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Leinokilpi Helena - One of the best experts on this subject based on the ideXlab platform.
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competence in Intensive and critical Care Nursing a literature review
Intensive and Critical Care Nursing, 2008Co-Authors: Riittaliisa Aari, Suominen Tarja, Leinokilpi HelenaAbstract:This literature review defines and describes the concept of competence in adult Intensive Care Nursing, with special reference to clinical and professional competence. The aim was to see whether and how the studies reviewed defined or described the concept of competence, and which domains of competence have been investigated in Intensive and critical Care Nursing research. The review focuses on empirical studies retrieved from the COCHRANE and MEDLINE (1994-2005) databases. The final analysis comprised 45 studies. The studies were analysed by inductive content analysis. Very few (n=7) of the studies offered any definitions or descriptions of the concept of competence. Clinical and professional competence in Intensive and critical Care Nursing can be defined as a specific knowledge base, skill base, attitude and value base and experience base of Intensive and critical Care Nursing. Clinical competence can be divided into three and professional competence into four constituent domains. In clinical competence, these are the principles of Nursing Care; clinical guidelines; and Nursing interventions. In professional competence, the domains are ethical activity; decision-making; development work; and collaboration. More empirical research is needed to examine competence in Intensive and critical Care Nursing.
Suominen Tarja - One of the best experts on this subject based on the ideXlab platform.
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competence in Intensive and critical Care Nursing a literature review
Intensive and Critical Care Nursing, 2008Co-Authors: Riittaliisa Aari, Suominen Tarja, Leinokilpi HelenaAbstract:This literature review defines and describes the concept of competence in adult Intensive Care Nursing, with special reference to clinical and professional competence. The aim was to see whether and how the studies reviewed defined or described the concept of competence, and which domains of competence have been investigated in Intensive and critical Care Nursing research. The review focuses on empirical studies retrieved from the COCHRANE and MEDLINE (1994-2005) databases. The final analysis comprised 45 studies. The studies were analysed by inductive content analysis. Very few (n=7) of the studies offered any definitions or descriptions of the concept of competence. Clinical and professional competence in Intensive and critical Care Nursing can be defined as a specific knowledge base, skill base, attitude and value base and experience base of Intensive and critical Care Nursing. Clinical competence can be divided into three and professional competence into four constituent domains. In clinical competence, these are the principles of Nursing Care; clinical guidelines; and Nursing interventions. In professional competence, the domains are ethical activity; decision-making; development work; and collaboration. More empirical research is needed to examine competence in Intensive and critical Care Nursing.
Moi, Asgjerd Litleré - One of the best experts on this subject based on the ideXlab platform.
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Nurses’ experiences of ICU diaries following implementation of national recommendations for diaries in Intensive Care units: A quality improvement project
'Elsevier BV', 2020Co-Authors: Holme, Anny Norlemann, Halvorsen Kristin, Eskerud, Ragne Sannes, Lind Ranveig, Storli, Sissel Lisa, Gjengedal Eva, Moi, Asgjerd LitleréAbstract:Objectives To evaluate critical Care nurses’ experiences of ICU diaries following the implementation of national recommendations for the use of diaries for critically ill patients. Design A quality improvement project describing the development and implementation of national recommendations (2011), as well as the assessment of the use of diaries in Intensive Care Nursing practice (2014). Setting Norwegian Intensive Care units (ICUs). Participants Thirty-nine Norwegian ICUs took part in the study. Intervention A multi-component process for developing national recommendations for the use of diaries in Norwegian ICUs, including recommendations for the target group, when to start, health professionals as authors, diary content, structure, language, use of photographs, handover, access and storage within patient medical records. Main outcome measure A questionnaire asking about experiences of implementing national recommendations on diaries in Norwegian ICUs, as well as their impact and how they are used. Results Three years after the implementation of the national recommendations, diaries were provided in 24 (61.5%) of the responding ICUs. Fifty-six per cent of the ICUs had revised their routines, of which 62% had updated and 38% had developed new protocols. Most ICUs kept the diary along with other medical information describing patient Care, but only 50% of the ICUs scanned handwritten diaries into the electronic medical records before handing them over to patients or the bereaved. ICU nurses reported that implementing national recommendations had increased their awareness and knowledge on patient and family needs, as well as the long-term effects of critical illness. Conclusion The results of this quality improvement project indicate that access to national recommendations on the use of diaries for critically ill patients have a potential of changing routines and increase standardisation
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Nurses’ experiences of ICU diaries following implementation of national recommendations for diaries in Intensive Care units: A quality improvement project
'Elsevier BV', 2020Co-Authors: Holme, Anny Norlemann, Halvorsen Kristin, Eskerud, Ragne Sannes, Lind Ranveig, Storli, Sissel Lisa, Gjengedal Eva, Moi, Asgjerd LitleréAbstract:Objectives To evaluate critical Care nurses’ experiences of ICU diaries following the implementation of national recommendations for the use of diaries for critically ill patients. Design A quality improvement project describing the development and implementation of national recommendations (2011), as well as the assessment of the use of diaries in Intensive Care Nursing practice (2014). Setting Norwegian Intensive Care units (ICUs). Participants Thirty-nine Norwegian ICUs took part in the study. Intervention A multi-component process for developing national recommendations for the use of diaries in Norwegian ICUs, including recommendations for the target group, when to start, health professionals as authors, diary content, structure, language, use of photographs, handover, access and storage within patient medical records. Main outcome measure A questionnaire asking about experiences of implementing national recommendations on diaries in Norwegian ICUs, as well as their impact and how they are used. Results Three years after the implementation of the national recommendations, diaries were provided in 24 (61.5%) of the responding ICUs. Fifty-six per cent of the ICUs had revised their routines, of which 62% had updated and 38% had developed new protocols. Most ICUs kept the diary along with other medical information describing patient Care, but only 50% of the ICUs scanned handwritten diaries into the electronic medical records before handing them over to patients or the bereaved. ICU nurses reported that implementing national recommendations had increased their awareness and knowledge on patient and family needs, as well as the long-term effects of critical illness. Conclusion The results of this quality improvement project indicate that access to national recommendations on the use of diaries for critically ill patients have a potential of changing routines and increase standardisation.publishedVersio
Riittaliisa Aari - One of the best experts on this subject based on the ideXlab platform.
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competence in Intensive and critical Care Nursing a literature review
Intensive and Critical Care Nursing, 2008Co-Authors: Riittaliisa Aari, Suominen Tarja, Leinokilpi HelenaAbstract:This literature review defines and describes the concept of competence in adult Intensive Care Nursing, with special reference to clinical and professional competence. The aim was to see whether and how the studies reviewed defined or described the concept of competence, and which domains of competence have been investigated in Intensive and critical Care Nursing research. The review focuses on empirical studies retrieved from the COCHRANE and MEDLINE (1994-2005) databases. The final analysis comprised 45 studies. The studies were analysed by inductive content analysis. Very few (n=7) of the studies offered any definitions or descriptions of the concept of competence. Clinical and professional competence in Intensive and critical Care Nursing can be defined as a specific knowledge base, skill base, attitude and value base and experience base of Intensive and critical Care Nursing. Clinical competence can be divided into three and professional competence into four constituent domains. In clinical competence, these are the principles of Nursing Care; clinical guidelines; and Nursing interventions. In professional competence, the domains are ethical activity; decision-making; development work; and collaboration. More empirical research is needed to examine competence in Intensive and critical Care Nursing.
Grazina Wojnickijohansson - One of the best experts on this subject based on the ideXlab platform.
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communication between nurse and patient during ventilator treatment patient reports and rn evaluations
Intensive and Critical Care Nursing, 2001Co-Authors: Grazina WojnickijohanssonAbstract:Abstract Background: The current treatment preference for patients requiring artificial ventilation is to have them non-sedated whenever feasible. To be aware but unable to communicate is a novel experience for patients and produces problems in Nursing. A review of the literature shows that few studies have focused on this significant issue in Intensive Care Nursing. Aim: To study patient experiences of communication problems during ventilator treatment. Subjects and methods: Twenty-two consecutive patients treated in an Intensive Care unit (ICU) were interviewed three times over a 2-month period about their experiences of changes to their communication during ventilator treatment. Structured questionnaires, including open-ended questions were used on each occasion. The registered nurse (RN) in charge of each patient evaluated the extent of communication during the ventilator treatment in a nurse protocol. Results: Thirteen of the twenty-two patients reported that the RNs were able to understand their needs and wishes during the ventilator treatment. The RNs, however, reported functional communication in nineteen patients. A functional communication was typically related to the use of effective communication methods, while a lack of communication was associated with compromised medical status of the patients. Discussion: The results suggest the need for detailed examination of patients’ potential for effective communication, evaluation of the communication skills of the RNs, and further investigation of devices that can help facilitate communication between RNs and patients during ventilator treatment.