iNNovaTioN iN NUrsiNg LEadErshiP 51 Nursing Residency Program introduction The shortage of nurses has been one of the main issues in Canadian healthcare organizations over the last decade and will probably continue to be a concern, given that a lack of 60,000 full-time equivalent nurses is expected in the country by 2022 (CNA 2009). Specialized environments, such as critical care units, have been greatly affected owing to the considerable increasing demands for their services over a short period of time (more than 80% over 20 years) (Sibbald et al. 2007). This reality has led many organizations to turn their attention towards newly graduated nurses to maintain accessibility to critical care. However, the integration of inexperienced nurses into this high-acuity setting has created a new challenge related to the training they require to provide safe-quality care.
This document is protected by copyright law. Use of the services of Érudit (including reproduction) is subject to its terms and conditions, which can be viewed online.L'examen neurologique est un aspect important de la pratique infirmière en soins critiques. Au sein de cet examen, l'évaluation des pupilles peut fournir des informations vitales chez la personne gravement malade. À la salle d'urgence spécifiquement, les infirmier.ères jouent un rôle déterminant dans l'identification de changements subtils au niveau de la taille, la symétrie, la réactivité pupillaire ou tout autre signe de détérioration neurologique chez la personne nouvellement admise. En dépit de l'importance de l'évaluation des pupilles à la salle d'urgence, il n'existe actuellement aucune norme pour guider cette pratique au sein de la profession infirmière. Le but de cet article est de décrire les composantes essentielles de l'évaluation des pupilles à la salle d'urgence ainsi que les facteurs et troubles neurologiques pouvant l'influencer afin d'outiller les infirmier.ères à l'égard de cette pratique.
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