The Living, Dynamic and Complex Environment Care in Intensive Care Unit

Erdmann, Alacoque Lorenzini; Büscher, Andreas

doi:10.1590/0104-1169.0568.2570

Cited by 32 publications

(31 citation statements)

References 6 publications

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“…(7) Similarly, another study using the Nursing Work Index (NWI) found positive results for the professional nursing work environment. (10) In these studies, differences related to the hospital type and professionals' work contract can explain the distinct findings.…”

Section: Discussionmentioning

confidence: 99%

“…(7) International studies have shown a strong effect of the nursing practice environment on nursing care indicators. (8,9) In this perspective, consid-ering the ICU a highly complex and dynamic scenario, with multiple interventions aimed at the recovery of patients with limited physiological capacity, (10) the role of the nursing staff is fundamental to the success of the patients' hospitalization and recovery. Therefore, a question emerges: what are the characteristics of the nursing practice environment in ICUs based on the Practice Environment Scale?…”

Section: Introductionmentioning

confidence: 99%

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Ambiente da prática de enfermagem em unidades de terapia intensiva

2018

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Resumo Objetivo Analisar o ambiente da prática de enfermagem em unidades de terapia intensiva. Métodos Estudo descritivo, de abordagem quantitativa, realizado com 209 profissionais de enfermagem de três hospitais de ensino brasileiros. O ambiente da prática de enfermagem foi avaliado através da Practice Environment Scale. Os dados foram analisados descritivamente, assumindo nível de significância de 5% (p<0,05). O coeficiente Alfa de Cronbach foi utilizado para examinar a consistência interna dos construtos. Resultados Os profissionais de enfermagem consideraram desfavoráveis quatro das cinco dimensões do ambiente da prática profissional: participação dos enfermeiros na discussão dos assuntos hospitalares; fundamentos de enfermagem voltados para a qualidade do cuidado, habilidade, liderança e suporte dos coordenadores/supervisores de enfermagem aos enfermeiros/equipe de enfermagem; e adequação da equipe e de recursos. Apenas a dimensão relações colegiais entre profissionais de enfermagem e médicos apresentou avaliação positiva. Enfermeiros reconheceram mais fortemente atributos desfavoráveis no ambiente de prática do que técnicos de enfermagem. Conclusão O ambiente mostrou-se desfavorável para a prática dos profissionais de enfermagem. Esforços são necessários para tornar o ambiente de prática mais atrativo aos profissionais de enfermagem, e assim estimular melhorias na qualidade e na segurança da assistência prestada.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ambiente da prática de enfermagem em unidades de terapia intensiva

2018

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“…Based on the evidence of user error problems in the use of equipment, there is a need to understand this phenomenon under the lens of these concepts. In the present study, this understanding is based on nursing in the ICU, because there is a technological dimension to nursing practice in this environment (9) . Nurses need to observe and understand the codes emitted by equipment, in order to care for patients without causing damage.…”

Section: Introductionmentioning

confidence: 99%

Slips, lapses and mistakes inthe use of equipment by nurses in an intensive care unit

Ribeiro

Silva

Ferreira

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the occurrence of errors in the use of equipment by nurses working in intensive care and analyzing them in the framework of James Reason's theory of human error. Method: Qualitative field study in the intensive care unit of a federal hospital in the city of Rio de Janeiro. Observation and interviews were conducted with eight nurses, from March to December 2014. Content analysis was used for the interviews, as well as the description of the scenes observed. Results: Lapses of memory and attention were identified in the handling of infusion pumps, as well as planning failures during the programming of monitors. Conclusion: Errors cause adverse events that compromise patient safety. The authors propose creation of an instrument for daily checking of equipment, with checks throughout the work process in the programming of infusion pumps and monitors, in order to reduce failures and memory lapses.

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“…[6,15,16] Critical care setting is a complex environment due to caring for critically ill and unstable patients, dealing with advanced technology, performing invasive procedures and sustaining patients' lives. [17] Therefore, most of the students agreed that fear of making mistakes and the complexity of patients' conditions were factors that hindered their clinical practice in ICUs. This is in line with a Turkish study which reported that students were afraid of causing patients harm during caring in the ICU.…”

Section: Discussionmentioning

confidence: 99%

Nursing students' perception of their clinical practice in intensive care units: A study from Egypt

Kandeel

Ahmed²

2019

JNEP

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Providing nursing students with quality clinical experience in intensive care units (ICUs) is a major concern for nursing educators in Egypt. Understanding nursing students' perception of their critical care experience is important in future planning of successful clinical placements in ICUs. The purpose of this study was to investigate undergraduate nursing students' perception of their clinical practice in ICUs. The study involved 306 nursing students who were registered in critical care nursing course. Data were collected using a self-administered survey which addressed nursing students' perception of three domains including clinical practice environment, clinical teaching and learning and factors hindering clinical practice in intensive care setting. The results illustrated that the majority of students enjoyed their clinical experience in ICUs. However, students highlighted many factors that hindered their clinical practice such as the stressful intensive care setting, fear of making mistakes, complex patients’ conditions, theory-practice gap, overburdening with documentation and lack of coordination between clinical placements. Supportive learning environment is needed to enhance students' clinical learning, improve collaboration between students, demonstrators and critical care nursing staff, and reduce theory-practice gap.

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The Living, Dynamic and Complex Environment Care in Intensive Care Unit

Cited by 32 publications

References 6 publications

Ambiente da prática de enfermagem em unidades de terapia intensiva

Ambiente da prática de enfermagem em unidades de terapia intensiva

Slips, lapses and mistakes inthe use of equipment by nurses in an intensive care unit

Nursing students' perception of their clinical practice in intensive care units: A study from Egypt

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