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Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses

journal
https://www.readbyqxmd.com/read/28629636/nasal-high-flow-oxygen-therapy-in-the-ward-setting-a-prospective-observational-study
#1
Alison M Pirret, Susan F Takerei, Claire L Matheson, Meghan Kelly, Wharewaina Strickland, Joanne Harford, Nicola E Jepsen, Lisa J Welsh, Chloe P A Allan
BACKGROUND: Whilst research demonstrates the benefits of nasal high flow oxygen in the intensive care setting, limited literature exists on its benefits in ward patients. OBJECTIVES: This study evaluated the use of nasal high flow oxygen in adult ward patients with respiratory failure or at risk of respiratory deterioration. Primary outcome was an improvement in pulmonary function as indicated by decreases in respiratory and heart rates and an increase in arterial oxygen saturation via pulse oximetry...
June 16, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28600109/the-cardio-respiratory-effects-of-intra-abdominal-hypertension-considerations-for-critical-care-nursing-practice
#2
REVIEW
Martin Christensen, Judy Craft
Intra-abdominal hypertension can be classified as either primary or secondary. Primary intra-abdominal hypertension is often associated through trauma or diseases of the abdominopelvic region such as pancreatitis or abdominal surgery, while secondary intra-abdominal hypertension is the result of extra-abdominal causes such as sepsis or burns. The critically ill patient offers some challenges in monitoring in particular secondaryintra-abdominal hypertension because of the effects of fluid resuscitation, the use of inotropes and positive pressure ventilation...
June 6, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28595826/-what-happens-behind-the-curtains-an-exploration-of-icu-nurses-experiences-of-post-mortem-care-on-patients-who-have-died-in-intensive-care
#3
Carien de Swardt, Nicola Fouché
THE AIM OF THE STUDY: The aim of this study was to explore the experiences of intensive care nurses performing post mortem care on patients who had died in an intensive care unit at a private hospital in Cape Town. The study further sets out to identify educational needs and to offer recommendations that may address these needs for this sample of nurses. METHODOLOGY AND SETTING: A qualitative research design using a descriptive method was used to explore the experiences of a purposive heterogeneous sample of six nurses who were working in an intensive care unit in a private hospital in Cape Town...
June 5, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28595825/nursing-staff-s-experiences-of-working-in-an-evidence-based-designed-icu-patient-room-an-interview-study
#4
Fredrika Sundberg, Sepideh Olausson, Isabell Fridh, Berit Lindahl
INTRODUCTION: It has been known for centuries that environment in healthcare has an impact, but despite this, environment has been overshadowed by technological and medical progress, especially in intensive care. Evidence-based design is a concept concerning integrating knowledge from various research disciplines and its application to healing environments. OBJECTIVE: The aim was to explore the experiences of nursing staff of working in an evidence-based designed ICU patient room...
June 5, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28587754/delirium-screening-in-intensive-care-a-life-saving-opportunity
#5
REVIEW
E Lamond, S Murray, C E Gibson
BACKGROUND: Delirium is described as 'acute brain failure' and constitutes a medical emergency which presents a hazard for people cared for in intensive care units. The Scottish intensive care society audit group recommend that all people cared for in intensive care units be screened for signs of delirium so that treatment and management of complications can be implemented at an early stage. CLINICAL IMPLICATION: There is inconsistent evidence about when and how the assessment of delirium is carried out by nursing staff in the intensive care setting...
June 3, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28579184/response-to-the-letter-on-an-intervention-to-improve-the-catheter-associated-urinary-tract-infection-rate-in-a-medical-intensive-care-unit-direct-observation-of-catheter-insertion-procedure
#6
LETTER
Janet M Galiczewski
No abstract text is available yet for this article.
June 1, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28571625/staff-perceptions-of-a-patient-at-risk-team-a-survey-design
#7
Tania Wood, Alison Pirret, Susan Takerei, Joanne Harford
INTRODUCTION: Whilst research demonstrates the benefits of critical care outreach, limited research describes staffs' perspective of these teams. OBJECTIVE: This study examined ward nurses' and doctors' perceptions of the service provided by a nurse-led 24hours a day, seven days a week Patient at Risk team. DESIGN: Using an exploratory survey research design and a previously used instrument, data were collected between January and March (2016)...
May 29, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28552261/investigating-the-clinical-feasibility-of-an-adapted-early-mobility-readiness-protocol-for-critical-ill-patients-a-non-randomised-experimental-pilot-trial
#8
Elmarie Conradie, Catharina E Fourie, Susan D Hanekom
BACKGROUND: Uncertainty exists whether a therapeutic early mobility position will affect the outcome of a critically ill patient. OBJECTIVES: To evaluate the feasibility of an existing protocol to identify patients who would tolerate this position. RESEARCH METHODOLOGY/DESIGN: A non-randomized experimental pilot trail was performed. Twice weekly, all patients nursed in surgical and respiratory units were screened with the protocol. OUTCOME MEASURES: Haemodynamic parameters, mean arterial pressure and central venous oxygen saturation of included patients were tested in the baseline position followed by the testing position at 0, 3 and 10minutes...
May 25, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28552260/going-beyond-two-getherness-nurse-managers-experiences-of-working-together-in-a-leadership-model-where-more-than-two-share-the-same-chair
#9
Marianne Döös, Helene Vinell, Mia von Knorring
OBJECTIVE: To explore nurse manager experiences of working in leadership constellations where more than two managers share leadership, and to compare this multilateral sharing form to what is known about experiences of working in joint leadership in pairs. DESIGN AND SETTING: A qualitative design based on semi-structured interviews with nurse managers in two multilaterally shared leadership constellations at two intensive care units at an emergency hospital in Sweden...
May 25, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28552259/factors-influencing-when-intensive-care-unit-nurses-go-to-the-bedside-to-investigate-patient-related-alarms-a-descriptive-qualitative-study
#10
Laurel A Despins
OBJECTIVE: This study examines what prompts the intensive care unit (ICU) nurse to go to the patient's bedside to investigate an alarm and the influences on the nurse's determination regarding how quickly this needs to occur. METHOD: A qualitative descriptive design guided data collection and analysis. Individual semi-structured interviews were conducted. Thematic analysis guided by the Patient Risk Detection Theoretical Framework was applied to the data. SETTING: Four specialty intensive care units in an academic medical center...
May 25, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28552258/the-movin-project-mobilisation-of-ventilated-intensive-care-patients-at-nepean-a-quality-improvement-project-based-on-the-principles-of-knowledge-translation-to-promote-nurse-led-mobilisation-of-critically-ill-ventilated-patients
#11
Anwar Hassan, Arvind Rajamani, Fiona Fitzsimons
OBJECTIVE: Prospective quality improvement project to evaluate the impact of a training programme to promote nurse-led mobilisation of intubated critically ill patients. METHODS: This project involved an educational programme to upskill nurses and overcome the barriers/challenges to nurse-led mobilisation. Initial strategies focused on educating and upskilling nurses to attain competency in active mobilisation. Subsequent strategies focused on positive reinforcement to achieve a culture shift...
May 25, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28549743/intensive-care-nursing-students-perceptions-of-simulation-for-learning-confirming-communication-skills-a-descriptive-qualitative-study
#12
Marte-Marie Wallander Karlsen, Anita Kristin Gabrielsen, Anne Lise Falch, Dag-Gunnar Stubberud
AIM: The aim of this study was to explore intensive care nursing students experiences with confirming communication skills training in a simulation-based environment. RESEARCH METHODOLOGY: The study has a qualitative, exploratory and descriptive design. The participants were students in a post-graduate program in intensive care nursing, that had attended a one day confirming communication course. Three focus group interviews lasting between 60 and 80min were conducted with 14 participants...
May 23, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28549742/a-qualitative-exploratory-study-of-nurses-decision-making-when-interrupted-during-medication-administration-within-the-paediatric-intensive-care-unit
#13
Rachel A Bower, Jane E Coad, Joseph C Manning, Theresa A Pengelly
OBJECTIVE: In the paediatric intensive care unit (PICU), medication administration is challenging. Empirical studies demonstrate that interruptions occur frequently and that nurses are fundamental in the delivery of medication. However, little is known about nurse's decision making when interrupted during medication administration. Therefore, the objective is to understand decision making when interrupted during medication administration within the PICU. RESEARCH DESIGN: A qualitative study incorporating non-participant observation and audio recorded semi-structured interviews...
May 23, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28545878/burnout-and-health-among-critical-care-professionals-the-mediational-role-of-resilience
#14
Oscar Arrogante, Eva Aparicio-Zaldivar
OBJECTIVES: To analyse the mediational role of resilience in relationships between burnout and health in critical care professionals; to determine relationships among resilience level, three burnout dimensions, and physical/mental health; and to establish demographic differences in psychological variables evaluated. DESIGN: Cross-sectional study. PARTICIPANTS/SETTING: A total of 52 critical care professionals, mainly nurses, were recruited from an intensive care unit of Madrid (Spain)...
May 22, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28545877/relatives-satisfaction-and-sedation-of-patients-in-intensive-care-units-what-are-we-really-measuring
#15
LETTER
Stefano Bambi, Alberto Lucchini, Gian Domenico Giusti, Christian Caruso, Christian De Felippis
No abstract text is available yet for this article.
May 22, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28539205/patient-participation-in-the-intensive-care-unit
#16
Anna Schandl, Ann-Charlotte Falk, Catharina Frank
OBJECTIVE: Patient participation in healthcare is important for optimizing treatment outcomes and for ensuring satisfaction with care. The purpose of the study wasto explore critical care nurses' perceptions of patient participation for critically ill patients. DESIGN AND SETTINGS: Qualitative data were collected in four separate focus group interviews with 17 nurses from two hospitals. The interviews were analyzed using qualitative content analysis. FINDINGS: Initially, the nurses stated that patient participation in the intensive care unit (ICU) was dependent on the patient's health condition and consciousness...
May 20, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28539204/nurses-perceptions-of-caring-for-parents-of-children-with-chronic-medical-complexity-in-the-pediatric-intensive-care-unit
#17
Gabrielle Denis-Larocque, Karl Williams, Isabelle St-Sauveur, Margaret Ruddy, Janet Rennick
OBJECTIVES: The aim of this study was to explore nurses' perceptions of caring for parents of children with medical complexity [CMC] in the pediatric intensive care unit [PICU]. RESEARCH METHODOLOGY: An interpretive descriptive design was used to explore nurses' perceptions of caring for parents of CMC in the PICU. Semi-structured interviews were conducted with ten nurses. Interview data were collected and analyzed using qualitative inductive content analysis. FINDINGS: Nurses revealed that their experiences of caring for parents of CMC evolved over time as they learned to tailor a caregiving partnership based on trust...
May 20, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28532593/authors-reply-relatives-satisfaction-and-sedation-of-patients-in-intensive-care-units-what-are-we-really-measuring
#18
LETTER
Eva Laerkner, Thomas Stroem, Palle Toft
No abstract text is available yet for this article.
May 20, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28457690/nurse-and-patient-factors-that-influence-nursing-time-in-chest-tube-management-early-after-open-heart-surgery-a-descriptive-correlational-study
#19
Myra Cook, Laura Idzior, James F Bena, Nancy M Albert
PURPOSE: Determine nurse characteristics and patient factors that affect nurses' time in managing chest tubes in the first 24-hours of critical-care stay. DESIGN: Prospective, descriptive. METHODS: Cardiovascular critical-care nurses and post-operative heart surgery patients with chest tubes were enrolled from a single center in Ohio. Nurses completed case report forms about themselves, comfort and time in managing chest tubes, chest tube placement and management factors...
April 27, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28457689/development-of-a-neuro-early-mobilization-protocol-for-use-in-a-neuroscience-intensive-care-unit
#20
Megan A Brissie, Meg Zomorodi, Sharmila Soares-Sardinha, J Dedrick Jordan
OBJECTIVE: Through evaluation of the literature and working with a team of multidisciplinary healthcare providers, our objective was to refine an interprofessional Neuro Early Mobilization Protocol for complex patients in the Neuroscience Intensive Care Unit. RESEARCH METHODOLOGY: Using the literature as a guide, key stakeholders, from multiple professions, designed and refined a Neuro Early Mobilization Protocol. SETTING: This project took place at a large academic medical center in the southeast United States classified as both a Level I Trauma Center and Comprehensive Stroke Center...
April 27, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
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