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Nursing in Critical Care

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https://www.readbyqxmd.com/read/28677878/hypocalcaemia-induced-tetany-secondary-to-total-thyroidectomy-a-nursing-case-review
#1
Shannon Bakon, Judy Craft, Martin Christensen
Presentations to the emergency department with a diagnosis of hypocalcaemia-induced tetany secondary to total thyroidectomy are rare. A patient presented to the emergency department of a regional Australian hospital with hypocalcaemia-induced tetany. A case study was employed to reflect on the care provided and identify knowledge practice deficits within this unusual patient presentation. Calcium plays a central role within the nervous system and is vital for both cardiac and muscular contraction. The clinical manifestations of electrolyte disturbances such as hypocalcaemia can be life threatening, and therefore, appropriate assessment, monitoring and management are essential to ensure positive patient outcomes...
July 5, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28640510/paediatric-intensive-care-nurses-decision-making-around-gastric-residual-volume-measurement
#2
Lyvonne N Tume, Lynne Latten, Lindsay Kenworthy
BACKGROUND: Measuring gastric residual volume (GRV) to guide enteral feeding is a common nursing practice in intensive care units, yet little evidence supports this practice. In addition, this practice has been shown to potentially contribute to inadequate energy delivery in intensive care, which remains a problem in critically ill children. AIMS: We aimed to explore paediatric intensive care nurses' decision-making surrounding this practice. METHODS: This is a cross-sectional electronic survey in a single mixed general and cardiac surgical PICU in the UK...
June 22, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28640509/meeting-the-needs-of-critical-care-patients-after-discharge-home-a-qualitative-exploratory-study-of-patient-perspectives
#3
Laura Allum, Bronwen Connolly, Eamonn McKeown
BACKGROUND: With improved survival rates in critical care, increasing focus is being placed on survivorship and how best to support patients in returning to their former activity. Little is known about what support patients themselves view as important, and this has implications for the efficacy and acceptability of services provided. OBJECTIVES: To describe former critical care patients' perspectives on the support needed to optimize recovery. STUDY DESIGN: This is a qualitative exploratory study of the experiences of support received by critical care survivors...
June 22, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28612365/knowledge-attitude-and-practice-of-intensive-care-unit-nurses-about-physical-restraint
#4
Mohammad Suliman, Sami Aloush, Khitam Al-Awamreh
BACKGROUND: Physical restraint is mainly used in intensive care units (ICUs) to prevent delirious or agitated patients from removing tubes and lines connected to them. However, inappropriate use of physical restraint could have many detrimental physical effects on the patient, such as nerve damage, asphyxiation or even death. AIM: The aim of the study is to investigate nurses' knowledge, attitude and practice of physical restraint in ICUs in Jordanian hospitals, about which little is known...
June 13, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28593721/nurse-patient-communication-within-the-context-of-non-sedated-mechanical-ventilation-a-hermeneutic-phenomenological-study
#5
A Holm, P Dreyer
AIMS AND OBJECTIVES: To explore non-sedated mechanically ventilated patients' communication with nurses in the intensive care unit. BACKGROUND: Mechanically ventilated patients are temporarily voiceless, making interpersonal communication complex. Both nurses and patients find communication challenging and may experience negative emotions when communication fails. In Nordic countries, sedation protocols have changed to light/non-sedation, resulting in more patients being conscious and more clinical practitioners experiencing communication difficulties...
June 7, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28573820/aromatherapy-massage-versus-reflexology-on-female-elderly-with-acute-coronary-syndrome
#6
Tahereh Bahrami, Nahid Rejeh, Majideh Heravi-Karimooi, Mojtaba Vaismoradi, Seyed Davood Tadrisi, Christina L Sieloff
BACKGROUND: Fatigue and abnormalities in cardiovascular parameters are recognized as major problems for patients with acute coronary syndrome. Non-pharmacological nursing interventions are useful for controlling this fatigue and reducing patients' suffering during hospitalization. AIM: The present study compared the effects of aromatherapy massage and reflexology on fatigue and cardiovascular parameters in older female patients with acute coronary syndrome. DESIGN: This study was a randomized clinical trial...
June 2, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28632982/regional-news-and-events
#7
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28632981/baccn-twitter-chats
#8
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28632980/are-you-interested-in-joining-the-baccn-national-board
#9
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28632979/baccn-clinically-commissioned-papers
#10
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28632978/what-s-in-this-issue
#11
EDITORIAL
Julie Scholes, Josef Trapani
No abstract text is available yet for this article.
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28632977/32nd-annual-baccn-conference
#12
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28632976/succession-planning-a-case-for-revisiting-the-process-in-critical-care
#13
EDITORIAL
Julie Scholes, Josef Trapani
No abstract text is available yet for this article.
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28371230/a-post-cardiac-surgery-intervention-to-manage-delirium-involving-families-a-randomized-pilot-study
#14
Tanya Mailhot, Sylvie Cossette, José Côté, Anne Bourbonnais, Marie-Claude Côté, Yoan Lamarche, André Denault
BACKGROUND: As many delirium manifestations (e.g., hallucinations or fears) are linked to patients' experiences and personality traits, it is suggested that interventions should be tailored to optimize its management. The inclusion of family members, as part of an intervention, has recently emerged as a solution to developing individualised patient care, but has never been assessed in post-cardiac surgery intensive care unit where almost half of patients will present with delirium. AIMS: To assess the feasibility, acceptability and preliminary efficacy of an nursing intervention involving family caregivers (FC) in delirium management following cardiac surgery...
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/26256561/the-satisfaction-of-families-in-the-care-of-their-loved-ones-in-ccus-in-lebanon
#15
Madeleine Hajj, Taline Gulgulian, Lili Haydar, Amali Saab, Fatima Dirany, Lina Kurdahi Badr
BACKGROUND: The needs of family members vary among cultures and hospitals. Often, these needs remain unmet increasing their stress and anxiety and decreasing their satisfaction with care, which may negatively impact the quality of patient care. AIMS: To assess the satisfaction of families with the care of their loved ones in critical care units (CCUs) in a large university medical centre in Lebanon and to assess the predictors of satisfaction. METHODS: A cross-sectional descriptive design was conducted using the Critical Care Family Satisfaction Survey (CCFSS)...
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/26031857/nurses-perceptions-of-working-with-families-in-the-paediatric-intensive-care-unit
#16
Ashleigh Butler, Georgina Willetts, Beverley Copnell
BACKGROUND: Research exploring nurses' experiences working with families in paediatric intensive care unit (PICU) is limited. No studies have been undertaken in a mixed adult-paediatric ICU. OBJECTIVES: To explore nurses' perceptions of working with families of critically ill children in a mixed adult-paediatric intensive care unit (ICU). DESIGN: Descriptive qualitative design. METHODOLOGY: Five PICU nurses participated in semi-structured interviews...
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/25690540/nursing-patients-with-chronic-critical-illness-and-their-families-a-qualitative-study
#17
Doris Leung, Margaret Blastorah, Linda Nusdorfer, Angie Jeffs, Judy Jung, Doris Howell, Lise Fillion, Louise Rose
BACKGROUND: chronic critical illness (CCI) is a complex syndrome with a high risk of dying in hospital. Intensive care unit nurses are well-positioned to lead conversations integrating palliative and end-of-life care, yet have reported limited involvement. AIM: To generate further understanding of nurses' experiences of patients with CCI and their families. DESIGN AND METHODS: This qualitative study followed Thorne's interpretive description methods...
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/25688675/post-icu-symptoms-consequences-and-follow-up-an-integrative-review
#18
Helle Svenningsen, Leanne Langhorn, Anne Sophie Ågård, Pia Dreyer
AIM: To determine the symptoms seen in patients after discharge from an intensive care unit (ICU) and the follow-up programmes offered to help patients deal with the problems that arise after an ICU stay. BACKGROUND: An increasing number of people are discharged from an ICU to continued treatment, care and rehabilitation in general hospital wards, rehabilitation facilities and at home. A prolonged stay in an ICU is associated with stressful memories that have long-term physical, mental and social consequences for health-related quality of life...
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/25270892/sleep-in-the-intensive-care-unit%C3%A2-%C3%A2-nurses-documentation-and-patients-perspectives
#19
Marita Ritmala-Castren, Anna Axelin, Kaija Kiljunen, Carita Sainio, Helena Leino-Kilpi
BACKGROUND: Inability to sleep is one of the most distressing factors for patients in the intensive care unit (ICU). Sleep is perceived as light and awakenings are numerous. Nurses' documentations of sleep are narrow, mainly concentrating on the quantity and general quality. Nurses should diversely evaluate, document and promote sleep to provide patient centered care. AIM: To investigate the content of nurses' documentation about the sleep of ICU patients, patients' own perceptions of sleep, and the correspondence of the two...
July 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/28523698/survey-among-critical-care-nurses-and-physicians-about-delirium-management
#20
Peter Nydahl, Michael Dewes, Rolf Dubb, Carsten Hermes, Arnold Kaltwasser, Susanne Krotsetis, Rebecca von Haken
BACKGROUND: Delirium is a serious complication in patients in intensive care units. Previous surveys on delirium management in daily practice showed low adherence to published guidelines. AIM: To evaluate delirium management in nurses and physicians working in intensive care units in German-speaking countries and to identify related differences between nurses and physicians. DESIGN: The study used an open online survey with multiple-choice responses...
May 18, 2017: Nursing in Critical Care
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