Intensive care nurses’ practice related to experience and shift worked

Silva, Rafael Celestino da; Ferreira, Márcia de Assunção; Apostolidis, Thémis

doi:10.1016/j.iccn.2015.12.006

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…[13][14] One of the conditions conveyed by studies that influence performance and can impact safety is experience. [15][16] Therefore, professional inexperience can be considered as a latent error, which justifies the choice of such a reference for the analysis of the influences of experience on safety in relation to the management of continuous hemodialysis in the ICU, with the aim of developing defense barriers for this system.…”

Section: Methodsmentioning

confidence: 99%

Experience of Nurses in the Management of Continuous Hemodialysis and Its Influences on Patient Safety

Andrade

Barros

Lúcio

et al. 2019

Texto contexto - enferm.

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Objective: to analyze the professional experience of intensive care nurses and its influence on their work activities in the continuous hemodialysis process and patient safety in the intensive care unit within the scope of the collaborative model. Method: qualitative and exploratory research, based on the systemic paradigm of patient safety, developed at the Intensive Care Unit of a private institution in the city of Rio de Janeiro, Brazil. There were 23 nurse participants who had been working for more than three months in study scenery and in direct contact with continuous hemodialysis. The data were produced from June to October of 2016 by means of observation, analyzed using thick description as well as semi-structured interviews, and then submitted to the content analysis technique. Results: were organized in two categories: the first one portrays the influence of the professional working experience on the safety of nurses' performance, which verified that in relation to continuous hemodialysis, inexperienced nurses follow guidelines and manuals, without a complete evaluation of this care situation and face difficulties in the performance of everyday care. The second category demonstrates the impact of the nurse´s inexperience on the occurrence of active errors, evidencing actions that result in the occurrence of adverse events. Conclusion: the insertion of inexperienced nurses is a latent condition in the investigated system that results in the occurrence of incidents in the continuous hemodialysis process, requiring the improvement of the collaborative model through the systematic monitoring of the performance of these professionals, such as the proposal of a safety barrier.

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Section: Methodsmentioning

confidence: 99%

Experience of Nurses in the Management of Continuous Hemodialysis and Its Influences on Patient Safety

Andrade

Barros

Lúcio

et al. 2019

Texto contexto - enferm.

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“…7 Although there are disadvantages in working nights, the benefits of working the night shift include additional shift differential or incentive pay and the ability to fulfill family responsibilities while others are working. 6,9 The National Academies of Sciences, Engineering, and Medicine report "Future of nursing 2020-2030: charting a path to achieve health equity" recognized that a near majority of newly licensed nurses work night shift, and the consequences for all those working night shift include long-term insomnia and increased injury risk. 10 Working the night shift disrupts nurses' diurnal circadian rhythms, with consequences on their physical and mental health.…”

Section: Introductionmentioning

confidence: 99%

Experiences and perceptions of nurses working night shift: a qualitative systematic review

Weaver¹,

Cordova²,

Vitale³

et al. 2022

JBI Evidence Synthesis

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The objective of this review was to examine the available evidence on the experiences and perceptions of nurses working the night shift within any specialty in the acute care, subacute, or long-term care setting. Introduction:Nurses are required for around-the-clock patient care. Night shift nurses can experience detrimental effects because of their work hours, which disrupt their normal circadian rhythm. Understanding nurses' experiences and perceptions when working night shift will facilitate the development of strategies to minimize the potential negative effects of working at night. In examining nurses' experiences and perceptions of working night shift, there is scope to explore how to improve night shift nurses' practice environment and job satisfaction, which will then translate to improved nurse and patient outcomes.Inclusion criteria: This review included qualitative studies focused on the experiences and perceptions of registered nurses and licensed practical nurses who work the night shift or rotate between day and night shift. Methods: This review followed the JBI methodology for systematic reviews of qualitative evidence. The methodology used was consistent with the a priori protocol. Studies included in this review were those published in full text, English, and between 1983 (when the seminal work on hospitals that attract and retain nurses was published) and February 2021, when the search was completed. The main databases searched for published and unpublished studies included MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science. From the search, two reviewers independently screened the studies against the inclusion criteria, and then papers selected for inclusion were assessed for methodological quality. Qualitative data were extracted from the included papers independently by the four reviewers. Results from each reviewer were discussed and clarified to reach agreement. The extracted findings were pooled and examined for shared meaning, coded, and grouped into categories. Common categories were grouped into meta-synthesis to produce a comprehensive set of synthesized findings. The final synthesized findings were graded using the ConQual approach to determine the level of confidence (trust) users may have in the value of the synthesized findings.Results: Thirty-four papers, representing 33 studies, met the criteria for inclusion. The studies were conducted in 11 countries across six continents, with a total of 601 participants. From these, a total of 220 findings were extracted and combined to form 11 categories based on similarity in meaning, and three syntheses were derived: i) The "Other" Shift: the distinctiveness of night nursing; ii) Juggling sleep and all aspects of life when working nights; and iii) Existing in the Twilight Zone: battling the negative impact of sleep deprivation consumes nurses who strive to keep patients, self, and others safe. Conclusions:The major conclusions from this review are the uniqueness of working the night shift and the sleep deprivation of night nurses. Organ...

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“…Newly undergraduates are considered newcomers in a field of activity, that is, they do not have experience and/or mastery of care, even if they have experience in another area (9) . Although there is little global evidence on the qualification of these newly trained to provide intensive care for the first time (11) , surveys describing their characteristics at the interface with intensive care point to limitations in clinical decision making and difficulties in caring for safety, mainly by the dichotomy of the theory with the reality experienced in the field (12)(13) .…”

Section: Introductionmentioning

confidence: 99%

Newly undergraduate nurses and intensive care in units of non-critical patients

et al. 2019

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Objective: To identify the social representations of newly undergraduate nurses on the intensive care of Nursing to critical patients hospitalized in non-critical patient units. Method: Qualitative and descriptive research. Twenty-six newly undergraduate nurses from a private university participated. An in-depth interview was conducted with semi-structured script. The analysis was of lexical type with the help of Alceste 2012 software. Results: The social representations were built according to the image of the intensive care unit, although patients were out of this environment. Care is understood as complex and specialized, requiring graduate training. Therefore, undergraduation training was considered insufficient to provide this type of care, creating fear and insecurity in the newly undergraduate nurses. Final considerations: Intensive care confronts newly undergraduate nurses with feelings of unpreparedness to care for, but it mobilizes to broaden the knowledge to provide care. There is evidence of a theory-practice dichotomy and weaknesses in teaching-learning experiences in undergraduate education.

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Intensive care nurses’ practice related to experience and shift worked

Cited by 7 publications

References 30 publications

Experience of Nurses in the Management of Continuous Hemodialysis and Its Influences on Patient Safety

Experience of Nurses in the Management of Continuous Hemodialysis and Its Influences on Patient Safety

Experiences and perceptions of nurses working night shift: a qualitative systematic review

Newly undergraduate nurses and intensive care in units of non-critical patients

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