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Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses

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https://www.readbyqxmd.com/read/30446268/a-comparison-of-the-opinions-of-intensive-care-unit-staff-and-family-members-of-the-treatment-intensity-received-by-patients-admitted-to-an-intensive-care-unit-a-multicentre-survey
#1
Matthew H Anstey, Edward Litton, Nihar Jha, Michelle L Trevenen, Steve Webb, Imogen A Mitchell
BACKGROUND: Achieving shared decision-making in the intensive care unit (ICU) is challenging because of limited patient capacity, leading to a reliance on surrogate decision-makers. Prior research shows that ICU staff members often perceive that patients receive inappropriate or futile treatments while some surrogate decision-makers of patients admitted to the ICU report inadequate communication with physicians. Therefore, understanding the perceptions of both ICU staff and surrogate decision-makers around wishes for ICU treatments is an essential component to improve these situations...
November 13, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30420209/the-association-between-unexplained-falls-and-cardiac-arrhythmias-a-scoping-literature-review
#2
REVIEW
Taneal Wiseman, Vasiliki Betihavas
BACKGROUND: Falls in older adults are common. Age is a risk factor for falls and with an ageing population, presentation to the emergency department (ED) resulting from falls is rising. Reasons for falls in older adults are numerous and include cardiac arrhythmias. However, older patients who present with falls do not appear to be routinely screened for cardiac arrhythmias. OBJECTIVES: To determine the association between cardiac arrhythmias and unexplained falls in older adults presenting to the ED and to identify the processes for cardiac screening in patients presenting to the ED after an unexplained fall...
November 9, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30348488/characteristics-of-patient-communication-and-prevalence-of-communication-difficulty-in-the-intensive-care-unit-an-observational-study
#3
Amy Freeman-Sanderson, Katherine Morris, Mark Elkins
PURPOSE: To summarise the patient communication status in an intensive care unit (ICU), including methods of communication used and the frequency, degree and nature of communication breakdown. MATERIALS AND METHODS: A multidisciplinary daily ward audit was conducted on ten consecutive weekdays in a 30-bed general ICU of a tertiary Australian hospital. Data included patient demographics, patients' mode of communication and the level of difficulty in communicating...
October 19, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30348487/opinions-and-practices-of-blood-glucose-control-in-critically-ill-patients-with-pre-existing-type-2-diabetes-in-australian-and-new-zealand-intensive-care-units
#4
Alexis P Poole, James Anstey, Rinaldo Bellomo, Vishwanath Biradar, Adam M Deane, Simon R Finfer, Mark E Finnis, Craig J French, Palash Kar, Peter S Kruger, Matthew J Maiden, Johan Mårtensson, Colin J McArthur, Shay P McGuinness, Paul J Secombe, Antony E Tobin, Andrew A Udy, Glenn M Eastwood
BACKGROUND: Approximately 9000 patients with type-2 diabetes mellitus (T2DM) are admitted to an intensive care unit (ICU) in Australia and New Zealand annually. For these patients, recent exploratory data suggest that targeting a more liberal blood glucose range during ICU admission may be safe and potentially beneficial. However, the current approach to blood glucose management of patients with T2DM in Australia and New Zealand ICUs is not well described, and there is uncertainty about clinician equipoise for trials of liberal glycaemic control in these patients...
October 19, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30314837/implementation-of-the-critical-care-pain-observation-tool-increases-the-frequency-of-pain-assessment-for-noncommunicative-icu-patients
#5
Margaret Louise Phillips, Vijo Kuruvilla, Michael Bailey
BACKGROUND: Pain is a common stressor for ICU patients, necessitating routine assessment. For patients who are unable to communicate, self-report tools are unsuitable, and the use of an observational tool is required to assess pain appropriately. The Critical Care Pain Observation Tool (CPOT) is the most reliable tool currently available to assess pain in these patients. We investigated whether the implementation of the CPOT in one Australian ICU could increase frequency of appropriate pain assessments, and if this would affect the administration of analgesia and sedation...
October 9, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30292645/perceived-control-and-quality-of-life-among-recipients-of-implantable-cardioverter-defibrillator
#6
Muna Hammash, Samantha M McEvedy, Jesse Wright, Jan Cameron, Jennifer Miller, Chantal F Ski, David R Thompson, Martha J Biddle, Amy Wimsatt, Melanie Schrader, Rachel Vickers Smith, Misook L Chung, Debra K Moser
BACKGROUND: Perceived control is strongly associated with health-related quality of life (HRQOL) among patients with chronic conditions, and it is possible to increase perceived control with appropriate intervention. Little is known about the relationship between perceived control and HRQOL in implantable cardioverter defibrillator (ICD) recipients. OBJECTIVES: To determine the relationship of perceived control with quality of life in ICD recipients and to determine predictors of perceived control in this population...
October 3, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30262179/eight-hour-versus-12-h-shifts-in-an-icu-comparison-of-nursing-responses-and-patient-outcomes
#7
Joan Webster, Kerri McLeod, Judy O'Sullivan, Laura Bird
INTRODUCTION: Controversy remains about the impact of 12-h shift patterns on staff satisfaction and health and on patient outcomes. Consequently, the objective of the study was to investigate the effect on nurses and patients of 8-h rostering compared with 12-h rostering. METHODS: We conducted a two-phase survey. Intensive care nurses completed a purposefully designed 49-item questionnaire, which included open- and closed-ended questions. Phase 1 was conducted during 2015, while the 8-h shift pattern was in place...
September 24, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30237059/culturally-sensitive-communication-at-the-end-of-life-in-the-intensive-care-unit-a-systematic-review
#8
REVIEW
Laura A Brooks, Melissa J Bloomer, Elizabeth Manias
OBJECTIVES: The objectives of this systematic review were the following: (i) to describe whether culturally sensitive communication is used by clinicians (nurses and physicians) when communicating with patients and families at the end-of-life in the intensive care unit and (ii) to evaluate the impact of culturally sensitive communication at the end-of-life. The systematic review question was how is culturally sensitive communication used by clinicians when communicating with patients and families at the end-of-life in the intensive care unit? DATA SOURCES: A search of CINAHL, MEDLINE, Embase, and PsycINFO databases identified all peer-reviewed research evidence published in English between January 1994 and November 2017...
September 17, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30213588/prehospital-clinical-presentation-in-patients-with-acute-coronary-syndrome-complicated-by-cardiogenic-shock-a-single-center-study
#9
Filip Jaskiewicz, Marzenna Zielinska
BACKGROUND: The development of cardiogenic shock remains the most important factor affecting the prognosis of patients with acute coronary syndrome. Despite significant advances in treatment, achieved in the last two decades, the mortality rate is still very high. The development of knowledge about the pathophysiology of cardiogenic shock, necessitates a thorough and comprehensive assessment of its progress at all stages of medical care. OBJECTIVES: The aim of the study was to assess the prehospital clinical presentation in patients with acute coronary syndrome complicated by cardiogenic shock...
September 10, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30197235/development-of-a-position-statement-for-australian-critical-care-nurse-education
#10
Fenella J Gill, Frances Lin, Deborah Massey, Lorraine Wilson, Melanie Greenwood, Katina Skylas, Mark Woodard, Agness Tembo, Marion Mitchell, Janice Gullick
Position statements are used by large organisations such as the Australian College of Critical Care Nurses to publically present an official philosophy or beliefs and to propose recommendations. Position statements are increasingly used by health departments and healthcare facilities to allocate resources and to guide and audit nursing practice, yet there are limited resources on the process of their development. A position statement should help readers better understand the issue, communicate solutions to problems, and inform decision-making...
September 6, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30174110/the-perceived-and-experienced-role-of-the-nurse-unit-manager-in-supporting-the-wellbeing-of-intensive-care-unit-nurses-an-integrative-literature-review
#11
REVIEW
Anne Mette N Adams, Diane Chamberlain, Tracey M Giles
INTRODUCTION: The number of patients requiring admission into intensive care units (ICUs) is increasing worldwide. Concurrently, recruitment and retention of the ICU nursing workforce is becoming a major challenge due to the high intensity environment, heavy workloads, and decreasing nurse wellbeing. Nurse unit managers play a vital role in promoting and supporting ICU nurse wellbeing, yet little is known about perceptions and experiences of this role. OBJECTIVES: To examine the perceived and experienced role of the nurse unit manager in supporting the wellbeing of ICU nurses...
August 30, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30420034/critically-ill-haematological-cancer-patients-how-far-the-severity-index-score-can-determine-the-outcome-and-duration-of-aggressive-support
#12
LETTER
S Egbert Pravinkumar, Ayman O Soubani, Antonio M Esquinas, Habib Mr Karim
No abstract text is available yet for this article.
November 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30415912/response-to-the-letter-to-the-editor-critically-ill-haematological-cancer-patients-how-far-the-severity-index-score-can-determine-the-outcome-and-duration-of-aggressive-support
#13
LETTER
Emine Alp, Tuğba Tok, Leylagül Kaynar, Fatma Cevahir, İsmail Hakkı Akbudak, Kürşat Gündoğan, Mustafa Çetin, Jordi Rello
No abstract text is available yet for this article.
November 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30415911/caring-not-just-for-patients-and-families
#14
EDITORIAL
Prof Andrea Marshall
No abstract text is available yet for this article.
November 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30217254/systematic-reviews-systematic-reviews-and-more-when-variation-leads-to-confusion
#15
EDITORIAL
Andrea P Marshall
No abstract text is available yet for this article.
September 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29153826/performance-evaluation-of-phase-angle-and-handgrip-strength-in-patients-undergoing-cardiac-surgery-prospective-cohort-study
#16
Taís Kereski da Silva, Ingrid Dalira Schweigert Perry, Janete Salles Brauner, Orlando Carlos Belmonte Wender, Gabriela Corrêa Souza, Sílvia Regina Rios Vieira
BACKGROUND AND AIMS: The phase angle (PA), derived from bioelectrical impedance analysis (BIA), has been interpreted as a cell membrane integrity indicator, while handgrip strength (HGS) has been used as a prognostic indicator in certain clinical situations, such as in cardiac, oncologic patients with renal disease, hemodialysis patients, HIV-positive patients, and liver disease patients. In addition to prognostic scores, body changes due to surgical procedures indicate the importance of measuring muscle function and cell integrity...
September 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30126677/impact-of-an-education-program-on-the-performance-of-nurses-in-providing-oral-care-for-mechanically-ventilated-children
#17
Fatemeh Behzadi, Sedigheh Khanjari, Hamid Haghani
BACKGROUND: Mechanically ventilated children are prone to pneumonia due to immobilization and lack of laryngeal (cough) reflex and swallowing. Nurses are directly responsible for many clinical approaches used to prevent ventilator-associated pneumonia. OBJECTIVE: The research objective is to determine the effectiveness of the nurse education program on the performance of nurses in providing oral care for mechanically ventilated children. METHODS: This quasi-experimental pretest-posttest design was conducted on 100 nurses (50 in each of the control and intervention groups) in pediatric intensive care units (PICU) in Tehran, 2015...
August 17, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30122454/nurses-and-physicians-approaches-to-delirium-management-in-the-intensive-care-unit-a-focus-group-investigation
#18
M O Collet, T Thomsen, I Egerod
BACKGROUND: Delirium in the intensive care unit (ICU) is common, but reliable evidence-based recommendations are still limited. OBJECTIVES: The aim of our study was to explore nurses' and physicians' experiences and approaches to ICU delirium management. METHOD: Our study had a qualitative multicentre design using interdisciplinary focus groups and framework analysis. Participants were strategically selected to include nurses and physicians with experience in delirium management at five ICUs in four out of five regions in Denmark...
August 16, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30087061/facilitating-the-relocation-of-an-intensive-care-unit-from-shared-room-to-single-room-setting-staff-perceptions-on-the-effectiveness-of-a-multicomponent-intervention
#19
Frances Fengzhi Lin, Wendy Chaboyer, Michelle Foster, Lucy Hervey, Andrea P Marshall
BACKGROUND: Current strategies for new and redesigned intensive care units (ICUs) involve incorporation of single occupancy rooms. These changes have largely been made for infection control and patient privacy reasons. However, there is limited literature available on how to manage the transition of an ICU from shared room to a single room environment. AIMS: The aim of this study was to evaluate staff members' perceived effectiveness of a multicomponent intervention to facilitate transition from a shared to a single room setting...
August 4, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30025983/clinical-deterioration-of-ward-patients-in-the-presence-of-antecedents-a-systematic-review-and-narrative-synthesis
#20
REVIEW
Modi Al-Moteri, Virginia Plummer, Simon Cooper, Mark Symmons
AIM: The aim of this review was to identify and synthesise published accounts of recognising and responding to patient deterioration in the presence of deterioration antecedents. DESIGN: The systematic review canvassed four electronic databases/search engines for studies of adult ward patients who had altered physiological parameters before developing major adverse events. SYNTHESIS METHODS: The findings were synthesised using a narrative approach...
July 16, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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