{"title":"Workloads of intensive care nurses. Validity of their estimation using mobile applications and comparison with Nursing Activities Score. Systematised review of the literature","authors":"","doi":"10.1016/j.enfie.2023.06.001","DOIUrl":"10.1016/j.enfie.2023.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Adjusting human resources to intensive care units (ICU) workload is essential. The development of software for estimating nursing workload using mobile devices (smartphone, smartwatch and/or tablets) could be a useful tool and complement and/or improve the measurements made with the Nursing Activities Score (NAS), a validated scale.</p></div><div><h3>Objectives</h3><p>To analyze the validity of devices and mobile applications for estimating ICU nurses' workloads and their comparison with NAS.</p></div><div><h3>Methodology</h3><p>Systematised literature review from 2009 to 2021 informed by flowchart PRISMA-2020 and its extension PRISMA-S. Critical reading (CASPe). Steps:elaboration of the research question, concept identification (English and Spanish natural language and descriptors MesH, Emtree and CINAHL Headings), search strategy and data collection in <em>MEDlars online</em> (MEDLINE), OVID, <em>Excerpta Medica dataBASE</em> (EMBASE), Elsevier, <em>Cumulative Index to Nursing & Allied Health Literature</em> (CINAHL), EBSCO and <em>Web of Science</em> (WoS); data extraction and evaluation, analysis and synthesis of results. We included studies with abstracts published in English and Spanish conducted in ICU with workload measurement (preferably NAS) using mobile devices.</p></div><div><h3>Results</h3><p>223 studies of which 84 in MEDLINE, 50 in CINAHL, 48 in EMBASE, 33 in WOS and 8 in other sources. 117 were eligible for screening, of which 95 did not meet the inclusion criteria. 22 studies were screened for eligibility, of which 17 were excluded. Five articles were selected for final review. None of the studies provided results on costs, acceptance testing, validity, reliability, system problems, advantages, disadvantages or resource estimation.</p></div><div><h3>Discussion and conclusions</h3><p>The use of mobile devices and applications to measure ICU workloads is not yet validated and has not been shown to be more accurate than traditional NAS assessment.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 3","pages":"Pages 229-241"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813320","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}
{"title":"Multicenter study. Nursing professionals’ perception of training needs in pain assessment in pediatric patients with cognitive dysfunction","authors":"","doi":"10.1016/j.enfie.2023.07.006","DOIUrl":"10.1016/j.enfie.2023.07.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Pediatric patients with cognitive dysfunction are at greater risk of pain than typically developing children. Pain assessment in these patients is complex and could generate uncertainty in health professionals about what the key aspects are.</p></div><div><h3>Aim</h3><p>To determine the training needs perceived by nursing professionals regarding acute pain assessment in pediatric patients with cognitive dysfunction.</p></div><div><h3>Methods</h3><p>A descriptive, cross-sectional, and multicenter study was performed using a survey addressed to nursing professionals who work in pediatrics during the months of August and September 2022.</p></div><div><h3>Results</h3><p>163 responses were obtained. Most of the professionals who responded were female (92.6%, n = 151), with a mean age of 38.98 ± 10.40 years. The most frequent work unit was the pediatric intensive care unit (PICU), in 36% (n = 58). Most of the participants reported not having previously received training on pain assessment in pediatric patients with cognitive disabilities (85.9%, n = 139). However, 70.4% (n = 114) considered it “very necessary” for the development of their work to receive specific training on this topic. Knowing how to assess acute pain in this population (85.3%, n = 139) and knowing the clinical and behavioral manifestations of pain in this type of patient (84.7%, n = 138) were the aspects that obtained higher scores.</p></div><div><h3>Conclusion</h3><p>This research notes more than 90% of participants consider “quite necessary” and “strong necessary” to be training in pediatric cognitive dysfunction patients pain assessment. Furthermore, work experience, academic education and to be pediatric specialist obtain statistical significance data.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 3","pages":"Pages 161-170"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650739","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}
{"title":"Patient satisfaction with nursing care in an Intensive Care Unit measured through the Nursing Intensive-Care Satisfaction Scale (NICSS)","authors":"","doi":"10.1016/j.enfie.2023.10.004","DOIUrl":"10.1016/j.enfie.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 <em>Nursing Intensive-Care Satisfaction-Scale (NICSS)</em>. 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> <!--><<!--> <!-->.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":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 3","pages":"Pages 201-212"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2529984024000016/pdfft?md5=c3b505f80ca67e9a4164402ebcb24fe1&pid=1-s2.0-S2529984024000016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208631","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}
S. Arias-Rivera PhDc, MsN, RN , M.M. Sánchez-Sánchez MsN, RN , E. Romero de-San-Pío MsN, RN , Y.G. Santana-Padilla PhD, RN , M. Juncos-Gozalo RN , G. Via-Clavero PhD, RN , M.N. Moro-Tejedor PhD, RN , M. Raurell-Torredà PhD, RN , C. Andreu-Vázquez PhD, MsC, MvD , Grupo Fragil-Es-UCI
{"title":"Predictive validity of the Clinical Frailty Scale-España on the increase in dependency after hospital discharge","authors":"S. Arias-Rivera PhDc, MsN, RN , M.M. Sánchez-Sánchez MsN, RN , E. Romero de-San-Pío MsN, RN , Y.G. Santana-Padilla PhD, RN , M. Juncos-Gozalo RN , G. Via-Clavero PhD, RN , M.N. Moro-Tejedor PhD, RN , M. Raurell-Torredà PhD, RN , C. Andreu-Vázquez PhD, MsC, MvD , Grupo Fragil-Es-UCI","doi":"10.1016/j.enfie.2023.07.007","DOIUrl":"10.1016/j.enfie.2023.07.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The frailty present at hospital admission and the stressors to which patients are subjected during their stay may increase dependency at hospital discharge.</p></div><div><h3>Objectives</h3><p>To assess the predictive validity of the Clinical Frailty Scale-España (CFS-Es) on increased dependency at 3 and 12 months (m) after hospital discharge.</p></div><div><h3>Methodology</h3><p>Multicentre cohort study in 2020–2022. Including patients with >48 h stay in intensive care units (ICU) and non-COVID-19. Variables: pre-admission frailty (CFS-Es). Sex, age, days of stay (ICU and hospital), dependency on admission and at 3 m and 12 m after discharge (Barthel index), muscle weakness (Medical Research Council Scale sum score <48), hospital readmissions. Statistics: descriptive and multivariate analysis.</p></div><div><h3>Results</h3><p>254 cases were included. Thirty-nine per cent were women and the median [Q1–Q3] age was 67 [56–77] years. SAPS 3 on admission (median [Q1–Q3]): 62 [51–71] points.</p><p>Frail patients on admission (CFS-Es 5–9): 58 (23%). Dependency on admission (n = 254) vs. 3 m after hospital discharge (n = 171) vs. 12 m after hospital discharge (n = 118): 1) Barthel 90–100: 82% vs. 68% vs. 65%. 2) Barthel 60–85: 15% vs. 15% vs. 20%. 3) Barthel 0–55: 3% vs. 17% vs. 15%.</p><p>In the multivariate analysis, adjusted for the variables recorded, we observed that frail patients on admission (CFS-Es 5–9) are 2.8 times (95%CI: 1.03–7.58; p = 0.043) more likely to increase dependency (Barthel 90–100 to <90 or Barthel 85–60 to <60) at 3 m post-discharge (with respect to admission) and 3.5 times (95%CI: 1.18–10.30; p = 0.024) more likely to increase dependency at 12 m post-discharge. Furthermore, for each additional CFS-Es point there is a 1.6-fold (95%CI: 1.01–2.23; p = 0.016) greater chance of increased dependency in the 12 m following discharge.</p></div><div><h3>Conclusions</h3><p>CFS-Es at admission can predict increased dependency at 3 m and 12 m after hospital discharge.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 79-88"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2529984023000605/pdfft?md5=9bf349d0db51f5716b09920be6dca75d&pid=1-s2.0-S2529984023000605-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435624","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}
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":"Usage of immersive virtual reality as a relaxation method in an intensive care unit","authors":"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","doi":"10.1016/j.enfie.2023.08.005","DOIUrl":"10.1016/j.enfie.2023.08.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The usage of immersive virtual reality (iVR) in the context of an intensive care unit<span> (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.</span></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 min 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 <0.05).</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. 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 = 0.000; second session mean change −1.86 (SD = 1.57), p = 0.021; third session mean change −1.67 (SD = 1.63), p = 0.054.</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":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 107-113"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476908","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}
{"title":"Nursing care in the postoperative period after Glenn surgery. A case report","authors":"Ester Álvaro-Sánchez RN","doi":"10.1016/j.enfie.2023.08.004","DOIUrl":"10.1016/j.enfie.2023.08.004","url":null,"abstract":"<div><p>Glenn surgery is used as a palliative procedure in children with Hypoplastic Left Heart Syndrome (HLHS) and its objective is to partially redirect the systemic venous return.</p><p>An individualized care plan is presented for a 7-month-old infant, admitted to the Pediatric Intensive Care Unit<span> (PICU), after undergoing Glenn procedure. And is shown her evolution during admission.</span></p><p>Marjorie Gordon's 11 functional health patterns are used for the nursing assessment, highlighting among the altered patterns, the nutritional-metabolic and the activity-exercise, due to their implication in hemodynamic changes derived from the surgery.</p><p><span>Due to their association with the most common postoperative complications in this type of surgery, 8 diagnoses were prioritised according to NANDA-I taxonomy: risk for infection, excess fluid volume, risk for shock, risk for bleeding, risk for decreased cardiac output, impaired gas exchange, ineffective </span>airway clearance<span> and risk for ineffective cerebral tissue perfusion.</span></p><p>In each of them, expected patient outcomes and nursing interventions, were selected using the NOC and NIC taxonomies, respectively.</p><p>Outcome criteria scores showed a favourable evolution after 7 days from admission, only 3 of the diagnoses selected at the beginning remain active.</p><p><span>The development and reassessment of the nursing care plan<span> has made it possible to make an effective monitoring of patient’s postoperative evolution and to standardize nursing care, ensuring safe and </span></span>quality health care.</p><p>The lack of similar case reports in available bibliography has prevented us from comparing actions, therefore it has been necessary to disclose these scientific articles to guarantee best evidence-based practice.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 146-158"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10176973","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}
{"title":"Cognitive predictors and decision-making in the experience of coronary syndrome symptoms","authors":"C.Y. Bernal-Cárdenas RN, MSc, PhD , V.M. Céspedes-Cuevas RN, MSc, PhD , J. Rojas-Reyes RN, MSc, PhD","doi":"10.1016/j.enfie.2023.06.003","DOIUrl":"10.1016/j.enfie.2023.06.003","url":null,"abstract":"<div><h3>Objective</h3><p><span>To determine the predictive value of Cognitive Assessment, Symptom Severity, Personal Control and Self-Efficacy on decision making in the experience of </span>Acute Coronary Syndrome symptoms.</p></div><div><h3>Method</h3><p><span>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 </span>inferential statistics<span>, a Generalized Linear Regression Model was carried out, which allowed establishing the causal relationships between the variables.</span></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":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 124-132"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514084","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}
M.B. Martin-Caballero RN, MSc , O. Arrogante RN, MSc, PhD , P. Martín-Casas PT, MSc, PhD , R. Ortiz-Gutiérrez PT, MSc, PhD
{"title":"Modifications in family centered developmental care and in neonatal intensive care during the COVID-19 pandemic in a hospital in Spain: A qualitative study","authors":"M.B. Martin-Caballero RN, MSc , O. Arrogante RN, MSc, PhD , P. Martín-Casas PT, MSc, PhD , R. Ortiz-Gutiérrez PT, MSc, PhD","doi":"10.1016/j.enfie.2023.08.003","DOIUrl":"10.1016/j.enfie.2023.08.003","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":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages 97-106"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2529984023000460/pdfft?md5=4b5d14451ee2f886af8e9f601d05feb0&pid=1-s2.0-S2529984023000460-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137283","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}
G. Robleda-Font , C. López-López , I. Latorre-Marco , J. Pozas-Peña , D. Alonso-Crespo , O. Vallés-Fructuoso , A. Castanera-Duro
{"title":"Appropriateness of behavioural scales in the monitoring of pain in the critically ill patient unable to self-report","authors":"G. Robleda-Font , C. López-López , I. Latorre-Marco , J. Pozas-Peña , D. Alonso-Crespo , O. Vallés-Fructuoso , A. Castanera-Duro","doi":"10.1016/j.enfie.2023.12.002","DOIUrl":"10.1016/j.enfie.2023.12.002","url":null,"abstract":"<div><p>Appropriateness is a dimension of quality that evaluates the effective use of technologies, resources or interventions in specific situations or populations, assessing whether our interventions do more benefit than harm.</p><p>The evidence regarding pain monitoring in the critically ill patient points to the periodic assessment of pain using appropriate tools, with the aim of improving pain management and more efficient use of analgesics in the intensive care unit. The first step would be to assess the patient's ability to communicate or self-report and, based on this, to select the most appropriate pain assessment tool. In patients who are unable to self-report, behavioural pain assessment tools are recommended.</p><p>When we talk about the suitability of behavioural scales for pain monitoring in critically ill patients unable to self-report, we refer to their use with a clear clinical benefit, i.e. using the right tool for pain assessment to be effective, efficient and consistent with bioethical principles.</p><p>To our knowledge, there are no published data on the suitability of pain assessment tools in unable to self-report critically ill patients, so, in the framework of continuous quality improvement in pain care, new research should incorporate this approach by integrating the best scientific evidence with current clinical practice.</p></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages e17-e22"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308393","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}
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 , M. Brown RGN, RNLD, PhD, PFHEA , K. McCutcheon RN, DNP, PFHEA , L. Creighton RN, MSc","doi":"10.1016/j.enfie.2024.05.001","DOIUrl":"https://doi.org/10.1016/j.enfie.2024.05.001","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":93991,"journal":{"name":"Enfermeria intensiva","volume":"35 2","pages":"Pages e1-e7"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2529984024000193/pdfft?md5=95d0d4cf1b8b5bb88704f168f8037ffd&pid=1-s2.0-S2529984024000193-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141073318","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}