Bibliografie tematiche / Critical care environment

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Letteratura scientifica selezionata sul tema "Critical care environment"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 18 febbraio 2022

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Articoli di riviste sul tema "Critical care environment"

Gambacorta, Cathy, e Lisa Charrin. "Equipping the Critical Care Environment". Critical Care Nursing Quarterly 34, n. 4 (2011): 306–16. http://dx.doi.org/10.1097/cnq.0b013e31822b9025.

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Felver, Linda. "Patient-Environment Interactions in Critical Care". Critical Care Nursing Clinics of North America 7, n. 2 (giugno 1995): 327–35. http://dx.doi.org/10.1016/s0899-5885(18)30407-6.

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Haskins, N., e J. Soldan. "Noise in the critical care environment". Critical Care 14, Suppl 1 (2010): P450. http://dx.doi.org/10.1186/cc8682.

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Gregory, Mary M. "On humanizing the critical care environment". Critical Care Nursing Quarterly 16, n. 3 (novembre 1993): 1–6. http://dx.doi.org/10.1097/00002727-199311000-00002.

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Fink, Anne M. "Sleep Neurobiology and the Critical Care Environment". Critical Care Nurse 40, n. 4 (1 agosto 2020): e1-e6. http://dx.doi.org/10.4037/ccn2020432.

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Topic Sleep in the intensive care unit can be poorly consolidated and highly fragmented. This review examines the neurobiology of normal and abnormal sleep, with a focus on the changes that occur in the intensive care unit environment. Clinical Relevance Patients in the intensive care unit demonstrate a lack of rapid-eye-movement sleep and an inability to effectively transition from light to deep stages of sleep. These abnormalities can adversely affect hemodynamic parameters and physiological and psychological outcomes. Purpose To describe the brain mechanisms and electroencephalographic characteristics of wakefulness and the different stages of sleep. This review also describes how sleep can be altered by hospitalization in the intensive care unit and how nurses can design interventions that improve sleep and outcomes. Content Covered The review examines sleep mechanisms, including brain electrical activity, regulatory centers in the brain, and circadian and diurnal patterns of sleep and hemodynamic function. Nursing interventions for specific patient risk factors in the intensive care unit are proposed.

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Tracy, Mary Fran. "Supporting Nurses in the Critical Care Environment". AACN Advanced Critical Care 28, n. 4 (15 dicembre 2017): 343–44. http://dx.doi.org/10.4037/aacnacc2017226.

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Busse, Laurence, Danielle L. Davison, Christopher Junker e Lakhmir S. Chawla. "Hemodynamic Monitoring in the Critical Care Environment". Advances in Chronic Kidney Disease 20, n. 1 (gennaio 2013): 21–29. http://dx.doi.org/10.1053/j.ackd.2012.10.006.

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Smith, Kimberly K. "Critical care nursing in an austere environment". Critical Care Medicine 36, Suppl (luglio 2008): S297—S303. http://dx.doi.org/10.1097/ccm.0b013e31817daa01.

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Rung, George W., e Wayne K. Marshall. "Nerve Blocks in the Critical Care Environment". Critical Care Clinics 6, n. 2 (aprile 1990): 343–67. http://dx.doi.org/10.1016/s0749-0704(18)30379-8.

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Rossi, Peter J., e Charles E. Edmiston. "Patient Safety in the Critical Care Environment". Surgical Clinics of North America 92, n. 6 (dicembre 2012): 1369–86. http://dx.doi.org/10.1016/j.suc.2012.08.007.

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Tesi sul tema "Critical care environment"

Xie, Hui. "The sound environment in critical care". Thesis, University of Sheffield, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.555221.

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It has been widely accepted that noise levels in hospitals are typically higher than the guidelines. This research aims to systematically investigate the sound field in critical care environment, develop the prediction models, and explore the acoustic effects on patients and staff. The Critical Care Units at two local NHS hospitals have been selected for case studies. Three core categories with plenty of interactions were identified by means of grounded theory for the acoustic environment, namely 'time-dependant sounds', 'role-dependant people' and 'departmental-dependant space', and the improvement strategies are limited but possible. Through a series of acoustic measurement, a diffuse field could be approximately assumed in the single-bed and multi-bed wards. The sound levels measured in the wards for each night are in excess of the WHO guided values by at least 20d8A. For both wards and U-shaped long corridor, if the relevant simulation parameters were set up appropriately, the agreement between measured and simulated RT as well as SPL is satisfactory, suggesting the feasibility of computer simulation for such spaces. A database comprised of quadratic equations was established with a good accuracy (±2.5d8) to predict the sound propagation along the U-shaped long space applicable to various geometric sizes. An effective observation method was designed for noise behaviour in the healthcare environment. Amongst the observed noise sources, talking was identified with the largest number of occurrences, shortest interval and the longest duration, followed by the monitor's alarm. Lognormal distribution was determined as the most appropriate statistical distribution for noise behaviours. Finally, an agent-based acoustic model was developed to integrate noise behaviours with the acoustic parameters. It is capable of replicating the complex and dynamic acoustic environment (±2dBA) as well as conducting what-if analysis. Two noise maps were produced to determine the noise sensitive areas, which would be useful to assist the decision making upon noise actions.

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Chang, Catherina Ivette. "Relationship between personality hardiness and critical care nurses' perception of stress and coping in the critical care environment". FIU Digital Commons, 2000. http://digitalcommons.fiu.edu/etd/2107.

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The purpose of this study was to determine the relationship between critical care nurses' perception of stress, their ability to cope with stress, and the hardiness personality they possess while working in the critical care environment. A non-experimental, descriptive, correlational survey design was applied to a convenience sample of 50 registered nurses employed in the critical care units of a South Florida health care facility. The data collection methods included a demographic survey, the Perceived Stress Scale, the Health-Related Hardiness Scale, and the COPE inventory. The results of this study demonstrated that critical care nurses are able to cope effectively despite their perception of high levels of stress. This study also determined that critical care nurses uphold high personality hardiness characteristics. The demographic variables of gender, age, years of nursing experience, years at present job, and level of education also revealed statistical significance. Further research is recommended to identify the influence of other variables such as culture, work hours, and level of job satisfaction in the critical care nurses' coping with stress and hardiness personality. The identification of instruments that may be capable of measuring any relationships between those possible variables and the constructs of hardiness and coping in the domain of nursing are also advocated, particularly in the critical care nursing population.

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Kalogeropoulos, Dimitris. "An intelligent clinical information management support system for the critical care medical environment". Thesis, City University London, 1999. http://openaccess.city.ac.uk/7714/.

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Significant advances have been achieved in the fields of medical informatics and artificial intelligence in medicine in the past three decades and, having demonstrated an ability to support clinical decisions, knowledge-based systems are becoming increasingly ubiquitous in various clinical settings. Nonetheless, few systems have so far been successful in entering routine use. On the one hand, primarily due to methodological difficulties and with very few exceptions, developers have failed to show that pertinent systems are effective in improving patient care. On the other hand, support systems have not been sufficiently well integrated into the routine information processing activity of the clinical users. As a consequence, their clinical utility is disputed and constructive assessmenist further hindered. This thesis describes the development of an intelligent clinical information management support system designed to overcome these obstacles through the adoption of an integrated approach, geared toward the solution of the problems encountered in the acquisition, organisation, review and interpretation of the clinical decision supporting information utilised in the process of monitoring intensive care unit patients with acid-base balance disorders. The system was developed to support this activity incrementally, using the methods of object-oriented analysis, design and implementation, with the active participation of a clinical advisor who assessed the functional and ergonomic compatibility of the system with the supported activity and the integration of a previously validated prototype knowledge-based data interpretation system, which could not evaluated in the clinical setting for the reasons described above.

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Adams, Bernardene Lucreshia. "The experiences of registered nurses' of their work environment in a critical care unit". Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1057.

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Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.

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Pretorius, Ronel. "Positive practice environments in critical care units : a grounded theory / Ronel Pretorius". Thesis, North-West University, 2009. http://hdl.handle.net/10394/4005.

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INTRODUCTION AND AIM: The current shortage of nurses is a concern shared by the healthcare industry globally. Whilst the reasons for these shortages are varied and complex, a key factor among them seem to involve an unhealthy work environment. The demanding nature of the critical care environment presents a challenge to many nursing professionals and it carries the risk of a high turn over rate due to the stress and intensity of the critical care environment. The critical care nurse is responsible for caring for the most ill patients in hospitals and the acute shortage of critical care nurses contributes to the intensity and pressures of this environment. Little evidence exists of research conducted to explore and describe the practice environment of the critical care nurse in South Africa. The main aim of this research study was to construct a theory for positive practice environments in critical care units in South Africa, grounded in the views and perceptions of critical care nurses working in the private hospital context. In recognition of the fact that a positive practice environment is considered to be the foundation for the successful recruitment and retention of nurses, it was clear that issues related to staff shortages will not be resolved unless the unhealthy work environment of nurses is adequately addressed. RESEARCH DESIGN AND METHOD: A constructivist grounded theory design was selected to address the inquiry at hand. The study was divided into two phases and pragmatic plurality allowed the use of both quantitative and qualitative data collection methods to explore, describe and contextualise the data in order to achieve the overall aim of the study. In phase one, a checklist developed by the researcher was used to describe the demographic profile of the critical care units (n=31) that participated in the study. The perceptions of critical care nurses (n=298) regarding their current practice environment was explored and decribed by using a valid and reliable instrument, the Practice Environment Scale of the Nursing Work Index (PES-NWI). In phase two, the elements of a positive practice environment were explored and described by means of intensive interviews with critical care nurses (n=6) working in the critical care environment. Concepts related to the phenomenon under investigation were identified by means of an inductive analysis of the data through a coding process and memo-writing. One core conceptual category and six related categories emerged out of the data. In the final phase of the theoretical sampling of the literature, a set of conclusions relevant to the phenomenon under study was constructed. The conclusions deduced from the empirical findings in both phases of the research process were integrated with those derived from the literature review to provide the foundation from which the theory was constructed. FINDINGS: The findings from the first phase of the research process provided information about the context in which the participants operate and assisted in discovering concepts considered relevant to the phenomenon under investigation. A grounded theory depicting the core conceptual category of "being in controi" and its relation to the other six categories was constructed from the data in order to explain a positive practice environment for critical care units in the private healthcare sector in South Africa.
Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2010.

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Yanni, Julie. "The Impact of Internationally Recruited Nurses on the Critical Care Environment : A Phenomenological Study". Thesis, University of Kent, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.499709.

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Pattison, Natalie A. "Cancer patients' care at the end of life in a critical care environment : perspectives of families, patients and practitioners". Thesis, Northumbria University, 2011. http://nrl.northumbria.ac.uk/1009/.

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Innovations in cancer care requiring intensive support, and improved cancer patient survival in and out of critical care, have led to greater numbers of cancer patients than ever accessing critical care. Of these, however, a fair proportion will die. Current research points to around one in six patients dying in general critical care units and even higher numbers for cancer patients. End-of-life care (EOLC) for critically ill patients is problematic and rarely addressed beyond satisfaction or chart review studies, while palliative care is an established domain in cancer. It is not known whether dying, critically ill cancer patients experience good EOLC. In the context of a cancer critical care unit, this thesis explores the provision of EOLC for cancer patients in a critical care unit. Exploring measures for comfort care and palliative principles of care helped identify what is important for patients and families, and what those measures meant for all participants. The diagnosis of cancer and how it impacts on EOLC provision for critically ill cancer patients was also explored from the perspective of patients, families, doctors and nurses. A Heideggerian phenomenological interview approach was undertaken, in order to gain personal experiences. Families of those patients who died after decisions to forgo life-sustaining treatment (DFLSTs) were interviewed. Patients who have experienced critical care were also interviewed, since patients‘ views about EOL care provision are very rarely explored. Doctors and nurses also contribute their vision for, and experiences of, EOL care in a cancer critical care unit. Thirty one interviews with 37 participants were carried out. Cancer prognosis together with critical illness prognosis contributed to difficulties in deciding to move to, and enact EOLC. The nursing voice in DFLSTs was minimal and their role in EOLC depended on experience and confidence. Achieving a good death was possible through caring activities that made best use of technology to prevent prolonged dying. EOLC was an emotive experience. Decision-making and EOLC could be difficult to separate out which, in turn, affects prospects for EOLC. A continuum of dying in cancer critical illness is presented with different participants‘ experiences along that continuum. Three main themes included: Dual Prognostication; The Meaning of Decision-Making; and Care Practices at EOL: Choreographing a Good Death with two organising themes: Thinking the Unthinkable and Involvement in Care. These themes outlined the essence of moving along a continuum toward patients‘ deaths and the impact that had on opportunities for care and a good death. Nurses could use the care of patients dying in critical care as an opportunity to develop specialist knowledge and lead in care, but this requires mastery and reconciliation of both technology and EOLC. This work builds on Seymour‘s (2001) theory of a negotiated and natural death related to achieving a good death in critical care. Trajectories of dying, part of Seymour‘s (2001) theory, are extrapolated on with reference to Glaser and Strauss (1965) and Lofland (1978)‘s theories on dying trajectories. Nursing theory is developed through examination of Falk Rafael‘s (1996) and Locsin‘s (1998) theories of empowered caring. Implications and propositions are presented for nursing and wider practice around EOL care for critically ill cancer patients.

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Willmore, Elizabeth Elouise. "Physician Behaviors, Nursing, and Other Obstacles in End-of-Life Care: Additional Critical Care Nurse Perceptions". BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/9061.

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Background: Critical Care Nurses (CCNs) frequently provide end of life (EOL) care in intensive care units (ICUs). Barriers to EOL care in ICUs exist and have been previously published, but qualitative reports from CCNs themselves remain scarce. Qualitative data exploring barriers faced during ICU EOL care may increase awareness of obstacles and help remove them. Objective: Excluding family experiences, what are the major themes recounted by CCNs when asked to share common obstacles experienced in providing ICU EOL care? Methods: Members of the American Association of Critical-Care Nurses were randomly surveyed and responses to a single qualitative question were used. Results: There were 104 participants who provided 146 responses reflecting EOL obstacles which were divided into 11 themes; 6 physician- related obstacles and 5 nursing-and-other related obstacles. Top three EOL ICU barrier themes were inadequate physician communication, physicians giving false hope and nursing-related obstacles. Conclusion: Poor physician communication is the main obstacle noted by CCNs during ICU EOL care followed by physicians giving false hope. Heavy patient workloads were also a major barrier in CCNs providing EOL care.

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John, Catharine M. "Evaluation of point of care testing versus central laboratory testing in the critical care environment of a district general hospital". Thesis, City University London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269293.

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Altman, Marian. "A Biobehavioral Approach to Examining Moral Distress in Critical Care Nurses". VCU Scholars Compass, 2017. https://scholarscompass.vcu.edu/etd/5148.

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Moral distress is a complex and challenging problem that may cause negative biopsycohosical and professional outcomes for critical care nurses. The purpose of this work was to explore the relationship between the ethical climate of the work environment and moral distress as experienced by critical care nurses; and to explore relationships among mediators of stress (nurse characteristics e.g. education (BSN, nonBSN), years certified as a critical care nurse, and tolerance of ambiguity) and their relationship with perceived stress, moral distress, health status and salivary alpha amylase. A descriptive correlational cross-sectional design was used for this pilot study of 100 critical care nurses working in adult intensive care units in one large academic medical center. Data were analyzed using descriptive statistics to characterize the sample and the model variables. Regression analysis using a stepwise regression model building technique was used to determine predictors of the study outcomes (moral distress, health status, and salivary alpha amylase). The findings demonstrate that the ethical characteristics of the work environment and perceived stress were predictive of moral distress, psychological/emotional outcomes and stress symptoms. Other variables thought to mediate these relationships were not significant. Future research is needed to find ways to prevent moral distress from occurring and to support nurses dealing with moral distress.

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Libri sul tema "Critical care environment"

Crisis management in acute care settings: Human factors and team psychology in a high stakes environment. 2^a ed. Berlin: Springer, 2011.

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E, Redfern Dorothy, e Ambulatory Pediatric Association, a cura di. Improving child health in a managed care environment: Report of the 29th Ross Roundtable on Critical Approaches to Common Pediatric Problems, in collaboration with the Ambulatory Pediatric Association. Columbus, OH: Abbott Laboratories, Inc., 1998.

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Scholes, Julie. Making a difference: The way in which the nurse interacts with the critical care environment and uses herself as a therapeutic tool. Brighton: Centre for Nursing & Midwifery Research, University of Brighton, 1997.

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Development projects and critical theory of environment. Thousand Oaks, Calif: SAGE Pub., 2005.

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Critical systemic praxis for social and environmental justice: Participatory policy design and governance for a global age. New York: Kluwer Academic/Plenum Publishers, 2004.

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Adam, Sheila, Sue Osborne e John Welch. The critical care environment. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199696260.003.0002.

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This chapter details the optimal location, design, structure, staffing, and equipment required to support high quality critical care. The chapter covers the impact of the critical care environment on patients, family, and staff themselves. The use of technology, including clinical information systems and electronic patient records, is described. Staffing numbers and roles and the importance of team working and collaboration as a key factor in the effectiveness of the critical care environment are also covered. The impact of cleanliness and infection control features as part of the design. The role that the environment has in mitigating the impact on patients in critical care as well as improving outcomes is described as well as other aspects of safety within critical care.

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Xie, Hui. Sound Environment in Critical Care. Springer, 2021.

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Gygax, Spicer Joan, e Robinson MaryAnne, a cura di. Managing the environment in critical care nursing. Baltimore: Williams & Wilkins, 1990.

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Adam, Sheila, Sue Osborne e John Welch. The patient within the critical care environment. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199696260.003.0003.

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Both critical illness and treatment in the critical care unit are extremely stressful, presenting great physical and psychological challenges for patients and their families. There are a range of compensatory responses to stress which may be adaptive, but severe or prolonged stress can induce a destructive spiral of decompensation. The importance of a holistic approach to care cannot be overemphasized; this chapter sets out the priorities of care for critically ill patients, and the common needs and problems for both patients and their families. The issues discussed include the mechanisms of stress in critical illness, the promotion of sleep, use of analgesia and sedation, management of delirium, complications of immobility, mouth, eye, and skin care, infection control, requirements for safe transfer, and care of the dying patient.

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Adam, Sheila, Sue Osborne e John Welch, a cura di. Critical Care Nursing. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199696260.001.0001.

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This textbook encompasses the knowledge, skills, and expertise needed to deliver excellent nursing care to critically ill patients. Emphasis is placed on a holistic and compassionate approach towards humanizing the impact of the environment, organ support, and monitoring, as well as critical illness itself. Chapters cover the general aspects of critical care such as the critical care environment or critical care continuum and specific organ systems and diseases. The structure of the systems chapters reminds the reader of the underlying anatomy and physiology as well as highlighting areas of particular relevance to critical care. The focus on priorities for management builds on the ABCDE assessment and offers insight into key interventions in urgent situations as well as outlining evidence-based practice. The book is ideal for those new to the critical care environment, but will also act as a reminder for more experienced nurses when faced with a new situation or when teaching/mentoring students. The patient and their family remain the centre of all This new edition brings the definitions, pathophysiology, and management of fast-changing and challenging areas such as ARDS, sepsis and multiple organ dysfunction, resuscitation, and acute kidney injury up to date as well as including any evidence-based changes associated with nursing practice in critical care. A new chapter covers major incident planning and management and the role of critical care in pandemic situations.

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Capitoli di libri sul tema "Critical care environment"

Martínez, Nuria, e María-Consuelo Pintado. "Substance Withdrawal in ICU Environment". In Oncologic Critical Care, 1–21. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-74698-2_143-1.

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Martínez, Nuria, e María-Consuelo Pintado. "Substance Withdrawal in ICU Environment". In Oncologic Critical Care, 1913–33. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-74588-6_143.

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Storch, Jennifer S., e Philip C. Spinella. "Care in an Austere Environment". In Pediatric Critical Care Medicine, 637–44. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-6362-6_45.

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Mirski, Marek A. "Presentation and Pathophysiology of Seizures in the Critical Care Environment". In Seizures in Critical Care, 1–20. Totowa, NJ: Humana Press, 2005. http://dx.doi.org/10.1007/978-1-59259-841-0_1.

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Evans, Laura, e Amit Uppal. "Treatment of Viral Hemorrhagic Fever in a Well-Resourced Environment". In Evidence-Based Critical Care, 473–79. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-26710-0_63.

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Uppal, Amit, e Laura Evans. "Treatment of Viral Hemorrhagic Fever in a Well-Resourced Environment". In Evidence-Based Critical Care, 485–94. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43341-7_56.

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Mirski, Marek A. "Presentation and Pathophysiology of Seizures in the Critical Care Environment: An Overview". In Seizures in Critical Care, 1–20. Totowa, NJ: Humana Press, 2009. http://dx.doi.org/10.1007/978-1-60327-532-3_1.

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Stricker, Paul A., John Fiadjoe e Todd J. Kilbaugh. "Pediatric Difficult Airway Management: Principles and Approach in the Critical Care Environment". In Pediatric Critical Care Medicine, 329–43. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-6362-6_28.

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Edmiston, C. E., P. J. Wilson e B. F. Grahn. "Surgical Site Infection Control in the Critical Care Environment". In Infectious Diseases in Critical Care, 509–20. Berlin, Heidelberg: Springer Berlin Heidelberg, 2007. http://dx.doi.org/10.1007/978-3-540-34406-3_48.

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Edmiston, Charles E. "Surgical Site Infection Control in the Critical Care Environment". In Critical Care Infectious Diseases Textbook, 817–31. Boston, MA: Springer US, 2001. http://dx.doi.org/10.1007/978-1-4615-1679-8_50.

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Atti di convegni sul tema "Critical care environment"

Marron, Emily, e Chloe Apps. "0205 Undergraduate Medicine And Physiotherapy Problem Based Learning In A Simulated Critical Care Environment". In Association for Simulated Practice in Healthcare Annual Conference 11–13 November 2014 Abstracts. The Association for Simulated Practice in Healthcare, 2014. http://dx.doi.org/10.1136/bmjstel-2014-000002.75.

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Lee, Joon K., Tao Chan, Brent J. Liu e H. K. Huang. "Evaluation of a computer-aided detection algorithm for timely diagnosis of small acute intracranial hemorrhage on computed tomography in a critical care environment". In SPIE Medical Imaging, a cura di Khan M. Siddiqui e Brent J. Liu. SPIE, 2009. http://dx.doi.org/10.1117/12.815390.

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Hinton, Jonathan, Maclyn Augustine, Lavinia Gabara, Mark Mariathas, Rick Allan, Florina Borca, Zoe Nicholas et al. "46 The relationship between high-sensitivity troponin taken on admission to critical care, regardless of whether there was a clinical indication for testing, and one year mortality: a novel biomarker for outcome?" In British Cardiovascular Society Virtual Annual Conference, ‘Cardiology and the Environment’, 7–10 June 2021. BMJ Publishing Group Ltd and British Cardiovascular Society, 2021. http://dx.doi.org/10.1136/heartjnl-2021-bcs.46.

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Aliza, Ana Dyah, e Farida Kartini. "Student Perception of the Preceptorship Model in Midwifery Care: A Scoping Review". In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.43.

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ABSTRACT Background: Preceptorship is a time-limited, education-focused model for teaching and learning within a clinical environment that uses a clinical staff as role models. Its primary goal is to assist new staff and students in adapting to their roles, develop clinical skills and socialize the novice to a department or institution. This difference has caused various opinions from related parties. This study aimed to determine the implementation of a tutorial system from different levels of student education to the entire midwifery health care system. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, Wiley, Google Scholar, dan Sciendirect. The inclusion criteria were English-language and full-text articles published between 2000 and 2019. The data were selected by the PRISMA flow chart. Results: Ten articles from total of 803 articles found. It was divided into two categories: Elements in the preceptorship model and application of preceptorship. Preceptorship can help preceptors to improve teaching effectiveness and create an effective learning environment so that preceptors can perform clinical skills to improve the quality of education. The problem that arises in preceptorship in many student reports is the difficulty students experience in finding their clinical practice area. Professional organizations provide several solutions to the issues that occur in a preceptorship, one of which is paying attention to student attendance and facilitating students to give input and ideas. Conclusion: The application of the principles in the practice of midwifery clinics varies because the guideline instruments are not standardized. Keywords: Perspectives, Preceporship, Students, Midwifery Correspondence: Ana Dyah Aliza, Universitas ‘Aisyiyah Yogyakarta. Jalan Ringroad Barat No.63, Mlangi, Nogotirto, Gamping Sleman, Yogyakarta, Email: anadyahaliza@gmail.com Mobile: 085600072744. DOI: https://doi.org/10.26911/the7thicph.03.43

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Song, Yu. "The Development of a Homecare Platform to Support Informal Caregivers". In ASME 2014 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/detc2014-35658.

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In many European countries, the aging population and the consequent increase in the incidence of chronic disease is causing challenges to health care systems. One solution to avoid a collapse of the systems is to conduct patient care in home environments by informal caregivers. However, constantly caring and monitoring patients may lead to heavy physical and emotional burdens on those informal caregivers. To cope with this problem, this research presents a homecare platform to partially relieve those burdens. Using community-based co-design method, the requirements of the platform are generated first where the compatibility, portability, modularity, accessibility, usability, security, affordability and scalability are addressed. Based on those requirements, an architecture of the platform is constructed where a pervasive computing homecare environment and a web-based service form the core of the platform. In the proposed pervasive computing homecare environment, activities and locations of the patient are recorded as events via a wireless sensor network. Those events are then sent and stored in a web database. Possible critical situations are identified based on the analysis of those recorded events. If any critical situations are detected, the platform will push an alarm to mobile devices of responsible caregivers for possible interventions. To verify the effectiveness and efficiency of the proposed platform, an experiment were conducted to test different technical functionalities and the usability of the platform. Limitations of the proposed platform and future research directions are discussed as well.

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Ngo, Lan-Vy, Katherine Walker, Anna Holowinsky, Grace Knox, Robert Shimberg, Nicholas Napoli, Jacob Gillen, Jeffrey Young e Laura E. Barnes. "Analysis of communication patterns in critical care environments". In 2014 Systems and Information Engineering Design Symposium (SIEDS). IEEE, 2014. http://dx.doi.org/10.1109/sieds.2014.6829886.

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Schuh, Christian J. "Usage of fuzzy systems in critical care environments". In 2008 IEEE 16th International Conference on Fuzzy Systems (FUZZ-IEEE). IEEE, 2008. http://dx.doi.org/10.1109/fuzzy.2008.4630546.

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Turner, Cameron J., e Richard H. Crawford. "Design of an Electric Motor Failure Testbed". In ASME 2004 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2004. http://dx.doi.org/10.1115/detc2004-57738.

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Component failures in hazardous and unfamiliar design environments can be critical. One needs to look no further than at the results of component failures in the Mars probe Spirit to see how significant a simple failure may become. However, similarly unusual environments can be found on Earth, such as within the materials processing lines at Los Alamos National Laboratory. In these lines, radioactive materials must be handled with extreme care. Not only do these materials present a radiological hazard, but also they often they represent toxic and corrosive hazards. To limit human contact with these materials, automation systems are desirable, but unlike humans, automation systems do not provide warning of impending failures. Developing the capabilities for automation systems to warn operators of developing incipient failures is crucial to the continued introduction of automation systems into this unusual terrestrial environment. This paper describes the design, fabrication and integration of a testbed intended to develop our knowledge of how failures occur within simple mechanical component systems typically deployed within this environment. The preliminary results suggest that incipient failures are detectable, and that with this knowledge, it may be possible to develop automation technologies that can provide warning of impending failures before the continued operation of the system is jeopardized.

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Dubrowski, Adam, Bill Kapralos, Kamen Kanev e Michael Jenkin. "Interprofessional critical care training: Interactive virtual learning environments and simulations". In 2015 6th International Conference on Information, Intelligence, Systems and Applications (IISA). IEEE, 2015. http://dx.doi.org/10.1109/iisa.2015.7387984.

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Alirezaee, Parisa, Antoine Weill-Duflos, Joseph J. Schlesinger e Jeremy R. Cooperstock. "Exploring the Effectiveness of Haptic Alarm Displays for Critical Care Environments". In 2020 IEEE Haptics Symposium (HAPTICS). IEEE, 2020. http://dx.doi.org/10.1109/haptics45997.2020.ras.hap20.156.6c3cc0bf.

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Rapporti di organizzazioni sul tema "Critical care environment"

Chambers, Katherine, e Waleska Echevarria-Doyle. Applying resilience concepts to inland river system. Engineer Research and Development Center (U.S.), maggio 2021. http://dx.doi.org/10.21079/11681/40743.

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As environmental uncertainty increases, incorporating resilience into project assessments, research recommendations, and future plans is becoming even more critical. This US Army Engineer Research and Development Center special report (SR) demonstrates how the concepts of resilience can be applied in a uniform framework and illustrates this framework through existing case studies on large inland river systems. This SR presents the concepts of resilience in inland river systems, the application of these concepts across disciplines, basic parameters of a resilience assessment, and the challenges and opportunities available for incorporating a more holistic approach to understanding resilience of the US Army Corps of Engineers mission areas on inland rivers. Finally, these concepts are demonstrated in several case studies in the United States to exemplify how these parameters have been applied to improve the overall performance of the system.

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Fullan, Michael, e Joanne Quinn. How Do Disruptive Innovators Prepare Today's Students to Be Tomorrow's Workforce?: Deep Learning: Transforming Systems to Prepare Tomorrow’s Citizens. Inter-American Development Bank, dicembre 2020. http://dx.doi.org/10.18235/0002959.

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Disruptive innovators take advantage of unique opportunities. Prior to COVID-19 progress in Latin America and the Caribbean for integrating technology, learning, and system change has been exceedingly slow. In this paper we first offer a general framework for transforming education. The framework focuses on the provision of technology, innovative ideas in learning and well-being, and what we call systemness which are favorable change factors at the local, middle/regional, and policy levels. We then take up the matter of system reform in Latin America and the Caribbean noting problems and potential. Then, we turn to a specific model in system change that we have developed called New Pedagogies for Deep Learning, a model developed in partnerships with groups of schools in ten countries since 2014. The model consists of three main components: 6 Global Competences (character, citizenship, collaboration, communication, creativity, and critical thinking), 4 learning elements (pedagogy, learning partnerships, learning environments, leveraging digital), and three system conditions (school culture, district/regional culture, and system policy). We offer a case study of relative success based on Uruguay with whom we have been working since 2014. Finally, we identify steps and recommendations for next steps in Latin America for taking action on system reform in the next perioda time that we consider critical for taking advantage of the current pandemic disruption. The next few years will be crucial for either attaining positive breakthroughs or slipping backwards into a reinforced status quo.

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Dalglish, Chris, e Sarah Tarlow, a cura di. Modern Scotland: Archaeology, the Modern past and the Modern present. Society of Antiquaries of Scotland, settembre 2012. http://dx.doi.org/10.9750/scarf.09.2012.163.

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The main recommendations of the panel report can be summarised under five key headings:  HUMANITY The Panel recommends recognition that research in this field should be geared towards the development of critical understandings of self and society in the modern world. Archaeological research into the modern past should be ambitious in seeking to contribute to understanding of the major social, economic and environmental developments through which the modern world came into being. Modern-world archaeology can add significantly to knowledge of Scotland’s historical relationships with the rest of the British Isles, Europe and the wider world. Archaeology offers a new perspective on what it has meant to be a modern person and a member of modern society, inhabiting a modern world.  MATERIALITY The Panel recommends approaches to research which focus on the materiality of the recent past (i.e. the character of relationships between people and their material world). Archaeology’s contribution to understandings of the modern world lies in its ability to situate, humanise and contextualise broader historical developments. Archaeological research can provide new insights into the modern past by investigating historical trends not as abstract phenomena but as changes to real lives, affecting different localities in different ways. Archaeology can take a long-term perspective on major modern developments, researching their ‘prehistory’ (which often extends back into the Middle Ages) and their material legacy in the present. Archaeology can humanise and contextualise long-term processes and global connections by working outwards from individual life stories, developing biographies of individual artefacts and buildings and evidencing the reciprocity of people, things, places and landscapes. The modern person and modern social relationships were formed in and through material environments and, to understand modern humanity, it is crucial that we understand humanity’s material relationships in the modern world.  PERSPECTIVE The Panel recommends the development, realisation and promotion of work which takes a critical perspective on the present from a deeper understanding of the recent past. Research into the modern past provides a critical perspective on the present, uncovering the origins of our current ways of life and of relating to each other and to the world around us. It is important that this relevance is acknowledged, understood, developed and mobilised to connect past, present and future. The material approach of archaeology can enhance understanding, challenge assumptions and develop new and alternative histories. Modern Scotland: Archaeology, the Modern past and the Modern present vi Archaeology can evidence varied experience of social, environmental and economic change in the past. It can consider questions of local distinctiveness and global homogeneity in complex and nuanced ways. It can reveal the hidden histories of those whose ways of life diverged from the historical mainstream. Archaeology can challenge simplistic, essentialist understandings of the recent Scottish past, providing insights into the historical character and interaction of Scottish, British and other identities and ideologies.  COLLABORATION The Panel recommends the development of integrated and collaborative research practices. Perhaps above all other periods of the past, the modern past is a field of enquiry where there is great potential benefit in collaboration between different specialist sectors within archaeology, between different disciplines, between Scottish-based researchers and researchers elsewhere in the world and between professionals and the public. The Panel advocates the development of new ways of working involving integrated and collaborative investigation of the modern past. Extending beyond previous modes of inter-disciplinary practice, these new approaches should involve active engagement between different interests developing collaborative responses to common questions and problems.  REFLECTION The Panel recommends that a reflexive approach is taken to the archaeology of the modern past, requiring research into the nature of academic, professional and public engagements with the modern past and the development of new reflexive modes of practice. Archaeology investigates the past but it does so from its position in the present. Research should develop a greater understanding of modern-period archaeology as a scholarly pursuit and social practice in the present. Research should provide insights into the ways in which the modern past is presented and represented in particular contexts. Work is required to better evidence popular understandings of and engagements with the modern past and to understand the politics of the recent past, particularly its material aspect. Research should seek to advance knowledge and understanding of the moral and ethical viewpoints held by professionals and members of the public in relation to the archaeology of the recent past. There is a need to critically review public engagement practices in modern-world archaeology and develop new modes of public-professional collaboration and to generate practices through which archaeology can make positive interventions in the world. And there is a need to embed processes of ethical reflection and beneficial action into archaeological practice relating to the modern past.

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