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Radhakrishnan, Jayanthi
- Role of a Nurse in Non-invasive Positive Pressure Ventilation: A Conceptual Model for Clinical Practice
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1 Clinical Instructor, Department of Adult Health and Critical Care, College of Nursing, POB 66, Sultan Qaboos University, Muscat, Sultanate of Oman
1 Clinical Instructor, Department of Adult Health and Critical Care, College of Nursing, POB 66, Sultan Qaboos University, Muscat, Sultanate of Oman
Source
International Journal of Nursing Education, Vol 5, No 1 (2013), Pagination: 125-129Abstract
Non-invasive ventilation (NIV) has proven to be effective in acute respiratory illness of various etiologies in Intensive Care Units (ICU) and general ward/Unit settings. It is viewed as complementary to invasive ventilation and primarily a means of preventing some patients from deteriorating to the point at which intubation is needed. Benefits include the avoidance of endotracheal-tube-associated infections, reduction of morbidity and mortality, improvement in patient outcomes and a gross reduction in health care costs. Nurse staffing levels will continue to vary in ICUs, high dependency units or general wards but the intensity of nursing input will be much lower in the general wards than on the ICU, particularly at night. In developing countries with scarce technology and less ICU beds, NIV will be an asset in general wards for nurses who have adequate experience in caring for acutely ill patients. The most important ingredient for an acute NIV nurse led service is a welltrained enthusiastic ward team. This article highlights the factors that should be considered in providing an acute NIV nurse led service in general or acute care settings. Utilizing the Roper, Logan and Tierney nursing model, which focuses on patients as individuals, recommendations are made for best nursing practices based on 12 activities of living, promoting independence with quality of life and essential functions of living.Keywords
Non-invasive Ventilation, Non-invasive Positive Pressure Ventilation, Holistic Nursing Practice, Nurse's Role, Roper, Logan and Tierney Model, Evidence Based PracticeReferences
- Antonelli M, et al (2005) Noninvasive ventilation in the clinical setting – experience from the past 10 years. Critical Care; 9: 1, 98-103.
- Antonelli M, Conti G, Bufi M et al. (2000) Noninvasive ventilation for treatment of acute respiratory failure in patients undergoing solid organ transplantation: a randomized trial. JAMA, 283: 235–41.
- Antonelli M, Conti G, Rocco M, et al. (1998) A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med, 339: 429–35.
- British Thoracic Society (2008) Guideline for Emergency Oxygen Use in Adult Patients.
- British Thoracic Society Standards of Care Committee (2002) Non-invasive ventilation in acute respiratory failure. Thorax, 57: 192–211.
- Murphy K, Cooney A, Casey D, Connor M, O’Connor J, Dineen B (2000) The Roper, Logan and Tierney (1996) Model: perceptions and operationalization of the model in psychiatric nursing within a health board in Ireland. J Adv Nurs 31(6): 1333–41
- Roper A, Logan W, Tierney A (1990) The Elements of Nursing: A Model for Nursing Based on a Model of Living. 3 ed. Churchill Livingstone, Edinburgh.
- Royal College of Physicians et al (2008) Non invasive Ventilation in Chronic Obstructive Pulmonary Disease: Management of Acute Type 2 Respiratory Failure. Guideline No 11. London: RCP.
- Simonds AK (2001) Non-Invasive Ventilatory Support 2 ed. London: Chapman and Hall Medical.
- Tierney A (1998) Nursing models: extant or extinct? J Adv Nurs 28(1): 77–85.
- Simulation: a Teaching Strategy in Nursing Education for Safe Practice
Abstract Views :497 |
PDF Views:0
Authors
Affiliations
1 Assistant Professor, Department of Adult Health and Critical Care, College of Nursing, POB 66, Sultan Qaboos University, Muscat 123, Sultanate of Oman, OM
1 Assistant Professor, Department of Adult Health and Critical Care, College of Nursing, POB 66, Sultan Qaboos University, Muscat 123, Sultanate of Oman, OM
Source
International Journal of Nursing Education, Vol 5, No 1 (2013), Pagination: 257-261Abstract
Nursing education has been constantly striving to keep in pace with the exponential growth in health care and greater emphasize on patient safety. Shortage of clinical placements, increased acuity of illness of patients and awareness of consumer rights have led nurse educators chose simulation lab as an alternative to clinical setting., The emergence and expansion of technology has given rise to the development of human simulators that foster features for depicting scenarios of various levels of intensity. Simulation enhances student learning in a stress free environment with reduced risks for safety actual patients. This paper presents a brief literature review related to simulation in nursing education, Types of simulators and its application, implementation of simulation scenario and role of simulation in enhancing student learning.Keywords
Simulation, Scenario, Teaching Strategy, Critical Thinking, Debriefing, Nursing Education, Safe PracticeReferences
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- Carol A Rauen. Simulation as a teaching strategy for nursing education and orientation in cardiac surgery Critical care nurse. 2004; 24 (3): 46 – 51
- Debourhg C . Synergy for patient safety and Quality: Academic and service partnerships to promote effective nurse education and clinical practice. Journal of Professional Nursing.2012 Jan – Feb, 28(1), 48-51
- Dreifuerst, K. T. (2010). Debriefing for meaningful learning: Fostering development of clinical reasoning through simulation. Doctoral dissertation. Indiana University. Retrieved December 13, 2011, from http://hdl.handle.net/ 1805/2459
- Flanagan B, Nestel D, Joseph M. Making patient safety the focus: Crisis resource management in the undergraduate curriculum Medical Education.2004; 38 (1) , 56–66
- Florida Centre for Nursing (FCN). 2010 a. Addressing the Nursing Shortage through simulation. Retrieved June 12, 2012
- Gaba D M. Improving Anesthesiologists performance by simulating reality. Anesthesiology 1992: 76:491-494.
- Haskvitz L M & Koop, E. C.. Students struggling in clinical? A new role for the patient simulator. Journal of Nursing Education. 2004. 43(4), 181-184.
- Jeffries P R, Dreams for future of Clinical simulation. Nursing Education Perspectives.2009 Mar-Apr; 30(2), 71
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- Maran, N J and Glavin R J. Low- to high-fidelity simulation - A continuum of medical education? Medical Education, 2003; 37 (Suppl. 1), 22-28.
- Mariani, B., Cantrell, M. A., Meakim, C., Prieto, P., & Dreifuerst, K. T. (2012, Month). Structured debriefing and students’ clinical judgment abilities in simulation. Clinical Simulation in Nursing,2011 Nov; Vol(X), XXX-XXX.
- McKenna L, French J, Newton J, Cross W, & Carbonnel, C. Prepare Nurses for the appropriate and timely clinical placement to increase clinical competence and undergraduate positions. Final Report for Department of Human Services Victoria.2007
- Okuda Y, Bryan E O, Demaria Jr S, Jacobson L, Quinones J,Shen B and Levine A I, The utility of simulation in Medical Education: What is the Evidence? Mount Sinai Journal of Medicine. 2009, 76: 330-343,2009
- Peteani L. Enhancing Clinical Practice and Education with high fidelity human patient simulators. Nurse Educ, 2004; 29(1): 25-30
- Kuiper R A, Heinrich C A. Matthias M , Graham L, Bell-Kotwall, Debriefing with the OPT model of clinical reasoning during high fidelity patient simulation International Journal of Nursing Education Scholarship, 5 (1) (2008) http:// dx.doi.org/10.2202/1548-923X.1466 Art. 17
- Rystedt H, Lindstorm, Introducing simulation technologies in nurse education: a nursing practice perspective. Nurse Education in Practice