Enfermeria Intensiva最新文献_第2页

Modificación de una escala de riesgo de lesión ocular en niños críticamente enfermos 修改重症儿童眼外伤风险量表

IF 1.1

Enfermeria Intensiva Pub Date : 2025-01-01 DOI: 10.1016/j.enfi.2024.04.007

Beatriz Vilchez-Rodriguez RN , Marta Marcos-López RN , Isabel Manzanal-Martín RN , Pablo González-Navarro MSc , Jesús López-Herce-Cid MD, PhD

{"title":"Modificación de una escala de riesgo de lesión ocular en niños críticamente enfermos","authors":"Beatriz Vilchez-Rodriguez RN , Marta Marcos-López RN , Isabel Manzanal-Martín RN , Pablo González-Navarro MSc , Jesús López-Herce-Cid MD, PhD","doi":"10.1016/j.enfi.2024.04.007","DOIUrl":"10.1016/j.enfi.2024.04.007","url":null,"abstract":"<div><h3>Introduction</h3><div>There is no validated tool that assesses the risk of eye injury in intensive care units. The aim of this study was to analyse the ability to detect keratopathies after modification of an eye injury risk assessment scale in critically ill children.</div></div><div><h3>Methods</h3><div>Observational, retrospective study. We modified a designed scale of risk of ocular damage tested in 194 children without previous ocular pathology admitted to paediatric intensive care for more than 48hours. The original scale classified patients as high/medium/low risk according to a sum of 10 risk factors. The scale was simplified by eliminating the face mask and slow blinking. Intubation was replaced by mechanical ventilation. All patients were re-classified with the new scale and the early detection ability of the modified scale for eye damage was compared.</div></div><div><h3>Results</h3><div>There was no statistically significant difference between the two scales for the ability to detect patients at risk of eye injury (<em>P</em>=.4361). The new scale classified patients’ risk of eye injury with the same reliability, with the exception of one patient whose eye injury with the new scale would have been detected one day later.</div></div><div><h3>Conclusions</h3><div>The new scale had a similar ability to detect eye injury risk as the original scale in critically ill children.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100495"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840348","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

Nota de editor

IF 1.1

Enfermeria Intensiva Pub Date : 2025-01-01 DOI: 10.1016/S1130-2399(25)00015-X

引用次数: 0

Calidad de vida en el trabajo e intención de rotar en enfermeras de cuidado intensivo. Estudio transversal 重症监护护士的工作生活质量和轮岗意向。横断面研究

IF 1.1

Enfermeria Intensiva Pub Date : 2025-01-01 DOI: 10.1016/j.enfi.2024.02.004

Laura del Pilar Quiñones-Rozo RN, MSN, PhD, Paola Andrea Largacha-Medina RN, Ingrid Yulieth Bravo-Bolaños RN, Gladys Eugenia Canaval-Erazo RN, MSc, PhD

{"title":"Calidad de vida en el trabajo e intención de rotar en enfermeras de cuidado intensivo. Estudio transversal","authors":"Laura del Pilar Quiñones-Rozo RN, MSN, PhD, Paola Andrea Largacha-Medina RN, Ingrid Yulieth Bravo-Bolaños RN, Gladys Eugenia Canaval-Erazo RN, MSc, PhD","doi":"10.1016/j.enfi.2024.02.004","DOIUrl":"10.1016/j.enfi.2024.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>The high demands and current working conditions of nursing professionals who work in intensive care units’ impact both their quality of life and their intention to rotate, and these in turn impact the quality of care.</div></div><div><h3>Objective</h3><div>Identify the relationship between quality of Work Life (QWL) and the intention to rotate and/or leave the organization of nursing profession in intensive care units.</div></div><div><h3>Method</h3><div>Analytical cross-sectional observational study with 101 nursing professionals (NP) working in adult intensive care with more than one year of experience in the area. Simple random probabilistic sampling (51 NP) and non-probabilistic convenience sampling (50 NP). The Quality of Life at Work (CVT GOHISALO) instrument is applied plus 5questions on turnover intention and other sociodemographic questions. The exploratory statistical analysis considered frequency tables and Chi square measures of association to develop the Logit model with the CVT variable as the exposure and the intention to rotate as the outcome.</div></div><div><h3>Results</h3><div>The dimensions of Quality of Life at Work that show the greatest dissatisfaction are integration with work (D3 [61%]), job satisfaction (D4 [72%]), personal development (D6 [67%]) and free time management (D7 [75%]). There is a high intention to change to another institution (57%) and to migrate to another country (63%). The intention to change to another institution can be explained by job satisfaction and institutional support <em>(P</em><.001).</div></div><div><h3>Conclusions</h3><div>There is an inverse relationship between satisfaction with the dimensions of quality of life at work and the intention to change to another service, institution, or independent work, which would imply developing strategies that improve CVT to reduce the intention to rotate.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100484"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844153","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

Interevaluator reliability of a tool for measuring body height in adult intensive care patients 成人重症监护患者身高测量工具的评估者内部可靠性

IF 1.1

Enfermeria Intensiva Pub Date : 2024-10-01 DOI: 10.1016/j.enfi.2024.01.002

H.A. Payán-Salcedo , J.L. Estela-Zape , L.P. Chanchi-Quintero , E.C. Wilches-Luna

{"title":"Interevaluator reliability of a tool for measuring body height in adult intensive care patients","authors":"H.A. Payán-Salcedo , J.L. Estela-Zape , L.P. Chanchi-Quintero , E.C. Wilches-Luna","doi":"10.1016/j.enfi.2024.01.002","DOIUrl":"10.1016/j.enfi.2024.01.002","url":null,"abstract":"<div><h3>Background</h3><div>The calculation of body height in the intensive care unit is essential for obtaining the ideal body weight, which is used to program the tidal volume and establish objective and effective pulmonary ventilation. The objective of the study was to determine the interrater reliability of a tool for measuring body height in adult patients in an intensive care unit (ICU) in southwestern Colombia.</div></div><div><h3>Methods</h3><div>This cross-sectional observational study was conducted between January and May 2021, following the recommendations of the COSMIN protocol. Two physiotherapists in the roles of observer/evaluator measured the heights of 106 patients upon admission to the ICU with a previously designed. The sample size was calculated based on Pearson's correlation coefficient. For interrater reliability, the intraclass correlation coefficient (ICC) was used, and Bland–Altman analysis was used to assess concordance. The 95% confidence interval was established, and a P value <0.05 indicated statistical significance.</div></div><div><h3>Results</h3><div>A total of 106 individuals with a mean age of 59.3 years were included; the mean body height was 158.5 cm for women. The interrater reliability of the measurement of height was excellent (global ICC of 0.99, <em>P</em> = 0.000), and an almost perfect positive correlation was obtained between the raters for both women and men (<em>R</em> = 0.99).</div></div><div><h3>Conclusions</h3><div>Excellent interrater/interobserver reliability was obtained for the measurement of body height in the ICU. This research highlights the importance of protocolizing the measurement of height in critical patients with valid and reliable instruments.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 299-307"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652066","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 roles and responsibilities of advanced practice nurses in intensive care units: A scoping review 重症监护病房高级实践护士的角色和责任：范围界定审查

IF 1.1

Enfermeria Intensiva Pub Date : 2024-10-01 DOI: 10.1016/j.enfi.2024.05.001

F. Jafari Pour MSc, RN , R. Watson PhD, RN , E. Jafaripour MSc , R. Jafarian BSc

{"title":"The roles and responsibilities of advanced practice nurses in intensive care units: A scoping review","authors":"F. Jafari Pour MSc, RN , R. Watson PhD, RN , E. Jafaripour MSc , R. Jafarian BSc","doi":"10.1016/j.enfi.2024.05.001","DOIUrl":"10.1016/j.enfi.2024.05.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Since the intensive care units are one of the most sensitive hospital settings and critically ill patients undergo various stressful factors that put their lives in danger, a more advanced level of nursing practice is imperative to accommodate these issues and provide optimal care of patients.</div></div><div><h3>Objectives</h3><div>To review the literature describing the roles and activities performed by advanced practice nurses in intensive care units.</div></div><div><h3>Review methods</h3><div>We conducted a scoping review to search published articles using Scopus, PubMed, CINAHL (EBSCOhost), Science Direct, MEDLINE (EBSCOhost) and Cochrane Library during a 10-year period from 2013 to 2023.</div></div><div><h3>Results</h3><div>We identified 729 records, from which eleven articles were included in the review. We included six reviews and five original articles or research papers. With regard to the target area of our review, we used the information provided by these studies and categorized the contents related to the roles of advanced practice nurses in intensive care units into five sections, including direct practice, education and counseling, research, collaboration, and leadership.</div></div><div><h3>Conclusion</h3><div>Advanced practice nurses are essential members of critical care team by playing various roles in practice, education, research, collaboration, and leadership, and therefore, they can increase patients’ access to critical care and improve healthcare outcomes. The advancement of technology and complexity of care in intensive care units have led to the role expansion of these nurses which results in task-shifting between doctors and nurses. Therefore, it is considered essential for nursing and medical professionals to reach an agreement to establish standardized roles for advanced practice nurses.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages e31-e40"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652161","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

Punción ecoguiada versus técnica tradicional para la extracción de gasometrías arteriales en adultos: una revisión sistemática 成人动脉血气采样中超声引导穿刺与传统技术的比较：系统综述

IF 1.1

Enfermeria Intensiva Pub Date : 2024-10-01 DOI: 10.1016/j.enfi.2023.10.003

P. Romo-Miguel RN , S. Ballesteros-Peña RN, MPH, PhD

{"title":"Punción ecoguiada versus técnica tradicional para la extracción de gasometrías arteriales en adultos: una revisión sistemática","authors":"P. Romo-Miguel RN , S. Ballesteros-Peña RN, MPH, PhD","doi":"10.1016/j.enfi.2023.10.003","DOIUrl":"10.1016/j.enfi.2023.10.003","url":null,"abstract":"<div><h3>Aim</h3><div>To compare the efficacy of conventional puncture versus ultrasound-guided puncture for arterial blood gas sampling in adults.</div></div><div><h3>Method</h3><div>A search protocol was developed and applied to 3databases (Medline, Cochrane, and Dialnet). Clinical trials published between January 2013 and January 2023, in Spanish or English, were considered. Outcomes in terms of first-attempt success, number of attempts until success, time taken, self-reported iatrogenic pain, and patient or professional experience were collected. The risk of bias for each included study was assessed.</div></div><div><h3>Results</h3><div>Five randomized clinical trials were selected, with sample sizes ranging from 50 to 238 adult patients treated in emergency settings. Three out of 4studies showed higher first-attempt success rates when using ultrasound, and 2 out of 4 studies reported a decrease in iatrogenic pain. Discrepant findings were observed among the studies in terms of time taken and the number of attempts required for success.</div></div><div><h3>Conclusions</h3><div>Although current evidence is limited and the findings are heterogeneous, ultrasound-guided arterial puncture may have advantages over conventional puncture in terms of first-attempt success and in reducing iatrogenic pain.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 368-375"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456041","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

Adverse events with arterial catheters in intensive care units: a scoping review 重症监护病房动脉导管不良事件：范围界定综述

IF 1.1

Enfermeria Intensiva Pub Date : 2024-10-01 DOI: 10.1016/j.enfi.2024.04.005

P.M. Mariano-Gomes, A. Ouverney-Braz, G. Oroski-Paes

{"title":"Adverse events with arterial catheters in intensive care units: a scoping review","authors":"P.M. Mariano-Gomes, A. Ouverney-Braz, G. Oroski-Paes","doi":"10.1016/j.enfi.2024.04.005","DOIUrl":"10.1016/j.enfi.2024.04.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The installation of an arterial line is one of the invasive procedures performed for hemodynamic monitoring and, even with its clear importance in intensive care, it is still an invasive procedure and liable to cause harms to the patients.</div></div><div><h3>Objective</h3><div>To identify the adverse events associated with the use of arterial catheters in critically-ill patients in the world scientific production.</div></div><div><h3>Methodology</h3><div>The present scoping review was conducted according to the JBI methodology for scoping reviews. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist was used for reporting. The research question was “Which adverse events related to the use of arterial catheters in patients admitted to intensive care are more evident in the literature?”. Data collection took place in the following databases: LILACS; MEDLINE; EMBASE; CINAHL, EBSCOhost; and WEB OF SCIENCE.</div></div><div><h3>Results</h3><div>Through the search strategies, 491 articles were found in the databases. After exclusion of duplicates, peer analysis of titles and abstracts, full reading and screening of lists of references, the final sample of studies included was 38 articles. The main harms cited by the publications were as follows: limb ischemia, thrombosis, hemorrhage, accidental removal, inadvertent connection of inadequate infusion solution, pseudoaneurysm and bloodstream infection.</div></div><div><h3>Conclusions</h3><div>It was evidenced that patients are subjected to risks of adverse events from the insertion moment to removal of the arterial catheter, focusing on the infusion solution used to fill the circuit, the type of securement and dressings chosen, as well as the Nursing care measures for the prevention of bloodstream infection.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 410-427"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652162","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

Barriers to reporting adverse events from the perspective of ICU nurses: A mixed-method study 从重症监护病房护士的角度看报告不良事件的障碍：混合方法研究

IF 1.1

Enfermeria Intensiva Pub Date : 2024-10-01 DOI: 10.1016/j.enfi.2023.12.003

D. Kohanová PhD, RN , D. Bartoníčková MSc, RN

{"title":"Barriers to reporting adverse events from the perspective of ICU nurses: A mixed-method study","authors":"D. Kohanová PhD, RN , D. Bartoníčková MSc, RN","doi":"10.1016/j.enfi.2023.12.003","DOIUrl":"10.1016/j.enfi.2023.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurses represent the largest group of healthcare professionals and are responsible for improving patient safety, including reporting adverse events. However, adverse events are underreported due to the many barriers that compromise patient safety in the hospital setting.</div></div><div><h3>Aim</h3><div>The study aimed to investigate the barriers to reporting adverse events as perceived by nurses working in intensive care units (ICUs).</div></div><div><h3>Methods</h3><div>The exploratory sequential mixed-method study design was used. Data were collected between January 2022 and March 2023 in intensive care units of one selected university hospital in the Slovak Republic. The quantitative phase was carried out using a specific instrument to explore barriers to reporting adverse events and included 111 nurses from the ICU. The qualitative phase was conducted using semi-structured face-to-face interviews and consisted of 10 nurses from the ICU.</div></div><div><h3>Results</h3><div>In terms of quantitative aspect, fear of liability, lawsuits, or sanctions was the most significant barrier to reporting adverse events among ICU nurses. As a result of qualitative thematic analysis, four significant barriers to reporting adverse events were identified: negative attitude toward reporting adverse events; lack of knowledge and experience in reporting adverse events; time scarcity; fear.</div></div><div><h3>Conclusion</h3><div>Based on the results of the study, it is evident that only effective and regular reporting of adverse events leads to the minimization of adverse events. To improve patient safety in hospitals, education and management practices must be implemented to overcome barriers to reporting adverse events. The most important approach to overcoming barriers to reporting adverse events is to implement a culture of no blame and a positive culture of patient safety.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 287-298"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468174","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

Manejo de la disfagia por las enfermeras de las unidades de cuidados intensivos españolas 西班牙重症监护室护士对吞咽困难的管理

IF 1.1

Enfermeria Intensiva Pub Date : 2024-10-01 DOI: 10.1016/j.enfi.2024.02.006

Y.G. Santana-Padilla RN, MSc, PhD , T. Linares-Pérez RN , B.N. Santana-López RN, MSc, PhDc , L. Santana-Cabrera MD, PhD

{"title":"Manejo de la disfagia por las enfermeras de las unidades de cuidados intensivos españolas","authors":"Y.G. Santana-Padilla RN, MSc, PhD , T. Linares-Pérez RN , B.N. Santana-López RN, MSc, PhDc , L. Santana-Cabrera MD, PhD","doi":"10.1016/j.enfi.2024.02.006","DOIUrl":"10.1016/j.enfi.2024.02.006","url":null,"abstract":"<div><h3>Introduction/purpose</h3><div>Dysphagia is a disorder that presents with specific signs and symptoms in critically ill patients. Intensive care unit (ICU) nurses are responsible for monitoring and detecting abnormalities in critically ill patients, so they must be trained to assess swallowing and the complications that may arise. The aim of this research is to analyse the dynamics of the detection and assessment of dysphagia by ICU nurses.</div></div><div><h3>Method</h3><div>Cross-sectional descriptive study using an electronic questionnaire to nurses from different Spanish ICUs. The survey was adapted from previous research and consisted of 6 sections with 30 items of qualitative questions. The collection period was between December 2022 and March 2023. Statistical analysis was performed using frequencies and percentages, and the Chi-Square test was used for bivariate analysis.</div></div><div><h3>Outcomes</h3><div>43 nurses were recruited. Dysphagia is considered an important problem (90.7%) but in 50.3% of the units there is no standard or care protocol for this disorder. The most common technique is the swallowing test (32.6%). There is a consensus in our sample that aspiration pneumonia is the main problem; however, nurses in the busiest care units consider sepsis to be a frequent complication (p=0.029). The most common treatment is modification of food consistency (86.0%).</div></div><div><h3>Conclusion</h3><div>The findings of this research show a low systematisation of dysphagia screening in the units included. There is a need for greater implementation of interventions and clinical protocols for monitoring complications as well as for compensatory and rehabilitative management.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 329-339"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652165","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

Notificación de Incidentes. El eslabón más débil de los Sistemas de Seguridad del Paciente 事故报告。患者安全系统中最薄弱的环节。

IF 1.1

Enfermeria Intensiva Pub Date : 2024-10-01 DOI: 10.1016/j.enfi.2024.10.001

Angel Cobos-Vargas , Aurora Bueno-Cavanillas

引用次数: 0