Attitudes Of Intensive Care Nurses Research Articles

Determination of the Intensive Care Nurses’ Attitudes towards Evidence-Based Practices

Objective: This research was carried out to determine the attitudes of intensive care nurses towards evidence-based nursing.
 Methods: This descriptive study was conducted with 134 nurses working in the intensive care units of a university hospital between January and June 2021. Research data were collected by online data collection technique using “Descriptive Form for Nurses” and “Evidence-Based Nursing Attitude Questionnaire (EBNAQ)”. The obtained data were analyzed by using descriptive statistics (number, percentage, mean) and Mann Whitney U tests in the computer-aided SPSS package program.
 Results: It was determined that the intensive care nurses’ mean total score in the Evidence-Based Nursing Attitude Questionnaire (EBNAQ)was 66.35±6.22. Evidence-Based Practice Intentions Subscale was found to be higher in female nurses than in male nurses (p

Analysis of the Relationship Between Job, Life Satisfaction and Teamwork Attitudes of Intensive Care Nurses Working in a Turkish Public Hospital

Objective: The aim of this study was to determine the relationship between work, life satisfaction levels, and teamwork attitudes of intensive care nurses who work in a public hospital in Turkey.
 
 Methods: This was a descriptive and correlational study. The sample consisted of nurses working in intensive care units. Tools used to collect data were the “Sociodemographic Question Form,” “Nurse Job Satisfaction Scale” “Life Satisfaction Scale” and “Teamwork Attitudes Questionnaire” were used to collect the data.
 
 Results: A total of 217 nurses participated. In the study were a mean age of 35.32 ± 7.70. Most, 78.2% of the participants (n=170) were female, 65.90% (n=143) were graduates, 67.70% (n=147) were married, and 62.7% (n=136) had children. In this study, the LSS, NJSS, and T-TAQ scores for Intensive Care Nurses (ICNs) were determined to be 14.21 ± 4.28, 84.34 ± 16.71, and 99.11 ± 21.48, respectively. The respondents reported moderate and high scores on all three scales, and these scores positively correlated at the same time.
 
 Conclusion: In this study, which explores the interrelationships among these three distinct domains, is unusual in this regard. There was a positive correlation between the scores on the LSS, NJSS and T-TAQ in this study. It was determined that there was a positive relationship between LSS, NJSS and T-TAQ. Each scale score affects the scores of other scales. In our study, it can be said that ICNs' job satisfaction, life satisfaction and teamwork attitude levels are at medium level and above. Academicians, chief nurses, institution managers, and health system managers play important roles in the satisfaction of nurses whose satisfaction level is high.

The Relationship of Intensive Care Nurses' Attitudes Towards Organ Donation With Their Attitudes Towards Euthanasia and Moral Sensitivity.

Determination of the relationship between nurses' attitudes towards issues, such as end-of-life care that is specific to intensive care, euthanasia, and organ donation and their moral sensitivity levels is one of the important points for working out ethical problems encountered in intensive care units and increasing the quality of care. This study was conducted to determine the relationship between the attitudes of intensive care nurses towards organ donation, euthanasia, and terminal patients and their moral sensitivity. The study was completed with 175 nurses who agreed to participate in the study. Informed consent of the participants was obtained. While nurses' attitudes towards euthanasia, death, and caring for the dying patient did not correlate with their moral sensitivities, their attitudes towards organ donation did.

Ethical Attitudes of Intensive Care Nurses during Clinical Practice and Affecting Factors.

BackgroundTechnological advances in critical care contribute to patient survival, but healthcare professionals working in these units, which require technical expertise, experience highly challenging ethical decision-making processes.AimThe aim of this study is to determine the attitudes of intensive care nurses toward ethical problems they face during clinical practice and the affecting factors.MethodThe study included a total of 294 nurses working in the intensive care units at a city hospital. Data was collected using the Personal Information Form and Ethical Attitude Scale for Nursing Care.FindingsAbout 58.8% of the participants were females and 71.1% had undergraduate degrees. The total scale score was 56.48 ± 15.98. A statistically significant difference was found between participants’ gender, weekly working hours, ethical definition status, and scale score averages.ConclusionMore than half experienced frequent ethical problems and tried to solve them on their own. Trainings aimed at developing ethical sensitivity and participation in symposiums/conferences that address ethical issues specific to intensive care are recommended.How to cite this articleIşik MT, Özdemir RC, Serinkaya D. Ethical Attitudes of Intensive Care Nurses during Clinical Practice and Affecting Factors. Indian J Crit Care Med 2022;26(3):288-293.

Determination of Organ Donation Attitudes of Intensive Care Nurses

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 Amaç: Bu çalışma, yoğun bakım hemşirelerinin organ bağışı hakkındaki tutumlarını belirlemek amacıyla yapılmıştır. 
 Yöntem: Araştırma tanımlayıcı nitelikte olup, 04.06.2021 ile 30.07.2021 tarihleri arasında, çevrimiçi google anket formu kullanılarak çok merkezli yürütülmüştür. Araştırmaya 105 hemşire katılmıştır. Araştırmanın verileri “Hemşire Tanıtım Formu” ve “Organ Bağışı Tutum Ölçeği” ile toplanmıştır. Veriler, tanımlayıcı istatistikler, ki kare veya Fisher testi, student t testi, Mann-Whitney U testi ve tek yönlü varyans analizi (ANOVA) ile değerlendirilmiştir. 
 Bulgular: Hemşirelerin yaş ortalaması 28,22±6,6, toplam mesleki deneyim 6,11±6,57, toplam yoğun bakım deneyimi 3,54±4,58 ve haftalık ortalama çalışma saati 53,23±14,10 olarak belirlendi. Katılımcıların çoğu kadın (%80), lisans mezunu (%68,6), bekar (%69,5), vardiyalı çalışan (%81,9), dahili yoğun bakım ünitesinde çalışandı (%79,1). Organ bağışı ile ilgili eğitim aldığını (%22,9) ve organ bağışı kartı olduğunu ifade eden (%18,1) hemşire oranı düşük bulundu. Hemşirelerin Organ bağışı tutum ölçeği’ne göre pozitif tutum skoru yüksek (106,36±13,9), negatif tutum skoru ise (43,53±19,40) düşüktü. Hemşirelerin organ bağışı tutumları ile yaş, toplam mesleki ve yoğun bakım deneyim, haftalık ortalama çalışma saati, cinsiyet, medeni durum, çocuk sahibi olma, çalışma düzeni, statü, çalıştığı yoğun bakım ünitesi, organ bağışı eğitimi alma durumu ve organ bağışı kartı bulunma durumları arasında istatiksel olarak anlamda bir farklılık olmadığı görüldü (p>0,05). 
 Sonuç: Yoğun bakım hemşirelerinin organ bağışı konusunda gönüllü tutumlarının güçlü olduğu fakat organ bağışı kartı olanların çok az olduğu belirlendi.

The Attitudes of Intensive Care Nurses Towards Euthanasia, Death and Terminal Patients

Giriş: Hemşireler hastane ortamında yaşanılan ölümlere en yakın tanıklık eden sağlık profesyonellerindendir. Özellikle yoğun bakım hemşireleri bu durumla daha çok karşı karşıya kalmaktadırlar.Amaç: Bu çalışmanın amacı da üniversite hastanesinin yoğun bakım ünitesinde görev alan hemşirelerin ötanazi, ölüm, ölümcül hastaya yaklaşım konusundaki tutumlarını belirlemektir.Gereç ve Yöntem: Araştırmanın veri toplama formu iki kısımdan oluşmaktadır. Birinci kısımda 16 soruluk kişisel bilgi formu; ikinci kısımda Ötanazi, Ölüm ve Ölümcül Hastaya İlişkin Tutum Ölçeği (ÖTÖ) kullanılmıştır. Veriler Haziran –Aralık 2015 tarihleri arasında toplanmıştır. Araştırma evreni 367 yoğun bakım hemşiresinden oluşmakta olup araştırmaya katılmayı kabul eden ve ulaşılan 243 hemşireyle çalışma yürütülmüştür. Verilerin değerlendirilmesinde frekans dağılımı, Independent Sample t Test, One-Way Anova testi, Tukey testi kullanılmıştır. Araştırma için A Üniversitesi Klinik Araştırmalar Etik Kurul’undan izin alınmıştır.Bulgular: Katılımcıların yaş ortalaması 26,71, çalışma yılı ortalaması 5,84’dir. ÖTÖ puan ortalaması 85,07’dir. Ölçeğin üç alt boyutundaki puan ortalamaları ise ötanaziye ilişkin tutum alt boyutu için 36,09; ölüme ilişkin tutum alt boyutu 25.57; ölümcül hastaya ilişkin tutum alt boyutu 23.40’dır. Sonuç: Katılımcıların ölüm, ölümcül hasta ve ötanaziye yaklaşımlarının genel olarak olumsuz olduğunu göstermektedir. Katılımcıların ölümcül hastaya ilişkin tutumlarının ölçeğin diğer alt gruplarına göre daha olumlu olduğu görülmektedir.

Pressure Injury Prevention: Knowledge and Attitudes of Iranian Intensive Care Nurses

Pressure injuries are the third most expensive condition after cancer and cardiovascular disease. Nurses are responsible for the direct and continuous care, treatment, and prevention of pressure injuries. To achieve optimal quality care, nursing knowledge and attitudes must be based on the best scientific evidence. This study aimed to examine the knowledge and attitudes of nurses working in intensive care units of hospitals affiliated with Zahedan Medical Sciences University regarding the prevention of pressure injuries. This was a descriptive analytic study involving 89 critical care nurses. Data analysis was conducted using a 3-part questionnaire: demographic data, knowledge, and attitudes of intensive care nurses toward the prevention of pressure injuries. Collected data were analyzed with SPSS version 19 (IBM, Armonk, New York), using descriptive and inferential statistics (such as Pearson correlation coefficient, independent t test, and analysis of variance). The results showed that the mean ± SD score of pressure injury knowledge was 0.44 ± 0.12, and the attitude of participants toward pressure injury prevention was 2.69 ± 0.47. Scores varied widely; "nutrition" showed the highest mean score (0.71 ± 0.45), but "etiology and development" (0.42 ± 0.21) and "classification and observation" (0.42 ± 0.24) showed the lowest mean scores. Of the different aspects of attitudes toward pressure injury prevention, "the impact of pressure injuries" showed the highest mean score (2.95 ± 0.56), and "confidence in the effectiveness of prevention" showed the lowest mean score (2.56 ± 0.46). A statistically significant relationship was observed between pressure injury knowledge and attitudes toward pressure injury prevention (P < .001). Pressure injury prevention is one of many nursing care priorities and is a key indicator of the quality of nursing care. In order to achieve optimal quality care in this area, nurse managers and other administrators should make efforts to improve nursing knowledge and attitudes based on the latest scientific evidence for pressure injury prevention.

Attitudes of intensive care nurses towards pressure ulcer prevention

Background: The development of pressure ulcer is a common problem across a full range of healthcare settings, including intensive care units. Nurses’ attitudes towards pressure ulcer prevention have an important influence on their ability to deliver this practice. Aim: To assess nurses’ attitude towards pressure ulcer prevention and to identify any factors that could affect theseattitudes.Methods: A descriptive cross-sectional study was conducted in the ICUs of three conveniently selected hospitals in Jordan. Data were collected from 112 nurses working in intensive care units in three hospitals in Jordan by means of a self-administered questionnaire. An attitudes towards pressure ulcer prevention tool designed by Moore and Price was used to collect the data.Results: Intensive care nurses hold positive attitudes towards pressure ulcer prevention. Both nurses’ experience and previous training on pressure ulcer prevention were the most significant predictors of these attitudes.Conclusions: Positive attitudes should be supported since nurses with a positive attitude will be more willing to implement pressure ulcer prevention measures. Any barriers which exist to prevent nurses who have a positive attitude from delivering the prevention strategies should be investigated.

Knowledge and Attitudes of Intensive Care Nurses on Organ Donation

Knowledge and Attitudes of Intensive Care Nurses on Organ Donation

Percepción de las actitudes éticas de la enfermería de cuidados intensivos ante la limitación del tratamiento

Objective Analyze the perception of intensive care nurses regarding the limitation of therapeutic efforts (LET). Method A 2-month cross-sectional, descriptive study carried out among Intensive Care nursing staff of our Hospital. An anonymous survey was used to assess the attitudes of intensive care nurses on LET. Results Fifty-two nurses (86.6%), 57.7% women, with a working experience of 8.8±4.8 years and 17.7%, had some additional training in ethics. The decision not to hospitalize a patient whose short term quality of life is very poor changes when the patient's opinion is considered (36.5% vs 61.5%, p=0.008), a difference that is greater in male nurses without prior training in ethics. A total of 23.1% were not aware of the existence of agreed on guidelines on LET in the Service. A total of 17.3% consider that limiting treatment, either by not providing it or by withdrawing it, is a form of passive euthanasia, which would be an acceptable practice as opposed to euthanasia and 84.6% consider that administering a treatment is not the same as withdrawing it. Of those surveyed, 36.5% felt that the neither the nursing staff should not participate in the decision to limit treatment nor the patients (34.6%) nor family (23.1%). Conclusions Nursing is not aware of the importance it can have, along with the family and patient, in decision making in relationship to the limitation of the treatment of the critical patient, providing a humanizing and ethical view of the care.

Attitudes to End-of-Life Decisions in Paediatric Intensive Care

The aim of this study was to assess attitudes of intensive care nurses to selected ethical issues related to end-of-life decisions in paediatric intensive care units. A self-administered questionnaire was distributed in 2005 to intensive care nurses at two different scientific occasions in Turkey. Of the 155 intensive care nurse participants, 98% were women. Fifty-three percent of these had intensive care experience of more than four years. Most of the nurses failed to agree about withholding (65%) or withdrawing (60%) futile treatment. In addition, 68% agreed that intravenous nutrition must continue at all costs. In futile treatment cases, the nurses tended to leave the decision to parents or act maternalistically. The results showed that intensive care nurses could ignore essential ethical duties in end-of-life care. We suggest that it is necessary to educate Turkish intensive care nurses about ethical issues at the end of life.

Beliefs and attitudes of intensive care nurses toward visits and open visiting policy

Beliefs and attitudes of intensive care nurses toward visits and open visiting policy

Beliefs and attitudes of intensive care nurses toward visits and open visiting policy

To describe the beliefs and attitudes of intensive care unit (ICU) nurses toward visiting, visiting hours, and open visiting policies in critical care settings. A descriptive, cross-sectional, multicenter survey. Seventeen hospitals in Flanders (Dutch-speaking Belgium), including 30 ICUs. Sixteen mixed adult medical/surgical ICUs, three medical ICUs, five surgical ICUs, three coronary care units, two post-cardiac surgery ICUs, and one burn unit. A total of 531 intensive care nurses. We devised a questionnaire comprising 20 items assessing beliefs and 14 items assessing attitudes. Nurses indicated their level of agreement for each statement on a five-point rating scale. Nurses believed that open visiting hampers planning of adequate nursing care (75.2%), interferes with direct nursing care (73.8%), and causes nurses to spend more time in providing information to the patients' families (82.3%). The presumed effects of visits on the patients and families were contradictory. Most nurses (75.3%) did not want to liberalize the visiting policy of their unit. ICU nurses have rather skeptical beliefs and attitudes toward visiting and open visiting policy. This suggests that the culture at Flemish ICUs is not ready for a drastic liberalization of the visiting policy.

Attitudes of intensive care nurses towards brain death and organ transplantation: instrument development and testing

This paper reports the development and testing of an instrument assessing attitudes of Korean intensive care unit nurses. Reluctance by healthcare professionals to identify brain-dead patients as a potential donor is one reason for a shortfall in transplantable organs in all countries. Organ donation from brain-dead patients is a particularly contentious issue in Korea, following recent legal recognition of brain death within the cultural context of Confucian beliefs. A 38-item instrument was developed from the literature and key informant interviews, and validated by an expert panel and a pilot study. A survey was conducted with Korean intensive care unit nurses (n = 520) from October 2003 to January 2004. Principal component analysis with varimax rotation was used to determine construct validity. Item-to-total correlations and Cronbach's coefficient alpha were used to determine the scale's internal consistency and unidimensionality. The scale demonstrated high internal consistency (alpha = 0.88). Principal component analysis yielded a four-component structure: Discomfort, Enhancing quality of life, Willingness to be a donor and Rewarding experience. Overall, Korean intensive care unit nurses showed positive attitudes towards organ transplantation, despite some mixed feelings. The attitude scale was reliable and valid for this cohort. Areas were identified where professional development may enhance positive attitudes towards organ transplantation from brain-dead donors. Effective education for intensive care unit nurses is necessary to increase the organ donor pool in Korea. Further research could test the instrument with other populations.