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Journal articles on the topic 'Intensive care nursing Malaysia'

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Author: Grafiati

Published: 10 December 2022

Last updated: 29 January 2023

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1

Abu-Samah, A., N. N. A. Razak, A. A. Razak, U. K. Jamaludin, F. M. Suhaimi, and A. M. Ralib. "Determination of favorable blood glucose target range for stochastic TARgeted (STAR) glycemic control in Malaysia." Indonesian Journal of Electrical Engineering and Computer Science 15, no. 1 (July 1, 2019): 133. http://dx.doi.org/10.11591/ijeecs.v15.i1.pp133-141.

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Stress-induced hyperglycemia is common in critically ill patients, but there is uncertainty about what constitutes an optimal blood glucose target range for glycemic control. Furthermore, to reduce the rate of hyperglycemic and hypoglycemic events, model-based glycemic control protocols have been introduced, such as the stochastic targeted (STAR) glycemic control protocol. This protocol has been used in the intensive care units of Christchurch and Gyulà Hospital since 2010, and in Malaysia since 2017. In this study, we analyzed the adaptability of the protocol and identified the blood glucose target range most favorable for use in the Malaysian population. Virtual simulation results are presented for two clinical cohorts: one receiving treatment by the STAR protocol itself and the other receiving intensive insulin therapy by the sliding scale method. Performance and safety were analyzed using five clinical target ranges, and best control was simulated at a target range of 6.0–10.0 mmol/L. This target range had the best balance of performance, with the lowest risk of hypoglycemia and the lowest requirement for nursing interventions. The result is encouraging as the STAR protocol is suitable to provide better and safer glycemic control while using a target range that is already widely used in Malaysian intensive care units

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Halain, Azura Abdul, Kim Lam Soh, Airini Ibrahim, Salimah Japar, Swee Leong Ong, Abdurrahman Muhammad Sani, and Kim Geok Soh. "Nursing Workload in Relation to Nosocomial Infection in Public Hospital Intensive Care Unit, Malaysia." Research Journal of Pharmacy and Technology 11, no. 9 (2018): 3892. http://dx.doi.org/10.5958/0974-360x.2018.00713.8.

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3

Wan Ismail, Wan Marina, Norhaini Majid, and Suryanto Suryanto. "Motivation and Hygiene Factors of Work Satisfaction among Intensive Care Nurses in Selangor." Environment-Behaviour Proceedings Journal 6, no. 18 (December 12, 2021): 133–39. http://dx.doi.org/10.21834/ebpj.v6i18.3090.

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The work satisfaction among nurses is essential in a healthcare system. Nurse satisfaction may refer to the motivation to stay in the nursing profession and the organization in which they are satisfied with. The study aims to determine the level of work satisfaction among Intensive Care nurses and examined the relationship between Herzberg’s motivation and hygiene factors. The study used a quantitative design with a theoretical framework based on Herzberg’s theory. A total of 218 nurses from the Intensive Care Unit were selected. The results showed that overall, of the nurses had a moderate level of work satisfaction. Keywords: Work satisfaction, motivation, hygiene, nurses eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v6i18.3090

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4

Ludin, Salizar Mohamed, and Nur Arina Arsyad. "The Clinical Learning Environment of Intensive Care Unit as Perceived by International Islamic University Malaysia (IIUM) Undergraduate Nursing Students." INTERNATIONAL JOURNAL OF CARE SCHOLARS 4, no. 1 (January 31, 2021): 29–35. http://dx.doi.org/10.31436/ijcs.v4i1.165.

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Background: Clinical learning environment (CLE) is an environment in which any person who could influence the care of a patient learns. The CLE affects the effectiveness of clinical practicum that is a significant part of the nursing curriculum. However, there are limited studies that focus on the CLE of the Intensive Care Unit (ICU). Objectives: To assess the nursing students’ perception of the clinical learning environment of ICU, and to determine the associated socio-demographic characteristic with the clinical learning environment of ICU. Methods: A cross-sectional study was conducted via purposive sampling at Kulliyyah of Nursing, IIUM Kuantan. The Adopted Students Evaluation of Clinical Education Environment (SECEE) version 3 questionnaire was used to assess the students’ perception of CLE of ICU within three subscales (instructor facilitation of learning (IFL), preceptor/staff nurse facilitation of learning (PFL) and learning opportunities (LO)). Results: A total of 141 nursing students participated in this study. Based on the mean score, the students have a positive perception of the CLE of ICU (79.41%). The subscale IFL was the most positively perceived (84.44%) followed by subscale LO (77.49%) and subscale PFL (75.64%). There was a significant difference seen for subscale LO between gender (p-value=0.008), male students gave a higher score compared to the female student. A significant mean difference was also found for subscale IFL between years of study (p-value=0.002), suggesting that the senior student had a more positive score compared to their junior. No association was found between students’ age and duration of clinical practicum in ICU with the CLE score. Conclusion: The nursing students’ perception of the CLE of ICU is positive. However, the score for subscale PFL is the lowest compared to another subscale. Hence, the nursing faculty should work together with the ward management to enhance the role and engagement of staff nurses in students learning. By doing this, the CLE of ICU will get better and eventually improve the clinical learning outcome.

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Ludin, Salizar M., Nor’ain A. Rashid, Mohamed S. Awang, and Mohd B. M. Nor. "Functional Outcomes 6 Months After Severe Traumatic Brain Injury Following Admission Into Intensive Care Unit: A Cohort Study in Two Tertiary Hospitals." Clinical Nursing Research 28, no. 7 (April 5, 2018): 830–51. http://dx.doi.org/10.1177/1054773818767551.

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Severe traumatic brain injury (TBI) survivors show physical and functional improvements but continue to have cognitive and psychosocial problems throughout recovery. However, the functional outcome of severe TBI in Malaysia is unknown. The objective of this study is to measure the functional outcomes of severe TBI within 6 months post-injury. A cohort study was done on 33 severe TBI survivors. The Glasgow Outcome Scale–Extended (GOSE) was used in this study. The mean age of the participants was 31.79 years (range: 16-73 years). The logistic regression model was statistically significant, χ²(5, N = 33) = 29.09, p < .001. The length of stay (LOS) in incentive care unit ( p = .049, odds ratio = 6.062) and duration on ventilator ( p = .048, odds ratio = 0.083) were good predictors of the functional outcomes. Future research should focus on larger sample size of severe TBI in Malaysia.

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6

Khairuddin, Nurul Nadzirah, and Salmi Ab Aziz. "Relative Caregivers’ Satisfaction towards Nursing Care of Neuro Patients in Hospital Universiti Sains Malaysia (USM)." Asian Journal of Medicine and Biomedicine 6, S1 (November 10, 2022): 197–200. http://dx.doi.org/10.37231/ajmb.2022.6.s1.585.

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Over the past decade, the provision of medical care had received increased attention in the general critical care community [1]. In the neurointensive care unit (neuro ICU), it is important to build a good rapport with their family member as the patient unable to decide for themselves. Assessing relative satisfaction level toward nursing care of neuro patients provides a way to determine whether the nursing care goals were attained. Directly measuring this in patients in the neuro ICU is difficult because of their clinical status. Thus, relative (surrogate) satisfaction is used as a proxy measure [3]. The satisfaction survey, Family Satisfaction-ICU (FS-ICU), has been thoroughly validated in the general critical care population [2]. The survey has been used in many countries which helped in improving the satisfaction of care of the relative caregivers with nursing care [4]. The assessment of the level of satisfaction among relative caregivers towards nursing care is important to enhance the decision-making for the patients. The current study aimed to assess the level of satisfaction among relative caregivers towards nursing care of neuro patients and to determine the relationship between the satisfaction among relative caregivers towards nursing care and decision-making related to patient care in neuro ICU, Hospital USM. The study was conducted in the neuro ICU ward, Hospital USM. A cross-sectional study was conducted among 80 respondents using the Malay version of the Family Satisfaction Intensive Care Unit (FS-ICU) questionnaire. The statistical analysis was conducted using descriptive statistics and the Pearson correlation test. There are three items to measure the satisfaction level among relative caregivers towards nursing care which are concern and quality of care toward patients; the service and efforts in meeting their needs; and skills, care, and the atmosphere in the ICU. These items were given the score of 1-5 (very dissatisfied) and 6-10 (very satisfied). In this study, a total of 80 patients’ relatives were included. The sociodemographic characteristics and the frequency of distribution among participants and their percentage were shown in Table 1. The items for service and effort in meeting their needs (Question 1-6) showed the highest mean score, 9.21 (SD=0.58). Next, the concern and quality of care towards patients (Question 7-12) stated a mean score of 9.20 (SD=0.56), and the items for skills, care, and the atmosphere in the ICU (Question 13-18) stated a mean score of 8.71 (SD=0.71). Taken together, the relative caregivers were satisfied with the treatment and care for the patient. The scores of a single item of the FS-ICU were presented in Table 2. There was a significant correlation between the satisfaction level among relative caregivers towards nursing care and decision-making related to patient care in the neuro ICU, Hospital USM (r = 0.805, p < 0.001) (Table 3). A previous study reported a significant improvement in client satisfaction scores when a proper education of staff and the development of good strategies for addressing the concerns of family members were applied [5]. Furthermore, the delivery of nursing care was improved by identifying the right communication technique for patients’ care with their relatives [5]. The nurses also created an awareness of good communication with patients’ family members to reduce their anxiety regarding patients’ current progress of treatment [5]. In general, collaboration in deciding has been promoted to incorporate patient and family preferences into the customized treatment plan for an individual [6]. Taken together, a high satisfaction level with the collaboration in decision-making shown in this study might use to enhance the opportunity to improve the satisfaction level among relative caregivers in the ICU. In conclusion, relative caregivers’ satisfaction has become an important measurement in improving the quality of care for patients in neuro ICU wards. They are expecting the nurses to give the best quality of care to their family members’ despite being unable to express their wishes, lack of knowledge, and fear. Hence, nurses play a major role in understanding the relatives’ concerns and needs in determining the best decision-making for the patients.

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Ong, Swee Leong, Kim Lam Soh, Emni Omar Daw Hussin, Salimah Japar, Kim Geok Soh, Ponpun Vorasiha, and Azlina Daud. "Quality of life among mothers of preterm newborns in a Malaysian neonatal intensive care unit." Belitung Nursing Journal 8, no. 2 (April 26, 2022): 93–100. http://dx.doi.org/10.33546/bnj.1872.

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Background: As Quality of Life (QoL) becomes progressively vital in health care services, its importance in mother and child health is of no exception too. Quality of life among mothers with a premature newborn is an issue that has led to growing concerns in the health care system. Yet, despite the knowledge about mother’s QoL being essential to family-centered planning on prematurity integrated healthcare, current evidence has been scant. Objective: To examine factors related to the QoL of mothers having preterm newborns hospitalized in the neonatal critical unit. Methods: A non-probability convenience survey was used in a public hospital in Malaysia, covering 180 mothers whose preterm newborns were hospitalized into level III Neonatal Intensive Care Unit (NICU) through the completion of a 26-questions survey of the World Health Organization Quality of Life (WHOQOL-BREF) and the 26-questions of Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU). The data were analyzed using descriptive statistics, bivariate analysis, and Pearson correlation coefficients. Result: The mean scores for mothers' quality of life were (M = 3.67, SD = 0.73) and maternal stress (M = 3.03, SD = 0.90) out of 5. A mother’s occupation was found to be the only factor associated with the quality of life among mothers who have preterm newborns admitted to the NICU. Furthermore, maternal role change was found to have a moderate negative relationship with the quality of life (r = 0.310, p = 0.05). Conclusion: The findings of this study revealed that the main factors contributing to the mother’s QoL during their preterm newborns’ NICU admission were role change-related stress. Thus, to maintain a better QoL among this group of mothers during this traumatic period, a special nursing intervention program must be implemented immediately, right after the preterm newborns’ admission, to relieve the mothers’ stress which has been proven to have a direct effect on the mothers’ QoL. The study results will alert healthcare providers, particularly neonatal nurses, on the need to support mothers psychologically in terms of role change. This is to ensure a better quality of life among mothers whose newborns were admitted to the NICU.

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8

Ong, Swee Leong, Kim Lam Soh, Emni Omar Daw Hussin, Salimah Japar, Kim Geok Soh, Ponpun Vorasiha, and Azlina Daud. "Quality of life among mothers of preterm newborns in a Malaysian neonatal intensive care unit." Belitung Nursing Journal 8, no. 2 (April 26, 2022): 93–100. http://dx.doi.org/10.33546/bnj.1872.

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Background: As Quality of Life (QoL) becomes progressively vital in health care services, its importance in mother and child health is of no exception too. Quality of life among mothers with a premature newborn is an issue that has led to growing concerns in the health care system. Yet, despite the knowledge about mother’s QoL being essential to family-centered planning on prematurity integrated healthcare, current evidence has been scant. Objective: To examine factors related to the QoL of mothers having preterm newborns hospitalized in the neonatal critical unit. Methods: A non-probability convenience survey was used in a public hospital in Malaysia, covering 180 mothers whose preterm newborns were hospitalized into level III Neonatal Intensive Care Unit (NICU) through the completion of a 26-questions survey of the World Health Organization Quality of Life (WHOQOL-BREF) and the 26-questions of Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU). The data were analyzed using descriptive statistics, bivariate analysis, and Pearson correlation coefficients. Result: The mean scores for mothers' quality of life were (M = 3.67, SD = 0.73) and maternal stress (M = 3.03, SD = 0.90) out of 5. A mother’s occupation was found to be the only factor associated with the quality of life among mothers who have preterm newborns admitted to the NICU. Furthermore, maternal role change was found to have a moderate negative relationship with the quality of life (r = 0.310, p = 0.05). Conclusion: The findings of this study revealed that the main factors contributing to the mother’s QoL during their preterm newborns’ NICU admission were role change-related stress. Thus, to maintain a better QoL among this group of mothers during this traumatic period, a special nursing intervention program must be implemented immediately, right after the preterm newborns’ admission, to relieve the mothers’ stress which has been proven to have a direct effect on the mothers’ QoL. The study results will alert healthcare providers, particularly neonatal nurses, on the need to support mothers psychologically in terms of role change. This is to ensure a better quality of life among mothers whose newborns were admitted to the NICU.

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9

Soh, Kim Lam, Kim Geok Soh, Zaiton Ahmad, Rosna Abdul Raman, and Salimah Japar. "Perception of intensive care unit stressors by patients in Malaysian Federal Territory hospitals." Contemporary Nurse 31, no. 1 (December 2008): 86–93. http://dx.doi.org/10.5172/conu.673.31.1.86.

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10

Forshee, Terri, and Barbara J. Daly. "Intensive Care Nursing." American Journal of Nursing 86, no. 6 (June 1986): 770. http://dx.doi.org/10.2307/3425439.

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11

&NA;. "Intensive Care Nursing." AJN, American Journal of Nursing 86, no. 6 (June 1986): 770. http://dx.doi.org/10.1097/00000446-198606000-00034.

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12

&NA;. "Intensive Care Nursing." AJN, American Journal of Nursing 86, no. 6 (June 1986): 770. http://dx.doi.org/10.1097/00000446-198686060-00034.

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13

Killman, Debbie. "Paediatric Intensive Care NursingPaediatric Intensive Care Nursing." Nursing Children and Young People 25, no. 3 (April 2013): 12. http://dx.doi.org/10.7748/ncyp2013.04.25.3.12.s9.

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14

McGurk, Valerie. "Neonatal Intensive Care Nursing – Second editionNeonatal Intensive Care Nursing – Second edition." Nursing Standard 25, no. 27 (March 9, 2011): 30. http://dx.doi.org/10.7748/ns2011.03.25.27.30.b1177.

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15

HENDRICKS, PETER, and DOROTHY G. LAPPE. "Pediatric intensive care nursing." Critical Care Medicine 21, Supplement (September 1993): S393. http://dx.doi.org/10.1097/00003246-199309001-00061.

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16

Quinn, Tom. "Cardiovascular intensive care nursing." Intensive and Critical Care Nursing 9, no. 3 (September 1993): 211. http://dx.doi.org/10.1016/0964-3397(93)90035-v.

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17

Pearson, S. "Cardiovascular Intensive Care Nursing." Journal of Advanced Nursing 18, no. 9 (September 1993): 1507. http://dx.doi.org/10.1046/j.1365-2648.1993.180915055.x.

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18

McKinley, Sharon. "Australian intensive care nursing." Intensive and Critical Care Nursing 23, no. 6 (December 2007): 309–12. http://dx.doi.org/10.1016/j.iccn.2007.08.007.

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19

Curtis, Peter. "Intensive care." International Journal of Nursing Studies 22, no. 1 (January 1985): 72. http://dx.doi.org/10.1016/0020-7489(85)90040-9.

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20

Wetzig, Sharon M. "Intensive care nursing Himalayan style." Connect: The World of Critical Care Nursing 3, no. 4 (December 2004): 102–5. http://dx.doi.org/10.1891/1748-6254.3.4.102.

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21

LEINO-KILPI, HELENA, and TARJA SUOMINEN. "Research in intensive care nursing." Journal of Clinical Nursing 6, no. 1 (January 1997): 69–76. http://dx.doi.org/10.1111/j.1365-2702.1997.tb00285.x.

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22

Woodrow, Philip. "Nursing perspectives for intensive care." Intensive and Critical Care Nursing 13, no. 3 (June 1997): 151–55. http://dx.doi.org/10.1016/s0964-3397(97)80889-0.

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23

Spratt, C. "‘Caring’ in intensive care nursing." Australian Critical Care 5, no. 1 (March 1992): 27. http://dx.doi.org/10.1016/s1036-7314(92)70024-1.

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24

Monypenny, F. "Pioneering intensive care nursing education." Australian Critical Care 9, no. 1 (March 1996): 35. http://dx.doi.org/10.1016/s1036-7314(96)70341-7.

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25

Boyle, Martin, Rand Butcher, Vicki Conyers, Tina Kendrick, Mary MacNamara, and Susie Lang. "Transition to intensive care nursing." Australian Critical Care 22, no. 1 (February 2009): 48. http://dx.doi.org/10.1016/j.aucc.2008.12.009.

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26

Watt, Shirley. "Computers in intensive care nursing." Intensive Care Nursing 1, no. 1 (March 1985): 49–58. http://dx.doi.org/10.1016/0266-612x(85)90021-5.

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27

Ashworth, Pat. "Women in intensive care nursing." Intensive Care Nursing 3, no. 4 (January 1987): 139–40. http://dx.doi.org/10.1016/0266-612x(87)90071-x.

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28

Bergbom, Ingegerd. "Intensive and Critical Care Nursing." Intensive and Critical Care Nursing 23, no. 3 (June 2007): 121–23. http://dx.doi.org/10.1016/j.iccn.2007.03.008.

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29

Robb, Yvonne A. "Family nursing in intensive care part one: is family nursing appropriate in intensive care?" Intensive and Critical Care Nursing 14, no. 3 (June 1998): 117–23. http://dx.doi.org/10.1016/s0964-3397(98)80363-7.

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30

Pierce, Susan Foley. "NEONATAL INTENSIVE CARE." Nursing Clinics of North America 33, no. 2 (June 1998): 287–97. http://dx.doi.org/10.1016/s0029-6465(22)02593-2.

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31

Fiddler, John B. "Intensive Care." AJN, American Journal of Nursing 114, no. 5 (May 2014): 72. http://dx.doi.org/10.1097/01.naj.0000446783.52888.3f.

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&NA;. "INTENSIVE CARE." American Journal of Nursing 96, no. 2 (February 1996): 9. http://dx.doi.org/10.1097/00000446-199602000-00004.

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33

Li, Yansong, Lehong Zhou, and Qin Wei. "Value of Intensive Nursing Detail Management in Intensive Care Unit Nursing." Evidence-Based Complementary and Alternative Medicine 2022 (June 22, 2022): 1–4. http://dx.doi.org/10.1155/2022/9115639.

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Objective. To evaluate the value of intensive nursing detail management in intensive care unit (ICU) nursing. Methods. In this prospective study, 100 ICU patients in Shiyan Maternal and Child Health Hospital between January 2019 and March 2020 were assessed for eligibility and recruited. They were concurrently randomly assigned (1 : 1) to receive either conventional nursing (control group) or intensive nursing detail management (study group). The clinical endpoint was the nursing efficiency. Results. Intensive nursing detail management was associated with significantly higher scores in basic nursing, quality of nursing, and quality of management versus conventional nursing ( P < 0.05 ). Intensive nursing detail management resulted in a significantly higher adequate nursing rate (96.00%) versus conventional nursing (74.00%) ( P < 0.05 ). The patients given intensive nursing detail management had a shorter hospital stay versus those receiving conventional nursing ( P < 0.05 ). Intensive nursing detail management was associated with a higher nursing satisfaction rate (74.00%) versus conventional nursing (70.00%) ( P < 0.05 ). Conclusion. Intensive nursing detail management is effective and safe in ICU nursing, so it is worthy of clinical application.

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Ramalho Neto, José Melquiades, Lucrécia Maria Bezerra, Márcia Abath Aires de Barros, Maria Miriam Lima da Nóbrega, and Wilma Dias de Fontes. "Nursing process and septic shock: intensive nursing care." Revista de Enfermagem UFPE on line 5, no. 9 (October 20, 2011): 2260. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0509201125.

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ABSTRACT Objective: to employ the Nursing Process by using the International Classification for Nursing Practices (ICNP®) and the Campaign Guidelines Surviving to Sepsis. Method: descriptive research, of case study, which was evaluated by the Committee of Ethics in Research of the Lauro Wanderley University Hospital/UFPB according to CAAE number 0085.0.126.000-08, and carried out with a woman who was hospitalized in the General Intensive Care Unit of a school-hospital having been diagnosed with Septic Shock. The data analysis was accomplished from a clinical judgment about the patient’s basic needs, which led to diagnoses, results and nursing interventions defined with the ICNP®. Results: the identified nursing diagnoses and results were: septic shock, decreased cardiac output, inefficient tissue perfusion, impaired spontaneous ventilation, hyperthermia, self-care deficit syndrome, risk for unstable glucose and impaired skin integrity risk. The planned and established interventions were focused on hemodynamic support, antibiotic therapy and interruption trial of the physiopathological sequence which would culminate, potentially, with the dysfunction of multiple organs and death. Conclusion: it is considered that the use of the Nursing Process guided the effective interventions which influenced, positively, the patient’s prognosis as well as her intensive care unit discharge. Descriptors: septic shock; critical care; nursing; nursing process; intensive care units.RESUMOObjetivo: aplicar o Processo de Enfermagem utilizando a Classificação Internacional das Práticas de Enfermagem (CIPE®) e as diretrizes da Campanha Sobrevivendo à Sepse. Método: pesquisa descritiva do tipo estudo de caso, apreciada pelo Comitê de Ética em Pesquisa do Hospital Universitário Lauro Wanderley/UFPB mediante CAAE nº 0085.0.126.000-08, e desenvolvida com uma mulher internada na Unidade de Terapia Intensiva Geral de um hospital escola com diagnóstico de Choque Séptico. A análise dos dados foi realizada a partir do julgamento clínico sobre as necessidades básicas da paciente, que levaram aos diagnósticos, resultados e intervenções de enfermagem definidos com a CIPE®. Resultados: os diagnóstico-resultados de enfermagem identificados foram: Choque séptico, Débito cardíaco diminuído, Perfusão tissular ineficaz, Ventilação espontânea prejudicada, Hipertermia, Síndrome do déficit do autocuidado, Risco de glicemia instável e Risco de integridade da pele prejudicada. As intervenções planejadas e implementadas voltaram-se para o suporte hemodinâmico, antibioticoterapia e tentativa de interrupção da sequência fisiopatológica que potencialmente culminaria com disfunção de múltiplos órgãos e morte. Conclusão: considera-se que a aplicação do Processo de Enfermagem norteou a prestação de efetivas intervenções que influenciaram positivamente no prognóstico da paciente e na sua alta da unidade de cuidados críticos. Descritores: choque séptico; cuidados críticos; enfermagem; processos de enfermagem; unidades de terapia intensiva.RESUMENObjetivo: aplicar el Proceso de Enfermería utilizando la Clasificación Internacional de Prácticas de Enfermería (CIPE®) y las directrices de la Campaña Sobreviviendo a la Sepsis. Método: investigación descriptiva del tipo estudio de caso, aprobada por el Comité de Ética en Investigación del Hospital Universitario Lauro Wanderley/ UFPB por medio de CAAE nº 085.0126.000-08 y desarrollada con una mujer internada en la Unidad de Vigilancia Intensiva General de un hospital escuela con diagnóstico de Choque Séptico. El análisis de los datos se realizó a partir del juicio clínico sobre las necesidades básicas de la paciente, que condujeron a los diagnósticos, resultados e intervenciones de enfermería definidos con la CIPE®. Resultados: los diagnósticos-resultados de enfermería identificados fueron: Choque séptico, Débito cardíaco disminuido, Perfusión tisular ineficaz, Ventilación espontánea afectada, Hipertermia, Síndrome del déficit del autocuidado, Riesgo de glicemia inestable y Riesgo de integridad de la piel afectada. Las intervenciones planeadas e implementadas se enfocaron en el soporte hemodinámico, antibioticoterapia e intento de interrupción de la secuencia fisiopatológica que potencialmente culminaría con disfunción de múltiples órganos y muerte. Conclusión: se considera que la aplicación del Proceso de Enfermería norteó la prestación de efectivas intervenciones que influyeron positivamente en el pronóstico de la paciente y en su alta de la unidad de vigilancia intensiva. Descriptores: choque séptico; cuidados críticos; enfermería; procesos de enfermería; unidades de terapia intensiva.

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35

Valença, Cecília Nogueira, Lorena Mara Nóbrega de Azevêdo, Aline Galúcio de Oliveira, Samuel Sóstenes Araújo de Medeiros, Fernanda Aparecida Soares Malveira, and Raimunda Medeiros Germano. "Music therapy in nursing care in intensive care." Revista de Pesquisa Cuidado é Fundamental Online 5, no. 5 (November 14, 2013): 61–68. http://dx.doi.org/10.9789/2175-5361.2013.v5i5.61-68.

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Objetivo: Analisar os estudos publicados nacionalmente que abordam o uso da música na assistência de enfermagem em terapia intensiva. Método: Estudo descritivo, do tipo revisão sistemática da literatura, tendo como objeto os estudos publicados sobre a musicoterapia na unidade de terapia intensiva (UTI), em periódicos nacionais, acessados durante o mês de março de 2011. Resultados: A maior parte das publicações era voltada para assistência em pediatria, não direcionadas à UTI, indexada na base de dados LILACS, predominando a revisão de literatura. Conclusão: Através de mais estudos e da divulgação deste conhecimento na comunidade científica, as equipes de saúde e de enfermagem poderão implementar a contento a musicoterapia nos serviços de saúde.

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Pereira, Jessika Lopes Figueiredo, Cecília Danielle Bezerra Oliveira, and Inacia Sátiro Xavier De França. "Systematization of nursing care in intensive care unit." Journal of Nursing Education and Practice 8, no. 1 (September 26, 2017): 114. http://dx.doi.org/10.5430/jnep.v8n1p114.

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Objective: To evaluate the systematization of nursing care in intensive care unit (ICU).Methods: This is an integrative review of the literature carried out through the VHL, SCIELO and LILACS databases with articles published between 2009 and 2014.Results: Five articles were selected, where it was possible to observe that the lack of applicability of the systematization of nursing assistance in the ICU is more reality found, however, when held, this process provided a registry organized and directed the data and execution and evaluation of the nursing care.Conclusions: The instruments need to be fairly discussed and proposed nursing professionals to become empowered.

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Młynarska, Agnieszka, Anna Krawuczka, Ewelina Kolarczyk, and Izabella Uchmanowicz. "Rationing of Nursing Care in Intensive Care Units." International Journal of Environmental Research and Public Health 17, no. 19 (September 23, 2020): 6944. http://dx.doi.org/10.3390/ijerph17196944.

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The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.

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Lake, Eileen T., Douglas Staiger, Erika Miles Edwards, Jessica G. Smith, and Jeannette A. Rogowski. "Nursing Care Disparities in Neonatal Intensive Care Units." Health Services Research 53 (September 14, 2017): 3007–26. http://dx.doi.org/10.1111/1475-6773.12762.

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Yıldız, Suzan. "Paediatric intensive care nursing in Turkey." Connect: The World of Critical Care Nursing 1, no. 4 (December 2001): 134–36. http://dx.doi.org/10.1891/1748-6254.1.4.134.

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Tume, Lyvonne N., and Josef Trapani. "Spotlight on cardiac intensive care nursing." Nursing in Critical Care 27, no. 2 (March 2022): 139–40. http://dx.doi.org/10.1111/nicc.12762.

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HARRISON, LYNNE, and GILLIAN NIXON. "Nursing activity in general intensive care." Journal of Clinical Nursing 11, no. 2 (March 2002): 158–67. http://dx.doi.org/10.1046/j.1365-2702.2002.00584.x.

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Korhan, Esra Akn, Gülendam Hakverdioğlu Yönt, Firdevs Erdemir, and Maria Müller-Staub. "Nursing Diagnosis in Intensive Care Unit." Critical Care Nursing Quarterly 37, no. 2 (2014): 219–24. http://dx.doi.org/10.1097/cnq.0000000000000024.

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Howard, L., J. Letts, P. Tynan, M. Sandford, C. Scheinkestel, J. Cooper, M. Anderson, and D. Tuxen. "Burns nursing – the intensive care perspective." Australian Critical Care 10, no. 1 (March 1997): 22. http://dx.doi.org/10.1016/s1036-7314(97)70382-5.

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WINSHIP. "Intensive care psychiatric nursing - psychoanalytic perspectives1." Journal of Psychiatric and Mental Health Nursing 5, no. 5 (October 1998): 361–65. http://dx.doi.org/10.1046/j.1365-2850.1998.00150.x.

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Lecluse, Rosemary, Corry Kik, and Hetty Krap. "Intensive care nursing in the Netherlands." Intensive Care Nursing 1, no. 1 (March 1985): 44–48. http://dx.doi.org/10.1016/0266-612x(85)90020-3.

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46

Burnard, Philip. "Self awareness and intensive care nursing." Intensive Care Nursing 4, no. 2 (June 1988): 67–70. http://dx.doi.org/10.1016/0266-612x(88)90040-5.

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Dunn, Heather, Michele C. Balas, Breanna Hetland, and Anna Krupp. "Post-intensive care syndrome." Nurse Practitioner 47, no. 11 (November 2022): 15–22. http://dx.doi.org/10.1097/01.npr.0000884864.28090.c9.

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Katherason, Supaletchimi Gopal, Lin Naing, Kamarudin Jaalam, Kamarul Imran Musa, Nik Abdullah Nik Mohamad, Subramaniar Aiyar, Kavita Bhojani, Najah Harussani, Aisai Abdul Rahman, and Asma Ismail. "Ventilator-associated nosocomial pneumonia in intensive care units in Malaysia." Journal of Infection in Developing Countries 3, no. 09 (October 22, 2009): 704–10. http://dx.doi.org/10.3855/jidc.115.

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Background: The outcome indicator of nosocomial infection (NI) in the intensive care unit (ICU) is used to benchmark the quality of patient care in Malaysia. We conducted a three-year prospective study on the incidences of ventilator-associated pneumonia (VAP), risk factors, and patterns of the microorganisms isolated in three ICUs. Methodology: A follow-up in prospective cohort surveillance was conducted on patients admitted to an adult medical-surgical ICU of a university hospital and two governmental hospitals in Malaysia from October 2003 to December 2006. VAP was detected using CDC criteria which included clinical manifestation and confirmed endotracheal secretion culture results. Results: In total, 215 patients (2,306 patient-days) were enrolled into the study. The incidence of ICU-acquired device-related NI was 29.3 % (n = 63). The device-related VAP infection rate was 27.0 % (n = 58), with a mechanical ventilator utilization rate of 88.7%. The death rate due to all ICU-acquired NI including sepsis was 6.5%. The most common causative pathogen was Klebsiella pneumoniae (n = 27). Multivariate analysis using Cox regression showed that the risk factors identified were aspiration pneumonia (HR = 4.09; 95% CI = 1.24, 13.51; P = 0.021), cancer (HR = 2.51; 95% CI = 1.27, 4.97; P = 0.008), leucocytosis (HR=3.43; 95% CI= 1.60, 7.37; P=0.002) and duration of mechanical ventilation (HR=1.04; 95% CI = 1.00, 1.08; P = 0.030). Age, gender and race were not identified as risk factors in the multivariable analysis performed. Conclusion: The incidence of VAP was comparable to that found in the National Nosocomial Infection Surveillance (NNIS) System report of June 1998. The incidence of VAP was considered high for the three hospitals studied.

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Şapulu Alakan, Yeliz, and Edibe Ünal. "Pain Assessment in Intensive Care Nursing and Nursing Management." Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 4, no. 2 (August 5, 2017): 12–29. http://dx.doi.org/10.21020/husbfd.303152.

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Topia, H., and P. Wills. "Cardiomyoplasty – nursing management in intensive care: the nursing challenge." Australian Critical Care 9, no. 1 (March 1996): 23. http://dx.doi.org/10.1016/s1036-7314(96)70312-0.

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