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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 patient care. The researchers hypothesize that interaction between nurse and technology are necessary to facilitate proper patient care in an ICU setting. The researchers conclude that technology is essential and often intervenes when labor is divided within the ICU unit. The study also shows that technology helps reformulate practice and challenges staffs knowledge and awareness of routine problems. The authors find that within an ICU work environment nurses need to utilize relevant supporting tools to help handle routine problems and suggest that technology be interwoven into the problem solving practices adopted in an ICU environment.
Conclusions and Recommendations
Adequate are is vital to the recovery of patients in the ICU. A number of factors can influence patient outcomes and their environment in the ICU setting. Among the factors that positively contribute to proper patient care in the ICU and the ICU setting include a caring and collaborative nursing staff, adequate attention to patient needs such as sound sleep and familial visitations.
Technological advances may also contribute to better care in the ICU environment. It is important that nursing staff understand what factors contribute to better patient care and a positive outcome within the ICU environment. Such attention will ultimately facilitate better patient's outcomes and reduce the amount of stress and anxiety associated with a stay in the ICU.
Celik, S.M., Oztekin, D., Akyolcu, N., & Issever, H. (2004 - May). "Sleep disturbance:
The patient care activities applied at the night shift in the intensive care unit." Issues In Clinical Nursing.
Clarke, C.M. (2000 - Feb). "Children visiting family and friends on adult intensive care units: the nurses' perspective." Journal of Advanced Nursing, 31(2): 330.
Gonzales, C.E., Carroll, D.L., Elliott, J.S. & Fitzgerald, P.A. (2004 - May). "Visiting preferences of patients in the intensive care unit and in complex care medical unit." American Journal of Critical Care, 13(3): 194.
Wilkin, K., & Slevin, E. (2003- Jan). "The meaning of caring to nurses: an investigation into the nature of caring work in an intensive care unit." Issues in Clinical Nursing
Wilkstrom, A.C. & Larsson, U.S. (2003 - May). "Technology - an actor…[continue]
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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
Task 2 The basic problem in this research is to figure out whether open visitation will benefit or harm the patients in the ICU. The study being carried out is to determine what the nurses and the family of the ICU patients have to say about this issue. This topic is very controversial because the rules and regulations are not the same in all hospitals. Even if there are strict rules
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
S. than in any other developed nation, yet the quality of care, even for those who are insured, is mediocre at best (Hawkins, 2007). Doctors and hospitals often treat patients free of charge, if they do not have health insurance. However, that raises costs for other patients and makes healthcare and insurance even more costly. Most Americans recognize that the country's healthcare system is not sustainable and that without significant reform,
Orem's Theory And Critical Care Background- The 21st century nursing profession has a greater exposure to new technologies, methods, and techniques than any other in the past. In fact, "the use of clinical judgment in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death" is one
Opening visiting hours in the Intensive Care Unit Harmful or Helpful to the Patient As the healthcare system starts making that move in the direction of a client-driven model, opening visiting hours are becoming a topic of discussion and interest. Studies that go all the way back to the 1970s has produced argument and conjecture over the perfect visiting practices in the adult intensive care unit. This literature explores the
The experience of Fumagalli et al.(2006) was similar: when open and flexible visiting hours were permitted, patients and visitors seemed more content (Fumagalli et al., 2006). ICU staff, on the other hand, insist on maintaining restrictive visiting policies on the grounds that liberal visiting hours may distract caregivers, whilst increasing the patient's stress and risk of septic complications. The issue remains an agonizing and constantly debated point of contention amongst physicians,