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Items 1 - 17 of 17 |
One page. |
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Critical care nurses' perceptions of futile care and its effect on burnout.
Meltzer LS, Huckabay LM.
Department of Nursing, California State University, Long Beach, Calif, USA.
BACKGROUND: Nurses' perceptions of futile care may lead to emotional exhaustion. OBJECTIVES: To determine the relationship between critical care nurses' perceptions of futile care and its effect on burnout. METHODS: A descriptive survey design was used with 60 critical care nurses who worked full-time and had a minimum of 1 year of critical care experience at the 2 participating hospitals (350-470 beds). Subjects completed a survey on demographics, the Moral Distress Scale, and the Maslach Burnout Inventory. Six research questions were tested. The results of the following question are presented: Is there a relationship between frequency of moral distress situations involving futile care and emotional exhaustion? RESULTS: A Pearson product moment correlational analysis indicated a significant positive correlation between the score on the emotional exhaustion subscale of the Maslach Burnout Inventory and the score on the frequency subscale of the Moral Distress Scale. Moral distress accounted for 10% of the variance in emotional exhaustion. Demographic variables of age, education, religion, and rotation between the critical care units were significantly related to the major variables. CONCLUSIONS: In critical care nurses, the frequency of moral distress situations that are perceived as futile or nonbeneficial to their patients has a significant relationship to the experience of emotional exhaustion, a main component of burnout.
PMID: 15149054 [PubMed - indexed for MEDLINE]
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Navigating the future of critical care.
Dracup K, Bryan-Brown CW.
Publication Types:
PMID: 15149050 [PubMed - indexed for MEDLINE]
Comment on:
Taking leave of an agreeable companion.
Tobin MJ.
Publication Types:
PMID: 15302624 [PubMed - indexed for MEDLINE]
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Thirty years of impact factor and the Journal.
Tobin MJ.
Publication Types:
PMID: 15302621 [PubMed - indexed for MEDLINE]
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Combination antibiotic therapy lowers mortality among severely ill patients with pneumococcal bacteremia.
Baddour LM, Yu VL, Klugman KP, Feldman C, Ortqvist A, Rello J, Morris AJ, Luna CM, Snydman DR, Ko WC, Chedid MB, Hui DS, Andremont A, Chiou CC; International Pneumococcal Study Group.
Mayo Clinic, Rochester, NY, USA.
Retrospective studies have suggested that combination antibiotic therapy for severe bacteremic pneumococcal pneumonia may reduce mortality. We assessed this issue in a prospective, multicenter, international observational study of 844 adult patients with bacteremia due to Streptococcus pneumoniae. The effect of combination antibiotic therapy versus monotherapy on mortality was examined by univariate analyses and by logistic regression models. The 14-day mortality was not significantly different for the two groups. However, among critically ill patients, combination antibiotic therapy was associated with lower 14-day mortality (23.4 versus 55.3%, p = 0.0015). This improvement in survival was independent of country of origin, intensive care unit support, class of antibiotics, or in vitro activity of the antibiotics prescribed. Combination antibiotic therapy improved survival among critically ill patients with bacteremic pneumococcal illness.
Publication Types:
- Clinical Trial
- Multicenter Study
PMID: 15184200 [PubMed - indexed for MEDLINE]
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The critical care experience: a patient's view.
Misak CJ.
Department of Philosophy, University of Toronto, 215 Huron Street, Toronto, ON M5S 1A1, Canada. cheryl.misak@utoronto.ca
PMID: 15105165 [PubMed - indexed for MEDLINE]
Evaluation of the Paediatric Index of Mortality in children managed on adult intensive care units.
Fraser J, Maskrey C, Taylor H.
Bristol Children's Hospital, St Michaels's Hill, Bristol, UK. james.fraser@ubht.swest.nhs.uk
OBJECTIVE: To evaluate the performance of the Paediatric Index of Mortality (PIM) in children cared for in adult intensive care units (ICUs) in district general hospitals in the South West Region of England. DESIGN AND SETTING: An observational survey of all children admitted to adult ICUs in 15 district general hospitals between November 2000 and August 2002. For comparison, data were also collected from the regional paediatric ICUs between November 2000 and March 2002. RESULTS: Data were collected from 374 children admitted to adult ICUs and 850 children admitted to the regional paediatric ICU. There were significant differences in the patient characteristics between the two groups. In the adult ICU paediatric population, PIM discriminated well between death and survival (Az ROC = 0.96 (95% confidence interval, 0.93 to 0.99)) and calibrated well across deciles of risk (goodness of fit chi2 = 4.55 (8 df), p = 0.8). CONCLUSIONS: PIM performs well as a risk adjustment method in children whose entire care remains in the adult ICU of a district general hospital. This is important should the Paediatric Intensive Care Audit Network (PICAnet) decide to extend its data collection beyond paediatric intensive care units to other units caring for critically ill children.
PMID: 15383445 [PubMed - in process]
Comment on:
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