Strategies to address management challenges in larger intensive care units

Matlakala, Mokgadi C.; Bezuidenhout, Marthie; Botha, A.D.H.

doi:10.1111/jonm.12240

Cited by 7 publications

(8 citation statements)

References 12 publications

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“…18 Finally, pairing TCS with a unit mentor during onboarding aids in relieving the stress of integrating on a new unit. 1,13,18,20,21,23 Teamwork, ongoing support, and evaluation Providing support and evaluation beyond the orientation period helps ensure successful integration of TCS. 18 This can be accomplished through socialization, teamwork, formalized feedback, and by providing ongoing professional development opportunities.…”

Section: Resultsmentioning

confidence: 99%

“…In a case study conducted in 2 public sector hospitals in South Africa, failure to perform adequate preemployment checks was reported to contribute to increased patient safety concerns and increase the burden on permanent staff who may need to supervise TCS 19. Hiring managers should set clear expectations and ensure that TCS are experts in the field in which they will be working 15,19-23. A competency assessment may be a useful way to help determine whether TCS have the appropriate skills for their unit of hire 24.…”

Section: Resultsmentioning

confidence: 99%

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Best Practices for Promoting Safe Patient Care Delivery by Hospital-Based Traveling Clinical Staff

Krzyzewski,

Cook,

Memken

et al. 2023

Journal of Nursing Care Quality

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Background: Hospitals use traveling clinical staff (TCS) to fill personnel shortages. Although this approach may help improve staffing ratios, it is not without risk. Purpose: The interdisciplinary team conducted an integrative literature review to determine best practices for promoting safe patient care delivery by TCS. Methods: Using the Johns Hopkins Evidence-Based Practice model, the authors performed an integrative literature review, including appraisal of quality, synthesis of themes, and best-evidence recommendations. Results: The final synthesis included 16 articles. Evidence demonstrated the importance of preemployment screening, standardized onboarding and orientation, and optimizing the integration of TCS into the work environment. Conclusion: Hospitals should use these recommendations when incorporating TCS into their teams.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Best Practices for Promoting Safe Patient Care Delivery by Hospital-Based Traveling Clinical Staff

Krzyzewski,

Cook,

Memken

et al. 2023

Journal of Nursing Care Quality

View full text Add to dashboard Cite

show abstract

“…Data were collected using an online questionnaire in February 2019. The questionnaire was develop based on the seven criteria identified from the literature: clarity, credibility, relevance, efficiency, sustainability, implementability and impact ( 23 , 33 ). The questionnaire was created and administered via www.surveymonkey.com.…”

Section: Discussionmentioning

confidence: 99%

Developing a Framework Strategy for Supporting Radiographers in the Clinical Supervision of Radiography Students in Zambia: A Mixed Methods Study

Bwanga

2020

Ethiop J Health Sci

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BACKGROUND፡ Clinical supervisors of radiography students play a key role in the facilitation of practice-based learning. However, there is a scarcity of evidence-based strategies to support clinical supervisors. This study aimed at exploring the level of support required by radiographers in order to develop a framework strategy for supporting clinical supervisors ofradiography students in Zambia.METHODS: This study used an exploratory sequential mixedmethods approach. The qualitative phase was conducted first, and the findings were used to develop the questionnaire for the quantitative phase. The study population was radiographers working in the Lusaka and Copperbelt provinces of Zambia. For the first phase, data were collected from a purposive sample of 10 clinical supervisors of radiography students. For the survey, data were collected from 120 radiographers using a questionnaire. In the third phase, a group of experts validated the proposed framework using an online questionnaire. Qualitative data were analysed thematically and quantitative data using statistics.RESULTS: Four support areas were identified: training and education in clinical supervision, clinical training resources, human resources and relationships, and quality assurance programmes related to clinical supervision. These findings informed the development of a support framework strategy for clinical supervisors.CONCLUSION: This study has revealed that clinical supervision of radiography students requires coordinated support from stakeholders: schools of radiography, professional body, and radiology and hospital management. It is anticipated that the developed framework, when implemented, will enhance the experiences of clinical supervisors and improve the quality of clinical education.

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“…11,12 Considering this framework, it is essential that the team is encouraged and valued as biopsychosocial beings, because when they feel more respected, valued and motivated as people and professionals, they can establish healthier interpersonal relationships with patients, family members and the multidisciplinary team. 11,13 During hospitalization, the safety of patients has received increasing attention from nurses in the search for assistance that ensures maximum quality and minimum risks for the patient. In this sense, with regard to medication administration, the occurrence of errors during any stage of this process is not only undesirable for achieving the quality of services, but also harmful to the patient, multidisciplinary team and hospital.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ knowledge about health promotion in the intensive therapy unit

Magalhães¹,

Carvalho²,

Mesquita³

et al. 2020

R.pesq.:cuid.fundam.Online

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Objetivo: Avaliar os conhecimentos de enfermeiros intensivistas sobre a promoção da saúde em Unidade de Terapia Intensiva. Métodos: Estudo descritivo, exploratório, retrospectivo, com abordagem quantitativa, realizado em um Hospital de ensino localizado na cidade de Teresina-PI. A coleta de dados ocorreu no período de janeiro a fevereiro de 2015. A análise dos dados ocorreu por meio do software Microsoft Office Excel 2007 para a obtenção de frequência, média e percentual. Resultados: Ainda há muito a avançar para alcançar o desenvolvimento da promoção da saúde no contexto hospitalar, particularmente, no contexto da Unidade de Terapia Intensiva, sobretudo, porque as práticas de saúde instituídas no cuidado ao cliente são centradas hegemonicamente nos aspectos físicos da doença e não é adotada de forma unânime pelos enfermeiros. Conclusão: Os enfermeiros entenderam a importância da promoção da saúde para evitar complicações no estado de saúde dos clientes que assistem.

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Strategies to address management challenges in larger intensive care units

Cited by 7 publications

References 12 publications

Best Practices for Promoting Safe Patient Care Delivery by Hospital-Based Traveling Clinical Staff

Best Practices for Promoting Safe Patient Care Delivery by Hospital-Based Traveling Clinical Staff

Developing a Framework Strategy for Supporting Radiographers in the Clinical Supervision of Radiography Students in Zambia: A Mixed Methods Study

Nurses’ knowledge about health promotion in the intensive therapy unit

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