1,721,022 research outputs found
Il rischio di emolisi nel prelievo di sangue da catetere venoso periferico: revisione della letteratura
Full text linkScopo. L'emolisi è uno dei fattori principali in grado di compromettere un campione di sangue. La disponibilití di un accesso venoso gií posizionato spinge molti infermieri ad utilizzare questa via per il prelievo ematico, anche se è noto come questa tecnica sia associata a maggior incidenza di emolisi rispetto al prelievo con ago diretto. L'intento di questo lavoro è individuare gli interventi che prevengono il rischio di emolisi qualora il campione di sangue provenga da un ago cannula periferico. Metodo. E' stata condotta una revisione della letteratura attraverso la consultazione delle banche dati MEDLINE, CINAHL e Cochrane database of Systematic Reviews. Risultati. Sono stati selezionati 15 articoli. Fattori quali il materiale e il calibro del catetere venoso periferico (CVP), la presenza di ostruzioni, la sede anatomica, la permanenza del laccio emostatico, la difficoltí di posizionamento dell'ago cannula, il volume della provetta utilizzata e le abilití dell'operatore sono determinanti nel rischio di emolisi del campione di sangue ottenuto dalla cannula periferica. In termine di costi e di preferenze del paziente, la tecnica del prelievo ematico da CVP è da preferirsi. Conclusioni. I prelievi di sangue ottenuti da cannula periferica sono associati a maggiore rischio di emolisi. Tuttavia, prelevare un campione di sangue da CVP per effettuare un'analisi e, nel contempo, ridurre il rischio di emolisi è possibile se vengono seguiti alcuni accorgimenti.Parole chiave. Emolisi, catetere venoso periferico, venipuntura, prelievo ematico.Risk of hemolysis in blood sampling from peripheral intravenous catheter: a literature reviewScope. Hemolysis is one of the main factors that can damage a blood sample. The availability of an intravenous line already placed pushes many nurses to use this route for blood drawing, even if it is known that this technique is associated with an increased rate of hemolysis compared to blood sampling with a needle. The aim of this work is to identify interventions that reduce risk of hemolysis if the blood sample is from a peripheral IV catheter. Method. A review of relevant literature was conducted through the databases MEDLINE, CINAHL and Cochrane database of Systematic Reviews. Results. Fifteen studies were retrieved. Factors such as the material and the caliber of the IV catheter, the presence of obstructions, the anatomical site, the permanence of the tourniquet, the difficulty of positioning of the catheter, the volume of the tube used and the skills of the operator are decisive in the risk of hemolysis of the sample. In term of cost and preferences of the patient, the technique of blood sampling from a peripheral IV catheter is preferable. Conclusions. Sample collection through intravenous catheters is associated with significant higher risk of hemolysis. Take a sample of blood from a peripheral catheter to carry out an analysis and, at the same time, reduce the risk of hemolysis is possible if some precautions are followed. Key words: Hemolysis, peripheral intravenous catheter, venipuncture, blood specimen collectio
L'utilizzo della contenzione sul paziente critico in Terapia Intensiva: uno sguardo a prevalenza e mezzi impiegati
No full textThe care of patients through the lens of the fundamentals into times of the COVID-19 outbreak.
No full textDoes missed nursing care influence the use of physical restraint and its duration in acute medical patients? Secondary analysis of a longitudinal study
No full textMissed nursing care and physical restraint have been identified as indicators of patient safety, but no studies to date have explored their relation. To explore the relation between these two phenomena, a secondary analysis of a longitudinal study on 1464 in-hospital patients and 314 registered nurses was performed. The use of physical restraint was assessed at the bedside on a daily basis; missed care was assessed with the MISSCARE survey. Individual, nursing care, and hospital-level variables were measured. A total of 184 (12.6%) patients were restrained for 20.33% of their in-hospital stay. No significant differences emerged in the occurrence of missed care between restrained and unrestrained patients. However, some common antecedents of these two phenomena emerged: in units where there is a lack of personnel, both an increase in missed care and physical restraint duration should be expected. As a consequence, patients are threatened in their right to receive the required care and they are at risk of being restrained. Moreover, a higher skill mix is a preventive factor, which suggests that the increased numbers of registered nurses on the team, may prevent routine forms of physical restraint use by analyzing the physical restraint in place critically and removing them as soon as possible, thus reducing the duration of the restraints
Anticipated nursing care as perceived by nursing students: Findings from a qualitative study
Full text linkAim: To explore the perceptions of nursing students on the phenomenon of anticipated nursing care. Design: A descriptive-qualitative study was performed in 2019 according to the Consolidated Criteria for Reporting Qualitative Research principles. Methods: Data were collected using 16 face-to-face, audio-recorded interviews across four Italian Bachelor of Nursing degrees. Then, content analysis was performed, identifying, analysing and describing the anticipated nursing care phenomenon as perceived by nursing students. Results: Administering medications, providing fundamentals of care, managing some clinical procedures, freeing up the patient's bed and starting the shifts early emerged as the most anticipated nursing interventions. Stable, older patients who were more functionally dependent were reported to receive some fundamental nursing care before the expected time, while older, stable and more independent patients were used to receiving medications in advance. Anticipated nursing care is triggered by factors at the time management, resource, programming, professional and organizational levels
To what extent Unfinished Nursing Care tools coincide with the discrete elements of The Fundamentals of Care Framework? A comparative analysis based on a systematic review
No full textUnplanned extubations in an intensive care unit: Findings from a critical incident technique
No full textThe Productive Ward programme to provide high quality care: findings from a scoping review
No full textIntroduction. The Productive Ward: Releasing Time to CareTM is a ward processes - and environments- improvement program intended to help nurses to spend more time on patient care, thus promoting patient safety. Aims. To define the state-of-science in research on the Productive Ward (PW) program, the set of outcomes documented to date, as well as the factors facilitating or hindering its implementation in practice. Methods. A scoping review based on the framework proposed by Levac et al. in 2010, further refined by the Joanna Briggs Institute in 2017, was performed on 2021. Methods and findings have been reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses - Scoping Reviews statement. Results. 11 studies have been published from 2014 to 2021, mainly in Europe and England. According to the findings, the PW program has an impact on nurses, patients and the organization. Factors facilitating the PW programme implementation rely on engaging communicati..
Il burns wean assessment program (BWAP) come indice di svezzamento ed estubazione in terapia intensiva: studio di validazione
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