The Canadian journal of critical care nursing最新文献_第6页

Comparison of Two Surgical Hand Antiseptic Techniques: Hand Rubbing and Hand Washing With Alcohol-Based Agent and 7.5% Povidone Iodine 两种外科手部消毒技术:酒精基消毒剂和7.5%聚维酮碘搓手和洗手的比较

The Canadian journal of critical care nursing Pub Date : 2016-10-18 DOI: 10.17795/CCN-8255

Ziba Asadpoor-Dezaki, A. Barabady, D. Abtahi

{"title":"Comparison of Two Surgical Hand Antiseptic Techniques: Hand Rubbing and Hand Washing With Alcohol-Based Agent and 7.5% Povidone Iodine","authors":"Ziba Asadpoor-Dezaki, A. Barabady, D. Abtahi","doi":"10.17795/CCN-8255","DOIUrl":"https://doi.org/10.17795/CCN-8255","url":null,"abstract":"Background: Hand disinfection is a major part of infection control during a surgical procedure. In contrast to developed countries, where the use of alcohol-based solutions (ABS) is routine, the usual practice in Iran is hand scrubbing using Povidone Iodine Solution (PVI). Most researchers have concluded that ABS might be superior to PVI, but others have found no differences. In this study the disinfection efficacy of ABS was compared to PVI. Methods: Thirty-one volunteers including surgeons and operating room nurses (OR-nurses) participated in this cross over design study. For one week they used ABS and the next week they used PVI for pre-surgical hand disinfection. Samples were obtained from the hands of all participants before, immediately after and two hours after hand washing. The bacterial contamination rate was evaluated by a microbiologist. Results: Our results demonstrated that ABS led to significantly lower mean Colony Forming Units (CFU) immediately after hand disinfection, but no significant differences were found between the two groups after two hours. Also, alcohol-based solution revealed a significantly higher logarithmic reduction factor (RF) of skin flora as an instantaneous effect. Both solutions were effective against Staphylococcus aureus, but the minimum reduction rate was in eliminating the Bacillus group. Conclusions: In conclusion, ABS can be promoted as the best choice for surgical hand disinfection solution amongst emergency situations, in that it has a time saving character and better instantaneous effect on bacterial skin flora reduction.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"101 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84109310","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: 3

Changing laws on medical assistance in dying: Implications for critical care nurses. 不断变化的死亡医疗援助法律:对重症护理护士的影响。

The Canadian journal of critical care nursing Pub Date : 2016-10-01

Marie Edwards

引用次数: 0

Intensive care nurses' assessment of pain in patients who are mechanically ventilated: How a pilot study helped to influence practice. 重症监护护士对机械通气患者疼痛的评估:一项初步研究如何影响实践。

The Canadian journal of critical care nursing Pub Date : 2016-10-01

Frances Fothergill Bourbonnais, Sue Malone-Tucker, Debbie Dalton-Kischei

{"title":"Intensive care nurses' assessment of pain in patients who are mechanically ventilated: How a pilot study helped to influence practice.","authors":"Frances Fothergill Bourbonnais, Sue Malone-Tucker, Debbie Dalton-Kischei","doi":"","DOIUrl":"","url":null,"abstract":"Background: Pain is a common experience among patients in intensive care units (ICUs). Many patients in ICUs have difficulty communicating their pain because of mechanical ventilation, and issues can arise when the nurse attempts to interpret the severity of pain,and work towards effective pain management.Purpose: The aim of this study was to determine the suitability of the Critical-Care Pain Observation Tool (CPOT) as an assessment tool to be used by ICU nursing staff to assess pain in adult. patients who are mechanically ventilated.Methods: This pilot study was descriptive in design and employed both quantitative and qualitative methods. Quantitative data resulted from the CPOT scores obtained. In addition, a data collection sheet, developed by the authors, recorded sedation and analgesia used and interventions provided. This separate sheet was completed each time the CPOT was used. Nurses were asked to evaluate the CPOT using a Likert scale. Qualitative data were collected through open-ended questions related to using the CPOT Results. Twenty-three participants each assessed pain five times in a total of 23 patients using the CPOT over a 12-hour shift. Nurses stated the tool was easy to use and that it would be helpful to them.Conclusion: The results of this pilot study contributed to the decision to implement the CPOT at the study ICUs. The systematic use of a tool may promote more goal-directed management of pain.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"27 3","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35847088","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

Critical care nursing north of the 6oth Parallel: A qualitative pilot study. 60度线以北的重症护理:一项定性的初步研究。

The Canadian journal of critical care nursing Pub Date : 2016-10-01

Brandi Vanderspank-Wright, Kimberly McMillan

{"title":"Critical care nursing north of the 6oth Parallel: A qualitative pilot study.","authors":"Brandi Vanderspank-Wright, Kimberly McMillan","doi":"","DOIUrl":"","url":null,"abstract":"Background: There is growing knowledge specif c to remote, rural and northern nursing practice in Canada's north. However, there is limited research that specifically addresses the experiences of critical care nurses working in Canada's northern communities.Purpose: The purpose of this pilot study was to begin to explore and better understand the experiences of Canadian nurses providing critical care to patients and families in intensive care units north of the 60th parallel.Study design: An interpretive phenomenological analysis was used.Method: Telephone interviews were conducted with three registered nurses currently employed in the designated intensive care unit on a full-time, part-time or casual basis. Interviews were thematically coded and analyzed. Member checks were used to ensure thick description for this pilot study was obtained.Findings: The following themes evolved through the interpretive phenomenological analysis process, Going North, The Role of the Northern ICU Nurse, Challenges, Support, Positive Aspects of the Experience, and The Northern Experience.Conclusions: Threaded throughout the main themes, participants made reference to \"making it work\". Making it work was reflected in how the participants described managing limited resources (particularly human resources), working within an expanded scope and managing the expectation that \"the ICU nurse can do it.\"","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"27 3","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35847086","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

Study of Fatigue and Associated Factors in Patients with Chronic Heart Failure 慢性心力衰竭患者疲劳及相关因素的研究

The Canadian journal of critical care nursing Pub Date : 2016-08-31 DOI: 10.17795/CCN-8124

M. Nasiri, B. Rahimian, M. Jahanshahi, Z. Fotoukian, A. Chaboki

{"title":"Study of Fatigue and Associated Factors in Patients with Chronic Heart Failure","authors":"M. Nasiri, B. Rahimian, M. Jahanshahi, Z. Fotoukian, A. Chaboki","doi":"10.17795/CCN-8124","DOIUrl":"https://doi.org/10.17795/CCN-8124","url":null,"abstract":"Background: Many factors may be involved in fatigue of patients with chronic heart failure (CHF). Objectives: The present study was conducted to determine fatigue and associated factors in patients with heart failure. Methods: The present descriptive-analytical study was conducted on patients with CHF admitted to Imam Sajjad hospital of Ramsar in 2014. Data collection tools included: 1) multidimensional assessment of fatigue (MAF) scale, 2) the Pittsburgh sleep quality index (PSQI), 3) the hospital anxiety and depression scale (HADS), and 4) demographic characteristics form and the hemoglobin and ejection fraction (EF) records. Data collection was done through interviews and observations. Results: The study was conducted on 100 CHF patients with a mean age of 68.8 ± 11.7 years. Overall, 69% of the patients reported fatigue, and 60.6% claimed severe fatigue. Fatigue was found to be significantly related to sleep disorders and anxiety, but not to depression and hemoglobin. Fatigue was predominantly affected by anxiety. Conclusions: The results of the present study showed that a high percentage of patients with CHF experience fatigue .Fatigue is a subjective phenomenon that is often less attended to and needs to be clinically assessed; to promote health care in these patients, it is required to consider factors such as mood disorders (anxiety and depression) and sleep disorders.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84727834","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: 3

Assessing the Impact of Family-Centered Empowerment Model on Self-Care of Patients With Prosthetic Heart Valves 评估以家庭为中心的授权模式对人工心脏瓣膜患者自我护理的影响

The Canadian journal of critical care nursing Pub Date : 2016-08-30 DOI: 10.17795/CCN-8371

F. Abedini, A. Zareian, F. Alhani, F. Teymouri

{"title":"Assessing the Impact of Family-Centered Empowerment Model on Self-Care of Patients With Prosthetic Heart Valves","authors":"F. Abedini, A. Zareian, F. Alhani, F. Teymouri","doi":"10.17795/CCN-8371","DOIUrl":"https://doi.org/10.17795/CCN-8371","url":null,"abstract":"Background: A heart valve disease is an important cardiovascular disease. Patients need long-term care after heart valve replacement, while promoting such patients’ self-care is very important. In this study, the impacts of family-centered empowerment model on self-care of patients with prosthetic heart valves were assessed. Methods: This clinical controlled study was done at Tehran armed forces hospitals in 2015. After transferring patients from the intensive care unit (ICU), samples of the study and active members of their family were selected through the convenient method. Family-centered empowerment model was performed for the experimental group in four steps: perceived threat, self-efficacy, selfesteem and evaluation through group discussion, group problem solving, educational participation (in three to five sessions) and providing educational cards and manual for the patients and the active members of their family. The control group received routine care. Patients’ self-care was assessed before and after the intervention and also one and half month after the intervention. There was no intervention for the control group. Data analysis was done through descriptive and inferential statistical tests via the SPSS","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"PP 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84305685","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

The Revised Telephonic Triage of New Jersey and Conventional Method of Triage by Emergency Medical Dispatchers of Qom Emergency Medical Services, Iran, in 2012: A Comparative Investigation 2012年美国新泽西州修订电话分诊法与伊朗库姆急救医疗服务中心急诊医疗调度员常规分诊法的比较研究

The Canadian journal of critical care nursing Pub Date : 2016-08-30 DOI: 10.17795/CCN-7876

M. Masoud, M. Yoldashkhan, S. Anboohi, N. Shakeri, M. K. Nejad, M. Bagheri, Mohsen Chavoshi, H. Asayesh

引用次数: 1

Comparing Blood Values Sampled From Venipuncture and Continuous Infusion Catheter 静脉穿刺与持续输液管血样值的比较

The Canadian journal of critical care nursing Pub Date : 2016-08-30 DOI: 10.17795/CCN-8389

M. Aliasgharpour, Rashid Jafari, S. Jalalinia, S. Madani, F. Tabari, An Lili

{"title":"Comparing Blood Values Sampled From Venipuncture and Continuous Infusion Catheter","authors":"M. Aliasgharpour, Rashid Jafari, S. Jalalinia, S. Madani, F. Tabari, An Lili","doi":"10.17795/CCN-8389","DOIUrl":"https://doi.org/10.17795/CCN-8389","url":null,"abstract":"Background: Most patients hospitalized at intensive care units have a continuous infusion catheter in place for receiving drugs and solutions; nonetheless, blood sampling in these units is still performed through an invasive and painful venipuncture. However, it is possible to take blood from a peripheral venous catheter to obtain accurate laboratory test results and alleviate the suering of patients. Objectives: The aim of this study was to compare hematology, chemistry, and blood gas values sampled from venipuncture and continuous infusion intravenous catheter. Methods: In this cross-sectional comparative study, a convenient sample of 61 adult patients was drawn according to the inclusion and exclusion criteria, from the intensive care unit. Two blood samples, one from a continuous infusion catheter, which was already in place and one from venipuncture at the other extremity, were obtained from each patient. The two sets of samples were compared in terms of hematology, biochemistry and blood gas values by using the paired-samples t-test. Results: The two sets of samples diered significantly in terms of blood sugar values. Other dierences between the two sets were not statistically significant. Conclusions: Except for blood sugar, blood sampling from a continuous 24-hour infusion catheter produces reliable hematol- ogy, biochemistry and blood gas results as that of venipuncture blood sampling method. Moreover, compared with the routine venipuncture method, sampling from a continuous infusion catheter is simpler, easier and safer.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84957758","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

Prevalence of Anxiety in the Process of Transferring Patients From Cardiac Surgery Intensive Care Unit to the General Ward 心外科重症监护病房转至普通病房过程中焦虑的患病率

The Canadian journal of critical care nursing Pub Date : 2016-08-30 DOI: 10.17795/CCN-8001

M. Zakerimoghadam, Shahrzad Ghyasvandian, H. Asayesh, K. Jodaki

{"title":"Prevalence of Anxiety in the Process of Transferring Patients From Cardiac Surgery Intensive Care Unit to the General Ward","authors":"M. Zakerimoghadam, Shahrzad Ghyasvandian, H. Asayesh, K. Jodaki","doi":"10.17795/CCN-8001","DOIUrl":"https://doi.org/10.17795/CCN-8001","url":null,"abstract":"Background: Researches have shown that in some countries where patients are transferred from intensive care to the general ward, they experience mental challenges, including anxiety. However, in Iran no researches have been done on this subject. Objectives: The aim of this study was to evaluate the prevalence of anxiety in patients transferred from the intensive care unit to the general ward. Methods: This study was a cross-sectional study. Samples of this study included 110 patients transferred from the intensive care unit to the general ward. Spielberger's questionnaire was used to collect data. To analyze the data, the SPSS version 16 software was used. Results: After entering variables in the multivariate logistic regression model, it was found, that there was only a significant rela- tionship between gender and anxiety. Statistical data showed that 63.6% of patients had moderate anxiety. Conclusions: According to the study, the subjects had high levels of anxiety, thus providing a platform for learning how to deal with anxiety seems to be required for these patients. The study also found that being female is directly related to the level of anxiety in these patients. Therefore, more attention to females during transfer from the intensive care to the general ward is important.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89056028","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: 5

Effects of Pilates Exercise on Quality of Life of Patients on Hemodialysis 普拉提运动对血液透析患者生活质量的影响

The Canadian journal of critical care nursing Pub Date : 2016-08-13 DOI: 10.17795/CCN-6981

D. Kheirkhah, Alireza Mirsane, N. Ajorpaz, M. Rezaei

{"title":"Effects of Pilates Exercise on Quality of Life of Patients on Hemodialysis","authors":"D. Kheirkhah, Alireza Mirsane, N. Ajorpaz, M. Rezaei","doi":"10.17795/CCN-6981","DOIUrl":"https://doi.org/10.17795/CCN-6981","url":null,"abstract":"Background: It seems that using Pilates exercises can increase quality of life of patients on hemodialysis. Objectives: This study aimed to determine the eect of Pilates exercises on the quality of life of patients on hemodialysis. Methods: For this randomized controlled clinical trial, we enrolled 60 hemodialysis patients referred to Shahid Beheshti and Akha- van hospitals in Kashan city during 2014 and 2015. The subjects were randomly allocated to an experimental group (n = 30) and a control group (n = 30). Demographic information and quality of life short form (KDQOL SF) questionnaires were completed by the two groups at the beginning of the study. Then, modified Pilates exercises were carried out by the experimental group three times a week over a period of eight weeks. The KDQOL SF questionnaire was completed by all participants, at the beginning and two months after completion of the intervention. Data analysis was conducted using 2 test, independent t-test, and paired t-test on SPSS software version 16. Results: Mean scores of QOL dimensions before and after the intervention are presented in Table 2. There was a significant dierence in QOL Dimensions of the experimental group before and after the intervention (P 0.05). Mean dierences of QOL dimensions at the Beginning and two months after the Study in the two Groups showed that there are significant dierences in QOL Dimensions in the two groups (P 0.05). Conclusions: The findings armed the positive eects of the Pilates exercise on the quality of life of patients on hemodialysis.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89941793","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