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Demandas de atenção do enfermeiro de unidades de cuidados criticos; Attention demands of nurse in the critical care units

Candida Marcia de Brito
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 01/02/2006 Português
Relevância na Pesquisa
65.93%
Nas Unidades de Cuidados Críticos (UCCs) o enfermeiro está exposto à múltiplas demandas de atenção inerentes ao ambiente de trabalho e que exigem um aumento da concentração para lidar com elas. Este estudo que se insere na linha de pesquisa Processo de Cuidar em Saúde e Enfermagem, teve como objetivos: 1) caracterizar os enfermeiros com relação às variáveis sociodemográficas e profissionais, 2) identificar à percepção da adequação do ambiente de trabalho pelos enfermeiros, 3) identificar as situações de demandas de atenção do enfermeiro em unidades de cuidados críticos, 4) Verificar se existem diferenças na percepção dessas demandas pelos enfermeiros das diferentes UCCs e em relação as variáveis sociodemográficas e profissionais e 5) Descrever as estratégias de enfrentamento apontadas pelos enfermeiros frente às fontes de demanda nas UCCs. Para a coleta de dados utilizou-se os instrumentos: Caracterização Sociodemográfica, Caracterização do Ambiente de Trabalho e Demandas de atenção de enfermeiro. Participaram do estudo 60 enfermeiros, de cinco UCCs de um hospital privado do município de São Paulo. A maioria era do sexo feminino, solteira e com curso de especialização. As situações de maiores demandas de atenção foram: “observar o sofrimento de um paciente”...

Emergency and critical care of the avian patient

Silva, Andreia Luísa Reis da
Fonte: Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária Publicador: Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária
Tipo: Dissertação de Mestrado
Publicado em 13/02/2012 Português
Relevância na Pesquisa
65.99%
Dissertação de Mestrado Integrado em Medicina Veterinária; Increasing numbers of exotic animals are being kept as pets and owners want to receive the same high quality veterinary medical care as given to other animals. The field of emergency and critical care is rapidly developing so this dissertation focus on clinically relevant information, some new advances and their application to therapy. In the first part of this work, the data gathered regarding all medical and surgical procedures performed during a four-month externship at Great Western Referrals Hospital, United Kingdom, under the scientific supervision of Dr. Neil Forbes is presented. The second part is a description of the most common emergency presentations, effective diagnostic and therapeutic protocols, including the pathophysiology of shock and fluid therapy. In the third part of this work, 12 clinical cases observed during the externship are presented. These cases were chosed due to their being representative of what the clinician may have to deal with in terms of avian emergency and critical care. For each case, clinical signs, diagnostic testing and treatment are described and discussed. The clinical presentation for each case is extremely diverse with inter- and intra- specific variations which is further complicated by the fact that most avian species mask signs of disease so owners are rarely aware of health problems that may occur. One of the limitations of emergency avian procedures is the challenge to reach an adequate diagnosis and establish adequate treatment protocols for critical patients...

Critical care in the emergency department: introduction

Nee, P; Andrews, F; Rivers, E
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em /07/2006 Português
Relevância na Pesquisa
65.86%
In this series of articles we aim to stimulate the interest of the emergency physician treating critically ill patients and promote discussion on critical care in the resuscitation room

Virtual ICU and E-learning tools: Scope in critical care medicine in India

Arora, Vijay Kumar; Chachra, Vaibhav
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2012 Português
Relevância na Pesquisa
65.86%
Critical care medicine is an important tool for decreasing morbidity and mortality of patients. There is a need to develop effective web content for use of intensivists and related disciplinaries. Use of simulators and production of good quality videos and their uploading on national connectivity can add fillip to the “National Mission of Education” started by the Government of India.

Transesophageal echocardiographic assessment in trauma and critical care

Tousignant, Claude
Fonte: Canadian Medical Association Publicador: Canadian Medical Association
Tipo: Artigo de Revista Científica
Publicado em /06/1999 Português
Relevância na Pesquisa
65.9%
Cardiac ultrasonography, in particular transesophageal echocardiography (TEE) provides high-quality real-time images of the beating heart and mediastinal structures. The addition of Doppler technology introduces a qualitative and quantitative assessment of blood flow in the heart and vascular structures. Because of its ease of insertion and ready accessibility, TEE has become an important tool in the routine management of critically ill patients, as a monitor in certain operative settings and in the aortic and cardiac evaluation of trauma patients. The rapid assessment of cardiac preload, contractility and valve function are invaluable in patients with acute hemodynamic decompensation in the intensive care unit as well as in the operating room. Because of its ease and portability, the TEE assessment of traumatic aortic injury after blunt chest trauma can be rapidly undertaken even in patients undergoing life-saving procedures. The role of TEE in the surgical and critical care setting will no doubt increase as more people become aware of its potential.

Adaptation of the Critical Care Family Need Inventory to the Turkish population and its psychometric properties

Büyükçoban, Sibel; Çiçeklioğlu, Meltem; Demiral Yılmaz, Nilüfer; Civaner, M. Murat
Fonte: PeerJ Inc. Publicador: PeerJ Inc.
Tipo: Artigo de Revista Científica
Publicado em 20/08/2015 Português
Relevância na Pesquisa
66.01%
In the complex environment of intensive care units, needs of patients’ relatives might be seen as the lowest priority. On the other hand, because of their patients’ critical and often uncertain conditions, stress levels of relatives are quite high. This study aims to adapt the Critical Care Family Need Inventory, which assesses the needs of patients’ relatives, for use with the Turkish-speaking population and to assess psychometric properties of the resulting inventory. The study was conducted in a state hospital with the participation of 191 critical care patient relatives. Content validity was assessed by expert opinions, and construct validity was examined by exploratory factor analysis (EFA). Cronbach’s alpha coefficient was used to determine internal consistency. The translated inventory has a content validity ratio higher than the minimum acceptable level. Its construct validity was established by the EFA. Cronbach’s alpha coefficient for the entire scale was 0.93 and higher than 0.80 for subscales, thus demonstrating the translated version’s reliability. The Turkish adaptation appropriately reflects all dimensions of needs in the original CCFNI, and its psychometric properties were acceptable. The revised tool could be useful for helping critical care healthcare workers provide services in a holistic approach and for policymakers to improve quality of service.

Atropine for Critical Care Intubation in a Cohort of 264 Children and Reduced Mortality Unrelated to Effects on Bradycardia

Jones, Peter; Peters, Mark J.; Pinto da Costa, Nathalia; Kurth, Tobias; Alberti, Corinne; Kessous, Katia; Lode, Noella; Dauger, Stephane
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
65.99%
Background: Atropine has is currently recommended to facilitate haemodynamic stability during critical care intubation. Our objective was to determine whether atropine use at induction influences ICU mortality. Methodology/Principal Findings: A 2-year prospective, observational study of all first non-planned intubations, September 2007–9 in PICU and Intensive Care Transport team of Hôpital Robert Debré, Paris, 4 other PICUs and 5 NICUs in the Paris Region, France. Follow-up was from intubation to ICU discharge. A propensity score was used to adjust for patient specific characteristics influencing atropine prescription. 264/333 (79%) intubations were included. The unadjusted ICU mortality was 7.2% (9/124) for those who received atropine compared to 15.7% (22/140) for those who did not (OR 0.42, 95%CI 0.19–0.95, p = 0.04). One child died during intubation (1/264, 0.4%). Two age sub-groups of neonates (≤28 days) and older children (>28 days, <8 years) were examined. This difference in mortality arose from the higher mortality in children aged over one month when atropine was not used (propensity score adjusted OR 0.22, 95%CI 0.06–0.85, p = 0.028). No effect was seen in neonates (propensity score adjusted OR 1.3, 95%CI 0.31–5.1 p = 0.74). Using the propensity score...

The Relationship Between Nurses’ Perception of Work Environment and Nurse-sensitive Patient Outcomes in Adult Critical Care

Boev, Christine A. ; Ingersoll, Gail
Fonte: Universidade de Rochester Publicador: Universidade de Rochester
Tipo: Tese de Doutorado
Português
Relevância na Pesquisa
65.98%
Thesis (Ph.D.)--University of Rochester. School of Nursing. Dept. of Nursing, 2011.; Purpose: The purpose of this study was to examine the relationship between nurses’ perception of work environment and nurse-sensitive patient outcomes in adult critical care. Methods: This study was a secondary analysis of existing data. Perception of work environment was measured annually for five years (2005-2009) using the Index of Work Satisfaction (IWS) and the Practice Environment Scale of the Nurses Work Index (PES-NWI). Nurse-sensitive patient outcomes measured were ventilator-associated pneumonia (VAP), central line-associated blood stream infection (CLABSI), patient falls, pressure ulcer prevalence, medication errors, and patient satisfaction. Multilevel modeling was used to examine the relationships between perception of work environment and nurse-sensitive patient outcomes. Results: As measured by the IWS, task requirements (p<.0001) and organizational policies (p<.0001) were inversely associated with CLABSI. Pay was positively associated with CLABSI (p<.0001). Nurse interaction was inversely associated with medication errors (p=.009) and positively associated with CLABSI (p<.0001). Professional status of nurses was inversely associated with pressure ulcers (p=.032). The nurse manager subscale of the PES-NWI was associated with patient satisfaction (p=.019). The relationship between nurses’ perception of work environment also was examined using a combined instrument that included seven subscales and 51 items drawn from the IWS and the PES-NWI. The staffing and resource subscale was inversely associated with both VAP (p=.047) and CLABSI (p<.0001). Compensation was associated with patient falls (p=.039) and CLABSI (p<.0001). Collegial relationships was associated with pressure ulcers (p=.034) while autonomous practice was associated with pressure ulcers (p=.012). Overall model comparison suggested that when controlling for key covariates...

Use of point-of-care ultrasound by a critical care retrieval team

Pearce, A.; Sharley, P.; Mazur, S.; Alfred, S.
Fonte: Blackwell Science Asia Pty Ltd Publicador: Blackwell Science Asia Pty Ltd
Tipo: Artigo de Revista Científica
Publicado em //2007 Português
Relevância na Pesquisa
65.95%
Point-of-care ultrasound in the prehospital and retrieval environments has now become possible owing to decreased size and weight, and increasing robustness of some ultrasound machines. This report describes the initial experience of point-of-care ultrasound by an Australian critical care retrieval service using a portable ultrasound machine.; Stefan M. Mazur, Andrew Pearce, Sam Alfred and Peter Sharley

What is the evidence for the use of high flow nasal cannula oxygen in adult patients admitted to critical care units? A systematic review

Kernick, J.; Magarey, J.
Fonte: Cambridge Media Publicador: Cambridge Media
Tipo: Artigo de Revista Científica
Publicado em //2010 Português
Relevância na Pesquisa
65.95%
Background: Humidified high flow nasal cannula oxygen therapy is increasingly available in Australian adult intensive care units. Its use in paediatric populations has been extensively studied and has shown positive effects however its clinical effectiveness in adults has not been established. Purpose: A systematic review of the literature was conducted to critique current evidence, inform nursing practice and make recommendations for nursing research. Methods: An extensive search strategy identified clinical studies comparing standard oxygen therapy with high flow therapy in critical care units. Two reviewers independently assessed articles for eligibility, methodological quality and inclusion. Outcomes of interest included oxygenation, ventilation, work of breathing, positive airway pressure, patient comfort and long term effect. A narrative synthesis was conducted to describe the emerging evidence. Findings: Eight studies were included for review. All were abstracts or poster presentations from scientific meetings therefore the quality of data available for analysis was poor. Findings indicated there was preliminary evidence to support the use of high flow therapy to optimise oxygenation in adults. This therapy may reduce the effort of breathing and provide augmented airway pressures. Patients described the therapy as comfortable. No definitive evidence supported the claim that ventilation is improved or conclusively demonstrated a long-term effect. Conclusion: Humidified high flow nasal cannula may be used as an intermediate therapy to improve oxygenation in adult critical care patients. Further research is required to determine the duration of effect of the therapy...

Bench-to-bedside review: the evaluation of complex interventions in critical care

Delaney, A.; Angus, D.C.; Bellomo, R.; Cameron, P.; Cooper, D.J.; Finfer, S.; Harrison, D.A.; Huang, D.T.; Myburgh, J.A.; Peake, S.L.; Reade, M.C.; Webb, S.A.R.; Yealy, D.M.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em //2008 Português
Relevância na Pesquisa
65.95%
Complex interventions, such as the introduction of medical emergency teams or an early goal-directed therapy protocol, are developed from a number of components that may act both independently and inter-dependently. There is an emerging body of literature advocating the use of integrated complex interventions to optimise the treatment of critically ill patients. As with any other treatment, complex interventions should undergo careful evaluation prior to widespread introduction into clinical practice. During the development of an international collaboration of researchers investigating protocol-based approaches to the resuscitation of patients with severe sepsis, we examined the specific issues related to the evaluation of complex interventions. This review outlines some of these issues. The issues specific to trials of complex interventions that require particular attention include determining an appropriate study population and defining current treatments and outcomes in that population, defining the study intervention and the treatment to be used in the control group, and deploying the intervention in a standardised manner. The context in which the research takes place, including existing staffing levels and existing protocols and procedures...

Patients admitted to Australian intensive care units: impact of remoteness and distance travelled on patient outcome

Flabouris, A.; Hart, G.; Nicholls, A.
Fonte: Australasian Academy of Critical Care Medicine Publicador: Australasian Academy of Critical Care Medicine
Tipo: Artigo de Revista Científica
Publicado em //2012 Português
Relevância na Pesquisa
65.91%
OBJECTIVE: To use a geographical information system (GIS) to explore the impact of (i) patient remoteness and (ii) distance travelled to an Australian public-hospital intensive care unit on patient outcomes. DESIGN, SETTING AND SUBJECTS: We conducted a retrospective study over the period 2002-2008 linking intensive care unit resource and clinical datasets with Australian population postcode data and using a GIS for analysis. Data from the Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation (ANZICS CORE) critical care resources survey (2007), the ANZICS CORE adult patient database (2002- 2008) and the Australian Bureau of Statistics were used. Only public-hospital ICUs were included in the study. Classification of remoteness was based on the extended version of the Accessibility/Remoteness Index of Australia (ARIA+). Distance was the distance between centroids of the patient's residential postcode and the postcode of the area in which the admitting ICU was located. ICU admissions were divided into three categories: "direct other-hospital ICU admission" (patient transferred directly from another hospital), "indirect other-hospital ICU admission" (patient admitted from a ward, emergency department or operating room after being transferred from another hospital) or "home ICU admission" (patient not transferred from another hospital). MAIN OUTCOME MEASURE: Hospital mortality. RESULTS: There were 218 709 ICU admissions to 76 Australian public hospital ICUs. Of these admissions...

The development of competency standards for specialist critical care nurses

Dunn, S.; Lawson, D.; Robertson, S.; Underwood, M.; Clark, R.; Valentine, T.; Walker, N.; Wilson-Row, C.; Crowder, K.; Herewane, D.
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
Publicado em //2000 Português
Relevância na Pesquisa
66.06%
In defining the contemporary role of the specialist nurse it is necessary to challenge the concept of nursing as merely a combination of skills and knowledge. Nursing must be demonstrated and defined in the context of client care and include the broader notions of professional development and competence. This qualitative study sought to identify the competency standards for nurse specialists in critical care and to articulate the differences between entry-to-practice standards and the advanced practice of specialist nurses. Over 800 hours of specialist critical care nursing practice were observed and grouped into 'domains' or major themes of specialist practice using a constant comparison qualitative technique. These domains were further refined to describe attributes of the registered nurses which resulted in effective and/or superior performance (competency standards) and to provide examples of performance (performance criteria) which met the defined standard. Constant comparison of the emerging domains, competency standards and performance criteria to observations of specialist critical care practice, ensured the results provided a true reflection of the specialist nursing role. Data analysis resulted in 20 competency standards grouped into six domains: professional practice...

Medical reviews before cardiac arrest, medical emergency call or unanticipated intensive care unit admission: their nature and impact on patient outcome

Trinkle, R.; Flabouris, A.
Fonte: Australasian Academy of Critical Care Medicine Publicador: Australasian Academy of Critical Care Medicine
Tipo: Artigo de Revista Científica
Publicado em //2011 Português
Relevância na Pesquisa
76.02%
Objective: To measure and describe the extent and consequences of documented medical patient reviews in the 24 hours before a cardiac arrest, medical emergency team (MET) call or an unanticipated intensive care unit admission ('event'), and the use of such reviews as a rapid response system performance measure. Design: Retrospective case-note and database review. Setting: Tertiary referral hospital, April-September, 2008. Participants: Adult inpatients who had an event and a preceding hospital length of stay > 24 hours. Main outcome measures: Hospital discharge status, ICU length of stay, not-for-resuscitation order. Results: 443 patients had 575 events (6.1% cardiac arrests, 68.7% MET calls, 25.2% ICU admissions) in the study period. A documented medical review preceded 561 (97.6%) events. Patients whose review was a home team review (HTR; ie, from a general ward) only were older than those with a critical care review (CCR) (70.2 v 63.6 years; P < 0.01). A critical care discharge (CCD) or CCR preceded 39.5% and HTR only, 57.9% of events. A CCD preceded 25.7% of cardiac arrests, 32.4% of MET calls, and 29.0% unanticipated ICU admissions. Patients with a CCR or CCD had lower hospital mortality than those with an HTR only (27.3% v 41.7%; P < 0.01)...

Statistical issues in the analysis of outcomes in critical care medicine

Moran, John Leith
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado Formato: 2105860 bytes; 23585 bytes; application/pdf; application/pdf
Publicado em //2006 Português
Relevância na Pesquisa
66.12%
1.1 The focus of this thesis will be the nexus of statistical methods and clinical practice, as it applies to Critical Care Medicine and is reflected in the literature ( for instance : Anaesthesia and Intensive Care ( Anaesthesia and Intensive Care 2005 ) and Critical Care & Resuscitation ( Critical Care and Resuscitation 2005 ) in Australia ; and internationally : Critical Care Medicine ( Critical Care Medicine 2005 ), Intensive Care Medicine ( Intensive Care Medicine 2005 ), Chest ( Chest 2005 ), American Journal of Respiratory and Critical Care Medicine ( American Journal of Respiratory and Critical Care Medicine 2005 ) and Journal of the American Medical Association ( JAMA 2005 ) ). 1.2 Altman has documented the career of statistics in medical journals over a 20 year period and has lamented the general state of affairs ( Altman 1982 ; Altman 1991b ; Altman 1994 ; Altman 2000 ). The transfer of statistical techniques into medical literature is characterised by a significant lag - time ( Altman et al. 1994b ) and statistical input into medical research and publication, although " widely recommended ... ( is ) ... inconsistently obtained " ( Altman et al. 2002 ), perhaps reflecting an undervaluation of statistical contributions to medicine...

Implementation of critical care response team

Al Shimemeri, Abdullah
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2014 Português
Relevância na Pesquisa
66.06%
Analyses of hospital deaths have indicated that a significant proportion of the reported deaths might have been prevented had the patients received intensive level care early enough. Over the past few decades the critical care response team has become an important means of preventing these deaths. As the proactive arm of intensive care delivery, the critical care response team places emphasis on early identification of signs of clinical deterioration, which then prompts the mobilization of intensive care brought right to the patient's bedside. However, the setting up of a critical care response team is a difficult undertaking involving different levels of cooperation between all service stakeholders, and a bringing together of professional expertise and experience in its operations. The implementation of a critical care response team often involves a high-level restructuring of a hospital's service orientation. In the present work, the various factors and different models to be considered in implementing a critical care response team are addressed.

Diagnósticos de enfermagem de pacientes em unidades de terapia intensiva; Nursing diagnoses of patients of critical care unit

Pasini, Dolores; Alvim, Iracema; Kanda, Luiza; Mendes, Rita do Socorro Pereira; Cruz, Diná de Almeida Lopes Monteiro da
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; Formato: application/pdf
Publicado em 01/12/1996 Português
Relevância na Pesquisa
65.9%
Com a finalidade de caracterizar as necessidades de cuidados de doentes de unidades de terapia intensiva foram realizadas entrevistas e exames físicos junto a 32 pacientes e formulados os seus diagnósticos de enfermagem. Foi utilizado o referencial dos Padrões Funcionais de Saúde para a coleta dos dados e para a caracterização das áreas em que as alterações são predominantes.; The aim of this study was to identify the nursing care needs of patients of critical care unit. The nursing diagnoses of 32 patients was formulated. The data was collected by interview and physical examination and the Functional Health Patterns was the framework to collect the data and to identify the predominant dysfunctional health areas.

Model of facilitation of emotional intelligence to promote wholeness of neophyte critical care nurses in South Africa

Towell,A.; Nel,W.E.; Muller,A.
Fonte: Health SA Gesondheid (Online) Publicador: Health SA Gesondheid (Online)
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 Português
Relevância na Pesquisa
65.98%
This study was undertaken in order to develop a model of facilitation of emotional intelligence to promote wholeness in neophyte critical care nurses in South Africa. A theory-generative, explorative, descriptive, contextual research design was used. The model was developed utilising the four steps of theory generation as proposed by Dickoff, James and Wiedenbach (1968), Chinn and Kramer (2011) and Walker and Avant (2011). Step one dealt with the empirical phase in which the concepts were distilled. The facilitation of inherent affective and mental resourcefulness and resilience was the main concept of the model. Step two comprised the definition and classification of central and related concepts. Step three provides a description of the model. The model operates in three phases namely the dependent phase, partially dependent phase and the independent phase. Step four entailed the description of guidelines for operationalizing the model. During the three phases of the model a new nurse who starts to work in critical care moves from a latent ability to develop an inherent affective and mental resourcefulness and resilience to a state of developing an inherent affective and mental resourcefulness and resilience. This model provides a structured framework for the facilitation of emotional intelligence (EI) to promote wholeness in nurses who commence to work in critical care units.

A survey of cultural competence of critical care nurses in KwaZulu-Natal

de Beer,J; Chipps,J
Fonte: Southern African Journal of Critical Care (Online) Publicador: Southern African Journal of Critical Care (Online)
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2014 Português
Relevância na Pesquisa
65.97%
BACKGROUND: Nurses are primary caregivers and have a key role in providing care in a culturally diverse healthcare system, such as in South Africa (SA). Nurses need cultural competence in the management of patients within this cultural context. A healthcare system staffed by a culturally competent workforce can provide high-quality care to diverse population groups, contributing to the elimination of health disparities. OBJECTIVE: To describe the self-rated levels of cultural competence of nurses working in critical care settings in a selected public hospital in SA. METHODS: A quantitative descriptive survey was conducted with nurses from eight critical care units in a public hospital in KwaZulu-Natal Province, using the Inventory to Access the Process of Cultural Competency - Revised (IAPCC-R) cultural competence questionnaire. RESULTS: The overall cultural competence score for the respondents was 70.2 (standard deviation 7.2) out of a possible 100, with 77 (74%) of the respondents scoring in the awareness range, 26 (25%) in the competent range, and only 1 in the proficient range. Nurses from non-English-speaking backgrounds scored significantly higher in cultural competence than English-speaking nurses. CONCLUSION: In addressing the many faces of cultural diversity...

Critical care nurses' perceptions of stress and stress-related situations in the workplace

Moola,S; Ehlers,VJ; Hattingh,SP
Fonte: Curationis Publicador: Curationis
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 Português
Relevância na Pesquisa
66.11%
Critical care nurses (CCNs) experience stressful situations in their daily working environments. A qualitative research approach (exploratory, descriptive and contextual) was used to explore and describe the stressful situations experienced by critical care nurses in the Tshwane metropolitan are of South Africa. Focus group interviews were conducted with critical care nurses. Data was generated by means of focus group interviews. The results revealed CCNs' perceptions and experiences about stressful events, factors contributing to stress in the critical care environment, as well as their needs for support systems.Critical care nurses experience stressful situations in their daily working environments. The question arises for nurses: are there adequate support systems in the critical care environment and what are critical care nurses doing to maintain their own health and well-being? Facilitating conscious awareness among critical care nurses could enhance their resiliency and their hardiness, strengthening their coping capacities in stressful working situations. The contextual framework adopted for this research was the Neuman Systems Model. A qualitative research approach (exploratory, descriptive and contextual) was used to explore and describe the stress experienced by critical care nurses. Focus group interviews were conducted with critical care nurses and individual interviews with nurse managers. The results revealed their perceptions and experiences about the effects of stress in the critical care environment...