11 research outputs found
Behavioral changes in brain-injured critical care adults with different levels of consciousness during nociceptive stimulation: an observational study
Purpose: The primary objective of this study was to describe the frequency of behaviors observed during rest, a non-nociceptive procedure, and a nociceptive procedure in brain-injured intensive care unit (ICU) patients with different levels of consciousness (LOC). Second, it examined the inter-rater reliability and discriminant and concurrent validity of the behavioral checklist used. Methods: The non-nociceptive procedure involved calling the patient and shaking his/her shoulder. The nociceptive procedure involved turning the patient. The frequency of behaviors was recorded using a behavioral checklist. Results: Patients with absence of movement, or stereotyped flexion or extension responses to a nociceptive stimulus displayed more behaviors during turning (median 5.5, range 0-14) than patients with localized responses (median 4, range 0-10) or able to self-report their pain (median 4, range 0-10). Face flushing, clenched teeth, clenched fist, and tremor were more frequent in patients with absence of movement, or stereotyped responses to a nociceptive stimulus. The reliability of the checklist was supported by a high intra-class correlation coefficient (0.77-0.92), and the internal consistency was acceptable in all three groups (KR 20, 0.71-0.85). Discriminant validity was supported as significantly more behaviors were observed during nociceptive stimulation than at rest. Concurrent validity was confirmed as checklist scores were correlated to the patients' self-reports of pain (r s=0.53; 95% CI 0.21-0.75). Conclusion: Brain-injured patients reacted significantly more during a nociceptive stimulus and the number of observed behaviors was higher in patients with a stereotyped response
Analyse de la pratique professionnelle dans la pratique des infirmiĂšres cliniciennes spĂ©cialisĂ©es dâun hĂŽpital universitaire suisse ::une analyse de contenu
Perceptions of inpatients and nurses towards the importance of nurses' caring behaviours in rehabilitation ::a comparative study
Aims: this study was conducted to describe and compare nurses' and inpatients' perceptions of caring attitudes and behaviours in rehabilitation. Methods : a comparative descriptive design was used. Perceptions of caring attitudes and behaviours were compared between 34 nurses working in rehabilitation and 64 elderly patients, using the Caring Nurse Patient Inventoryâ23, to explore Watson's carative factors through four dimensions. Patients' and nurses' ratings of importance for each dimension were compared. The study data were collected from 8 November 2017 to 5 May 2018. Results: patients' and nurses' responses showed high scores in terms of their perceptions of caring, with nurses having the higher scores, and significant differences were found between patients and nurses. Patients scored items linked to clinical aspects of caring as the most important, whereas nurses scored items linked to humanistic and clinical caring as equally important. Comfort care was considered important for nurses and patients. Both groups considered relational caring items as the least important. Conclusion: results show that patients and nurses value clinical aspects of care, which is the visible aspect of care. The Caring Nurse Patient Inventoryâ23 is a reliable instrument to measure the nurses' and patients' perception of caring behaviours in rehabilitation
ModÚle de Grol ::un cadre théorique pour une évolution des pratiques infirmiÚres fondées sur le modÚle du Caring de Jean Watson
Ăchelle dâĂ©valuation des risques dâescarres en pĂ©diatrie ::traduction en langue française, cohĂ©rence interne, validitĂ© convergente, faisabilitĂ© et utilitĂ© clinique de lâĂ©chelle Braden QD
ExpĂ©rience de transition vĂ©cue par les patients avec une maladie oncologique lors de la pose dâun dispositif dâaccĂšs veineux implantable ::une recherche exploratoire
Introduction : Ă lâannonce dâun diagnostic de cancer ou dâune rĂ©cidive, les patients vivent une transition de type maladie.
Contexte : la pose dâun dispositif dâaccĂšs veineux implantable (DAVI) survient souvent juste aprĂšs lâannonce ; il est un facteur de perturbation supplĂ©mentaire Ă leur Ă©quilibre.
Objectif : explorer les besoins non comblés et les attentes des patients en interrogeant leur expérience vécue de la pose du DAVI pour proposer des interventions de soins adaptées.
MĂ©thode : une mĂ©thode dâanalyse de contenu dĂ©ductive a Ă©tĂ© rĂ©alisĂ©e, ainsi quâune analyse Ă la lumiĂšre de la thĂ©orie de la transition de Meleis. Douze entretiens ont Ă©tĂ© rĂ©alisĂ©s.
RĂ©sultats : les rĂ©sultats montrent la vulnĂ©rabilitĂ© des patients lors de la pose du DAVI. Des conditions entravantes et facilitantes de la transition, de nature personnelle, interpersonnelle et organisationnelle, influencent la qualitĂ© de lâexpĂ©rience vĂ©cue. DiffĂ©rentes stratĂ©gies de coping sont utilisĂ©es par les patients pour diminuer leur dĂ©tresse Ă©motionnelle.
Discussion : la prĂ©paration anticipĂ©e, le soutien au dĂ©veloppement des capacitĂ©s dâautosoins, la gestion de la douleur contribuent Ă diminuer lâanxiĂ©tĂ© et lâinsĂ©curitĂ©.
Conclusion : les infirmiĂšres se doivent dâoffrir des soins transitionnels pour favoriser une expĂ©rience positive de la pose du DAVI
Behavioral changes in brain-injured critical care adults with different levels of consciousness during nociceptive stimulation: An observational study
Purpose: The primary objective of this study was to describe the frequency of behaviors observed during rest, a non-nociceptive procedure, and a nociceptive procedure in brain-injured intensive care unit (ICU) patients with different levels of consciousness (LOC). Second, it examined the inter-rater reliability and discriminant and concurrent validity of the behavioral checklist used. Methods: The non-nociceptive procedure involved calling the patient and shaking his/her shoulder. The nociceptive procedure involved turning the patient. The frequency of behaviors was recorded using a behavioral checklist. Results: Patients with absence of movement, or stereotyped flexion or extension responses to a nociceptive stimulus displayed more behaviors during turning (median 5.5, range 0-14) than patients with localized responses (median 4, range 0-10) or able to self-report their pain (median 4, range 0-10). Face flushing, clenched teeth, clenched fist, and tremor were more frequent in patients with absence of movement, or stereotyped responses to a nociceptive stimulus. The reliability of the checklist was supported by a high intra-class correlation coefficient (0.77-0.92), and the internal consistency was acceptable in all three groups (KR 20, 0.71-0.85). Discriminant validity was supported as significantly more behaviors were observed during nociceptive stimulation than at rest. Concurrent validity was confirmed as checklist scores were correlated to the patients' self-reports of pain (r s = 0.53; 95 % CI 0.21-0.75). Conclusion: Brain-injured patients reacted significantly more during a nociceptive stimulus and the number of observed behaviors was higher in patients with a stereotyped response