Current practice and barriers to ICU-acquired weakness assessment: a cross-sectional survey

Wu, Yuchen; Zhang, Zhigang; Jiang, Biantong; Wang, Guoqiang; Wei, Huaping; Li, Bin; Shen, Xiping; Zhang, Caiyun

doi:10.1016/j.physio.2021.01.002

Cited by 13 publications

(12 citation statements)

References 18 publications

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“…Ongoing education and training teach ICU nurses to promptly identify patient problems or abnormal changes by evaluating data, clarifying relevant influencing factors, and detecting potential risk factors and health problems early (Wibrandt & Lippert, 2020). Wu et al (2021) and Allen (2020) reported that insufficient ICU nursing knowledge can lead to complications or patient death, so proper and complete ICU nursing skills are necessary and important for patient safety. Wei et al (2019) pointed out that the clinical abilities of ICU nurses vary greatly, and ICU work experience is closely related to individual ICU nursing ability.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In previous studies, Wu et al (2021) and Pronovost et al (2006) proposed the following reasons for incomplete care by ICU nurses: insufficient critical thinking, inadequate performance of critical care assessments, incompetence, lack of relevant on‐the‐job education, reliance on personal experience, and inconsistent evaluations. A comprehensive literature review reported that improving critical thinking and ICU nursing ability is closely related to whether individuals continuously receive on‐the‐job education (Losonczy et al, 2019; Touray et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Nursing management of the critical thinking and care quality of ICU nurses: A cross‐sectional study

Lee

Chang

2022

J Nursing Management

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Aim: To explore the effectiveness of a digital learning management system in enhancing intensive care unit nurses' critical care knowledge and critical thinking tendency.Background: Learning intensive care unit knowledge and skills is essential for the continuing education of nurses, and impacts patient health outcomes. Enhancing intensive care unit nurses' critical care abilities is a medical care quality concern in clinical practice.Methods: A cross-sectional study was conducted with 212 participants to investigate the effects of a digital learning system on care quality.Results: After the implementation of the digital learning system, intensive care unit nurses' critical care knowledge and critical thinking skills increased significantly. High-level nurses had higher critical thinking scores. All participants associated critical care knowledge with improved quality of care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nursing management of the critical thinking and care quality of ICU nurses: A cross‐sectional study

Lee

Chang

2022

J Nursing Management

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“…Evidence [20] suggests that highly educated people are more inquisitive compared to others, more adept at predicting the precursors of defending the conditions of critically ill children, and analyzing and summarizing the various problems arising in clinical work. Further, individuals with high education levels also have a good level of scienti c thinking ability to access relevant information, as well as understand and seek solutions.…”

Section: Overall Evaluation Of Kap Regarding Children With Icu-awmentioning

confidence: 99%

Knowledge, attitudes and practices regarding children with ICU-acquired weakness in Pediatric Intensive Care Unit among Chinese healthcare personnel: a cross-sectional survey

Huang

Zhang

Peng

et al. 2022

Preprint

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Background To explore the knowledge, attitudes, and practices of Chinese medical staff regarding critically ill children with intensive care unit-acquired weakness (ICU-AW) and related factors. Methods A Knowledge, Attitudes, and Practices (KAP) Questionnaire regarding critically ill children with ICU-AW was distributed to a stratified sample of 530 pediatric intensive care unit (PICU) healthcare workers. The questionnaire consisted of 31 items—with scores of 45, 40, and 40 for each dimension and a total score of 125. Results The mean total score of Chinese PICU healthcare workers for the KAP questionnaire regarding children with ICU-AW was 87.36 ± 14.241 (53–121), with mean total knowledge, attitudes, and practices scores of 30.35 ± 6.317, 30.46 ± 5.632, and 26.54 ± 6.454, respectively. The population distribution indicated that 50.56%, 46.04%, and 3.4% of healthcare workers had poor, average, and good scores, respectively. Multiple linear regression showed that gender, education, and hospital level classification influenced the KAP level of PICU healthcare workers regarding critically ill children with ICU-AW. Conclusions Overall, PICU healthcare workers in China have an average KAP level about ICU-AW, and the gender and education level of PICU healthcare workers, as well as the classification of hospitals where they work, predict the KAP status of healthcare workers regarding children with ICU-AW. Therefore, healthcare leaders should plan and develop specific training programs to improve the KAP level of PICU healthcare workers.

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“…Mechanical ventilation (MV) is associated with many complications including ventilator-associated pneumonia, ventilator-associated lung injury, and ICU-acquired weakness [1][2][3]. Once the cause that lead to respiratory insu ciency is reversed, patient should be weaned from MV as it imposes a series of risks.…”

Section: Introductionmentioning

confidence: 99%

Predictive Power of Extubation Failure Diagnosed by Cough Strength: A Systematic Review and Meta-Analysis

Duan

Zhang

Shen

2021

Preprint

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Background: The predictive power of extubation failure diagnosed by cough strength is various in different studies. We aimed to summarize the diagnostic power of extubation failure tested by cough strength. Methods: A comprehensive on-line search was performed to select any potentially eligible studies that evaluated the predictive power of extubation failure tested by cough strength. A manual research was also performed to identify additional studies. Data were extracted to calculate the pooled sensitivity, specificity, positive likelihood ratio (LR), negative LR, diagnostic odds ratio (DOR), and area under the receiver operating characteristic curves (AUC) to evaluate predictive power of extubation failure. I2 was used to test the heterogeneity and deek’s funnel plot was used to detect the publication bias.Results: A total of 35 studies involving 7515 patients were included. Of them, 1113 patients (14.8%) experienced extubation failure. Twenty studies involving 2787 patients assessed cough strength by measure of cough peak flow (CPF) to predict extubation failure. The pooled sensitivity, specificity, positive LR, negative LR, DOR, and AUC were 0.77 (95%CI: 0.72-0.80), 0.75 (0.69-0.80), 2.84 (2.36-3.42), 0.34 (0.29-0.39), 9.16 (6.14-13.67), and 0.81 (0.77-0.84), respectively. Twenty studies involving 5508 patients assessed cough strength by measurement of a semiquantitative cough strength scale (SCSS) to predict extubation failure. The pooled sensitivity, specificity, positive LR, negative LR, DOR, and AUC were 0.54 (95%CI: 0.43-0.65), 0.82 (0.73-0.88), 2.48 (1.92-3.21), 0.63 (0.54-0.74), 4.61 (3.03-7.01), and 0.74 (0.70-0.78), respectively. Conclusions: Cough strength can be measured by CPF and SCSS. The CPF has good predictive power to diagnose extubation failure and SCSS has moderate predictive power.

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Current practice and barriers to ICU-acquired weakness assessment: a cross-sectional survey

Cited by 13 publications

References 18 publications

Nursing management of the critical thinking and care quality of ICU nurses: A cross‐sectional study

Nursing management of the critical thinking and care quality of ICU nurses: A cross‐sectional study

Knowledge, attitudes and practices regarding children with ICU-acquired weakness in Pediatric Intensive Care Unit among Chinese healthcare personnel: a cross-sectional survey

Predictive Power of Extubation Failure Diagnosed by Cough Strength: A Systematic Review and Meta-Analysis

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