Many patients reported they prefer children not visit so they could protect or shield children from the crisis associated with the ICU environment.
The researchers also identified critical illness as an important source of disruption and stress for family members, and suggested that an open and more flexible policy be adopted regardless. The researchers suggest further studies are necessary to determine collaborative ways nursing staff and caregivers could work with families and patients to create a less stressful environment for children's visitations. The study does point out nurses lack of time and role security often contribute to poor attitudes about children visiting adult patients. Positive interventions however may be adopted to help improve relationships and the experience children have in the ICU environment. This in turn may promote more holistic care.
Article 4 - "The meaning of caring to nurses: an investigation into the nature of caring work in an intensive care unit."
In this research article the author's aim is to generate knowledge regarding the discipline of nursing as an essential human need. The authors point out that little is known regarding the highly "technological intensive care unit environment." The aim of the researchers include exploring the meaning of caring to intensive care nurses and to determine if this meaning may alter nursing practice or provide insight into how caring experiences were related by nurses. The researchers developed a descriptive and qualitative study design using semi-structured interviews with 12 nurses selected through sampling.
The results of the study show that caring is a trait "synonymous with nursing." Further the researchers find that caring is vital to the role of an ICU nurse and typically involves feelings combined with professional skill, competence and nursing action. Holistic care is of utmost concern to ICU nurses according to the researchers and ensures that all patients' needs are met. The results of the study suggest that experience and caring are vital components of nursing in the ICU practices and reveal the humanistic capacity of nurses caring for critically ill patients.
Article 5 - "Technology - an actor in the ICU: a study in workplace research tradition."
In this research study the authors examine human machine interaction in the ICU to determine how technology challenges ICU staff' practice and how technology intervenes with...
E., males and females per nurse specialty). Variables & Measures Variables for the study are as follows: workload management, work environment, burnout rate, and job satisfaction. In addition to these variables, instruments gauging the level of burnout experienced will be used, particularly the Maslach Burnout Inventory (MBI). An index of attitudes and perceptions on workload management, work environment, and job satisfaction will also be formulated, and will be tested for internal and
Medication Errors One of the major challenges impact healthcare providers is medical errors. These issues are challenging, as they will have an adverse impact on quality and safety. In the case of the ICU, these challenges are becoming more pronounced. This is because of the different conditions and large number of patients they are working with. A good example of this can be seen with insights from Orgeas (2010) who said,
However...generally a vast difference exists between what healthcare providers understand and what laypersons are able to comprehend. This immeasurability of knowledge was evident in the participants' narratives and was exacerbated by the conveying of "false hope" or "false optimism" to patients and patients' family members. Seconding Robichaux's argument is Backstrand's (2006) findings that hospital-based EOL programs are not the "ideal" form of healthcare that elderly patients should receive, according to
Reducing Length of Stays on Critical Care Wards in a Department of Veterans Affairs Medical Center Today, the Department of Veterans Affairs (VA) operates the nation's largest healthcare system and provides training for more than half of all of the physicians that practice in the United States today. Based on its mission, taken from President Lincoln's Second Inaugural Address, to "care for him who has borne the battle, his widow and
healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns the trust of the public and individual families; and
Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions
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