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Intensive care unit visiting policies

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https://www.readbyqxmd.com/read/28620978/comparison-of-healthcare-utilization-and-life-sustaining-interventions-between-elderly-patients-with-dementia-and-those-with-cancer-near-the-end-of-life-a-nationwide-population-based-study-in-taiwan
#1
Yu-Han Chen, Chung-Han Ho, Chien-Cheng Huang, Ya-Wen Hsu, Yueh-Chun Chen, Ping-Jen Chen, Guan-Ting Chen, Jhi-Joung Wang
AIM: Little is known about the pattern of healthcare services for end-of-life patients with dementia (PwD) in East Asia. We compared this pattern between PwD and cancer patients in their last year of life in Taiwan. METHODS: Taiwan's National Health Insurance Research Database was applied for this case-control analysis. The records of patients who had dementia and died between 2002 and 2011 were reviewed. The control group was decedents with cancer. The utilization of hospitalization, emergency department visits and life-sustaining interventions during the last year of life between the two groups were compared...
June 16, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28554939/simplified-clinical-algorithm-for-identifying-patients-eligible-for-immediate-initiation-of-antiretroviral-therapy-for-hiv-slate-protocol-for-a-randomised-evaluation
#2
Sydney Rosen, Matthew P Fox, Bruce A Larson, Alana T Brennan, Mhairi Maskew, Isaac Tsikhutsu, Margaret Bii, Peter D Ehrenkranz, Wd Francois Venter
INTRODUCTION: African countries are rapidly adopting guidelines to offer antiretroviral therapy (ART) to all HIV-infected individuals, regardless of CD4 count. For this policy of 'treat all' to succeed, millions of new patients must be initiated on ART as efficiently as possible. Studies have documented high losses of treatment-eligible patients from care before they receive their first dose of antiretrovirals (ARVs), due in part to a cumbersome, resource-intensive process for treatment initiation, requiring multiple clinic visits over a several-week period...
May 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28481131/new-visiting-policy-a-step-toward-nursing-ethics
#3
Shiva Khaleghparast, Soodabeh Joolaee, Majid Maleki, Hamid Peyrovi, Behrooz Ghanbari, Naser Bahrani
BACKGROUND: Patients' rights arise from their expectations of the healthcare system, which are rooted in their needs. Visitation is seen as a necessary need for patients and families in intensive care units. OBJECTIVES: The authors attempted to design, implement, and evaluate a new visiting policy in the intensive care units. RESEARCH DESIGN: This study was an action research, including two qualitative and quantitative approaches. Participants and research context: The viewpoints of 51 participants (patients, families, doctors, nurses, and guards) on how to change the limited visiting policy were explained through semi-structured interviews and focus groups...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28375997/patients-and-families-satisfaction-with-visiting-policies-in-cardiac-intensive-care-units
#4
Shiva Khaleghparast, Soodabeh Joolaee, Majid Maleki, Hamid Peyrovi, Behrooz Ghanbari, Naser Bahrani
BACKGROUND: Families play a vital role in the recovery of patients admitted to intensive care units. They can help patients to adapt themselves to the crisis and feel more satisfied. OBJECTIVE: In this study, we examined the patients' and families' satisfaction with the current visiting policies in cardiac intensive care units in the largest Cardiovascular Medical and Research Center of Iran. METHOD: This research used a cross-sectional descriptive design...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28209429/nurses-experiences-of-what-constitutes-the-encounter-with-children-visiting-a-sick-parent-at-an-adult-icu
#5
Susanne Knutsson, Karin Enskär, Marie Golsäter
BACKGROUND: Despite a cultural change in visitation policies for children (0-17 years) at the intensive care unit (ICU) to a more open approach, children are still restricted from visiting for various reasons. To overcome these obstacles, it is vital to determine what is needed while encountering a child. AIM: To elucidate nurses' experiences of what constitutes the encounter with children visiting a sick parent at an adult ICU. METHOD: An explorative inductive qualitative design was used, entailing focus group interviews with 23 nurses working at a general ICU...
April 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28100215/a-discrete-event-simulation-model-to-evaluate-the-use-of-community-services-in-the-treatment-of-patients-with-parkinson-s-disease-in-the-united-kingdom
#6
Reda Lebcir, Eren Demir, Raheelah Ahmad, Christos Vasilakis, David Southern
BACKGROUND: The number of people affected by Parkinson's disease (PD) is increasing in the United Kingdom driven by population ageing. The treatment of the disease is complex, resource intensive and currently there is no known cure to PD. The National Health Service (NHS), the public organisation delivering healthcare in the UK, is under financial pressures. There is a need to find innovative ways to improve the operational and financial performance of treating PD patients. The use of community services is a new and promising way of providing treatment and care to PD patients at reduced cost than hospital care...
January 18, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/27995360/a-european-society-of-paediatric-and-neonatal-intensive-care-espnic-survey-of-european-critical-care-management-of-young-people
#7
R Tuckwell, D Wood, S Mansfield-Sturgess, J Brierley
Adolescents have specific healthcare needs distinct from adults or younger children secondary to anatomical, physiological and socio-behavioural differences. Healthcare providers have been slow to address this, leading the UK Department of Health (2011) to publish 'You're Welcome' quality criteria for services for young people. (In the UK, the term young people is preferred to adolescent.) These generic criteria poorly fit the critical care environment, omitting key issues whilst insisting upon irrelevant standards...
February 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/27906731/association-between-clinical-nurse-specialist-s-presence-and-open-visitation-in-us-intensive-care-units
#8
Sukardi Suba, DorAnne Donesky, Elizabeth Ann Scruth, Virginia Carrieri-Kohlman
BACKGROUND: Current evidence shows that an open visitation policy can benefit patients and families during intensive care unit (ICU) stays. Therefore, an unrestricted visitation policy in the ICU has been proposed as part of patient-centered care. PURPOSE: The purpose of this secondary analysis is to explore the likelihood of an ICU with a clinical nurse specialist (CNS) having an open visitation policy when compared with an ICU without a CNS. DESIGN: This is a secondary analysis of a survey conducted between 2008 and 2009, describing the ICU visitation practices in more than 600 hospitals across the United States...
January 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/27760930/-screening-for-pain-in-cancer-patients
#9
REVIEW
Motohiro Matoba
The newly revised 2014 Set of Standards for"Designated Cancer Care Hospitals"mandated the screening of all cancer patients6 for their physical and psychological suffering systematically in both outpatient and inpatient settings as well as rapid response to the suffering detected. It is a step forward as a cancer control policy, but because the pain associated with cancer changes by time depending on factors such as disease progression and treatment, it must be evaluated repeatedly. Simply complying with the standard by measuring once, say on admission or at the initial visit, will not help patients...
October 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/27597734/personalized-antenatal-consultations-for-preterm-labor-responding-to-mothers-expectations
#10
MULTICENTER STUDY
Nathalie Gaucher, Sophie Nadeau, Alexandre Barbier, Annie Janvier, Antoine Payot
OBJECTIVE: To explore prospective mothers' perspectives regarding antenatal consultations by neonatology teams for threatened preterm delivery. STUDY DESIGN: In a prospective multicenter study, women at risk of preterm delivery between 26 and 32 weeks of gestational age were surveyed during the 72 hours following their antenatal consultation. The questionnaire used was developed and validated during a single-center study. RESULTS: Over 18 months, 229 mothers completed the survey (73% response rate), at a median gestational age of 30 weeks...
November 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27587424/organizational-and-teamwork-factors-of-tele-intensive-care-units
#11
Michael S Wilkes, James P Marcin, Lois A Ritter, Sherilyn Pruitt
BACKGROUND: Use of tele-intensive care involves organizational and teamwork factors across geographic locations. This situation adds to the complexity of collaboration in providing quality patient-centered care. OBJECTIVE: To evaluate cross-agency teamwork of health care professionals caring for patients in tele-intensive care units in rural and urban regions. METHODS: A national qualitative study was conducted in 3 US geographic regions with tele-intensive care programs...
September 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27566711/reappraisal-of-visiting-policies-and-procedures-of-patient-s-family-information-in-188-french-icus-a-report-of-the-outcomerea-research-group
#12
Maité Garrouste-Orgeas, Isabelle Vinatier, Alexis Tabah, Benoit Misset, Jean-François Timsit
BACKGROUND: The relatives of intensive care unit (ICU) patients must cope with both the severity of illness of their loved one and the unfamiliar and stressful ICU environment. This hardship may lead to post-intensive care syndrome. French guidelines provide recommendations on welcoming and informing families of ICU patients. We questioned whether and how they are applied 5 years after their publication. METHODS: We conducted a large survey among French ICUs to evaluate their visiting policies and how information was provided to patient's family...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27532144/the-effectiveness-of-interventions-to-meet-family-needs-of-critically-ill-patients-in-an-adult-intensive-care-unit-a-systematic-review-update
#13
Kate Kynoch, Anne Chang, Fiona Coyer, Annie McArdle
BACKGROUND: Attending to the needs of family members of critically ill patients is an important and necessary step in providing appropriate holistic care for both the patient and the family. Family interaction can significantly impact on the experience of critical illness, notwithstanding the challenge of meeting families' needs for many clinicians in the intensive care unit (ICU). Family needs have been extensively researched; however, a previous Joanna Briggs Institute (JBI) systematic review was the first published systematic review recommending effective interventions for addressing family needs of critically ill patients in an acute intensive care setting...
March 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27530570/patients-and-families-satisfaction-with-visiting-policies-in-cardiac-intensive-care-units
#14
Shiva Khaleghparast, Soodabeh Joolaee, Majid Maleki, Hamid Peyrovi, Behrooz Ghanbari, Naser Bahrani
BACKGROUND: Families play a vital role in the recovery of patients admitted to Intensive Care Units. They can help patients to adapt themselves to the crisis and feel more satisfied. OBJECTIVE: In this study, we examined the patients' and families' satisfaction with the current visiting policies in Cardiac Intensive Care Units in the largest Cardiovascular Medical and Research Center of Iran. METHOD: This research used a cross-sectional design with a simple random sampling...
2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27251335/identification-and-characteristics-of-patients-with-palliative-care-needs-in-brazilian-primary-care
#15
Fernando C I Marcucci, Marcos A S Cabrera, Anamaria Baquero Perilla, Marilia Maroneze Brun, Eder Marcos L de Barros, Vanessa M Martins, John P Rosenberg, Patsy Yates
BACKGROUND: The Brazilian healthcare system offers universal coverage but lacks information about how patients with PC needs are serviced by its primary care program, Estratégia Saúde da Família (ESF). METHODS: Cross-sectional study in community settings. Patients in ESF program were screened using a Palliative Care Screening Tool (PCST). Included patients were assessed with Karnofsky Performance Scale (KPS), Edmonton Symptom Assessment System (ESAS) and Palliative Care Outcome Scale (POS)...
June 1, 2016: BMC Palliative Care
https://www.readbyqxmd.com/read/27181387/analysis-of-needs-of-the-critically-ill-relatives-and-critical-care-professional-s-opinion
#16
A Sánchez-Vallejo, D Fernández, A Pérez-Gutiérrez, M Fernández-Fernández
OBJECTIVE: To describe the needs of the families of patients admitted to the Intensive Care Unit (ICU) and the opinion of ICU professionals on aspects related to the presence of patient relatives in the unit. DESIGN: A prospective descriptive study was carried out between March and June 2015. SETTING: Polyvalent ICU of León University Healthcare Complex (Spain). PARTICIPANTS: Two samples of volunteers were studied: one comprising the relatives emotionally closest to the primarily non-surgical patients admitted to the Unit for over 48hours, and the other composed of ICU professionals with over three months of experience in the ICU...
December 2016: Medicina Intensiva
https://www.readbyqxmd.com/read/27134158/management-of-infections-in-critically-ill-returning-travellers-in-the-intensive-care-unit-i-considerations-on-infection-control-and-transmission-of-resistance
#17
REVIEW
Hakan Leblebicioglu, Alfonso J Rodriguez-Morales, Gian Maria Rossolini, Rogelio López-Vélez, Jean-Ralph Zahar, Jordi Rello
Depending on their destinations and activities, international travellers are at a significant risk of contracting both communicable and non-communicable diseases. On return to their home countries, such travellers may require intensive care. The emergence of severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), and more recently Ebola haemorrhagic fever, has highlighted the risks. Other well-known communicable pathogens such as methicillin-resistant Staphylococcus aureus and carbapenemase-producing Enterobacteriaceae have been described previously...
July 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27076710/intensive-care-unit-death-and-factors-influencing-family-satisfaction-of-intensive-care-unit-care
#18
REVIEW
Naveen Salins, Jayita Deodhar, Mary Ann Muckaden
INTRODUCTION: Family satisfaction of Intensive Care Unit (FS-ICU) care is believed to be associated with ICU survival and ICU outcomes. A review of literature was done to determine factors influencing FS-ICU care in ICU deaths. RESULTS: Factors that positively influenced FS-ICU care were (a) communication: Honesty, accuracy, active listening, emphatic statements, consistency, and clarity; (b) family support: Respect, compassion, courtesy, considering family needs and wishes, and emotional and spiritual support; (c) family meetings: Meaningful explanation and frequency of meetings; (d) decision-making: Shared decision-making; (e) end of life care support: Support during foregoing life-sustaining interventions and staggered withdrawal of life support; (f) ICU environment: Flexibility of visiting hours and safe hospital environment; and (g) other factors: Control of pain and physical symptoms, palliative care consultation, and family-centered care...
February 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27031355/clabsi-conversations-lessons-from-peer-to-peer-assessments-to-reduce-central-line-associated-bloodstream-infections
#19
Julius Cuong Pham, Christine A Goeschel, Sean M Berenholtz, Renee Demski, Lisa H Lubomski, Michael A Rosen, Melinda D Sawyer, David A Thompson, Polly Trexler, Sallie J Weaver, Kristina R Weeks, Peter J Pronovost
A national collaborative helped many hospitals dramatically reduce central line-associated bloodstream infections (CLABSIs), but some hospitals struggled to reduce infection rates. This article describes the development of a peer-to-peer assessment process (CLABSI Conversations) and the practical, actionable practices we discovered that helped intensive care unit teams achieve a CLABSI rate of less than 1 infection per 1000 catheter-days for at least 1 year. CLABSI Conversations was designed as a learning-oriented process, in which a team of peers visited hospitals to surface barriers to infection prevention and to share best practices and insights from successful intensive care units...
April 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/26932913/needs-of-patients-family-members-in-an-intensive-care-unit-with-continuous-visitation
#20
Mini Jacob, Cynthia Horton, Sharon Rance-Ashley, Tera Field, Robbie Patterson, Claudette Johnson, Holly Saunders, Tracy Shelton, Jessica Miller, Carmen Frobos
BACKGROUND: Although many critical care experts and national organizations support open visitation in intensive care units (ICUs), most ICU visiting policies do not allow unrestricted presence of patients' family members. OBJECTIVE: To describe how well the needs of family members were met in an adult neuroscience ICU with a continuous visitation policy and an adjoining private suite for patients' family members. METHODS: An exploratory, descriptive study design was used to identify the effects of continuous family visitation in the neuroscience ICU on patients' family members and their needs and experiences during their time in the unit...
March 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
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