2013
DOI: 10.1186/cc12683
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Decreasing severe pain and serious adverse events while moving intensive care unit patients: a prospective interventional study (the NURSE-DO project)

Abstract: IntroductionA quality-improvement project was conducted to reduce severe pain and stress-related events while moving ICU-patients.MethodsThe Plan-Do-Check-Adjust cycle was studied during four one-month phases, separated by five-month interphases. All consecutive patients staying more than 24 hours were evaluated every morning while being moved for nursing care (bathing, massage, sheet-change, repositioning). Phase 1 was considered as the baseline. Implemented and adjusted quality-interventions were assessed at… Show more

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Cited by 88 publications
(56 citation statements)
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“…Tidak adekuatnya pengkajian nyeri dapat menyebabkan tidak dikenalinya masalah nyeri sehingga nyeri tidak tertangani. Nyeri yang tidak ditangani secara optimal dapat menimbulkan dampak yang buruk terhadap fungsi fisiologis (fluktuasi tandatanda vital, nosokomial infeksi), meningkatkan waktu rawat inap di ICU, meningkatkan waktu penggunaan ventilator (Canques et al, 2006, De Jong et al, 2013, Sessler et al, 2008, Payen et al, 2009, Futier et al, 2012. Selain hal tersebut, nyeri yang tidak tertangani juga bisa menyebabkan peningkatan tekanan intra kranial (Bor Seng et al, 2013), pada level yang tinggi juga memiliki konsekuensi menimbukan post traumatic stres disorder (Myhren et al,2010) Manajemen yang tepat dari nyeri tergantung pada pengkajian nyeri yang sistematis dan akurat (Herr et al, 2006).…”
Section: Pendahuluanunclassified
“…Tidak adekuatnya pengkajian nyeri dapat menyebabkan tidak dikenalinya masalah nyeri sehingga nyeri tidak tertangani. Nyeri yang tidak ditangani secara optimal dapat menimbulkan dampak yang buruk terhadap fungsi fisiologis (fluktuasi tandatanda vital, nosokomial infeksi), meningkatkan waktu rawat inap di ICU, meningkatkan waktu penggunaan ventilator (Canques et al, 2006, De Jong et al, 2013, Sessler et al, 2008, Payen et al, 2009, Futier et al, 2012. Selain hal tersebut, nyeri yang tidak tertangani juga bisa menyebabkan peningkatan tekanan intra kranial (Bor Seng et al, 2013), pada level yang tinggi juga memiliki konsekuensi menimbukan post traumatic stres disorder (Myhren et al,2010) Manajemen yang tepat dari nyeri tergantung pada pengkajian nyeri yang sistematis dan akurat (Herr et al, 2006).…”
Section: Pendahuluanunclassified
“…www.kan.or.kr 배경희·정인숙 환자가 경험하는 통증은 주요한 스트레스원으로 다양한 부정적 인 영향을 줄 수 있다 [5][6][7]. 통증은 부정맥, 빈맥, 서맥, 고혈압, 저혈 압, 호흡장애 [5]와 혈당조절장애 [6]와 같은 생리적 문제를 초래하며, 지속적이고 완화되지 않은 통증은 수면장애의 원인이 되어 [7], 환 자의 삶의 질을 저하시킬 수 있다.…”
unclassified
“…통증은 부정맥, 빈맥, 서맥, 고혈압, 저혈 압, 호흡장애 [5]와 혈당조절장애 [6]와 같은 생리적 문제를 초래하며, 지속적이고 완화되지 않은 통증은 수면장애의 원인이 되어 [7], 환 자의 삶의 질을 저하시킬 수 있다. 따라서, 의료인은 환자가 경험하 는 통증을 정확히 사정하여 인식하고, 이를 감소시키기 위한 적절 한 중재를 강구할 필요가 있다.…”
unclassified
“…In this issue of Critical Care , de Jong and colleagues report on a quality improvement (QI) project (NURSE-DO) that led to a decrease in severe pain and serious adverse events during nursing care procedures in their ICU [1]. In this commentary we describe three aspects of this QI study that we think contributed to the overall success of the NURSE-DO project: the hospital environmental and culture; multi-professional partnerships; and a structured approach.…”
mentioning
confidence: 99%