"One more thing to think about..." Cognitive burden experienced by intensive care unit nurses when implementing a tight glucose control protocol

Journal of Diabetes Science and Technology

Volumn 6, Issue 1, 2012, Pages 58-64

  Ng, Lit Soo ^a   Curley, Martha A Q ^a  

^a UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING   (United States)

Author keywords

Computerized decision support; Insulin; Nursing staff; Practice guidelines; Protocols; Tasks; Work

Indexed keywords

GLUCOSE;

ALGORITHM; ARTIFICIAL VENTILATION; BLOOD GLUCOSE MONITORING; CLINICAL NURSE SPECIALIST; CLINICAL PROTOCOL; COGNITION; COGNITIVE BURDEN; CONFERENCE PAPER; CRITICALLY ILL PATIENT; DECISION MAKING; EMOTION; EMOTIONAL LOAD; EMPOWERMENT; ERGONOMICS; FATIGUE; GLUCOSE BLOOD LEVEL; GLUCOSE METABOLISM; HOSPITALIZATION; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; JOB SATISFACTION; JOB STRESS; MENTAL LOAD; MENTAL PERFORMANCE; MENTAL TASK; NURSE; NURSING; NURSING CARE; NURSING COMPETENCE; NURSING EDUCATION; NURSING STAFF; PATIENT CARE; PATIENT COMPLIANCE; PATIENT MONITORING; PROFESSIONAL PRACTICE; SEPSIS; SITUATED COGNITION; SLEEP; THINKING; WORK ENVIRONMENT; WORKLOAD; COST OF ILLNESS; CRITICAL ILLNESS; EVALUATION; HEALTH CARE PLANNING; MANPOWER; METHODOLOGY; MONITORING; ORGANIZATION AND MANAGEMENT; PHYSIOLOGY; PSYCHOLOGICAL ASPECT; REVIEW;

BLOOD GLUCOSE; CLINICAL PROTOCOLS; COGNITION; COST OF ILLNESS; CRITICAL ILLNESS; DECISION MAKING; HEALTH PLAN IMPLEMENTATION; HUMANS; INTENSIVE CARE UNITS; MONITORING, PHYSIOLOGIC; NURSING STAFF, HOSPITAL; WORKLOAD;

EID: 84863590037     PISSN: None     EISSN: 19322968     Source Type: Journal    
DOI: 10.1177/193229681200600108     Document Type: Conference Paper

References (35)

1. Van den Berghe G, Wouters P, Weekers F, Bruyninckx F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R. Intensive insulin therapy in the critically ill patients. N Engl J Med. 2001;345(19):1359-67.
2. NICE-SUGAR Study Investigators, Finfer S, Chittock DR, Su SY, Blair D, Foster D, Dhingra V, Bellomo R, Cook D, Dodek P, Henderson WR, Hébert PC, Heritier S, Heyland DK, McArthur C, McDonald E, Mitchell I, Myburgh JA, Norton R, Potter J, Robinson BG, Ronco JJ. Intensive versus conventional glucose control in critically ill patients. N Engl J Med. 2009;360(13):1283-97.
3. Surviving Sepsis Campaign (SSC) Guidelines Committee Subgroup for Glucose Control, Dellinger RP, SSC Executive Committee. Surviving Sepsis Campaign Statement on Glucose Control in Severe Sepsis (June 2009*) 2009; http://www.survivingsepsis.com/system/files/images/tatement-on-Glucose-Control- in-Severe-Sepsis. pdf. Accessed on December 1, 2011.
4. Griesdale DE, de Souza RJ, van Dam RM, Heyland DK, Cook DJ, Malhotra A, Dhaliwal R, Henderson WR, Chittock DR, Finfer S, Talmor D. Intensive insulin therapy and mortality among critically ill patients: a meta-analysis including NICE-SUGAR study data. CMAJ. 2009;180(8):821-7.
5. Van den Berghe G, Schetz M, Vlasselaers D, Hermans G, Wilmer A, Bouillon R, Mesotten D. Clinical review: Intensive insulin therapy in critically ill patients: NICE-SUGAR or Leuven blood glucose target? J Clin Endocrin Metab. 2009;94(9):3163-70.
6. Wiener RS, Wiener DC, Larson RJ. Benefits and risks of tight glucose control in critically ill adults: a meta-analysis. JAMA. 2008;300(8):933-44.
7. Qaseem A, Humphrey LL, Chou R, Snow V, Shekelle P, Clinical Guidelines Committee of the American College of Physicians. Use of intensive insulin therapy for the management of glycemic control in hospitalized patients: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2011;154(4):260-7.
8. Vogelzang M, Zijlstra F, Nijsten MW. Design and implementation of GRIP: a computerized glucose control system at a surgical intensive care unit. BMC Med Inform Decis Mak. 2005;5:38.
9. Oeyen SG, Hoste EA, Roosens CD, Decruyenaere JM, Blot SI. Adherence to and eficacy and safety of an insulin protocol in the critically ill: a prospective observational study. Am J Crit Care. 2007;16(6):599-608.
10. Aragon D. Evaluation of nursing work efort and perceptions about blood glucose testing in tight glycemic control. Am J Crit Care. 2006;15(4):370-7. (Pubitemid 44859176)
11. Malesker MA, Foral PA, McPhillips AC, Christensen KJ, Chang JA, Hilleman DE. An eficiency evaluation of protocols for tight glycemic control in intensive care units. Am J Crit Care. 2007;16(6):589-98.
12. May C. Nursing work, nurses' knowledge, and the subjectification of the patient. Sociology of Health and Illness. 1992;14(4):472-87.
13. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelley PT, Johnson MM, Browder RW, Bowton DL, Haponik EF. Efect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med. 1996;335(25):1864-9. (Pubitemid 26419193)
14. Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000;342(20):1471-7. (Pubitemid 30318270)
15. Prasad M, Christie JD, Bellamy SL, Rubenfeld GD, Kahn JM. The availability of clinical protocols in US teaching intensive care units. J Crit Care. 2010;25(4):610-9.
16. Drucker PF. Landmarks of Tomorrow. 1st ed. New York: Harper & Brothers; 1959.
17. Drucker PF. The Coming of A New Organization. Harv Bus Rev. 1988(Jan-Feb):45-53.
18. Pretorius A, Cilliers PJ. Development of a mental workload index: a systems approach. Ergonomics. 2007;50(9):1503-15. (Pubitemid 47180449)
19. Megill KA. Thinking for a living: The coming of knowledge work. München, Germany: K. G. Saur Verlag GmbH; 2004.
20. Morris CH, Leung YK. Pilot mental workload: how well do pilots really perform? Ergonomics. 2006;49(15):1581-96. (Pubitemid 44712329)
21. Benner P, Hooper-Kyriakidis P, Stannard D. Clinical Wisdom and Interventions in Critical Care: A Thinking-In-Action Approach. CA: Saunders; 1999.
22. Svensson E, Angelborg-Thanderz M, Sjoberg L, Olsson S. Information complexity - mental workload and performance in combat aircraft. Ergonomics. 1997;40(3):362-80. (Pubitemid 27182297)
23. Gregg AC. Relationship among subjective mental workload, experience, and education of cardiovascular critical care RNs. Nurs Adm Q. 1994;19(1):89-90.
24. Jex HR. Measuring Mental Workload: Problems, Progress, and Promises. In: Hancock PA, Meshkati N, eds. Human Mental Workload. North-Holland: Elsevier Science Publishers; 1988:5-39.
25. Winwood PC, Lushington K. Disentangling the efects of psychological and physical work demands on sleep, recovery and maladaptive chronic stress outcomes within a large sample of Australian nurses. JAN. 2006;56(6):679-89.
26. Schultz MJ, Royakkers AA, Levi M, Moeniralam HS, Spronk PE. Intensive insulin therapy in intensive care: an example of the struggle to implement evidence-based medicine. PLoS Med. 2006;3(12):e456.
27. Chase JG, Andreassen S, Jensen K, Shaw GM. Impact of human factors on clinical protocol performance: a proposed assessment framework and case examples. J Diabetes Sci Technol. 2008;2(3):409-16.
28. Goldberg PA, Siegel MD, Sherwin RS, Halickman JI, Lee M, Bailey VA, Lee SL, Dziura JD, Inzucchi SE. Implementation of a safe and efective insulin infusion protocol in a medical intensive care unit. Diabetes Care. 2004;27(2):461-7. (Pubitemid 38174072)
29. Davidson PC, Steed RD, Bode BW, Hebblewhite HR, Prevosti L, Cheekati V. Use of a computerized intravenous insulin algorithm within a nurse-directed protocol for patients undergoing cardiovascular surgery. J Diabetes Sci Technol. 2008;2(3):369-75.
30. Vogelzang M, Loef BG, Regtien JG, van der Horst ICC, van Hassen H, Zijlstra F, Nijsten MWN. Computer-assisted glucose control in critically ill patients. Intensive Care Med. 2008;34(8):1421-7.
31. Thompson BT, Orme JF, Zheng H, Luckett PM, Truwit JD, Willson DF, Duncan Hite R, Brower RG, Bernard GR, Curley MA, Steingrub JS, Sorenson DK, Sward K, Hirshberg E, Morris AH, Reengineering Critical Care Clinical Research Investigators. Multicenter validation of a computer-based clinical decision support tool for glucose control in adult and pediatric intensive care units. J Diabetes Sci Technol. 2008;2(3):357-68.
32. Boulkina LS, Braithwaite SS. Practical aspects of intensive insulinization in the intensive care unit. Curr Opin Clin Nutr Metab Care. 2007;10(2):197-205. (Pubitemid 46220314)
33. The Cognition and Technology Group at Vanderbilt. Anchored Instruction and Its Relationship to Situated Cognition. Educational Researcher. 1990;19(6):2-10.
34. Harper J. Glucose control in the intensive care unit: how it is done. Proceedings of the Nutrition Society. 2007;66(3):362-6.
35. Weick KE, Sutclife KM. Managing the Unexpected: Assuring High Performance in an Age of Complexity. San Francisco: Jossey-Bass; 2001: pg 224.