The implications of intensive care unit capacity strain for the care of critically
            ill patients

Kohn, Rachel; Halpern, Scott D.; Kerlin, Meeta Prasad

doi:10.5935/0103-507x.20160069

Cited by 5 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Considering the frequent existence of waiting lists for admission to public ICUs, our data corroborate the idea that this type of service operates under overt strain. ( 9 ) This situation might partially account for the poorer outcomes usually reported for public ICUs in Brazil. ( 10 ) In addition, operational factors might influence the decision to admit a critically ill patient to the ICU, ( 11 ) which may further complicate the analysis of outcomes.…”

Section: Discussionmentioning

confidence: 99%

Existing capacity for renal replacement therapy and site-specific practices for managing acute kidney injury at centers participating in the BaSICS trial

Zampieri¹,

Araújo²,

Santos³

et al. 2018

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

ObjectiveTo investigate the existing capacity for renal replacement therapy and site-specific practices for managing acute kidney injury at centers participating in the BaSICS trial.MethodsA questionnaire was provided to the chairs of 61 intensive care units enrolled in a randomized clinical trial in Brazil. A total of 124 physicians completed the questionnaire.ResultsApproximately 15% of the patients admitted to the analyzed intensive care units received renal replacement therapy at the time of data collection. At least one renal replacement method was available in all of the analyzed units. Continuous methods were available more frequently at the private units than at the public units. The time from indication to onset of treatment was longer at the public units than at private units. The main obstacles to treatment initiation at public intensive care units were related to the availability of equipment and personnel, while the main bottleneck at private units was the nephrologist assessment. A considerable proportion of the participants stated that they would change their approach to renal replacement therapy if there were no limitations on the availability of methods in their units.ConclusionThere was wide variation in the availability of resources for renal replacement therapy and in the management of acute kidney injury in Brazilian intensive care units. This information should be taken into account when planning clinical trials focused on this topic in Brazil.

show abstract

Section: Discussionmentioning

confidence: 99%

Existing capacity for renal replacement therapy and site-specific practices for managing acute kidney injury at centers participating in the BaSICS trial

Zampieri¹,

Araújo²,

Santos³

et al. 2018

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

show abstract

“…8 The restriction of vacancies in Intensive Care Units (ICUs) was already a problem before the country experienced the COVID-19 pandemic, in view of the increase in the number of people in need of this type of therapy, among other contributing factors. 9 The pandemic only worsened the scarcity of beds, of material and human resources, and of personnel technically prepared for critical care.…”

Section: /13mentioning

confidence: 99%

Facing Up Covid-19: What Cannot Be Relativized in Nursing Higher Education

Peres

Brandão

Aperibense

et al. 2020

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: to present reflective arguments on the measures to accelerate the training of nurses and their early insertion in the health system during the COVID-19 pandemic. Method: an analytical and theoretical-reflective text, based on the central construct of “Nursing knowledge”, whose theoretical framework of reference was formed by two of the fundamental patterns of knowing, from Chinn & Kramer's perspective: the ethical and the empirical. Results: newly graduated nurses, in the process of accelerated training, will have few resources available from the empirical knowledge pattern, both due to the reduced framework of knowledge evidence and to the difficulty in dealing with mechanisms that are often unknown. As they do not have levels of clinical knowledge, such as that developed in the applications of practical experience, recent graduates may have to confront situations that will impact on the ethical knowledge pattern. Conclusion: the acceleration in the training of Nursing students and their insertion in the health system in the current pandemic situation must be viewed with caution, as the risks are high, both from the point of view of clinical decision-making and from the perspective of facing dilemmas and ethical problems.

show abstract

“…In this direction, discussions about those who need to be in the ICU have been developed in the search for the best evidence on the criteria of admission, screening and discharge, in order to help the intensivist professional in the final decision regarding ICU admission. [1][2] More recently, to address restrictions on ICU admission, rapid response systems were created in many hospitals, with the objective of teams with expertise in intensive care to evaluate patients at risk of clinical deterioration in wards and implement rapid interventions in an attempt to avoid ICU stay, offering intensive care outside ICU confinement. 3 Thus, the burden on ICU performance capacity articulated to the limitation of the number of beds available causes in many institutions to have a refusal of patients 4 and, with this, intensive care is performed outside the ICU environment, especially in clinical, surgical, emergency wards, postanesthetic and outpatient recovery units, in this study called non-critical units.…”

Section: Introductionmentioning

confidence: 99%

Intensive Care in Non-Critical Units: Representations and Practices of Novice Graduate Nurses

Almeida

Ferreira

Silva

2020

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: to analyze the practices of novice graduated nurses in view of their social representations on intensive care to the critical patient provided in non-critical patient units. Method: a qualitative research, based on social representations, with 26 novice graduated nurses at a private university in Rio de Janeiro (Brazil). Data collection made between 2016 and 2017 by a semi-structured interview and lexical analysis by Alceste software. Results: the context of the Intensive Care Unit influences social representations, which mobilizes identity aspects of this environment that stereotype the ward as a disorganized place and that does not have material resources and trained professionals. Thus, when novice undergraduates act and despite the effort and dedication fail to transfer the patient, fear and lack of confidence are exacerbated, resulting in actions that can bring risks to the patient. Conclusion: there are stereotypes in relation to the clinic that limit the care actions of the novice undergraduates in relation to the critical patient, and should be re-signified in generalist education. It is recommended to develop follow-up programs for novice graduated nurses.

show abstract

The implications of intensive care unit capacity strain for the care of critically ill patients

Cited by 5 publications

References 13 publications

Existing capacity for renal replacement therapy and site-specific practices for managing acute kidney injury at centers participating in the BaSICS trial

Existing capacity for renal replacement therapy and site-specific practices for managing acute kidney injury at centers participating in the BaSICS trial

Facing Up Covid-19: What Cannot Be Relativized in Nursing Higher Education

Intensive Care in Non-Critical Units: Representations and Practices of Novice Graduate Nurses

Contact Info

Product

Resources

About