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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/30237059/culturally-sensitive-communication-at-the-end-of-life-in-the-intensive-care-unit-a-systematic-review
#1
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
#2
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
#3
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
#4
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/30126677/impact-of-an-education-program-on-the-performance-of-nurses-in-providing-oral-care-for-mechanically-ventilated-children
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/30007823/inspiratory-muscle-training-for-intensive-care-patients-a-multidisciplinary-practical-guide-for-clinicians
#9
REVIEW
Bernie Bissett, I Anne Leditschke, Margot Green, Vince Marzano, Sarajane Collins, Frank Van Haren
OBJECTIVES: To describe a multidisciplinary approach to inspiratory muscle training (IMT) for patients in the intensive care unit (ICU). BACKGROUND: Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific IMT can ameliorate this weakness. However, IMT is not yet standard practice in many ICUs, possibly because of the wide variety of methods reported and a lack of published practical guidelines...
July 11, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30005939/the-impact-of-the-addition-of-nurse-practitioners-to-surgical-intensive-care-units-a-retrospective-cohort-study
#10
Min-Hsin Huang, Hsiao-Yen Hsieh, Thea van de Mortel
BACKGROUND: Demand for surgical critical care is increasing, but work-hour restrictions on residents have affected many hospitals. Recently, the use of nurse practitioners (NPs) as providers in the intensive care unit (ICU) has expanded rapidly, although the impacts on quality of care have not been evaluated. OBJECTIVES: To compare the outcomes of critically ill surgical patients before and after the addition of NPs to the ICU team. METHODS: We conducted a retrospective cohort study in a Taiwanese surgical ICU...
July 10, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30005938/understanding-how-medications-contribute-to-clinical-deterioration-and-are-used-in-rapid-response-systems-a-comprehensive-scoping-review
#11
REVIEW
Bianca J Levkovich, Gordon Bingham, Daryl Jones, Carl M Kirkpatrick, D J Jamie Cooper, Michael J Dooley
BACKGROUND: In hospitals, rapid response systems (RRSs) identify patients who deteriorate and provide critical care at their bedsides to stabilise and escalate care. Medications, including oral and parenteral pharmaceutical preparations, are the most common intervention for hospitalised patients and the most common cause of harm. This connection between clinical deterioration and medication safety is poorly understood. OBJECTIVES: To inform improvements in prevention and management of clinical deterioration, this review aimed to examine how medications contributed to clinical deterioration and how medications were used in RRSs...
July 10, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30005937/weight-and-height-documentation-does-icu-measure-up
#12
Alan McFall, Sandra L Peake, Patrica J Williams
BACKGROUND: Reliable assessment and documentation of weight and height are essential for the accurate delivery of many critical care interventions. METHODS: We conducted a 3-month retrospective, cross-sectional, single-centre audit to determine the prevalence of weight and height documentation in the clinical records of patients admitted to the intensive care unit (ICU) for the period from 3 months prior to hospital admission up to hospital discharge. RESULTS: One hundred forty-one index ICU admissions were identified from October-December 2015 with 138 medical records available for analysis...
July 10, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30001954/barriers-to-implementing-expert-safety-recommendations-for-early-mobilisation-in-intensive-care-unit-during-mechanical-ventilation-a-prospective-observational-study
#13
Elizabeth L Capell, Claire J Tipping, Carol L Hodgson
BACKGROUND: Early mobilisation in the intensive care unit (ICU) has been consistently reported as feasible and safe with minimal adverse events; however, invasive mechanical ventilation patients are rarely actively mobilised. An expert consensus group developed and published recommendations using a traffic light system on safety criteria to promote active mobilisation of invasive mechanical ventilation patients. OBJECTIVES: The aim of this study was to determine whether, in clinical practice, the safety consensus recommendations resulted in (1) increased early mobilisation in patients assessed as appropriate to mobilise based on the risk classification and (2) early mobilisation without adverse events...
July 10, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30001953/investigating-influencing-factors-of-physical-restraint-use-in-china-intensive-care-units-a-prospective-cross-sectional-observational-study
#14
Ting Gu, Xu Wang, Nan Deng, Weiqun Weng
OBJECTIVE: In this study, we characterised the use of physical restraints in three intensive care units (ICUs) in a general hospital in Nantong, China. Additionally, we explored risk factors potentially related to physical restraint use. BACKGROUND: Despite their numerous harmful effects, physical restraints are frequently used in ICUs worldwide. Few studies have investigated the factors that contribute to physical restraint use in Chinese hospitals. METHODS: We conducted a prospective, cross-sectional, observational study of 312 patients in three ICUs at a general hospital in China...
July 9, 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/29935710/crazy-socks-aren-t-just-4-docs
#17
EDITORIAL
Andrea P Marshall
No abstract text is available yet for this article.
July 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28838627/adherence-to-standard-medication-infusion-concentrations-and-its-impact-on-paediatric-intensive-care-patient-outcomes
#18
Michele L Cree, Christian F Stocker, Quyen M Tu, Loretta F Scaini
AIM: To review compliance with the DERS, and to evaluate the impact on daily fluid balances as a standard outcome in paediatric intensive care. METHOD: A prospective audit of patients admitted to our tertiary level PICU over a 10day period. The audit tool collated information on patient's weight, diagnosis, medication infusions, whether standard concentrations were selected, daily fluid balance, target fluid balance, and renal support including use of diuretics...
July 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28756943/evaluation-of-stress-response-using-psychological-biological-and-electrophysiological-markers-during-immersive-simulation-of-life-threatening-events-in-multidisciplinary-teams
#19
Daniel Aiham Ghazali, Ivan Darmian-Rafei, Jerome Nadolny, Philippe Sosner, Stephanie Ragot, Denis Oriot
Stress might impair clinical performance in real life and in simulation-based education (SBE). Subjective or objective measures can be used to assess stress during SBE. This monocentric study aimed to evaluate the effects of simulation of life-threatening events on measurements of various stress parameters (psychological, biological, and electrophysiological parameters) in multidisciplinary teams (MDTs) during SBE. The effect of gender and status of participants on stress response was also investigated. Twelve emergency MDTs of 4 individuals were recruited for an immersive simulation session...
July 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28736089/long-term-cognitive-impairment-and-delirium-in-intensive-care-a-prospective-cohort-study
#20
Marion L Mitchell, David H K Shum, Gabor Mihala, Jenny E Murfield, Leanne M Aitken
BACKGROUND: Whilst there is a growing body of research exploring the effect of delirium in intensive care unit (ICU) patients, the relationship between patient delirium and long-term cognitive impairment has not been investigated in settings where low rates of delirium have been reported. OBJECTIVES: To assess the association between the incidence of delirium, duration of mechanical ventilation and long term cognitive impairment in general ICU patients. METHODS: Prospective cohort study conducted in a tertiary level ICU in Queensland, Australia...
July 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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