Nursing in Critical Care Setting

Comisso, Irene; Lucchini, Alberto; Bambi, Stefano; Giusti, Gian Domenico; Manici, Matteo

doi:10.1007/978-3-319-50559-6

Cited by 8 publications

(9 citation statements)

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“…In general, there are two types of implementation strategies; passive strategies, which include the use of educational materials, posters, toolkits and visual aids, or active strategies, which include interactive workshops, academic detailing, audit and feedback and reminders [ 4 ]. The evidence suggests that passive strategies may have modest beneficial effects, but do not necessarily lead to sustained behaviour change.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of implementation strategies for promoting evidence informed interventions in allied healthcare: a systematic review

Goorts

Dizon

Milanese

2021

BMC Health Serv Res

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Background Evidence based practice in health care has become increasingly popular over the last decades. Many guidelines have been developed to improve evidence informed decision making in health care organisations, however it is often overlooked that the actual implementation strategies for these guidelines are as important as the guidelines themselves. The effectiveness of these strategies is rarely ever tested specifically for the allied health therapy group. Methods Cochrane, Medline, Embase and Scopus databases were searched from 2000 to October 2019. Level I and II studies were included if an evidence informed implementation strategy was tested in allied health personnel. The SIGN method was used to evaluate risk of bias. The evidence was synthesised using a narrative synthesis. The National Health and Medical Research Council (NHMRC) model was applied to evaluate the grade for recommendation. Results A total of 490 unique articles were identified, with 6 primary studies meeting the inclusion criteria. Three different implementation strategies and three multi-faceted components strategies were described. We found moderate evidence for educational meetings, local opinion leaders and patient mediated interventions. We found stronger evidence for multi-faceted components strategies. Conclusion Few studies describe the effectiveness of implementation strategies for allied healthcare, but evidence was found for multi-faceted components for implementing research in an allied health therapy group population. When considering implementation of evidence informed interventions in allied health a multi-pronged approach appears to be more successful.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of implementation strategies for promoting evidence informed interventions in allied healthcare: a systematic review

Goorts

Dizon

Milanese

2021

BMC Health Serv Res

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“…Considering the participants' mean score (mean score 79.2 ± 46.2; maximum: 190) on the MDS‐R, we could suggest that the intensive care nurses had a moderate level of moral distress. This result could be due to the fact that nurses can usually fulfil their independent professional roles in intensive care more than they can do in other settings 27 . In fact, the participants' high scores for individualized care support this suggestion.…”

Section: Discussionmentioning

confidence: 84%

“…This result could be due to the fact that nurses can usually fulfil their independent professional roles in intensive care more than they can do in other settings. 27 In fact, the participants' high scores for individualized care support this suggestion. Similarly, previous studies found that nurses experience low-to-moderate levels of moral distress.…”

Section: Discussionmentioning

confidence: 86%

Individualized care perceptions and moral distress of intensive care nurses

Işık

Yıldırım

2021

Nursing in Critical Care

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Background: Intensive care settings are characterized by their structure, which constantly changes in parallel with scientific and technological developments, the uncertainty of the lifeline between birth and death, the challenges in the fair distribution of limited resources, the participation of individuals in medical decisions, and witnessing the pain experienced by individuals. These characteristics also affect the level of moral distress, which can make it difficult for ICU nurses to provide the most appropriate individualized care for their patients. Aims:The purpose of this study was to determine the moral distress levels and individualized care perceptions of intensive care nurses.Study design: This study employed a cross-sectional descriptive survey design.Methods: This descriptive study was conducted with 128 nurses working in the intensive care units of a university hospital in Turkey. Data were collected using an 'Information Form', 'the Moral Distress Scale', and 'the Individualized Care Scale-Nurse Version'.Results: 78.9% of the nurses stated that there was staff shortage, and 36.0% stated that the physical conditions were not suitable for care in the intensive care units in which they worked. The mean score on the Moral Distress Scale was 79.2 ± 46.4.The mean total score on the Individualized Care Scale-Nurse Version was 3.5 ± 0.8. Conclusion:This study revealed that the intensive care nurses had moderate levels of moral distress and good levels of individualized care perceptions although there was no significant relationship between their moral distress levels and individualized care perceptions. Also, the nurses adopted care behaviours supporting patients' feelings and autonomy.Relevance to clinical practice: In our study, the intensive care nurses did not reflect their moderate-level moral distress in the individualized care provided. It could be beneficial to measure intensive care nurses' moral distress and care levels at frequent intervals so that early precautions could be taken to prevent the accumulation of moral distress and care difficulties among intensive care nurses.

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“…Esta recomendación se basa en las guías clínicas americanas, inglesas, asiáticas y el Center for Disease Control and Prevention (CDC) para la población adulta. Las guías francesas y argentinas no incluyen ninguna recomendación al respecto 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 .…”

Section: Resultados: Actualización Del Proyecto Bz (2021)unclassified

Actualización de las recomendaciones del Proyecto Bacteriemia Zero

Delicado

Nuvials

2022

Enfermería Intensiva

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Nursing in Critical Care Setting

Cited by 8 publications

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The effectiveness of implementation strategies for promoting evidence informed interventions in allied healthcare: a systematic review

The effectiveness of implementation strategies for promoting evidence informed interventions in allied healthcare: a systematic review

Individualized care perceptions and moral distress of intensive care nurses

Actualización de las recomendaciones del Proyecto Bacteriemia Zero

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