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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/29937078/acceptability-and-feasibility-of-an-interprofessional-end-of-life-palliative-care-educational-intervention-in-the-intensive-care-unit-a-mixed-methods-study
#1
Robyn Graham, Carolan Lepage, Madalina Boitor, Stephanie Petizian, Lise Fillion, Céline Gélinas
OBJECTIVES: This study aimed to describe a seven hour End-of-Life/Palliative Care educational intervention including online content related to symptom management, communication and decision-making capacity and an in-person group integration activity, from the perspective of the interprofessional team in terms of its acceptability and feasibility. RESEARCH DESIGN: A mixed-methods study design was used. SETTING AND SAMPLE: The study was conducted in a medical-surgical Intensive Care Unit in Montreal, Canada...
June 21, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29937077/developing-family-centred-care-in-a-neonatal-intensive-care-unit-an-action-research-study
#2
Caryl Skene, Kate Gerrish, Fiona Price, Elizabeth Pilling, Pauline Bayliss, Siobhan Gillespie
AIM: To develop, implement and evaluate family-centred interventions to promote parental involvement in caregiving in a Neonatal Intensive Care Unit. METHODOLOGY: A participatory action research approach was used to implement two changes in practice a) improved skin-to-skin contact b) unlimited parental presence at the cot-side. The changes were underpinned by a family-centred philosophy of care and education. Data were collected from staff using a questionnaire, focus groups and interviews, and from parents using focus groups and interviews...
June 21, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29937076/stress-stress-related-symptoms-and-social-support-among-taiwanese-primary-family-caregivers-in-intensive-care-units
#3
Pei-Yu Chang, Hsiang-Ping Wang, Tsai-Hsiu Chang, Jung-Min Yu, Shih-Yu Lee
OBJECTIVES: To explore the associations between stress, sleep disturbances, fatigue severity and social support among primary family caregivers in intensive care units during the early period of ICU hospitalisation. DESIGN: Cross-sectional, descriptive correlational study. SETTING: Intensiev Care Units in a teaching hospital in Taiwan. MAIN OUTCOME MEASURES: Perceived stress (Impact of Events Scale-Revised), sleep disturbances (General Sleep Disturbance Scale), fatigue severity (Lee's Fatigue Scale), social support (Norbeck Social Support Questionnaire and one open-ended question)...
June 21, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29937075/post-traumatic-stress-symptoms-in-family-caregivers-of-intensive-care-unit-patients-a-longitudinal-study
#4
Hanne Birgit Alfheim, Kristin Hofsø, Milada Cvancarova Småstuen, Kirsti Tøien, Leiv Arne Rosseland, Tone Rustøen
OBJECTIVES: To describe the prevalence and trajectory of family caregivers' post-traumatic stress symptoms during the first year after a patient's admission to the intensive care unit and identify associations between family caregivers' background characteristics, hope and post-traumatic stress symptoms. RESEARCH METHODOLOGY/DESIGNS: Family caregivers of intensive care unit patients (n = 211) completed questionnaires at patient admission to the intensive care unit and thereafter at 1, 3, 6, and 12 months...
June 21, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29937074/experiences-of-family-caregivers-the-first-six-months-after-patient-diagnosis-of-necrotising-soft-tissue-infection-a-thematic-analysis
#5
Vibeke E Knudsen, Annette E Andersson, Ann-Mari Fagerdahl, Ingrid Egerod
BACKGROUND: Necrotising soft tissue infection, or necrotising fasciitis, is a rapidly progressing disease requiring immediate diagnosis and treatment consisting of antimicrobial therapy, hyperbaric oxygen, debridement surgery and treatment in the intensive care unit. The harrowing illness trajectory affects the family caregivers potentially producing long-term psychological issues. OBJECTIVES: We aimed to explore the experiences and coping strategies of family caregivers during the first six months after patient diagnosis of necrotising soft tissue infection...
June 21, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29937073/the-gastro-renal-effects-of-intra-abdominal-hypertension-implications-for-critical-care-nurses
#6
REVIEW
Sherree Gray, Martin Christensen, Judy Craft
Intra-abdominal hypertension is classified as either primary or secondary - primary occurs due to intra-abdominal or retro-peritoneal pathophysiology, whereas secondary results in alterations in capillary fluid dynamics due to factors, such as massive fluid resuscitation and generalised inflammation. The renal and gastro-intestinal effects occur early in the progression of intra-abdominal hypertension, and may lead to poor patient outcomes if not identified. As a direct response to intra-abdominal hypertension, renal function is reduced with remarkable impairment from pressures of around 10 mmHg, oliguria developing at 15 mmHg and anuria developing at 30 mmHg...
June 21, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29935980/development-and-initial-validation-of-the-swedish-family-satisfaction-intensive-care-questionnaire-sfs-icq
#7
Johan Thermaenius, Anna Schandl, Kerstin Prignitz Sluys
OBJECTIVES: Measuring patients satisfaction is an important part of continuous quality improvement in health care. In intensive care, family satisfaction is often used as a proxy for patient experience. At present, no suitable instrument to measure this has been fully validated in Sweden. The purpose of this study was to develop and validate a questionnaire intended to evaluate families' satisfaction of quality of care in Swedish intensive care units. METHODS: Based on literature and the modification of pertinent items in two existing North American questionnaires, a Swedish questionnaire was developed...
June 20, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29880420/thomas-d-thompson-j-ridler-b-eds-all-blood-counts-a-manual-for-blood-conservation-and-patient-blood-management-nr-shrewsbury-uk-tfm-publishing-limited-2016
#8
Mary P McNicholl
No abstract text is available yet for this article.
June 4, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29793861/critical-care-nurses-knowledge-of-alarm-fatigue-and-practices-towards-alarms-a-multicentre-study
#9
Siobhán Casey, Gloria Avalos, Maura Dowling
OBJECTIVES: To determine critical care nurses' knowledge of alarm fatigue (AF) and practices toward alarms in critical care settings. RESEARCH METHODOLOGY/DESIGN: A cross-sectional survey using an adaptation of The Health Technology Foundation Clinical Alarms Survey. SETTING: A sample of critical care nurses (n = 250) from 10 departments across six hospitals in Ireland. RESULTS: A response rate of 66% (n = 166) was achieved...
May 21, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29776706/gaps-in-pain-agitation-and-delirium-management-in-intensive-care-outputs-from-a-nurse-workshop
#10
REVIEW
Carsten Hermes, Maria Acevedo-Nuevo, Andrea Berry, Thomas Kjellgren, Alessandra Negro, Paola Massarotto
Significant improvements in our understanding of pain, agitation, and delirium management within the Intensive Care Unit have been made in recent years. International guidelines and implementation bundles have become more evidence-based, patient-centred, and provide clear recommendations on the best-practice management of critically ill patients. However, the intensive care community has highlighted the need for higher-order evidence in several areas of pain, agitation and delirium research and studies suggest that a significant number of intensive care patients still receive outdated treatment as a consequence of inadequate guideline implementation...
May 15, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29759848/the-health-care-system-is-making-too-much-noise-to-provide-family-centred-care-in-neonatal-intensive-care-units-perspectives-of-health-care-providers-and-hospital-administrators
#11
Karen M Benzies, Vibhuti Shah, Khalid Aziz, Abhay Lodha, Renée Misfeldt
AIM: To describe the perspectives of health care providers and hospital administrators on their experiences of providing care for infants in Level II neonatal intensive care units and their families. RESEARCH METHODS: We conducted 36 qualitative interviews with neonatal health care providers and hospital administrators and analysed data using a descriptive interpretive approach. SETTING: 10 Level II Neonatal Intensive Care Units in a single, integrated health care system in one Canadian province...
May 11, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29731406/the-health-promoting-conversations-intervention-for-families-with-a-critically-ill-relative-a-pilot-study
#12
S Ågren, A Eriksson, M Fredrikson, G Hollman-Frisman, L Orwelius
BACKGROUND: After intensive care unit treatment, patients often have prolonged impairments that affect their physical, cognitive and mental health. Family members can face overwhelming and emotionally challenging situations and their concerns and needs must be addressed. OBJECTIVE: We investigated the outcomes of pilot randomised control trial, a nurse-led family intervention, Health Promoting Conversations, which focused on family functioning and wellbeing in families with a critically ill member...
May 3, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29730086/implementation-and-evaluation-of-a-follow-up-programme-after-intensive-care-treatment-a-practice-development-project
#13
Margo van Mol, Erwin Ista, Monique van Dijk
OBJECTIVES: This study aimed to measure the effects of a newly developed follow-up programme on intensive care unit patient quality of care, as perceived by their relatives, and the appropriateness of the programme according to nurses. METHODS AND SETTING: This before and after implementation study was conducted in a level III intensive care unit for adult patients and related follow-up wards and included 135 intensive care nurses and 105 general ward nurses. The implemented programme included a personalised poster, a revised discharge protocol and follow-up visits on the ward...
May 2, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29699912/preferences-of-patients-family-regarding-family-witnessed-cardiopulmonary-resuscitation-a-qualitative-perspective-of-intensive-care-patients-family-members
#14
Natalia Sak-Dankosky, Paweł Andruszkiewicz, Paula R Sherwood, Tarja Kvist
OBJECTIVES: To describe preferences of intensive care patients' family members regarding the idea of an inpatient family-witnessed cardiopulmonary resuscitation. RESEARCH METHODOLOGY/DESIGN: A descriptive qualitative design was used in this study. Twelve family members of intensive care patients took part in individual semi-structured interviews. Data were analysed using thematic analysis. SETTING: A population of Finnish and Polish former intensive care adult patients' relatives...
April 23, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29914652/delirium-introduction-to-a-confused-mind
#15
EDITORIAL
Bart Van Rompaey, Kelly Sabbe, Tinne Dilles, Mark van den Boogaard
No abstract text is available yet for this article.
August 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29880421/intensive-care-unit-diaries-a-critical-appraisal
#16
EDITORIAL
Eva Åkerman
No abstract text is available yet for this article.
August 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29776707/unplanned-extubations-in-an-intensive-care-unit-findings-from-a-critical-incident-technique
#17
Matteo Danielis, Simona Chiaruttini, Alvisa Palese
BACKGROUND: Patients on mechanical ventilation are at risk of experiencing a potentially life-threatening unplanned extubation in the intensive care unit, which can lead to arrhythmias, bronchial aspiration, difficulty in reintubation or even sudden cardiac arrest. Although incidence and outcomes of the phenomenon have been documented in several quantitative studies, no studies have investigated the antecedents as experienced by critical care nurses. OBJECTIVES: To gain a greater understanding of the antecedents of unplanned extubations...
August 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29753599/carbon-monoxide-poisoning-in-a-young-healthy-patient-a-case-study-of-heart-failure-recovery-after-hyperbaric-oxygenation-treatment
#18
Michael Kuniavsky, Yair Bechor, Marina Leitman, Shai Efrati
The effectiveness of hyperbaric oxygen treatment for acute cardiac diseases is unknown. Similarly, the effectiveness of hyperbaric oxygen treatment for carbon monoxide intoxication is also unknown, particularly for cases in which carboxyhemoglobin (COHb) levels return to normal. Our case study revolved around a healthy twenty-year-old male patient, who suffered from carbon monoxide intoxication. The patient presented to the Emergency Department unconscious. Blood workup revealed significant carbon monoxide intoxication and cardiac injury (COHb = 41%, troponin T = 0...
August 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29739651/he-survived-thanks-to-a-non-sedation-protocol-nurses-reflections-about-caring-for-critically-ill-non-sedated-and-mechanically-ventilated-patients
#19
Ranveig Lind, Hilde-Irén Liland, Berit S Brinchmann, Inga Akeren
OBJECTIVE: The objective was to explore ICU nurses' experiences of caring for non-sedated, critically ill mechanically ventilated patients, when following a study protocol as part of a clinical trial. DESIGN: The study had a qualitative design with twelve nurses participating in two focus groups. The interviews were analysed using a thematic approach. FINDINGS: One overall theme emerged, "Cautious optimism", which suggests positive experiences but with a negative undertone...
August 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29735284/music-intervention-to-prevent-delirium-among-older-patients-admitted-to-a-trauma-intensive-care-unit-and-a-trauma-orthopaedic-unit
#20
Kari Johnson, Julie Fleury, Darya McClain
PURPOSE: Evaluate music listening for delirium prevention among patients admitted to a Trauma Intensive Care and Trauma Orthopaedic Unit. The Roy Adaptation Model provided the theoretical framework focusing on modifying contextual stimuli. METHODS: Randomised controlled trial, 40 patients aged 55 and older. INTERVENTION: Participants randomly assigned to receive music listening or usual care for 60 minutes, twice a day, over three days. Pre-recorded self-selected music using an iPod and headsets, with slow tempo, low pitch and simple repetitive rhythms to alter physiologic responses...
August 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
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