The Intensive Care Unit: Nurses Responsibilities

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For new graduate nurses working in Intensive Care Units, does the application of the social representation approach compared to no intervention lead to the reduction of stress levels during the first six months of their practice?

P (population) new graduate nurses working in Intensive Care Units
I (intervention) the application of the social representation approach
C (comparison) no intervention
O (outcome) reduction of stress levels
T (time) the first six months of practice

Description of the Clinical Issue of Interest

The work at the Intensive Care Unit (ICU) is never simple because nurses should take multiple responsibilities for patients, manage life-threatening health problems, and professionally cooperate with other employees. When graduate students join the ICU, it is hard for some of them to recognize the number of existing obligations and deal with stressors. A new environment, real-life situations, and the direct connection to life-quality issues challenge students confidence and competence (DeGrande et al., 2018). Many researchers admit that nursing remains one of the most stressful professions across the globe because of constant exposure to different events and factors when people suffer from pain and complications (Feddeh & Darawad, 2020; Hattingh & Downing, 2020). Creating a safe clinical environment is a significant task for employees, and new graduate nurses need to feel support and understanding. Sometimes, it does not take much time for a new nurse to establish trustful relationships with a team and patients. However, professional care and treatment require integrating various skills and knowledge.

Nursing stressors vary, depending on job circumstances, management, and leadership. Nurses may report poor awareness of care fundamentals and a lack of experience in communication (Almeida et al., 2020). Young people need to demonstrate their readiness to work and participate in all clinical experiences, which contributes to their understanding of real social interactions. Social representations introduce a unique system of values and ideas to promote social order and define appropriate communication methods. This approach was firstly developed in the middle of the 20^th century, but its implementation and progress are regularly discussed today. My interest is to understand if the application of social representation could minimize stressors in new graduate nurses who have to work in ICUs.

The first database I used was CINAHL & Medline Combined search and the Boolean/phrase used was intensive care and new graduate nurses, this search resulted in 185 articles. Next, I used the filters to limit results by limiting information to peer-reviewed, full-text resources published between 2017-2022. This resulted in 63 resources. With filters still activated I also used the Boolean, intensive care and new graduate nurses and stress, this further reduced findings to 6 results.

The second database I used was PubMed. I used the same Boolean words, intensive care, and new graduate nurses which resulted in 60 articles. One thing I really enjoyed about PubMed filters is that you can checkmark the randomized control trial. After I filtered the PubMed database to the randomized control trial information, I had 9 results. A randomized controlled trial is a type of clinical trial that randomly assigned participants to one of two groups, and this method helps to minimize the possibility of selection bias and makes the trial a high-quality study (Walden University Library, n.d.-i).

Strategies one may use to increase the rigor and effectiveness of a database search is to search for evidence by the level of evidence, for example, the best evidence design is a systematic review that includes a randomized control trial (McGonigle & Mastrian, 2022). An example of lower-level evidence would be a descriptive study (i.e., a qualitative study). Another strategy that can help improve the effectiveness of a database search in the MEDLINE database is to use the subject set box and select systematic reviews; this method allows the researcher to find unbiased and credible studies (Walden University Library, n.d.-e).

References

Almeida, R. D. O., Ferreira, M. D. A., & Silva, R. C. D. (2020). Intensive care in non-critical units: Representations and practices of novice graduate nurses. Texto & Contexto-Enfermagem, 29. Web.

DeGrande, H., Liu, F., Greene, P., & Stankus, J. A. (2018). The experiences of new graduate nurses hired and retained in adult intensive care units. Intensive and Critical Care Nursing, 49, 72-78. Web.

Feddeh, S. A., & Darawad, M. W. (2020). Correlates to work-related stress of newly-graduated nurses in critical care units. International Journal of Caring Sciences, 13(1), 507-516.

Hattingh, H., & Downing, C. (2020). Clinical learning environment: Lived experiences of post-basic critical care nursing students. International Journal of Africa Nursing Sciences, 13. Web.

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Web.

Walden University Library. (n.d.-i). Systematic review. Web.

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The Intensive Care Unit: Nurses Responsibilities

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