Citation Information :
Sharma J, Kaur M, Mustafi S, Singh M, Sharma A, Dhir V. Comparison of awareness of patient parameters between two groups of caregivers in intensive care unit. Indian J Crit Care Med 2017; 21 (10):665-670.
Aim of the Study: The overlap in the scope of duties performed by two core groups of Intensive Care Unit caregivers, the doctors and nurses may lead to gaps in awareness of patient-related parameters among them. Our study tested the hypothesis that there is no difference in the awareness of patient-related parameters between the two study groups (doctors and nurses).
Materials and Methods: A questionnaire-based study, incorporating various aspects of a patient\'s medical care was designed. Pro forma for 100 patients was filled by doctors and nurses divided into two groups of 100 each (50 junior residents [JRs] and 50 senior residents [SRs] in the doctors\' group). Statistical analysis of categorical data was done by Chi-squared test and interval data by t-test. A subgroup analysis was done for comparison between nurses SRs and JRs as independent groups. P < 0.05 was considered statistically significant.
Results: There was no statistically significant difference between the two groups (doctors and nurses) in terms of percentage of correct responses in the questionnaire (P = 0.655). A highly significant difference between the knowledge of SRs and nurses was found with a P = 0.0001. P < 0.0001 was calculated for the SRs versus JRs which was highly significant.
Conclusions: As a group, doctors (SRs and JRs) did not reflect any difference in awareness of patient-related parameters when compared to nurses. However, SRs were more knowledgeable about the patient-related parameters when compared independently with the JRs and the nurses.
Ferreira FL, Bota DP, Bross A, Mélot C, Vincent JL. Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA 2001;286:1754-8.
Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM, et al. Use of the SOFA score to assess the incidence of organ dysfunction/failure in Intensive Care Units: Results of a multicenter, prospective study. Working group on “sepsis-related problems” of the European Society of Intensive Care Medicine. Crit Care Med 1998;26:1793-800.
Moreno R, Vincent JL, Matos R, Mendonça A, Cantraine F, Thijs L, et al. The use of maximum SOFA score to quantify organ dysfunction/failure in intensive care. Results of a prospective, multicentre study. Working Group on Sepsis Related Problems of the ESICM. Intensive Care Med 1999;25:686-96.
Haesler E, editor. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Perth, Australia: Cambridge Media; 2014.
MacIntyre NR, Cook DJ, Ely EW Jr., Epstein SK, Fink JB, Heffner JE, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: A collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 2001;120:375S-95S.
Hunter S. Determination of moral negligence in the context of the undermedication of pain by nurses. Nurs Ethics 2000;7:379-91.
Davis R, Magilvy JK. Quiet pride: The experience of chronic illness by rural older adults. J Nurs Scholarsh 2000;32:385-90.
Aragon D. Evaluation of nursing work effort and perceptions about blood glucose testing in tight glycemic control. Am J Crit Care 2006;15:370-7.
Curtis JR, Cook DJ, Wall RJ, Angus DC, Bion J, Kacmarek R, et al. Intensive Care Unit quality improvement: A “how-to” guide for the interdisciplinary team. Crit Care Med 2006;34:211-8.
Guidelines for Intensive Care Unit admission, discharge, and triage. Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine. Crit Care Med 1999;27:633-8.
Edwards R, Drumright L, Kiernan M, Holmes A. Covering more territory to fight resistance: Considering nurses' role in antimicrobial stewardship. J Infect Prev 2011;12:6-10.
Castledine G. Prescribing is not the only issue for nurses and drugs. Br J Nurs 2006;15:837.
Jutel A, Menkes DB. Nurses' reported influence on the prescription and use of medication. Int Nurs Rev 2010;57:92-7.
Jacobs P, Noseworthy TW. National estimates of intensive care utilization and costs: Canada and the United States. Crit Care Med 1990;18:1282-6.
Halpern NA. Can the costs of critical care be controlled? Curr Opin Crit Care 2009;15:591-6.
Mullins PM, Goyal M, Pines JM. National growth in Intensive Care Unit admissions from emergency departments in the united states from 2002 to 2009. Acad Emerg Med 2013;20:479-86.
May TA, Clancy M, Critchfield J, Ebeling F, Enriquez A, Gallagher C, et al. Reducing unnecessary inpatient laboratory testing in a teaching hospital. Am J Clin Pathol 2006;126:200-6.
Thavendiranathan P, Bagai A, Ebidia A, Detsky AS, Choudhry NK. Do blood tests cause anemia in hospitalized patients? The effect of diagnostic phlebotomy on hemoglobin and hematocrit levels. J Gen Intern Med 2005;20:520-4.
Rogers AE, Dean GE, Hwang WT, Scott LD. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care 2008;17:117-21.
Goldhill DR, McNarry AF. Physiological abnormalities in early warning scores are related to mortality in adult inpatients. Br J Anaesth 2004;92:882-4.
Naeem N, Montenegro H. Beyond the Intensive Care Unit: A review of interventions aimed at anticipating and preventing in-hospital cardiopulmonary arrest. Resuscitation 2005;67:13-23.
VanGilder C, Amlung S, Harrison P, Meyer S. Results of the 2008-2009 International Pressure Ulcer Prevalence Survey and a 3-year, acute care, unit-specific analysis. Ostomy Wound Manage 2009;55:39-45.
Campbell KE, Woodbury MG, Houghton PE. Implementation of best practice in the prevention of heel pressure ulcers in the acute orthopedic population. Int Wound J 2010;7:28-40.
Ozdemir H, Karadag A. Prevention of pressure ulcers: A descriptive study in 3 Intensive Care Units in Turkey. J Wound Ostomy Continence Nurs 2008;35:293-300.
Nijs N, Toppets A, Defloor T, Bernaerts K, Milisen K, Van Den Berghe G, et al. Incidence and risk factors for pressure ulcers in the Intensive Care Unit. J Clin Nurs 2009;18:1258-66.
Bours GJ, De Laat E, Halfens RJ, Lubbers M. Prevalence, risk factors and prevention of pressure ulcers in Dutch Intensive Care Units. Results of a cross-sectional survey. Intensive Care Med 2001;27:1599-605.
Jastremski CA. Pressure relief bedding to prevent pressure ulcer development in critical care. J Crit Care 2002;17:122-5.
Suriadi, Sanada H, Sugama J, Thigpen B, Subuh M. Development of a new risk assessment scale for predicting pressure ulcers in an Intensive Care Unit. Nurs Crit Care 2008;13:34-43.
Reilly EF, Karakousis GC, Schrag SP, Stawicki SP. Pressure ulcers in the Intensive Care Unit: The 'forgotten' enemy. OPUS 12 Sci 2007;1:17-30.
Compton F, Hoffmann F, Hortig T, Strauss M, Frey J, Zidek W, et al. Pressure ulcer predictors in ICU patients: Nursing skin assessment versus objective parameters. J Wound Care 2008;17:417-20, 422-4.
Defloor T, Grypdonck MF. Validation of pressure ulcer risk assessment scales: A critique. J Adv Nurs 2004;48:613-21.
Griffiths P, Jull A. How good is the evidence for using risk assessment to prevent pressure ulcers? Nurs Times 2010;106:10-3.
Cooper KL. Evidence-based prevention of pressure ulcers in the Intensive Care Unit. Crit Care Nurse 2013;33:57-66.
Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the Intensive Care Unit. Curr Opin Crit Care 2007;13:732-6.
Pronovost PJ, Thompson DA, Holzmueller CG, Lubomski LH, Dorman T, Dickman F, et al. Toward learning from patient safety reporting systems. J Crit Care 2006;21:305-15.
Rose L, Nelson S, Johnston L, Presneill JJ. Decisions made by critical care nurses during mechanical ventilation and weaning in an Australian Intensive Care Unit. Am J Crit Care 2007;16:434-43.
Rose L, Blackwood B, Egerod I, Haugdahl HS, Hofhuis J, Isfort M, et al. Decisional responsibility for mechanical ventilation and weaning: An international survey. Crit Care 2011;15:R295.
Heyland DK, Dhaliwal R, Drover JW, Gramlich L, Dodek P, Canadian Critical Care Clinical Practice Guidelines Committee, et al. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN J Parenter Enteral Nutr 2003;27:355-73.
Guyatt GH, Akl EA, Crowther M, Gutterman DD, Schuünemann HJ, American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis Panel, et al. Executive summary: Antithrombotic therapy and prevention of thrombosis, 9th ed.: American college of chest physicians evidence-based clinical practice guidelines. Chest 2012;141:7S-47S.
Bille DA. The nurse's role in informed consent. QRB Qual Rev Bull 1980;6:25-9.
Nichita EC, Buckley PF. Informed consent and competency: Doctor's dilemma on the consultation liaison service. Psychiatry (Edgmont) 2007;4:53-5.
Bowman D, Spicer J, Iqbal R. Informed Consent: A Primer for Clinical Practice. New York: Cambridge University Press; 2011.