Critical Care Nursing Quarterly最新文献_第6页

The Impact of Training Program on Nurse's Knowledge and Skills of Myocardial Infarction Screening by Using Electrocardiogram. 培训计划对护士心电图筛查心肌梗死知识和技能的影响。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI: 10.1097/CNQ.0000000000000449

Hammad Fadlalmola, Ahmad Tubaishat, Mohammed Habiballa

{"title":"The Impact of Training Program on Nurse's Knowledge and Skills of Myocardial Infarction Screening by Using Electrocardiogram.","authors":"Hammad Fadlalmola, Ahmad Tubaishat, Mohammed Habiballa","doi":"10.1097/CNQ.0000000000000449","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000449","url":null,"abstract":"A nurse is usually the one who faces electrocardiogram (ECG) interpretation; thus, there is a need to increase knowledge and skills of nurses on doing and interpreting the electrocardiogram. The objective of the study was to assess the effectiveness of training program on the knowledge and skills of nursing staff regarding screening of myocardial infarction by using 12-lead ECG. A descriptive case-control study design with comparison groups (intervention and control) was performed in 4 hospitals at Sudan. Two hospitals were selected randomly as intervention group, and the another 2 was the control group. Data collection was taken pre- and posttraining program for both groups, followed by posttest evaluation (late posttest) after 3 months for intervention group only, using same structured knowledge questionnaire and direct observation checklist to assess the nurse's skills. The baseline scores at the pretest revealed that there was no significant difference between intervention and control groups. After the training program, the score increased for the intervention group 22.94 compared with the control group 12.64 (P < .001). The same reported for the skill scores, where it was 25.52 for the intervention group and 16.12 for the control group (P < .001). Three months later, the second posttest showed as well significant differences from the baseline for the intervention group in the knowledge score (M = 20.42, P < .001) and the skills score (M = 24.64, P < .001). The study showed poor knowledge and skills among nurses regarding screening of myocardial infarction by using electrocardiogram at the pretest. The training program was effective in improving their knowledge and skills.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10775144","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

Striving to Keep a Clear Conscience by Going Above and Beyond: The Experiences of Intensive Care Unit Nurses. 努力做到问心无愧——重症监护室护士的经验。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI: 10.1097/CNQ.0000000000000452

Kurosh Jodaki, Maryam Esmaeili, Mohammad Ali Cheraghi, Monir Mazaheri

{"title":"Striving to Keep a Clear Conscience by Going Above and Beyond: The Experiences of Intensive Care Unit Nurses.","authors":"Kurosh Jodaki, Maryam Esmaeili, Mohammad Ali Cheraghi, Monir Mazaheri","doi":"10.1097/CNQ.0000000000000452","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000452","url":null,"abstract":"Working as a nurse in the critical care unit may involve ethical challenges including conflict of conscience. Literature provides very limited knowledge about intensive care unit (ICU) nurses' perception of conscience. Considering the influence of culture on the perception of conscience, it is important to study it in diverse contexts. This study aims were to explore the meaning of conscience and the impact of conscience on nurses' practice in the ICU. A qualitative research approach was used to answer the research question, and qualitative content analysis guided the study. A total of 17 interviews were conducted with ICU nurses. Data were collected through semistructured tools by using videoconferencing and face-to-face interviews. Data analysis resulted in the formation of 2 main categories and 7 subcategories. The main categories included understanding the conscience and unlimited efforts in caretaking as the path to a clear conscience. The category of understanding the conscience includes 3 subcategories of conscience as an intrinsic asset and internal observer, dynamicity of conscience, and conscience as the cornerstone of morality. Also, the category of unlimited efforts in caretaking as the path to a clear conscience consists of 4 subcategories including giving full attention to the patient, putting oneself in another's shoes, taking responsibility, and working beyond the job description. Conscience plays an essential role in providing the ethical care among ICU nurses. The ICU nurses felt that they need to go above and beyond to keep their conscience clear. Nurses expressed the importance of following the call of conscience at their workplace, which demanded unlimited efforts to achieve a clear conscience.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10133987","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: 1

Development and Validation of a Red Flag Prediction Model for Admission of COVID-19 Patients to the Intensive Care Unit. 重症监护病房新冠肺炎患者入院红旗预测模型的建立与验证

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI: 10.1097/CNQ.0000000000000454

Ghada S K Mahran, Marzoka A Gadallah, Mimi M Mekkawy, Sanaa M Ahmed, Magdy M M Sayed, Ahmed A Obiedallah, Mostafa S Abbas, Sherif A A Mohamed

引用次数: 0

Development of a Shifting and Receiving Performa for ICU Patients: Reducing Communication Errors-A Delphi Study. ICU患者转移和接收行为的发展:减少沟通错误-德尔菲研究。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI: 10.1097/CNQ.0000000000000451

Gurleen Kaur, Haranjan Kaur Johal, Shivani Kalra

{"title":"Development of a Shifting and Receiving Performa for ICU Patients: Reducing Communication Errors-A Delphi Study.","authors":"Gurleen Kaur, Haranjan Kaur Johal, Shivani Kalra","doi":"10.1097/CNQ.0000000000000451","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000451","url":null,"abstract":"Critically ill patients are frequently transported between intensive care units (ICUs) and other sections of hospital, which may cause communication error. The aim of this study was to reduce errors while shifting and receiving of patients in and from the ICU. The present study was aimed to develop a Shifting and Receiving Performa for the patients admitted in the ICU of a tertiary care hospital. A multistage developmental study was conducted in ICUs. Eleven experts were selected by a purposive sampling technique, and the study was conducted in 4 phases. From the pool of items, a preliminary draft of the performa was prepared and the draft was given to experts to evaluate its content and face validity by conducting 2 Delphi rounds. The mean I-CVI of the shifting performa increased from 0.92 to 0.95, S-CVI/AVG exceeded from 0.88 to 0.96, and S-CVI/UA exceeded from 0.48 to 0.7 after Delphi round 2. In the case of the receiving performa, the mean I-CVI and S-CVI/AVG remained the same, that is, 0.98 in Delphi rounds 1 and 2. The mean S-CVI/UA also remained the same (ie, 0.9). The interrater reliability of the performa was found to be 0.95. Almost all the staff nurses found the performa to be beneficial, provided complete information, and reduced communication errors.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10767269","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

Needs of Family Members of Intensive Care Patients. 重症监护病人家属的需求。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI: 10.1097/CNQ.0000000000000450

Hasanali Jafarpoor, Houman Manoochehri, Parvaneh Vasli

引用次数: 0

Nursing Students' Understanding of Palliative Care in Palestine. 巴勒斯坦护生对姑息治疗的了解。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI: 10.1097/CNQ.0000000000000453

Basma Salameh, Ahmad Ayed, Imad Fashafsheh, Daifallah M Alrazeeni, Ahmed Batran, Fadia Ahmed

{"title":"Nursing Students' Understanding of Palliative Care in Palestine.","authors":"Basma Salameh, Ahmad Ayed, Imad Fashafsheh, Daifallah M Alrazeeni, Ahmed Batran, Fadia Ahmed","doi":"10.1097/CNQ.0000000000000453","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000453","url":null,"abstract":"Palliative care is a method of preventing and alleviating suffering for patients who have been diagnosed with terminal diseases by early detection, accurate assessments, and pain and symptom management. Patients and their families can then mitigate related physical, psychological, and spiritual challenges and thus will have a better quality of life. This article reports a study that evaluated undergraduate nursing students' knowledge of and attitude and self-efficacy toward palliative and end-of-life care in Palestine. A descriptive, cross-sectional design was used among a convenience sample of 449 undergraduate nursing students at the end of their second, third, and fourth years. The results of this research revealed that nursing students had low levels of knowledge about palliative care and low self-efficacy toward end-of-life care. The majority of students reported a positive disposition toward the provision of end-of-life care. The most important predictors of knowledge, attitudes, and self-efficacy were age, having attended a seminar/lecture on the issue, experiencing death while providing care, and having experienced a death in the family or close friends. Furthermore, elevated levels of knowledge were significantly associated with higher level of attitude (P < .001) about palliative care.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10507209","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

A Rapid Response Team (RRT) System at a Cancer Center: Innovative Approaches to System Organization and Clinical RRT Pathways. 癌症中心的快速反应小组（RRT）系统：系统组织和临床 RRT 途径的创新方法。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-04-01 DOI: 10.1097/CNQ.0000000000000444

Tara Buchholz, Melissa Barzola, Yekaterina Tayban, Neil A Halpern

{"title":"A Rapid Response Team (RRT) System at a Cancer Center: Innovative Approaches to System Organization and Clinical RRT Pathways.","authors":"Tara Buchholz, Melissa Barzola, Yekaterina Tayban, Neil A Halpern","doi":"10.1097/CNQ.0000000000000444","DOIUrl":"10.1097/CNQ.0000000000000444","url":null,"abstract":"The Rapid Response Team (RRT) system at Memorial Sloan Kettering Cancer Center led by critical care medicine (CCM) advanced practice providers (APPs) expanded exponentially between 2009 and 2021. CCM-APPs are trained for care of critically ill patients as well as to oversee rapid response calls. The RRT is composed of a CCM-based RRT-APP, respiratory therapist, RRT-RN, and nursing supervisor. Since program inception, 11 RRT pathways and interventions have been developed and adjusted to improve multidisciplinary patient management. Pathways vary in complexity and require multidisciplinary collaboration. In some circumstances, the RRT patient may require transfer to outside facilities for services not provided at our oncology-based facility. RRT data are tracked across the hospital continuum with on-line reporting through RRT website dashboards. 2021 RRT data on electronic sepsis alerts, behavioral RRT and stroke alerts are presented. The RRT program is monitored through robust quality assurance. The APP-led RRT system's scope of care has been continuously expanded through the creation of RRT pathways to meet the increasingly complex medical needs of our patients.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10133991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Foreword. 前言。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-01-01 DOI: 10.1097/CNQ.0000000000000433

Tiffany DuMont

引用次数: 0

Obstetric Emergencies. 产科紧急情况。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-01-01 DOI: 10.1097/CNQ.0000000000000438

Stephanie Baltaji, Shaun F Noronha, Samir Patel, Amit Kaura

引用次数: 0

Surgical Emergencies in the ICU. 重症监护病房的外科急诊。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2023-01-01 DOI: 10.1097/CNQ.0000000000000437

Vikram Saini, Obaid Ashraf, James Babowice, Holly A Hamilton, Uzer Khan, Nitin Bhanot

引用次数: 1