Challenges and work crisis facing critical care nurses

Mahran, Ghada Shalaby Khalaf; Taher, Asmaa A.M; Saleh, Nadia Mohamed Ali

doi:10.4103/enj.enj_27_17

Cited by 16 publications

(8 citation statements)

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“…Some common challenges include insufficient consideration nurses’ opinions by physicians, [ 12 ] poor teamwork and inter-professional cooperation, [ 13 ] inadequate involvement in care planning, [ 14 ] subpar mental and physical well-being, [ 15 ] lack of support from the organization, [ 16 ] time pressure, limited availability of necessary resources/facilities [ 17 ] and ineffective in-service training [ 18 ]. These challenges have led to high levels of occupational stress [ 19 ] and burnout, [ 20 ] among critical care nurses resulting in many of them considering leaving intensive care units [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Critical care nurses’ experiences of caring challenges during post-resuscitation period: a qualitative content analysis

Zali,

Rahmani,

Hassankhani

et al. 2024

BMC Nurs

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Background Patients in the post-resuscitation period experience critical conditions and require high-quality care. Identifying the challenges that critical care nurses encounter when caring for resuscitated patients is essential for improving the quality of their care. Aim This study aimed to identify the challenges encountered by critical care nurses in providing care during the post-resuscitation period. Methods A qualitative study was conducted using semi-structured interviews. Sixteen nurses working in the intensive care units of three teaching hospitals were selected through purposive sampling. The Data collected were analyzed using qualitative content analysis. Results Participants experienced individual, interpersonal, and organizational challenges when providing post-resuscitation care. The most significant challenges include inadequate clinical knowledge and experience, poor management and communication skills, lack of support from nurse managers, role ambiguity, risk of violence, and inappropriate attitudes of physicians towards nurses’ roles. Additionally, nurses expressed a negative attitude towards resuscitated patients. Conclusion Critical care nurses face several challenges in providing care for resuscitated patients. To enhance the quality of post-resuscitation care, address the challenges effectively and improve long-time survival it is crucial to implement interventions such as In-service education, post-resuscitation briefing, promotion of interprofessional collaboration among healthcare teams, providing sufficient human resources, clarifying nurses’ roles in the post-resuscitation period and increasing support from nursing managers.

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Section: Introductionmentioning

confidence: 99%

Critical care nurses’ experiences of caring challenges during post-resuscitation period: a qualitative content analysis

Zali,

Rahmani,

Hassankhani

et al. 2024

BMC Nurs

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“…9 Consequently, there are many challenges in providing highquality care. 10 11 The most important challenges faced by critical care nurses include: physicians' inattention to nurses' opinions, 12 poor teamwork and inter-professional cooperation, 13 passiveness and lack of an active role in care planning, 14 poor mental and physical health, 15 lack of organizational support, 16 time pressure, lack of access to proper amenities, 17 lack of effective in-service education, and organizational resources. 18 These challenges have caused critical care nurses to experience high levels of occupational stress 19 and burnout, 20 and many of them intend to leave intensive care units.…”

Section: Introductionmentioning

confidence: 99%

Critical care nurses' experiences of caring challenges during post-resuscitation period: a conventional content analysis

Zali

Rahmani

Hassankhani

et al. 2023

Preprint

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Background: Patients in the post-resuscitation period experience critical conditions and require high-quality care. Identifying the challenges that critical care nurses face in caring for resuscitated patients is paramount for improving the quality of care. Aim: This study aimed to identify the challenges faced by critical care nurses during the post-resuscitation period. Methods: A qualitative study was conducted through semi-structured interviews. Sixteen nurses working in the intensive care units of three teaching hospitals were selected using purposive sampling. Data were analyzed using conventional content analysis. Results: Participants experienced individual, interpersonal, and organizational challenges in providing post-resuscitation care. The most important challenges include inadequate clinical knowledge and experience, poor management and communication skills, lack of support from nurse managers, role ambiguity, risk of violence, and inappropriate attitudes of physicians regarding nurses’ roles. Moreover, nurses had a negative attitude towards resuscitated patients. Conclusions: Critical care nurses face several challenges in the post-resuscitation period. These challenges should be addressed through appropriate measures and strategies to improve the quality of post-resuscitation care. Relevance for clinical practice: In-service education, debriefing after resuscitation, promotion of inter-professional collaboration, and provision of support from nursing managers can be considered to improve the quality of post-resuscitation care and reduce challenges.

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“…Similarly, a study by Saleh et al (2017) found that the increased workload in CCUs had an impact on caring behaviours of critical care nurses, with increased nurse to patient ratios ranking as the greatest challenge towards providing care. The shortages of critical care nurses is a global issue, as hospitals are currently facing a crisis in managing staff shortages as healthcare costs rise (Oluma & Abadiga, 2019).…”

Section: Challenges To Caring Behaviours Of Critical Care Nursesmentioning

confidence: 97%

“…Studies reveal that effective communication and mutual respect in nurse-patient relationships have the potential to facilitate positive patient health outcomes, which encompass decreased levels of anxiety, improved physical and mental wellbeing, improved adherence reduced length of hospital stay, decreased pain threshold and optimistic outlook towards critically ill patients' recovery. However, barriers often challenge caring behaviours of critical care nurses (Andersson et al, 2015;Castro-Palaganas, 2020;Drahošová & Jarošová, 2016;Noveno, 2018;Saleh et al, 2017).…”

Section: Caring Behaviours Of Nurses With Emphasis On Critical Care N...mentioning

confidence: 99%

“…Nurses often face situations where they have to practice beyond their scope of practice to save patients' lives. Often, critical care nurses are overburdened with non-nursing duties contributing to inadequate provision of nursing care because of mistakes and omissions (Saleh et al, 2017). Job satisfaction, conversely, was ranked the highest affecting caring behaviours within the critical care environment , as a result of long hours, lack of support for critical care nurses, inadequate training to improve skills and educational opportunities for growth.…”

Section: Challenges To Caring Behaviours Of Critical Care Nursesmentioning

confidence: 99%

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Critical care nurses’ perceptions of caring for patients at a selected hospital in KwaZulu-Natal.

Jugroop

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Background: Caring in a critical care setting requires a holistic process of individualised, patient-focused, and specialised care within a work intensive and technologically focused environment. These are what have an impact on how caring unfolds within a critical care environment. The COVID-19 pandemic has further altered the care relationship between critical care nurses, critically ill patients and their families. Aim: To determine critical care nurse’s perceptions of caring for patients at a selected hospital in KwaZulu-Natal Methods: A quantitative, descriptive, cross-sectional study was conducted on 139 participants in a tertiary quaternary hospital. Data collection used the Caring Assessment for Caregivers questionnaire, and analysis was with descriptive statistics. Results: Results revealed that most of the participants were females above 30 years, holding a Diploma in Nursing and had > 10 years of work experience. Participants had an overall high perception of caring, with a total mean score of 116.01 (range of 25- 125). Of the five subscales, the subscale of “Maintaining belief,” had the highest mean composite score 24.25(range of 5-25) and the subscale of “Being with,” had the lowest mean composite score 22.70. There was no significant relationship found between the critical care nurses’ socio-demographic characteristics, the overall score and the total scores of each of the five subscales. Conclusion: Whilst critical care nurses reported a high overall perception of caring, lower mean scores on the subscale “Being with” suggest that there areas for critical care nurses to grow in their role as carers. Further research is necessary for replication of the study using qualitative approaches to bring forth valuable findings on how the critical care environment has an impact on the caring experiences of critical care nurses.

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Challenges and work crisis facing critical care nurses

Cited by 16 publications

References 1 publication

Critical care nurses’ experiences of caring challenges during post-resuscitation period: a qualitative content analysis

Critical care nurses’ experiences of caring challenges during post-resuscitation period: a qualitative content analysis

Critical care nurses' experiences of caring challenges during post-resuscitation period: a conventional content analysis

Critical care nurses’ perceptions of caring for patients at a selected hospital in KwaZulu-Natal.

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