Title Proposal:

Advantages of Early Exposure of Nursing Student in Intensive Care Units

Objectives:

The study aims to identify the advantages that the nursing students
derive from exposure in the ICU.
To distinguish the significance of early exposure in special areas (ICU) of
nursing students than those who were exposed later within the same year
To determine different nursing skills learned from the area.
To emphasize effectivity of time-management of nursing students in the
area (ICU)
To recognize specific attitudes possessed by each students in their ICU
experience.
 
Title Proposal:
Contribution of Nurses in Improving the Prognosis of Critically ill Patient
Objectives:

The study aims to acquire knowledge regarding Nurse’s contribution for

better prognosis of patients
The study aims to develop new strategies in improving care for critically
ill patient
To be able to emphasize the degree of the nurse in taking care of the
critically ill patients
To determine ways that will give effective in response to patient’s
condition.
An intensive care unit, or ICU, is a specialized section of a hospital that provides
comprehensive and continuous care for persons who are critically ill and who can benefit
from treatment. The purpose of the intensive care unit (ICU) is simple even though the
practice is complex. Healthcare professionals who work in the ICU or rotate through it
during their training provide around-the-clock intensive monitoring and treatment of
patients seven days a week. Patients are generally admitted to an ICU if they are likely to
benefit from the level of care provided. Intensive care has been shown to benefit patients
who are severely ill and medically unstable—that is, they have a potentially life-threatening
disease or disorder.( http://www.enotes.com/surgery-encyclopedia/intensive-care-unit)

The proverbial discussion surrounding the clinical credibility of nurse lecturers has almost become a
preoccupation within the nursing literature and professional circles. It is not coincidental that it this has
occurred alongside the cessation of hospital-based training and the associated reassignment of the
responsibility for nurse education to institutes of higher education.
(http://www.nurseeducationtoday.com/article/S0260-6917(10)00002-X)

In 1989, Hermann Hospital and University of Texas-Houston Health Science Center School of
Nursing applied for and received approval to implement a 5-year demonstration project funded by
the Health Care Finance Administration using Medicaid pass-through funds to educate nurses at
the graduate level. The project aimed to evaluate the impact of advanced practice nurses and
researchers on the practice of professional nursing at a 655-bed acute-care hospital in a large
metropolitan area. The authors describe the factors that served to galvanize the two institutions to
apply for such a grant, discuss the barriers encountered along the course of the project, and list
the outcomes achieved by 1994 or project end. Predictions regarding the second 5-year segment
(phase 2) are summarized as well. The article includes suggestions to other institutions interested
in replicating such a project. (http://journals.lww.com/jonajournal)

http://www-test.thoracic.org/assemblies/cc/ccprimer/mainframe2.html - A Primer on Critical Care for

Patients and Their Families from the American Thoracic Society. There is a wealth of information here
the includes discussions of the purpose of the intensive care unit, common illnesses of patients in the
intensive care units, ICU devices and procedures (foleys, stomach tubes, arterial catheters, central
venous catheters, right heart catheterization, mechanical ventilation, weaning from the ventilator,
tracheostomy, lumbar puncture, paracentesis, thoracentesis, chest tubes, bronchoscopy and
hemodialysis), making decisions about the end of life, living wills, medical futility, withdrawal of life-
sustaining treatments, commonly asked questions, a guideline to advanced directives

Attitudes of Nursing Students Toward the Dying PatientA questionnaire to

measure attitudes toward death and dying persons was administered to 108 freshmen and 69 seniors in a
baccalaureate nursing program. Compared to freshmen, the responses of senior students indicated
greater acceptance of feelings, more open communication, and broader flexibility in relating to dying
patients and their families. These differences were statistically significant (p = .01). A nursing curriculum
is described which provided experiences in caring for dying patients; classes on loss, grief, and death;
small group discussions and the availability of one-to-one counseling for students who take care of dying
patients.
http://journals.lww.com/nursingresearchonline/Abstract/1974/01000/Attitudes_of_Nursing_Students_
Toward_the_Dying.6.aspx
II

At least 1 in 5 Americans die while using intensive care service—a number that is expected to increase as
society ages. Many of these deaths involve withholding or withdrawing life-sustaining therapies. In these
situations, the role of intensive care nurses shifts from providing aggressive care to end-of-life care. While
hospice and palliative care nurses typically receive specialized support to cope with death and dying,
intensive care nurses usually do not receive this support. Understanding the experiences of intensive care
nurses in providing care at the end of life is an important first step to improving terminal care in the
intensive care unit (ICU). This phenomenological research study explores the experiences of intensive
care nurses who provide terminal care in the ICU. The sample consisted of 18 registered nurses
delivering terminal care in an ICU that participated in individual interviews and focus groups. Colaizzi's
steps for data analysis were used to identify themes within the context of nursing. Three major themes
consisted of (1) barriers to optimal care, (2) internal conflict, and (3) coping. Providing terminal care
creates significant personal and professional struggles among ICU nurses.
http://journals.lww.com/ccnq/Abstract/2010/07000/ICU_Nurses__Experiences_in_Providing_Terminal_
Care.10.aspx