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Devlin N, Brown M, McCutcheon K, Creighton L. Designing and implementing an Advanced Nurse Practice in Critical Care programme from a university perspective within Northern Ireland. ENFERMERIA INTENSIVA 2024; 35:e1-e7. [PMID: 38782519 DOI: 10.1016/j.enfie.2024.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 10/27/2023] [Indexed: 05/25/2024]
Abstract
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.
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Affiliation(s)
- N Devlin
- Programme Lead Advanced Nurse Critical Care Programme, Academic Lead for Practice, School of Nursing and Midwifery, Belfast, United Kingdom.
| | - M Brown
- School of Nursing and Midwifery, United Kingdom
| | - K McCutcheon
- School of Nursing & Midwifery, Belfast, United Kingdom
| | - L Creighton
- School of Nursing and Midwifery, United Kingdom; School of Nursing & Midwifery, Belfast, United Kingdom
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Izdebski Z, Kozakiewicz A, Białorudzki M, Dec-Pietrowska J, Mazur J. Occupational Burnout in Healthcare Workers, Stress and Other Symptoms of Work Overload during the COVID-19 Pandemic in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2428. [PMID: 36767797 PMCID: PMC9916221 DOI: 10.3390/ijerph20032428] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 01/18/2023] [Accepted: 01/27/2023] [Indexed: 06/18/2023]
Abstract
This study explored the level and selected determinants of burnout among five groups of healthcare workers (physicians, nurses, paramedics, other medical and nonmedical staff) working during the COVID-19 pandemic in Poland. This cross-sectional study was conducted from February to April 2022, with the use of a self-administered mostly online survey. The BAT-12 scale was used to measure burnout, and the PSS-4 scale was used to measure stress. The sample was limited to 2196 individuals who worked with patients during the COVID-19 pandemic. A series of multivariate logistic regression models with three to nine predictors was estimated. The prevalence of burnout ranged from 27.7% in other nonmedical staff to 36.5% in nurses. Adjusting for age and gender, both physicians (p = 0.011) and nurses (p < 0.001) were at higher risk of burnout. In the final model, elevated stress most likely increased the risk of burnout (OR = 3.88; 95%CI <3.13-3.81>; p < 0,001). Other significant predictors of burnout included traumatic work-related experience (OR =1.91, p < 0.001), mobbing (OR = 1.83, p < 0.001) and higher workload than before the pandemic (OR = 1.41, p = 0.002). Only 7% of the respondents decided to use various forms of psychological support during the pandemic. The presented research can contribute to the effective planning and implementation of measures in the face of crisis when the workload continues to increase.
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Affiliation(s)
- Zbigniew Izdebski
- Department of Biomedical Aspects of Development and Sexology, Faculty of Education, Warsaw University, 00-561 Warsaw, Poland
- Department of Humanization of Health Care and Sexology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland
| | - Alicja Kozakiewicz
- Department of Humanization of Health Care and Sexology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland
| | - Maciej Białorudzki
- Department of Humanization of Health Care and Sexology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland
| | - Joanna Dec-Pietrowska
- Department of Humanization of Health Care and Sexology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland
| | - Joanna Mazur
- Department of Humanization of Health Care and Sexology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland
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AKÇOBAN S, GÜNGÖR S. Attitudes and job satisfaction of intensive care nurses regarding their caregiver roles. MUSTAFA KEMAL ÜNIVERSITESI TIP DERGISI 2022. [DOI: 10.17944/mkutfd.1046744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Objective: This study was conducted to evaluate the attitudes and job satisfaction of intensive care nurses towards their caregiver roles.
Methods: The descriptive study was completed between 28 August 2021 and 28 October 2021 with 200 intensive care nurses. "Nurse Introductory Information Form", "Nurses' Attitudes towards Caregiver Roles" and "Nurse Job Satisfaction Scale" were used as data collection forms. Data were collected online in electronic form (Google Forms). Data analysis was done in SPSS 25.0 package program. A p
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Affiliation(s)
- Sümeyye AKÇOBAN
- HATAY MUSTAFA KEMAL ÜNİVERSİTESİ, KIRIKHAN MESLEK YÜKSEKOKULU, SAĞLIK BAKIM HİZMETLERİ BÖLÜMÜ, EVDE HASTA BAKIMI PR
| | - Serap GÜNGÖR
- KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNİVERSİTESİ, SAĞLIK HİZMETLERİ MESLEK YÜKSEKOKULU, TIBBİ HİZMETLER VE TEKNİKLER BÖLÜMÜ, İLK VE ACİL YARDIM PR
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Endacott R, Scholes J, Jones C, Boulanger C, Egerod I, Blot S, Iliopoulou K, Francois G, Latour J. Development of competencies for advanced nursing practice in intensive care units across Europe: A modified e-Delphi study. Intensive Crit Care Nurs 2022; 71:103239. [DOI: 10.1016/j.iccn.2022.103239] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 03/02/2022] [Accepted: 03/10/2022] [Indexed: 12/21/2022]
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Rae PJL, Pearce S, Greaves PJ, Dall'Ora C, Griffiths P, Endacott R. Outcomes sensitive to critical care nurse staffing levels: A systematic review. Intensive Crit Care Nurs 2021; 67:103110. [PMID: 34247936 DOI: 10.1016/j.iccn.2021.103110] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 04/29/2021] [Accepted: 06/04/2021] [Indexed: 02/01/2023]
Abstract
OBJECTIVE To determine associations between variations in registered nurse staffing levels in adult critical care units and outcomes such as patient, nurse, organisational and family outcomes. METHODS We published and adhered to a protocol, stored in an open access repository and searched for quantitative studies written in the English language and held in CINAHL Plus, MEDLINE, PsycINFO, SCOPUS and NDLTD databases up to July 2020. Three authors independently extracted data and critically appraised papers meeting the inclusion criteria. Results are summarised in tables and discussed in terms of strength of internal validity. A detailed review of the two most commonly measured outcomes, patient mortality and nosocomial infection, is also presented. RESULTS Our search returned 7960 titles after duplicates were removed; 55 studies met the inclusion criteria. Studies with strong internal validity report significant associations between lower levels of critical care nurse staffing and increased odds of both patient mortality (1.24-3.50 times greater) and nosocomial infection (3.28-3.60 times greater), increased hospital costs, lower nurse-perceived quality of care and lower family satisfaction. Meta-analysis was not feasible because of the wide variation in how both staffing and outcomes were measured. CONCLUSIONS A large number of studies including several with high internal validity provide evidence that higher levels of critical care nurse staffing are beneficial to patients, staff and health services. However, inconsistent approaches to measurement and aggregation of staffing levels reported makes it hard to translate findings into recommendation for safe staffing in critical care.
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Affiliation(s)
- Pamela J L Rae
- School of Nursing & Midwifery, University of Plymouth, Plymouth PL4 8AA, UK. https://twitter.com/@DrPamelaJLRae
| | - Susie Pearce
- School of Nursing & Midwifery, University of Plymouth, Plymouth PL4 8AA, UK. https://twitter.com/@susiempearce
| | - P Jane Greaves
- School of Health and Life Sciences, University of Northumbria, Newcastle Upon Tyne, UK. https://twitter.com/@JaneGreaves4
| | - Chiara Dall'Ora
- School of Health Sciences, University of Southampton, UK. https://twitter.com/@ora_dall
| | - Peter Griffiths
- School of Health Sciences, University of Southampton, UK. https://twitter.com/@workforcesoton
| | - Ruth Endacott
- School of Nursing & Midwifery, University of Plymouth, Plymouth PL4 8AA, UK; Royal Devon and Exeter Hospital, University of Plymouth Clinical School, Royal Devon and Exeter Hospital, Barrack Road Exeter EX2 5DW, UK; School of Nursing & Midwifery, Monash University, Melbourne, Vic 3199, Australia. https://twitter.com/@rdepu
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Egerod I, Kaldan G, Nordentoft S, Larsen A, Herling SF, Thomsen T, Endacott R. Skills, competencies, and policies for advanced practice critical care nursing in Europe: A scoping review. Nurse Educ Pract 2021; 54:103142. [PMID: 34265667 DOI: 10.1016/j.nepr.2021.103142] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 07/02/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Management of critically ill patients is changing due a rise in population age, comorbidity and complexity. To accommodate these changes, the demand is increasing for advanced practice nurses. More knowledge is needed regarding the role of advanced practice critical care nurses in European countries. The aim of the study was to review the literature describing skills and competencies required for advanced practice critical care nursing in Europe and to investigate related policy. REVIEW METHOD We performed a scoping review including papers published in 1992-2019 targeting policy and the intersection of advanced practice nursing (level of practice), critical care nursing (specialty area) and Europe (geographical origin). DESIGN AND DATA SOURCES Main sources of evidence were PubMed, EMBASE, PsycINFO, CINAHL, Cochrane Library, SweMed+, Scopus, ERIC and Social Sciences Citation Index. We also searched grey literature, webpages, reference lists and performed hand-search. RESULTS The search identified 11,478 papers/references of which 42 were included. Four levels of practice were identified with unclear boundaries: professional nurse, specialized nurse, advanced practice nurse and advanced critical care practitioner (nurse or other). Most skills and competencies described in the literature were generic to advanced practice and only few were area specific to critical care. Advanced practice critical care nurses were often unable to fulfil their role because education, supportive policy and legislation were lacking. CONCLUSIONS This scoping review informs the policy makers and the INACTIC study of existing advanced practice in critical care nursing in Europe. The advanced role in critical care nursing is characterized by inconsistency regarding policy, education, titles, roles, scope of practice, skills and competencies. Levels of practice and areas of specialization need to be clarified. Most skills and competencies identified were generic for advanced practice nursing and many were generic for any profession. Task-shifting from physician to nurse needs to be more clearly defined and patient outcomes described. Given the scarcity of papers in our target area, we believe it might be too early to conduct a systematic review at this time.
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Affiliation(s)
- Ingrid Egerod
- Department of Intensive Care, University of Copenhagen, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen O, Denmark.
| | - Gudrun Kaldan
- Department of Neurology, Copenhagen University Hospital Rigshospitalet Glostrup, Denmark.
| | - Sara Nordentoft
- Department of Neurosurgery, Copenhagen University Hospital Rigshospitalet, Denmark.
| | - Anders Larsen
- The University Hospitals Centre for Health Research, UCSF, Copenhagen University Hospital Rigshospitalet, Copenhagen Denmark.
| | | | - Thordis Thomsen
- Herlev Acute, Critical and Emergency Care Science Unit (Herlev-ACES), Copenhagen University Hospital Herlev-Gentofte, Denmark.
| | - Ruth Endacott
- School of Nursing and Midwifery, Plymouth University, UK.
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Tume L, Vollam S. What is in the journal? Nurs Crit Care 2021; 26:219-221. [PMID: 34189803 DOI: 10.1111/nicc.12672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 05/31/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Lyvonne Tume
- School of Health & Society, University of Salford, manchester, UK
| | - Sarah Vollam
- Kadoorie Centre for Critical Care Research and Education, University of Oxford, UK
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Society of Critical Care Medicine 50th Anniversary Review Series: Critical Care Education. Crit Care Med 2021; 49:1241-1253. [PMID: 34261924 DOI: 10.1097/ccm.0000000000005130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Danielis M, Destrebecq ALL, Terzoni S, Palese A. Are intensive care units good places for nursing students' learning compared to other settings? Findings from an Italian national study. Intensive Crit Care Nurs 2021; 66:103074. [PMID: 34099331 DOI: 10.1016/j.iccn.2021.103074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 03/13/2021] [Accepted: 04/11/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To explore students' perceived quality of the intensive care unit learning environment during their rotations; to compare these perceptions with that reported by students attending other settings and to assess correlations between the perceptions regarding the quality of the environment and the competences learned. RESEARCH METHODOLOGY A secondary analysis of data collected by a national cross-sectional study carried out in Italy. A total of 9607 nursing students participated; they ranked the intensive care units' quality, as assessed by the Clinical Learning Quality Evaluation Index; the perceived competences learned were also ranked with a Likert scale; from 0 = None to 3 = Very much. RESULTS A total of 323 (3.5%) participants attended their rotation in an intensive care unit. They perceived the quality of the environment to be significantly higher (n = 2.11 out of 3) than those rotating in non-intensive care unit wards (n = 1.91; p < 0.001). The competences learned by intensive care unit students were significantly higher than that reported by students attending non-intensive care unit wards (n = 2.31 out of 3 vs 2.06 out of 3; p < 0.001). CONCLUSION Intensive care units are highly appreciated by students, both in terms of their quality learning environment and their capacity to promote learning compared to other settings. Therefore, intensive care units should be considered as a place for clinical rotation to promote positive attitudes regarding critical care patients.
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Affiliation(s)
- Matteo Danielis
- Doctoral Programme in Public Health Sciences, Department of Clinical Sciences and Community Health, University of Milan, Via Vanzetti 5, 20133 Milan, Italy; School of Nursing, Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy.
| | - Anne Lucia Leona Destrebecq
- School of Nursing, Department of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy
| | - Stefano Terzoni
- School of Nursing, San Paolo Teaching Hospital, Via Ovada, 26, 20142 Milan, Italy
| | - Alvisa Palese
- School of Nursing, Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy
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Where to Look for a Remedy? Burnout Syndrome and its Associations with Coping and Job Satisfaction in Critical Care Nurses-A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18084390. [PMID: 33924271 PMCID: PMC8074906 DOI: 10.3390/ijerph18084390] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 04/13/2021] [Accepted: 04/17/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Burnout is a psychological, work-related syndrome associated with long-term exposure to emotional and interpersonal stressors in the workplace. Burnout syndrome in nurses is often caused by an imbalance between work requirements and preparation and fitness for work, a lack of control, insufficient performance recognition and a prolonged exposure to stress. AIM The aims of this study were to explore the associations between levels of burnout syndrome, coping mechanisms and job satisfaction in critical care nurses in multivariate modelling process. A specific aim was also to explore whether coping and job satisfaction in critical care nurses are gender related. METHODS A cross-sectional multicentre study was conducted in a convenience sample of 620 critical care nurses from five university hospitals in Croatia in 2017. The data were collected using the Maslach Burnout Inventory and the Ways of Coping and Job Satisfaction Scale together with the nurses' demographic profiles and were analysed using a multivariable model. RESULTS The results showed no significant association between gender, coping mechanisms and job satisfaction. However, significant negative associations between burnout and job satisfaction (OR = 0.01, 95%CI = 0.00-0.02, p < 0.001) and positive association between burnout and passive coping (OR = 9.93, 95%CI = 4.01-24.61, p < 0.001) were found. CONCLUSION The association between job satisfaction and burnout in nurses urges hospital management teams to consider actions focused on job satisfaction, probably modifications of the work environment. Given that passive coping may increase the incidence of burnout, it is recommendable for active coping to be implemented in nurses' training programmes as an essential element of capacity building aimed at reducing the incidence of burnout in nurses.
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Dahlberg K, Jaensson M, Flodberg M, Månsson S, Nilsson U. Levels of education and technical skills in registered nurses working in post-anaesthesia care units in Sweden. Scand J Caring Sci 2021; 36:71-80. [PMID: 33559915 DOI: 10.1111/scs.12964] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 01/08/2021] [Accepted: 01/18/2021] [Indexed: 12/22/2022]
Abstract
BACKGROUND Specialized nursing care should be provided by nurses working in post-anaesthesia care units to ensure safe and successful recovery after surgery and anaesthesia. However, there is no consensus regarding the competence and education needed by nurses working in post-anaesthesia care units. AIM The aim of this study is to describe and compare levels of education and technical skills in registered nurses working in post-anaesthesia care units in Sweden, as well as the education that post-anaesthesia care unit nurse managers' desire for registered nurses working in post-anaesthesia care units. METHODS This descriptive cross-sectional study was conducted in Sweden between September and December of 2019. A web-based survey was developed that included questions about the levels of education and technical skills possessed by registered nurses working in Swedish post-anaesthesia care units and desired by nurse managers for these nurses. The survey was evaluated for content validity by four experts. The survey was distributed to the nurse manager of each studied post-anaesthesia care unit. All nurse managers received written information and were informed that submitting the survey was considered as consenting to participate in the study. RESULTS Most surveyed nurses held a postgraduate diploma in specialist nursing. Registered nurses performed many tasks autonomously; however, there was a significant difference between specialist nurses and registered nurses, with specialist nurses being more autonomous than registered nurses. Most of the nurse managers (n = 31/45) wanted the registered nurses in their units to have education in postoperative care. The relatively low overall response rate of 58% is a study limitation. CONCLUSIONS Registered nurses working in post-anaesthesia care units in Sweden must have various technical skills. Some of these skills are only performed by specialist nurses, indicating that postoperative care is an advanced level of nursing care.
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Affiliation(s)
- Karuna Dahlberg
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Maria Jaensson
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Magnus Flodberg
- Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden
| | - Sandra Månsson
- Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden
| | - Ulrica Nilsson
- Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.,Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm, Sweden
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Poiroux L, Constan A, Blanchard PY, Morfin R, Micaëlli D, Valera S. The SARS-CoV-2 epidemic, a step towards recognizing the speciality of critical care nursing in France. Nurs Crit Care 2021; 26:297-299. [PMID: 33452754 PMCID: PMC8014829 DOI: 10.1111/nicc.12591] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 01/05/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Laurent Poiroux
- Medical Intensive Care Department, Angers University Hospital, Angers, France
| | - Adrien Constan
- Intensive Care Unit, Intercommunal Hospital, Créteil, France
| | - Pierre-Yves Blanchard
- Intensive Care Unit, Tenon Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Raphaële Morfin
- Medical Intensive Care Department, Pitié Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Delphine Micaëlli
- Paediatric Intensive Care Unit, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Sabine Valera
- Medical Intensive Care Department, North Hospital, Assistance Publique-Hôpitaux de Marseille, Marseille, France
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Alastalo M, Salminen L, Vahlberg T, Leino-Kilpi H. Knowledge of patient observation among critical care nurses. Nurs Crit Care 2020; 26:341-351. [PMID: 33150722 DOI: 10.1111/nicc.12573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2020] [Revised: 10/17/2020] [Accepted: 10/19/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND The clinical observations made by critical care nurses are vital for maintaining patient safety and making appropriate decisions in the care of patients who are critically ill. Evaluating the reliability of observations and applying analytical thinking are essential elements of patient observation. Previous studies of critical care nurses' knowledge have focused either on specific aspects of patient observation or on critical care nursing in general; therefore, the findings are not comprehensive. AIM The aim of this study was to evaluate critical care nurses' level of knowledge in patient observation and to explore the factors that are associated with it. STUDY DESIGN A cross-sectional knowledge test survey with critical care nurses in Finland was used. METHODS Data were collected in seven adult intensive care units in all five university hospitals in Finland between September 2017 and January 2018 by using a knowledge test (20 items) developed for this study. All critical care nurses were eligible to participate. The data were analysed using descriptive and inferential statistics. RESULTS Altogether, 372 nurses responded (response rate 49%). Their average scores in the knowledge test were 77% (mean 15.29/20, SD 2.41) for correct answers, 75% (mean 8.2/11, SD 1.54) in the sum-variable "Evaluating the reliability of observation" and 79% (mean 7.08, SD 1.45) for "Analytical thinking." A higher knowledge level was associated with education in special tasks in an intensive care unit. CONCLUSION The critical care nurses' knowledge level was considered to be suboptimal. There is a need for improving knowledge of patient observation among Finnish critical care nurses to ensure safe and good quality care. RELEVANCE TO CLINICAL PRACTICE Finnish critical care nurses' knowledge of patient observation could be improved by providing specific continuing education for new nurses entering intensive care units and for experienced critical care nurses throughout their career.
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Affiliation(s)
- Mika Alastalo
- The Department of Nursing Science, University of Turku, Turku, Finland
| | - Leena Salminen
- The Department of Nursing Science, University of Turku, Turku, Finland
| | - Tero Vahlberg
- The Department of Biostatistics, University of Turku, Turku, Finland
| | - Helena Leino-Kilpi
- The Department of Nursing Science, University of Turku, Turku, Finland.,Turku University Hospital, Turku, Finland
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Bloomer MJ, Bench S. Critical care nursing workforce: Global imperatives, innovations and future-proofing - A call for papers. Intensive Crit Care Nurs 2020; 60:102902. [PMID: 32646625 PMCID: PMC7338853 DOI: 10.1016/j.iccn.2020.102902] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Melissa J Bloomer
- School of Nursing and Midwifery, Deakin University, Geelong, Australia; Centre for Quality and Patient Safety, Deakin University, Geelong, Australia.
| | - Suzanne Bench
- School of Health and Social Care, London Southbank University, United Kingdom
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Kaldan G, Nordentoft S, Herling SF, Larsen A, Thomsen T, Egerod I. Evidence characterising skills, competencies and policies in advanced practice critical care nursing in Europe: a scoping review protocol. BMJ Open 2019; 9:e031504. [PMID: 31494624 PMCID: PMC6731915 DOI: 10.1136/bmjopen-2019-031504] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION The management of critically ill patients is challenged by increasing population age and prevalence of comorbid diseases. High-quality intensive care nursing practice is imperative to accommodate these issues. The roles of the nurse practitioner (NP) and the acute care NP have existed for decades in the USA, Canada and Australia but are still evolving in Europe. Some European countries have introduced the advanced practice nurse (APN), but the current standard of the advanced level of nursing is variable and consensus regarding the framework, role and definition is lacking. Literature and evidence are sparse as well. Identification of skills and competencies required for the APN is warranted. Mapping skills and competencies will enable future educational harmonisation and facilitate mobility of the advanced-level intensive care nursing workforce across Europe. The aim of our scoping review is to identify literature describing skills, competencies and policies characterising advanced nursing practice in intensive care across Europe. METHODS AND ANALYSIS We will apply a five-stage scoping review methodology with a comprehensive systematic literature search as outlined by Arksey and O'Malley. In collaboration with a research librarian, we will search nine interdisciplinary databases and grey literature for publications originating in European countries in 1992-2018. Using a two-stage screening process with Covidence to remove duplicates, we will first scan the title and abstract and then perform full-text review to determine the eligibility of the papers. Qualitative content analysis will be used to chart the data. ETHICS AND DISSEMINATION Our study is a part of the European Union-funded INACTIC project (International Nursing Advanced Competency-based Training for Intensive Care) with the overall aim of developing a common European curriculum for advanced practice critical care nursing. Results from this scoping review mapping the evidence of APNs in Europe will be presented at national and international conferences and published in a peer-reviewed journal.
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Affiliation(s)
- Gudrun Kaldan
- Research Unit 7831, Centre for Cancer and Organ Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
| | - Sara Nordentoft
- Department of Oncology, Centre for Cancer and Organ Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
| | | | - Anders Larsen
- Department UCSF 9701, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
| | - Thordis Thomsen
- Department of Anaesthesiology, Copenhagen University Hospital Herlev Gentofte, Herlev, Denmark
| | - Ingrid Egerod
- Intensive Care Unit 4131, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
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Gullick J, Lin F, Massey D, Wilson L, Greenwood M, Skylas K, Woodard M, Tembo AC, Mitchell M, Gill FJ. Structures, processes and outcomes of specialist critical care nurse education: An integrative review. Aust Crit Care 2019; 32:331-345. [DOI: 10.1016/j.aucc.2018.09.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 08/05/2018] [Accepted: 09/26/2018] [Indexed: 12/16/2022] Open
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18
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Affiliation(s)
- Jennifer B Seaman
- Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania
| | - Taya R Cohen
- Tepper School of Business, Carnegie Mellon University, Pittsburgh, Pennsylvania
| | - Douglas B White
- Program on Ethics and Decision Making in Critical Illness, CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
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19
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Vermeir P, Blot S, Degroote S, Vandijck D, Mariman A, Vanacker T, Peleman R, Verhaeghe R, Vogelaers D. Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: A questionnaire study. Intensive Crit Care Nurs 2018; 48:21-27. [DOI: 10.1016/j.iccn.2018.07.001] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Revised: 06/19/2018] [Accepted: 07/01/2018] [Indexed: 11/26/2022]
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20
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Koulenti D, Boulanger C, Blot S. Evaluating rates of ventilator-associated pneumonia: Consider patient, organizational & educational risk factors. Indian J Med Res 2017; 145:697-698. [PMID: 28948963 PMCID: PMC5644307 DOI: 10.4103/ijmr.ijmr_435_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Despoina Koulenti
- Burns Trauma & Critical Care Research Centre, The University of Queensland, Brisbane, Australia
| | - Carole Boulanger
- Intensive Care Unit, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK
| | - Stijn Blot
- Department of Internal Medicine, Ghent University, Ghent, Belgium
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21
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De Wandel D. Key factors for hand hygiene promotion in intensive care units. Intensive Crit Care Nurs 2017; 42:3-4. [PMID: 28760585 DOI: 10.1016/j.iccn.2017.06.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 06/21/2017] [Accepted: 06/24/2017] [Indexed: 11/24/2022]
Affiliation(s)
- David De Wandel
- Faculty of Education, Health and Social Work, University College Ghent, Keramiekstraat 80, B9000 Ghent, Belgium; Faculty of Medicine and Health Sciences, Ghent University, B900 Ghent, Belgium.
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22
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Optimizing educational initiatives to prevent ventilator-associated complications. Am J Infect Control 2017; 45:102-103. [PMID: 28065326 DOI: 10.1016/j.ajic.2016.05.035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Accepted: 05/19/2016] [Indexed: 11/20/2022]
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