This study supports existing evidences, indicating that education and training could increase nurses' knowledge of delirium and delirium assessment. Improving nurses' knowledge could potentially lead to better delirium management practice and improve ICU patient care. Thus, continuous efforts to improve and sustain nurses' knowledge become relevant in ICU settings.
Background Nurses play a key role in the proper management of endotracheal tube (ETT) cuff pressure, which is important for patients' safety, so it is vital to improve nurses' knowledge on safe cuff management practices. Aims and objectives This study aimed to evaluate the effectiveness of an educational intervention related to ETT cuff pressure management on improving and retaining critical care nurses' knowledge. Design A single group pre‐post interventional study was conducted involving 112 registered nurses (RNs) from a 24‐bed adult general intensive care unit at a teaching hospital in Malaysia. Methods The educational intervention included a theoretical session on endotracheal cuff pressure management and demonstration plus hands‐on practice with the conventional cuff pressure monitoring method. Nurses' knowledge was measured using a self‐administered questionnaire pre‐ and post‐intervention. Data were analysed using repeated measure analysis of variance and bivariate analysis. Results In this study, 92% of the total number of RNs in the unit participated. A significant difference in mean knowledge score was noted between the pre‐ (mean = 8.13; SD = 1.53) and post‐intervention phases (3 months [mean = 8.97; SD = 1.57) and 9 months post‐intervention [mean = 10.34; SD = 1.08), P < .001), indicating significant knowledge acquisition and retention between the phases. Knowledge gained between the pre‐ and 9 months post‐intervention phases significantly differed according to nurses' educational level. Conclusions This study supports existing evidence that ongoing educational interventions are essential to improve nurses' knowledge. However, further exploration is suggested to assess how well this knowledge is translated into clinical practice. Relevance to clinical practice Regular educational programmes with current updates would enhance nurses' knowledge through proper practice and clinical decision‐making skills; this, in turn, would help to standardize cuff management practices.
Introduction: The intensive care environment may seem intimidating, too focused on the patient survival and causing stress to the patients and the family members. As more patients survive critical illnesses, experts began to shift treatment focus towards survivorships. Based on previous findings, critically ill patients of the intensive care unit (ICU) need psycho-emotional and spiritual care. In addition, these cares are also vital for their family members. This study was conducted to explore patients’ and family members experience in receiving spiritual care in the ICU. Methods: Interviews with patients and their family members were conducted in the ICUs of three government hospitals in Johor. Data from the interviews were recorded, anonymised, and transcribed. Codes and themes were generated using Braun and Clarke’s thematic analysis. Results: A total of 25 patients and family members were included in this study. The central theme was Faith-based Care. Based on the narratives of the participant’s experience, nine categories of spiritual needs were identified emerging through four themes: 1) Having Faith, 2) Giving-receiving All, 3) Being There, and 4) Letting Go. Conclusion: The intensive care patients and their family members valued the provision of spiritual care from ICU clinicians. Their experience of spiritual care in the ICU can be improved with a model of ICU spirituality. Further research is needed to seek the clinicians’ view on spirituality and to further improve its provision in the ICU settings.
Introduction: The intensive care management during the pandemic of COVID-19 is highly critical. The provision of spiritual care to the patients and their family members is important but challenging to be accomplished during this time. This article attempts to provide a view of an intensive care nurse’s experience of spiritual care during the COVID-19 pandemic.Methods: Interview was conducted with a nurse who worked in an intensive care unit (ICU) of a tertiary government hospital in Malaysia. It is a part of a larger qualitative study investigating the perceptions of ICU clinicians in providing spiritual care in the ICU. A thematic analysis was utilized in identifying emergent themes that would be significant in context of intensive care COVID-19 management. Results: There were two emergent themes that were identified from the nurse’s reflection – Keeping faith, and Blessed outcomes.Conclusion: This reflective account of a nurse providing spiritual care in the ICU may give insights for a better COVID-19 management. Further research is needed to explore the use of reflective practice in the spiritual care education and training. Further studies should also include the experience of the patients, the families as well as the professionals in the ICU to develop a concise model of spirituality and spiritual care in the ICU context, particularly during the pandemic of COVID-19.
Evidence shows that critically ill patients and their family members have spiritual needs in the intensive care unit. Spirituality is an abstract concept in the clinical field. Its subjective nature makes the aspects of care that are provided by the clinicians suboptimal. This article is a preliminary report of a qualitative study that was conducted to explore the perceptions of the intensive care nurses on spirituality and the care that they gave to the patients and their family members. Interviews were conducted with nurses who worked in a 25-bed intensive care unit of a tertiary government hospital in Malaysia. Data from the discussions was recorded and transcribed. Thematic analysis was used to generate codes and themes. A total of 18 nurses were included in this study. The central theme, interfaith connection, emerged through three themes: 1) Spirituality and illness are interconnected to healing; 2) Classification of spiritual care interventions in the intensive care unit; and 3) Intercepting barriers. Conclusions Nurses deemed spiritual care beneficial to critically ill patients and their family members. Barriers to spiritual care can be overcome with a model of spirituality. Further research is needed to explore the experiences of the critically ill patients and their family members in receiving care in the intensive care unit, particularly in addressing their spiritual needs and ensuring their mental health. Further studies should also include the perceptions of other professionals in intensive care in order to develop a concise model of spirituality and spiritual care in the intensive care context. Keywords: Nursing, health, spirituality, religion, critical care, mental health
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