Critical Care Nursing

Published by: Kowsar

Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units

Zahra Rajaeian 1 and Negin Masoudi Alavi 1 , *
Authors Information
1 Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
Article information
  • Journal of Critical Care Nursing : February 2018, 11 (1); e64815
  • Published Online: February 26, 2018
  • Article Type: Research Article
  • Received: December 5, 2017
  • Revised: February 21, 2018
  • Accepted: February 21, 2018
  • DOI: 10.5812/ccn.64815

To Cite: Rajaeian Z, Masoudi Alavi N. Barriers to Nursing Performance from the Perspective of Nurses Working in Intensive Care Units, Crit Care Nurs J. 2018 ; 11(1):e64815. doi: 10.5812/ccn.64815.

Copyright © 2018, Journal of Critical Care Nursing. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Mohammadi M, Mazloumi A, Kazemi Z, Zeraati H. Evaluation of Mental Workload among ICU Ward's Nurses. Health Promot Perspect. 2015;5(4):280-7. doi: 10.15171/hpp.2015.033. [PubMed: 26933647].
  • 2. Tan TC, Zhou H, Kelly M. Nurse-physician communication - An integrated review. J Clin Nurs. 2017;26(23-24):3974-89. doi: 10.1111/jocn.13832. [PubMed: 28370533].
  • 3. Hammoudi BM, Ismaile S, Abu Yahya O. Factors associated with medication administration errors and why nurses fail to report them. Scand J Caring Sci. 2017. doi: 10.1111/scs.12546. [PubMed: 29168211].
  • 4. Driscoll A, Grant MJ, Carroll D, Dalton S, Deaton C, Jones I, et al. The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2018;17(1):6-22. doi: 10.1177/1474515117721561. [PubMed: 28718658].
  • 5. Jadidi RA, Noroozi A, Moshri E. The relationship between physical and human resources in the Intensive Care Units and patients mortality rate in Hospitals of Markazi Province's: 2007 [In Persian]. Arak Med Univ J. 2009;12:29-38.
  • 6. Tofighi S, Meskarpour Amiri AM, Ameriuon A, Naseri H. Equity in distribution of intensive care beds in Iran with Gini coefficient and Lorenz curve approach [In Persian]. Yafte. 2010;12:75-83.
  • 7. Rafferty AM, Clarke SP, Coles J, Ball J, James P, McKee M, et al. Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records. Int J Nurs Stud. 2007;44(2):175-82. doi: 10.1016/j.ijnurstu.2006.08.003. [PubMed: 17064706].
  • 8. Kopp BJ, Erstad BL, Allen ME, Theodorou AA, Priestley G. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit Care Med. 2006;34(2):415-25. [PubMed: 16424723].
  • 9. Sadeghifar J, Tofighi SH, Hasani M, Rekabeslami S, Raadabadi M. Estimation of the necessary nursing resources in accordance with proposed model by the ministry of health [In Persian]. Zahedan J Res Med Sci. 2012;13(suppl 1):41.
  • 10. Cho SH, Yun SC. Bed-to-nurse ratios, provision of basic nursing care, and in-hospital and 30-day mortality among acute stroke patients admitted to an intensive care unit: cross-sectional analysis of survey and administrative data. Int J Nurs Stud. 2009;46(8):1092-101. doi: 10.1016/j.ijnurstu.2009.02.001. [PubMed: 19268287].
  • 11. Hajinezhad MS, Rafii F, Jafarjalal E, Haghani H. Relationship between nurse caring behaviors from patients' perspectives & their satisfaction [In Persian]. Iran J Nurs. 2007;20:73-83.
  • 12. Bahadori M, Ravangard R, Raadabadi M, Mosavi SM, Gholami Fesharaki M, Mehrabian F. Factors affecting intensive care units nursing workload. Iran Red Crescent Med J. 2014;16(8). e20072. doi: 10.5812/ircmj.20072. [PubMed: 25389493].
  • 13. Gross AG. End-of-life care obstacles and facilitators in the critical care units of a community hospital. J Hosp Palliat Nurs. 2006;8(2):92-102. doi: 10.1097/00129191-200603000-00013.
  • 14. Keshk LI, Qalawa SA, Aly AA. Performance obstacles experience among critical care nurses in Damanhur teaching hospital. Life Sci J. 2012;9:42.
  • 15. Aletras VH, Kallianidou K. Performance obstacles of nurses in intensive care units of Greek National Health System hospitals. Nurs Crit Care. 2016;21(3):157-66. doi: 10.1111/nicc.12115. [PubMed: 25269573].
  • 16. Gurses AP, Carayon P. Performance obstacles of intensive care nurses. Nurs Res. 2007;56(3):185-94. doi: 10.1097/01.NNR.0000270028.75112.00. [PubMed: 17495574].
  • 17. Garrouste-Orgeas M, Vinatier I, Tabah A, Misset B, Timsit JF. Reappraisal of visiting policies and procedures of patient's family information in 188 French ICUs: a report of the Outcomerea Research Group. Ann Intensive Care. 2016;6(1):82. doi: 10.1186/s13613-016-0185-x. [PubMed: 27566711].
  • 18. Stollings JL, Bloom SL, Wang L, Ely EW, Jackson JC, Sevin CM. Critical Care Pharmacists and Medication Management in an ICU Recovery Center. Ann Pharmacother. 2018:1.0600280187593E+15. doi: 10.1177/1060028018759343. [PubMed: 29457491].
  • 19. Gurses AP, Carayon P. Exploring performance obstacles of intensive care nurses. Appl Ergon. 2009;40(3):509-18. doi: 10.1016/j.apergo.2008.09.003. [PubMed: 18951120].
  • 20. Hadian Shirazi Z, Sharif F, Rakhshan M, Pishva N, Jahanpour F. The Obstacles against Nurse-Family Communication in Family-Centered Care in Neonatal Intensive Care Unit: a Qualitative Study. J Caring Sci. 2015;4(3):207-16. doi: 10.15171/jcs.2015.021. [PubMed: 26464837].
  • 21. Mashouf S, Esmaeilpour-Zanjani S, Sheikhi AA, Naeeni MK. The study of factors predisposing nursing errors in intensive care units from selected hospitals' nurses' perspectives in Tabriz. J Heal Care. 2013;15(25-16).
  • 22. Tunlind A, Granstrom J, Engstrom A. Nursing care in a high-technological environment: Experiences of critical care nurses. Intensive Crit Care Nurs. 2015;31(2):116-23. doi: 10.1016/j.iccn.2014.07.005. [PubMed: 25442241].
  • 23. Goulart BF, Camelo SH, Simoes AL, Chaves LD. Teamwork in a coronary care unit: facilitating and hindering aspects. Rev Esc Enferm USP. 2016;50(3):482-9. doi: 10.1590/S0080-623420160000400015. [PubMed: 27556720].
  • 24. Farzi S, Irajpour A, Saghaei M, Ravaghi H. Causes of Medication Errors in Intensive Care Units from the Perspective of Healthcare Professionals. J Res Pharm Pract. 2017;6(3):158-65. doi: 10.4103/jrpp.JRPP_17_47. [PubMed: 29026841].
  • 25. Garrido Galindo AP, Camargo Caicedo Y, Velez-Pereira AM. Noise level in a neonatal intensive care unit in Santa Marta - Colombia. Colomb Med (Cali). 2017;48(3):120-5. doi: 10.25100/cm.v48i3.2173. [PubMed: 29213154].
  • 26. Kraljic S, Zuvic M, Desa K, Blagaic A, Sotosek V, Antoncic D, et al. Evaluation of nurses' workload in intensive care unit of a tertiary care university hospital in relation to the patients' severity of illness: A prospective study. Int J Nurs Stud. 2017;76:100-5. doi: 10.1016/j.ijnurstu.2017.09.004. [PubMed: 28950187].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments