Quality Improvement Strategies for Critical Care Nursing

Barnhorst, Amanda B.; Martinez, Mirian; Gershengorn, Hayley B.

doi:10.4037/ajcc2015104

Cited by 6 publications

(4 citation statements)

References 29 publications

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“…Increased nursing requirements and additional roles should be factored into RN staffing within critical care units to enable such service provision (New Zealand College of Critical Care Nurses, 2015). Furthermore, consideration should be given to the qualifications, skills, experience, and attributes of nursing staff, acknowledging that patient care needs may necessitate a reevaluation of staffing requirements (Blake, 2013 is imperative that governments, hospital boards, educational providers, and professional bodies recognize that the future of critical care nursing calls for RNs to be viewed as highly skilled and educated partners in the provision of high-quality healthcare (Barnhorst, Martinez, & Gershengorn, 2015). This recognition begins with acknowledging the importance of critical care RNs having access to education programs that aid the development and advancement of skills and expertise in critical care nursing, irrespective of seniority or geographic location (Endacott et al, 2015;Hendrickx & Winters, 2017).…”

Section: Critical Id:ti0025mentioning

confidence: 99%

World Federation of Critical Care Nurses 2019 Position Statement: Provision of a Critical Care Nursing Workforce

Bloomer¹,

Fulbrook

Goldsworthy

et al. 2019

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BackgroundDue to changes in critical care worldwide, the World Federation of Critical Care Nurses Board of Directors commissioned a review of its 2005 Declaration of Buenos Aires: Position Statement on the Provision of a Critical Care Nursing Workforce.AimTo provide international recommendations to inform and assist critical care nursing associations, health services, governments, and other interested stakeholders in the development and provision of an appropriate critical care nursing workforce.MethodsAn international review group was established, comprised of critical care nurse clinicians, leaders, and researchers. A literature search was undertaken, which informed the revision of the 2005 Declaration, which is contained in the 2019 Position Statement.PositionThe position is supported by six central principles, and is comprised of eight key statements: A critical care unit should have a dedicated nurse leader; Each shift should have at least one registered nurse (RN) designated as the team leader; The majority of RNs providing patient care should hold a recognized post-registration qualification or certification in critical care; Critical care RN staffing should be assessed on a shift-by-shift basis according to patient acuity, the staffing profile, and unit need; An additional critical care RN, not counted in RN-to-patient ratios or allocated a patient load, may provide additional hands-on assistance in patient care, and coordinate other patient-related activities; Support staff (such as nursing and allied health assistants, nursing aides, and care assistants) should work only under the direct supervision of a critical care RN, and never in place of a critical care RN; Where institutionally supported, and in accordance with local legislation, a critical care RN may provide expert critical care consultancy; A critical care unit should be staffed to provide at least one senior nurse, who holds a recognized post-registration critical care qualification or certification, and ideally further qualifications in education.

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Section: Critical Id:ti0025mentioning

confidence: 99%

World Federation of Critical Care Nurses 2019 Position Statement: Provision of a Critical Care Nursing Workforce

Bloomer¹,

Fulbrook

Goldsworthy

et al. 2019

Connect

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“…Nursing demands ethical skills from its professionals more and more, since technical and theoretical knowledge often do not address patients' and family issues. Therefore, the care provided by the nurse is also evaluated based on their communication, protection, defense and relationship with patients and relatives (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

“…Also, a nurse in the ICU becomes a care reference for both the patient and their family due to the greater closeness between them (11)(12) . Finally, the importance of interpersonal communication of the nurse who performs healthcare in the ICU is evident, be it with a doctor, nursing team, other professionals or with patients and their relatives (1,12) .…”

Section: Introductionmentioning

confidence: 99%

“…In order to investigate the beliefs and actions of nurses in protecting patients through their role in patient advocacy, we sought to use the Protective Nursing Advocacy Scale (PNAS) developed by Hanks (2010). The scale was transculturally adapted and validated in Brazil, with this Brazilian version being a valid and reliable instrument for evaluating the beliefs and advocacy actions of Brazilian nurses (1,13) .…”

Section: Introductionmentioning

confidence: 99%

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Ações de advocacia do paciente pelos enfermeiros intensivistas

Vargas

Tomaschewski-Barlem

et al. 2019

Rev. esc. enferm. USP

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RESUMO Objetivo Explorar as ações e os fatores associados à defesa do paciente pelos enfermeiros intensivistas utilizando a escala Protective Nursing Advocacy Scale . Método Estudo quantitativo, descritivo-exploratório, de delineamento transversal. O questionário foi respondido por enfermeiros que atuavam em Unidades de Terapia Intensiva das regiões Sul e Sudeste do Brasil. Realizaram-se a análise fatorial exploratória dos dados, os testes T e qui-quadrado para associação entre fatores. Resultados Participaram da pesquisa 451 enfermeiros. Um número maior de enfermeiros não concorda com as consequências negativas que a advocacia do paciente possa ter ou trazer para eles. Um maior diálogo entre profissionais da equipe de enfermagem potencializaria os resultados do trabalho em equipe. Enfermeiros com dois vínculos, ou mais, de emprego necessitam de mais esforço físico e mental, o que compromete sua qualidade de vida e de trabalho, sendo esses os que menos exercem a advocacia do paciente. Conclusão Enfermeiros entendem a defesa do paciente como parte importante de seu trabalho, bem como os fatores que podem influenciar a decisão em defender seus pacientes, mas ainda desconhecem os benefícios da advocacia.

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