- A-Z Publications
- Southern African Journal of Critical Care
- Previous Issues
- Volume 23, Issue 2, 2007
Southern African Journal of Critical Care - Volume 23, Issue 2, 2007
Volume 23, Issue 2, 2007
Source: Southern African Journal of Critical Care 23 (2007)More Less
All patients have the right to have family members present during cardiopulmonary resuscitation (CPR) and indeed the patient's family members should be offered the opportunity to be present, European critical care societies believe.
CONNECT : The World of Critical Care Nursing is the official journal of the World Federation of Critical Care Nurses. This is an electronic journal available free of charge.
What does the Occupation-Specific Dispensation (OSD) in the public service mean for nursing? : editorialAuthor Nicola A. FoucheSource: Southern African Journal of Critical Care 23, pp 53 –54 (2007)More Less
In 1995, the National Qualification Framework (NQF) was established in order to align the South African education and training systems with those of international standards of best practice. The intention behind this radical move was to provide quality education and training, thus encouraging lifelong learning. Consequently in the same year the South African Qualification Authority (SAQA) was formed to oversee the development and implementation of the NQF in all areas of education and training, including nursing and midwifery.
Improving the quality of care of the critically ill patient : implementing the care bundle approach in the ICUAuthor Rencia GillespieSource: Southern African Journal of Critical Care 23, pp 55 –60 (2007)More Less
The delivery of quality patient care remains a challenge in critical care services, especially where resources are stretched and the health care system fragmented. Integrating sound theory with clinical practice can benefit from the introduction of valid, reliable research findings at the bedside for the benefit of the critically ill patient and the critical care team. The care bundle approach provides a practical tool to implement evidence-based practice in critical care. Care bundles were originally developed in the USA as a health care improvement strategy, and are best described as groups of evidence-based practice interventions. The theory underpinning care bundles is that patient outcome improves when several evidence-based interventions are grouped together in a single protocol. The consistent implementation of evidence-based practice has been proven to improve outcome and reduce costs significantly. Several care bundles have been developed and tested. Not all are exclusive to critical care, but four that are specific to critical care are briefly described in this review as an introduction to the care bundle approach.
The search strategy included articles published in the medical and nursing critical care literature from 2001 to 2007, bar one or two older but relevant articles, using the key words care bundles, quality and evidence-based practice.
Source: Southern African Journal of Critical Care 23, pp 61 –65 (2007)More Less
Oral hygiene care includes a combination of nursing activities that are often placed very low on the priority care list for a critically ill patient. This may have detrimental implications for the patient. A literature review was done to identify and describe the available evidence related to the beneficial effects of oral hygiene care and the way in which oral hygiene practices should be implemented for a critically ill patient. Various implications of poor oral hygiene care are highlighted, as well as the barriers that have been identified to preventing good oral hygiene care practice. A discussion of the available research evidence to guide oral hygiene care activities includes aspects of timing as well as recommended 'tools'. While some nursing-led research has been published on this topic, there is scope for further investigation into oral hygiene care practices in the critically ill.
Source: Southern African Journal of Critical Care 23, pp 66 –69 (2007)More Less
Aim. To determine the nurse / patient ratios required to render safe, competent ICU nursing.
Method. A patient classification system (CritScore) was used to compile an objective 3-month patient profile. The number (of full-time and agency staff) and the professional profiles of nursing staff allocated to the unit during this period were documented.
Results. The majority of the patients were class 3 patients. While there was concordance between the total number of nurses present in relation to the number predicted by CritScore, the number of ICU-trained nurses was consistently below that ascertained by CritScore. This unit was staffed on average with more than 50% non-permanent staff who were employed on a temporary basis via agencies.
Conclusion. The number of nursing hands allocated is important, but even more so is the quality, or competence, of these hands. Nursing care without an acceptable level of competence in a critical care unit may be considered as a potentially harmful intrusion for the patient.
Source: Southern African Journal of Critical Care 23, pp 70 –72 (2007)More Less
Aim. The aim of the study was to compile a profile of postgraduate critical care nursing research completed during 2006 in the nursing departments of South African universities, and to determine the extent to which this research contributes to the development of a unique body of specialist South African nursing knowledge.
Method. The critical care nursing programme leader at each university completed an electronic questionnaire.
Results. A total of 16 critical care master's projects (but no doctorate projects) were completed. Completed projects came from only 7 of the 10 universities that offer a postgraduate programme in critical care nursing. To date, only 1 of the projects (6.3%) has been published and 3 (18.8%) have been presented at a national critical care congress.
Conclusion. The number and focus of the 2006 projects are comparable with the 2000 - 2005 profile. Research dissemination from South African postgraduate critical care nursing research remains poor.