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LA DISFAGIA, LA GRAN DESCONOCIDA PARA LAS ENFERMERAS DE CUIDADOS CRÍTICOS 吞咽困难,重症护理护士的巨大未知
IF 1.3 Q3 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.enfi.2023.10.001
Yeray Gabriel Santana-Padilla RN, MSc, PhD, Luciano Santana-Cabrera MD, PhD
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引用次数: 0
Diseño de un modelo de ronda de seguridad para unidades de cuidados intensivos 重症监护病房安全轮模型的设计
IF 1.3 Q3 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.enfi.2023.01.002
M.E. Rodríguez-Delgado RN , A.M. Echeverría-Álvarez RN , M. Colmenero-Ruiz MDPhD , R. Morón-Romero PharmD. PhD , A. Cobos-Vargas RN , A. Bueno-Cavanillas MDPhD , en nombre del Grupo de trabajo de rondas de seguridad en UCI

Introduction

Safety Rounds (SR) are an operational tool that allow knowing adherence to good practices, help identify risks and incidents in patient safety (PS), allowing improvement actions to be implemented. The objective of this work was the design of a procedure to perform SR in an Intensive Care Unit (ICU).

Methods

Preparation of a checklist for the development of SR in the ICU through the nominal group technique, with the participation of managers, middle managers and professionals from different disciplines and categories. In the first place, a group of experts agreed, based on the recommendations on good practices in PS, the definition of items, their coding, the criteria for compliance and the impact of non-compliance. Subsequently, its viability was determined through a cross-sectional study through the piloting of two SRs to adjust the items in real clinical practice conditions.

Results

A specific SR model for ICUs has been obtained through a checklist. The group of experts prepared a first list made up of 39 items of 6 essential dimensions and defined the method of implementation. Mean time to complete the two SRs was 85 minutes, including the briefing and subsequent debriefing. After the validation pilot, the dimensions were reduced to 5, 3 items were deleted, 2 items were transferred to another dimension and 3 items related to nosocomial infections and informed consent were modified. In addition, the data sources, the compliance criteria and their relative weight were redefined. The final list was considered useful and relevant to improve practice.

Conclusions

Through a consensus methodology, a checklist has been built to be used in the RS of an ICU. This model can serve as a basis for its use in healthcare services with similar characteristics.

简介安全回合(SR)是一种操作工具,可以了解良好做法的遵守情况,帮助识别患者安全(PS)中的风险和事件,并实施改进措施。本研究的目的是设计一种在重症监护室(ICU)进行SR的程序。方法在不同学科和类别的管理人员、中层管理人员和专业人员的参与下,通过名义小组技术编制ICU SR发展检查表。首先,一个专家组根据关于PS良好做法的建议,商定了项目的定义、编码、遵守标准以及不遵守的影响。随后,通过对两个SR进行试点的横断面研究来确定其可行性,以在实际临床实践条件下调整项目。结果通过检查表获得了一个具体的ICU SR模型。专家组编制了第一份清单,由6个基本方面的39个项目组成,并确定了执行方法。完成两次SR的平均时间为85分钟,包括简报和随后的汇报。验证试点后,维度减少到5个,删除了3个项目,将2个项目转移到另一个维度,修改了3个与医院感染和知情同意书有关的项目。此外,还重新定义了数据来源、遵守标准及其相对权重。最后的清单被认为是有益的,对改进实践具有相关性。结论通过协商一致的方法,建立了用于ICU RS的检查表。该模型可以作为其在具有类似特征的医疗保健服务中使用的基础。
{"title":"Diseño de un modelo de ronda de seguridad para unidades de cuidados intensivos","authors":"M.E. Rodríguez-Delgado RN ,&nbsp;A.M. Echeverría-Álvarez RN ,&nbsp;M. Colmenero-Ruiz MDPhD ,&nbsp;R. Morón-Romero PharmD. PhD ,&nbsp;A. Cobos-Vargas RN ,&nbsp;A. Bueno-Cavanillas MDPhD ,&nbsp;en nombre del Grupo de trabajo de rondas de seguridad en UCI","doi":"10.1016/j.enfi.2023.01.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Safety Rounds (SR) are an operational tool that allow knowing adherence to good practices, help identify risks and incidents in patient safety (PS), allowing improvement actions to be implemented. The objective of this work was the design of a procedure to perform SR in an Intensive Care Unit (ICU).</p></div><div><h3>Methods</h3><p>Preparation of a checklist for the development of SR in the ICU through the nominal group technique, with the participation of managers, middle managers and professionals from different disciplines and categories. In the first place, a group of experts agreed, based on the recommendations on good practices in PS, the definition of items, their coding, the criteria for compliance and the impact of non-compliance. Subsequently, its viability was determined through a cross-sectional study through the piloting of two SRs to adjust the items in real clinical practice conditions.</p></div><div><h3>Results</h3><p>A specific SR model for ICUs has been obtained through a checklist. The group of experts prepared a first list made up of 39 items of 6 essential dimensions and defined the method of implementation. Mean time to complete the two SRs was 85<!--> <!-->minutes, including the briefing and subsequent debriefing. After the validation pilot, the dimensions were reduced to 5, 3 items were deleted, 2 items were transferred to another dimension and 3 items related to nosocomial infections and informed consent were modified. In addition, the data sources, the compliance criteria and their relative weight were redefined. The final list was considered useful and relevant to improve practice.</p></div><div><h3>Conclusions</h3><p>Through a consensus methodology, a checklist has been built to be used in the RS of an ICU. This model can serve as a basis for its use in healthcare services with similar characteristics.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 4","pages":"Pages 186-194"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71775541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Respuesta a «Higiene oral con clorhexidina: una recomendación única no sirve para todos» 对“洗必泰口腔卫生:一种建议并不适用于所有人”的回应
IF 1.3 Q3 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.enfi.2023.05.002
R. García-Díez RN , M. Vázquez-Calatayud PhD
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引用次数: 0
Niveles de burnout y de exposición a conflicto ético de los profesionales de enfermería de cuidados intensivos◊ ◊重症监护护理专业人员的倦怠程度和道德冲突暴露程度
IF 1.3 Q3 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.enfi.2023.02.001
V. Salas-Bergüés MSN , E. Lizarazu-Armendáriz RN , M. Eraso-Pérez de Urabayen RN , P. Mateo-Manrique RN , M. Mendívil-Pérez MSN , R. Goñi-Viguria MSN

Background

Nursing professionals working in intensive care units (ICU) are at high risk of developing negative emotional responses as well as emotional and spiritual problems related to ethical issues. The design of effective strategies that improve these aspects is determined by knowing the levels of burnout and ethical conflict of these professionals, as well as the influence that the practice environment might have on them.

Objectives

To analyze the relationship between levels of burnout, the exposure to ethical conflicts and the perception of the practice environment among themselves and with sociodemographic variables of the different intensive care nursing professionals.

Methods

Descriptive, correlational, cross-sectional, observational study in an ICU of a tertiary level university hospital. The level of burnout was evaluated with the Maslach Burnout Inventory Human Services Survey scale; the level of ethical conflict with the Ethical Conflict Questionnaire for Nurses; and the perception of the environment with the Practice Environment Scale of the Nursing Work Index. Descriptive and inferential statistics were performed. The association between categorical variables was analyzed using Fisher's exact chi-square test (χ2)

Results

31 nurses and 8 nursing assistants were evaluated, which meant a participation rate of 82.93%. 31.10% of the nursing professionals presented signs of burnout, 14.89% considered that they work in an unfavorable environment and 87.23% presented a medium-high index of exposure to ethical conflict.

The educational level (χ2 = 11.084, P = .011) and the professional category (χ2 = 5.007, P = .025) influenced the level of burnout: nursing assistants presented higher levels of this.

When comparing the level of burnout with the environment and the index of ethical conflict, there were no statistically significant differences.

Conclusions

The absence of association found in the study between burnout and ethical conflict with the perception of the practice environment suggests that personal factors may influence its development.

背景在重症监护室工作的护理专业人员有很高的风险产生负面情绪反应,以及与道德问题有关的情绪和精神问题。改善这些方面的有效策略的设计取决于了解这些专业人员的倦怠程度和道德冲突,以及实践环境可能对他们产生的影响。目的分析不同重症监护护理专业人员的职业倦怠程度、道德冲突暴露程度、对执业环境的感知程度以及与社会人口学变量之间的关系。方法采用描述性、相关性、横断面、观察性研究方法对某三级大学医院ICU进行调查。倦怠程度采用Maslach倦怠量表人力服务调查量表进行评估;与护士道德冲突问卷的道德冲突程度;以及对环境的感知与护理工作实践环境量表的指标。进行描述性和推断性统计。结果对31名护士和8名护理助理进行了评估,参与率为82.93%,14.89%的人认为他们在不利的环境中工作,87.23%的人认为自己存在中高的道德冲突。教育水平(χ2=11.084,P=.011)和专业类别(χ2=5.007,P=.025)影响倦怠水平:护理助理表现出更高的倦怠水平。当将倦怠水平与环境和道德冲突指数进行比较时,没有统计学上的显著差异。结论职业倦怠和道德冲突与实践环境感知之间缺乏关联,这表明个人因素可能影响其发展。
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引用次数: 0
Nursing interventions in palliative care in the intensive care unit: A systematic review 重症监护室姑息治疗的护理干预:一项系统综述。
IF 1.3 Q3 NURSING Pub Date : 2023-07-01 DOI: 10.1016/j.enfi.2022.04.001
M.C.R. Araujo RN , D.A. da Silva RN , A.M.M.M. Wilson MSN

Context

Patients in palliative care are found in different places where care is provided, including the intensive care environment with important role of the nursing staff.

Objective

The aim of this systematic review was to answer the following question: which nursing interventions are aimed to the palliative care patients who are in the intensive care unit (ICU).

Data sources

US National Library of Medicine (PUBMED), Virtual Health Library (BVS), SciELO, The Cochrane Library (Cochrane) and Lilacs databases were used.

Data extraction

After applying inclusion and exclusion criteria in accordance with the PRISMA method, a total of 36 entries published between 2010 and 2020 were used.

Data analysis

The records extracted were analyzed from a qualitative approach, so no statistical analysis was carried out.

Results

The findings demonstrated that the interventions that focus on promoting the patient's autonomy and respect their needs on ICU involves effective communication, promoting shared decision with patient and family, individualize care for each patient including the family on the daily care and decisions, maintaining basic nursing care as hygiene and comfort and encouraging self-care, as well as the involvement of nursing palliative care specialists the care is important. Other interventions included promoting a continuing education program for the nursing staff and other professionals involved in caring for patients in palliative care at ICU.

Conclusion

This review highlighted the need for specific nursing interventions aimed at palliative care patients at ICU to promote patient autonomy and the focus on patient needs, always sharing decisions with the patient and family. However, it showed that there is a need for the continuous training of the nursing staff because factors such as the nurses’ lack of technical-scientific knowledge and, concomitantly, the absence of a standardized and specific intervention model linked to a bureaucratic system, make it difficult to carry out a specialized care for this type of patient.

姑息治疗患者分布在不同的护理场所,包括重症监护环境,护理人员发挥着重要作用。目的本系统综述的目的是回答以下问题:哪些护理干预措施是针对在重症监护病房(ICU)姑息治疗患者。数据来源:美国国家医学图书馆(PUBMED)、虚拟健康图书馆(BVS)、SciELO、Cochrane图书馆(Cochrane)和Lilacs数据库。数据提取按照PRISMA方法应用纳入和排除标准后,选取2010 - 2020年间发表的文献36篇。数据分析提取的记录采用定性方法进行分析,因此未进行统计分析。结果以促进患者自主和尊重患者需求为重点的干预措施包括有效的沟通、促进与患者和家属的共同决策、在日常护理和决策上对每个患者进行个性化护理(包括家庭)、保持卫生和舒适的基本护理、鼓励自我护理以及护理专家的参与。其他干预措施包括促进护理人员和其他参与ICU姑息治疗患者护理的专业人员的继续教育计划。结论本综述强调需要针对ICU姑息治疗患者采取特定的护理干预措施,以促进患者的自主权,关注患者的需求,始终与患者和家属分享决策。然而,它表明有必要对护理人员进行持续培训,因为诸如护士缺乏技术科学知识以及同时缺乏与官僚制度相关的标准化和具体干预模式等因素,使得难以对这类患者进行专门护理。
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引用次数: 2
Percepción de la cultura de seguridad del paciente en un área de críticos 对关键地区患者安全文化的看法
IF 1.3 Q3 NURSING Pub Date : 2023-07-01 DOI: 10.1016/j.enfi.2022.11.002
R.M. Peradejordi-Torres RN, J. Valls-Matarín PhD, MSR, RN

Introduction

Critical Care Area (CCA) is one of the most complex in the hospital system, requiring a high number of interventions and handling of amounts of information. Therefore, these areas are likely to experience more incidents that compromise patient safety (PS).

Aim

To determine the perception of the healthcare team in a critical care area about the patient safety culture.

Method

Cross-sectional descriptive study, September 2021, in a polyvalent CCA with 45 beds, 118 health workers (physicians, nurses, auxiliary nursing care technicians). Sociodemographic variables, knowledge of the person in charge in PS and their general training in PS and incident notification system were collected. The validated Hospital Survey on Patient Safety Culture questionnaire, measuring 12 dimensions was used. Positive responses with an average score ≥75%, were defined as an area of strength while ≥50% negative responses were defined as an area of weakness. Descriptive statistics and bivariate analysis: χ2 and t-Student tests, and ANOVA. Significance p ≤ 0.05.

Results

94 questionnaires were collected (79.7% sample). The PS score was 7.1 (1.2) range 1-10. The rotational staff scored the PS with 6.9 (1.2) compared to 7.8 (0.9) for non-rotational staff (p = 0.04). A 54.3% (n = 51) was familiar with the incident reporting procedure, 53% (n = 27) of which had not reported any in the last year. No dimension was defined as strength.There were three dimensions that behaved like a weakness: security perception: 57.7% (95% CI: 52.7-62.6), staffing: 81.7% (95% CI: 77.4-85.2) and management support: 69 .9% (95% CI: 64.3-74.9).

Conclusions

The assessment of PS in the CCA is moderately high, although the rotational staff has a lower appreciation. Half of the staff do not know the procedure for reporting an incident. The notification rate is low. The weaknesses detected are perception of security, staffing and management support. The analysis of the patient safety culture can be useful to implement improvement measures.

引言重症监护区(CCA)是医院系统中最复杂的区域之一,需要大量的干预措施和信息处理。因此,这些地区可能会发生更多危及患者安全的事件。目的确定重症监护地区的医疗团队对患者安全文化的看法。方法横断面描述性研究,2021年9月,在一项多价CCA中,共有45张床位,118名卫生工作者(医生、护士、辅助护理技术人员)。收集社会记录变量、PS负责人的知识以及他们在PS和事件通知系统中的一般培训。使用经验证的医院患者安全文化调查问卷,测量12个维度。平均得分≥75%的阳性反应被定义为力量区域,而≥50%的阴性反应则被定义为弱点区域。描述性统计和双变量分析:χ2和t-学生检验以及方差分析。显著性p≤0.05。结果收集了94份问卷(79.7%的样本)。PS评分为7.1(1.2),范围1-10。轮换员工的PS得分为6.9(1.2),而非轮换员工的得分为7.8(0.9)(p=0.04)。54.3%(n=51)熟悉事件报告程序,其中53%(n=27)在去年没有报告任何事件。没有将尺寸定义为强度。有三个维度表现为弱点:安全感知:57.7%(95%CI:52.76-2.6),人员配置:81.7%(95%CI:77.4-85.2)和管理支持:69.9%(95%CI:64.3-74.9)。一半的员工不知道报告事件的程序。通知率低。发现的弱点是对安全、人员配置和管理支助的认识。对患者安全文化的分析有助于实施改进措施。
{"title":"Percepción de la cultura de seguridad del paciente en un área de críticos","authors":"R.M. Peradejordi-Torres RN,&nbsp;J. Valls-Matarín PhD, MSR, RN","doi":"10.1016/j.enfi.2022.11.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Critical Care Area (CCA) is one of the most complex in the hospital system, requiring a high number of interventions and handling of amounts of information. Therefore, these areas are likely to experience more incidents that compromise patient safety (PS).</p></div><div><h3>Aim</h3><p>To determine the perception of the healthcare team in a critical care area about the patient safety culture.</p></div><div><h3>Method</h3><p>Cross-sectional descriptive study, September 2021, in a polyvalent CCA with 45 beds, 118 health workers (physicians, nurses, auxiliary nursing care technicians). Sociodemographic variables, knowledge of the person in charge in PS and their general training in PS and incident notification system were collected. The validated Hospital Survey on Patient Safety Culture questionnaire, measuring 12 dimensions was used. Positive responses with an average score ≥75%, were defined as an area of strength while ≥50% negative responses were defined as an area of weakness. Descriptive statistics and bivariate analysis: χ<sup>2</sup> and t-Student tests, and ANOVA. Significance p ≤ 0.05.</p></div><div><h3>Results</h3><p>94 questionnaires were collected (79.7% sample). The PS score was 7.1 (1.2) range 1-10. The rotational staff scored the PS with 6.9 (1.2) compared to 7.8 (0.9) for non-rotational staff (p = 0.04). A 54.3% (n = 51) was familiar with the incident reporting procedure, 53% (n = 27) of which had not reported any in the last year. No dimension was defined as strength.There were three dimensions that behaved like a weakness: security perception: 57.7% (95% CI: 52.7-62.6), staffing: 81.7% (95% CI: 77.4-85.2) and management support: 69 .9% (95% CI: 64.3-74.9).</p></div><div><h3>Conclusions</h3><p>The assessment of PS in the CCA is moderately high, although the rotational staff has a lower appreciation. Half of the staff do not know the procedure for reporting an incident. The notification rate is low. The weaknesses detected are perception of security, staffing and management support. The analysis of the patient safety culture can be useful to implement improvement measures.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 148-155"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49801202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Teoría de las transiciones y empoderamiento: un marco para las intervenciones enfermeras durante la transición del paciente de la unidad de cuidados intensivos 过渡和赋权理论:重症监护室患者过渡期间护士干预的框架
IF 1.3 Q3 NURSING Pub Date : 2023-07-01 DOI: 10.1016/j.enfi.2022.10.003
C. Cuzco RN, MSc, PhD , P. Delgado-Hito RN, MSc, PhD , R. Marin-Pérez RN, MSc , A. Núñez-Delgado RN, MSc , M. Romero-García RN, MSc, PhD , M.A. Martínez-Momblan RN, MSc, PhD , G. Martínez-Estalella RN, MSc , P. Castro MD, PhD

Objectives

1) To explore the main characteristics of intensive care unit transition according to patients’ lived experience and 2) to identify nursing therapeutics to facilitate patients’ transition from the intensive care unit to the inpatient unit.

Methodology

Secondary analysis of the findings of a descriptive qualitative study on the experience of patients admitted to an ICU during the transition to the inpatient unit, based on the nursing transitions theory. Data for the primary study were generated from 48 semi-structured interviews of patients who had survived critical illness in three tertiary university hospitals.

Results

Three main themes were identified during the transition of patients from the intensive care unit to the inpatient unit: 1) nature of ICU transition, 2) response patterns and 3) nursing therapeutics. Nurse therapeutics incorporates information, education and promotion of patient autonomy; in addition to psychological and emotional support.

Conclusions

Transitions theory as a theoretical framework helps to understand patients’ experience during ICU transition. Empowerment nursing therapeutics integrates the dimensions aimed at meeting patients’ needs and expectations during ICU discharge.

目的1)根据患者的生活经历,探讨重症监护病房转换的主要特征;2)确定护理治疗方法,以促进患者从重症监护病房向住院病房的转换。方法基于护理过渡理论,对一项描述性定性研究的结果进行二次分析,该研究涉及ICU患者在过渡到住院单元期间的经历。主要研究的数据来自对三所三级大学医院危重症患者的48次半结构化访谈。结果在患者从重症监护室过渡到住院期间,确定了三个主要主题:1)ICU过渡的性质,2)反应模式和3)护理治疗。护理治疗包括信息、教育和促进患者自主性;除了心理和情感支持。结论转换理论作为一个理论框架,有助于理解患者在ICU转换过程中的经历。授权护理疗法整合了旨在满足ICU出院期间患者需求和期望的维度。
{"title":"Teoría de las transiciones y empoderamiento: un marco para las intervenciones enfermeras durante la transición del paciente de la unidad de cuidados intensivos","authors":"C. Cuzco RN, MSc, PhD ,&nbsp;P. Delgado-Hito RN, MSc, PhD ,&nbsp;R. Marin-Pérez RN, MSc ,&nbsp;A. Núñez-Delgado RN, MSc ,&nbsp;M. Romero-García RN, MSc, PhD ,&nbsp;M.A. Martínez-Momblan RN, MSc, PhD ,&nbsp;G. Martínez-Estalella RN, MSc ,&nbsp;P. Castro MD, PhD","doi":"10.1016/j.enfi.2022.10.003","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.10.003","url":null,"abstract":"<div><h3>Objectives</h3><p>1) To explore the main characteristics of intensive care unit transition according to patients’ lived experience and 2) to identify nursing therapeutics to facilitate patients’ transition from the intensive care unit to the inpatient unit.</p></div><div><h3>Methodology</h3><p>Secondary analysis of the findings of a descriptive qualitative study on the experience of patients admitted to an ICU during the transition to the inpatient unit, based on the nursing transitions theory. Data for the primary study were generated from 48 semi-structured interviews of patients who had survived critical illness in three tertiary university hospitals.</p></div><div><h3>Results</h3><p>Three main themes were identified during the transition of patients from the intensive care unit to the inpatient unit: 1) nature of ICU transition, 2) response patterns and 3) nursing therapeutics. Nurse therapeutics incorporates information, education and promotion of patient autonomy; in addition to psychological and emotional support.</p></div><div><h3>Conclusions</h3><p>Transitions theory as a theoretical framework helps to understand patients’ experience during ICU transition. Empowerment nursing therapeutics integrates the dimensions aimed at meeting patients’ needs and expectations during ICU discharge.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 138-147"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49801203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
XLVIII CONGRESO NACIONAL DE LA SOCIEDAD ESPAÑOLA DE ENFERMERIA INTENSIVA Y UNIDADES CORONARIAS 第四十八届西班牙重症监护和冠状动脉单位协会全国代表大会
IF 1.3 Q3 NURSING Pub Date : 2023-07-01 DOI: 10.1016/j.enfi.2023.07.001
Miriam del Barrio Linares (Presidenta de la S.E.E.I.U.C)
{"title":"XLVIII CONGRESO NACIONAL DE LA SOCIEDAD ESPAÑOLA DE ENFERMERIA INTENSIVA Y UNIDADES CORONARIAS","authors":"Miriam del Barrio Linares (Presidenta de la S.E.E.I.U.C)","doi":"10.1016/j.enfi.2023.07.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.07.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 113-114"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49800762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Programa de entrenamiento basado en TeamSTEPPS® mediante simulación clínica en profesionales de cuidados intensivos: un estudio con metodología mixta 基于TeamStepps的培训计划® 在重症监护专业人员中使用临床模拟:一项混合方法研究
IF 1.3 Q3 NURSING Pub Date : 2023-07-01 DOI: 10.1016/j.enfi.2022.10.002
Ó. Arrogante RN, Psy, MSc, PhD , M. Raurell-Torredà RN, PhD , I. Zaragoza-García RN, PhD , F.J. Sánchez-Chillón RN, MSN , A.M. Aliberch-Raurell RN, MSN , A. Amaya-Arias Psy, MSc, PhD(c) , A. Rojo-Rojo RN, PhD

Introduction

The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) programme has been shown to improve interprofessional work among healthcare professionals by enhancing teamwork. Intensive care professionals were trained in this methodology through the course «Simulation Trainer: Improving Teamwork through TeamSTEPPS®».

Objectives

To analyse the teamwork performance and good practice in simulation of the intensive care professionals attending the course and to explore their perceptions of the training experience carried out during the course.

Methods

A cross-sectional descriptive and phenomenological study was carried out using a mixed methodology. The 18 course participants were administered the questionnaires «TeamSTEPPS™ 2.0 Team Performance Observation Tool» to evaluate teamwork performance and «Educational Practices Questionnaire» for good practices in simulation after the simulated scenarios. Subsequently, a group interview was conducted through a focus group with 8 attendees using the Zoom™ videoconferencing platform. A thematic and content analysis of the discourses was carried out using the interpretative paradigm. Quantitative and qualitative data were analysed using IBM SPSS Statistics™ 27.0 and MAXQDA Analytics Pro™, respectively.

Results

Both the level of teamwork performance (mean = 96.25; SD = 8.257) and good practice in simulation (mean = 75; SD = 1.632) following the simulated scenarios were adequate. The following main themes were identified: satisfaction with the TeamSTEPPS® methodology, usefulness of the methodology, barriers to methodology implementation and non-technical skills improved through TeamSTEPPS®.

Conclusions

TeamSTEPPS® methodology can be a good interprofessional education strategy for the improvement of communication and teamwork in intensive care professionals, both at the care level (through on-site simulation strategies) and at the teaching level (through its inclusion in the students’ curriculum).

引言提高绩效和患者安全的团队战略和工具(TeamSTEPPS®)计划已被证明可以通过加强团队合作来改善医疗专业人员的跨专业工作。重症监护专业人员通过“模拟培训师:通过TeamSTEPPS®改进团队合作”课程接受了这种方法的培训。目的分析参加课程的重症监护专业人员的团队合作表现和模拟良好实践,并探讨他们对课程期间进行的培训经验的看法。方法采用横断面描述性和现象学相结合的方法进行研究。对18名课程参与者进行了问卷调查«TeamSTEPPS™ 2.0团队绩效观察工具»用于评估团队绩效,《教育实践问卷》用于模拟场景后的模拟良好实践。随后,通过一个有8名参与者的焦点小组,使用Zoom进行了小组访谈™ 视频会议平台。运用解释范式对语篇进行了主题分析和内容分析。使用IBM SPSS Statistics对定量和定性数据进行分析™ 27.0和MAXQDA Analytics Pro™, 分别地结果团队合作表现水平(平均值=96.25;SD=8.257)和模拟场景中的良好实践水平(平均数=75;SD=1.632)都是足够的。确定了以下主要主题:对TeamSTEPPS®方法的满意度、方法的有用性、方法实施的障碍以及通过TeamSTEPPS?提高的非技术技能。结论TeamSTEPPS®方法是一种很好的跨专业教育策略,可以在护理层面(通过现场模拟策略)和教学层面(通过将其纳入学生课程)改善重症监护专业人员的沟通和团队合作。
{"title":"Programa de entrenamiento basado en TeamSTEPPS® mediante simulación clínica en profesionales de cuidados intensivos: un estudio con metodología mixta","authors":"Ó. Arrogante RN, Psy, MSc, PhD ,&nbsp;M. Raurell-Torredà RN, PhD ,&nbsp;I. Zaragoza-García RN, PhD ,&nbsp;F.J. Sánchez-Chillón RN, MSN ,&nbsp;A.M. Aliberch-Raurell RN, MSN ,&nbsp;A. Amaya-Arias Psy, MSc, PhD(c) ,&nbsp;A. Rojo-Rojo RN, PhD","doi":"10.1016/j.enfi.2022.10.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.10.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) programme has been shown to improve interprofessional work among healthcare professionals by enhancing teamwork. Intensive care professionals were trained in this methodology through the course «Simulation Trainer: Improving Teamwork through TeamSTEPPS®».</p></div><div><h3>Objectives</h3><p>To analyse the teamwork performance and good practice in simulation of the intensive care professionals attending the course and to explore their perceptions of the training experience carried out during the course.</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive and phenomenological study was carried out using a mixed methodology. The 18 course participants were administered the questionnaires «TeamSTEPPS™ 2.0 Team Performance Observation Tool» to evaluate teamwork performance and «Educational Practices Questionnaire» for good practices in simulation after the simulated scenarios. Subsequently, a group interview was conducted through a focus group with 8 attendees using the Zoom™ videoconferencing platform. A thematic and content analysis of the discourses was carried out using the interpretative paradigm. Quantitative and qualitative data were analysed using IBM SPSS Statistics™ 27.0 and MAXQDA Analytics Pro™, respectively.</p></div><div><h3>Results</h3><p>Both the level of teamwork performance (mean = 96.25; SD = 8.257) and good practice in simulation (mean = 75; SD = 1.632) following the simulated scenarios were adequate. The following main themes were identified: satisfaction with the TeamSTEPPS® methodology, usefulness of the methodology, barriers to methodology implementation and non-technical skills improved through TeamSTEPPS®.</p></div><div><h3>Conclusions</h3><p>TeamSTEPPS® methodology can be a good interprofessional education strategy for the improvement of communication and teamwork in intensive care professionals, both at the care level (through on-site simulation strategies) and at the teaching level (through its inclusion in the students’ curriculum).</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 126-137"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49842888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
La disfagia en cuidados intensivos, un problema real: análisis de factores de riesgo 重症监护中的吞咽困难--一个现实问题:危险因素分析
IF 1.3 Q3 NURSING Pub Date : 2023-07-01 DOI: 10.1016/j.enfi.2022.08.001
L.P. Armas-Navarro RN , Y.G. Santana-Padilla RN, MSc, PhD , L. Mendoza-Segura MD , M. Ramos-Díaz MD , B.N. Santana-López RN, MSc (PhD candidate) , J.A. Alcaraz-Jiménez RN, MSc , J. Rico-Rodríguez MD , L. Santana-Cabrera MD, PhD

Aims

To identify risk factors present in patients with dysphagia in a population of critically ill patients.

Methods

Case series of a cohort of patients recruited in the intensive care unit (ICU) until hospital discharge. Patients who gave consent and met the inclusion criteria were recruited. The Volume-Viscosity clinical examination method was used for the screening of dysphagia. An uni- and bivariate statistical analysis was performed using odds ratio (OR) to detect risk factors for dysphagia.

Outcomes

103 patients were recruited from 401 possible. The mean age was 59,33±13,23, men represented 76,7%. The severity of the sample was: APACHE II (12,74±6,17) and Charlson (2,98±3,31). 45,6% of patients showed dysphagia, obtaining significant OR values (p<0,050) for the development of dysphagia: older age, neurological antecedents, COVID19, long stay in ICU and hospitalization, and the presence of tracheotomy. COVID19 patients represented 46,6% of the sample, so an analysis of this subgroup was performed, showing similar results, with a Charlson risk (OR:4,65; 95% CI:1,31-16,47; p=0,014) and a hospital stay (OR: 8,50; 95%CI: 2,20-32,83; p<0,001). On discharge from the ICU, 37,9% of the population still had dysphagia; 12,6% maintained this problem at hospital discharge.

Conclusions

Almost half of our patients developed dysphagia. Clinical severity and the presence of tracheotomy were risk factors. We observed in patients with dysphagia a longer stay in both ICU and hospitalization.

目的确定危重患者群体中吞咽困难患者存在的危险因素。方法在重症监护室(ICU)招募一组患者,直到出院。同意并符合纳入标准的患者被招募。采用容量粘度临床检查法筛查吞咽困难。使用比值比(OR)进行单变量和双变量统计分析,以检测吞咽困难的风险因素。结果103名患者来自401名可能的患者。平均年龄为59,33±13,23,男性占76.7%。样本的严重程度为:APACHE II(12,74±6,17)和Charlson(2,98±3,31)。45.6%的患者表现出吞咽困难,对吞咽困难的发展获得了显著的OR值(p<;0050):年龄较大、有神经病史、新冠肺炎19、长期入住ICU和住院,以及有气管切开术。COVID19患者占样本的46.6%,因此对该亚组进行了分析,显示出类似的结果,具有Charlson风险(OR:4,65;95%CI:1,31-16,47;p=0.014)和住院时间(OR:8,50;95%CI:2,20-32,83;p<;0001)。ICU出院后,37.9%的患者仍有吞咽困难;12.6%的患者在出院时仍存在此问题。结论近一半患者出现吞咽困难。临床严重程度和气管切开是危险因素。我们观察到吞咽困难患者在ICU和住院治疗的时间更长。
{"title":"La disfagia en cuidados intensivos, un problema real: análisis de factores de riesgo","authors":"L.P. Armas-Navarro RN ,&nbsp;Y.G. Santana-Padilla RN, MSc, PhD ,&nbsp;L. Mendoza-Segura MD ,&nbsp;M. Ramos-Díaz MD ,&nbsp;B.N. Santana-López RN, MSc (PhD candidate) ,&nbsp;J.A. Alcaraz-Jiménez RN, MSc ,&nbsp;J. Rico-Rodríguez MD ,&nbsp;L. Santana-Cabrera MD, PhD","doi":"10.1016/j.enfi.2022.08.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.08.001","url":null,"abstract":"<div><h3>Aims</h3><p>To identify risk factors present in patients with dysphagia in a population of critically ill patients.</p></div><div><h3>Methods</h3><p>Case series of a cohort of patients recruited in the intensive care unit (ICU) until hospital discharge. Patients who gave consent and met the inclusion criteria were recruited. The Volume-Viscosity clinical examination method was used for the screening of dysphagia. An uni- and bivariate statistical analysis was performed using odds ratio (OR) to detect risk factors for dysphagia.</p></div><div><h3>Outcomes</h3><p>103 patients were recruited from 401 possible. The mean age was 59,33±13,23, men represented 76,7%. The severity of the sample was: APACHE II (12,74±6,17) and Charlson (2,98±3,31). 45,6% of patients showed dysphagia, obtaining significant OR values (p&lt;0,050) for the development of dysphagia: older age, neurological antecedents, COVID19, long stay in ICU and hospitalization, and the presence of tracheotomy. COVID19 patients represented 46,6% of the sample, so an analysis of this subgroup was performed, showing similar results, with a Charlson risk (OR:4,65; 95% CI:1,31-16,47; p=0,014) and a hospital stay (OR: 8,50; 95%CI: 2,20-32,83; p&lt;0,001). On discharge from the ICU, 37,9% of the population still had dysphagia; 12,6% maintained this problem at hospital discharge.</p></div><div><h3>Conclusions</h3><p>Almost half of our patients developed dysphagia. Clinical severity and the presence of tracheotomy were risk factors. We observed in patients with dysphagia a longer stay in both ICU and hospitalization.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 115-125"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49801201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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Enfermeria Intensiva
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