Likert Analysis Summary, Questionnaire Example

A Likert Summary questionnaire was given to 10 nurses in the intensive care unit. These were the most recently hired nurses on the unit. All of the nurses answering the survey had at least one encounter with induced therapeutic hypothermia. The nurses were asked to use this summary during the next time they induced hypothermia on a patient and record their results. There were no patients harmed by this method because nursing supervisors ensured the daily routines were followed as well.

The answers to the survey are below. There is a accompanying graph as well as a copy of the analysis after this summary included. For question 1, all ten nurses believe the patient had a normal evaluation of his baseline height, weight, temperature, labs, and blood pressure prior to induction of hypothermia. For question 2, seven nurses believe the patient received proper sedation before and during the procedure and three nurses believe there was little clinical significance noted with this question.

Question 3 pertains to hemodynamic indicators of hypothermia and 7 nurses believe their patients were approaching the point at which methods were going to be needed to keep hemostasis in check before problems spiraled out of control. Three nurses, however, reported their patients to be normal. For question four, 5 nurses report normal evaluations of pupil changes during hypothermia and 5 nurses reported little significance their patient’s response pertaining to this question. Question 5 pertains to routine lab testing and one nurse answered 4, which flags a caution and should alert the staff to ensure everything is being handled as it should be. The remaining nine nurses all reported 3, which was the normal answer.

Question six, which is about the routing monitoring of BIS sensors and patient’s temperature, was answered with a 4 by seven nurses and a 3 by three nurses. Question 7 was given a 2 by all ten nurses, which indicated little clinical significance. This question was about keeping the patient’s extremities warm while undergoing therapy. Question 8 was about the delivery of consistent water temperature by the hypothermic device and was answered by all nurses with a 3. Question 9 was about skin assessments for patients and question 10 had to do with allowing the sedative to metabolize in the body in order to later assess the neurological condition of the patient. All nurses answered 3 for these two questions.

Graph for Likert Summary

Likert Survey Questionnaire

Has the patient had a baseline evaluation of his height, weight, core body temperature, pertinent labs, and blood pressure immediately prior to induction of therapeutic hypothermia?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Did the patient receive proper sedation prior to induction of hypothermia and is he being evaluated routinely during this process for signs of seizure?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Is the patient being routinely monitored for hemodynamic indicators of complications (bradycardia, tachycardia, hypotension, arrhythmia, etc.)?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Are pupillary changes being monitored routinely to detect seizure activity?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Is laboratory testing (electrolytes, blood gases, coagulation markers) being conducted frequently and are these results being used to determine continuing therapy?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Is the hypothermia device’s BIS sensor readout being taken every hour and is the patient’s temperature being taken every hour?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Are the patient’s extremities being warmed to prevent permanent damage without compromising the hypothermic therapy?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Is the hypothermic device delivering water with a consistent temperature throughout the entire process?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Is a complete assessment of the patient’s skin being assessed every two hours to ensure no complications arise to cause permanent damage?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

After the hypothermic cooling process is completed and the patient has been warmed to body temperature, the sedative should be given 48 hours to fully metabolize in the body. After this time, has the patient’s body and brain activity been monitored to assess any damage incurred as a result of the hypothermic therapy?

1. Not Applicable
2. No Clinical Significance
3. Little Clinical Significance
4. Normal/Average as defined by each assessment/procedure
5. Increased range in significance (Caution)
6. Measures to counteract assessment or procedure should be taken immediately

Reference

Hospital, L. V. (2007). Therapeutic hypothermia after cardiac arrest. Guide, Leigh

Valley Hospital Health Network, Neuroscience Intensive Care Unit.