The Canadian journal of critical care nursing最新文献_第2页

Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units 从重症监护室护士的角度看护理绩效的障碍

The Canadian journal of critical care nursing Pub Date : 2018-02-26 DOI: 10.5812/CCN.64815

Zahra Rajaeian, N. Alavi

{"title":"Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units","authors":"Zahra Rajaeian, N. Alavi","doi":"10.5812/CCN.64815","DOIUrl":"https://doi.org/10.5812/CCN.64815","url":null,"abstract":"Background: There are many performance obstacles in intensive care units (ICU) that can waste a nurse’s time and energy. Detec-tion and elimination of these obstacles can improve eﬃcacy in ICUs. Objectives: This study was carried out to identify the performance obstacles experienced by nurses in ICUs of selected hospitals in Kashan/Iran, 2015. Methods: In this descriptive analytical cross-sectional study, all 80 nurses working in ICUs reported their performance obstacles in 240 working shifts. The research instrument had 2 parts: 1- information of nurses and their working shift; 2- nursing performance obstacles questionnaire of Gurses. The questionnaire evaluates performance obstacles in 4 dimensions of environment, task, technology, and organization. The data analyzed with the descriptive and analytical statistics including Mann-Whitney U and Krukall-Wallis tests, and multiple regression analysis using SPSS 16. Results: The most common obstacles were: receiving too many phone calls from family members (75%), delay in getting medications from pharmacy (54.6%), insuﬃcient space to sit down and do paperwork (52.9%), and disorganized unit (51.6%). In the ﬁeld of technology, having to use equipment in poor condition (35%) was the most frequent obstacle. Delay in seeing new medical orders (48.3%) and inadequate information from physicians (30.4%) were other common obstacles. The nurses with less than 3 years of experience working in ICUs, those working morning shifts, and nurses who had admitted more patients reported signiﬁcantly more obstacles. Conclusions: Nursing performance obstacles were diﬀerent. Many obstacles such as receiving too many phone calls and having to use equipment in poor condition can be managed by simple interventions such as using technology to give information to the family members. Managementpolicies andenhancing teamworks areneeded toreduce obstaclessuch asinadequate information from physicians and disorganized unit. We need further studies, to evaluate how the elimination of these obstacles can improve the nursing care in ICUs.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"3 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79798887","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: 11

The Psychometric Properties of Richard Campbell Sleep Questionnaire in Patients in Intensive Care Unit Richard Campbell睡眠问卷在重症监护病房患者中的心理测量特性

The Canadian journal of critical care nursing Pub Date : 2018-02-26 DOI: 10.5812/CCN.65483

A. Amirifar, A. Rahimi, Fakhrudin Faizi, M. Siratinir

引用次数: 9

Provision of Care for Delirious Patients Hospitalized in Intensive Care Units: Nurses’ Experiences 重症监护病房谵妄病人的护理:护士的经验

The Canadian journal of critical care nursing Pub Date : 2017-11-10 DOI: 10.5812/CCN.57610

M. R. Nikfam, P. Pourghane, A. Ebadi

{"title":"Provision of Care for Delirious Patients Hospitalized in Intensive Care Units: Nurses’ Experiences","authors":"M. R. Nikfam, P. Pourghane, A. Ebadi","doi":"10.5812/CCN.57610","DOIUrl":"https://doi.org/10.5812/CCN.57610","url":null,"abstract":"Background: Delirium is the most common neurological diagnosis with a high occurrence among patients hospitalized in intensive care units (ICUs). Nurses should be able to connect with these patients and improve the prevailing mood in ICUs. Qualitative research attempts to discover people’s views and thoughts and understand the depth of issues through their experiences. The present qualitative study aimed to explore ICU nurses’ experiences of care provision for delirious patients. Methods: The present study is a conventional qualitative content analysis of ICU nurses’ (n, 27) experiences of care provision for delirious patients in Guilan Province, Iran in 2016. The study population was selected through purposive sampling, and the data were gathered through semistructured individual interviews, which continued until data saturation. Data analysis was performed in every stage, as recommended by Graneheim and Lundman. The strength and scientific accuracy of the study were evaluated, based on the Lincoln and Guba’s criteria. Results: Data analysis indicated 2 main themes and 6 subthemes. The main themes included “troubled relationships” (subthemes: “poor relationships”, “inadequate support”, and “categorized relationships”) and “exhaustive care provision” (subthemes: “exhaustion from devotion”, “occupational fatigue”, and “fruitless caring”). Conclusions: Based on the results of the present study regarding nurses’ care experiences for delirious patients in ICUs, patients can be relieved from disease-related tension, especially delirium, through strengthening nurse-patient relationships. Moreover, the staff’s healthy relationship with one another, besides managerial support, can improve occupational relationships and provision","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"140 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73789009","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

Stabilizing the Situation in an Emergency Ward: A Grounded Theory Study of How Emergency Nurses Provide Care in Emergency Wards 稳定急诊病房的情况:急诊护士如何在急诊病房提供护理的扎根理论研究

The Canadian journal of critical care nursing Pub Date : 2017-11-10 DOI: 10.5812/CCN.11603

H. Mahmoudi, E. Mohammadi, A. Ebadi, F. Taheri

引用次数: 2

The Effect of Individual Hope Therapy Program on Reduction of Depression in Elderly Patients with Unstable Angina Hospitalized in Cardiac Care Unit 个体希望治疗方案对心内科住院老年不稳定型心绞痛患者抑郁情绪的影响

The Canadian journal of critical care nursing Pub Date : 2017-11-10 DOI: 10.5812/CCN.57665

Masoomeh Mozooni, M. Heravi-Karimooi, N. Rejeh, Mohamad Ali Rahmani, Hamid Sharif Nia

引用次数: 3

Designing an Alarm Fatigue Assessment Questionnaire: Evaluation of the Validity and Reliability of an Instrument 设计报警疲劳评估问卷:评估仪器的效度和信度

The Canadian journal of critical care nursing Pub Date : 2017-11-10 DOI: 10.5812/CCN.11647

S. Ashrafi, S. N. Mehri, B. Nehrir

{"title":"Designing an Alarm Fatigue Assessment Questionnaire: Evaluation of the Validity and Reliability of an Instrument","authors":"S. Ashrafi, S. N. Mehri, B. Nehrir","doi":"10.5812/CCN.11647","DOIUrl":"https://doi.org/10.5812/CCN.11647","url":null,"abstract":"Background: In intensive care units (ICU), there should be some more facilities and equipment such as ventilators, monitors, suc-tionpumps,etc. Thesedevicesareequippedwithanalarmsystemintheirsettings. Sometimes,toomanyalarmscausealarmfatigue among nurses and consequently would jeopardize the safety of patients. Therefore, the current study aimed at designing a tool to assess the alarm fatigue among nurses. Methods: Inthecurrentdevelopmental,analyticstudy,usingreliabledatabases,analarmfatiguequestionnairewasdesignedwith 32 items. The content of the tool was measured by the panel of experts and its reliability was measured by Cronbach’s alpha. Data were analyzed with SPSS software version 21. Results: Theresultsshowedthat9outof 32itemsof thequestionnairehadlowcontentvalidityindexandratio(CVI/CVR)andshould be rejected; the index value of the questionnaire was 0.7 that was acceptable. The results showed that the ﬁnal questionnaire was reliable ( α = 0.806) with test-retest, which was repeatable. Conclusions: Since the alarm fatigue can jeopardize the patients’ safety, it is required to use a reliable tool for its assessment. According to the obtained results in the current study, the present questionnaire had a relatively appropriate validity.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"101 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76867278","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: 7

Quality of Life and Related Factors Among Patients Discharged from Critical Care Units 重症监护病房出院患者生活质量及相关因素分析

The Canadian journal of critical care nursing Pub Date : 2017-11-10 DOI: 10.5812/CCN.62148

A. Zaheri, Z. Sadat, M. Abasian, L. G. Afra, Mohammadsaleh Abdi, K. Joodaki, M. S. M. Sarcheshmeh

{"title":"Quality of Life and Related Factors Among Patients Discharged from Critical Care Units","authors":"A. Zaheri, Z. Sadat, M. Abasian, L. G. Afra, Mohammadsaleh Abdi, K. Joodaki, M. S. M. Sarcheshmeh","doi":"10.5812/CCN.62148","DOIUrl":"https://doi.org/10.5812/CCN.62148","url":null,"abstract":"Background: Quality of life is considered as the sense of well-being and life satisfaction. The healthcare professionals’ final mission is health amelioration to increase the patients’ life quality. The aim of the present study was to examine the effect of different factors on the quality of life in patients discharged from critical care units. Methods: This cross-sectional study was performed in 325 patients admitted to critical care units of Kashan Shahid Beheshti hospital using a convenience sampling method in 2015. Data were gathered one month after patients’ discharge through a demographic questionnaire, the quality of life standardized ShortForm-36 (SF-36) questionnaire, and the post-traumatic stress disorder checklist (PCL). The obtained data were analyzed using statistical tests such as t-test and (one-way) ANOVA test. Results: The enrolled sample consisted of 185 (56.9%) males and 140 (43.1%) females with a mean age of 54 ± 16.15. The mean total score of life quality in the study sample was 54.32 ± 27.52 and the total score of PCL was 43.99 ± 19.94. The mean score of the life quality was lower among patients with features including over 60 years, unemployed, a long-term hospitalization, more than five children, drug abuse, using mechanical ventilation, and post-traumatic stress disorder; however, the mean score was higher in employed and highly educated people. This analysis indicated no relationship between quality of life and patient’s gender, type of critical care unit, marital status, and admission for trauma reason. Conclusion: The mean score of the quality of life of patients discharged from intensive care units is low. Some of the individual and medical features such as age, drug abuse, a long-term hospitalization, using mechanical ventilation, and post-traumatic stress disorder are risk factors that decrease the quality of life. Nurses can identify and control the risk factors in intensive care units.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"16 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86682390","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: 2

Effect of Spiritual Care Based on Sound-Heart Consulting Model (SHCM) on Spiritual Health of Hemodialysis Patients 基于心音咨询模式的精神关怀对血液透析患者精神健康的影响

The Canadian journal of critical care nursing Pub Date : 2017-11-10 DOI: 10.5812/CCN.16147

Halimeh Akbarpour Mazandarani, M. Asadzandi, Mohsen Saffari, Morteza, Khaghanizadeh

{"title":"Effect of Spiritual Care Based on Sound-Heart Consulting Model (SHCM) on Spiritual Health of Hemodialysis Patients","authors":"Halimeh Akbarpour Mazandarani, M. Asadzandi, Mohsen Saffari, Morteza, Khaghanizadeh","doi":"10.5812/CCN.16147","DOIUrl":"https://doi.org/10.5812/CCN.16147","url":null,"abstract":"Objectives: Anxiety and worry about the future, depression and grief caused by loss of health, along with: physical problems, de-creasedeﬃcacyandself-conﬁdence,andsocialisolationdamagethespiritualhealthof hemodialysispatients. Theaimof thisstudy was to investigate the eﬀect of spiritual care based on sound-heart consulting model on the spiritual well being of hemodialysis patients. Methods: In a semi-experimental study, in the dialysis department of Baqiyatallah hospital in Tehran, 38 patients under hemodialysis were selected according to the inclusion criteria. Regarding outpatient care, spiritual care was carried out in the form of spiritual counseling based on the sound-heart consulting model. During the 8 volunteering counseling sessions, spiritual skills were taught to improve the four-dimensional relationship (relationship with God, self, others, and the universe of nature) with an edu-cational booklet. The spiritual health of patients with Alison’s questionnaire was examined before intervention, immediately after counseling and 3 months later. Data were analyzed with descriptive statistics (mean, standard deviation) and inferential statistics (Chi-square, t-test, Fisher exact test, Friedman). The SPSS24 software was used. Results: At the beginning of the study, the level of spiritual well-being of patients was moderate (overall score of 59/93), however, after the implementation of spiritual care and 3 months after the completion of counseling, there was a signiﬁcant increase in the existential health and total score of spiritual well-being (P < 0.001). Conclusions: Performing spiritual counseling based on the Sound Heart model, by training religious-based spiritual skills, is a good way to improve the level of spiritual well-being of patients and can be used as a community-based approach in a nursing educational-supportive system.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"40 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78625409","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: 17

The Effect of a Multi-Dimensional Play Program on Children’s Pain Intensity During Burn Dressing Change in Burn Intensive Care Units: A Clinical Trial 多维游戏项目对烧伤重症监护病房换药期间儿童疼痛强度的影响:一项临床试验

The Canadian journal of critical care nursing Pub Date : 2017-11-10 DOI: 10.5812/CCN.58845

A. N. Koushali, R. Daryabeigi, N. Alimohammadi, M. Najafi

{"title":"The Effect of a Multi-Dimensional Play Program on Children’s Pain Intensity During Burn Dressing Change in Burn Intensive Care Units: A Clinical Trial","authors":"A. N. Koushali, R. Daryabeigi, N. Alimohammadi, M. Najafi","doi":"10.5812/CCN.58845","DOIUrl":"https://doi.org/10.5812/CCN.58845","url":null,"abstract":"Background: Playing is one of the recommended tools in recent years for decreasing pain in children having painful and stressful experiences. It can also help these children cope with such situations. Objectives: This study was performed with the aim of assessing the eﬀect of a multidimensional play program on pain intensity during wound dressing change in children hospitalized in burn intensive care units. Methods: In this clinical trial, forty 7 to 12-year-old children, hospitalized in burn intensive care units of Imam Mousa Kazem (SA) medical educational center in Isfahan, were selected through simple random sampling and were divided into 2 groups. The multidimensional play program was applied for children in the experimental group. Finally, pain intensity was assessed in the groups, usingWong-Baker’spainratingscale. Inaddition,theresultsweredocumentedinthepreandpostteststages,anddataanalysiswas performed using statistical tests. Results: The children’s average pain scores of burn dressing change before and after the intervention were 8.6 ± 0.9 and 5.5 ± 1.3 in the experimental group and 8.7 ± 0.8 and 8.4 ± 0.8 in the control group, respectively. According to the t test results, there was a signiﬁcant diﬀerence between the groups in terms of pain intensity after burn dressing change in the posttest (P < 0.05). Conclusions: Thisstudyindicatedthatapplicationof amultidimensionalplayprogramcanbeusefulindecreasingchildren’spain intensity during burn dressing changes.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"40 1","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79569428","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: 4

Designing and Validation Islamic Evidence-Based Spiritual Care Guidelines of Sound Heart Model in the Dying Patients 临终病人健全心脏模型伊斯兰循证精神护理指南的设计与验证

The Canadian journal of critical care nursing Pub Date : 2017-08-31 DOI: 10.5812/CCN.58079

M. Asadzandi, Alireza Eskandari, S. Khademolhosseini, A. Ebadi

引用次数: 11