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Journals Australian Critical Care : Off...

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses

https://read.qxmd.com/read/38609749/factors-influencing-decision-making-processes-for-intensive-care-therapy-goals-a-systematic-integrative-review
#1
REVIEW
Diane Kelly, Jonathan Barrett, Gabrielle Brand, Michelle Leech, Charlotte Rees
BACKGROUND: Delivering intensive care therapies concordant with patients' values and preferences is considered gold standard care. To achieve this, healthcare professionals must better understand decision-making processes and factors influencing them. AIM: The aim of this study was to explore factors influencing decision-making processes about implementing and limiting intensive care therapies. DESIGN: Systematic integrative review, synthesising quantitative, qualitative, and mixed-methods studies...
April 11, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38609748/hemodynamic-goals-in-sepsis-and-septic-shock-resuscitation-an-umbrella-review-of-systematic-reviews-and-meta-analyses-with-trial-sequential-analysis
#2
REVIEW
Daniele Orso, Nicola Federici, Cristina Lio, Filippo Mearelli, Tiziana Bove
OBJECTIVE: The objective of this study was to verify whether any parameter among those used as the target for haemodynamic optimisation (e.g., mean arterial pressure, central venous oxygen saturation, systolic or diastolic dysfunction, CO2 gap, lactates, right ventricular dysfunction, and PvaCO2 /CavO2 ratio) is correlated with mortality in an undifferentiated population with sepsis or septic shock. METHODS: An umbrella review, searching MEDLINE, the Cochrane Database of Systematic Reviews, Health Technology Assessment Database, and the JBI Database of Systematic Reviews and Implementation Reports, was performed...
April 11, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38604918/burden-of-fever-and-hospital-mortality-in-patients-admitted-to-the-intensive-care-unit-with-isolated-traumatic-brain-injury-a-retrospective-cohort-study-using-continuous-temperature-data
#3
JOURNAL ARTICLE
Hemang Doshi, Kush Deshpande
BACKGROUND: Fever has been shown to be associated with poor outcomes in patients with traumatic brain injury. Earlier studies have used peak daily temperature to derive the burden of fever. The association between hospital mortality and fever burden calculated as the area under the temperature-time curve for the entire duration of intensive care unit (ICU) stay has not been studied before. OBJECTIVES: The objective of this study was to investigate the association between the burden of fever and hospital mortality in patients with isolated traumatic brain injury admitted to the ICU...
April 10, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38604917/the-introduction-of-a-sound-reduction-bundle-in-the-intensive-care-unit-and-its-impact-on-sound-levels-and-patients
#4
JOURNAL ARTICLE
Oystein Tronstad, Sue Patterson, Barbara Zangerl, Dylan Flaws, Robert Holdsworth, Lacey Irvine, Stephanie Yerkovich, India Pearse, John F Fraser
BACKGROUND: ICU outcomes are continuing to improve. However, this has not been matched by similar improvements of the ICU bedspace environment, which can detrimentally impact on patient outcomes. Excessive sound and noise, especially, has been linked with adverse and potentially preventable patient outcomes and staff errors. There are many sources of sound in the ICU, with alarms from bedside equipment frequently listed as a main source. The number of alarms is increasing in parallel with the introduction of new and more sophisticated technologies to monitor and support patients...
April 10, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38600009/data-cleaning-for-clinician-researchers-application-and-explanation-of-a-data-quality-framework
#5
JOURNAL ARTICLE
Julia K Pilowsky, Rosalind Elliott, Michael A Roche
BACKGROUND: Data cleaning is the series of procedures performed before a formal statistical analysis, with the aim of reducing the number of error values in a dataset and improving the overall quality of subsequent analyses. Several study-reporting guidelines recommend the inclusion of data-cleaning procedures; however, little practical guidance exists for how to conduct these procedures. OBJECTIVES: This paper aimed to provide practical guidance for how to perform and report rigorous data-cleaning procedures...
April 9, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38600008/long-term-impact-of-covid-19-on-nursing-and-care-delivery-a-national-survey-among-anaesthetic-and-critical-care-nurses
#6
JOURNAL ARTICLE
Catarina Tingsvik, Lina Bergman, Ann-Charlotte Falk, Ing-Marie Larsson
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has put an exceptional strain on intensive care delivery and has significantly impacted nursing practice in the intensive care unit, consequently affecting nurses' working environment and health. Little is known about the long-term impact on the nursing workforce and care delivery in intensive care and anaesthetic departments. AIM/OBJECTIVE: This cross-sectional study aimed to describe the long-term impact of the COVID-19 pandemic on the nursing profession and nursing care from the perspectives of anaesthetic and critical care nurses...
April 9, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38600007/understanding-the-provision-of-goal-concordant-care-in-the-intensive-care-unit-a-sequential-two-phase-qualitative-descriptive-study
#7
JOURNAL ARTICLE
Laurie A Saffer, Anastasia F Hutchinson, Melissa J Bloomer
BACKGROUND: Goal-concordant care in intensive care is care that aligns with the patient's expressed goals, values, preferences and beliefs. Communication and shared decision-making are key to ensuring goal-concordant care. AIMS: The aims of his study were to explore (i) critical care clinicians' perspectives on how patient goals of care were communicated between clinicians, patients, and family in the intensive care unit; (ii) critical care nurses' role in this process; and (iii) how goals of care were used to guide care...
April 9, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38584063/risk-factors-predicting-the-need-for-intensive-care-unit-admission-within-forty-eight-hours-of-emergency-department-presentation-a-case-control-study
#8
JOURNAL ARTICLE
Ahmad Nasser, Blake J de Zwart, David J Stewart, Anne M Zielke, Katrina Blazek, Anita E Heywood, Adam T Craig
BACKGROUND: Patients admitted from the emergency department to the wards, who progress to a critically unwell state, may require expeditious admission to the intensive care unit. It can be argued that earlier recognition of such patients, to facilitate prompt transfer to intensive care, could be linked to more favourable clinical outcomes. Nevertheless, this can be clinically challenging, and there are currently no established evidence-based methods for predicting the need for intensive care in the future...
April 6, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38582625/participant-retention-in-follow-up-studies-of-intensive-care-unit-survivors-a-scoping-review
#9
REVIEW
Daniel L Young, Awsse Al-Ani, Mounika Lakhmalla, Vaishnavi Raman, Arooj Fatima, Lisa Aronson Friedman, Suryanarayana Reddy Challa, Sumana Vasishta, Mounica Koneru, Elizabeth Colantuoni, Dale M Needham, Victor D Dinglas
OBJECTIVE: To synthesize participant retention data and related reporting in studies evaluating post-hospital outcomes of survivors of critical illness after an intensive care unit (ICU) stay. REVIEW METHOD USED: A synthesis of literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist. DATA SOURCES: PubMed, EMBASE, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and the Cochrane Controlled Trials Registry...
April 5, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38582624/upskill-training-and-preparedness-of-non-critical-care-registered-nurses-deployed-to-intensive-care-units-during-the-covid-19-pandemic-a-scoping-review
#10
REVIEW
Belinda Causby, Samantha Jakimowicz, Tracy Levett-Jones
BACKGROUND: The increase in intensive care unit (ICU) capacity compelled by the COVID-19 pandemic required the rapid deployment of non-critical-care registered nurses to the ICU setting. The upskill training needed to prepare these registered nurses for deployment was rapidly assembled due to the limited timeframe associated with the escalating pandemic. Scoping the literature to identify the content, structure, and effectiveness of the upskill education provided is necessary to identify lessons learnt during the COVID-19 pandemic response so that they may guide workforce preparation for future surge planning...
April 5, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38580486/arm-cycle-ergometry-in-critically-ill-patients-a-systematic-review
#11
REVIEW
Lauren Vanderlelie, Sandra Bosich, Heather O'Grady, Karim Azizi, Jasdeep Lally, Sarah Micks, Saheb Sandhu, Bailey Whyte, Michelle E Kho
BACKGROUND: Intensive care unit (ICU) survivors face functional limitations due to ICU-acquired weakness. Arm cycle ergometry (ACE) introduced in the ICU may improve physical function. To our knowledge, there is limited evidence on the effectiveness of ACE and physical function outcomes in critically ill patients. OBJECTIVE: The objective of this systematic review was to examine the impact of ICU-based ACE on physical function, safety, and other clinical outcomes...
April 4, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38580485/an-online-delirium-detection-tool-cross-cultural-adaptation-of-a-chinese-version-of-the-family-confusion-assessment-method
#12
JOURNAL ARTICLE
Huanmin Xing, Shichao Zhu, Shiqing Liu, Ming Xia, Shuaihong Tong, Long Li, Liming Li
BACKGROUND: Intensive care unit (ICU) delirium is a common complication in older critically ill patients that has a significant impact. The Family Confusion Assessment Method (FAM-CAM) is a vital tool for assisting family members in identifying delirium; however, no study has yet been reported on the Chinese version of the scale. OBJECTIVES: The objective of this study was to translate the FAM-CAM into a Chinese version and to verify its effectiveness for delirium detection in an online patient visit setting...
April 4, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38580484/blood-gas-sampling-in-the-intensive-care-unit-a-prospective-before-and-after-interventional-study-on-the-effect-of-an-educational-program-on-blood-gas-testing-frequency
#13
JOURNAL ARTICLE
Benjamin Cunanan, Haindavi Muppa, Liliana Orellana, Samantha Bates, Forbes McGain
BACKGROUND: Blood gas analysis is the most commonly ordered test in the intensive care unit. Each investigation, however, comes with risks and costs to the patient and healthcare system. Evidence suggests that many tests are performed with no appropriate clinical indication. OBJECTIVES: The primary aim of our prospective interventional study was to investigate the proportion of blood gases undertaken with a valid clinical indication before and after an educational intervention...
April 4, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38548521/proactive-debriefing-to-promote-wellbeing-in-intensive-care-nurses-a-protocol
#14
JOURNAL ARTICLE
Annabel Levido, Samantha Keogh, Paul Jarrett, Liz Crowe, Fiona Coyer
BACKGROUND: The dynamic, rewarding, yet challenging environment of the intensive care unit is experienced in extremes by intensive care nurses. To ensure intensive care nurses can continue to fulfil their professional roles and responsibilities, careful consideration and promotion of collective and individual wellbeing is required. Regular proactive debriefing provides an opportunity to commune, connect, and reflect on the challenging nature of clinical work and is a potential intervention to aid in the promotion of wellbeing...
March 27, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38485556/adverse-events-associated-with-umbilical-vascular-catheters-in-the-neonatal-intensive-care-unit-a-retrospective-cohort-study
#15
JOURNAL ARTICLE
Kim Gibson, Amber Smith, Rebecca Sharp, Amanda Ullman, Scott Morris, Adrian Esterman
BACKGROUND: Umbilical catheters are commonly inserted in newborns in the neonatal intensive care unit (NICU) yet are associated with serious adverse events (AEs) such as malposition, migration, infection, thrombosis, hepatic complications, cardiac effusion, and cardiac tamponade. There is a need to determine the incidence and risk factors for AEs to inform safe practice. OBJECTIVES: The objective of this study was to determine the incidence and risk factors for AEs (all-cause and individual types) associated with umbilical venous catheters (UVCs) and umbilical arterial catheters (UACs) in the NICU...
March 13, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38365522/exploring-current-physiotherapy-practices-in-the-care-of-people-who-are-potential-lung-donors-a-qualitative-study
#16
JOURNAL ARTICLE
Cassandra Raios, Jennifer L Keating, Elizabeth H Skinner, Helen I Opdam, Kimberley J Haines
OBJECTIVE: The aim of this study was to determine physiotherapists' current practices and perspectives regarding their role in caring for people who are potential lung donors in the intensive care unit (ICU). METHODS: A qualitative descriptive design was used. Qualitative data were collected through audio-recorded, semistructured focus groups with a purposive sample of physiotherapists with experience working with people who are potential lung donors in ICUs. Two investigators completed independent thematic analysis to identify themes...
February 15, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38360471/coping-trajectories-of-intensive-care-nurses-as-second-victims-a%C3%A2-grounded-theory
#17
JOURNAL ARTICLE
Maria Kappes, Marta Romero-Garcia, Maria Sanchez, Pilar Delgado-Hito
UNLABELLED: A qualitative study that provides evidence of the institutional support required by intensive care unit (ICU) nurses as second victims of adverse events (AEs). BACKGROUND: The phenomenon of second victims of AE in healthcare professionals can seriously impact professional confidence and contribute to the ongoing occurrence of AEs in hospitals. OBJECTIVES: The objective of this study was to describe the coping trajectories of second victims among nurses working in ICUs in public hospitals in Chile...
February 14, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38360470/family-s-preferences-for-and-experiences-of-writing-practices-in-adult-intensive-care-and-its-use-in-early-bereavement-a-descriptive-qualitative-study
#18
JOURNAL ARTICLE
Melissa Riegel, Thomas Buckley, Sue Randall
BACKGROUND: Family partaking in writing practices, such as writing intensive care unit (ICU) patient diaries, personal diaries/journaling, social media, or instant messaging services, during ICU admission may allow the family to unintentionally participate in a form of expressive writing. These writing practices could provide structure for the family authors to explore emotions and manage significant life events, including death of a loved one. Limited studies have explored the family's postmortem experiences and perceived value of writing practices maintained during an ICU admission...
February 14, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38360469/in-person-peer-support-for-critical-care-survivors-the-icu-recovery-solutions-co-led-through-survivor-engagement-icuresolve-pilot-randomised-controlled-trial
#19
JOURNAL ARTICLE
Kimberley J Haines, Elizabeth Hibbert, Elizabeth H Skinner, Nina Leggett, Clare Holdsworth, Yasmine Ali Abdelhamid, Samantha Bates, Erin Bicknell, Sarah Booth, Jacki Carmody, Adam M Deane, Kate Emery, K J Farley, Craig French, Lauren Krol, Belinda MacLeod-Smith, Lynne Maher, Melanie Paykel, Theodore J Iwashyna
BACKGROUND: Peer support is a promising intervention to mitigate post-ICU disability, however there is a paucity of rigorously designed studies. OBJECTIVES: The objective of this study was to establish feasibility of an in-person, co-designed, peer-support model. METHODS: Prospective, randomised, adaptive, single-centre pilot trial with blinded outcome assessment, conducted at a university-affiliated hospital in Melbourne, Australia. Intensive care unit survivors (and their nominated caregiver, where survivor and caregiver are referred to as a dyad), >18 years of age, able to speak and understand English and participate in phone surveys, were eligible...
February 14, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/38355389/an-exploration-of-intensive-care-nurses-perceptions-of-workload-in-providing-extracorporeal-membrane-oxygenation-ecmo-support-a-descriptive-qualitative-study
#20
JOURNAL ARTICLE
Paul Ross, Jayne Sheldrake, Dragan Ilic, Jason Watterson, Danielle Berkovic, David Pilcher, Andrew Udy, Carol L Hodgson
BACKGROUND: There is increasing use of extracorporeal membrane oxygenation (ECMO) in intensive care, where nurses provide the majority of the required ongoing care of cannulas, circuit, and console. Limited evidence currently exists that details nursing perspectives, experiences, and challenges with workload in the provision of ECMO care. OBJECTIVE: The objective of this study was to investigate intensive care nurses' perceptions of workload in providing specialist ECMO therapy and care in a high-volume ECMO centre...
February 13, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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