Experiences of registered nurses caring for patients with an open abdomen in an intensive care unit in Gauteng

Chipu, Mpho G.; Kearns, Irene; Nel, W. E.

doi:10.4102/hsag.v22i0.981

Cited by 3 publications

(3 citation statements)

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“…based on the investigator point of view, these findings may be interpreted by the older nurses' reluctance to work in ICUs and CCUs, as well as the fact that senior nurses in the upper age categories fulfill administrative roles. These findings agree with the study done by Mobed et al (12) , and was contradicted with Chipu et al (13) .…”

Section: Demographic Characteristic Of the Studied Nursessupporting

confidence: 79%

Assessment of Nurses’ Knowledge and Practice Regarding Intra- Abdominal Pressure Measurement and Abdominal Compartment Syndrome Prevention

Reyad

Mahmoud²,

Eldriny³

2022

The Egyptian Journal of Hospital Medicine

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Background: Intra-abdominal pressure monitoring helps in the early detection of patients who are susceptible for developing intra-abdominal hypertension and enabling prompt treatment to prevent the development of abdominal compartment syndrome. The management of critically ill patients and the identification of potential causes for clinical worsening are the main role of critical care nurses. Objective: The objective of the present study is to assess nurses' knowledge and practice regarding intra-abdominal pressure measurement and abdominal compartment syndrome prevention. Patients and methods: A descriptive exploratory design was utilized in this study. The study was carried out at intensive care units, cardiac care units and emergency unit at Kom Hamada and Itay El Baroad Hospital. A convenient sample of 60 male and female nurses was recruited. Two tools were used for data collection; (I) Knowledge assessment questionnaire and (II) Observational checklist to assess nurses' practices regarding intra-abdominal pressure measurement. Results: Most studied nurses had poor knowledge regarding all items related to intra-abdominal pressure measurement, intra-abdominal hypertension, and complications of abdominal compartment syndrome. Moreover, about more than two-third of the studied nurses had an unsatisfactory level of practice regarding intra-abdominal pressure measurement. Conclusion: The majority of the studied nurses had unsatisfactory level of knowledge and incompetent level of practice regarding intra-abdominal pressure measurement and abdominal compartment syndrome prevention.Recommendation: Continuous educational programs should be planned to nurses for enhancing their knowledge and practice to achieve a high quality of care.

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Section: Demographic Characteristic Of the Studied Nursessupporting

confidence: 79%

Assessment of Nurses’ Knowledge and Practice Regarding Intra- Abdominal Pressure Measurement and Abdominal Compartment Syndrome Prevention

Reyad

Mahmoud²,

Eldriny³

2022

The Egyptian Journal of Hospital Medicine

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“…We cannot make any conclusion regarding the only female in the study. Though South Africa is known to have a significant amount of penetrating trauma, this study group was all blunt traumatic aortic injuries in keeping with an aortic theme [27][28][29][30]. In contrast, the age group in the study was slightly older than our trauma population, as demonstrated in other local studies [23][24][25][26]31].…”

Section: Discussionmentioning

confidence: 81%

Outcomes of Non-Operative Management of Blunt Aortic Injuries at a Johannesburg Trauma Centre

2023

J Surg

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Introduction: Blunt Aortic injuries have a high mortality rate and can be associated with multiple injuries. Clinical suspicion of high energy impact to the chest should warrant a contrast-enhanced CT scan investigation of the chest cavity to evaluate for possible aortic injury. With current growing evidence on non-operative management, this has not been studied to a great extent in the Sub-Saharan environment. The study aimed to assess the feasibility and outcomes of non-operative management of Grade I and II Aortic injuries at a Johannesburg Trauma centre. Method:A retrospective review of all Grade I and II blunt aortic injuries presenting at a Level I Trauma Unit from 01 August 2007 till 31 December 2020. All patients had to be managed in an Intensive Care Unit. Demographics, mechanism of injury, and physiological parameters at presentation were documented. The grade of injury was confirmed with minimum 64-sliced contrast-enhanced CT scan, as well as associated injuries. A repeat CT scan was performed at 48 hours, then 7-10 days to assess the progress of the injury. Length of hospital stay, aortic injury-related complications, and in-hospital mortality were also documented. Descriptive statistics using STATISTICA version 14 software was used to analyse the data. A p-value of <0.05 was considered statistically significant. Ethics was sought from the University of the Witwatersrand Human Research Ethics Committee.Results: Of the 58 Blunt aortic injuries seen in the study period, only 19 had a confirmed Grade I or II injuries (the rest were Grade III-IV). All these 19 were managed conservatively. Most cases were males with a median age of 47 . Motor vehicle collisions were responsible for most of the injuries. Chest injuries were more common than other concomitant injuries. Anticoagulation was balanced against the risk of bleeding, and blood pressure was managed to control blood tension and pulse rate to minimise rupture. No worsening features were noted in the 48-hr repeat CT scan, and by day 10, all aortic lesions had resolved. The length of hospital stay in days was 28 ). There were no aortic-related complications. One patient died of the progression of a severe head injury, whereas most patients were discharged home. Median follow-up in years was 7 (IQR 4-11) Conclusion: It is possible to safely manage Grade I and II blunt aortic injuries in a Sub-Saharan environment. The mortality was not related to the aortic injury, and no aortic-related complication was noted in the study. Optimal care should be within the context of specialised care with optimal radiological investigations available.

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“…This has resulted in misinterpretations and misunderstanding of the concepts ‘patient care’ and ‘self-care’. Some nursing professionals regard self-care as being selfish, and this results in stress, depression, feelings of worthlessness and feelings of helplessness [ 12 ]. Analysing the concept of self-care will thus enhance understanding of the concept, its use and the practice of self-care activities amongst nursing professionals.…”

Section: Introductionmentioning

confidence: 99%

Professional nurses’ facilitation of self-care in intensive care units: A concept analysis

Chipu

Downing

2020

International Journal of Nursing Sciences

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Objective This article aims to provide an in-depth analysis of the concept of self-care and outline its defining attributes, antecedents, consequences and empirical referents. Methods The literature was searched electronically using databases such as CINAHL, Medline, Psych INFO, ERIC, ScienceDirect, Amed, EBSCO (Health Source: Nursing and Academic Edition), Sage, Ujoogle and Google Scholar. Articles from 2013 to 2020 were searched to target recent and up-to-date information about the definitions, attributes, antecedents and consequences of the concept of self-care. Walker and Avant's framework was utilised to analyse the concept of self-care. Results The results of the concept analysis identified seven attributes, namely process, activity, capability, autonomous choice, education, self-control and interaction. The seven identified antecedents are self-motivation, participation, commitment, resources, religious and cultural beliefs, social, spiritual and professional support, and the availability of time. The consequences are the maintenance of health and wellbeing, autonomy, increased self-esteem, disease prevention, empowerment, increased social support and the ability to cope with stress. Conclusions The result of the concept analysis was used to describe a model to facilitate professional nurses’ self-care in the intensive care unit.

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Experiences of registered nurses caring for patients with an open abdomen in an intensive care unit in Gauteng

Abstract: Intra-abdominal hypertension (IAH)AbdominalEthical principles and measures of trustworthiness were adhered to throughout the research study.

Cited by 3 publications

References 1 publication

Assessment of Nurses’ Knowledge and Practice Regarding Intra- Abdominal Pressure Measurement and Abdominal Compartment Syndrome Prevention

Assessment of Nurses’ Knowledge and Practice Regarding Intra- Abdominal Pressure Measurement and Abdominal Compartment Syndrome Prevention

Outcomes of Non-Operative Management of Blunt Aortic Injuries at a Johannesburg Trauma Centre

Professional nurses’ facilitation of self-care in intensive care units: A concept analysis

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