3 research outputs found
The Nurses’ Experience during the Caring of Coronavirus (COVID-19) Patients: A Descriptive Qualitative Study
No full textCOVID-19 transmission in the hospital environment can be catalized by a direct contact and droplets. Nurses are at the forefront of having the longest contact with the infected patient during the treatment. This research aims to dig on the deep meaning on the nurses’ practice during treating the COVID-19’s patients. This is a qualitative research design with a descriptive explorative approach. The sampling technique used in this research was a purposive side. The Data collection were carried out on five nurses who were in charge of caring the COVID-19 patients at two Semarang city’s hospitals. The research data were in the form of conversation transcripts which were analyzed using content analysis. This qualitative research analysis brought the results in three themes: first, the challenge of being a COVID-19 nurse in the emergency room, ICU and Covid care room, second, the resilience and resilience of nurses, third, the professionalism of nurses. This study indicate that the experience of nurses caring for COVID-19 patients has many challenges, namely fatigue, discomfort, anxiety, fear of contracting and stress. Anxiety creates psychological problems for nurses, which reduces the quality of service during the pandemic. Resilience and toughness are the main foundations for nurses during the pandemic.There is a need for further research with qualitative methods to look at the factors that impact on successful nursing care in COVID-19 patients during the pandemic
Analisis Konsep Kewaspadaan Klinis Perawat ICU
No full textKewaspadaan klinis perawat ICU merupakan elemen fundamental dalam perawatan pasien kritis, yang memungkinkan deteksi dini perubahan kondisi, pengambilan keputusan tepat, dan peningkatan keselamatan pasien di lingkungan intensif yang dinamis. Penelitian menunjukkan perawat berpengalaman memiliki akurasi deteksi sepsis 30% lebih tinggi, meskipun faktor seperti shift panjang menurunkan tingkat kewaspadaan. Tujuan : Analisis ini bertujuan mengklarifikasi definisi, atribut, antecedent, konsekuensi, serta implikasi kewaspadaan klinis perawat ICU untuk mendukung pengembangan intervensi berbasis bukti yang meningkatkan praktik keperawatan intensif. Metode Walker and Avant (2018) diterapkan melalui delapan langkah sistematis, meliputi identifikasi penggunaan konsep dari kamus dan literatur, penentuan atribut (pemantauan sistematis, pengenalan pola, dll.), analisis antecedent-konsekuensi, kasus model/borderline/terkait/sebaliknya, serta referensi empiris dari studi terkini. Kewaspadaan klinis didefinisikan sebagai kemampuan mempertahankan perhatian berkelanjutan, mendeteksi perubahan dini, dan merespons cepat; antecedent mencakup pendidikan ICU, pengalaman >2 tahun, staffing optimal; konsekuensi meliputi penurunan komplikasi 30% dan mortalitas; model konsep dihasilkan dari kasus empiris, didukung survei vigilance skor 3,86/5. Model konsep ini memperkuat pemahaman aplikatif kewaspadaan klinis, mendorong pelatihan simulasi, instrumen pengukuran seperti Nursing Vigilance Scale, dan kebijakan rumah sakit untuk outcome pasien optimal.
Clinical vigilance of ICU nurses is a fundamental element in the care of critically ill patients, enabling early detection of changes in patient conditions, accurate decision-making, and enhanced patient safety in a dynamic intensive care environment. Research indicates that experienced nurses have a 30% higher accuracy rate in detecting sepsis, although factors such as prolonged shifts may decrease levels of vigilance. Objective: This analysis aims to clarify the definition, attributes, antecedents, consequences, and implications of clinical vigilance among ICU nurses to support the development of evidence-based interventions that improve intensive nursing practice. Methods: The Walker and Avant (2018) concept analysis method was applied through eight systematic steps, including identifying concept usage from dictionaries and literature, determining attributes (systematic monitoring, pattern recognition, etc.), analyzing antecedents and consequences, constructing model/borderline/related/contrary cases, and incorporating empirical references from recent studies. Clinical vigilance is defined as the ability to maintain sustained attention, detect early changes, and respond rapidly; antecedents include ICU education, more than two years of experience, and optimal staffing; consequences involve a 30% reduction in complications and mortality; the conceptual model was developed from empirical cases, supported by vigilance survey scores of 3.86/5. This conceptual model strengthens the practical understanding of clinical vigilance, promoting simulation-based training, measurement instruments such as the Nursing Vigilance Scale, and hospital policies to optimize patient outcome
THE PSYCHOLOGICAL RESPONS OF THE CRITICAL CARE NURSES IN CARING COVID-19 PATIENTS
No full textUnstable and critical conditions of Covid-19 patients require intensive care in the Intensive Care Unit (ICU) Covid-19 isolation room. The patients require intensive actions and continuous monitoring resulting in an increase in the workload of ICU nurses. ICU nurses should also wear third level Personal Protective Equipment (PPE) while dealing with Covid-19 patients. The number of patients and nurses who died has become one of the stressors for ICU nurses. ICU nurses also feel anxious and afraid of being infected, feel worried about the effectiveness of PPE, and the risk of transmission to family members at home. This condition leads to stress, depression and affects the quality of service. Therefore, this study aims to know the psychological respons of the critical care nurses in caring Covid-19 patients. This study used descriptive survey with the sample size of 181 respondents. The respondents were members of the Central Java-Indonesian Critical Care Nurses Association recruited by some inclusion and exclusion criteria. Depression, Anxiety, and Stress Scale 42 (DASS 42) was used as an instrument to collect the data. The data were analyzed in frequency and percentage. The results showed that the majority of respondents did not experience anxiety (58%), stress (82.3%), and depression (72.9%) although there were still severe and very severe anxiety levels (11.6%), a severe stress level (2.8%), and a severe depression level (1.7%) experienced by the respondents respectively. Nurses who are anxious, stressed or depressed should obtain serious attention from the nurses, the hospital and the government. Therefore, the psychological management of nurses can be improved to prevent unwanted problems such as ongoing depression or burnout syndrome
