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

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https://www.readbyqxmd.com/read/29449130/the-nasa-task-load-index-as-a-measure-of-overall-workload-among-neonatal-paediatric-and-adult-intensive-care-nurses
#1
Heather L Tubbs-Cooley, Constance A Mara, Adam C Carle, Ayse P Gurses
INTRODUCTION: The NASA Task Load Index (NASA-TLX) is a subjective workload assessment scale developed for use in aviation and increasingly applied to healthcare. The scale purports to measure overall workload as a single variable calculated by summing responses to six items. Since no data address the validity of this scoring approach in health care, we evaluated the single factor structure of the NASA-TLX as a measure of overall workload among intenisive care nurses. METHODS: Confirmatory factor analysis of data from two studies of nurse workload in neonatal, paediatric, and adult intensive care units...
February 12, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29428252/delirium-during-the-first-evaluation-of-children-aged-five-to-14%C3%A2-years-admitted-to-a-paediatric-critical-care-unit
#2
Eliana María Cano Londoño, Isabel Cristina Mejía Gil, Katerine Uribe Hernández, Carmenza Ricardo Ramírez, Matilde Ligia Álvarez Gómez, Ricardo Antonio Consuegra Peña, Camilo Andrés Agudelo Vélez, Susana Zuluaga Penagos, Mussatye Elorza Parra, José G Franco Vásquez
OBJECTIVES: To describe the prevalence and characteristics of delirium during the initial evaluation of critically ill patients aged 5-14 years. METHOD/DESIGN: This is a cross-sectional descriptive study in a critical care unit. For six months, all patients were evaluated within the first 24-72 hours or when sedation permitted the use of the paediatric confusion assessment method for the intensive care unit (PCAM-ICU) and the Delirium Rating Scale-Revised-98 items #7 and #8 to determine motor type...
February 7, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29402682/association-between-patient-classification-systems-and-nurse-staffing-costs-in-intensive-care-units-an-exploratory-study
#3
Siv K Stafseth, Tor Inge Tønnessen, Lisbeth Fagerström
OBJECTIVES: Nurse staffing costs represent approximately 60% of total intensive care unit costs. In order to analyse resource allocation in intensive care, we examined the association between nurse staffing costs and two patient classification systems: the nursing activities score (NAS) and nine equivalents of nursing manpower use score (NEMS). RESEARCH METHODOLOGY/DESIGN: A retrospective descriptive correlational analysis of nurse staffing costs and data of 6390 patients extracted from a data warehouse...
February 2, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29396165/sustainability-of-a-nurse-driven-early-progressive-mobility-protocol-and-patient-clinical-and-psychological-health-outcomes-and-in-a-neurological-intensive-care-unit
#4
Kate E Klein, James F Bena, Malissa Mulkey, Nancy M Albert
OBJECTIVES: To determine sustainable impact of an early progressive mobility protocol on mobility level and clinical outcomes. DESIGN/METHODS: Prospective, longitudinal, comparative study using three time points (pre-, immediate post-intervention and 12-month post-intervention sustainability). Analyses included comparative statistics and multivariable modelling. Data were collected by clinical nurses, from administrative databases. Psychological health data were collected using a valid, reliable tool...
January 31, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29395570/what-was-i-thinking-decision-making-and-its-impact-on-outcomes-quality-improvement-and-research
#5
EDITORIAL
Lynn K D'Esmond
No abstract text is available yet for this article.
January 30, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29395569/dilemmas-in-infection-control-in-the-intensive-care-unit
#6
EDITORIAL
Jean-Ralph Zahar, Stijn Blot
No abstract text is available yet for this article.
January 30, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29366654/design-and-validation-of-a-tool-for-the-evaluation-of-the-quality-of-cardiopulmonary-resuscitation-sievca-cpr-2-0%C3%A2
#7
Segura Melgarejo Francisca, Pardo Ríos Manuel, Vera Catalán Tomás, Juguera Rodríguez Laura, Pérez Alonso Nuria, Leal Costa César, Martínez Riquelme Carolina, López Ayuso Belén
INTRODUCTION: Currently, no system completely evaluates the quality of cardio pulmonary resusciation. METHODS: A cross-sectional, prospective, longitudinal study using Delphi methodology was performed in three phases: preparatory, consultation and consensus. The validation was made by a prospective longitudinal study using the tool in the evaluation of 11 videos to determine the intra-class correlation coefficient (ICC) and the intra-subject (ICC-Initial), the latter repeated at four weeks (ICC-Final)...
January 20, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29331633/organ-donation-in-the-icu-a-document-analysis-of-institutional-policies-protocols-and-order-sets
#8
Simon J W Oczkowski, John E Centofanti, Pamela Durepos, Erika Arseneau, Julija Kelecevic, Deborah J Cook, Maureen O Meade
OBJECTIVE: To better understand how local policies influence organ donation rates. RESEARCH METHODOLOGY/DESIGN: We conducted a document analysis of our ICU organ donation policies, protocols and order sets. We used a systematic search of our institution's policy library to identify documents related to organ donation. We used Mindnode software to create a publication timeline, basic statistics to describe document characteristics, and qualitative content analysis to extract document themes...
January 10, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29306598/pressure-injuries-in-intensive-care-what-is-new
#9
EDITORIAL
M Llaurado-Serra, E Afonso
No abstract text is available yet for this article.
January 3, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29295760/the-contents-of-a-patient-diary-and-its-significance-for-persons-cared-for-in-an-icu-a-qualitative-study
#10
Sandra Strandberg, Lisa Vesterlund, Åsa Engström
OBJECTIVES: The aim of this study was to describe the contents of a patient diary and its significance for persons cared for in an ICU. RESEARCH METHODOLOGY: An empirical study with a qualitative design. Eight telephone interviews and one face-to-face interview were conducted with nine persons previously been treated in an ICU and been given a patient diary. In addition, the person would have read his/her diary. The data have been analysed with qualitative content analysis...
December 30, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29295759/the-impact-of-the-social-and-physical-environments-on-parent-healthcare-provider-relationships-when-a-child-dies-in-picu-findings-from-a-grounded-theory-study
#11
Ashleigh E Butler, Beverley Copnell, Helen Hall
OBJECTIVES: This study explores the influences of the paediatric intensive care environment on relationships between parents and healthcare providers when children are dying. It forms part of a larger study, investigating parental experiences of the death of their child in intensive care. RESEARCH METHODOLOGY: Constructivist grounded theory. SETTING: Four Australian paediatric intensive care units. MAIN OUTCOME MEASURES: Audio-recorded, semi-structured interviews were conducted with twenty-six bereaved parents...
December 30, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29291922/healthcare-professionals-views-of-smart-glasses-in-intensive-care-a-qualitative-study
#12
Charlotte Romare, Ursula Hass, Lisa Skär
OBJECTIVE: The aim of this study was to describe healthcare professionals' views of smart glasses before their implementation in an intensive care unit, both regarding quality of use of the glasses and to identify possible intensive care situations where the glasses could be used to increase patient safety. METHODS: Data were generated through focus group interviews and analysed using thematic content analysis. FINDINGS: The findings describe participants' views of smart glasses divided into three categories; Smart glasses to facilitate work at intensive care unit; Quality of use and Utilisation...
December 29, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29291921/the-experience-of-greek-families-of-critically-ill-patients-exploring-their-needs-and-coping-strategies
#13
Sofia Koukouli, Maria Lambraki, Evaggelia Sigala, Afroditi Alevizaki, Areti Stavropoulou
OBJECTIVES: To explore the experiences, needs and coping strategies of families of patients admitted to adult intensive care units. DESIGN AND SETTING: A descriptive qualitative research design was chosen using an inductive thematic content analysis approach. Semi-structured interviews were conducted withfourteen family members in three hospitals of Crete. FINDINGS: Four main themes were derived from data analysis. Our results showed that family members were in turmoil having to deal with intense and alternating feelings...
December 29, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29290525/-some-were-certainly-better-than-others-bereaved-parents-judgements-of-healthcare-providers-in-the-paediatric-intensive-care-unit-a-grounded-theory-study
#14
Ashleigh E Butler, Beverley Copnell, Helen Hall
OBJECTIVE: To explore bereaved parents' judgements of healthcare providers, as part of a larger study examining their perceptions of the death of a child in the paediatric intensive care unit. RESEARCH METHODOLOGY: Constructivist grounded theory. SETTING: Four Australian paediatric intensive care units. MAIN OUTCOME MEASURES: Semi-structured, audio recorded interviews were undertaken with 26 bereaved parents 6-48 months after their child's death...
December 29, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29223413/predictors-of-pressure-ulcer-risk-in-adult-intensive-care-patients-a-retrospective-case-control-study
#15
Ana Beatriz de Almeida Medeiros, Maria Isabel da Conceição Dias Fernandes, Jéssica Dantas de Sá Tinôco, Marcelly Santos Cossi, Marcos Venicios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira
OBJECTIVES: To evaluate the predictive power of risk factors for pressure ulcers in adult intensive care patients. METHOD: A retrospective case-control study was performed utilising a heterogeneous sample group allocated into a case group with pressure ulcers (n=90) and a control group without pressure ulcers (n=90). The analysis explored the predictive power of risk factors for pressure ulcers using a hierarchical logistic regression model. RESULTS: The risk factors that predicted pressure ulcers were friction (OR=5...
December 6, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28869145/the-early-diagnosis-and-management-of-mixed-delirium-in-a-patient-placed-on-ecmo-and-with-difficult-sedation-a-case-report
#16
María Acevedo-Nuevo, Maria Teresa González-Gil, Miguel Ángel Romera-Ortega, Ignacio Latorre-Marco, Maria Dolores Rodríguez-Huerta
Delirium represents a serious problem that impacts the physical and cognitive prognosis of patients admitted to intensive care units and requires prompt diagnosis and management. This article describes the case and progress of a patient placed on Extracorporeal Membrane Oxygenation with difficult sedation criteria and an early diagnosis of mixed delirium. During the case report, we reflect on the pharmacological and non-pharmacological strategies employed to cope with delirium paying special attention to the non-use of physical restraint measures in order to preserve vital support devices (endotracheal tube or Extracorporeal Membrane Oxygenation cannula)...
February 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29055554/preventing-central-venous-line-related-bloodstream-infections-in-adult-icus-start-from-the-basics-and-bundle
#17
EDITORIAL
Kostoula Arvaniti
No abstract text is available yet for this article.
December 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29183644/the-meaning-of-personal-diaries-to-children-and-families-in-the-paediatric-intensive-care-unit-a-qualitative-study
#18
Gitte Mikkelsen
OBJECTIVE: To explore children's' and families' experiences of using intensive care diaries after discharge and the role of diaries in the process of recovering from a stay in the paediatric intensive care unit. DESIGN AND SETTING: Qualitative, exploratory design. Data collection consisted of semi-structured interviews with five children and their families, conducted four to six months after discharge from the intensive care unit. Inclusion criteria were children and their families, with a stay for more than three days who had a diary written for them...
November 25, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29169879/a-qualitative-study-of-factors-that-influence-active-family-involvement-with-patient-care-in-the-icu-survey-of-critical-care-nurses
#19
Breanna Hetland, Natalie McAndrew, Joseph Perazzo, Ronald Hickman
OBJECTIVE: Family caregiver involvement may improve patient and family outcomes in the intensive care unit. This study describes critical care nurses' approaches to involving family caregivers in direct patient care. RESEARCH METHODOLOGY/DESIGN: This is a qualitative content analysis of text captured through an electronic survey. SETTING: A convenience sample of 374 critical care nurses in the United States who were subscribers to one of the American Association of Critical Care Nurses social media sites or electronic newsletters...
November 20, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29158024/evaluation-of-the-simplified-therapeutic-intervention-scoring-system-chinese-version
#20
Zi-Wen Wang, Jing Zheng, Li-Ming You, Yue-Xiu Wang, Ming-Rong Gao, Xiang-Dong Guan
OBJECTIVE: To prepare the Simplified Therapeutic Intervention Scoring System (TISS-28) to measure nursing workload in Intensive Care Units in Guangdong Province of China. METHODS: A non-experimental descriptive study was conducted in the intensive care units in the Province. TISS-28, TISS-76, Acute Physiology and Chronic Health Evaluation (APACHE II) were all measured. RESULTS: There were significant positive correlations between TISS-28 and APACHE II (n=91, r=0...
November 17, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
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