Objective:To revise the “Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult” published in Critical Care Medicine in 2002.Methods:The American College of Critical Care Medicine assembled a 20-person, multidisciplinary, multi-institutional task f

/pdf/clinical-practice-guidelines-for-the-management-of-pain-4810wy3nml.pdf

Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit

(1991). Applied Linear Regression Models. Journal of Quality Technology: Vol. 23, No. 1, pp. 76-77.

Applied Linear Regression Models

Excessive noise is becoming a significant problem for intensive care units (ICUs). This paper first reviews the impact of noise on patients' sleep in ICUs. Five previous studies have demonstrated such impacts, whereas six other studies have shown other factors to be more important. Staff conversation and alarms are generally regarded as the most disturbing noises for patients' sleep in ICUs. Most research in this area has focused purely on noise level, but work has been very limited on the relationships between sleep quality and other acoustic parameters, including spectrum and reverberation time. Sound-absorbing treatment is a relatively effective noise reduction strategy, whereas sound masking appears to be the most effective technique for improving sleep. For future research, there should be close collaboration between medical researchers and acousticians.

/pdf/clinical-review-the-impact-of-noise-on-patients-sleep-and-ziewzvacjm.pdf

Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units.

Nurses’ attitudes towards older people: A systematic review

OBJECTIVE. We sought to inform decision-making for children and families by describing what is known and remains unknown about the impact of childhood critical illness and injury on families. This report also was designed as a tool for research planning and design so that meaningful studies are performed and duplication is avoided. DESIGN. After a national scholarship competition and the identification of 3 medical student summer scholars, a literature search was conducted by using the National Library of Medicine and a PubMed keyword search system at the National Institutes of Health. RESULTS. A total of 115 reports were reviewed and assigned to the 5 following categories characterizing the impact of pediatric critical illness/injury on families: stressors, needs, specific domains (psychological, physical, social), coping, and interventions. The reports reviewed indicate that pediatric critical illness and injury is stressful for the entire family. The effects on parents, siblings, and marital cohesion were variably described. Needs of family members (eg, rest, nutrition, communication) were identified as being unmet in many studies. Permanent impact on siblings and marital relationships has been considered detrimental, but these conclusions are not adequately quantified in presently available studies. Reviewed reports minimally investigated cultural diversity, effects on fathers versus mothers, siblings, socioeconomic status, and financial burden. Studies were often anecdotal and included small sample sizes. Methodologic limitations were numerous and varied and seriously narrowed the significance of the studies we reviewed. The reports that we evaluated were largely limited to those of English-speaking families, white people, and married mothers. CONCLUSIONS. Future research should use more rigorous methods in the measurement of impact of childhood critical illness and injury on families. Families of critically ill and injured children would benefit from the practitioners of pediatric critical care acquiring enhanced knowledge and sensitivity about famliy communication and dynamics.

https://pediatrics.aappublications.org/content/pediatrics/118/Supplement_3/S203.full.pdf

Impact of pediatric critical illness and injury on families : A systematic literature review

Jordanian patients' perception of stressors in critical care units: a questionnaire survey.

Jordanian nursing students' attitudes toward the elderly.

The purpose of this study was to identify needs of Jordanian families of hospitalized, critically ill patients. The Critical Care Family Needs Inventory was introduced to 158 family members who were visiting their hospitalized, critically ill relatives. The findings revealed that > or = 80% of the family members perceived 16 need statements as important or very important. The participants ranked order needs for assurance, information and proximity the highest and needs for support and comfort the lowest. Specifically, the most important needs of the families were to receive information about the patients, to feel that the hospital personnel care about the patients and to have the information given in understandable terms. Results of this study indicated that Jordanian families had specific and identifiable needs. Providing families of critically ill patients clear, simple and updated information about the patients, and assuring them about the quality of care the patients receive, should be essential components of the critical care nursing delivery system.

The perceived needs of Jordanian families of hospitalized, critically ill patients

Purpose: To identify and describe Jordanian nurses’ attitudes toward older patients in acute care settings. The effects of socio-demographics and nursing work characteristics on nurses’ attitudes were also examined.



Method:  Descriptive correlational design was used. Kogan's (1961) Attitudes Toward Old People Scale was administered to a total population of Jordanian nurses (n = 200) working in selected units in acute care settings of three public hospitals in northern Jordan. Nurses’ attitudes were described by using descriptive statistics. anova and Pearson correlation were used to examine the effects of selected socio-demographic details and work characteristics on nurses’ attitudes.



Results:  Jordanian nurses who participated in this study had marginally positive attitudes toward older patients in acute care settings. Years of clinical experience correlated significantly with their attitudes. Male nurses had significantly more positive attitudes than their female counterparts. Surgical nurses also demonstrated significantly more positive attitudes than those working in medical units.



Conclusion:  Although positive attitudes emerged towards older people, it was also apparent that efforts should be made to enhance them further so that quality care is delivered to this population. In addition, Jordanian nurse educators should put a greater focus on issues related to the care of the older person in their nursing curriculum.

Jordanian nurses' attitudes toward older patients in acute care settings.

This study aims to examine how the sociodemographic and professional characteristics of nurses in Jordan correlate with their levels of knowledge, attitudes, and ageism toward older adults. Ageism has not been studied in Jordan as it pertains to nurses, so a descriptive, correlational, cross-sectional design, with a convenience sample of 317 Jordanian nurses, using the Fact on Aging Quiz 1, Fraboni Scale of Ageism, and Relating to Older People Evaluation was conducted in January to February 2019. Significant ageism was found, and differences in knowledge, attitudes, and negative ageism vary among nurses by sociodemographic/professional characteristics. Knowledge and attitudes toward older adults significantly correlate with negative ageism which is associated with poor health outcomes for older adults. Our findings reveal that even in a country with high religious observance and close family ties, ageism exists in healthcare settings because of nurses' poor knowledge and attitudes toward older adults. These findings have implications for nursing education, clinical practice, and health policy. Changes across these sectors based on the findings may contribute to reducing ageist practices and improving older adult health outcomes.

Issa M. Hweidi

Papers

Jordanian patients' perception of stressors in critical care units: a questionnaire survey.

Jordanian nursing students' attitudes toward the elderly.

The perceived needs of Jordanian families of hospitalized, critically ill patients

Jordanian nurses' attitudes toward older patients in acute care settings.

Association of nurses' level of knowledge and attitudes to ageism toward older adults: Cross-sectional study.