Analysis of Factors Related to Occurrence of Serious Adverse Events During Nursing in Intensive Care Units

Nursing Research on the Occurrence of Serious Adverse Events in Intensive Care Unit During Bed Bath and Nursing Care. NURSIE Study

Patients who are hospitalized in intensive care unit (ICU) require basic nursing care to improve patient hygiene, to promote comfort, to prevent pressure ulcer, and foot or hand's retractations.

Those nursing cares require mobilization very frequently which expose critically ill patients to occurrence of serious adverse events (SAE) such as i) hemodynamic, neurologic, and respiratory variations ii) unplanned dislodgement (lines, drains, catheters, endotracheal tube..)

Few study have evaluated relation between SAE occurence and several patient's, service's, health-care provider's caracteristics. We plan to analyse those factors to find some ways to prevent SAE occurence during nursing and hygiene cares.

Inclusion Criteria:

• Health-care affiliated
• Length of ICU stay < 72 h
• Patient with endotracheal tube
• Patient with tracheostomy
• Patient receiving vasoactives drugs (norepinephrine, epinephrine, Dobutamine)
• Patient undergoing no invasive ventilation during 1hour minimum of 24 hours before the selection
• Patient undergoing hight flow oxygen therapy heated and humidified

Exclusion Criteria:

• Patient already included in this study
• Medical contraindication to the bed bath with lateral mobilization
• Withdrawal of life sustaining treatment
• Spinal trauma