Introduction: Quality of life is a long-term goal in nursing care. Nursing care in improving the quality of life should focus not only on physical aspects, but especially on support to return to everyday life, managing daily activities, at least to the extent that the patient has been able to handle them before staying at hospital. Methodology: The aim of the work was to evaluate the quality of life of patients before and after staying in ICU with a focus on patients after acute surgery associated with intestinal resection. The research sample consisted of patients who underwent acute surgery associated with intestinal resection and ICU staying. Quality of life was assessed before hospitalization and 3 months after discharging from the ICU. We have chosen SOFA, APACHE scoring systems to obtain data. The quality of life before hospitalization was evaluated by SF-36 and ADL, IADL questionnaires for daily activities. In the ICU dismission, the patients completed HADS (anxiety, depression), MAF (fatigue) questionnaires, 6-minute walk and sit / stand test. After the third month of convalescence, patients completed questionnaires: SF-36, IADL, ADL, HADS, MAF and 6. minute walk and sit / stand test. Results: 38 patients were evaluated. We found a significant difference in the development of all observed...

Bakgrund: Intensivvårdspatientens sömn nattetid är fragmenterad och blir i stor utsträckning störd, vilket gör att en vila på dagen behövs; en strukturerad vilostund. För återhämtning och läkning av sjukdomstillstånd är det viktigt att patienten får den vila denne behöver. Sömnbrist och brist på vila leder till svårigheter att komma ur respirator, längre sårläkning och i slutändan längre vistelsetid på intensivvårdsavdelningen. En strukturerad vilostund är en avsatt tid på dagen där meningen är att intensivvårdspatienten ska vila, utan att bli störd mer än vad sjukdomstillståndet tillåter. Det finns främjande åtgärder som kan utföras för att ge intensivvårdspatienten en god vilostund. Syfte: Syftet är att observera den strukturerade vilostunden inom intensivvården, med hjälp av fyra frågeställningar. Metod: Studien är gjord på två olika intensivvårdsavdelningar, vilket har genererat 41 observationer. Designen är en prospektiv observationsstudie med kvantitativ ansats. Analysen tolkas med deskriptiv och analytisk statistik. Resultat: Resultatet visar att de främjande åtgärder som observerats inte görs i full utsträckning. Den strukturerade vilostunden blir störd bland annat av samtal i vårdrummet och ljud från övervakningsutrustning. Den strukturerade vilostunden störs i snitt 25 gånger och den längsta sammanhängande tid utan störningsmoment är i snitt tio minuter, dock observerades som mest 67 störningsmoment. Den längsta sammanhängande vilan uppmättes till 48 minuter och den minsta vilan till tre minuter.  Slutsats: Den strukturerade vilostunden störs frekvent, trots att riktlinjer finns för en strukturerad vilostund. Då det är frekventa störningar innebär det att möjligheten för vilan blir för kort för att gynna återhämtning och därmed risk för förlängt intensivvårdsbehov. / Background: Patients sleep in the intensive care units (ICU) is fragmented. There is a need for a daytime rest, quiet time, to help the patient heal and recover from critical illness. Sleep deprivation and lack of rest might lead to difficulties of extubation, prolonged healing of wounds and it may result in prolonged stay in the ICU. A quiet time is a period during the day, where the goal is patient rest, without any unnecessary interruptions. There are promotional actions that can be used to make the patients’ rest as good as possible. Aim: The aim of this study is to observe the structured daytime rest in ICU, with the help of four questions. Method: This study is done at two ICU’s in Sweden, which has generated 41 observations. The design is a prospective quantitative observational study with descriptive and analytic statistics. Result: The result shows that the promotional actions observed aren’t used to the full extention. The daytime rest is interrupted, amongst other things, by conversations in the IC-room and from alarms of the surveillance equipment. The daytime rest is disturbed 25 times in mean, and the longest coherent rest fort the patient is ten minutes in mean. The top number for disturbances during the daytime rest is 67 times. The longest coherent rest was 48 minutes and the shortest rest three minutes. Conclusion: The daytime rest is frequently being disturbed in spite of there being a structured daytime rest protocol. This leads to that the possibility for a rest to recover is to short to do so, which can lead to a prolonged stay at the ICU.

Introduktion: I dag ska patienter som vårdas på intensivvårdsavdelning vara så lätt sederade som möjligt. Detta kan vid samtidig respiratorvård inge känslor av panik, rädsla och otrygghet. Det är därför av stor vikt att intensivvårdssjuksköterskor vet hur de ska skapa trygghet hos patienterna, då trygghetskänslan även reducerar känslorna av panik och rädsla. Syfte: Syftet med examensarbetet var att belysa hur intensivvårdssjuksköterskor skapar trygghet för lätt sederade patienter vårdade i respirator. Metod: En kvalitativ metod användes och data samlades in genom intervjuer med 14 intensivvårdssjuksköterskor på 3 olika sjukhus. Data bearbetades utifrån Elo och Kyngäs kvalitativa innehållsanalys. Huvudresultat: I resultatet framkom fyra huvudkategorier; Genom att finnas där, Genom upprepad och anpassad information, Genom en bra miljö och yttre resurser samt Genom individanpassad vård. Diskussion: Det framkom att intensivvårdssjuksköterskorna skapade trygghet genom att involvera patienterna och de anhöriga i vården genom en god kommunikation och information. Miljön spelade även en viktig roll i trygghetsskapandet genom att minska störande ljud och inte själva vara stressade. Att skapa trygghet för lätt sederade patienter som vårdas i respirator är viktigt, då trygga patienter kan släppas upp snabbare från sederingen och ändå uppleva välbefinnande. / Introduction: The aim of caring for today’s intensive care patient is to have the patient sedated so light as possible. This can induce a sense of panic, fear and insecurity for the patient, when cared for in a mechanical ventilation. It is therefore very important that the intensive care nurse has the ability to create a sense of security for the patient, thus reducing feelings of fear and panic. Aim: The aim of this study was to illustrate how the intensive care nurses creates a sense of security when caring for light sedated patients in mechanical ventilation. Method: A qualitative method was selected and data collected through interviews with 14 intensive care nurses at 3 different hospitals. The data was processed by using Elo and Kyngäs qualitative content analysis. Main Results: The result of the study presents with four main categories; Being there, Through repeating and adapting information, Through a good climate and outer resources as well as Through individually modified care. Conclusions: It showed that the intensive care nurses created a sense of security through involve the patients and their near ones in the care of the patient through good communication and information. The environment also played a critical role through minimizing distracting noise and not to appear stressed themselves. To create sense of security for light sedated patients in mechanical ventilation is important, as when the patients experience a sense of security they could be more quickly weaned of the sedation and yet still experience a sense of wellbeing.

Intensive care unit nursing shortages are an ongoing issue within the Canadian healthcare system. The goal of this thesis research was to better understand Manitoban intensive care unit (ICU) nurses’ intent to leave or stay. An adapted version of the Conceptual Framework for Predicting Nurse Retention provided the framework to examine ICU nurses’ perceived empowerment, caring, job satisfaction and intent to leave or stay. An online survey was distributed by the College of Registered Nurses of Manitoba to 630 ICU nurses in Manitoba. Ethical approval was obtained from the Education Nursing Research Ethics Board at the University of Manitoba. Findings indicate the majority of ICU nurses who participated in this research were satisfied with their job. Multivariate analyses indicated that job satisfaction was statistically significantly associated with intent to stay. / October 2016

Objective To describe off-label utilization of erythropoietic agents in ICU patients.Methods A retrospective, observational study design was used to describe off-label utilization of erythropoietin alfa and darbepoetin alfa by 91,357 patients in the ICU during January 2002- June 2004 at 433 U.S. hospitals. Results Approximately 62% of patients received erythropoietic agents off-label in the ICU compared to 49% in the non-ICU population. Off-label use in the ICU was more likely in teaching hospitals, in larger sized hospitals, in females, for certain physician specialties, and in different regions of the U.S., The longer the hospital stay, the less likely off-label prescribing occurred. ConclusionsOff-label use of erythropoietic agents was common in the ICU. Multiple factors affected off-label use in the ICU although no single one was dominant.

O processo de treinamento e desenvolvimento de recursos humanos é um importante instrumento para a gerência e para a assistência, os estudos encontrados acerca do treinamento em Unidade de Terapia Intensiva (UTI) estão relacionados, principalmente, à realização de técnicas assistenciais. Reconhecendo a relevância do preparo do enfermeiro para atuação em UTI e sabendo da valorização que o grupo de enfermeiros da UTI de um hospital privado do município de São Paulo atribui ao processo de treinamento admissional, esta pesquisa foi desenvolvida na Instituição, Hospital Campo de Estudo (HCE). Assim, constituíram-se como objetivos desse estudo: analisar o processo de treinamento admissional do enfermeiro na UTI, na perspectiva dos enfermeiros da UTI do HCE; reelaborar o processo de treinamento admissional de enfermeiro na UTI, na perspectiva dos enfermeiros da UTI do HCE e definir o perfil do enfermeiro instrutor do treinamento admissional do enfermeiro. A fim de alicerçar essa reelaboração nos valores e necessidades expressas por esse grupo, optou-se pelo método de investigação, da pesquisa-ação. A técnica de coleta de dados ocorreu por meio de grupo focal, constituído de 11 enfermeiros com mais de três anos nessa UTI. Foram realizadas seis reuniões, totalizando dez horas de trabalho. Ainda, na coleta de dados, foram divulgados os relatórios-síntese dessas reuniões possibilitando a participação dos demais 18 enfermeiros da UTI que responderam aos questionários dirigidos, desse modo, houve contribuição de todo o coletivo estudado. Essa estratégia possibilitou a concretização da tarefa do grupo para além da proposta inicial de reelaboração do processo de treinamento. Em consonância ao perfil desejado para o enfermeiro dessa UTI, ora estabelecido pelo grupo, foram também descritos o conceito, os objetivos, as estratégias, a duração e as metas a serem alcançadas pelo enfermeiro recém-admitido. Para tal, foram construídos o novo instrumento, o fluxograma, o memento e a descrição do perfil do enfermeiro instrutor. Além do trabalho desenvolvido, a pesquisa promoveu no grupo e na pesquisadora a reflexão sobre aspectos intervenientes ao processo educativo, bem como acerca da identidade do grupo caracterizada pelo papel assistencial, pela autonomia de ação e, conseqüente, reconhecimento junto à equipe multiprofissional, o que facilitou, de modo coerente, a reelaboração do processo de treinamento admissional do enfermeiro da UTI-HCE / The human resource training and development process is an important instrument for management and care-providers. Studies regarding Intensive Care Unit (ICU) training relate especially to the performance of care-providing techniques. This research was developed at a Study Field Hospital (SFH) considering the importance of a nurses training process for performing at an ICU and knowing how ICU nursing staff value the admission training process at a private practice hospital in the city of São Paulo. Study objectives were to: analyze the ICU-nurse admission training process from the SFH ICU nurses standpoint; redesign the ICU-nurse admission training process from the SFH ICU nurses standpoint; and determine the educator-nurse profile for the ICU-nurse admission training process. In order to support this redesigning within the values and needs expressed by the group, the investigational method of action research was adopted. The data collection technique performed was based on a focus group composed of 11 nurses who have worked at this SFH ICU for more than three years. Six meetings were held in a total of ten working hours. Furthermore, during data collection, summarized meeting reports were issued allowing 18 other ICU nurses who answered the guided questionnaires to participate and therefore the whole group under study contributed. This strategy warranted concretization of the groups task further than the initially proposed redesigning of the training process. In agreement with the desired nurse profile for the ICU, now established by the group; concept, objectives, strategies, duration, and goals to be met by a recently-hired nurse were also described. For such, a new instrument, flow-chart, guideline and educator-nurse profile description were conceived. In addition to the work developed, this research fostered both in the group and the investigator a reflection on intervening aspects of the educational process as well as of the group identity, characterized by the care-providing role, autonomy to act and consequent recognition by the multi-professional team which coherently facilitated the redesigning of the nurse admission training process at the SFH ICU

Estudo de abordagem quantitativa que tem como objetivo implantar a Visita de Enfermagem na UTI e verificar se as necessidades verbalizadas pelos familiares dos pacientes, durante a mesma e em estudos preliminares realizados no mesmo local, foram atendidas. Método: Após autorização do Comitê de Ética e Pesquisa do Hospital Universitário da USP foi implementada a Visita de Enfermagem na UTI adulto no período da manhã. Foi questionado aos familiares se gostariam de receber alguma informação por parte da Enfermagem e após ser dada as informações, foi questionado se ficou alguma dúvida. Após a alta do paciente da UTI, os familiares foram convidados a responder um questionário de avaliação do atendimento. Os que aceitaram participar assinaram o Termo de Consentimento Livre e Esclarecido. Após o questionário respondido, foram comparadas as respostas com as necessidades levantadas nos estudos preliminares e verificado se as mesmas foram suprimidas. Foi utilizada a estatística descritiva para avaliar a frequência, média e desvio-padrão das variáveis de interesse. As respostas obtidas com as questões abertas foram objetivas e apresentadas na forma de frequência e porcentagem de ocorrência de cada categoria. Resultado: Os familiares analisados eram na maioria do sexo feminino, com grau de parentesco filha seguido de esposa, na faixa de 47 anos, dona de casa, com Ensino Médio completo. Todos os familiares quiseram receber informações do enfermeiro nas visitas realizadas tendo uma duração média de 8 minutos cada. Os temas de maior dúvida entre os familiares nas Visitas de Enfermagem foram o Estado Clínico do paciente e a Alta da UTI. Comparando as dúvidas levantadas nas visitas de Enfermagem verificamos que o número médio de dúvidas diminuiu da primeira para a última visita. Na análise do questionário, todos os familiares afirmam terem recebido as informações que gostariam de saber, não tendo ficado nenhuma dúvida em relação às informações que lhes foram transmitidas. O tempo de visita foi satisfatório para a maioria dos familiares entrevistados, assim como o atendimento durante o horário de visita; porém, alguns familiares ainda sentem necessidade de um maior tempo de contato com o doente e uma flexibilidade de rodízio de visita. Comparando o resultado deste estudo com o resultado do estudo realizado anteriormente no mesmo local, observou-se que houve um aumento no contato com a equipe de Enfermagem por meio da Visita de Enfermagem, porém, os familiares reafirmam a necessidade de um maior contato com o ente querido. Conclusão: Concluímos que a implementação da Visita de Enfermagem atendeu seu objetivo que foi atender as principais necessidades dos familiares durante o horário de visita respondendo suas questões sobre o cuidado de Enfermagem prestado para o paciente. Também foi observado que com a visita diária de Enfermagem as dúvidas e ansiedades dos familiares diminuíram no decorrer dos dias enfatizando a necessidade desse contato entre Enfermeiros e Familiares. Considera-se importante trabalhar com a equipe de Enfermagem estratégias de comunicação para que todos consigam atender as necessidades dos familiares durante a visita, visto que alguns Enfermeiros ainda sentem dificuldade nesta interação. / Study quantitative that has as objective to implant the Visit of Nursing in the ICU and to verify if the necessities spoken for the family ones of the patients, during the same one and in carried through preliminary studies in the same local, they had been taken care of. Method: After authorization of the Committee of Ethics and Research of the University Hospital of the USP was implemented the Visit of Nursing in the adult ICU in the period of the morning. It was questioned to the family ones if they would like to receive some information on the part from the Nursing and after to be given the information, was questioned if it was some doubt. After the high one of the patient of the ICU, the family ones had been invited to answer a questionnaire of evaluation of the attendance. The ones that they had accepted to participate had signed the Term of Free and Clarified Assent. After the answered questionnaire, had been compared the answers with the necessities raised in the preliminary studies and verified if the same ones they had been suppressed. The descriptive statistics was used to evaluate the frequency, average and shunting line-standard of the interest variable. The answers gotten with the open questions objective and had been presented in the form of frequency and percentage of occurrence of each category. Result: The family ones analyzed were in the majority of the female sex, with degree of kindred followed son of wives, in the band of 47 years, house owners, with complete Average Education. All the familiar ones had wanted to receive information from the nurse in the three carried through visits having an average duration of 8 minutes each. The subjects of bigger doubt enter the familiar ones in the three Visits of Nursing had been the Clinical State of the patient and the High one of the ICU. Comparing the doubts raised in the three visits of Nursing we verify that the average number of doubts diminished of the first one for the third visit. In the analysis of the questionnaire, all the familiar ones affirm to have received the information that would like to know, not having been no doubt in relation to the information that had been transmitted to them. The visit time was satisfactory for the majority of the familiar ones interviewed, as well as the attendance during the visit schedule; however, some familiar ones still feel necessity of a bigger time of contact with the sick person and a flexibility of visit caster. Comparing the result of this study with the result of the study carried through previously in the same local, it was observed that it had an increase in the contact with the team of Nursing through the Visit of Nursing, however, the family ones reaffirm the necessity of a bigger contact with the dear being. Conclusion: We conclude that the implementation of the Visit of Nursing took care of its objective that was to take care of the main necessities of familiar during the visit schedule answering its questions on the care of Nursing given for the patient. Also it was observed that with the daily visit of Nursing the doubts and anxiety of the family ones had diminished in elapsing of the days having emphasized the necessity of this contact of Family Nurses. It is considered important to work with the team of Nursing communication strategies so that all obtain to take care of the necessities of the family ones during the visit, since some Nurses still feel difficulty in this interaction.

Queijo, AF. Tradução para o português e validação de um instrumento de medida de carga de trabalho de enfermagem em unidade de terapia intensiva: NURSING ACTIVITIES SCORE (N. A. S.). [Dissertação]. São Paulo (SP): Escola de Enfermagem da USP; 2002. O presente estudo teve como objetivos traduzir para o português e avaliar as propriedades de medida do Nursing Activities Score (NAS). A finalidade deste instrumento é medir carga de trabalho de enfermagem em UTI. O estudo foi subdividido em duas partes. A primeira composta da tradução do NAS para a língua portuguesa e a segunda, da análise da confiabilidade e validade do instrumento. Após o processo de tradução para a língua portuguesa, foi realizada sua aplicação em uma amostra de 200 pacientes adultos internados em UTIs. A avaliação da confiabilidade do instrumento, feita por meio da repetibilidade entre dois observadores, demonstrou alta concordância (99,8%) e índice Kappa médio de 0,99. Já a análise da consistência interna, verificada pelo coeficiente Alpha de Cronbach revelou que o NAS possui 23 medidas independentes que não comportam consolidação ou redução. O NAS também foi aplicado para as validades de critério (concorrente) e de constructo (convergente). A validade concorrente mostrou correlação estatisticamente significativa entre o TISS-28 e o NAS (r=0,67; p<0,0001), o mesmo ocorrendo quando se utilizou a análise de regressão (R2=94,4%; p<0,0001) Quanto a validade convergente, pela técnica da análise de regressão verificou-se associação estatisticamente significativa entre o NAS e o índice de gravidade SAPS II, quando ao modelo foi inserida a variável idade. (R2=99,8%; p<0,0001). Pelos resultados obtidos, o NAS mostrou-se um instrumento confiável e válido para mensurar carga de trabalho de enfermagem em UTI, na realidade brasileira. / Queijo, AF. Translation to portuguese and validation of a instrument to measure work load of nursing in the intensive care unit (ICU): NURSING ACTIVITIES SCORE (N.A.S.). [Dissertação]. São Paulo (SP): Escola de Enfermagem da USP; 2002. The present study aimed to translate into Portuguese and to evaluate the properties of measure of the Nursing Activities Score (NAS). The purpose of this instrument is to measure work load of nursing in the intensive care unit (ICU). The study was subdivided in two parts. The first composed of translation and cross-cultural adaptation; and second, in the analysis of the reliability and the validity of the instrument. After the process of translation into Portuguese language and cross-cultural adaptation, was carried through its application in 200 adult inpatients in ICUs, in order to get the measure of reliability. At once, this was obtained by the repeatable between two observers by the statistical test of Kappa that demonstrated one high concord (99,8%) and average Kappa of 0,99. At once, the analysis of the internal consistency verified for the Cronbach´s alpha coefficient disclosed that it possess 23 independent measures that do not hold consolidation or reduction. The NAS was also applied for the validities of criterion (competing) and constructo (convergent). The competing validity showed statisticaly significant correlatio between the TISS-28 and NAS (r=0,67; p<0,001), the same occurring when the analysis of regression was used (r2=94,4%; p<0,001). About the convergent validity, by the technique of the regression analysis, it was verified signicant association statisticaly between NAS and the index of gravity SAPS II, when was inserted to the model the changeable age (r2=99,8%, p<0,001). For the gotten results, in the Brazilian reality, the NAS revealed a trustworthy and valid instrument to measure work load of nursing in ICU.

Os efeitos do adoecimento grave combinados com uma internação em Unidade de Terapia Intensiva (UTI) têm sido associados à presença de consequências psicológicas de curto e longo prazos relacionadas a uma recuperação pobre, com funcionamentos físico e psíquico prejudicados, e uma pior qualidade de vida, caracterizada por perda de capacidades, maior número de sintomas físicos e maior número de alterações psicológicas negativas. O objetivo deste estudo foi compreender as experiências vividas pela pessoa adoecida e seu cuidador principal em relação à doença grave e à necessidade de internação em UTI, buscando conhecer as consequências dessas experiências sobre a vida dessas pessoas. Trata-se de um estudo clínico descritivo, com utilização de método qualitativo de pesquisa. Adotaram-se, como referencial teórico, as ideias fenomenológicas de Stein e as psicanalíticas de Winnicott. Foram realizadas entrevistas semidirigidas e observações participantes ao longo de pelo menos seis meses a partir da alta da UTI, com duas duplas pessoa adoecida-cuidador. O corpus da pesquisa, composto pelas transcrições das entrevistas e pelos registros das observações participantes, foi analisado de modo a obter uma caracterização das experiências e seus encadeamentos para cada dupla participante e, posteriormente, uma identificação de elementos comuns presentes nos diversos encadeamentos das experiências das duas duplas. A análise permitiu a descrição de dois eixos temáticos: \"modos como pessoas adoecidas e cuidadores vivenciam a doença grave\" e \"cuidado e sua relação com a abertura para subjetividade\". O primeiro eixo temático possibilitou a descrição das repercussões da doença grave e da internação em UTI na vida das pessoas adoecidas e seus cuidadores, especialmente em relação à vivência de estados de desamparo e desorganização psíquica, afetando potencialmente a condição de integração. O segundo eixo temático descreveu experiências de cuidado em saúde e sua relação com os modos como as pessoas podiam apropriar-se da realidade vivida, permitindo uma análise da correspondência das ações de saúde e das necessidades apresentadas. O estudo possibilitou a reflexão sobre ambientes de cuidado à saúde, entendidos como aqueles que podem ser facilitadores da expressão e exercício de potencialidades pessoais, contribuindo para a recuperação e manutenção da saúde das pessoas adoecidas. A subjetividade mostrou-se como um elemento de auxílio na organização e compreensão das necessidades em saúde, favorecendo o reconhecimento das singularidades pessoais e a constituição de ambientes facilitadores. A aproximação das experiências dos cuidadores permitiu, ainda, compreender as dificuldades vividas para a construção da função do cuidar, destacando necessidades especificamente apresentadas por eles. / The combined effects of serious illness with hospitalization at the ICU - Intensive Care Unit have been associated with the presence of short-term and long-term psychological consequences related to poor recovering, running with impaired physical and mental functioning, a worse quality of life characterized by loss of abilities, a greater number of physical symptoms as well as a greater number of negative psychological changes. The aim of this work was to understand the lived experience by sick people and their main caregivers related to the serious illness, besides the need to hospitalization at ICU trying to learn the consequences of such experiences in the life of those people. It is a descriptive clinical study with the use of qualitative researching method. Semi-structured interviews were conducted as well as observations of the research participants - two double ill persons and their respective caregivers - for at least six months from the intensive care unit discharge. The researching corpus, consisting of the interviews transcripts along with participants\' observation records, were analyzed in order to obtain the characterization of experiments and their linkage to each pair of participants, followed by an identification of the common elements present in the various threads of the two pairs\' experiences. Adopted, as theoretical, phenomenological ideas of Stein and psychoanalytical ideas of Winnicott. The analysis allowed the description of two main themes: the way sick people and caregivers experience severe diseases, furthermore care and its relationship with the opening to subjectivity. The first thematic area made it possible the description of serious illness impact also hospitalization at ICU in the life of sick people and their caregivers, mainly in relation with the experience of states of helplessness and psychic disorganization, potentially affecting the integration condition. The second area described experiences of health care and its relation with the way by which people could take ownership of their lived reality, allowing results of correspondence analysis of health actions toward the needs presented. The study has enabled reflection of health care environments understood as those which can be facilitators of expression and exercise of personal potential, contributing to the recovering and maintenance of health in sick people. Subjectivity has revealed to be a helping element in the organization and understanding of health needs, promoting the recognition of personal uniqueness, also the provision of facilitating environments. The approximation of caregivers\' experience still allowed understanding the difficulties encountered in the function of taking care highlighting specific needs presented by them.

Masters of Science - Msc (Physiotherapy) / The Physiotherapist is an important member of the multidisciplinary team managing critically ill patients in the ICU. Physiotherapy practice in the ICU has shown itself to be effective, whereas the lack of physiotherapy management in the care of critically ill patients may prolong recovery. Therefore, the knowledge and attitudes about physiotherapy management by the other Health Care Professionals of the team is essential in order to facilitate efficient and effective medical services. This study aimed to determine other Health Care Professional' knowledge, attitudes regarding physiotherapy management in the ICU. As well as, it determined the current physiotherapy practices applied by physiotherapists in ICUs in Khartoum State - Republic of Sudan. The study was conducted due to limited studies in this field.