看護とケアのジャーナル

Introduction: Improvement in the quality of clinical education leads to training professionally competent nurses in different fields, especially intensive care units. This study aims to survey the nursing instructors and students' experiences about the existing challenges and complexities of clinical education in intensive care units.

Methods: This is a qualitative study based on phenomenology approach. The data were collected through semi-structured interviews carried out in educational hospitals of Mashhad nursing school. Nursing academic staff, instructors and students were selected through purposive sampling and enrolled in the study. Sampling continued until data saturation. Interviews, as agreed by the participants, were recorded and then downloaded word by word. Based on Guba and Lincoln's criteria, the researcher tried to increase the reliability of the findings through allocating sufficient time for collecting the data, using two colleagues familiar with the coding of qualitative data and their analysis and referring to the participants to confirm the data.

Findings: 10 nursing academic staff and instructors working in the intensive care unit participated in this study. To clarify various aspects of the subject, we performed two interviews with 6 nursing students and 5 nurses. The analysis of data yielded 1457 codes which were reduced to 612 and categorized into 3 main themes and 8 subcategories or sub-themes. The main themes included destructive factors, educational strategies and education in intensive care units.

Discussion: Education in the intensive care unit is a valuable opportunity for learners. They learn not only the clinical aspects of patient care but also appropriate behavior and relationship of the treatment team in critically ill patient care. Negative experiences indicate the impact of destructive factors on the quality of education in intensive care units. The instructors' awareness about the clinical education methodology competencies seems to be necessary.

A medical speciality called Cardiothoracic Surgical Critical Care Medicine (CTSCCM) is concerned with providing treatment for seriously unwell patients who have had cardiothoracic surgery. In order to maximize results and reduce problems, the profession is heavily invested in the postoperative care of patients. It takes specific training and experience in the management of critically sick patients to succeed in the challenging and complex field of CTSCCM. We shall examine the important facets of CTSCCM in this article, including the procedures that are involved, the difficulties faced by physicians in this area and CTSCCM's contribution to better patient outcomes. The heart, lungs and chest cavity are all involved in cardiothoracic surgery. These procedures call for a highly competent surgical team, as well as specialist postoperative care, due to their complexity. Coronary Artery Bypass Graft (CABG) Surgery is one of the most frequently performed cardiothoracic surgical procedures. Coronary artery disease is treated using this treatment. A healthy blood vessel from another region of the body is removed during CABG surgery and used to circumvent a blocked or constricted coronary artery. This aids in reestablishing blood flow to the heart muscle, which can ease angina (chest discomfort) and enhance overall heart performance.

Urinary Tract Infections (UTIs), which are thought to affect 5–10% of nursing home patients annually, are a prevalent issue. Due to unusual symptoms, concomitant conditions and the possibility of silent bacteriuria, UTIs in this population might be challenging to identify. Healthcare professionals can use Clinical Decision Support (CDS) tools to help in the identification and management of suspected UTIs in nursing home residents. An overview of CDS and its possible application in the detection and treatment of suspected UTIs in nursing home patients will be given in this presentation. Clinical Decision Support (CDS) systems are computer-based technologies that give healthcare professionals immediate access to clinical expertise and patient-specific data to enhance decision-making. From straightforward reminders to sophisticated algorithms that use patient-specific data to produce suggestions for diagnosis, treatment and monitoring, CDS systems can offer a variety of help.

The increased need for more smoking cessation education at a local hospital in Oklahoma has been expressed by many of the staff. The nursing staff feels both unprepared and poorly educated on the appropriate interventions and education that leads to smoking cessation in their patients according to a recent online suggestion. Smoking cessation to patients can be crucial to recovery and long term goals and outcomes for patients and their success. Education that leads to smoking cessation, reduces mortality rates for the surgical patients more than any other treatment or method used.