Examinando por Materia "ntensive Care Units"

Mostrando 1 - 7 de 7

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Effective interventions to reduce the incidence of errors in the administration of medicines in intensive care units.
(Universidad Privada Norbert Wiener, 2018-12-16) Castillo Luna, Heber Edgardo; Lunasco Chávez, Mario; Glenni Garay, Zarely Zabeli
Objective: Systematically review the effectiveness of nursing interventions for reducing medication errors. Materials and Methods: Retrospective Systematic Review, which synthesizes the results of several selected studies, all of which underwent critical reading, using the GRADE system to assign the strength of recommendations. Results: Ten articles were selected. 50% of these (n=5/10) indicated effective interventions, including computerized entry registration and the education mode for nurses in intensive care units; 20% (n=2/10) indicated educational programs, and 30% (n=3/10) highlighted interventions such as the participation of pharmacists, group meetings, among others. Conclusions: The reviewed articles concluded that effective interventions to reduce medication errors include computerized entry registration, nurse education methods, educational programs, pharmacist participation, group meetings, protocols and guidelines, medication reconciliation, and safety promotion.
Acceso abierto
Efficacy of the bundle in reducing mortality in patients with severe sepsis in critical units.
(Universidad Privada Norbert Wiener, 2018-07-08) Poma Suarez, Rosa Elena; Carranza Manco, Alexis Armando; Glenni Garay, Zarely Zabeli
"Systematic review, subjected to critical reading and using the GRADE evaluation system to identify the level of evidence of articles published in the following databases: PubMed, Sciencedirect, Redalyc, Scielo, Researchgate, Epistemonikos. Of the 10 articles systematically reviewed, 20% (n=2/10) are systematic reviews, 10% (n=2/10) are meta-analyses, and 70% (n=7/10) are cohort studies, originating from the countries of the United States (20%), Brazil (20%), China (20%), followed by Italy (10%), Australia (10%), France (10%), and the Netherlands (10%). 100% (n=10/10) indicate that the bundle is effective in reducing mortality in patients with sepsis in critical care units. Conclusion: The bundle is effective in reducing mortality in patients with sepsis in critical care units."
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Non-pharmacological effective interventions to promote sleep in the intensive care unit – Academic work to obtain the title of specialist in intensive care nursing
(Universidad Privada Norbert Wiener, 2018-09-02) Tarazona Rojas, Katia; Rivera Lozada de Bonilla, Oriana
Objective: To systematize evidence on non-pharmacological interventions to promote sleep in the intensive care unit. Materials and Methods: This is a retrospective, observational systematic review that synthesizes results from multiple primary studies. These studies are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The search was restricted to full-text articles, which were critically reviewed using the GRADE system to assign the strength of recommendations. Most of the studies reviewed (40%) were experimental studies conducted in China, Iran, and Germany, with 20% being systematic reviews from Australia, Iran, and Germany, and 80% clinical trials from France, Korea, and Iran. Results: From the final selection, 10 articles were chosen, with 30% (3) from China, 2% (2) from the United Kingdom, and 10% (1) each from Australia, France, Korea, and Iran. Of the total articles analyzed, 80% (8) confirm that non-pharmacological interventions to promote sleep are effective in the ICU. Conclusions: The reviewed studies demonstrate that 8 out of 10 articles show the efficacy of non-pharmacological interventions to promote sleep in ICU patients; however, more studies are needed to strengthen the evidence.
Acceso abierto
Predictive validity of the Braden scale compared to other scales for detecting pressure ulcers.
(Universidad Privada Norbert Wiener, 2017-12-03) Alarcón Jauregui, Mirtha Luisa; Contreras Talledo, Paola Isabel; Bonilla Asalde, César Antonio
Objective: To systematize the evidence regarding the predictive validity of the Braden Scale compared to other scales in the detection of pressure ulcers in critically ill patients. Methodology: A systematic, observational, and retrospective review, with the search restricted to full-text articles. The selected articles underwent critical reading, using the GRADE evaluation to identify their level of evidence. A total of 10 articles were selected, with 20% (3) from Brazil, 20% (2) from Germany, 20% (2) from Spain, and 10% (1) from the Czech Republic, India, Korea, and Sweden, respectively. The majority of studies were cross-sectional, with 40% (4) conducted in Brazil, Sweden, and Germany. Cohort studies accounted for 40% (4), conducted in Brazil, India, the Czech Republic, and Spain. Additionally, 20% (2) of the studies were systematic reviews and meta-analyses from Korea and Spain. Results: Of the total articles analyzed, 60% (6) state that the Braden Scale demonstrates a higher predictive validity for identifying the risk of developing pressure ulcers, as it shows a sensitivity greater than 80%, specificity greater than 70%, positive predictive value greater than 50%, and negative predictive value greater than 50%. Meanwhile, 40% of the studies identified other scales that predict the risk of pressure ulcers, such as the Norton Scale (20% – 2/10 articles), the Waterlow Scale (10% – 1/10 articles), and the RAPS Scale (10% – 1/10 articles). Conclusion: Based on the reviewed articles, the Braden Scale demonstrates higher predictive value and should therefore be adopted as the standard scale for identifying patients at risk of developing pressure ulcers.
Acceso abierto
Predictive validity of the Braden scale compared to other scales for detecting pressure ulcers.
(Universidad Privada Norbert Wiener, 2017-12-03) Alarcón Jauregui, Mirtha Luisa; Contreras Talledo, Paola Isabel; Bonilla Asalde, César Antonio
Objective: To systematize the evidence regarding the predictive validity of the Braden Scale compared to other scales in the detection of pressure ulcers in critically ill patients. Methodology: A systematic, observational, and retrospective review, with the search restricted to full-text articles. The selected articles underwent critical reading, using the GRADE evaluation to identify their level of evidence. A total of 10 articles were selected, with 20% (3) from Brazil, 20% (2) from Germany, 20% (2) from Spain, and 10% (1) from the Czech Republic, India, Korea, and Sweden, respectively. The majority of studies were cross-sectional, with 40% (4) conducted in Brazil, Sweden, and Germany. Cohort studies accounted for 40% (4), conducted in Brazil, India, the Czech Republic, and Spain. Additionally, 20% (2) of the studies were systematic reviews and meta-analyses from Korea and Spain. Results: Of the total articles analyzed, 60% (6) state that the Braden Scale demonstrates a higher predictive validity for identifying the risk of developing pressure ulcers, as it shows a sensitivity greater than 80%, specificity greater than 70%, positive predictive value greater than 50%, and negative predictive value greater than 50%. Meanwhile, 40% of the studies identified other scales that predict the risk of pressure ulcers, such as the Norton Scale (20% – 2/10 articles), the Waterlow Scale (10% – 1/10 articles), and the RAPS Scale (10% – 1/10 articles). Conclusion: Based on the reviewed articles, the Braden Scale demonstrates higher predictive value and should therefore be adopted as the standard scale for identifying patients at risk of developing pressure ulcers.
Acceso abierto
Risk of pressure ulcers in patients receiving vasopressors in the intensive care unit.
(Universidad Privada Norbert Wiener, 2017) Flores Reategui, Frank Carlos; Vela Huaman, Melisa; Avila Vargas Machuca, Jeannette Giselle
Objective: To systematize the evidence on the risk of pressure ulcers in patients receiving vasopressors in the intensive care unit. Methodology: A systematic, observational, and retrospective review was conducted, focusing on a total of 8 full-text articles. The selected articles were subjected to a critical reading to identify their level of evidence. Seven articles were from the United States and one article was from Australia. Results: The final selection included 8 articles, which were thoroughly analyzed. Of these, 87.5% (7) were from the United States, while 12.5% (1) was from Australia. The majority of studies were quasi-experimental, with 50% primarily from the United States. Among the systematic reviews, both from Australia and the United States, it was found that prolonged vasopressor administration increases the risk of developing pressure ulcers in patients in intensive care units. Conclusions: The reviewed studies show that there is an increased risk of developing pressure ulcers in patients in critical care units, confirming that vasopressors are predictors in the development of pressure ulcers.
Acceso abierto
Risk of pressure ulcers in patients receiving vasopressors in the intensive care unit.
(Universidad Privada Norbert Wiener, 2017) Flores Reategui, Frank Carlos; Vela Huaman, Melisa; Avila Vargas Machuca, Jeannette Giselle
Objective: To systematize the evidence on the risk of pressure ulcers in patients receiving vasopressors in the intensive care unit. Methodology: A systematic, observational, and retrospective review was conducted, focusing on a total of 8 full-text articles. The selected articles were subjected to a critical reading to identify their level of evidence. Seven articles were from the United States and one article was from Australia. Results: The final selection included 8 articles, which were thoroughly analyzed. Of these, 87.5% (7) were from the United States, while 12.5% (1) was from Australia. The majority of studies were quasi-experimental, with 50% primarily from the United States. Among the systematic reviews, both from Australia and the United States, it was found that prolonged vasopressor administration increases the risk of developing pressure ulcers in patients in intensive care units. Conclusions: The reviewed studies show that there is an increased risk of developing pressure ulcers in patients in critical care units, confirming that vasopressors are predictors in the development of pressure ulcers.