Burden of care related to monitoring patient vital signs during intensive care; a descriptive retrospective database study

Romare, Charlotte; Anderberg, Peter; Berglund, Johan; Skär, Lisa

doi:10.1016/j.iccn.2022.103213

Cited by 5 publications

(11 citation statements)

References 18 publications

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“…The results of the research are descriptive statistical studies, namely monitoring documentation is reported to result in a prominent care burden during intensive care. Nearly all patients have continuous monitoring (Romare et al, 2022) and empirical clinical problems in which nurses decide on nursing care actions to address problems (Tobiano et al, 2019). The results of the cross-sectional study were that registered nurses reported lower scores related to knowing what to say to families in end-of-life care scenarios (Riegel et al, 2021) and together explain the significant difference (27.5%) in the provision of patient-centered care by nurses (Alhalal et al, 2020).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Of the 10 included studies, three were conducted in Australia (Ros et al, 2021) (Riegel et al, 2021) (Tobiano et al, 2019), one in China (Qin et al, 2017), one in Belgium (Endacott et al, 2022), one in Sweden (Romare et al, 2022), one in the USA (Chapman et al, 2021), one in Egypt (Eltaybani et al, 2020), one in Korea (Yoo & Shim, 2020) and one in Saudi Arabia (Alhalal et al, 2020). The research design also varies, two are Mixed methods studies (Ros et al, 2021) (Yoo & Shim, 2020), two are descriptive statistics (Romare et al, 2022) (Tobiano et al, 2019), two are cross sectional (Riegel et al, 2021) (Alhalal et al, 2020), one is a descriptive case study (Qin et al, 2017), one is Delphi (Endacott et al, 2022), a single-center pre-and post-intervention design (Chapman et al, 2021) and one is qualitative (Eltaybani et al, 2020).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One study found that a sample of data from 2014 to 2020 was analyzed for a total of 3617 intensive care episodes and 29,165 work shifts. (Romare et al, 2022).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Four on research Endacott et al, (2022) ICU nursing practice facilitating factors maintain, broaden the contribution of experienced bedside nurses and inhibiting factors reflect the lack of experience in advanced practice roles for nursing. Five on research conducted by Romare et al, (2022) The main objective of this review is to examine and map the state of ICU nursing services in world countries. The evidence presented shows a decrease in canceled elective surgeries in the first year after intervention, an increase in cancellations in subsequent years.…”

Section: Facilitating and Inhibiting Factorsmentioning

confidence: 99%

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Nursing Services in the ICU Room: A Scoping Review

Kurniasih

Rachmawaty

Hariati

2023

IJPASR

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The purpose of this study was to identify nursing services in the ICU. This research method uses a Scoping Review design, using four databases namely PubMed, ScienceDirect, Wiley Online Library, and Eric using keywords based on the PCC method (Population, Concept, Context). The results of the scoping review are all articles explaining that the implementation of nursing services in the ICU room, namely the importance of nursing education, experienced nurses, increasing nursing resources, the importance of monitoring vital signs of critical patients in the ICU room, and communicating well to patients and families in the ICU room to improve the quality of nursing services in the ICU room are the implications of our findings. Conclusion: Our review is the first to explore ICU nursing care in a world country setting. Our findings show that the research sample is nurses working in the ICU rooms of hospitals around the world. Further research is recommended to enhance and facilitate monitoring to further improve patient safety.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

“…One study found that a sample of data from 2014 to 2020 was analyzed for a total of 3617 intensive care episodes and 29,165 work shifts. (Romare et al, 2022).…”

Section: Study Characteristicsmentioning

confidence: 99%

Section: Facilitating and Inhibiting Factorsmentioning

confidence: 99%

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Nursing Services in the ICU Room: A Scoping Review

Kurniasih

Rachmawaty

Hariati

2023

IJPASR

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“…Appropriately monitoring children in HDUs or PICUs is a cornerstone of high-quality critical care, particularly because a patient's condition can deteriorate rapidly and life-threatening events occur quickly [5]. Vital signs, including temperature, blood pressure, pulse rate, respiratory rate and oxygen saturation, provide information about the physiological status [6,7].…”

Section: Introductionmentioning

confidence: 99%

The role of healthcare workers and caregivers in monitoring critically ill children: a qualitative study in Zomba, Malawi

Mwale,

Taylor,

Langton

et al. 2023

Preprint

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Background Critically ill children require close monitoring to facilitate timely interventions throughout their hospitalization. In low- and middle-income countries, a high disease burden yet scarce paediatric critical care resources complicate effective monitoring. This study describes the monitoring practices for critically ill children and examines factors affecting monitoring in a paediatric high-dependency unit in Malawi. Methods An exploratory qualitative study based on 21 in-depth interviews with healthcare workers (n = 12) working in the high dependency unit and caregivers of critically ill children (n = 9), and structured observation of monitoring. Interviews were transcribed and translated for thematic content analysis. Results The ward layout, power outages, lack of human resources and limited familiarity with the available monitoring devices, affected monitoring of critically ill children admitted to the high dependency unit. Monitoring was mostly performed intermittently, through clinical observations. Healthcare workers prioritized the sickest children for more frequent monitoring using the available devices. Caregivers, who were present throughout admission, were involved informally in flagging possible deterioration to healthcare staff. Conclusion Opportunities to improve monitoring of critically ill children in high dependency unit include ongoing training of healthcare workers to effectively allocate and employ the available devices, and/or supporting caregivers to play more formal role in escalation.

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The role of healthcare providers and caregivers in monitoring critically ill children: a qualitative study in a tertiary hospital, southern Malawi

Mwale,

Manda-Taylor,

Langton

et al. 2024

BMC Health Serv Res

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Background Critically ill children require close monitoring to facilitate timely interventions throughout their hospitalisation. In low- and middle-income countries with a high disease burden, scarce paediatric critical care resources complicates effective monitoring. This study describes the monitoring practices for critically ill children in a paediatric high-dependency unit (HDU) in Malawi and examines factors affecting this vital process. Methods A formative qualitative study based on 21 in-depth interviews of healthcare providers (n = 12) and caregivers of critically ill children (n = 9) in the HDU along with structured observations of the monitoring process. Interviews were transcribed and translated for thematic content analysis. Results The monitoring of critically ill children admitted to the HDU was intermittent, using devices and through clinical observations. Healthcare providers prioritised the most critically ill children for more frequent monitoring. The ward layout, power outages, lack of human resources and limited familiarity with available monitoring devices, affected monitoring. Caregivers, who were present throughout admission, were involved informally in monitoring and flagging possible deterioration of their child to the healthcare staff. Conclusion Barriers to the monitoring of critically ill children in the HDU were related to ward layout and infrastructure, availability of accurate monitoring devices and limited human resources. Potential interventions include training healthcare providers to prioritise the most critically ill children, allocate and effectively employ available devices, and supporting caregivers to play a more formal role in escalation.

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Burden of care related to monitoring patient vital signs during intensive care; a descriptive retrospective database study

Cited by 5 publications

References 18 publications

Nursing Services in the ICU Room: A Scoping Review

Nursing Services in the ICU Room: A Scoping Review

The role of healthcare workers and caregivers in monitoring critically ill children: a qualitative study in Zomba, Malawi

The role of healthcare providers and caregivers in monitoring critically ill children: a qualitative study in a tertiary hospital, southern Malawi

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