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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/27956247/computerised-insulin-dosing-calculators-for-the-management-of-continuous-insulin-infusions-after-cardiac-surgery-a-systematic-review-and-meta-analysis
#1
REVIEW
Megan H Higgs, Ritin S Fernandez
OBJECTIVES: To investigate the effectiveness of computerised insulin dosing calculators for the management of continuous insulin infusions in adult patients who underwent cardiac surgery. METHOD: A systematic review was conducted. The CINAHL, MEDLINE and Cochrane databases were searched for primary studies that compared a computerised insulin dosing calculator to a paper protocol. The main outcome measures were mean Blood Glucose Level (BGL), time to achieve BGL target range, time spent within BGL target range, the incidence of hyperglycaemia and the incidence of hypoglycaemia...
December 9, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27899248/unexplained-increases-in-serum-vancomycin-concentration-in-a-morbidly-obese-patient
#2
REVIEW
Sean P Kane, Scott D Hanes
INTRODUCTION: To report a case of increases in vancomycin concentrations without additional vancomycin doses being given. CASE STUDY: A 64 year-old morbidly obese female received three total doses of vancomycin for surgical prophylaxis and for ventilator-associated pneumonia. Subsequent vancomycin concentrations from the patient's central venous catheter (CVC) demonstrated increasing drug levels from 27.1 to 45.9mcg/mL despite no additional vancomycin being given and proper line flushing prior to sample collection...
November 26, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27890305/capacity-building-for-critical-care-training-delivery-development-and-evaluation-of-the-network-for-improving-critical-care-skills-training-nicst-programme-in-sri-lanka
#3
Tim Stephens, A Pubudu De Silva, Abi Beane, John Welch, Chathurani Sigera, Sunil De Alwis, Priyantha Athapattu, Dilantha Dharmagunawardene, Lalitha Peiris, Somalatha Siriwardana, Ashoka Abeynayaka, Kosala Saroj Amarasena Jayasinghe, Palitha G Mahipala, Arjen Dondorp, Rashan Haniffa
OBJECTIVES: To deliver and evaluate a short critical care nurse training course whilst simultaneously building local training capacity. RESEARCH METHODOLOGY: A multi-modal short course for critical care nursing skills was delivered in seven training blocks, from 06/2013-11/2014. Each training block included a Train the Trainer programme. The project was evaluated using Kirkpatrick's Hierarchy of Learning. There was a graded hand over of responsibility for course delivery from overseas to local faculty between 2013 and 2014...
November 24, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27887881/sedation-versus-no-sedation-are-there-differences-in-relatives-satisfaction-with-the-intensive-care-unit-a-survey-study-based-on-data-from-a-randomised-controlled-trial
#4
Eva Laerkner, Thomas Stroem, Palle Toft
BACKGROUND: Currently there is a trend towards less or no use of sedation of mechanically ventilated patients. Still, little is known about how different sedation strategies affect relatives' satisfaction with the Intensive Care Unit (ICU). AIM: To explore if there was a difference in relatives' personal reactions and the degree of satisfaction with information, communication, surroundings, care and treatment in the ICU between relatives of patients who receive no sedation compared with relatives of patients receiving sedation during mechanical ventilation in the ICU...
November 22, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27876409/knowledge-and-practice-of-intensive-care-nurses-for-endotracheal-suctioning-in-a-teaching-hospital-in-western-turkey
#5
Gül Bülbül Maraş, Elem Kocaçal Güler, İsmet Eşer, Şükran Köse
OBJECTIVES: This study was conducted to determine intensive care nurses' knowledge and practice levels regarding open system endotracheal suctioning and to investigate if there is a relationship between nurses' demographic characteristics and their knowledge and practice. RESEARCH METHODOLOGY/DESIGN: The study was conducted as a cross-sectional and non-participant structured observational design. Data were collected using a 45-item structured and self-administered questionnaire and a 31-item observational checklist...
November 19, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27955753/corrigendum-to-a-study-on-reliability-and-validity-of-the-turkish-version-of-the-face-anxiety-scale-on-mechanically-ventilated-patients-intensive-crit-care-nurs-37-2016-46-51
#6
Emine Iyigun, Berrin Pazar, Sevinc Tastan
No abstract text is available yet for this article.
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27843027/investigation-of-the-efficacy-of-colorimetric-capnometry-method-used-to-verify-the-correct-placement-of-the-nasogastric-tube
#7
Saadet Erzincanli, Ayten Zaybak, Ayşe Güler
OBJECTIVES: This present study was designed to determine the efficacy of the colorimetric capnometry method used to verify the correct placement of the nasogastric tube. METHODS: The present study comprised forty patients who had a nasogastric tube inserted and were being monitored in the adult intensive care unit. After the insertion of the nasogastric tube, 40 colorimetric capnometry and 40 auscultation measurements were performed. Auscultation and colorimetric capnometry results were compared with tube placement results confirmed radiologically...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27836262/tissue-interface-pressure-and-skin-integrity-in-critically-ill-mechanically-ventilated-patients
#8
Mary Jo Grap, Cindy L Munro, Paul A Wetzel, Christine M Schubert, Anathea Pepperl, Ruth S Burk, Valentina Lucas
OBJECTIVE: To describe tissue interface pressure, time spent above critical pressure levels and the effect on skin integrity at seven anatomical locations. DESIGN, SETTING, PATIENTS: Descriptive, longitudinal study in critically ill mechanically ventilated adults, from Surgical Trauma ICU-STICU; Medical Respiratory ICU-MRICU; Neuroscience ICU-NSICU in a Mid-Atlantic urban university medical centre. Subjects were enroled in the study within 24hours of intubation...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27776897/measurement-of-parent-satisfaction-in-the-paediatric-intensive-care-unit-translation-cultural-adaptation-and-psychometric-equivalence-for-the-french-speaking-version-of-the-empathic-65-questionnaire
#9
Chantal Grandjean, Jos M Latour, Jacques Cotting, Marie-Christine Fazan, Stéphane Leteurtre, Anne-Sylvie Ramelet
INTRODUCTION: Within paediatric intensive care units (PICUs), only a few parent satisfaction instruments are validated and none are available for French-speaking parents. The aims of the study were to translate and culturally adapt the Dutch EMPATHIC-65 questionnaire into a French version and to test its psychometric equivalence. METHODS: Two French-speaking PICUs in Switzerland and France participated. The questionnaire was translated using a standardised method and parents with PICU experience were interviewed to assess clarity of the translated version...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27720317/developing-professional-habits-of-hand-hygiene-in-intensive-care-settings-an-action-research-intervention
#10
Giuseppe Battistella, Giuliana Berto, Stefania Bazzo
OBJECTIVES: To explore perceptions and unconscious psychological processes underlying handwashing behaviours of intensive care nurses, to implement organisational innovations for improving hand hygiene in clinical practice. RESEARCH METHODOLOGY: An action-research intervention was performed in 2012 and 2013 in the intensive care unit of a public hospital in Italy, consisting of: structured interviews, semantic analysis, development and validation of a questionnaire, team discussion, project design and implementation...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27600028/diagnosing-delirium-in-very-elderly-intensive-care-patients
#11
Natalie R Heriot, Michele R Levinson, Amber C Mills, Thinn Thinn Khine, Anthea L Gellie, Gaya Sritharan
OBJECTIVE: To determine the incidence of delirium in elderly intensive care patients and to compare incidence using two retrospective chart-based diagnostic methods and a hospital reporting measure (ICD-10). DESIGN: Retrospective study. SETTING: An ICU in a large metropolitan private hospital in Melbourne, Australia. PATIENTS: English-speaking participants (n=348) 80+ years, admitted to ICU for >24 hours. MEASUREMENTS AND MAIN RESULTS: Medical files of ICU patients admitted October 2009-October 2012 were retrospectively assessed for delirium using the Inouye chart review method, DSM-IV diagnostic criteria and ICD-10 coding data...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27567305/perceived-and-actual-noise-levels-in-critical-care-units
#12
Brittany Lynn White, Meg Zomorodi
PURPOSE: To compare the noise levels perceived by critical care nurses in the Intensive Care Unit (ICU) to actual noise levels in the ICU. METHODS: Following a pilot study (n=18) and revision of the survey tool, a random sample of nurses were surveyed twice in a 3-day period (n=108). Nurses perception of noise was compared to the actual sound pressure level using descriptive statistics. MAJOR RESULTS: Nurses perceived the ICUs to be noisier than the actual values...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27526626/parents-experience-of-a-follow-up-meeting-after-a-child-s-death-in-the-paediatric-intensive-care-unit
#13
Helle L Brink, Anja K Thomsen, Eva Laerkner
OBJECTIVE: 'To identify parents' experience of a follow up meeting and to explore whether the conversation was adequate to meet the needs of parents for a follow-up after their child's death in the Paediatric Intensive Care Unit (PICU). DESIGN AND SETTING: Qualitative method utilising semi-structured interviews with six pairs of parents 2-12 weeks after the follow-up conversation. The interviews were held in the parents' homes at their request. Data were analysed using a qualitative, descriptive approach and thematic analysis...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27395368/evaluation-of-current-feeding-practices-in-the-critically-ill-a-retrospective-chart-review
#14
Melissa Lottes Stewart, Martha Biddle, Travis Thomas
BACKGROUND: Worldwide, malnutrition is an important issue in the care of the critically ill which is associated with increased costs of care and poor patient outcomes. OBJECTIVES: To evaluate the current state of enteral nutrition in the critically ill in the U.S. in comparison to international practices. RESEARCH METHODOLOGY/DESIGN: A retrospective chart audit was performed utilising a 10% random sample of patients admitted to the Pulmonary Medicine Service at an academic medical center in the U...
February 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27578325/implementing-a-pressure-ulcer-prevention-bundle-in-an-adult-intensive-care
#15
Nahla Tayyib, Fiona Coyer, Peter A Lewis
BACKGROUND: The incidence of pressure ulcers (PUs) in intensive care units (ICUs) is high and numerous strategies have been implemented to address this issue. One approach is the use of a PU prevention bundle. However, to ensure success care bundle implementation requires monitoring to evaluate the care bundle compliance rate, and to evaluate the effectiveness of implementation strategies in facilitating practice change. AIMS: The aims of this study were to appraise the implementation of a series of high impact intervention care bundle components directed at preventing the development of PUs, within ICU, and to evaluate the effectiveness of strategies used to enhance the implementation compliance...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27575619/clinical-nurses-knowledge-level-on-pulse-oximetry-a-descriptive-multi-centre-study
#16
Dragana Milutinović, Gordana Repić, Branimirka Aranđelović
OBJECTIVES: The aim of this study was to assess the level of knowledge on pulse oximetry among nurses. Understanding this is important because insufficient knowledge can lead to misinterpretation of pulse oximetry readings and consequently compromise patient safety. RESEARCH METHODOLOGY: The study was cross-sectional and included a sample of 198 nurses. A modified questionnaire by Kiekkas et al. was used as the research tool. SETTING: Intensive care units, anaesthesiology and emergency departments in two tertiary health care institutions in Serbia...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27575618/sleep-in-family-caregivers-of-icu-survivors-for-two-months-post-icu-discharge
#17
JiYeon Choi, Judith A Tate, Michael P Donahoe, Dianxu Ren, Leslie A Hoffman, Eileen R Chasens
OBJECTIVE: To describe changes in sleep quality in family caregivers of ICU survivors from the patients' ICU admission until two months post-ICU discharge. DESIGN: Descriptive repeated measure design. SETTING: Academic hospital medical ICU. MAIN OUTCOME MEASURES: Subjective sleep quality (Pittsburgh Sleep Quality Index [PSQI]) and objective sleep/wake variables (SenseWear Armband™) were measured in family caregivers at patients' ICU admission, within two weeks post-ICU discharge and two months post-ICU discharge...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27575617/documentation-of-cardiopulmonary-resuscitation-decisions-in-a-new-zealand-hospital-a-prospective-observational-study
#18
Kate L Duplan, Alison M Pirret
INTRODUCTION: Documentation of cardiopulmonary resuscitation (CPR) decisions is often poor. Lack of documented decisions risks inappropriate CPR and staff, patient and family distress. OBJECTIVE: To examine documented evidence of CPR decisions. METHOD: Using a prospective observational design, case notes of current patients in 16 wards were reviewed for documented evidence of CPR decisions. Data were collected over a consecutive two-day period in April 2015...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27554608/intensive-care-nurses-knowledge-of-enteral-nutrition-a-descriptive-questionnaire
#19
Julia Morphet, Angelique B Clarke, Melissa J Bloomer
BACKGROUND: Nurses have an important role in the delivery and management of enteral nutrition in critically ill patients, to prevent iatrogenic malnutrition. It is not clear how nurses source enteral nutrition information. OBJECTIVE: This study aimed to explore Australian nurses' enteral nutrition knowledge and sources of information. DESIGN: Data were collected from members of the Australian College of Critical Care Nurses in May 2014 using an online questionnaire...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27554607/the-role-of-peer-support-in-icu-rehabilitation
#20
Joanne McPeake, Tara Quasim
No abstract text is available yet for this article.
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
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