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Humanization from caring at adult's intensive therapy unit:
Júlio César Batista Santana, Júnia Imídio de Lima, Tatiana Gomes de Matos,Bianca Santana Dutra
Revista de Enfermagem UFPE On Line , 2009,
Abstract: Objective: to understand the perception of the nursing’s team on the process of the humanized care at Adult’s IntensiveTherapy Unit. Methodology: this is about a qualitative research, from phenomenology approach, that had as principalquestion: Which is your perception as nursing professional on the humanization care in an intensive therapy unit? Thesample was composed by two nurses, four technicians, two nurses aid and one nursing student. It was used, as scene, theIntensive Therapy Unit from a philanthropic hospital in Minas Gerais city, Brazil. The information had been collectedthrough the half-structuralized interview. The analysis of the depositions was from the perception of the informers on thephenomenon, resulting in the understanding of their experiences. Results: six categories were identified: 1) Technologyof caring; 2) Perceiving the necessity of humanization in the UTIs; 3) Relation of caring: to care of the other as it wouldlike to be well-care; 4) Presence of the family in the process of humanization care; 5) Depersonalization of the patient; 6)Humanization from the caregivers. Conclusion: it was evidenced that nursing's team has conscience of the necessity carehumanization's process, but it believes that it cannot occur of way isolated, therefore requires the involvement of theprofessional, of the patient, of the family and of the institution.
Caring for newborns in the presence of their parents: the experience of nurses in the neonatal intensive care unit
Merighi, Miriam Aparecida Barbosa;Jesus, Maria Cristina Pinto de;Santin, Karine Ribeiro;Oliveira, Deíse Moura de;
Revista Latino-Americana de Enfermagem , 2011, DOI: 10.1590/S0104-11692011000600017
Abstract: the nurse has a key role in involving parents in the care of newborns in the neonatal intensive care unit. the aim of this study was to comprehend how the nurses experience the care provided to newborns in the presence of the parents. this is a qualitative study using social phenomenology, with the participation of seven nurses, interviewed between january and february 2009. the nurses perceived the needs of parents; had positive expectations regarding the care provided and acknowledge themselves to be the link between them, helping them to live with the hospitalized child. however, in emergencies, the nurses had difficulties in caring for the neonate in the presence of the parents. the nurses positively evaluated the presence of parents in the neonatal intensive care unit, involving them permanently in the care of the newborn. the study evokes the emergence of a care context (nurse/neonate/parents) that precedes the proximity between the subjects and the demands presented by them.
Thai Psychiatric Nurses’ Experiences and Perceptions of the Professional Role When Caring for Older People Displaying Depressive Symptoms  [PDF]
Duangkaew Kleebthong, Sukjai Chareonsuk, Lisbeth Kristiansen
Open Journal of Nursing (OJN) , 2018, DOI: 10.4236/ojn.2018.81004
Abstract:

Purpose:?The aim of this study was to describe Thai psychiatric nurses’ experiences and perceptions of their professional role when caring for older people whom displayed symptoms of clinical depression.?Methods:?A qualitative descriptive research design was used. Thirteen psychiatric nurses working in the field of mental health and psychiatric nursing at a rural district hospital were purposively included. The data were collected through in-depth,?face to face interviews and analyzed using qualitative latent content analysis.?Results:?All participants were female, and the mean age was 43 years, and the mean experience of caring for mentally ill patients was 8.3 years. The psychiatric nurses’ experiences and perceptions of their professional role were mirrored in the following themes:?1) managing a central role in the care of the patients;?2) conflicting interests between the professional needs of caregiving and other requests; and?3) being compassionate beyond the profession.?Conclusion: The psychiatric nurses were challenged by the complexity of the caregiving situations and the partners involved in the process of caring for older people with depression. Professionally, the psychiatric nurses played an important role in preventive care and managerial work. They underwent stress under the influence of stakeholders, but they also contributed to the holistic patient care.?Health service authorities may use these results to develop plans for psychiatric nurses in managing a central role and in advocating for holistic care to mitigate the influence of stakeholders to enhance quality of caring for older?individuals with depression.


Pregnant crack addicts in a psychiatric unit
Costa, Gabriela de Moraes;Soibelman, Mauro;Zanchet, Daniel Luís;Costa, Patricia de Moraes;Salgado, Carlos Alberto Iglesias;
Jornal Brasileiro de Psiquiatria , 2012, DOI: 10.1590/S0047-20852012000100003
Abstract: objective: in this study we aim to characterize a sample of 85 pregnant crack addicts admitted for detoxification in a psychiatric inpatient unit. method: cross-sectional study. sociodemographic, clinical, obstetric and lifestyle information were evaluated. results: age of onset for crack use varied from 11 to 35 years (median = 21). approximately 25% of the patients smoked more than 20 crack rocks in a typical day of use (median = 10; min-max = 1-100). tobacco (89.4%), alcohol (63.5%) and marijuana (51.8%) were the drugs other than crack most currently used. robbery was reported by 32 patients (41.2%), imprisonment experience by 21 (24.7%), trade of sex for money/drugs by 38 (44.7%), home desertion by 33 (38.8%); 15.3% were positive for hiv, 5.9% for hcv, 1.2% for hbv and 8.2% for syphilis. after discharge from the psychiatric unit, only 25% of the sample followed the proposed treatment in the chemical dependency outpatient service. conclusion: greater risky behaviors for std, as well as high rates of maternal hiv and syphilis were found. moreover, the high rates of concurrent use of other drugs and involvement in illegal activities contribute to show their chaotic lifestyles. prevention and intervention programs need to be developed to address the multifactorial nature of this problem.
Improving the smoking patterns in a general hospital psychiatric unit
Celso Iglesias García,María José Alonso Villa,Juan Carlos Bernaldo de Quirós,Elena Bocanegra Suárez
NURE Investigación , 2009,
Abstract: Objectives: The purpose of the present paper is to evaluate the effects of a smoking ban in a general hospital psychiatric unit. Methods: We study the effects of smoking ban in 40 consecutive psychiatric inpatients. The staff registered socio-demographic and tobacco-related variables. We also registered any kind of behavioral effects of smoking ban.Results: The patients were willing to stop smoking during their hospital stay (with or without nicotine replacement) with two mild behavioural incidences registered throughout the study. Conclusions: The benefits of non-smoking policy in a psychiatric unit can be significant. The introduction of smoking bans in psychiatric inpatients settings is possible and safe.
Knowledge of nurses at a psychiatric hospitalization unit of a teaching hospital
Olschowsky, Agnes;Duarte, Maria de Lourdes Custódio;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000400026
Abstract: this study aims to identify the knowledge of the nurses in a psychiatric hospitalization unit at a university hospital. it is an exploratory, descriptive research with a qualitative approach, utilizing semistructured interviews. the nurses refer to a change in the assisting care, starting from their experience in the asylum mode and making references to the concepts of the psychosocial mode: integrality, welcoming, interdisciplinarity and interpersonal relationship. integral and individual care, knowledge of the psychiatric syndromes and their treatment as well as the consideration of the subjectivity of the subject under psychiatric suffering are part of the knowledge that guides nursing actions in mental health.
Occurrence of post traumatic stress symptoms and their relationship to professional quality of life (ProQoL) in nursing staff at a forensic psychiatric security unit: a cross-sectional study
Christian Lauvrud, K?re Nonstad, Tom Palmstierna
Health and Quality of Life Outcomes , 2009, DOI: 10.1186/1477-7525-7-31
Abstract: Self report questionnaires assessing symptoms of post traumatic stress and professional quality of life were distributed among psychiatric nurses in a high security forensic psychiatric unit with high frequency of violent behaviour. Relationships between post traumatic stress symptoms, forensic nursing experience, type of ward and compassion satisfaction, burnout and compassion fatigue were explored.The prevalence of post traumatic stress symptoms was low. Low scores were found on compassion satisfaction. Length of psychiatric nursing experience and low scores on compassion satisfaction were correlated to increased post traumatic stress symptoms.Although high violence frequency, low rate of post traumatic stress symptoms and low compassion satisfaction scores was found. High staff/patient ratio and emotional distance between staff and patients are discussed as protective factors.Psychiatric nurses often experience violence at their workplace. In the course of their career 70% experience violence against their person [1]. Being forced to manage violent patients often provokes adverse feelings and negative workplace experience [2]. This often causes feelings of fear and anxiety [3,4]. It has been shown that a substantial number of psychiatric nurses have signs of burnout. In a study of Robinson (2003) [5] more than 20% of registered psychiatric nurses reported intrusive memories from patient assaults. Recent findings indicate high level of emotional exhaustion among community mental health nurses, a phenomenon which seems to be lessened by regular clinical supervision [6]. Compassion fatigue and burnout is a phenomenon of importance for other health care and social workers and the relation between different aspects of job satisfaction, compassion fatigue and risk for burnout has been explored [7,8]. It has been argued the role conflict, a special feature in psychiatry caring as to the amount of violence nurses are forced to handle, that this role conflict in combinati
Admission to a psychiatric unit and changes in tobacco smoking  [cached]
Ker Suzy,Owens David
Clinical Practice and Epidemiology in Mental Health , 2008, DOI: 10.1186/1745-0179-4-12
Abstract: Smoking and withdrawal from smoking complicates the assessment and treatment of mental illness. We aimed to establish whether psychiatric inpatients smoke different amounts after admission than beforehand and, if so, to find out why. Forty-three inpatients on a working age adult psychiatry ward completed self-report questionnaires about smoking habits. Those who smoked a different amount after admission had a follow-up interview to find out why they thought this had occurred. The interview incorporated qualitative and quantitative aspects which were analysed accordingly. Fifty-six percent of participants were smokers before admission, rising to 70% afterwards. Of the smokers, 17% smoked less after admission, and 63% smoked more. The average number of cigarettes smoked per person per day increased from five to thirteen. The main reasons for smoking more were boredom, stress and the wish to socialise.
Death with dignity ― nurse’s feelings who are caring for patients who are dying in intensive care unit
álvaro Pereira, Ana Emília Rosa Campos, Rudval Souza da Silva
Revista de Enfermagem UFPE On Line , 2009,
Abstract: Objective: to understand the nurses’ feelings who are caring for patients who are dying in Intensive Care Unit (ICU). Methods: this is about an exploratory and descriptive study, from qualitative approach, which had as principal question: How do you feel taking care of patients outside chance of cure Intensive Care Unit? The sample was composed by ten nurses. The study was conducted in the ICU from public hospital in Salvador city. Data were collected from August to September 2008, with recorded interviews using a semi-structured script. The content analysis proposed by Bardin was the reference used for the analysis of data, which defined the categories of analysis. Results: two categories emerged: feelings related to the patient and feelings related to with the family. Conclusion: the death is considered by nurses who deal with it in the Intensive Care Unit, as an experience of conflicting emotions, sometimes painful.
EPIDEMIOLOGY, ETIOLOGY AND MONITORING OF INTRAHOSPITAL INFECTIONS IN THE SURGICAL INTENSIVE CARE UNIT
Amer Custovic,Mirsad Babovic,Fejzo Dzafic
Acta Medica Saliniana , 2008, DOI: 10.5457/ams.68.08
Abstract: Introduction: Intrahospital infections (IHI) are frequent occurence in modern hospitals. These infections are recognized as a significant public-health problem in the industrial developed countries, as well as in countries in developing. Material and Methods: The main goal of this study was establish epidemiological monitoring of the occurence of IHI in the surgical intensive care unit at a University clinical center Tuzla (UCC), in order to define: type of IHI according to the anatomic localisation and causative agents of IHI. A during 2002. and 2003. there were 1751 patients treated in the surgical intensive care unit. The study examination was conducted by using the method of National Nosocomial Infections Surveillance (NNIS) from the United States of America. Results and Discussion: The results of study are confirming expectations that the intensive care units are in high risk for the occurence of IHI. We have also proved certain distribution differences of IHI related to anatomic localization. At 2002. the urinary tract infections were the most frequent (35.21%), than surgical site infections (22.54%), bloodstream infections (17.61%), respiratory tract infections (9.15%) and other infections (15.49%)(p< .01). At 2003. the urinary tract infections represented 32.35% all of IHI, surgical site infections also represented 32.35%, followed by bloodstream infections (16.18%), respiratory tract infections (7.35%) and other infections (11.76%)(p< .001). In both years of study the most frequent organisms as a causative agents of IHI were Enterobacteriaceae (Klebsiella pneumoniae- 24.5% and 16.1%; Proteus mirabilis- 7.9% and 14.2%), Pseudomonas aeruginosa (23.1% and 16.9%) and Acinetobacter species (14% and 17.3%)(p< .001). Conclusion: It is expected that the continuous surveillance of IHI will improve the quality of work at the UCC-Tuzla, which lead to the improvement of patients treatment and decrease of material costs.
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