Intensive care units in Turkish hospitals: do they meet the minimum standards?

Türkmen, Emine; Sevinç, Selvet; İlhan, Marziye

doi:10.1111/nicc.12066

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…25 We believe that this relatively long diagnosis timeframe was due to the context of the working conditions in Turkey, where ICU staff shortages are commonplace. 26 Confirmatory tests were used in 702 (35.1%) patients, despite the apnea tests being negative in 257 (12.9%) patients; these confirmatory tests may have been used to prove the BD diagnosis further and to shorten the time to the final diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

Sipahioğlu

Elay

Bingol

et al. 2022

J Neuroanaesth Crit Care

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Background Organ transplantation reduces mortality and morbidity in patients with end-stage organ failure. The number of living organ donations is not enough to meet the current organ transplantation need; therefore, there is an urgent need for organ donation from cadavers. We aimed to determine the organ donation rates and reveal the obstacles against donation. Methods This study is designed as a retrospective multicenter study consisting of eight university hospitals, three training and research hospitals, 26 state hospitals, and 74 private hospitals in nine provinces in Turkey. A total of 1,998 patients diagnosed with brain death between January 2011 to April 2019 were examined through the electronic medical records data system. Results Median patient age was 38 (IQR: 19–57), and 1,275 (63.8%) patients were male. The median time between the intensive care unit admission and brain death diagnosis was 56 (IQR:2–131) hours. The most commonly used confirmatory diagnostic test was computed tomography in 216 (30.8%) patients, and the most common cause of brain death was intraparenchymal hemorrhage with 617 (30.9%) patients. A total of 1,646 (82.4%) families refused to permit organ donation. The most common reasons for refusal were family disagreement (68%), social/relative pressure (24%), and religious beliefs (8%). Conclusions Many families refuse permission for organ donation; some of the provinces included in this study experienced years of exceptionally high refusal rates.

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Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

Sipahioğlu

Elay

Bingol

et al. 2022

J Neuroanaesth Crit Care

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“…This issue is not limited to the UK, with international studies reporting lower than anticipated therapy staffing levels. [19][20][21][22] Reasons for this include lack of evidence and recognition of the Open access roles, 23 lack of funding but also lack of available appropriately trained staff able to work within critical care. 24 Participants in this study raised the source of funding for therapy posts, for example, critical care or therapy department funded, as having a direct impact on the ability for therapy staff to become fully integrated within the critical care MDT.…”

Section: Working Practicesmentioning

confidence: 99%

Exploration of therapists’ views of practice within critical care

et al. 2021

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IntroductionTherapists are increasing recognised as core members of the critical care multiprofessional team. Each therapy profession provides specialist assessments and interventions, but also work collaboratively across the rehabilitation pathway. Despite inclusion in several national guidance documents, there remains a lack of evidence regarding the perceived role of therapists working within critical care, the unique contributions of each profession and opinion on the day-to-day tasks and responsibilities of each therapy profession.MethodA descriptive qualitative methodology was used involving seven focus groups. Purposeful sampling was used to recruit therapists via professional specialist interest groups. All focus groups were uniprofessional and discussions based on a predesigned framework. Data were analysed thematically.ResultsParticipants (n=65) from across the UK were recruited to seven focus groups with an average of 18.3 years postgraduate clinical experience of which 11.6 years was within critical care. Three core themes were generated from 875 codes and 237 potential subthemes. The final themes were (1) professional characteristics; (2) multidisciplinary team and (3) staffing. An additional theme of ‘COVID-19 pandemic’ was also identified. Findings were similar across all profession groups particularly regarding the need for holistic, patient-centred care. Expected variation was observed for professional characteristics especially regarding specific assessments and interventions.DiscussionTherapy services are an essential component to the delivery of critical care especially regarding recovery and rehabilitation. Through three core themes, this qualitative study has provided new evidence of the perceptions and opinions of the role that therapists undertake within critical care.

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“…Intensive care units (ICU) are specialized units dedicated to caring for patients who are at high risk of life-threatening health problems and who require more vigilant nursing care. Team members from different healthcare disciplines work together in these units, where high-tech and complex treatment-care methods are intensively used, and these units are considered high-risk areas in terms of patient safety (1,2). In this context, nurses providing 24/7 services at ICUs need to receive special training and continuously renew their knowledge and skills in order to provide safe and high-quality care using current technology (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Views of Critical Care Nurses Participating in an Adult Intensive Care Nursing Certification Program

Göktepe¹,

Türkmen²,

Bozkurt³

et al. 2021

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Objective: This descriptive study was conducted to reveal the views of nurses who participated in an intensive care nursing certification program regarding the process of planning and implementing care. Materials and Methods: The sample comprised 218 voluntary nurses who completed an intensive care nursing certificate program in one of four different education centers. A questionnaire consisting of twenty-five questions, two of which were open-ended, was used to collect the data. The quantitative data were evaluated with descriptive statistics while the qualitative data obtained from the open-ended questions were examined using content analysis. Results: The average age of the participants was 31.7±7.1, and 81.2% were female. The majority of participants stated that they were satisfied with the program content, duration, related learning methods, practical training, and educators. They also noted that the contribution level of the program to their professional knowledge and skills was 69.2±25.2%. Two main themes were determined for content analysis of the qualitative data: design and implementation of the program and the achievements of trainees. Conclusion: Nurses who participated in the intensive care nursing certificate program seemed generally satisfied with the training. However, some other arrangements are needed to design a competency-based program and to conduct it using educators who teach using common course training materials in coordination and cooperation with all training centers.

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Intensive care units in Turkish hospitals: do they meet the minimum standards?

Abstract: Hospital and ICU managers could use our findings to compare their facilities with others or to identify areas in need of improvement.

Cited by 6 publications

References 28 publications

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey

Exploration of therapists’ views of practice within critical care

Views of Critical Care Nurses Participating in an Adult Intensive Care Nursing Certification Program

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