Nurses' perceptions of standardised assessment and prevention of complications in an <scp>ICU</scp>

Soh, Kim Lam; Davidson, Patricia M.; Leslie, Gavin; DiGiacomo, Michelle

doi:10.1111/jocn.12017

Cited by 11 publications

(15 citation statements)

References 38 publications

(71 reference statements)

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“…In addition, the ICU nurses care processes have also been affected tremendously by: (1) increased availability of evidence‐based nursing knowledge (Soh et al . ); (2) innovations in medical care approaches, such as decreasing sedation, increasing delirium monitoring and increasing patient mobility (Bassett et al . ); and (3) technologies, such as tele‐nursing (Williams et al .…”

Section: Discussionmentioning

confidence: 99%

Nursing Activity Score for estimating nursing care need in intensive care units: findings from a face and content validity study

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Nursing Activity Score for estimating nursing care need in intensive care units: findings from a face and content validity study

et al. 2016

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“…Preventable risk factors related to VAP are lying back, enteral feeding, insufficient subglottic aspiration, stress ulcer prophylaxis, a cuff pressure under 20 cm H2O, nasal intubation, inadequate hand hygiene, and tracheostomy (11,14,15). ICU nurses can prevent the emergence of VAP in patients who are being mechanically ventilated and thus help decrease the frequency of VAP using precautions to control infections (14)(15)(16)(17)(18)(19).…”

Section: Yoğunbakımdamentioning

confidence: 99%

Yoğunbakımda Ventilator Ilişkili Pnömoninin Önlenmesine Yönelik Hemşirelik Girişimleri

Kapucu¹,

Özden²

2017

Konuralp Tıp Dergisi

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Objective: This study was conducted to determine the interventions of nurses working in intensive care units to prevent ventilator-associated pneumonia (VAP) in intensive care units (ICUs). Methods: This study was a descriptive study. Nurses working in the adult ICUs of six state and four university hospitals within the boundaries of the municipality of Ankara were participated in this study. The research sample included 290 ICU nurses. In the study, data were collected by questionnaire developed by researchers. For the statistical evaluation of the data, Student's t-test was used to compare two groups, whereas analysis of variance was used to compare more than two groups. Results: Although the number of the nurses who sterilized their hands with alcohol-containing liquids or measured the cuff pressure to prevent VAP was found to be below average, the number of nurses who preferred alternative methods appeared to be above average. Nurses with a university degree who worked in university hospitals and surgical ICUs implemented methods to prevent VAP more successfully, and the difference between the groups was statistically significant (p < 0.05). Conclusion: None of the hospitals had a protocol regarding the prevention of VAP, and only 7.9% of the nurses said that they read and followed the scientific literature on the issue. This study suggested that institutions should develop their own protocols regarding the prevention of VAP, nurses should be referred to training programs to enhance their knowledge on the issue, and VAP prevention methods should be regularly monitored.

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“…The abstract nature of attitude related barriers make them more difficult to overcome than knowledge related barriers, and changing a nurse's attitude often takes much longer than changing a nurse's level of education on NSOs. While attitude related barriers may prove more challenging than other barriers, they have a large impact on clinical outcomes, such as ventilation associated pneumonia, pressure ulcers and central line infections (Beeckman et al., 2007; Soh, Davidson, Leslie, DiGiacomo & Soh, 2013). In line with Baker et al.…”

Section: Discussionmentioning

confidence: 99%

“…While attitude related barriers may prove more challenging than other barriers, they have a large impact on clinical outcomes, such as ventilation associated pneumonia, pressure ulcers and central line infections (Beeckman et al, 2007;Soh, Davidson, Leslie, DiGiacomo & Soh, 2013…”

Section: Discussionmentioning

confidence: 99%

Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units

et al. 2017

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AimTo identify nurses’ barriers and facilitators to monitoring of nurse‐sensitive outcomes in intensive care units (ICUs), and to explore influential nurse characteristics and work environment factors.DesignA cross‐sectional survey in three Dutch ICUs between October 2013 ‐ June 2014.MethodsA questionnaire with questions regarding facilitators and three types of barriers: knowledge, attitude and behaviour. The Dutch Essentials of Magnetism II was used to examine work environments.ResultsAll 126 responding nurses identified pressure ulcers and patient satisfaction as outcomes that are nurse‐sensitive and nurses’ full responsibility. Lack of time (behaviour) was perceived as the most prominent barrier, followed by unfamiliarity with mandatory indicators (knowledge), and unreliability of indicators as benchmark data (attitude). Education and clear policies were relevant facilitators. Of nurse characteristics, only regularity of shifts was related to perceived attitude related barriers. The work environment factor “clinical autonomy” was potentially associated with behaviour related barriers.

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Nurses' perceptions of standardised assessment and prevention of complications in an ICU

Abstract: These findings provide valuable information for implementing clinical practice improvement interventions.

Cited by 11 publications

References 38 publications

Nursing Activity Score for estimating nursing care need in intensive care units: findings from a face and content validity study

Nursing Activity Score for estimating nursing care need in intensive care units: findings from a face and content validity study

Yoğunbakımda Ventilator Ilişkili Pnömoninin Önlenmesine Yönelik Hemşirelik Girişimleri

Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units

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