the second had severe stroke, and the third had severe trauma. After the simulation, the average transportation time was 15 minutes. The simulation revealed that mock patients with a percutaneous cardiopulmonary support system and intra-aortic balloon pumping in a standard ICU bed could not be accommodated in the elevator. Furthermore, working the elevator controls resulted in wasted time while transferring the patients. As a result, the number of people, who controlled the elevator, was therefore increased during the actual relocation. During the actual relocation, all patients were transported safely and more quickly than predicted based on the results of the simulation drill. Most physicians and paramedical staff have little experience with relocating ICUs, so a simulation drill was necessary to ensure the safe and prompt transport of patients.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 4","pages":"400-407"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281653","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

Effect of the "aSSKINg" Model in Reducing Pressure Ulcer Risk: A Comparative Study Using the Braden Risk Assessment Score. aSSKINg "模型在降低压疮风险方面的效果：使用布莱登风险评估分数的比较研究。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000520

Ghada Shalaby Khalaf Mahran, Nada Ahmed Mohamed Ahmed, Mohamed Hassan Bakri, Mervet Anwar Abdel Aziz

{"title":"Effect of the \"aSSKINg\" Model in Reducing Pressure Ulcer Risk: A Comparative Study Using the Braden Risk Assessment Score.","authors":"Ghada Shalaby Khalaf Mahran, Nada Ahmed Mohamed Ahmed, Mohamed Hassan Bakri, Mervet Anwar Abdel Aziz","doi":"10.1097/CNQ.0000000000000520","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000520","url":null,"abstract":"Pressure ulcer is considered a common and costly problem in the care of patients. Prevention and management of pressure ulcer are very important due to the high cost of treatment and the adverse consequences of pressure ulcer. This study aimed to evaluate the effect of implementing \"aSSKINg\" model in reducing pressure ulcer risk. This study used a before- and after-intervention quasi-experimental design. This study was performed on 60 patients who were not randomly selected and assigned in to control and study group. The data collection tool was a 3-part sheet (Braden scale, skin health assessment, and Pressure ulcer assessment). The incidence of pressure ulcer was 19 (60.0%) in the control group versus 9 (30.0%) in the study group with statistical significant differences. The most common site of pressure ulcer was coccyx (6 [31.6%]) in the control group and Heel (3 [33.3%]) in the study group. The application of \"aSSKINg\" model in the patients with pressure ulcers is effective in reducing the incidence and severity of pressure ulcers.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 4","pages":"322-334"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281647","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

The Role of Work-Life Balance, Work Stress, and Work-Family Conflict in Creating Job Satisfaction and Their Impact on Turnover Intention in Nurses at Level I Health Facilities Hospital in Karawang. 工作-生活平衡、工作压力和工作-家庭冲突在创造工作满意度中的作用及其对卡拉旺一级卫生机构医院护士离职意向的影响。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000527

Farah Chalida Hanoum, Mohamad Rizan, Agung Wahyu Handaru

{"title":"The Role of Work-Life Balance, Work Stress, and Work-Family Conflict in Creating Job Satisfaction and Their Impact on Turnover Intention in Nurses at Level I Health Facilities Hospital in Karawang.","authors":"Farah Chalida Hanoum, Mohamad Rizan, Agung Wahyu Handaru","doi":"10.1097/CNQ.0000000000000527","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000527","url":null,"abstract":"Turnover intention research with the addition of independent variables of work-life balance and work stress in nurses with health backgrounds is rarely found in type c public hospitals in Karawang city, where literature about this research needs to explain it. This research aims to ascertain how work-life balance, workplace stress, and work-family conflict affect nurses' intentions to quit their jobs by using job satisfaction as a mediator. The sampling for this study was carried out using the probability sampling method known as proportionate stratified random sampling. A total of 550 nurses from 4 schools submitted responses. Work-life balance, work-related stress, and job happiness all significantly influence the likelihood of turnover. The desire to increase or reduce hospital turnover is significantly influenced by work-life balance, stress at work, and work-family conflict. This study has limitations that can lead to imperfect conclusions because the sample used is only the nurse division, so this study can only be generalized to some other districts. The variables studied still need to be reviewed to affect turnover intention by mediating job satisfaction.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 4","pages":"346-369"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281655","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

The Effect of Regular Oral Care Protocol on Preventing or Decreasing Severity of Oral Mucositis in Acute Leukemia Patient: A Prospective Trail. 定期口腔护理方案对预防或减轻急性白血病患者口腔黏膜炎严重程度的影响：前瞻性试验

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000528

Amany Sayed Hasaneen Alam, Mogedda Mohamed Mehany, Ahmed Refaat Abd Elzaher, Ghada Shalaby Khalaf Mahran

引用次数: 0

Effect of Virtual Education on Knowledge and Practice of Critical Care Nurses Regarding the Administration of Drugs Through Enteral Feeding Tubes: A Prospective Randomized Pre-Post Intervention Study. 虚拟教育对重症监护护士通过肠内喂养管给药的知识和实践的影响：前瞻性随机岗前干预研究》。

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Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI: 10.1097/CNQ.0000000000000524

Elnaz Sabaghnejad, Naemeh Nikvarz, Monirsadat Nematollahi

{"title":"Effect of Virtual Education on Knowledge and Practice of Critical Care Nurses Regarding the Administration of Drugs Through Enteral Feeding Tubes: A Prospective Randomized Pre-Post Intervention Study.","authors":"Elnaz Sabaghnejad, Naemeh Nikvarz, Monirsadat Nematollahi","doi":"10.1097/CNQ.0000000000000524","DOIUrl":"10.1097/CNQ.0000000000000524","url":null,"abstract":"A study was conducted to evaluate the effect of virtual education on knowledge and practice of nurses regarding administration of drugs through enteral feeding tubes (EFTs). Sixty nurses working in 4 intensive care units were enrolled. A questionnaire evaluating knowledge and practice of nurses regarding drug administration through EFTs was used. At the pre-intervention stage, all nurses responded to the questionnaire. Then an educational videoclip was provided to the intervention group. One month later, post-intervention stage, both groups answered to the questionnaire again. At the end of the study, the scores of all items in the knowledge domain including medication preparation (mean difference [MD] [95% CI]: 1.11 [0.57; 1.66]), tube flushing (MD [95% CI]: 2.15 [1.59; 2.79]), recognizing drug-drug/drug-feed interactions (MD [95% CI]: 0.57 [0.05; 1.09]), and recognizing dosage forms (MD [95% CI]: 1.51 [0.94; 2.10]) and practice domain including medication preparation (MD [95% CI]: 1.63 [1.04; 2.21]), tube flushing (MD [95% CI]: 1.19 [0.64; 1.74]), and recognizing drug-drug/drug-feed interactions [MD (95% CI): 2.16 (1.53; 2.80)] in the intervention group were significantly higher than those in the control group (P < .05). Education of proper technics of preparation and administration of drugs through EFTs improved knowledge and practice of the participants.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 4","pages":"286-295"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281648","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

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