ICU Nursing: A Holistic Approach
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Questions and Answers

What is a potential communication breakdown between doctors and nurses, according to the texts?

  • Doctors and nurses may have differing values due to their professions. (correct)
  • Nurses focus on patients' physical needs, while doctors prioritize psychological care.
  • The focus on emotional care could limit nursing's recognition as a profession.
  • Doctors are more concerned with performing technical procedures, nurses focus on the patient's emotional needs.

    • What does the text suggest is the role of ICU nurses in relation to doctors?

  • ICU nurses should prioritize psychological care, while doctors focus on physical needs.
  • ICU nurses should collaborate with doctors, but maintain their own unique role and values. (correct)
  • ICU nurses should act as assistants to doctors, primarily carrying out their instructions.
  • ICU nurses should act as technicians, performing tasks under the direction of doctors.

    • What is the difference in focus between ICU nurses and patients, according to Cochran and Ganong (1989)?

  • ICU nurses are concerned with psychosocial stressors, while patients are more concerned with their physical care. (correct)
  • ICU nurses are more concerned with emotional costs, while patients are more concerned with practical needs.
  • ICU nurses prioritize the patient's physical needs, while patients are more concerned with their emotional well-being.
  • ICU nurses focus on technological tasks, while patients prioritize holistic care.

    • What is the significance of the increasing emphasis on psychology in the nursing profession?

    <p>It emphasizes the importance of psychological care as an essential part of holistic patient care. (D)</p> Signup and view all the answers

    How does the text address the potential for robots to replace ICU nurses?

    <p>The text acknowledges that robots could replace nurses in some technical roles, but emphasizes the unique and irreplaceable role of nurses in providing holistic care. (A)</p> Signup and view all the answers

    What does the text suggest is a key factor in ensuring effective collaboration between ICU nurses and doctors?

    <p>A clear understanding of each other's professional values and roles is essential for effective communication. (B)</p> Signup and view all the answers

    What does the text suggest is the potential consequence of the gap between nurses' and patients' priorities?

    <p>This gap can lead to misunderstandings and communication breakdown between nurses and patients. (A)</p> Signup and view all the answers

    How does the text present the concept of 'holistic care' in the context of ICU nursing?

    <p>Holistic care involves addressing both the physical and emotional needs of the patient, going beyond technical procedures. (C)</p> Signup and view all the answers

    What can be considered a covert socialisation in nursing?

    <p>The use of 'pyjama suits' in intensive care units (A)</p> Signup and view all the answers

    What is a key limitation of the behaviourist theory in nursing, as discussed in the text?

    <p>It does not account for internal motivators and values (B)</p> Signup and view all the answers

    Which of the following is NOT considered a characteristic of the behaviourist approach to nursing?

    <p>Recognition of internal motivators (C)</p> Signup and view all the answers

    What is the 'hidden curriculum' in nursing education, as described by Holloway and Penson (1987)?

    <p>The unspoken norms and values transmitted through the learning environment (A)</p> Signup and view all the answers

    How does the text suggest that humanism can be integrated into nursing practices?

    <p>By adopting Maslow's hierarchy of needs in nursing models (B)</p> Signup and view all the answers

    What is the implication of the statement "People can adopt various behaviours in response to external motivators (e.g. senior nursing/medical staff), but once stimuli are removed, behaviour may revert"?

    <p>Behavioral changes achieved solely through external motivators are often temporary (D)</p> Signup and view all the answers

    What is the main implication of the reference to Pavlov’s animal experiments in the context of nursing?

    <p>Behaviourist theory, based on animal studies, may not fully account for human complexity (C)</p> Signup and view all the answers

    How is the behaviourist theory, according to the text, related to social control?

    <p>It promotes a single set of socially desirable behaviours in the nursing profession (A)</p> Signup and view all the answers

    How does the ICU nursing environment sometimes challenge traditional nursing values?

    <p>The emphasis on technology can lead to a dehumanized approach to patient care. (A)</p> Signup and view all the answers

    What is the primary reason for placing the chapter on nursing perspectives first in the book?

    <p>To establish a foundational understanding of nursing values before delving into specific medical treatments. (C)</p> Signup and view all the answers

    What does the text suggest is the fundamental basis for the economic value of ICU nursing?

    <p>The nurses' personal values and beliefs. (B)</p> Signup and view all the answers

    Which of the following is NOT a way ICU nursing can assert its value?

    <p>Focusing on the technical aspects of nursing care. (D)</p> Signup and view all the answers

    What is the main argument made by the text regarding the role of ICU nurses?

    <p>ICU nurses play a vital role in creating a humanized environment for their patients. (A)</p> Signup and view all the answers

    How does the text suggest that nurses can best ensure their patients' needs are met?

    <p>By prioritizing the patient's experience and perspective. (D)</p> Signup and view all the answers

    What is a key takeaway concerning the role of nurses in technology-driven healthcare environments, as presented in the text?

    <p>Nurses should embrace technology while prioritizing patient-centered care. (A)</p> Signup and view all the answers

    How does the concept of person-centered care apply to ICU nursing?

    <p>It requires nurses to be present for their patients, providing emotional support in addition to medical care. (D)</p> Signup and view all the answers

    What are some common 'hospital' smells experienced in the ICU?

    <p>Disinfectant and body fluids (D)</p> Signup and view all the answers

    What psychological condition is noted to occur more frequently in ICUs compared to general wards?

    <p>ICU psychosis (D)</p> Signup and view all the answers

    What are hallucinations and psychosis considered in the context of patient care?

    <p>Forms of psychological pain (B)</p> Signup and view all the answers

    What physiological responses result from stress in an ICU environment?

    <p>Tachycardia and hypertension (B)</p> Signup and view all the answers

    Which of the following can reinforce perceptions of deprivation in ICU patients?

    <p>Abnormal human smells like perfume (C)</p> Signup and view all the answers

    What can cause hallucinations in healthy adults after a period of sensory deprivation?

    <p>Acute psychotic reactions (A)</p> Signup and view all the answers

    Why might patients in the ICU perceive nurses as tormentors?

    <p>Misinterpretation of their own hallucinations (C)</p> Signup and view all the answers

    What is one effect of catecholamine release in response to stress?

    <p>Increased oxygen consumption (C)</p> Signup and view all the answers

    What is a key conflict associated with humanism in research methodologies?

    <p>Individualism versus objective approaches (C)</p> Signup and view all the answers

    How do inner values influence nursing practices according to humanist ideals?

    <p>They ensure that changes in practice are sustained over time. (C)</p> Signup and view all the answers

    What does humanist education prioritize over factual knowledge?

    <p>Development of critical thinking skills (B)</p> Signup and view all the answers

    What is one limitation of training compared to humanist education in nursing?

    <p>Training equips learners to respond reactively to situations. (B)</p> Signup and view all the answers

    How does over-familiarity with terms in humanism affect their application in nursing practice?

    <p>It simplifies complex concepts into clichés. (B)</p> Signup and view all the answers

    What was the primary focus of behaviourist education as opposed to humanist education?

    <p>Achieving conformity among learners (A)</p> Signup and view all the answers

    Why are stimulus-response reactions significant in a nursing context?

    <p>They offer immediate guidance during emergencies. (A)</p> Signup and view all the answers

    What aspect of humanism makes it compatible with healthcare and nursing?

    <p>Concern for inner values and holistic care. (C)</p> Signup and view all the answers

    What role do discharge liaison nurses play in the ICU setting?

    <p>They facilitate discharge planning and reduce psychological stress. (D)</p> Signup and view all the answers

    Which of the following should be included in post-discharge support for patients?

    <p>Follow-up clinics and discharge liaison nurses. (C)</p> Signup and view all the answers

    What is a primary consideration for nurses when facilitating patient sleep in the ICU?

    <p>Planning care to include four sleep cycles lasting at least 90 minutes. (A)</p> Signup and view all the answers

    What is the significance of maintaining sensory balance in the ICU?

    <p>It helps manage psychological health and reduces stress-related complications. (D)</p> Signup and view all the answers

    What factor can contribute to sensory imbalance in patients?

    <p>Sleep deprivation in terms of quality or quantity. (C)</p> Signup and view all the answers

    How can nurses create a psychologically 'safe' environment for patients?

    <p>Through maintaining confidentiality and privacy. (D)</p> Signup and view all the answers

    What is one of the main roles of relatives in patient care as per the ICU practices?

    <p>To participate in care and share news or provide touch. (B)</p> Signup and view all the answers

    What is an important aspect of continuing education for ICU staff related to sensory imbalance?

    <p>It raises staff awareness of sensory imbalance. (B)</p> Signup and view all the answers

    Study Notes

    ICU Nursing: A Holistic Approach

    • ICU nursing requires more than technical skills; it involves a unique blend of technical knowledge and a holistic, patient-centered approach.
    • Nurses need to define their role actively within the ICU specialty by emphasizing nursing values.
    • Collaborating with doctors is vital but should not compromise nursing's unique role, which includes aspects of technology and potentially, service roles.

    Doctor-Nurse Relationships

    • Good relationships between doctors and nurses in high dependency areas are reported, but sometimes on terms set by doctors.
    • Differences in values and communication styles between doctors and nurses can lead to breakdowns in communication.
    • Nursing's focus on patient emotional needs may limit wider recognition of nursing as a profession.
    • Collaboration between nurses and doctors requires understanding and respect for each other's roles.

    Psychological Needs of Patients

    • ICU nurses focus on the psychosocial stressors of patients, which contrasts with doctors' focus on physical needs.
    • There's a cognitive dissonance between nurses' emphasis on psychological support and patients' concerns about physical care, and intervening accordingly.
    • Psychological support, including handling patient sensory experiences, is crucial to holistic care.

    Economic Value of ICU Nursing

    • ICU nursing is labor-intensive, consuming significant hospital budgets.
    • Nurses can assert their value through recognizing nursing knowledge and offering holistic patient-centered care, which includes being present for patients, not just the institution.
    • Nurses' beliefs and attitudes directly impact the perceived and ultimately, actual economic value of ICU nursing.

    Sensory Imbalance in ICU

    • Sensory imbalance (overload and deprivation) causes altered environment interpretation – hallucinations and "ICU psychosis."
    • Psychological distress in ICU is higher than on general wards, a fact that must be addressed.
    • Sensory imbalances lead to a stress response in both patients and healthcare professionals.
    • Hallucinations from sensory imbalance can be vivid and frightening, necessitating careful assessment and care.

    Stress Response in ICU

    • Stress triggers physiological responses ("fight-or-flight"), including tachycardia, vasoconstriction, and hypertension, to aid in that response.
    • Transfer from ICU can cause additional psychological stress, and liaison nurses can improve discharge planning and aid in post-discharge support, but significant problems sometimes persist.
    • Discharge liaison nurses, follow-up clinics, and patient support are beneficial and recommended.

    Implications for Practice

    • Nurses play a crucial role in supporting psychological needs and sensory balance.
    • Sleep monitoring and facilitation are critical ICU nursing roles.
    • Nurses should promote healthy sensory environments and encourage family involvement.
    • The need for continuing education on sensory overload and stress is highlighted.
    • Nurses need to consider the patient perspective to avoid overlooking potential problems.

    Humanistic vs. Behaviorist Approaches

    • Behaviourist approaches to ICU care often focus on outward, observable behaviors, like the role of uniform design or social conditioning.
    • However, internal factors influence behaviors. These may include values, beliefs and individual differences.
    • Humanism prioritizes the individual, which challenges the objectivity of scientific research methods.
    • Humanistic education focuses on inner values, fostering personal growth, and promoting individuality – valuable for long-term improvements.
    • ICU environments should encourage holistic assessments and acknowledge patient individuality.

    Technological Aspects of ICU Nursing

    • Training healthcare assistants, and perhaps robots, in technical tasks can reduce costs.
    • Nurses are more than just technicians but must understand and apply their unique knowledge and technical expertise to patients' treatment and recovery, including understanding patient reactions to various technologies.

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    Intensive Care Nursing PDF

    Description

    This quiz explores the multifaceted role of ICU nursing, highlighting the integration of technical skills and holistic care. It covers the dynamics of doctor-nurse relationships and the psychological needs of patients in intensive care. Understanding these elements is essential for fostering effective collaboration in high-stress environments.

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