subject:(Intensive care)

Wake Forest University

1. McCrory, Michael. Off-Hours Admission and Mortality in the Pediatric Intensive Care Unit.

Degree: 2013, Wake Forest University

Background: Critically ill patients may be admitted to the pediatric intensive care unit (ICU) at any time, while staffing and other factors may vary by day of the week or time of day.

Subjects/Keywords: Intensive Care

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

McCrory, M. (2013). Off-Hours Admission and Mortality in the Pediatric Intensive Care Unit. (Thesis). Wake Forest University. Retrieved from http://hdl.handle.net/10339/39034

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

McCrory, Michael. “Off-Hours Admission and Mortality in the Pediatric Intensive Care Unit.” 2013. Thesis, Wake Forest University. Accessed January 16, 2021. http://hdl.handle.net/10339/39034.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

McCrory, Michael. “Off-Hours Admission and Mortality in the Pediatric Intensive Care Unit.” 2013. Web. 16 Jan 2021.

Vancouver:

McCrory M. Off-Hours Admission and Mortality in the Pediatric Intensive Care Unit. [Internet] [Thesis]. Wake Forest University; 2013. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10339/39034.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

McCrory M. Off-Hours Admission and Mortality in the Pediatric Intensive Care Unit. [Thesis]. Wake Forest University; 2013. Available from: http://hdl.handle.net/10339/39034

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Zambia

2. Hamwiibu, Vine. An evaluation of critical care nursing competence level among nurses working in critical care units at the University teaching hospital,lusaka .

Degree: 2015, University of Zambia

URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4360

► The quality of nursing care offered to critically ill patients and their survival greatly depend on nurses’ critical care nursing competence. Critical care nursing competence… (more)

▼ The quality of nursing care offered to critically ill patients and their survival greatly depend on nurses’ critical care nursing competence. Critical care nursing competence is emerging to be useful in early identification of deteriorating clinical condition in critically ill patients. The purpose of the study was to evaluate critical care nursing competence levels among nurses so as to determine reasons for nurses’ failures to recognise early deteriorating conditions in acutely ill patients and delay to act. Hence the study aimed at describing factors influencing competence levels among nurses caring for critically ill patients, at University Teaching Hospital. A cross-sectional study design was utilized to evaluate and explain competence levels of nurses working in critical care areas with regard to care of acutely ill patients. A convenient sampling technique was used, and data collection comprised of participants (n=95) completing the same questionnaire containing questions on demography, competence, clinical vignettes knowledge and Likert scale self-reported responses. Nurse’s competence levels were further described in relation to the state of art technology from the environment they worked using the observation checklist. Descriptive and inferential statistics were used to analyse data. The level of significance was set at 0.05 and confidence levels at 95%. The competency indicator for the knowledge vignettes and skill level was set at 75%. Results: Regardless of the age, sex, training background, support offered during the management of an emergency, position, work experience, type of qualification and equipment arrangement in the work environment in a critical care setting, the study result revealed that nurses were incompetent. In addition, nurses had poor levels of knowledge and skill, with average scores of 28% and 51%, respectively, far below the competence level indicator of 75%. However, nurses’ qualifications and knowledge level were the only factors that statistically influenced nurses’ competence level.

Subjects/Keywords: Intensive care nursing

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hamwiibu, V. (2015). An evaluation of critical care nursing competence level among nurses working in critical care units at the University teaching hospital,lusaka . (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4360

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hamwiibu, Vine. “An evaluation of critical care nursing competence level among nurses working in critical care units at the University teaching hospital,lusaka .” 2015. Thesis, University of Zambia. Accessed January 16, 2021. http://dspace.unza.zm:8080/xmlui/handle/123456789/4360.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hamwiibu, Vine. “An evaluation of critical care nursing competence level among nurses working in critical care units at the University teaching hospital,lusaka .” 2015. Web. 16 Jan 2021.

Vancouver:

Hamwiibu V. An evaluation of critical care nursing competence level among nurses working in critical care units at the University teaching hospital,lusaka . [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Jan 16]. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4360.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hamwiibu V. An evaluation of critical care nursing competence level among nurses working in critical care units at the University teaching hospital,lusaka . [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4360

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Addis Ababa University

3. MEKDES, HAILEGEBREAL. Assessment of Nurses’ Perceived Barriers for the Provision of Developmental Care in the Neonatal Intensive Care Units of Governmental Hospitals in Addis Ababa, Ethiopia .

Degree: 2014, Addis Ababa University

URL: http://etd.aau.edu.et/dspace/handle/123456789/5666

► VII Abstract Background: Every year, 120,000 newborns die in Ethiopia. Neonatal deaths now account for a greater proportion of under-five deaths. An estimated 3.1 million… (more)

▼ VII Abstract Background: Every year, 120,000 newborns die in Ethiopia. Neonatal deaths now account for a greater proportion of under-five deaths. An estimated 3.1 million neonates die each year globally and 99% of these deaths occur in low-income countries. Despite the extraordinary improvements in child survival over the past 25 years, there is still virtually no effective health care for newborns in many developing countries. The nurse becomes the infant’s primary supportive staff with the most contact with infants and their caregivers. In this study, the nurse’s perceived barriers in the provision of neonatal developmental care are assessed. Objective: To assess Nurses’ Perceived Barriers for the Provision of Developmental Care in the Neonatal Care Units of Public Hospitals in Addis Ababa, Ethiopia. Methods: quantitative cross sectional study was conducted. Self-administered questionnaire was used to assess nurses’ perceived barriers in the provision of neonatal developmental care in all public hospitals of Addis Ababa, Ethiopia. All neonatal Nurses’ working in all public hospitals of Addis Ababa was included in the study without taking sample. Binary and multiple logistic regressions were done to assess association between variables. Result: A total of 90 respondents responded to the questionnaires, giving a response rate of 97.83%. The majority of respondents were female (80%). Majority of the respondents had year of experience between 1-5 year accounting 65(7.77%). Majority of respondents 72(80%) had positive perception (accept nurses perception influence provision of NICU developmental care). Most of the respondents accept as motivation, emotion, job satisfaction, work experience, and recognition by managers and level of education affects Nurses perception in provision of NICU developmental care. Conclusion: In multiple logistic regressions job satisfaction affects the perception of Nurses in providing NICU developmental care. Advisors/Committee Members: Mr. Fekadu Aga (advisor).

Subjects/Keywords: Neonatal Intensive Care; Developmental Care

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

MEKDES, H. (2014). Assessment of Nurses’ Perceived Barriers for the Provision of Developmental Care in the Neonatal Intensive Care Units of Governmental Hospitals in Addis Ababa, Ethiopia . (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/5666

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

MEKDES, HAILEGEBREAL. “Assessment of Nurses’ Perceived Barriers for the Provision of Developmental Care in the Neonatal Intensive Care Units of Governmental Hospitals in Addis Ababa, Ethiopia .” 2014. Thesis, Addis Ababa University. Accessed January 16, 2021. http://etd.aau.edu.et/dspace/handle/123456789/5666.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

MEKDES, HAILEGEBREAL. “Assessment of Nurses’ Perceived Barriers for the Provision of Developmental Care in the Neonatal Intensive Care Units of Governmental Hospitals in Addis Ababa, Ethiopia .” 2014. Web. 16 Jan 2021.

Vancouver:

MEKDES H. Assessment of Nurses’ Perceived Barriers for the Provision of Developmental Care in the Neonatal Intensive Care Units of Governmental Hospitals in Addis Ababa, Ethiopia . [Internet] [Thesis]. Addis Ababa University; 2014. [cited 2021 Jan 16]. Available from: http://etd.aau.edu.et/dspace/handle/123456789/5666.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

MEKDES H. Assessment of Nurses’ Perceived Barriers for the Provision of Developmental Care in the Neonatal Intensive Care Units of Governmental Hospitals in Addis Ababa, Ethiopia . [Thesis]. Addis Ababa University; 2014. Available from: http://etd.aau.edu.et/dspace/handle/123456789/5666

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Johannesburg

4. Colyn, Adele. The clinical competencies of the shift leader in the ICU setting.

Degree: 2010, University of Johannesburg

URL: http://hdl.handle.net/10210/3244

►

M.Cur.

The purpose of this study was to describe the clinical competencies of the shift leader in the ICU setting in order to determine if… (more)

Subjects/Keywords: Intensive care nursing standards; Intensive care nursing quality control; Intensive care nursing management

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Colyn, A. (2010). The clinical competencies of the shift leader in the ICU setting. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/3244

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Colyn, Adele. “The clinical competencies of the shift leader in the ICU setting.” 2010. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/3244.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Colyn, Adele. “The clinical competencies of the shift leader in the ICU setting.” 2010. Web. 16 Jan 2021.

Vancouver:

Colyn A. The clinical competencies of the shift leader in the ICU setting. [Internet] [Thesis]. University of Johannesburg; 2010. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/3244.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Colyn A. The clinical competencies of the shift leader in the ICU setting. [Thesis]. University of Johannesburg; 2010. Available from: http://hdl.handle.net/10210/3244

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Technology, Sydney

5. Abbenbroek, Brett John. Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models.

Degree: 2018, University of Technology, Sydney

URL: http://hdl.handle.net/10453/125518

► Aim: To explore the organisational effectiveness and impact on patient and nurse outcomes of two alternative closed Intensive Care Unit (ICU) models in Australia. Background:… (more)

▼ Aim: To explore the organisational effectiveness and impact on patient and nurse outcomes of two alternative closed Intensive Care Unit (ICU) models in Australia. Background: Internationally the demand for critical care is increasing. Solely increasing bed capacity is not feasible due to high resource requirements and burgeoning costs. Consolidation of conventional ‘stand-alone’ ICUs into large multi-specialty integrated service models, the ICU ‘hot-floor’, is a preferred organisational strategy. Assumed benefits include improved patient throughput and resource utilisation, concentrated expertise and enhanced operational flexibility. The effect on patient and nurse outcomes however, is not well understood. Balancing efficiency and effectiveness is fundamental to high organisational reliability and sustainability. Design and method: This study compared a general ICU within a hot-floor service and a conventional general ICU with similar service level and workforce characteristics. Patient throughput measures and outcomes were retrospectively investigated in a sample of 1000 randomly selected patient records during 2013. In 2014, a sample of 145 clinical nurses, split between both units, completed a structured questionnaire that incorporated validated instruments to examine the work environment, satisfaction and burnout. Outcome measures: Patient mortality, unplanned extubation, catheter associated blood stream infections, pressure injury, venous thrombosis prophylaxis, length of stay, after-hours discharge and unplanned readmission, and unit level access, occupancy and volume were collected. The Practice Environment Scale-Nursing Work Index and Maslach’s Burnout Inventory, along with supplementary questions on work perceptions, were used to collect nurse outcomes. Results: The hot-floor model achieved higher patient throughput and a lower after-hours discharge rate, with no significant differences in patient outcomes. Patients were however more exposed to the risk of an adverse event such as deep vein thrombosis due to lower compliance with routine clinical prophylaxis protocols. Front-line nursing management, education, clinical support and senior medical staff were shared across the hot-floor service, resulting in less dedicated resources allocated to the general ICU. Nurse manager support was less effective and nurses expressed lower personal accomplishment. High patient turnover and paid overtime compounded nurse workload, though greater internal hot-floor operational flexibility reduced nurse redeployment to external wards. Conclusion: Improved demand management achieved through greater operational flexibility is a key driver for the hot-floor model. Efficiency gains need to account for the work environment to optimise nurse outcomes, reduce turnover and mitigate patient risks. Adequately resourced front-line nursing management and education are required for high organisational reliability and long-term sustainability.

Subjects/Keywords: Burnout in intensive care nurses.; Stress among ICU nurses.; intensive care unit.; Intensive care.

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Abbenbroek, B. J. (2018). Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models. (Thesis). University of Technology, Sydney. Retrieved from http://hdl.handle.net/10453/125518

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Abbenbroek, Brett John. “Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models.” 2018. Thesis, University of Technology, Sydney. Accessed January 16, 2021. http://hdl.handle.net/10453/125518.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Abbenbroek, Brett John. “Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models.” 2018. Web. 16 Jan 2021.

Vancouver:

Abbenbroek BJ. Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models. [Internet] [Thesis]. University of Technology, Sydney; 2018. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10453/125518.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Abbenbroek BJ. Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models. [Thesis]. University of Technology, Sydney; 2018. Available from: http://hdl.handle.net/10453/125518

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Nelson Mandela Metropolitan University

6. Bell, Janet Deanne. Articulating the nature of clinical nurse specialist practice.

Degree: DPhil, Faculty of Health Science, 2015, Nelson Mandela Metropolitan University

URL: http://hdl.handle.net/10948/d1018623

► Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill… (more)

▼ Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely:  Forming & shaping this grounded theory through exploration and… Advisors/Committee Members: Van Rooyen, R M Prof, Jordan, P Prof.

Subjects/Keywords: Nurse practitioners; Intensive care nursing

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Bell, J. D. (2015). Articulating the nature of clinical nurse specialist practice. (Doctoral Dissertation). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/d1018623

Chicago Manual of Style (16^th Edition):

Bell, Janet Deanne. “Articulating the nature of clinical nurse specialist practice.” 2015. Doctoral Dissertation, Nelson Mandela Metropolitan University. Accessed January 16, 2021. http://hdl.handle.net/10948/d1018623.

MLA Handbook (7^th Edition):

Bell, Janet Deanne. “Articulating the nature of clinical nurse specialist practice.” 2015. Web. 16 Jan 2021.

Vancouver:

Bell JD. Articulating the nature of clinical nurse specialist practice. [Internet] [Doctoral dissertation]. Nelson Mandela Metropolitan University; 2015. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10948/d1018623.

Council of Science Editors:

Bell JD. Articulating the nature of clinical nurse specialist practice. [Doctoral Dissertation]. Nelson Mandela Metropolitan University; 2015. Available from: http://hdl.handle.net/10948/d1018623

Nelson Mandela Metropolitan University

7. Clifford, Ilzeʹ. The lived experiences of professional nurses with regards to end-of-life issues in the Intensive Care Unit.

Degree: MCur, Faculty of Health Sciences, 2013, Nelson Mandela Metropolitan University

URL: http://hdl.handle.net/10948/d1018572

► Professional nurses working in an intensive care unit (ICU) are faced with the death of critically ill patients frequently. Modern day medicine and technology have… (more)

▼ Professional nurses working in an intensive care unit (ICU) are faced with the death of critically ill patients frequently. Modern day medicine and technology have made it possible for advanced life-sustaining measures to be implemented on patients who, without medical intervention, would otherwise not have survived. The question is raised: is modern technology preserving life and prolonging the dying process, or is it in the best interest of the patient for treatment to be withdrawn? Nurses, caring for these patients and their families, are practicing at the bedside of these dying patients and are thus often faced with end-of-life issues, particularly withdrawal of treatment. The primary functions of critical care nurses are toward their patients. Physicians are responsible for making decisions regarding withdrawal of treatment. However, the nurses in the ICU are responsible for implementing the decisions made; sometimes contradicting what they believe in. The experience of end-of-life issues, namely withdrawal of treatment, is a cause of distress for the professional nurse. Little research has been done on how the ICU nurses deal with end-of-life issues and what support structures are required to assist nurses in dealing with end-of-life issues (Hov, Hedelin & Athlin, 2006:204) The objectives of the study were to explore and describe the professional nurses‟ lived experiences of end-of-life issues in the intensive care unit. The study aimed to make recommendations regarding support strategies to assist professional nurses in dealing with end-of-life issues in the intensive care unit. The researcher has selected a qualitative research approach with an explorative, descriptive and contextual design in order to conduct the study. Data was collected by means of semi-structured interviews. Data was analysed using the steps as illustrated by Tesch‟s method. Ethical principles were maintained throughout the research study. The findings of this study are to be presented in a journal publication. Advisors/Committee Members: Jordan, P J Dr, Williams, M Mrs.

Subjects/Keywords: Intensive care units; Death

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Clifford, I. (2013). The lived experiences of professional nurses with regards to end-of-life issues in the Intensive Care Unit. (Masters Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/d1018572

Chicago Manual of Style (16^th Edition):

Clifford, Ilzeʹ. “The lived experiences of professional nurses with regards to end-of-life issues in the Intensive Care Unit.” 2013. Masters Thesis, Nelson Mandela Metropolitan University. Accessed January 16, 2021. http://hdl.handle.net/10948/d1018572.

MLA Handbook (7^th Edition):

Clifford, Ilzeʹ. “The lived experiences of professional nurses with regards to end-of-life issues in the Intensive Care Unit.” 2013. Web. 16 Jan 2021.

Vancouver:

Clifford I. The lived experiences of professional nurses with regards to end-of-life issues in the Intensive Care Unit. [Internet] [Masters thesis]. Nelson Mandela Metropolitan University; 2013. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10948/d1018572.

Council of Science Editors:

Clifford I. The lived experiences of professional nurses with regards to end-of-life issues in the Intensive Care Unit. [Masters Thesis]. Nelson Mandela Metropolitan University; 2013. Available from: http://hdl.handle.net/10948/d1018572

University of Johannesburg

8. Marais, Sanet. Rekordhouding deur verpleegkundiges in 'n intensiewesorgeenheid.

Degree: 2014, University of Johannesburg

URL: http://hdl.handle.net/10210/10321

►

M.Cur. (Intensive Care Nursing)

The nurse working in an intensive care unit is legally accountable for complete and accurate record-keeping. Record-keeping is especially important during… (more)

▼

M.Cur. (Intensive Care Nursing)

The nurse working in an intensive care unit is legally accountable for complete and accurate record-keeping. Record-keeping is especially important during a crisis incident as the sequential management or treatment depends on what happened before and during the crisis incident. Before she can be held accountable for complete and accurate record-keeping, the nurse must have the necessary abilities (knowledge, skills and values) . She will have to accept the responsibility and legally she will receive the authority for it. Complete and accurate record-keeping helps to maintain, improve and restore the critical patient's health. In this way the nurse working in an intensive care unit facilitates the patient's aim for wholeness and at the same time achieves her own aim for' quality nursing. The purpose of this research is accurate nursing records are kept intensive care unit. A contextual-descriptive research design, including a survey method and retrospective auditing were used to determine the completeness and accuracy of record-keeping by nurses during a crisis incident. Auditing was done on the basis of three structured control lists. The results showed that the graphic-symbolic report was more complete and accurate with regard to the patients' particulars and graphic accuracy. The results also showed that there is a great variance in the knowledge and skills of the nurses working in the intensive care unit, regarding record-keeping. Recommendations evolving from this study are: The purpose and use of the records should be clarified. The record system must be revised. Temporary staff must be accompanied on day duty by permanent staff members before they start working night duty. The allocation of the staff must be revised. A policy for record-keeping must be established. In-service training for expanding knowledge regarding record- keeping must be initiated. The purpose and the use of record-keeping must be included in the orientation program. Records must be evaluated to identify shortcomings.

Subjects/Keywords: Nursing records; Intensive care nursing

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Marais, S. (2014). Rekordhouding deur verpleegkundiges in 'n intensiewesorgeenheid. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/10321

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Marais, Sanet. “Rekordhouding deur verpleegkundiges in 'n intensiewesorgeenheid.” 2014. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/10321.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Marais, Sanet. “Rekordhouding deur verpleegkundiges in 'n intensiewesorgeenheid.” 2014. Web. 16 Jan 2021.

Vancouver:

Marais S. Rekordhouding deur verpleegkundiges in 'n intensiewesorgeenheid. [Internet] [Thesis]. University of Johannesburg; 2014. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/10321.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Marais S. Rekordhouding deur verpleegkundiges in 'n intensiewesorgeenheid. [Thesis]. University of Johannesburg; 2014. Available from: http://hdl.handle.net/10210/10321

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Johannesburg

9. Labuschagne, Linette. Gehalteverpleging van meganies-geventileerde pasiënte.

Degree: 2014, University of Johannesburg

URL: http://hdl.handle.net/10210/10779

►

M.Cur.

The intensive care nurse practising respiratory nursing care, is responsible for giving high quality nursing care. Due to the rising cost of health care… (more)

Subjects/Keywords: Intensive care nursing - Quality control; Intensive care nursing - Standards; Respiratory intensive care - Quality control; Respiratory intensive care - Standards

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Labuschagne, L. (2014). Gehalteverpleging van meganies-geventileerde pasiënte. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/10779

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Labuschagne, Linette. “Gehalteverpleging van meganies-geventileerde pasiënte.” 2014. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/10779.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Labuschagne, Linette. “Gehalteverpleging van meganies-geventileerde pasiënte.” 2014. Web. 16 Jan 2021.

Vancouver:

Labuschagne L. Gehalteverpleging van meganies-geventileerde pasiënte. [Internet] [Thesis]. University of Johannesburg; 2014. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/10779.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Labuschagne L. Gehalteverpleging van meganies-geventileerde pasiënte. [Thesis]. University of Johannesburg; 2014. Available from: http://hdl.handle.net/10210/10779

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Addis Ababa University

10. SEADA, JEMAL. ASSESSMENT OF PARENTS‘ INVOLVEMENT AND ASSOCIATED FACTORS IN DECISION MAKING REGARDING TREATMENT FOR THE CRITICALLY ILL NEONATES IN THE NEONATAL INTENSIVE CARE UNIT OF PUBLIC HOSPITALS, ADDIS ABABA, ETHIOPIA .

Degree: 2014, Addis Ababa University

URL: http://etd.aau.edu.et/dspace/handle/123456789/5720

► Abstract Background: There are 130 million babies born every year worldwide. Of those births, 15% are born premature, 5% of those premature infants are born… (more)

▼ Abstract Background: There are 130 million babies born every year worldwide. Of those births, 15% are born premature, 5% of those premature infants are born weighing less than 1kilogram, and 75% of those infants will survive. A significant controversy has emerged regarding the role of parents, relative to health care providers, in relation to treatment decision for critically ill children. Little research has actually been conducted that explores whether and how parents are involved in the decision making process especially in developing countries. Objective: The objective of this study is to assess Parents‘ Involvement and Associated Factors in Decision Making Regarding Treatment for the Critically Ill Neonates in the Neonatal Intensive Care Unit of Public Hospitals, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional design which was supported by a qualitative study was conducted in five public hospitals with Neonatal intensive care unit in Addis Ababa from December 2013 to June 2014. A total of 160 parents were selected from the five public hospitals using systematic random sampling method. A pre-tested and structured questionnaire was used for data collection. Conveniently selected eligible study participants (Neonatologists and neonatal nurses) were interviewed during the qualitative study. Result: The study found that most of the respondents 112(70%) were not participated in decisions. Majority of them 133(83.1%) believed that HCPs were the responsible person to decision making. More than half 86(53.8%) of the parents preferred shared decision making. Most 131(81.9%) of the parents were satisfied with parent-staff therapeutic relationship. Multiple logistic regression model revealed that mother‘s residence and prior history with premature, disabled, or any death of a child were found to be associated with parental involvement in treatment decisions [AOR (95%CI) =7.024(2.151, 22.936)] and [AOR (95%CI) =106.704(10.779, 1056.309)] respectively. Similarly mother‘s age, educational 12 status, and satisfaction with parent-staff therapeutic relationship have a statistically significant association with parental involvement in treatment decisions for their critically ill neonate. Conclusion & Recommendation: The study showed a lower involvement of parents in treatment decisions of their critically ill neonates. Therefore government, health administrators and concerned stakeholders should make an effort empower parents to make decisions on their neonate‘s treatment. Advisors/Committee Members: ENDALEW GEMECHU (BSC, MSC, RN) (advisor).

Subjects/Keywords: NEONATES; NEONATAL INTENSIVE CARE

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

SEADA, J. (2014). ASSESSMENT OF PARENTS‘ INVOLVEMENT AND ASSOCIATED FACTORS IN DECISION MAKING REGARDING TREATMENT FOR THE CRITICALLY ILL NEONATES IN THE NEONATAL INTENSIVE CARE UNIT OF PUBLIC HOSPITALS, ADDIS ABABA, ETHIOPIA . (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/5720

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

SEADA, JEMAL. “ASSESSMENT OF PARENTS‘ INVOLVEMENT AND ASSOCIATED FACTORS IN DECISION MAKING REGARDING TREATMENT FOR THE CRITICALLY ILL NEONATES IN THE NEONATAL INTENSIVE CARE UNIT OF PUBLIC HOSPITALS, ADDIS ABABA, ETHIOPIA .” 2014. Thesis, Addis Ababa University. Accessed January 16, 2021. http://etd.aau.edu.et/dspace/handle/123456789/5720.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

SEADA, JEMAL. “ASSESSMENT OF PARENTS‘ INVOLVEMENT AND ASSOCIATED FACTORS IN DECISION MAKING REGARDING TREATMENT FOR THE CRITICALLY ILL NEONATES IN THE NEONATAL INTENSIVE CARE UNIT OF PUBLIC HOSPITALS, ADDIS ABABA, ETHIOPIA .” 2014. Web. 16 Jan 2021.

Vancouver:

SEADA J. ASSESSMENT OF PARENTS‘ INVOLVEMENT AND ASSOCIATED FACTORS IN DECISION MAKING REGARDING TREATMENT FOR THE CRITICALLY ILL NEONATES IN THE NEONATAL INTENSIVE CARE UNIT OF PUBLIC HOSPITALS, ADDIS ABABA, ETHIOPIA . [Internet] [Thesis]. Addis Ababa University; 2014. [cited 2021 Jan 16]. Available from: http://etd.aau.edu.et/dspace/handle/123456789/5720.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

SEADA J. ASSESSMENT OF PARENTS‘ INVOLVEMENT AND ASSOCIATED FACTORS IN DECISION MAKING REGARDING TREATMENT FOR THE CRITICALLY ILL NEONATES IN THE NEONATAL INTENSIVE CARE UNIT OF PUBLIC HOSPITALS, ADDIS ABABA, ETHIOPIA . [Thesis]. Addis Ababa University; 2014. Available from: http://etd.aau.edu.et/dspace/handle/123456789/5720

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Addis Ababa University

11. NITSUHBIRHAN, ASRES. ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015 .

Degree: 2015, Addis Ababa University

URL: http://etd.aau.edu.et/dspace/handle/123456789/7576

► Background: -Intensive care unit is a consilidated area which needs high quality of care and followup of patients with more sphisticated equipments.Assesment of satisfaction is… (more)

▼ Background: -Intensive care unit is a consilidated area which needs high quality of care and followup of patients with more sphisticated equipments.Assesment of satisfaction is one indicator to determine quality of care given for the patient.In the ICU patients are not in the condition to give their opinion about the care given for the patients.In the ICU patients are not in the condition to give their openion about the care;thereforeanassesment of family satisfaction in care of critically ill patient can be important indicator of quality of care in critical care unit. Objective of this study: - To assess the family satisfaction in care of critically ill patient in ICU of governmental hospitals in Addis Ababa, Ethiopia Method: - Institutional based cross sectional quantitative study conducted in five hospitals in adult, neonatal and pediatric ICU found in Addis Ababa Ethiopia. The total sample size was 206 and allocated to each hospital ICU usng stratified sampling method.After pretest of questioner data was collected by interviwer administered structered questioner.The data was entered,cleaned and coded to Epi data 3.1 and transferred to SPSS version21.The discriptive analysis such as frequency distribution,percentage and measurment of central tendency was used.Bivariate and Multivariate analysis with alpha=0.05 performed to measureassociation of satisfaction by different variables. Result:- The overall satisfaction of families of patients were 62%.Their satisfaction by subsacles was, Assurance (52%) , information (41.6%), Proximity (67.3%), Support (71.3%), Comfort (41.6%).Age less than 25 by (AOR,0.218 ,95%CI0.057-0.835) and between 25 to 35 by (AOR 0.22,95%CI 0.062-0.797) and education level below grade eight by (AOR 3.1395%CI,1.16-8.43) associated with more odds of satisfaction.Families who consider the patient condition were worsening by (AOR 0.123 95%CI0.114-0.664) and families who doesnot know the current condition of patients by (AOR 0.123 95% CI 0.04-0.37) associted with Low odds of satisfaction. Conclusion: -The overall family satisfaction in governmental hospital ICUs was 62%. Family members were less satisfied on information and comfort. Recommendation:-health professionals hospital managers and all stake holders in the care giving system has to consider family centered care and work to improve quality of care in ICU. Key word: - family satisfaction, intensive care unit Advisors/Committee Members: YOHANNES AYALEW ( MSC) (advisor).

Subjects/Keywords: family satisfaction; intensive care unit

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

NITSUHBIRHAN, A. (2015). ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015 . (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/7576

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

NITSUHBIRHAN, ASRES. “ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015 .” 2015. Thesis, Addis Ababa University. Accessed January 16, 2021. http://etd.aau.edu.et/dspace/handle/123456789/7576.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

NITSUHBIRHAN, ASRES. “ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015 .” 2015. Web. 16 Jan 2021.

Vancouver:

NITSUHBIRHAN A. ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015 . [Internet] [Thesis]. Addis Ababa University; 2015. [cited 2021 Jan 16]. Available from: http://etd.aau.edu.et/dspace/handle/123456789/7576.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

NITSUHBIRHAN A. ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015 . [Thesis]. Addis Ababa University; 2015. Available from: http://etd.aau.edu.et/dspace/handle/123456789/7576

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

12. Avery, Stephanie. Attending to Values at Stake When a Child is Dying: A Study of Pediatric Intensive Care Unit Nursing from the Perspectives of Bereaved Parents .

Degree: 2019, University of Ottawa

URL: http://hdl.handle.net/10393/39206

► Existing literature has identified that health care providers significantly shape the experiences of parents at the end-of-life in the pediatric intensive care unit. However, there… (more)

Subjects/Keywords: Pediatric intensive care; Child's death

12 more images…

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Avery, S. (2019). Attending to Values at Stake When a Child is Dying: A Study of Pediatric Intensive Care Unit Nursing from the Perspectives of Bereaved Parents . (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/39206

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Avery, Stephanie. “Attending to Values at Stake When a Child is Dying: A Study of Pediatric Intensive Care Unit Nursing from the Perspectives of Bereaved Parents .” 2019. Thesis, University of Ottawa. Accessed January 16, 2021. http://hdl.handle.net/10393/39206.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Avery, Stephanie. “Attending to Values at Stake When a Child is Dying: A Study of Pediatric Intensive Care Unit Nursing from the Perspectives of Bereaved Parents .” 2019. Web. 16 Jan 2021.

Vancouver:

Avery S. Attending to Values at Stake When a Child is Dying: A Study of Pediatric Intensive Care Unit Nursing from the Perspectives of Bereaved Parents . [Internet] [Thesis]. University of Ottawa; 2019. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10393/39206.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Avery S. Attending to Values at Stake When a Child is Dying: A Study of Pediatric Intensive Care Unit Nursing from the Perspectives of Bereaved Parents . [Thesis]. University of Ottawa; 2019. Available from: http://hdl.handle.net/10393/39206

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Lund

13. Bark, Björn. Aspects of sepsis/SIRS - An experimental study on fluid therapy, vitamin C and plasma volume in increased permeability.

Degree: 2014, University of Lund

URL: https://lup.lub.lu.se/record/4229420 ; https://portal.research.lu.se/ws/files/4009192/4247559.pdf

► In sepsis, after major surgery or severe trauma, the human body may suffer from various degrees of generalized inflammation, a syndrome called Systemic Inflammatory Response… (more)

▼ In sepsis, after major surgery or severe trauma, the human body may suffer from various degrees of generalized inflammation, a syndrome called Systemic Inflammatory Response Syndrome (SIRS). One feature of SIRS is increased capillary permeability, caused by disruption of the capillary endothelium due to e.g. bacterial toxins, cytokines, pro-inflammatory hormones and free oxygen radicals. This will result in leakage of plasma fluid to the interstitum with subsequent intravascular hypovolemia and potentially harmful tissue oedema. Restoration of plasma volume with intravenous fluids is a cornerstone in the treatment of SIRS, but the infused fluids would be expected to leak through the capillary membrane to a greater extent, being less effective and further aggravating oedema Thus, an important challenge in patients with increased capillary permeability will therefore be to achieve and maintain normovolemia with as little plasma volume substitution as possible. Also, finding a treatment that could seal the leaking capillaries would be of great value. Study I and II, performed in a sepsis/SIRS animal model, showed that the plasma volume expansion of 5% albumin, 6% HES 130/0.4, 4% gelatin and 6% dextran 70 measured 3 hours after start of infusion was larger when given with a slow infusion rate than when given with a fast infusion rate. This effect was not seen with 0.9% NaCl. In study III, performed in rat models, we compared the initial plasma volume expanding effect of 0.9% NaCl in sepsis/SIRS, after a standardized hemorrhage, and in a normal condition. It showed that the increase in plasma volume in relation to the infused volume of 0.9% NaCl (32 mL/kg) were 0.6% in in sepsis/SIRS, 20% after hemorrhage, and 12% when given to rats in a normal state. This means that efficacy of 0.9% NaCl is highly affected by pathophysiological changes in sepsis/SIRS, e.g. increased capillary permeability. In study IV, two different treatment regimes of high-dose vitamin C, initiated 3 hours after induction of sepsis, were investigated regarding their effect on plasma volume loss. None of the treatment regimes were found to have any effect on the loss of plasma volume, or any of the physiological parameters analysed, in the early stage of severe sepsis/SIRS in the rat.

Subjects/Keywords: Anesthesiology and Intensive Care

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Bark, B. (2014). Aspects of sepsis/SIRS - An experimental study on fluid therapy, vitamin C and plasma volume in increased permeability. (Doctoral Dissertation). University of Lund. Retrieved from https://lup.lub.lu.se/record/4229420 ; https://portal.research.lu.se/ws/files/4009192/4247559.pdf

Chicago Manual of Style (16^th Edition):

Bark, Björn. “Aspects of sepsis/SIRS - An experimental study on fluid therapy, vitamin C and plasma volume in increased permeability.” 2014. Doctoral Dissertation, University of Lund. Accessed January 16, 2021. https://lup.lub.lu.se/record/4229420 ; https://portal.research.lu.se/ws/files/4009192/4247559.pdf.

MLA Handbook (7^th Edition):

Bark, Björn. “Aspects of sepsis/SIRS - An experimental study on fluid therapy, vitamin C and plasma volume in increased permeability.” 2014. Web. 16 Jan 2021.

Vancouver:

Bark B. Aspects of sepsis/SIRS - An experimental study on fluid therapy, vitamin C and plasma volume in increased permeability. [Internet] [Doctoral dissertation]. University of Lund; 2014. [cited 2021 Jan 16]. Available from: https://lup.lub.lu.se/record/4229420 ; https://portal.research.lu.se/ws/files/4009192/4247559.pdf.

Council of Science Editors:

Bark B. Aspects of sepsis/SIRS - An experimental study on fluid therapy, vitamin C and plasma volume in increased permeability. [Doctoral Dissertation]. University of Lund; 2014. Available from: https://lup.lub.lu.se/record/4229420 ; https://portal.research.lu.se/ws/files/4009192/4247559.pdf

University of Arizona

14. Torres, Nicole Marie. Palliative Care Utilization in the Intensive Care Unit: A Descriptive Study .

Degree: 2018, University of Arizona

URL: http://hdl.handle.net/10150/626674

► Objective: The Patient Self-Determination Act of 1990 (PSDA) protects a patient’s right to predetermine the level of life-supporting care they are willing to receive (U.S.… (more)

▼ Objective: The Patient Self-Determination Act of 1990 (PSDA) protects a patient’s right to predetermine the level of life-supporting care they are willing to receive (U.S. Department of Health and Human Services, 1993). In Arizona, the advance directive (AD) complies with the PSDA and is used to guide care in the event of cardiopulmonary failure. The AD may indicate “do not resuscitate” (DNR), which prohibits cardiopulmonary resuscitation in the event of cardiac arrest. In the institution used for this project, a palliative care team assists with identifying goals of care and helps guide interventions consistent with the AD. The purpose of this Doctor of Nursing Practice (DNP) project was to complete a retrospective chart review and identify patients admitted to the medical intensive care unit (ICU) with a DNR as indicated by a copy of the AD in the electronic health record (EHR) and determine if they received a palliative care consultation. This information could support a quality improvement project led by the DNP-prepared AGACNP focused on ensuring a palliative care consultation within 48 hours of admission for patients admitted to the ICU with a DNR. Methods: A search of the EHR identified patients admitted to the medical ICU over a 12-month period. The EHR of patients admitted with a DNR were reviewed to determine if they received a palliative care consultation during the ICU stay and the patient’s final disposition. Findings: A total of 38 patients had an AD indicating DNR status on admission to the medical ICU. Of those patients, 26 (68.4%) received a palliative care consultation. Twelve patients (31.6%) with a DNR status on admission did not receive a palliative care consultation. Additionally, five patients with a DNR (13.16%) died in the ICU without receiving a palliative care consultation. Conclusion: Twelve patients with an AD indicating a DNR did not receive a palliative care consultation, and five of those patients died in the ICU. The findings from this project support a quality improvement project to implement palliative care consults to review goals of care for patients with a pre-existing AD indicating a DNR code status. Advisors/Committee Members: McRee, Laura (advisor), McRee, Laura (committeemember), Davis, Mary (committeemember), Reed, Pamela G. (committeemember).

Subjects/Keywords: advance directive; care; intensive; palliative

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Torres, N. M. (2018). Palliative Care Utilization in the Intensive Care Unit: A Descriptive Study . (Doctoral Dissertation). University of Arizona. Retrieved from http://hdl.handle.net/10150/626674

Chicago Manual of Style (16^th Edition):

Torres, Nicole Marie. “Palliative Care Utilization in the Intensive Care Unit: A Descriptive Study .” 2018. Doctoral Dissertation, University of Arizona. Accessed January 16, 2021. http://hdl.handle.net/10150/626674.

MLA Handbook (7^th Edition):

Torres, Nicole Marie. “Palliative Care Utilization in the Intensive Care Unit: A Descriptive Study .” 2018. Web. 16 Jan 2021.

Vancouver:

Torres NM. Palliative Care Utilization in the Intensive Care Unit: A Descriptive Study . [Internet] [Doctoral dissertation]. University of Arizona; 2018. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10150/626674.

Council of Science Editors:

Torres NM. Palliative Care Utilization in the Intensive Care Unit: A Descriptive Study . [Doctoral Dissertation]. University of Arizona; 2018. Available from: http://hdl.handle.net/10150/626674

15. Papagiannopoulou, Aikaterini. Νοσηλευτική εκτίμηση ασθενών σε κρίσιμη κατάσταση.

Degree: 2018, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)

URL: http://hdl.handle.net/10442/hedi/44874

► Introduction: Hospitalized patients require often the evaluation by ICU specialists – Intensivists because of the development of critical conditions.Objectives: In this study we aimed to… (more)

▼ Introduction: Hospitalized patients require often the evaluation by ICU specialists – Intensivists because of the development of critical conditions.Objectives: In this study we aimed to record all related patients data when an Intensivists is called for patient evaluation in hospital wards.Material and Methods: We prospectively collected data at Agioi Anargyroi Hospital of Kifissia for one year. We recorded all demographics and data regarding patient condition and patient outcome as well as reason for evaluation clinical data, patient origin, and clinical severity score such as APACHE II and Karnofsky score. We also recorded intervention and whetherthere was previous discussion with patients and relatives regarding prognosis and patients wants regarding ICU admission and care in care that here was such need.Results: We included 115 patients of whom seventy seven pts (67%) were hospitalized in internal medicine departments, 34 (29,5%) in surgical oncological department and 5 (4,3%) in other departments. Karnofsky scale was in 93% of the patients < 40 and prognosis was bad in 90% of the patients. In 96,5% of the patients medical action was decided. In 91,3% of the patients vital signs were abnormal and only 10 patients had normal vital signs. In 84 pts (73%) > 3 findings were observed. Only 31 pts 927%0 had only one finding including desaturation (10 pts), electrolyte disturbances (6 pts) cardiacarrest (5 pts) and coma (4 pts). In the case of fever and electrolyte disturbances the call for evaluation was probably made due to lack of experience by the physician in charge. Totally 326 findings were recorded and approximately each patient had 2,83 findings. Fifty seven patients survived (49,6%) and 50,4% (n = 58) died. Eightyfour pts were adminted to the ICU (73%). Survival among pts not admitted to the ICU was 48.4% (15/31 pts). Survival among pts admitted to the ICU was 50.0% (42/84 pts). In total 15 pts not admited to the ICU survived (13%) and 42 pts admited to the ICU (36,5%). Most findings on clinical evaluation were from the respiratory system (146) including desaturation, tachypnoia, labour respiration, and then from circulatory (61), including tachycardia, hypotension and shock electrolyte disturbances (32), level of consciousness (30 and fever (27). Parameters related to final outcome were shock (hypotension) and cardiopulmonary arrest.Conclusions: Most common finding included respiratory and circulatory findings. Each patient experience 2,8 finding and 31 patients (26,9%) had only one finding. It seems that the call was absolutely justified based on the findings and the outcome of the patients in most cases. However, there was no previous discussion with the patients regarding prognosis, ICU care and end of life issues. Nursing records were not helpful in identifying patients at risk and predict deterioration of the patients or the call of Intensivists. There is a need for further education and experience of physicians on duty for better evaluation of the patients. Shock (hypotension) and cardiopulmonary…

Subjects/Keywords: Εντατικολόγος; Intensive care units (ICU)

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Papagiannopoulou, A. (2018). Νοσηλευτική εκτίμηση ασθενών σε κρίσιμη κατάσταση. (Thesis). National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Retrieved from http://hdl.handle.net/10442/hedi/44874

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Papagiannopoulou, Aikaterini. “Νοσηλευτική εκτίμηση ασθενών σε κρίσιμη κατάσταση.” 2018. Thesis, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Accessed January 16, 2021. http://hdl.handle.net/10442/hedi/44874.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Papagiannopoulou, Aikaterini. “Νοσηλευτική εκτίμηση ασθενών σε κρίσιμη κατάσταση.” 2018. Web. 16 Jan 2021.

Vancouver:

Papagiannopoulou A. Νοσηλευτική εκτίμηση ασθενών σε κρίσιμη κατάσταση. [Internet] [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2018. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10442/hedi/44874.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Papagiannopoulou A. Νοσηλευτική εκτίμηση ασθενών σε κρίσιμη κατάσταση. [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2018. Available from: http://hdl.handle.net/10442/hedi/44874

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

16. Kar, Palash. Hyperglycaemia in the critically ill patient: ideal treatment and impact of the condition.

Degree: 2018, University of Adelaide

URL: http://hdl.handle.net/2440/118235

► This thesis is composed of four distinct related chapters focusing on glycaemia in the intensive care unit (ICU), its treatment, and the impact of the… (more)

▼ This thesis is composed of four distinct related chapters focusing on glycaemia in the intensive care unit (ICU), its treatment, and the impact of the condition. Specifically, this research concentrates on approaches to glycaemic management, enteral feeding, and implications of hyperglycaemia in the critically ill. The work submitted comprises three literature reviews and five original studies. In the critically ill, delayed gastric emptying occurs frequently and is associated with adverse outcomes. Numerous techniques to quantify gastric emptying exist (Chapter 1.2). Energy dense feeds are sometimes administered to patients with delayed gastric emptying based on the rationale that volume is a determinant of gastric emptying. However, in health, tight regulation of gastric emptying occurs via ‘enterogastric feedback’, such that it is calorie load (not volume) that is the major determinant of gastric emptying. An analysis of previously obtained data suggested energy dense feed is associated with a slower emptying rate than a standard feed, resulting in similar caloric delivery (Chapter 1.3). Hyperglycaemia occurs frequently during critical illness in patients with pre-existing diabetes. The current approach to treatment of glycaemia in this group is to treat them identical to patients without diabetes. This strategy may be flawed as observational data suggest that the impact of acute glycaemia on outcomes is dependent on premorbid glycaemia (Chapter 2.2). To provide further information, a prospective sequential period pilot study was completed (Chapter 2.3). This study suggests that a more liberal approach may reduce hypoglycaemia episodes and that further trials of more liberal glucose targets are warranted. The treatment of hyperglycaemia during critical illness (for both patients with and without pre-existing diabetes) requires administration of insulin; however, this is not without risk. Therefore a prospective, randomised, cross over study in critically ill patients to determine the effect of glucose-dependent insulinotropic polypeptide (GIP) was performed. The administration of GIP in pharmacological doses when compared to placebo did not effect glycaemia, glucose absorption or gastric emptying (Chapter 2.4). Stress hyperglycaemia occurs frequently in critically ill patients but is not generally considered a risk factor for subsequent glucose intolerance. A systematic review and meta-analysis was conducted suggesting stress hyperglycaemia was associated with an increased risk of both prediabetes and diabetes (Chapter 3.2). Subsequently, a prospective cohort study was performed confirming this signal and providing mechanistic information regarding the progression to prediabetes and diabetes (Chapter 3.3). Patients during and recovering from critical illness as well as ambulant patients with diabetes frequently experience episodes of hypoglycaemia. The counter-regulatory response to hypoglycaemia is to accelerate gastric emptying, increasing carbohydrate absorption from the small intestine. A study was performed… Advisors/Committee Members: Deane, Adam (advisor), Horowitz, Michael (advisor), Jones, Karen (advisor), Adelaide Medical School (school).

Subjects/Keywords: Hyperglycaemia; diabetes; intensive care; critical care; nutrition

14 more images…

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Kar, P. (2018). Hyperglycaemia in the critically ill patient: ideal treatment and impact of the condition. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/118235

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Kar, Palash. “Hyperglycaemia in the critically ill patient: ideal treatment and impact of the condition.” 2018. Thesis, University of Adelaide. Accessed January 16, 2021. http://hdl.handle.net/2440/118235.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Kar, Palash. “Hyperglycaemia in the critically ill patient: ideal treatment and impact of the condition.” 2018. Web. 16 Jan 2021.

Vancouver:

Kar P. Hyperglycaemia in the critically ill patient: ideal treatment and impact of the condition. [Internet] [Thesis]. University of Adelaide; 2018. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/2440/118235.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kar P. Hyperglycaemia in the critically ill patient: ideal treatment and impact of the condition. [Thesis]. University of Adelaide; 2018. Available from: http://hdl.handle.net/2440/118235

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Tasmania

17. Dixon, JM. Family assisted passive exercising of unconscious patients in the intensive care unit : does it make a difference?.

Degree: 2020, University of Tasmania

URL: https://eprints.utas.edu.au/34890/1/Dixon_whole_thesis.pdf

► Background: Patients who have a critical illness and a protracted admission to an intensive care unit (ICU) are known to develop muscle weakness and wasting.… (more)

▼ Background: Patients who have a critical illness and a protracted admission to an intensive care unit (ICU) are known to develop muscle weakness and wasting. This can lead to increased length of stay in both the ICU and the hospital, and rehabilitation can also be prolonged. Admission of a family member to an ICU places heavy stress on a family, whereby the ongoing effects for the family and patient can take years to resolve, if ever. In the context of the patient and family centred care (PFCC) movement, family involvement in patient care, as a means of improving both patient and family outcomes, has been studied across multiple clinical contexts. However, a gap in knowledge is the impact of family assisting with passive exercises of unconscious patients in the ICU. Purpose: To investigate whether family assisted passive exercising of an unconscious patient can achieve better outcomes for the family, nurses, patient and healthcare system. Research design: A prospective, comparative, interventional study. The study was conducted between May 2015 and May 2016. The setting was two general ICUs in a publicly funded tertiary and quaternary referral hospital in Sydney, Australia. One unit was deemed the active unit, where family members delivered the passive exercises to the patient. The second unit was the control unit, where the patients received standard care with the direct care nurses performing the passive exercises. The quantitative approach was the dominant aspect of the study. Outcomes of family needs and satisfaction were measured by surveying the ICU families with the: 30-item Critical Care Family Needs Inventory (CCFNI) pre-test; and 30-item Needs Met Inventory (NMI) and, single item Family Feedback Survey (FFS) tool, post-test. The nurses were surveyed with the CCFNI pre- and post-test to assess their perception of family needs, and to ascertain if the intervention improved alignment between the nurses’ and the families’ perception of need. Outcomes for nurses’ stress, and whether the intervention had any impact on these stressors, were measured using the modified Nursing Stress Scale (mNSS) pre- and post-test. The modification included four study specific questions in relation to teaching, talking and discussing clinical care with family members and delivering passive exercises to patients. Muscle mass measurement was the major clinical outcome for the patient and was evaluated using ultrasound technology and a tape measure. Organisational and clinical factors were evaluated to ascertain outcomes for the patient and the healthcare system. Information that was extracted from the ICU electronic medical record (EMR) and entered into the study specific family assisted passive exercise instrument (FAPEI), for this purpose, included: demographics of the patient and the family member; patient mortality; the number of hours the patient received mechanical ventilation; and, ICU and hospital length of stay. Three focus groups were conducted. Two groups were with nurses from the active and control units, and one…

Subjects/Keywords: patient; family centred care; intensive care

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Dixon, J. (2020). Family assisted passive exercising of unconscious patients in the intensive care unit : does it make a difference?. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/34890/1/Dixon_whole_thesis.pdf

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Dixon, JM. “Family assisted passive exercising of unconscious patients in the intensive care unit : does it make a difference?.” 2020. Thesis, University of Tasmania. Accessed January 16, 2021. https://eprints.utas.edu.au/34890/1/Dixon_whole_thesis.pdf.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Dixon, JM. “Family assisted passive exercising of unconscious patients in the intensive care unit : does it make a difference?.” 2020. Web. 16 Jan 2021.

Vancouver:

Dixon J. Family assisted passive exercising of unconscious patients in the intensive care unit : does it make a difference?. [Internet] [Thesis]. University of Tasmania; 2020. [cited 2021 Jan 16]. Available from: https://eprints.utas.edu.au/34890/1/Dixon_whole_thesis.pdf.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Dixon J. Family assisted passive exercising of unconscious patients in the intensive care unit : does it make a difference?. [Thesis]. University of Tasmania; 2020. Available from: https://eprints.utas.edu.au/34890/1/Dixon_whole_thesis.pdf

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Hawaii – Manoa

18. Mun, Eluned. Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i.

Degree: 2017, University of Hawaii – Manoa

URL: http://hdl.handle.net/10125/50869

►

D.N.P. University of Hawaii at Manoa 2015.

Palliative care is medical care that enhances quality of life for patients living with serious advanced illness, by… (more)

Subjects/Keywords: Pallative Care; Nursing; Intensive Care Unit

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mun, E. (2017). Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i. (Thesis). University of Hawaii – Manoa. Retrieved from http://hdl.handle.net/10125/50869

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mun, Eluned. “Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i.” 2017. Thesis, University of Hawaii – Manoa. Accessed January 16, 2021. http://hdl.handle.net/10125/50869.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mun, Eluned. “Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i.” 2017. Web. 16 Jan 2021.

Vancouver:

Mun E. Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i. [Internet] [Thesis]. University of Hawaii – Manoa; 2017. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10125/50869.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mun E. Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i. [Thesis]. University of Hawaii – Manoa; 2017. Available from: http://hdl.handle.net/10125/50869

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Sydney

19. Rowell, Alexandra Claire. Takotsubo Cardiomyopathy in the Intensive Care Unit .

Degree: 2017, University of Sydney

URL: http://hdl.handle.net/2123/18754

► Background Takotsubo cardiomyopathy (TC) is a syndrome of reversible left ventricular dysfunction triggered by psychological or physical stress. The pathogenesis is related to high levels… (more)

Subjects/Keywords: takotsubo; cardiomyopathy; intensive care; critical care echocardiography

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Rowell, A. C. (2017). Takotsubo Cardiomyopathy in the Intensive Care Unit . (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/18754

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Rowell, Alexandra Claire. “Takotsubo Cardiomyopathy in the Intensive Care Unit .” 2017. Thesis, University of Sydney. Accessed January 16, 2021. http://hdl.handle.net/2123/18754.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Rowell, Alexandra Claire. “Takotsubo Cardiomyopathy in the Intensive Care Unit .” 2017. Web. 16 Jan 2021.

Vancouver:

Rowell AC. Takotsubo Cardiomyopathy in the Intensive Care Unit . [Internet] [Thesis]. University of Sydney; 2017. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/2123/18754.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Rowell AC. Takotsubo Cardiomyopathy in the Intensive Care Unit . [Thesis]. University of Sydney; 2017. Available from: http://hdl.handle.net/2123/18754

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht

20. Wolters, A.E. Brain dysfunction in critical care patients.

Degree: 2015, Universiteit Utrecht

URL: http://dspace.library.uu.nl:8080/handle/1874/323703

► Risk factors for delirium were studied, an overview of long-term cognitive impairment and mental health problems after ICU stay was given, and the association between… (more)

▼ Risk factors for delirium were studied, an overview of long-term cognitive impairment and mental health problems after ICU stay was given, and the association between intensive care unit (ICU) delirium and long-term cognitive impairment, as well as mental health problems, was explored. In part I of the thesis, we searched for etiological risk factors for delirium during critical illness. Psychopathology prior to hospital admission did increase the risk of developing a delirium during critical illness. No association between exposure to anticholinergic medication and delirium could be demonstrated, neither a significant effect of age or inflammation on this association was present. Yet, age and the presence of inflammation were both individually independent risk factors for transitioning to delirium. Subsequently, no association between corticosteroid exposure and the occurrence of delirium could be demonstrated. Part II of the thesis assessed the occurrence of long-term brain dysfunction after critical illness and evaluated the association with ICU delirium and this long-term dysfunction. A systematic review showed that a substantial number of patients experience cognitive problems after critical illness, although a wide range was reported (4–62%) and follow-up duration was diverse (2–156 months). Elaborating on these cognitive problems after ICU stay, we evaluated the association with delirium during ICU stay. An association between (multiple days of) ICU delirium and long-term self-reported cognitive problems was found in one year ICU survivors. Since systemic inflammation is both a risk factor for delirium during ICU stay, and for long-term cognitive problems, a mediation analysis was conducted to explore the potential mediating effect of exposure to systemic inflammation in the association between ICU delirium and long-term cognitive problems. No mediating effect was found, suggesting that the effect of ICU delirium on long-term cognitive problems was not merely driven by the exposure to systemic inflammation. Additionally whether delirium was associated with long-term mortality and worse health-related quality of life (HRQoL) was evaluated. After adjustment for confounding, the association between ICU delirium and these outcomes did not remain, which showed that ICU delirium itself might not be etiologically related to these long-term outcomes. The occurrence of symptoms of the postintensive care syndrome, with a focus on symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD), three months after critical illness in patients and their families visiting an outpatient clinic was described. A substantial number of family members of former ICU patients seem to have mental health problems. Also a lot of former ICU patients experience mental health problems, three months after ICU discharge. The association between delirium during ICU stay and symptoms of anxiety, depression and PTSD was assessed one year after ICU stay. High frequencies of symptoms of anxiety, depression and PTSD in former ICU… Advisors/Committee Members: Dijk, D. van, Slooter, A.J.C., Veldhuijzen, D.S..

Subjects/Keywords: Delirium; Risk Factors; Intensive Care Unit; Post-intensive Care Syndrome; Brain

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Wolters, A. E. (2015). Brain dysfunction in critical care patients. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/323703

Chicago Manual of Style (16^th Edition):

Wolters, A E. “Brain dysfunction in critical care patients.” 2015. Doctoral Dissertation, Universiteit Utrecht. Accessed January 16, 2021. http://dspace.library.uu.nl:8080/handle/1874/323703.

MLA Handbook (7^th Edition):

Wolters, A E. “Brain dysfunction in critical care patients.” 2015. Web. 16 Jan 2021.

Vancouver:

Wolters AE. Brain dysfunction in critical care patients. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2015. [cited 2021 Jan 16]. Available from: http://dspace.library.uu.nl:8080/handle/1874/323703.

Council of Science Editors:

Wolters AE. Brain dysfunction in critical care patients. [Doctoral Dissertation]. Universiteit Utrecht; 2015. Available from: http://dspace.library.uu.nl:8080/handle/1874/323703

University of Utah

21. Poon, Kasey Benson. Fusing multiple heart rate signals to reduce alarms in the adult intensive care unit;.

Degree: MS;, Biomedical Informatics;, 2005, University of Utah

URL: http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/821/rec/556

► The objective of the study was to compare the performance of two physiologic monitor algorithms in their ability to generate true heart rate alarms and… (more)

▼ The objective of the study was to compare the performance of two physiologic monitor algorithms in their ability to generate true heart rate alarms and to avoid producing false alarms. The “standard” algorithm, the algorithm currently used in GE/Marquette monitors installed at LDS Hospital, was compared with a “fusion” algorithm that combined heart rate data independently determined from electrocardiogram (ECG), intra-arterial pressure (ART), and pulse oximeter signals. Data were collected from patients admitted to the medical, surgical, and cardiac ICUs at LDS Hospital in Salt Lake City, Utah, from April through September, 2001. Data from a total of 109 patients were collected for periods of up to 24 hours for each patient, which resulted in a total of 1902.25 patients-hours of data. The physiological signals were then presented to both algorithms to allow a direct comparison of both alarm methods. A physician reviews the heart rate alarm results of each algorithm and determined whether each alarm generated was true or false. Since alarm conditions were only studies if they were detected by one of the algorithms, we were not aware of any condition that should have generated an alarm but did not. The following five alarm conditions were studied: low heart rate (LHR), high hear rate (HHR), asystole, ventricular tachycardia (VT), and ventricular fibrillation (VF).The “standard” algorithm generated 341 alarms; 118 (34.6%) were true and 223 (65.4%) were false. The fusion algorithm produced 184 alarms; 126 (68.5%) were true and 58 (31.1%) were false. There were 149 instances in which both algorithms produced the same alarms. Of these instance 111 (74.5%) were true alarms and 38 (25.5%) were false. Of the combined total of 525 alarms (341 standard + 184 fusion), 316 (60.2%) had durations of 10 seconds or less. The determine if a patient’s average heart rate was associated with low or high heart rate alarms, the average heart rate was calculated. Average heart rate was determined by summing all heart rate values and dividing the total number of heart rate of each patient’s data set. Of the 267 LHR alarms, 148 (55.4%) were from patients who had average heart rates of 80 beats per minute (BPM) or less. Of the 127 HHR alarms, 114 (89.8%) were from patients who had average heart rates of 90 BPM or greater. While there was no “gold standard” test available to calculate the actual sensitivity and false positive rate of each algorithm, we were able to compare the two algorithms to each other using relative sensitivity (RSN) and relative false positive rate (RFP). The RSN of the fusion algorithm compared to the standard algorithm was 1.09 (95% CI 1.01 to 1.17). The 95% confidence interval (CI) for the RSN indicated that there was a 95% chance that the true positive rate for the fusion algorithm was between 1% and 17% greater than the standard algorithm. The RFP of the fusion algorithm compared to the standard algorithm was 0.27 (95% CI 0.21 to 0.34). The 95% CI for the RFP indicated that there was a 95% chance that the false…

Subjects/Keywords: Intensive Care; Intensive Care Units

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Poon, K. B. (2005). Fusing multiple heart rate signals to reduce alarms in the adult intensive care unit;. (Masters Thesis). University of Utah. Retrieved from http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/821/rec/556

Chicago Manual of Style (16^th Edition):

Poon, Kasey Benson. “Fusing multiple heart rate signals to reduce alarms in the adult intensive care unit;.” 2005. Masters Thesis, University of Utah. Accessed January 16, 2021. http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/821/rec/556.

MLA Handbook (7^th Edition):

Poon, Kasey Benson. “Fusing multiple heart rate signals to reduce alarms in the adult intensive care unit;.” 2005. Web. 16 Jan 2021.

Vancouver:

Poon KB. Fusing multiple heart rate signals to reduce alarms in the adult intensive care unit;. [Internet] [Masters thesis]. University of Utah; 2005. [cited 2021 Jan 16]. Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/821/rec/556.

Council of Science Editors:

Poon KB. Fusing multiple heart rate signals to reduce alarms in the adult intensive care unit;. [Masters Thesis]. University of Utah; 2005. Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd1/id/821/rec/556

University of Johannesburg

22. Pretorius, Ursula Julianna. Lugwegkolonisasie en ventilatorgebruik in intensiewesorgeenhede.

Degree: 2014, University of Johannesburg

URL: http://hdl.handle.net/10210/12724

►

M.Cur.

The South African Nursing Act (Act 50 of 1978) views the professional nurse as an independent practitioner, her independent function being the right to… (more)

Subjects/Keywords: Respiratory intensive care; Respiratory infections - Research; Intensive care nursing

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Pretorius, U. J. (2014). Lugwegkolonisasie en ventilatorgebruik in intensiewesorgeenhede. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/12724

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Pretorius, Ursula Julianna. “Lugwegkolonisasie en ventilatorgebruik in intensiewesorgeenhede.” 2014. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/12724.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Pretorius, Ursula Julianna. “Lugwegkolonisasie en ventilatorgebruik in intensiewesorgeenhede.” 2014. Web. 16 Jan 2021.

Vancouver:

Pretorius UJ. Lugwegkolonisasie en ventilatorgebruik in intensiewesorgeenhede. [Internet] [Thesis]. University of Johannesburg; 2014. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/12724.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Pretorius UJ. Lugwegkolonisasie en ventilatorgebruik in intensiewesorgeenhede. [Thesis]. University of Johannesburg; 2014. Available from: http://hdl.handle.net/10210/12724

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Johannesburg

23. De Beer, Gertruida Gezina. Riglyne vir die respiratoriese hantering van die kardiotorakspasiënt, post-ekstubasie.

Degree: 2011, University of Johannesburg

URL: http://hdl.handle.net/10210/4085

►

M.Cur.

In the cardiothoracic critical care unit, the respiratory management, post-extubation forms an important component of the total nursing care of the patient. To ensure… (more)

Subjects/Keywords: Intensive care nursing management; Intensive care units; Heart surgery complications prevention

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

De Beer, G. G. (2011). Riglyne vir die respiratoriese hantering van die kardiotorakspasiënt, post-ekstubasie. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/4085

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

De Beer, Gertruida Gezina. “Riglyne vir die respiratoriese hantering van die kardiotorakspasiënt, post-ekstubasie.” 2011. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/4085.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

De Beer, Gertruida Gezina. “Riglyne vir die respiratoriese hantering van die kardiotorakspasiënt, post-ekstubasie.” 2011. Web. 16 Jan 2021.

Vancouver:

De Beer GG. Riglyne vir die respiratoriese hantering van die kardiotorakspasiënt, post-ekstubasie. [Internet] [Thesis]. University of Johannesburg; 2011. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/4085.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

De Beer GG. Riglyne vir die respiratoriese hantering van die kardiotorakspasiënt, post-ekstubasie. [Thesis]. University of Johannesburg; 2011. Available from: http://hdl.handle.net/10210/4085

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Johannesburg

24. Johnson, Marlise. Standaarde vir neonatale intensiewesorgverpleging.

Degree: 2012, University of Johannesburg

URL: http://hdl.handle.net/10210/5763

►

M.Cur.

The neonate has the right to quality nursing care and the Neonatal Intensive nursing care practitioner is personally and professionally-ethically liable for quality nursing… (more)

▼

M.Cur.

The neonate has the right to quality nursing care and the Neonatal Intensive nursing care practitioner is personally and professionally-ethically liable for quality nursing care. The process of quality improvement is a structured, planned and purposeful action where standards are set and the nursing care is evaluated after which remedial steps are taken to improve quality nursing care. In this study the focus is on the first step in the quality improvement cycle; the setting of standards. The central theoretical statement is as follows: standards for Neonatal Intensive nursing care facilitate quality nursing care in the Neonatal Intensive Care unit. The purpose of the study is to describe and formulate standards for Neonatal Intensive nursing care which can be utilised as an accreditation instrument for institutional self evaluation to improve quality nursing care. The aim of the study is justified by means of a descriptive, explorative, contextual research design. Standards for Neonatal Intensive nursing care were developed and validated by utilising a threephase research method. In phase one subjects for standards were identified by a panel of six experts. They were chosen according to their academic qualifications and nursing experience. The identification was done by means of a critical debate, after which a preliminary conceptual framework was formulated. During the second phase a comprehensive literature control was undertaken to refine the preliminary conceptual framework. The final conceptual framework, that was formulated during phase two, served as a basis for the description and formulation of standards. The standards were divided as unit management standards and clinical nursing care standards. During the third phase a final validation of the standards occured by means of a consencus debate between the experts that were used in the first phase. An accreditation instrument was developed to be utilised for institusional self evaluation in order to facilitate quality nursing care. The standards comply with content validity within the context of a Neonatal Intensive Care unit in a private hospital in Gauteng. It is recommended that the standards are validated nationally in the Neonatal Intensive Care practice in order to be implemented after inservice training to the different role players. The following hypotheses is set for testing: standards for Neonatal Intensive nursing care improve quality nursing care in the Neonatal Intensive Care unit.

Subjects/Keywords: Neonatal intensive care - Standards; Pediatric intensive care - Standards

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Johnson, M. (2012). Standaarde vir neonatale intensiewesorgverpleging. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/5763

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Johnson, Marlise. “Standaarde vir neonatale intensiewesorgverpleging.” 2012. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/5763.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Johnson, Marlise. “Standaarde vir neonatale intensiewesorgverpleging.” 2012. Web. 16 Jan 2021.

Vancouver:

Johnson M. Standaarde vir neonatale intensiewesorgverpleging. [Internet] [Thesis]. University of Johannesburg; 2012. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/5763.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Johnson M. Standaarde vir neonatale intensiewesorgverpleging. [Thesis]. University of Johannesburg; 2012. Available from: http://hdl.handle.net/10210/5763

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Johannesburg

25. Nel, Wanda Elizabeth. Die funksies van die intensiewe verpleegkundige in die Republiek van Suid-Afrika.

Degree: 2014, University of Johannesburg

URL: http://hdl.handle.net/10210/10116

►

D.Cur. (Intensive General Nursing)

Critical care nursing is cost-effective quality nursing to the critical ill patient. This nursing is inftuenced by certain expectations as well… (more)

▼

D.Cur. (Intensive General Nursing)

Critical care nursing is cost-effective quality nursing to the critical ill patient. This nursing is inftuenced by certain expectations as well as the professional-ethical authorisation. The aim ofthis study is to describe and explore the expectations and the professional-ethical authorisation of the functions of the critical care nurse to enable the formulation ofguidelines for the scope of practice for the critical care nurse within South African context. Phase I was to determine the expectations of the critical care nurse, the nursing service managers and the doctors with regard to the functions of the critical care nurse. A focus group interview was held with a group of experts in the field of critical care. The results were used to compile a questionnaire. This questionnaire was sent to the critical care nurses, the nursing service managers and the doctors in South Africa for completion. From these results the functions of the critical care nurse were determined. Phase 2 is to analyse the expectations (Phase 1) according to the professional-ethical authorisation of the critical care nurse. Firstly, literature was explored and described to determine the professional ethicalauthorisation regarding the accountability ofthe critical care nurse. Secondly, the functions were analysed according to the professional-ethical authorisation. The analysis showed that except for prescribing medication, altering medication dosages and drawing blood samples from the critical ill patient, the critical care nurse is practicing within her professional-ethical authorisation. Phase 3 was to formulate guidelines for the scope of practice for the critical care nurse within a South African context. Through usage of the data (Phase I and 2) the scope of practice was formulated. Guidelines were formulated for the practise, education and research regarding the limitations of the professional-ethical authorization and the implementation of the scope of practice for the critical care nurse.

Subjects/Keywords: Intensive care nursing - South Africa; Intensive care units - South Africa

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Nel, W. E. (2014). Die funksies van die intensiewe verpleegkundige in die Republiek van Suid-Afrika. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/10116

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Nel, Wanda Elizabeth. “Die funksies van die intensiewe verpleegkundige in die Republiek van Suid-Afrika.” 2014. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/10116.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Nel, Wanda Elizabeth. “Die funksies van die intensiewe verpleegkundige in die Republiek van Suid-Afrika.” 2014. Web. 16 Jan 2021.

Vancouver:

Nel WE. Die funksies van die intensiewe verpleegkundige in die Republiek van Suid-Afrika. [Internet] [Thesis]. University of Johannesburg; 2014. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/10116.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Nel WE. Die funksies van die intensiewe verpleegkundige in die Republiek van Suid-Afrika. [Thesis]. University of Johannesburg; 2014. Available from: http://hdl.handle.net/10210/10116

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Johannesburg

26. Coetzee, Isabella Maria. 'n Uitkomsgebaseerde leerbegeleidingsbenadering vir die preseptor in intensiewesorg eenhede.

Degree: 2011, University of Johannesburg

URL: http://hdl.handle.net/10210/4061

►

M.Cur.

From out the researchers experience of the critical care nursing practice, a need for clinical learning outcomes was identified. There are no listed guidelines… (more)

▼

M.Cur.

From out the researchers experience of the critical care nursing practice, a need for clinical learning outcomes was identified. There are no listed guidelines or outcomes of what the critical care learner should be able to do at the end of the program, to function as a competent critical care-nursing practitioner. From the above mentioned problemstatement the following question were asked namely: Which knowledge's, skills, attitudes and values do the critical care learner need to function as a compatend critical care nursing practitioner? The main aim of this study was to compile a manual with clinical learning outcomes for the following disciplines within the critical care practice + Cardiology and cardio-thorasic surgery + General surgery and Pulmonary + Neuro-surgery and trauma From out the constructivistic learning approach a contextual, qualitative and describing study was done.The first objective namely the formulation of clinical learning outcomes from out the literature was done by means of a extensive literature survey. The second and third objective of the study namely the formulation of clinical learning outcomes for the different disciplines within the critical care practices. And compiling a manual for the preceptor in the critical care practice was done simultaneously. The clinical learning outcomes was written directly into the format of a manual. Eighty questioners was handed out to critical care trained registered nurses. The data gathered from out the questioners was used in identifying learning outcomes. There are generic clinical learning outcomes, these outcomes are universal for al the disciplines within the critical care practice. Specific clinical learning outcomes where identified for • Coronary and thoracic surgery • Neuro-surgery and • Trauma Specific learning outcomes are outcomes that are only applicable within that specific discipline. If effective clinical guidance are facilitated by means of the clinical learning outcomes and the learner has reached al the outcomes, he/she should be able to function as a competend critical nursing practitioner.

Subjects/Keywords: Intensive care nursing standards; Neurological intensive care; Respiratory organs; Cardiovascular system

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Coetzee, I. M. (2011). 'n Uitkomsgebaseerde leerbegeleidingsbenadering vir die preseptor in intensiewesorg eenhede. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/4061

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Coetzee, Isabella Maria. “'n Uitkomsgebaseerde leerbegeleidingsbenadering vir die preseptor in intensiewesorg eenhede.” 2011. Thesis, University of Johannesburg. Accessed January 16, 2021. http://hdl.handle.net/10210/4061.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Coetzee, Isabella Maria. “'n Uitkomsgebaseerde leerbegeleidingsbenadering vir die preseptor in intensiewesorg eenhede.” 2011. Web. 16 Jan 2021.

Vancouver:

Coetzee IM. 'n Uitkomsgebaseerde leerbegeleidingsbenadering vir die preseptor in intensiewesorg eenhede. [Internet] [Thesis]. University of Johannesburg; 2011. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10210/4061.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Coetzee IM. 'n Uitkomsgebaseerde leerbegeleidingsbenadering vir die preseptor in intensiewesorg eenhede. [Thesis]. University of Johannesburg; 2011. Available from: http://hdl.handle.net/10210/4061

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Nelson Mandela Metropolitan University

27. Mpasa, Ferestas. Management of endotracheal tube cuff pressure in mechanically ventilated adult patients in intensive care units in Malawi.

Degree: Faculty of Health Sciences, 2017, Nelson Mandela Metropolitan University

URL: http://hdl.handle.net/10948/19673

► Patients who are critically ill get often admitted to intensive care units (ICUs). The majority of these patients require support with their breathing and are… (more)

▼ Patients who are critically ill get often admitted to intensive care units (ICUs). The majority of these patients require support with their breathing and are thus connected to a mechanical ventilator. One aspect to consider in the mechanically ventilated patient is endotracheal tube cuff pressure (ETT) management. The management of ETT cuff pressure entails that nurses working in ICUs have the responsibility of ensuring that ETT cuff pressure is kept within normal range of 20-30 cmH20 for the safety of the patients in order to avoid complication of over and under inflation. Poor management of ETT cuff pressure places the mechanically ventilated patients under risk of tracheal injury. Tracheal injury may also be caused by over or under inflation of the ETT cuff. Over inflation of the ETT cuff can lead to the occlusion of capillaries lining the trachea at the cuff site, tracheal stenosis, and can also lead to the death of mucus membranes around the area, just to mention a few. On the other hand, under inflation of the ETT cuff, can lead to air leaks as well as aspiration of gastric contents into the tracheal tree. Therefore, in order to maintain ETT cuff pressure within normal ranges, evidence-based guidelines related to the management of ETT cuff pressure should be used. However, in Malawi the management of endotracheal tube cuff pressure in mechanically ventilated adult patients by nurses in ICUs is not well explored and it is not clear whether this practice is based on evidence-based guidelines. Furthermore, strategies on how to implement evidence-based guidelines in the ICU might not be known and poorly defined because of the complexity of the context. The study is therefore aimed at implementing and evaluating the effect of an evidence-based guideline on the management of ETT cuff pressure in mechanically ventilated adult patients by nurses in ICUs in Malawi using active (printed educational materials and monitoring visits) and passive (printed educational materials only) implementation strategies. The research study used a quantitative approach with multi-designs. Four phases were used in order to achieve the four objectives that were set. Phase one was the pre-test and used a survey design, two was the expert panel review of the evidence-based guideline, three was the implementation of the reviewed evidence-based guideline using a randomised controlled trial design and phase four was the post-test which used a survey design. The RCT included 25 participants from the control and 27 from the intervention group. Each group had three ICUs of which one in each group was from a private hospital and the other were government. Data collection in phases one and four was by a hand delivered pre-and post-questionnaire. In phase two the expert panel members with experience in critical care used the AGREE II Instrument to review the evidence-based guideline that was implemented. In order to gather data during the monitoring visits, the researcher recorded field notes. The applications that were developed by the University…

Subjects/Keywords: Intensive care nursing – Malawi; Respiratory intensive care – Malawi; Patient monitoring – Malawi

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mpasa, F. (2017). Management of endotracheal tube cuff pressure in mechanically ventilated adult patients in intensive care units in Malawi. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/19673

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mpasa, Ferestas. “Management of endotracheal tube cuff pressure in mechanically ventilated adult patients in intensive care units in Malawi.” 2017. Thesis, Nelson Mandela Metropolitan University. Accessed January 16, 2021. http://hdl.handle.net/10948/19673.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mpasa, Ferestas. “Management of endotracheal tube cuff pressure in mechanically ventilated adult patients in intensive care units in Malawi.” 2017. Web. 16 Jan 2021.

Vancouver:

Mpasa F. Management of endotracheal tube cuff pressure in mechanically ventilated adult patients in intensive care units in Malawi. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2017. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10948/19673.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mpasa F. Management of endotracheal tube cuff pressure in mechanically ventilated adult patients in intensive care units in Malawi. [Thesis]. Nelson Mandela Metropolitan University; 2017. Available from: http://hdl.handle.net/10948/19673

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Zambia

28. Zyambo, Masuzyo. Validation of a modified apache II scoring system in predicting mortality in patients in the intensive care unit at the University Teaching Hospital,Lusaka-Zambia .

Degree: 2017, University of Zambia

URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/5242

► The major challenge of intensive care in Zambia is limited availability of resources. With the increase in the number of intensive care units in the… (more)

Subjects/Keywords: Intensive care – APACHE II – Zambia; Intensive care – Mortality rate – Zambia

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Zyambo, M. (2017). Validation of a modified apache II scoring system in predicting mortality in patients in the intensive care unit at the University Teaching Hospital,Lusaka-Zambia . (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/5242

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Zyambo, Masuzyo. “Validation of a modified apache II scoring system in predicting mortality in patients in the intensive care unit at the University Teaching Hospital,Lusaka-Zambia .” 2017. Thesis, University of Zambia. Accessed January 16, 2021. http://dspace.unza.zm:8080/xmlui/handle/123456789/5242.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Zyambo, Masuzyo. “Validation of a modified apache II scoring system in predicting mortality in patients in the intensive care unit at the University Teaching Hospital,Lusaka-Zambia .” 2017. Web. 16 Jan 2021.

Vancouver:

Zyambo M. Validation of a modified apache II scoring system in predicting mortality in patients in the intensive care unit at the University Teaching Hospital,Lusaka-Zambia . [Internet] [Thesis]. University of Zambia; 2017. [cited 2021 Jan 16]. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/5242.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Zyambo M. Validation of a modified apache II scoring system in predicting mortality in patients in the intensive care unit at the University Teaching Hospital,Lusaka-Zambia . [Thesis]. University of Zambia; 2017. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/5242

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Delft University of Technology

29. van de Kamp, Marit (author). Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions.

Degree: 2018, Delft University of Technology

URL: http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908

► In recent years, it has become clear that many ex-patients and their families suffer from new or worse health problems after discharge from an intensive… (more)

▼ In recent years, it has become clear that many ex-patients and their families suffer from new or worse health problems after discharge from an intensive care unit. These problems, which are the result of a traumatic experience at the intensive care, are grouped under the diagnosis post intensive care syndrome (PICS). This research focuses on the mental health issues of this syndrome among pediatric patients and their parents. Evidence shows that the experience of children and their parents at the pediatric intensive care unit (PICU) may impact their chances of developing mental problems afterwards. The research objective of this project is therefore defined as “how can design be used to improve the user experience of children and their parents at the pediatric intensive care unit in such a way that it reduces their chances of developing post-intensive care syndrome?”. Analyzed is how experience at the PICU can influence the risk factors known for developing PICS. The defined important factors were for the parents a lack of involvement and lack of confidence, for the patients a lack of a secure feeling and an overall lack of the feeling of closeness. It is argued that by improving these factors, parts of the risk factors of mental problems are avoided and therefore the chances of developing mental health problems decreases. It is analyzed how these factors can be improved by design. It was found that the feelings of closeness and security could be strengthened by providing a daily special ritual which children could do together with their parents. Furthermore, guiding the parents in what to do during such a ritual increases their feeling of being in control, which improves their confidence. Specifically, the bedtime moment was chosen as a focus because this often is the last moment of the day the children spend with their parents which means that it can evoke many negative feelings. These aspects are incorporated in a design called “Sparkling Moments”. This design uses projection in the room to change the environment and create a special moment for parent and child together. By adding different triggers during the day, parents are able to prepare this moment for their child by bringing objects and asking questions, increasing their feeling of confidence. Moreover, these triggers are bringing an aura of positivity to the normal intensive care situation. Furthermore, by being visible through the netting of the curtain, caregivers are made aware the moment is happening. This can make them wait a moment, ensuring patient and parents are not disturbed and perceive the moment as safe; nothing bad will happen at that time. The usage of the projector and its ability to create a moment for parent and child was evaluated by user tests and hospital evaluation. As expected, an imitate and cozy atmosphere was created with the projection, allowing parent and child to feel much closer to each other. Moreover, the free and open character of the design was perceived very well. Furthermore, caregivers… Advisors/Committee Members: Ozcan Vieira, Elif (mentor), Sonneveld, Marieke (mentor), Honig-Mazer, Petra (mentor), Ista, Erwin (mentor), Delft University of Technology (degree granting institution).

Subjects/Keywords: Pediatric intensive care unit; Post intensive care syndrome; mental health problems

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

van de Kamp, M. (. (2018). Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions. (Masters Thesis). Delft University of Technology. Retrieved from http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908

Chicago Manual of Style (16^th Edition):

van de Kamp, Marit (author). “Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions.” 2018. Masters Thesis, Delft University of Technology. Accessed January 16, 2021. http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908.

MLA Handbook (7^th Edition):

van de Kamp, Marit (author). “Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions.” 2018. Web. 16 Jan 2021.

Vancouver:

van de Kamp M(. Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions. [Internet] [Masters thesis]. Delft University of Technology; 2018. [cited 2021 Jan 16]. Available from: http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908.

Council of Science Editors:

van de Kamp M(. Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions. [Masters Thesis]. Delft University of Technology; 2018. Available from: http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908

Massey University

30. Henderwood, Mark. The role of New Zealand intensive care nurses in ventilation management : a thesis submitted in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University, Wellington, New Zealand .

Degree: 2015, Massey University

URL: http://hdl.handle.net/10179/6906

► Introduction: Previous research about the role of nurses in ventilation management suggests that it is a largely collaborative endeavour between doctors and nurses. These studies,… (more)

▼ Introduction: Previous research about the role of nurses in ventilation management suggests that it is a largely collaborative endeavour between doctors and nurses. These studies, however, are based on the views of nurse managers representing staff as a collective, rather than individual nurses answering from their perspective. Further, previous research only begins to account for the role of automation in ventilation management. Aim: This study describes the role of the New Zealand intensive care nurse in ventilation management and the use of automated ventilator modes. Method: A self-reported online survey using a non-probability sample of intensive care nurses who are members of the New Zealand College of Critical Care Nurses was used (n=204). Data were analysed using quantitative methods to describe and compare with international data. Results: The sample (n=204) had a range of intensive care unit (ICU) experience (0-42years) and 136 (69.7%) had completed a post-graduate critical care specialty qualification. Participants worked in various sized units (2-26 beds). Nurse to patient ratios were 1:1 for intubated patients. Ventilation management protocols were available for 136 (66.7%) participants; however, the effect of protocol availability on clinical practice was insignificant. Nurses in this study had lower perceived autonomy (p=0.0006) and more perceived influence (p=0.028) in decision-making than their managers reported previously. Consistent with previous research, nurses collaborate with medical staff in fundamental decisions and largely act independently in titrating ventilator settings. New Zealand ICUs have high nurse to patient ratios compared to their European counterparts. While New Zealand ICU nurses have similar reported levels of independent decision-making in oxygen and PEEP titration, they have less independence in adjusting the six other ventilator settings. As in Europe, the most common automated ventilation modes used in New Zealand ICUs are ASVTM and SmartCareTM. Discussion: As automated modes independently titrate ventilator settings, the ventilator itself increasingly participates in a role largely identified as the nurses’ domain. The study concludes that it is timely for nurses to re-evaluate their role in ventilation management. Rather than focus on the titration of ventilator settings, nurses could strengthen their contribution in the collaboration of fundamental decisions.

Subjects/Keywords: Intensive care nursing; Ventilation management; Intensive care, New Zealand; Critical care nurses; Intensive care nurses, New Zealand; Ventilator (Health)

Record Details Similar Records Cite « Share

❌

APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Henderwood, M. (2015). The role of New Zealand intensive care nurses in ventilation management : a thesis submitted in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University, Wellington, New Zealand . (Thesis). Massey University. Retrieved from http://hdl.handle.net/10179/6906

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Henderwood, Mark. “The role of New Zealand intensive care nurses in ventilation management : a thesis submitted in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University, Wellington, New Zealand .” 2015. Thesis, Massey University. Accessed January 16, 2021. http://hdl.handle.net/10179/6906.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Henderwood, Mark. “The role of New Zealand intensive care nurses in ventilation management : a thesis submitted in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University, Wellington, New Zealand .” 2015. Web. 16 Jan 2021.

Vancouver:

Henderwood M. The role of New Zealand intensive care nurses in ventilation management : a thesis submitted in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University, Wellington, New Zealand . [Internet] [Thesis]. Massey University; 2015. [cited 2021 Jan 16]. Available from: http://hdl.handle.net/10179/6906.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Henderwood M. The role of New Zealand intensive care nurses in ventilation management : a thesis submitted in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University, Wellington, New Zealand . [Thesis]. Massey University; 2015. Available from: http://hdl.handle.net/10179/6906

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Open Access Theses and Dissertations