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Providing Patient Centred Care in Intensive Care

   

Added on  2021-01-02

14 Pages3274 Words136 Views
RESEARCH IN NURSING

TABLE OF CONTENTSINTRODUCTION ..........................................................................................................................1LITERATURE REVIEW ...............................................................................................................2RESEARCH DESIGN AND METHODOLOGY ..........................................................................4ETHICAL CONSIDERATIONS ....................................................................................................5CONCLUSION ...............................................................................................................................7REFERENCES................................................................................................................................8

INTRODUCTION Background to the problemA clinical nursing problem is considered as that issue which has been identified tocritically analyse the care and health education for the patients. Moreover, it has an impact on thepatient centred care in the speciality practice such as Intensive Care Units (ICUs). There areseveral issues that are challenging the nurses for health education and coordination for givingassistance in giving care and support (Bahadori& et.al., 2014). Additionally, it involves shortageof staff which leads to long working hours and low compensations. The retention rate is lowerthan any other speciality due to overburden and excess pressure to provide care and assistance tothe patients including premature babies, burn cases, etc. Such patients from ICUs require givingundivided attention and back to back work that might result in fatigue and dissatisfaction amongthe patients.Aim To assess the impact of shortage of staff in providing patient centred care in IntensiveCare UnitsObjectivesTo evaluate the effectiveness on the patient centred careTo examine the impact of shortage of staff in ICUTo recommend strategies on maintaining the retention rate of intensive care nursesClear statement of research questions What is the impact of nurse’s long working hours?Why is the retention rate of nurses is short period oriented?How the overburden and pressurised nurses affect the patient centred care?Relevance/significance of the proposal The significance shed light on the necessity to understand the reasons behind the staffshortage for the intensive care nurses. They are highly prone to commit mistakes when workingfor longer hours and leads to stressful working environment. Moreover, their role is crucial inimparting health education and assisting them with the resources to overcome the challenges forgiving proper support and care in terms of medication and treatment plans (Valiee, Peyrovi &1

Nikbakht Nasrabadi, 2014). The contribution is imminent in coping with the skills in context toemotional intelligence and cognitive abilities. Consequently, its study is imperative to understandthe overall impact of shortage of nurses staff and analyse the effectiveness on the overall patientcentric approaches. This will also assist in identifying the triggering points that impact thepatient centred care due to overtired and exhausted nurses.Conceptual/theoretical framework underpins this proposed studyRole of nurses in intensive care units: This shed light on the overall contribution in uplifting hepatients care by consistent efforts and being available on the shifts or the premises. It alsoemphasizes on their participation levels in all the aspects of a patient's treatment plan rangingfrom consultation till the recovery phase.Reasons for shortage of staff: Poor compensations and strict working timings with lowprovisions and benefits are the major driving forces for poor retention rate of intensive carenurses. Additionally, it focuses on the impact of such shortage on the medication, treatment,screening tests and other such programs of the patients. Impact on patient centred care: Primarily, the patients and their families are the sufferers whenthese nurses are not given ample of time and proper rest. Their focus gets shifts and result inpoor functioning and overall inefficient performance at the workplace.LITERATURE REVIEW It is the narrative findings about the current knowledge in both theoretical and methodicalapproached that are used before initiating the research of the study. This part is important toanalyse the existing works or sources on the aim and objective of the chosen research study.Role of nurses in intensive care unitsAccording to West & et.al. (2014) the role of intensive care nurses are imperative inproviding care and support for better delivery of services. The highlighted characteristic is towork under stressful and highly fast paced surroundings as this speciality is one of the mostfunctional units in the health and social care sector. These nurses must have good observationskills with enhanced levels of problem solving and quick decision making. However, Mason &et.al. (2014) critiqued that there are many challenging situations in the intensive care units whichaffect the entire environment and their abilities to deliver the qualitative standards whilehandling the patients or resources including equipments, accessories, medications etc. There is2

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