RESUMO
The ability to quickly and reliably detect a clinically deteriorating patient and intervene appropriately is a skill nurses are expected to bring into practice. Simulation education has been shown to improve nurses' knowledge, confidence and communication, especially when focused on deteriorating patients. In a simulation center at a large tertiary level Canadian teaching hospital, a 4 h simulation based education session was developed for general medicine nursing staff. The education included a didactic lecture followed by four 40 min simulation scenarios focused on deteriorating patient. This study was designed as a pre- and post-analytic design. It utilized a paper based survey completed at three separate time points to measure confidence and knowledge. The study also examined data from the Critical Care Outreach nurse audits and site code blue audit data. Results demonstrated statistically significant improvements in nursing confidence and knowledge, and were sustained over the three month follow-up period.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Treinamento com Simulação de Alta Fidelidade/métodos , Unidades Hospitalares , Medicina , Enfermeiras e Enfermeiros/psicologia , Avaliação de Resultados da Assistência ao Paciente , Canadá , Competência Clínica , Humanos , Inquéritos e QuestionáriosAssuntos
Nutrição Enteral/efeitos adversos , Assistência Terminal/métodos , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , PrognósticoRESUMO
The results from a pilot study are reported in this article, part two of a two-part paper. The experiences of parents (six mothers and two fathers) are described as their families transitioned to the Canuck Place Children's Hospice (CPHC) in Canada. The perspectives of non-hospice health care professionals (n=4) involved in the child's care are explored. Data were gathered through audio-taped, semi-structured interviews. Initially, parents and health professionals were unaware that the hospice provided more than just end-of-life services. Parents began to consider hospice care when something changed in their lives that forced them to see things differently. This became the impetus for recognizing that CPCH might be a resource for their family. The prospect of respite care was usually the deciding factor in applying to the hospice. Parents reported benefits of hospice respite for themselves and the whole family. Recommendations for practice and future research are offered, including discussion about the feasibility of the study procedures.
Assuntos
Hospitais para Doentes Terminais , Hospitais Pediátricos , Aceitação pelo Paciente de Cuidados de Saúde , Cuidados Intermitentes , Adolescente , Canadá , Doença Catastrófica , Criança , Pré-Escolar , Estudos de Viabilidade , Feminino , Pesquisa sobre Serviços de Saúde/métodos , Humanos , Lactente , Masculino , Pais/psicologia , Projetos Piloto , Projetos de PesquisaRESUMO
This article describes the rationale for planning and conducting a qualitative pilot study about families' transition to a Canadian paediatric hospice. Discussion includes: background information and a literature review pertinent to the study; debate around the term 'hospice' versus 'palliative care'; the different and unique needs of children requiring a palliative approach compared with adult hospice patients; and information about planning and beginning the study, including the rationale for a pilot, details about the study site, recruitment and procedures, and data collection and analysis. The results from the pilot study, as well as implications for practice and research are reported in part two.
