Current State of Critical Care Nursing Worldwide

Ndirangu-Mugo, Eunice; Barros, Lia M.; Mutwiri, Benard D.; Shumba, Constance; Waweru, Beth; Siika, Wangari Waweru

doi:10.1016/j.ccc.2022.06.014

Cited by 3 publications

(1 citation statement)

References 66 publications

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“…The nursing care of a critically ill patient encompasses general and specific care, attention to basic needs, and advanced practice in a highly technological environment [11,12]. ICU nurses devote time to patient care, as well as clinical responsibilities, interaction with family members, and participation in decision making [13,14]. An ICU nurse's workload is both physical and psychological, which influences the quality of the care they provide [15,16].…”

Section: Introductionmentioning

confidence: 99%

“Who Takes Care of Carers?”: Experiences of Intensive Care Unit Nurses in the Acute Phase of the COVID-19 Pandemic

Castaño-García,

Granero-Molina,

Fernández-Férez

et al. 2024

Healthcare

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Introduction: The COVID-19 pandemic caused an international health emergency situation where nursing took on a fundamental role. The high number of patients in hospital ICUs led to a shift in nurses’ working conditions and workload. Objective: The objective of this study was to describe the experiences of nurses who worked in ICUs during the acute phase of the COVID-19 pandemic. Methodology: A qualitative, descriptive study was carried out, with the participation of 21 nurses who worked in the ICU during the pandemic. Data collection took place between May and July 2021 through 21 in-depth interviews. Results: Three main themes emerged: (1) COVID-19 in ICUs: nurses on the frontline. (2) United against adversity: teamwork. (3) New optics of critical care and the nursing profession. COVID-19 was perceived with harshness, and the lack of knowledge about the virus generated confusion, anxiety and fear due to the risk of transmission to family members and relatives. The pandemic marked a shift in the management of human, material and economic resources. Novice nurses learned critical care at an accelerated pace, with significant physical and psychological strain. Expert nurses carried the burden of training new nurses. Although there were tense situations, experiencing these adverse situations as a team led to feelings of increased belonging, togetherness and professional bonding for nurses. While the participants noted an increase in motivation to continue in their profession, they also had a feeling of not having been cared for as they deserve by healthcare institutions.

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Section: Introductionmentioning

confidence: 99%

“Who Takes Care of Carers?”: Experiences of Intensive Care Unit Nurses in the Acute Phase of the COVID-19 Pandemic

Castaño-García,

Granero-Molina,

Fernández-Férez

et al. 2024

Healthcare

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Lessons from the COVID-19-Pandemic

Camenzind,

Vetter,

Exl

et al. 2024

Med Klin Intensivmed Notfmed

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Zusammenfassung Hintergrund Wenn die Belastung für Intensivpflegefachpersonen zu hoch wird, kann dies Folgen auf die persönliche Gesundheit und auf die Versorgung der Patient*innen haben. Während der Coronavirus Krankheit 2019(Coronavirus disease 2019 [COVID-19])-Pandemie waren Intensivpflegefachpersonen mit neuen und dynamischen Veränderungen konfrontiert. Ziel der Arbeit Ziel war es, Erfahrungen der Intensivpflegefachpersonen bez. der getroffenen Ad-hoc-Maßnahmen und der empfundenen physischen und psychischen Belastung während der COVID-19-Pandemie zu beschreiben. Methode Es wurde eine Querschnittserhebung mittels Onlinebefragung in 2 Krankenhäusern durchgeführt. Die offen formulierten Fragen zu den Herausforderungen während der COVID-19-Pandemie wurden inhaltsanalytisch nach Mayring analysiert. Ergebnisse Insgesamt haben 179 Intensivpflegefachpersonen teilgenommen. Die 4 gebildeten Kategorien umfassen: „den eigenen Ansprüchen an die Pflegequalität nicht gerecht werden“, „Unsicherheiten im beruflichen sowie privaten Alltag“, „erhöhte Verantwortung bei fehlender Entlastung“ und „insuffiziente Bewältigungsstrategien für physische und psychische Belastungen“. Diskussion Intensivpflegefachpersonen benötigen Strukturen und Prozesse, die sie in Situationen hoher Arbeitsbelastung unterstützen. Der Schwerpunkt sollte dabei auf den Umgang mit den eigenen Ansprüchen an die Pflegequalität sowie den Einsatz von potenziell entlastenden Maßnahmen liegen.

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The Essential Components of Adult Critical Care Neuroscience Nursing Orientation: A Delphi Study

Vyas,

Bautista,

Daniels

et al. 2024

Journal of Neuroscience Nursing

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BACKGROUND: Critical care neuroscience nursing is a specialized field requiring a complex knowledge base and unique clinical orientation. A comprehensive orientation for nurses new to this specialty can improve retention, performance, and satisfaction. Critical care neuroscience orientations are often hospital based and regionally specific, and lack a systematic approach. The aim of this research was to obtain expert consensus on the essential components of a 12- to 18-week critical care neuroscience nursing orientation. METHODS: A Delphi methodology was used to collect expert consensus on the components of a critical care neuroscience nursing orientation. Electronic surveys were distributed to 161 neuroscience critical care orientation experts in 2 Delphi rounds. Participant demographic data and a Likert rating scale (1–5) of literature-based components of a critical care neuroscience orientation were collected. Participants identified additional critical care neuroscience orientation components that were not included in the listed components in round 1 or round 2 of the survey. RESULTS: Round 1 of the survey had 38 responses (23.6%), and round 2 had 23 responses (14.2%). The round 1 survey included 47 elements, and 36 of 47 met the a priori threshold of ≥75% consensus of being important or very important. Two additional elements resulted from write-in recommendations. In round 2, 38 elements were included in the survey, and 37 of 38 elements met consensus. Expert consensus on the essential components of a critical care neuroscience orientation included 37 elements divided among 5 major components. CONCLUSION: Expert consensus was achieved on the essential components of a 12- to 18-week adult critical care neuroscience nursing orientation. Five components and 37 elements were agreed upon by expert consensus.

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Current State of Critical Care Nursing Worldwide

Cited by 3 publications

References 66 publications

“Who Takes Care of Carers?”: Experiences of Intensive Care Unit Nurses in the Acute Phase of the COVID-19 Pandemic

“Who Takes Care of Carers?”: Experiences of Intensive Care Unit Nurses in the Acute Phase of the COVID-19 Pandemic

Lessons from the COVID-19-Pandemic

The Essential Components of Adult Critical Care Neuroscience Nursing Orientation: A Delphi Study

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