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El diario en la unidad de cuidados intensivos: análisis de concepto 重症监护室日记:概念分析
IF 1.1
Enfermeria Intensiva Pub Date : 2024-07-01 DOI: 10.1016/j.enfi.2023.08.002
{"title":"El diario en la unidad de cuidados intensivos: análisis de concepto","authors":"","doi":"10.1016/j.enfi.2023.08.002","DOIUrl":"10.1016/j.enfi.2023.08.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Admission to an intensive care unit can cause sequelae to both patients and family members. In some countries, the use of diaries is a preventive action.</p></div><div><h3>Aim</h3><p>This research proposes to critically examine the concept of ‘Intensive Care Unit Diary’ by analysing the current state of the scientific literature to develop a precise conception of this phenomenon in nursing practice, since there are multiple unknowns regarding its use and content.</p></div><div><h3>Method</h3><p>A bibliographic search was carried out in the PubMed, Cochrane Library, Scopus and CINAHL databases in January 2023. The terms used to search for their use and definitions in the databases included Nurse, Concept analysis, Family, Uci Diary, Patient Critical, Intensive Care Unit. We use Wilson's concept analysis, later developed by Walker and Avant.</p></div><div><h3>Results</h3><p>The concept analysis shows that the ‘ICU Diary’ is a record made in colloquial language by health workers and relatives of the patient admitted to the intensive care unit. Aimed at the patient, with an empathic and reflective style, which offers a narrative of the process, daily life and the conduct or behaviour of the patient during his stay.</p><p>It is a therapeutic tool led by nurses accepted by patients, families and professionals. Its use benefits the recovery process, reducing post-traumatic stress in family members and patients. It favours communication and the bond between nurses, family members and patients, helping to express feelings and emotions.</p></div><div><h3>Conclusions</h3><p>The concept of ‘UCI Diary’ is complex. Through Wilson's model, a clarification of the concept has been achieved, creating a starting point for more precise research on this phenomenon and its effects on patients, family members, professionals and the health system.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 3","pages":"Pages 178-187"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457549","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
Intensidad de colaboración interprofesional y factores relacionados en las Unidades de Cuidados Intensivos. Un estudio descriptivo de tipo transversal con enfoque analítico 重症监护病房专业间合作的强度及相关因素。采用分析方法进行的横断面描述性研究。
IF 1.1
Enfermeria Intensiva Pub Date : 2024-07-01 DOI: 10.1016/j.enfi.2023.10.002
{"title":"Intensidad de colaboración interprofesional y factores relacionados en las Unidades de Cuidados Intensivos. Un estudio descriptivo de tipo transversal con enfoque analítico","authors":"","doi":"10.1016/j.enfi.2023.10.002","DOIUrl":"10.1016/j.enfi.2023.10.002","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the Intensity of Collaboration between the intensive care professionals of a third level hospital.</p></div><div><h3>Method</h3><p>Descriptive cross-sectional study with an analytical approach. Setting: 6 intensive care units of a third level hospital. Sample: nurses and doctors. Consecutive type non-probabilistic sampling. Data collection: sociodemographic, economic, motivation and professional satisfaction variables, and the intensity of collaboration using the «Scale of Intensity of Interprofessional Collaboration in Health».</p></div><div><h3>Results</h3><p>A total of 102 health professionals (91 nurses and 11 doctors) were included. The mean overall Intensity of Collaboration (IoC) was moderate. Men showed higher scores in all factors (p<!--> <!-->&lt;<!--> <!-->0,05). The IoC global score was higher in the group of professionals with ≤<!--> <!-->10 years of experience (p<!--> <!-->=<!--> <!-->0,043) and those who were highly satisfied with the profession (p<!--> <!-->=<!--> <!-->0,037). Physicians presented higher scores in the global IdC (p<!--> <!-->=<!--> <!-->0,037) and in the Collaboration mean (p<!--> <!-->=<!--> <!-->0,020) independently in the multivariate models. A negative linear relationship (rho: -0,202, p<!--> <!-->=<!--> <!-->0,042) was observed between age and the overall IoC score. Professionals aged ≤<!--> <!-->30 years reported a higher perception of Shared Activities (p<!--> <!-->=<!--> <!-->0,031). Negative linear relationships were observed between years of experience and total IoC score (rho: -0,202, p<!--> <!-->=<!--> <!-->0,042) and patients’ Perception score (rho: -0.241, p<!--> <!-->=<!--> <!-->0.015). The research activity also showed to be a variable related to a greater degree of Collaboration at a global level and in some of the factors (p<!--> <!-->&lt;<!--> <!-->0,05). The scale of IoC obtained a Cronbach's α of 0,9.</p></div><div><h3>Conclusions</h3><p>The intensity of interprofessional collaboration in ICUs is moderate. Professionals with experience of ≤<!--> <!-->10 years, a higher level of satisfaction and participation in research activities show a greater intensity of collaboration. Doctors perceive collaboration more intensely than nurses. All factors contribute equally to the internal consistency of the questionnaire.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 3","pages":"Pages 188-200"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872514","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
Satisfacción de los pacientes con los cuidados enfermeros en una Unidad de Cuidados Intensivos medida a través de la escala Nursing Intensive-Care Satisfaction-Scale (NICSS) 以重症监护室护理满意度量表(NICSS)衡量病人对重症监护室护理服务的满意度
IF 1.1
Enfermeria Intensiva Pub Date : 2024-07-01 DOI: 10.1016/j.enfi.2023.10.004
{"title":"Satisfacción de los pacientes con los cuidados enfermeros en una Unidad de Cuidados Intensivos medida a través de la escala Nursing Intensive-Care Satisfaction-Scale (NICSS)","authors":"","doi":"10.1016/j.enfi.2023.10.004","DOIUrl":"10.1016/j.enfi.2023.10.004","url":null,"abstract":"<div><h3>Background</h3><p>Patient satisfaction in relation with nursing care has become a key determinant of the quality of hospital care.</p></div><div><h3>Objectives</h3><p>To evaluate patient satisfaction in relation with nursing care in a critical care context; to determine the correlation between critical patient satisfaction and sociodemographic and clinical variables and to describe patient perceptions with nursing care.</p></div><div><h3>Methods</h3><p>A descriptive, prospective, correlational study which includes the analysis of some open questions in the intensive care unit (ICU) of a tertiary level university hospital. The degree of satisfaction of all patients discharged from de ICU was evaluated. It was used the validated Spanish version of Nursing Intensive-Care Satisfaction-Scale (NICSS). There were also collected sociodemographic and clinical data and 3 open questions were asked. It was used the inferential and descriptive statistics considering statistically significant <em>P</em> <!-->&lt;<!--> <!-->.05. Open questions were examined using a language context analysis. The approval of the hospital ethical committee was obtained.</p></div><div><h3>Results</h3><p>111 patients agreed to participate, with a mean age of 64,18 years (CI 95% 61,36-66,88) and with a medium level of satisfaction of 5,83 (CI 95% 5,78-5,88) being 6 the maximum score. Women, older patients and those who reflect a higher degree of recovery, are those who reported greater satisfaction. Three main themes emerged from the analysis of the open-ended questions of the surveys: nurse patient relationship, professional practice environment and ICU nature.</p></div><div><h3>Conclusion</h3><p>Patient satisfaction in relation with nursing care was elevated. Age, sex and degree of recovery significantly influenced their perception. Nurse patient relationship and the professional practice environment were aspects highlighted by patients. The professional model incorporated by the institution may encouraged these results.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 3","pages":"Pages 201-212"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130239923000925/pdfft?md5=bfdb88ca1819f5ff405f8e6fab232354&pid=1-s2.0-S1130239923000925-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455931","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: 0
El avance de la enfermería de cuidados críticos como respuesta a las demandas actuales 根据当前需求推进重症护理工作
IF 1.1
Enfermeria Intensiva Pub Date : 2024-07-01 DOI: 10.1016/j.enfi.2024.01.003
R. Guerrero-Menéndez RN, PhD , G. Fontán-Vinagre RN, PhD(c) , J.L. Cobos-Serrano RN, PhD , D. Ayuso-Murillo RN, PhD
{"title":"El avance de la enfermería de cuidados críticos como respuesta a las demandas actuales","authors":"R. Guerrero-Menéndez RN, PhD ,&nbsp;G. Fontán-Vinagre RN, PhD(c) ,&nbsp;J.L. Cobos-Serrano RN, PhD ,&nbsp;D. Ayuso-Murillo RN, PhD","doi":"10.1016/j.enfi.2024.01.003","DOIUrl":"10.1016/j.enfi.2024.01.003","url":null,"abstract":"<div><p>The current demand on health services requires that nurses play a key role, by adapting their competencies to different fields and complexity levels. The approach of situations presented by critically ill patients underpins the need for development of specialised competencies in specific areas such as patient safety, prevention and control of healthcare-associated infections, performance of specific techniques and interventions, autonomous medication management or the use of technology, among others. Spain relies on a specialist training programme that is unique worldwide. Training admission is managed through a contract as a «Resident Nurse Intern» (EIR, <em>Enfermera Interna Residente</em>), provided by regional healthcare services. Only 6 specialities have been established and developed, in an uneven manner and with a short provision of places, annually. Given that the specialization in critical care nursing does not exist, nurses usually self-fund their postgraduate training to enhance their opportunities career development. The development of a speciality for critical care nursing is a priority. The models proposed advocate for creating nursing roles that could cover the systemic gaps through the expansion of their competencies and the introduction of procedures that fit nursing into advanced practice, which could be achieved through Advanced Accreditation Diplomas. Simultaneously, it would be convenient to analyse how and why such a dynamic discipline in some countries became stuck in anachronistic models of the Spanish healthcare system. This analysis might contribute to move forward on the development of areas of improvement in terms of service access and quality of care.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 3","pages":"Pages e23-e29"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141729119","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
Uso de la realidad virtual inmersiva como método de relajación en el entorno de una unidad de cuidados intensivos 在重症监护室使用沉浸式虚拟现实技术作为放松方法
IF 1.3
Enfermeria Intensiva Pub Date : 2024-04-01 DOI: 10.1016/j.enfi.2023.05.004
L. Martí-Hereu MSN , G. Navarra-Ventura MSN , A.M. Navas-Pérez PhD , S. Férnandez-Gonzalo MSN , F. Pérez-López PhD , C. de Haro-López PhD , G. Gomà-Fernández MSN
{"title":"Uso de la realidad virtual inmersiva como método de relajación en el entorno de una unidad de cuidados intensivos","authors":"L. Martí-Hereu MSN ,&nbsp;G. Navarra-Ventura MSN ,&nbsp;A.M. Navas-Pérez PhD ,&nbsp;S. Férnandez-Gonzalo MSN ,&nbsp;F. Pérez-López PhD ,&nbsp;C. de Haro-López PhD ,&nbsp;G. Gomà-Fernández MSN","doi":"10.1016/j.enfi.2023.05.004","DOIUrl":"10.1016/j.enfi.2023.05.004","url":null,"abstract":"<div><h3>Introduction</h3><p>The usage of immersive virtual reality (iVR) in the context of an intensive care unit (ICU) is scarce. Our objective was to assess the feasibility of the usage of iVR in critical patients with or without mechanical ventilation (MV) and to determine the anxiety degree before and after each session.</p></div><div><h3>Methods</h3><p>Analytical, descriptive, prospective, and cross-sectional research. Pilot test with 20 patients from a polyvalent ICU of a tertiary hospital. Adult patients were included, either connected or not to MV, watchful and calmed (RASS −1/+1) and without delirium (negative CAM-ICU).</p><p>Oculus Go (Facebook Technologies, LLC) iVR glasses were the model used. The relaxation strategy consisted in the visualization of an experience of 15<!--> <!-->minutes with scenes related to nature and fantasy, relaxing music with a plot. The sessions were individual, with the patient monitored in a fowler position or seated. The anxiety degree before and after each session was evaluated following a reduced version of the Spanish “Cuestionario de Ansiedad Estado-Rasgo (STAI-e)” and they were analysed using T samples coupled (statistical significance when p-value was &lt;.05).</p></div><div><h3>Results</h3><p>Incorporation of 20 patients with an average age of 63.9 years old (60% men). A total of 34 sessions of iVR were conducted. The 32% patients mechanically ventilated, 32% high-flow oxygen therapy, 36% other breathing supports. 80% of the sessions were completed without serious side effects. A significant decrease in the anxiety degree was observed after each iVR session: first session mean change −2.68 (SD<!--> <!-->=<!--> <!-->2.75), P<!--> <!-->=<!--> <!-->.000; second session mean change −1.86 (SD<!--> <!-->=<!--> <!-->1.57), <em>P</em>=.021; third session mean change −1.67 (SD<!--> <!-->=<!--> <!-->1.63), <em>P</em>=.054.</p></div><div><h3>Conclusion</h3><p>The usage of iVR in the context of an ICU is feasible, even with patients mechanically ventilated. iVR reduces the anxiety degree in the critic patient, which suggests that “digital therapies” can be effective to improve the emotional state during their stay in the ICU.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 2","pages":"Pages 107-113"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134994815","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
Modificaciones de los cuidados centrados en el desarrollo y la familia en cuidados intensivos neonatales durante la pandemia por COVID-19 en un hospital de España: un estudio cualitativo 西班牙一家医院在 COVID-19 大流行期间修改新生儿重症监护中以发展和家庭为中心的护理:一项定性研究
IF 1.3
Enfermeria Intensiva Pub Date : 2024-04-01 DOI: 10.1016/j.enfi.2023.05.001
M.B. Martin-Caballero RN, MSc , O. Arrogante RN, MSc, PhD , P. Martín–Casas PT, MSc, PhD , R. Ortiz-Gutiérrez PT, MSc, PhD
{"title":"Modificaciones de los cuidados centrados en el desarrollo y la familia en cuidados intensivos neonatales durante la pandemia por COVID-19 en un hospital de España: un estudio cualitativo","authors":"M.B. Martin-Caballero RN, MSc ,&nbsp;O. Arrogante RN, MSc, PhD ,&nbsp;P. Martín–Casas PT, MSc, PhD ,&nbsp;R. Ortiz-Gutiérrez PT, MSc, PhD","doi":"10.1016/j.enfi.2023.05.001","DOIUrl":"10.1016/j.enfi.2023.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Family centered developmental care (FCDC) are a philosophy of care in the neonatal care units (NICU), based on the control of sensory stimulation the adequate position and of newborn and the family involvement of cares. Nursing staff are the main providers of this care. Sanitary measure to control of the COVID-19, such as the use of masks, isolation of positive cases and capacity limit, conditioned the implementation of FCDC.</p></div><div><h3>Objectives</h3><p>To understand the meaning of the experience of the nursing staff of a neonatal intensive care unit (NICU) on the implementation of the FCDC, under the sanitary measures imposed for the containment of COVID-19.</p></div><div><h3>Methods</h3><p>A qualitative study was conducted from the descriptive phenomenological paradigm in which NICU nurses were recruited. The qualitative data collection was carried out through open-ended and semi-structured interviews. These were analyzed respectively through a preliminary narrative analysis and a thematic analysis of the informant nurses’ narratives and discourses.</p></div><div><h3>Results</h3><p>Three open-ended and 7 semi-structured interviews were conducted from which three main topics emerged: 1)<!--> <!-->changes in the FCDC derived from the sanitary restrictions implemented for the containment of COVID-19; 2)<!--> <!-->changes in interpersonal relationships in the context of a pandemic, and 3)<!--> <!-->transition to normality.</p></div><div><h3>Conclusions</h3><p>The nurses of NICU perceived changes in the implementation of the FCDC due to the containment of COVID-19, that modified the relationship with the parents of NB, accelerating their training as caregivers, and involved the implementation of new measures such as video calls.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 2","pages":"Pages 97-106"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130239923000627/pdfft?md5=69930cae775c1f606980808104b330d9&pid=1-s2.0-S1130239923000627-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134210124","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: 0
Predictores cognitivos y toma de decisiones en la experiencia de los síntomas del síndrome coronario 冠状动脉综合征症状体验中的认知预测和决策制定
IF 1.3
Enfermeria Intensiva Pub Date : 2024-04-01 DOI: 10.1016/j.enfi.2023.06.004
Carlos Yecid Bernal-Cárdenas RN, MSc, PhD , Viviana Marycel Céspedes-Cuevas RN, MSc, PhD , Jennifer Rojas-Reyes RN, MSc, PhD
{"title":"Predictores cognitivos y toma de decisiones en la experiencia de los síntomas del síndrome coronario","authors":"Carlos Yecid Bernal-Cárdenas RN, MSc, PhD ,&nbsp;Viviana Marycel Céspedes-Cuevas RN, MSc, PhD ,&nbsp;Jennifer Rojas-Reyes RN, MSc, PhD","doi":"10.1016/j.enfi.2023.06.004","DOIUrl":"10.1016/j.enfi.2023.06.004","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the predictive value of Cognitive Assessment, Symptom Severity, Personal Control and Self-Efficacy on decision making in the experience of Acute Coronary Syndrome symptoms.</p></div><div><h3>Method</h3><p>Quantitative study of cross-sectional analytical design, a probabilistic sampling was carried out for 256 participants diagnosed with coronary syndrome in three health institutions. The effects between the independent variables Cognitive Assessment, Symptom Severity, Personal Control, Self-Efficacy and the dependent Decision-Making were analyzed. Using inferential statistics, a Generalized Linear Regression Model was carried out, which allowed establishing the causal relationships between the variables.</p></div><div><h3>Results</h3><p>Two predictive models were obtained between decision making and cognitive evaluation, in which personal control, severity of symptoms, sex and context were significant. Self-efficacy was not reported as a predictor variable. The values of the independent variables showed a behavior directly proportional to the Decision Making score.</p></div><div><h3>Conclusion</h3><p>A verification of the conceptual model for the management of symptoms was carried out.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 2","pages":"Pages 124-132"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135654729","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
NO TODOS LOS PACIENTES FRÁGILES SON ANCIANOS 并非所有体弱病人都是老年人
IF 1.3
Enfermeria Intensiva Pub Date : 2024-04-01 DOI: 10.1016/j.enfi.2024.04.001
Federico Gordo-Vidal
{"title":"NO TODOS LOS PACIENTES FRÁGILES SON ANCIANOS","authors":"Federico Gordo-Vidal","doi":"10.1016/j.enfi.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2024.04.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 2","pages":"Pages 77-78"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822177","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
Designing and implementing an Advanced Nurse Practice in Critical Care programme from a university perspective within Northern Ireland 从北爱尔兰大学的角度设计和实施重症监护高级护士实践课程
IF 1.3
Enfermeria Intensiva Pub Date : 2024-04-01 DOI: 10.1016/j.enfi.2023.10.006
N. Devlin RN, MSc, SFHEA , M. Brown RGN, RNLD, PhD, PFHEA , K. McCutcheon RN, DNP, PFHEA , L. Creighton RN, MSc
{"title":"Designing and implementing an Advanced Nurse Practice in Critical Care programme from a university perspective within Northern Ireland","authors":"N. Devlin RN, MSc, SFHEA ,&nbsp;M. Brown RGN, RNLD, PhD, PFHEA ,&nbsp;K. McCutcheon RN, DNP, PFHEA ,&nbsp;L. Creighton RN, MSc","doi":"10.1016/j.enfi.2023.10.006","DOIUrl":"10.1016/j.enfi.2023.10.006","url":null,"abstract":"<div><p>The number of advanced practice roles in healthcare is increasing in response to several factors such as changes in medical education, economic pressures, workforce shortages and the increasing complexity of health needs of the population. The Advanced Critical Care Practitioner Curriculum, developed by the Faculty of Intensive Care Medicine in the UK (United Kingdom), enables the development and delivery of a structured education programme which can contribute to addressing these challenges. This article outlines how one university designed and implemented this programme, the first of its kind in Northern Ireland.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 2","pages":"Pages e1-e7"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130239923000949/pdfft?md5=ef4f75ddf377ae13a5fbe7200d9dfe04&pid=1-s2.0-S1130239923000949-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196128","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: 0
Adaptation and validation of the Turkish version of the alarm fatigue assessment questionnaire 改编和验证土耳其版警报疲劳评估问卷
IF 1.3
Enfermeria Intensiva Pub Date : 2024-04-01 DOI: 10.1016/j.enfi.2023.06.002
Öznur Erbay-Dallı RN, MSc, PhD , Kübra Bağcı-Derinpınar RN, MSc
{"title":"Adaptation and validation of the Turkish version of the alarm fatigue assessment questionnaire","authors":"Öznur Erbay-Dallı RN, MSc, PhD ,&nbsp;Kübra Bağcı-Derinpınar RN, MSc","doi":"10.1016/j.enfi.2023.06.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>Alarm fatigue may endanger the safety of patients by negatively affecting nurses' concentration and ability to provide effective care. Identifying alarm fatigue and taking appropriate measures are critical in preventing medical errors and for nurses to work with high motivation. This study aimed to test the psychometric properties of the Turkish version of the 23-item Alarm Fatigue Assessment Questionnaire (AFAQ).</p></div><div><h3>Method</h3><p>The study was conducted between February 2022 and April 2022 and included nurses with at least one year of clinical or intensive care experience. The data were collected via a web-based questionnaire. During the adaptation of AFAQ, language, content, and construct validity were evaluated; reliability was examined by internal consistency analysis.</p></div><div><h3>Results</h3><p>The item and scale content validity index of AFAQ were found to be high (&gt;0.80). The Kaiser–Meyer–Olkin measure of sampling adequacy indicated an adequate sampling (0.85); Bartlett's test of sphericity χ<sup>2</sup> was 1935.074, p<!--> <!-->&lt;<!--> <!-->0.001. Exploratory factor analysis (EFA) showed that the 21-item scale had a five-factor structure, explaining 51.606% of the total variance, and the factor loadings of the items were &gt;0.30 (0.422−0.803). Confirmatory factor analysis (CFA) showed that the five-factor model had a good fit index (χ<sup>2</sup>/df<!--> <!-->=<!--> <!-->1.855, SRMR<!--> <!-->=<!--> <!-->0.039, RMSEA<!--> <!-->=<!--> <!-->0.048, CFI<!--> <!-->=<!--> <!-->0.915, and TLI<!--> <!-->=<!--> <!-->0.908) and appropriate factor loadings (&gt;0.30). The internal consistency of AFAQ (Cronbach's alpha coefficient) was 0.85, and the corrected item-total correlations were between 0.32−0.55.</p></div><div><h3>Conclusion</h3><p>The results indicated that the Turkish version of the Alarm Fatigue Assessment Questionnaire was sufficiently valid and reliable to measure alarm fatigue in nurses.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 2","pages":"Pages 114-123"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822109","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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