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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/27899248/unexplained-increases-in-serum-vancomycin-concentration-in-a-morbidly-obese-patient
#1
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
#2
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
#3
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
#4
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/27843027/investigation-of-the-efficacy-of-colorimetric-capnometry-method-used-to-verify-the-correct-placement-of-the-nasogastric-tube
#5
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...
November 11, 2016: 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
#6
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...
November 8, 2016: 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
#7
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...
October 21, 2016: 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
#8
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...
October 5, 2016: 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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/27522306/consolation-or-confrontation-when-interacting-through-an-icu-diary-a-phenomenological-hermeneutical-study
#15
Anne Højager Nielsen, Sanne Angel
OBJECTIVES: Exploring relatives' experience of interaction with other relatives when writing a diary for the critically ill patient. RESEARCH METHODOLOGY: Qualitative interview data were analysed using a phenomenological-hermeneutical approach building on the theory of Ricoeur. SETTING: Seven relatives, who had written a diary when their close relative was admitted to the intensive care unit at a regional hospital in Denmark, were interviewed after the patient had been discharged...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27503771/continuous-care-and-patients-basic-needs-during-weaning-from-mechanical-ventilation-a-qualitative-study
#16
Ali Khalafi, Nasrin Elahi, Fazlollah Ahmadi
BACKGROUND: Mechanical ventilation is associated with a number of risks and complications. Thus, rapid and safe weaning from mechanical ventilation is of great importance. Weaning is a complex and challenging process, requiring continuous care and knowledge of the patient. AIMS: The aim of the present study was to describe the continuous care process during weaning as well as to analyse the facilitators and obstacles to the weaning process from start to finish from the perspective of intensive care unit (ICU) staff, particularly nurses...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27436678/impact-of-an-aseptic-procedure-for-breaking-the-integrity-of-the-urinary-drainage-system-on-the-development-of-catheter-associated-urinary-tract-infections-in-the-intensive-care-unit
#17
Jan Powers
BACKGROUND: Catheter associated urinary tract infections (CAUTI) are a common complication in the hospital, especially in intensive care units (ICU). These infections are directly linked to the use of an indwelling urinary catheter. One commonly identified factor related to the development of CAUTI has been thought to be violating the integrity of the closed drainage system. However, a paucity of research exists to support or refute this practice. OBJECTIVE: The primary purpose of this observational study was to assess if there is a relationship between CAUTI incidence and breaking the closed drainage system using an aseptic procedure...
December 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27423907/quality-improvements-in-potassium-replenishment-in-intensive-critical-care-units
#18
LETTER
Ling-Ling Zhu, Quan Zhou
No abstract text is available yet for this article.
October 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27287736/a-qualitative-exploration-into-the-long-term-perspectives-of-patients-receiving-critical-care-diaries-across-the-united-kingdom
#19
Geraldine O'Gara, Natalie Pattison
BACKGROUND: Increasing evidence suggests the use of a diary with entries by nurses, doctors, AHPs and the patient's family can potentially help by "filling in the gaps" and help the patient make sense of a time that they have forgotten or feel confused and have fears about. AIMS: A qualitative exploration of the impact of diaries on critical care patients around the United Kingdom in order to describe the long-term effects of patient diaries. METHODS: In-depth qualitative interviews, using principles of grounded theory, via telephone and email were undertaken...
October 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27283118/continuous-venovenous-renal-replacement-therapy-in-critically-ill-patients-a-work-load-analysis
#20
Marjorie Houllé-Veyssière, Audrey Courtin, Norddine Zeroual, Philippe Gaudard, Pascal H Colson
OBJECTIVES: To evaluate the nursing workload related to two techniques of continuous renal replacement therapy. RESEARCH METHODOLOGY: We analysed retrospectively the nursing work load caused directly by continuous renal replacement therapy in a cohort of patients admitted consecutively over 10 months. Two types of continuous renal replacement therapy have been compared: dialysis with regional citrate anticoagulation and haemodiafiltration with systemic heparin coagulation...
October 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
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