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1

Munyiginya, Paul, Petra Brysiewicz, and Judith Mill. "Critical care nursing practice and education in Rwanda." Southern African Journal of Critical Care 32, no. 2 (November 10, 2016): 55. http://dx.doi.org/10.7196/sajcc.2016.v32i2.272.

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2

Munyanziza, Thomas, Busisiwe Bhengu, Emelyne Umutoni Cishahayo, and Aline Uwase. "Workplace Stressors and Coping Strategies of Intensive Care Unit Nurses at University Teaching Hospitals, in Rwanda." Rwanda Journal of Medicine and Health Sciences 4, no. 1 (April 8, 2021): 53–71. http://dx.doi.org/10.4314/rjmhs.v4i1.5.

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Background Nursing is widely known as a stressful profession but intensive care unit is the most stressful; when nurses fail to cope with workplace, stresses’ complications such as burnout and depression ensue, and this can compromise the quality of nursing care. In Rwanda, there is a limited literature about workplace stress and coping strategies. Research objectives To assess the workplace stress and coping strategies of intensive care unit nurses at University Teaching Hospitals. Methodology This study used a cross-sectional study design, recruited 92 ICU nurses through the census sampling method; ENSS and Brief COPE Inventory, while SPSS was used for data analysis. Results Eighty percent experienced moderate to high stress, while 19.6% had low stress. Married nurses tend to experience high stress than singles, while those with Bachelors or Master’s degree were less likely to be stressed. Main stressors are care for suffering/dying, or agitated patients; and heavy workload, while main coping strategies were alcohol use, emotion support from friends and religion comfort. Conclusions Nurses experience workplace stress, while workplace stressors are nursing care for suffering/dying or agitated patients and heavy workload. The coping strategies were alcohol use, emotional support and comfort from religion. Rwanda J Med Health Sci 2021;4(1):53-71
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3

Smyth, Dion. "Politics and palliative care: Rwanda." International Journal of Palliative Nursing 24, no. 9 (September 2, 2018): 464. http://dx.doi.org/10.12968/ijpn.2018.24.9.464.

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4

Forshee, Terri, and Barbara J. Daly. "Intensive Care Nursing." American Journal of Nursing 86, no. 6 (June 1986): 770. http://dx.doi.org/10.2307/3425439.

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5

&NA;. "Intensive Care Nursing." AJN, American Journal of Nursing 86, no. 6 (June 1986): 770. http://dx.doi.org/10.1097/00000446-198606000-00034.

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&NA;. "Intensive Care Nursing." AJN, American Journal of Nursing 86, no. 6 (June 1986): 770. http://dx.doi.org/10.1097/00000446-198686060-00034.

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7

Killman, Debbie. "Paediatric Intensive Care NursingPaediatric Intensive Care Nursing." Nursing Children and Young People 25, no. 3 (April 2013): 12. http://dx.doi.org/10.7748/ncyp2013.04.25.3.12.s9.

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8

Bridgford, Lindsay. "Letter from Rwanda." Emergency Medicine 6, no. 4 (August 26, 2009): 280–84. http://dx.doi.org/10.1111/j.1442-2026.1994.tb00510.x.

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9

McGurk, Valerie. "Neonatal Intensive Care Nursing – Second editionNeonatal Intensive Care Nursing – Second edition." Nursing Standard 25, no. 27 (March 9, 2011): 30. http://dx.doi.org/10.7748/ns2011.03.25.27.30.b1177.

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10

HENDRICKS, PETER, and DOROTHY G. LAPPE. "Pediatric intensive care nursing." Critical Care Medicine 21, Supplement (September 1993): S393. http://dx.doi.org/10.1097/00003246-199309001-00061.

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11

Pearson, S. "Cardiovascular Intensive Care Nursing." Journal of Advanced Nursing 18, no. 9 (September 1993): 1507. http://dx.doi.org/10.1046/j.1365-2648.1993.180915055.x.

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12

McKinley, Sharon. "Australian intensive care nursing." Intensive and Critical Care Nursing 23, no. 6 (December 2007): 309–12. http://dx.doi.org/10.1016/j.iccn.2007.08.007.

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13

Quinn, Tom. "Cardiovascular intensive care nursing." Intensive and Critical Care Nursing 9, no. 3 (September 1993): 211. http://dx.doi.org/10.1016/0964-3397(93)90035-v.

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Curtis, Peter. "Intensive care." International Journal of Nursing Studies 22, no. 1 (January 1985): 72. http://dx.doi.org/10.1016/0020-7489(85)90040-9.

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15

Woodrow, Philip. "Nursing perspectives for intensive care." Intensive and Critical Care Nursing 13, no. 3 (June 1997): 151–55. http://dx.doi.org/10.1016/s0964-3397(97)80889-0.

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16

Spratt, C. "‘Caring’ in intensive care nursing." Australian Critical Care 5, no. 1 (March 1992): 27. http://dx.doi.org/10.1016/s1036-7314(92)70024-1.

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17

Monypenny, F. "Pioneering intensive care nursing education." Australian Critical Care 9, no. 1 (March 1996): 35. http://dx.doi.org/10.1016/s1036-7314(96)70341-7.

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18

LEINO-KILPI, HELENA, and TARJA SUOMINEN. "Research in intensive care nursing." Journal of Clinical Nursing 6, no. 1 (January 1997): 69–76. http://dx.doi.org/10.1111/j.1365-2702.1997.tb00285.x.

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19

Bergbom, Ingegerd. "Intensive and Critical Care Nursing." Intensive and Critical Care Nursing 23, no. 3 (June 2007): 121–23. http://dx.doi.org/10.1016/j.iccn.2007.03.008.

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Boyle, Martin, Rand Butcher, Vicki Conyers, Tina Kendrick, Mary MacNamara, and Susie Lang. "Transition to intensive care nursing." Australian Critical Care 22, no. 1 (February 2009): 48. http://dx.doi.org/10.1016/j.aucc.2008.12.009.

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21

Watt, Shirley. "Computers in intensive care nursing." Intensive Care Nursing 1, no. 1 (March 1985): 49–58. http://dx.doi.org/10.1016/0266-612x(85)90021-5.

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22

Ashworth, Pat. "Women in intensive care nursing." Intensive Care Nursing 3, no. 4 (January 1987): 139–40. http://dx.doi.org/10.1016/0266-612x(87)90071-x.

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23

Wetzig, Sharon M. "Intensive care nursing Himalayan style." Connect: The World of Critical Care Nursing 3, no. 4 (December 2004): 102–5. http://dx.doi.org/10.1891/1748-6254.3.4.102.

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Robb, Yvonne A. "Family nursing in intensive care part one: is family nursing appropriate in intensive care?" Intensive and Critical Care Nursing 14, no. 3 (June 1998): 117–23. http://dx.doi.org/10.1016/s0964-3397(98)80363-7.

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25

Mvukiyehe, Jean Paul. "Infections in a Tertiary Referral Hospital Intensive Care Unit in Rwanda." American Journal of Infection Control 46, no. 6 (June 2018): S20—S21. http://dx.doi.org/10.1016/j.ajic.2018.04.068.

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26

Fiddler, John B. "Intensive Care." AJN, American Journal of Nursing 114, no. 5 (May 2014): 72. http://dx.doi.org/10.1097/01.naj.0000446783.52888.3f.

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&NA;. "INTENSIVE CARE." American Journal of Nursing 96, no. 2 (February 1996): 9. http://dx.doi.org/10.1097/00000446-199602000-00004.

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28

Rosa, William E., Marcia A. Male, Philomene Uwimana, Christian R. Ntizimira, Ruth Sego, Evelyne Nankundwa, Samuel Byiringiro, Etienne Nsereko, and Patricia J. Moreland. "The Advancement of Palliative Care in Rwanda." Journal of Hospice & Palliative Nursing 20, no. 3 (June 2018): 304–12. http://dx.doi.org/10.1097/njh.0000000000000459.

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29

Ramalho Neto, José Melquiades, Lucrécia Maria Bezerra, Márcia Abath Aires de Barros, Maria Miriam Lima da Nóbrega, and Wilma Dias de Fontes. "Nursing process and septic shock: intensive nursing care." Revista de Enfermagem UFPE on line 5, no. 9 (October 20, 2011): 2260. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0509201125.

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ABSTRACT Objective: to employ the Nursing Process by using the International Classification for Nursing Practices (ICNP®) and the Campaign Guidelines Surviving to Sepsis. Method: descriptive research, of case study, which was evaluated by the Committee of Ethics in Research of the Lauro Wanderley University Hospital/UFPB according to CAAE number 0085.0.126.000-08, and carried out with a woman who was hospitalized in the General Intensive Care Unit of a school-hospital having been diagnosed with Septic Shock. The data analysis was accomplished from a clinical judgment about the patient’s basic needs, which led to diagnoses, results and nursing interventions defined with the ICNP®. Results: the identified nursing diagnoses and results were: septic shock, decreased cardiac output, inefficient tissue perfusion, impaired spontaneous ventilation, hyperthermia, self-care deficit syndrome, risk for unstable glucose and impaired skin integrity risk. The planned and established interventions were focused on hemodynamic support, antibiotic therapy and interruption trial of the physiopathological sequence which would culminate, potentially, with the dysfunction of multiple organs and death. Conclusion: it is considered that the use of the Nursing Process guided the effective interventions which influenced, positively, the patient’s prognosis as well as her intensive care unit discharge. Descriptors: septic shock; critical care; nursing; nursing process; intensive care units.RESUMOObjetivo: aplicar o Processo de Enfermagem utilizando a Classificação Internacional das Práticas de Enfermagem (CIPE®) e as diretrizes da Campanha Sobrevivendo à Sepse. Método: pesquisa descritiva do tipo estudo de caso, apreciada pelo Comitê de Ética em Pesquisa do Hospital Universitário Lauro Wanderley/UFPB mediante CAAE nº 0085.0.126.000-08, e desenvolvida com uma mulher internada na Unidade de Terapia Intensiva Geral de um hospital escola com diagnóstico de Choque Séptico. A análise dos dados foi realizada a partir do julgamento clínico sobre as necessidades básicas da paciente, que levaram aos diagnósticos, resultados e intervenções de enfermagem definidos com a CIPE®. Resultados: os diagnóstico-resultados de enfermagem identificados foram: Choque séptico, Débito cardíaco diminuído, Perfusão tissular ineficaz, Ventilação espontânea prejudicada, Hipertermia, Síndrome do déficit do autocuidado, Risco de glicemia instável e Risco de integridade da pele prejudicada. As intervenções planejadas e implementadas voltaram-se para o suporte hemodinâmico, antibioticoterapia e tentativa de interrupção da sequência fisiopatológica que potencialmente culminaria com disfunção de múltiplos órgãos e morte. Conclusão: considera-se que a aplicação do Processo de Enfermagem norteou a prestação de efetivas intervenções que influenciaram positivamente no prognóstico da paciente e na sua alta da unidade de cuidados críticos. Descritores: choque séptico; cuidados críticos; enfermagem; processos de enfermagem; unidades de terapia intensiva.RESUMENObjetivo: aplicar el Proceso de Enfermería utilizando la Clasificación Internacional de Prácticas de Enfermería (CIPE®) y las directrices de la Campaña Sobreviviendo a la Sepsis. Método: investigación descriptiva del tipo estudio de caso, aprobada por el Comité de Ética en Investigación del Hospital Universitario Lauro Wanderley/ UFPB por medio de CAAE nº 085.0126.000-08 y desarrollada con una mujer internada en la Unidad de Vigilancia Intensiva General de un hospital escuela con diagnóstico de Choque Séptico. El análisis de los datos se realizó a partir del juicio clínico sobre las necesidades básicas de la paciente, que condujeron a los diagnósticos, resultados e intervenciones de enfermería definidos con la CIPE®. Resultados: los diagnósticos-resultados de enfermería identificados fueron: Choque séptico, Débito cardíaco disminuido, Perfusión tisular ineficaz, Ventilación espontánea afectada, Hipertermia, Síndrome del déficit del autocuidado, Riesgo de glicemia inestable y Riesgo de integridad de la piel afectada. Las intervenciones planeadas e implementadas se enfocaron en el soporte hemodinámico, antibioticoterapia e intento de interrupción de la secuencia fisiopatológica que potencialmente culminaría con disfunción de múltiples órganos y muerte. Conclusión: se considera que la aplicación del Proceso de Enfermería norteó la prestación de efectivas intervenciones que influyeron positivamente en el pronóstico de la paciente y en su alta de la unidad de vigilancia intensiva. Descriptores: choque séptico; cuidados críticos; enfermería; procesos de enfermería; unidades de terapia intensiva.
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30

Młynarska, Agnieszka, Anna Krawuczka, Ewelina Kolarczyk, and Izabella Uchmanowicz. "Rationing of Nursing Care in Intensive Care Units." International Journal of Environmental Research and Public Health 17, no. 19 (September 23, 2020): 6944. http://dx.doi.org/10.3390/ijerph17196944.

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The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.
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31

Pereira, Jessika Lopes Figueiredo, Cecília Danielle Bezerra Oliveira, and Inacia Sátiro Xavier De França. "Systematization of nursing care in intensive care unit." Journal of Nursing Education and Practice 8, no. 1 (September 26, 2017): 114. http://dx.doi.org/10.5430/jnep.v8n1p114.

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Objective: To evaluate the systematization of nursing care in intensive care unit (ICU).Methods: This is an integrative review of the literature carried out through the VHL, SCIELO and LILACS databases with articles published between 2009 and 2014.Results: Five articles were selected, where it was possible to observe that the lack of applicability of the systematization of nursing assistance in the ICU is more reality found, however, when held, this process provided a registry organized and directed the data and execution and evaluation of the nursing care.Conclusions: The instruments need to be fairly discussed and proposed nursing professionals to become empowered.
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32

Lake, Eileen T., Douglas Staiger, Erika Miles Edwards, Jessica G. Smith, and Jeannette A. Rogowski. "Nursing Care Disparities in Neonatal Intensive Care Units." Health Services Research 53 (September 14, 2017): 3007–26. http://dx.doi.org/10.1111/1475-6773.12762.

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33

Valença, Cecília Nogueira, Lorena Mara Nóbrega de Azevêdo, Aline Galúcio de Oliveira, Samuel Sóstenes Araújo de Medeiros, Fernanda Aparecida Soares Malveira, and Raimunda Medeiros Germano. "Music therapy in nursing care in intensive care." Revista de Pesquisa Cuidado é Fundamental Online 5, no. 5 (November 14, 2013): 61–68. http://dx.doi.org/10.9789/2175-5361.2013.v5i5.61-68.

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Objetivo: Analisar os estudos publicados nacionalmente que abordam o uso da música na assistência de enfermagem em terapia intensiva. Método: Estudo descritivo, do tipo revisão sistemática da literatura, tendo como objeto os estudos publicados sobre a musicoterapia na unidade de terapia intensiva (UTI), em periódicos nacionais, acessados durante o mês de março de 2011. Resultados: A maior parte das publicações era voltada para assistência em pediatria, não direcionadas à UTI, indexada na base de dados LILACS, predominando a revisão de literatura. Conclusão: Através de mais estudos e da divulgação deste conhecimento na comunidade científica, as equipes de saúde e de enfermagem poderão implementar a contento a musicoterapia nos serviços de saúde.
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34

Nyirasafari, Rosine, Mark H. Corden, Angélique Charlie Karambizi, Jean Claude Kabayiza, Jean Damascene Makuza, Rex Wong, and Michael F. Canarie. "Predictors of mortality in a paediatric intensive care unit in Kigali, Rwanda." Paediatrics and International Child Health 37, no. 2 (December 6, 2016): 109–15. http://dx.doi.org/10.1080/20469047.2016.1250031.

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35

Howard, L., J. Letts, P. Tynan, M. Sandford, C. Scheinkestel, J. Cooper, M. Anderson, and D. Tuxen. "Burns nursing – the intensive care perspective." Australian Critical Care 10, no. 1 (March 1997): 22. http://dx.doi.org/10.1016/s1036-7314(97)70382-5.

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36

Yıldız, Suzan. "Paediatric intensive care nursing in Turkey." Connect: The World of Critical Care Nursing 1, no. 4 (December 2001): 134–36. http://dx.doi.org/10.1891/1748-6254.1.4.134.

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37

WINSHIP. "Intensive care psychiatric nursing - psychoanalytic perspectives1." Journal of Psychiatric and Mental Health Nursing 5, no. 5 (October 1998): 361–65. http://dx.doi.org/10.1046/j.1365-2850.1998.00150.x.

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38

Korhan, Esra Akn, Gülendam Hakverdioğlu Yönt, Firdevs Erdemir, and Maria Müller-Staub. "Nursing Diagnosis in Intensive Care Unit." Critical Care Nursing Quarterly 37, no. 2 (2014): 219–24. http://dx.doi.org/10.1097/cnq.0000000000000024.

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39

HARRISON, LYNNE, and GILLIAN NIXON. "Nursing activity in general intensive care." Journal of Clinical Nursing 11, no. 2 (March 2002): 158–67. http://dx.doi.org/10.1046/j.1365-2702.2002.00584.x.

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40

Lecluse, Rosemary, Corry Kik, and Hetty Krap. "Intensive care nursing in the Netherlands." Intensive Care Nursing 1, no. 1 (March 1985): 44–48. http://dx.doi.org/10.1016/0266-612x(85)90020-3.

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41

Burnard, Philip. "Self awareness and intensive care nursing." Intensive Care Nursing 4, no. 2 (June 1988): 67–70. http://dx.doi.org/10.1016/0266-612x(88)90040-5.

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42

Şapulu Alakan, Yeliz, and Edibe Ünal. "Pain Assessment in Intensive Care Nursing and Nursing Management." Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 4, no. 2 (August 5, 2017): 12–29. http://dx.doi.org/10.21020/husbfd.303152.

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43

Topia, H., and P. Wills. "Cardiomyoplasty – nursing management in intensive care: the nursing challenge." Australian Critical Care 9, no. 1 (March 1996): 23. http://dx.doi.org/10.1016/s1036-7314(96)70312-0.

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44

Dezorzi, Luciana Winterkorn, and Maria da Graça Oliveira Crossetti. "Spirituality in self-care for intensive care nursing professionals." Revista Latino-Americana de Enfermagem 16, no. 2 (April 2008): 212–17. http://dx.doi.org/10.1590/s0104-11692008000200007.

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This study aimed to understand how spirituality permeates the process of caring for oneself and for others in the intensive care scenario from nursing professionals' point of view. This study used the qualitative approach of Cabral's Creative-Sensitive Method to guide information production and analysis in nine art and experience workshops. Nine nursing caregivers from the Intensive Care Unit (ICU) of a university hospital participated in the study. This article presents one of the topics that emerged during this process: spirituality in self-care, which is evidenced in the daily practices that take place through prayers, close contact with nature, as well as in the sense of connection with a Higher Power that provides peace, welfare, and greater strength to ICU caregivers' life and work. Self-knowledge emerged as an essential practice in caring for oneself, in order to deliver better care to others.
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Wysokiński, Mariusz, Anna Ksykiewicz-Dorota, and Wiesław Fidecki. "Scope of Nursing Care in Polish Intensive Care Units." BioMed Research International 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/463153.

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Introduction. The TISS-28 scale, which may be used for nursing staff scheduling in ICU, does not reflect the complete scope of nursing resulting from varied cultural and organizational conditions of individual systems of health care.Aim. The objective of the study was an attempt to provide an answer to the question what scope of nursing care provided by Polish nurses in ICU does the TISS-28 scale reflect?Material and Methods. The methods of working time measurement were used in the study. For the needs of the study, 252 hours of continuous observation (day-long observation) and 3.697 time-schedule measurements were carried out.Results. The total nursing time was 4125.79 min. (68.76 hours), that is, 60.15% of the total working time of Polish nurses during the period analyzed. Based on the median test, the difference was observed on the level ofχ2=16945.8, P<0.001between the nurses’ workload resulting from performance of activities qualified into the TISS-28 scale and load resulting from performance of interventions within the scopes of care not considered in this scale in Polish ICUs.Conclusions. The original version of the TISS-28 scale does not fully reflect the workload among Polish nurses employed in ICUs.
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Yang, Ya Ki. "Intensive Care Unit Nurse's Knowledge and Nursing Performance on Intensive Care Unit Syndrome." Journal of Korean Academy of Nursing Administration 16, no. 3 (2010): 240. http://dx.doi.org/10.11111/jkana.2010.16.3.240.

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Kisvetrová, Helena, David Školoudík, Eva Joanovič, Jana Konečná, and Zdeňka Mikšová. "Dying Care Interventions in the Intensive Care Unit." Journal of Nursing Scholarship 48, no. 2 (January 12, 2016): 139–46. http://dx.doi.org/10.1111/jnu.12191.

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48

ARICAN, Serap, and Fatma DEMİR KORKMAZ. "CLOSTRIDIUM DIFFICILE INFECTION: INTENSIVE CARE NURSING ASPECT." INTERNATIONAL REFEREED JOURNAL OF NURSING RESEARCHES, no. 4 (August 30, 2015): 76. http://dx.doi.org/10.17371/uhd.2015412757.

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Pate, Mary Frances D. "Powered by Insight: Pediatric Intensive Care Nursing." AACN Advanced Critical Care 18, no. 1 (January 1, 2007): 15–18. http://dx.doi.org/10.4037/15597768-2007-1003.

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Duarte, Sabrina da Costa Machado, Ana Beatriz Azevedo Queiroz, Andreas Büscher, and Marluci Andrade Conceição Stipp. "Human error in daily intensive nursing care." Revista Latino-Americana de Enfermagem 23, no. 6 (December 2015): 1074–81. http://dx.doi.org/10.1590/0104-1169.0479.2651.

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Objectives: to identify the errors in daily intensive nursing care and analyze them according to the theory of human error. Method: quantitative, descriptive and exploratory study, undertaken at the Intensive Care Center of a hospital in the Brazilian Sentinel Hospital Network. The participants were 36 professionals from the nursing team. The data were collected through semistructured interviews, observation and lexical analysis in the software ALCESTE(r). Results: human error in nursing care can be related to the approach of the system, through active faults and latent conditions. The active faults are represented by the errors in medication administration and not raising the bedside rails. The latent conditions can be related to the communication difficulties in the multiprofessional team, lack of standards and institutional routines and absence of material resources. Conclusion: the errors identified interfere in nursing care and the clients' recovery and can cause damage. Nevertheless, they are treated as common events inherent in daily practice. The need to acknowledge these events is emphasized, stimulating the safety culture at the institution.
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