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Objective@#To explore the reasons that ICU nurses′ who refuse to donate their organs to provide references for improving the current situation of ICU nurses′ participation in organ donation.@*Methods@#Using objective sampling method, 16 ICU nurses selected from hospitals with organ transplantation qualifications in Chongqing were investigated by semi-structured interviews, the data were analyzed by Colaizzi 7-step method of phenomenology in qualitative research.@*Results@#The reasons that ICU nurses′ reluctance to donate their own organs were summarized into the following themes: the great ethical dilemma brought by organ donor acquisition, the negative impact brought by organ transplantation, ICU nurses lacking consensus about organ donation, and a series of problems in the management policy of organ donation.@*Conclusion@#The factors hindering the implementation of organ donation by ICU nurses are widely related to the ethical dilemma of organ donation, the side effects of organ transplantation, the insufficient popularity of organ donation, and the remaining weak links of organ donation. It is suggested that medical and health institutions can help ICU nurses face the ethical issue of organ donation correctly by introducing the silent ceremony and other relevant measures. It can also add the training content of the progress of organ transplantation, establish the organ donation education system in the hospital, and optimize the compensation policy of organ donation to promote ICU nurses′ awareness of organ donation, and to provide guarantee and support for their participation in organ donation.
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We conducted a questionnaire survey of nurses to develop a scale for the Japanese version of the Quality of Dying and Death in the Intensive Care Unit (ICU-QODD) instrument for use by nurses. The questionnaire was based on “patient’s experience at the end of life” in ICU-QODD for health professionals in the United States. We assessed whether it could be used as a comprehensive evaluation tool. Respondents included 1,372 nurses for factor validity and internal consistency, and 39 nurses for test-retest reliability. Two factors, “physical symptoms” and “dignity” that comprised 6 items were identified. Cronbach’s alpha values were 0.89 and 0.75, respectively. Intraclass correlation coefficients were 0.62 and 0.72, respectively. Sufficient reliability and validity were confirmed. It was suggested that 6 out of 15 items could be used as for comprehensive evaluation of the ICU-QODD.
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PURPOSE: The aim of this study was to define the effects of relational bonds and professional authority in organizational commitment of Intensive Care Unit (ICU) nurses. METHODS: A questionnaire was distributed to 200 ICU nurses working in 3 tertiary hospitals. The survey content included the Organizational Commitment Questionnaire (OCQ), Relational Bond Questionnaire (RBQ) and Schutzenhofer Professional Nurse Autonomy Scale (SPNA). RESULTS: The score for OCQ was 2.59, for RBQ, 3.23, and for SPNA, 2.93. Organizational commitment was related to relational bonds (β=0.45; p<.001; SE=0.08). These factors accounted for 21.6% of the variability in organizational commitment. CONCLUSION: Results indicate that ICU nurses' organizational commitment could be improved through increasing relational bonds and retaining experienced nurses which suggests a need to develop work systems designed to increase and maintain high relational bonds in ICU nurses.
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Critical Care , Intensive Care Units , Professional Autonomy , Tertiary Care CentersABSTRACT
Objective To investigate the status quo and the relationship between emotional intelligence and resilience of emergency and ICU nurses in tertiary general hospitals in Chengdu. Methods A total of 660 emergency and ICU nurses were surveyed by a pack of questionnaires including the General Information Questionnaire, the Resilience Scale and the Wong and Law Emotional Intelligence Scale. Results The average total score of the resilience scale was 123.07 ±23.76 and the average item score of the resilience scale was 4.92±0.95. The average total score of the emotional intelligence scale was 58.69±8.74 and the average item score of the emotional intelligence scale was 3.67±0.55. The correlation coefficient between the emotional intelligence and the resilience was 0.62 (P<0.01). Three subdimensions of the emotional intelligence including the usage of emotion, the appraisal of self-emotion, the regulation of emotion and the positions of nurses accounted for 43.3%of the variances of the resilience. Conclusions Emotional intelligence played an important role in affecting the psychological resilience of emergency and ICU nurses in tertiary general hospitals in Chengdu, it could positively predict the resilience of nurses.
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Objective To investigate ICU nurses' perceptions towards incontinence-associated dermatitis.Methods Totally 300 ICU nurses in Suzhou were investigated with a self-designed questionnaire.Results College education was considered to be their main source of knowledge about incontinence-associated dermatitis in 53.2 percent of the nurses.99.8 percent of nurses thought college education was far enough for clinical practice.68.5 percent of nurses thought it was very important to train for knowledge of incontinence-associated dermatitis.Conclusions ICU nurses in Suzhou have less knowledge on incontinence associated dermatitis.It can not meet clinical needs.It is recommended that more incontinence-associated dermatitis knowledge should be added in the school education and continuing education in order to improve nurses' professional competency and to reduce the incidence rate of incontinence-associated dermatitis
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ObjectiveTo evaluate the efficacy of Williams life skills training(WLST) on the occupational stress and burnout in the nursing of the intensive care unit ( ICU ).Methods75 female nurses,from ICU of the Second Hospital of Xiangya Medical School,were randomly assigned to the study group( n=37) and the control group(n=38).A 8-week WLST was taken for the nurses in the study group,while the control group did not take training course.All subjects were assessed with nurses working stress questionnaire(NWSQ),Maslach burnout inventory(MBI) before and after the WLST.ResultsAfter 8-week WLST,the score of NWSQ decreased significantly in the study group than that of the control group( (74.09 ± 11.04 ) vs (85.42 ± 13.25 ),P ＜ 0.01 ).The score of the emotional burnout sense of job indifference decreased significantly in the study group than that of the control group((12.33 ±7.21) vs (23.97 ±.46);(3.45 ±.76) vs (7.03 ±.51)) and the score of sense of a-chievement improved obviously in the study group than that of control group( (34.18 ± 5.07 ) vs (29.31 ± 5.75 ),P ＜0.01 ).ConclusionWLST in effective to decrease the occupational stress and burnout level for the ICU nurses.
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Objective To get the message of master, attitudes and clinical implementation of ICU nurses about clearing the secretion on airbag in patients with mechanical ventilation. Methods Using the method of questionnaires and simple sampling, 85 questionnaires were issued to ICU nurses of four general hospitals in our city.and survey results were analyzed. Results The score had significant difference among ICU nurses with different ages,titles and departments,but no difference among nursing staff with different educational background,There were not enough knowledge and not positive attitudes and atmosphere in nurses about clearing the secretion on airbag for patients with mechanical ventilation. Conclusions Knowledge of management of clearing the secretion on airbag should be popularized, standardized training to nurses should be strengthened,these are the important methods to increase the cognitive degree on secretion on airbag. The accreditation of ICU nurses should be practicedjiurses should work with certificates and quality of care for artificial airway should be ensured. A unified,scientific nursing practice standard and process to clear the secretion on airbag should be established.