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

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https://read.qxmd.com/read/30745063/gut-function-in-the-intensive-care-unit-what-is-normal
#1
Tessa Heinonen, Suzie Ferrie, Clare Ferguson
BACKGROUND: Management of gut function in the intensive care unit (ICU) is often protocol-driven. Protocols for enteral feeding or bowel management are based on assumptions about what is 'normal' gastrointestinal motility during critical illness or in the early postoperative period, although 'normal' has not been well described in this group. OBJECTIVES: This study aimed to describe aspects of gut function based on an audit of current ICU patients. METHODS: A retrospective medical audit of 100 recent consecutive ICU patients was conducted to obtain data on gut function parameters in the critically ill or postoperative population...
February 7, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30679048/intensive-care-nurses-well-being-a-systematic-review
#2
REVIEW
Rebecca J Jarden, Margaret Sandham, Richard J Siegert, Jane Koziol-McLain
BACKGROUND AND PURPOSE: Unique work challenges of intensive care nurses can cause both stress and distress to nurses, evident in prevailing literature regarding burnout, compassion fatigue, and moral distress. Identifying factors contributing to intensive care nurses' well-being would complement this focus on nurse ill-being, supporting the development of workplace well-being initiatives. The review seeks to balance the existing negatively skewed evidence base by investigating intensive care nurses' well-being rather than ill-being...
January 21, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30674422/improving-quality-and-safety-during-intrahospital-transport-of-critically-ill-patients-a-critical-incident-study
#3
Lina Bergman, Monica Pettersson, Wendy Chaboyer, Eric Carlström, Mona Ringdal
BACKGROUND: Intrahospital transport is a high-risk procedure for critically ill patients, yet there is little known about how the transport team manages critical incidents that occur. OBJECTIVES: The aim of this study was to explore critical care nurses' and physicians' experiences and practices associated with critical incidents during the transfer process in critically ill patients. METHODS: As a part of an ethnographic study, semistructured interviews were performed using the critical incident technique...
January 21, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30670345/an-observational-study-on-the-practice-of-noninvasive-ventilation-at-a-tertiary-level-australian-intensive-care-unit
#4
Pritish John Korula, Vineet Nayyar, Edward Stachowski, Reka Karuppusami, John Victor Peter
BACKGROUND: Failure of Non-Invasive Ventilation (NIV) is associated with increased morbidity and mortality among critically ill patients. Although there is evidence of association between disease related factors and NIV failure, it is unclear whether factors related to NIV application contribute to NIV failure. OBJECTIVES: To evaluate NIV failure rate and factors associated with NIV failure. DESIGN, SETTINGS AND OUTCOMES: Prospective, observational, pilot study conducted in a 23-bed, tertiary care Intensive Care Unit (ICU)...
January 19, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30661868/memory-making-in-end-of-life-care-in-the-adult-intensive-care-unit-a-scoping-review-of-the-research-literature
#5
REVIEW
Melissa Riegel, Sue Randall, Thomas Buckley
OBJECTIVE: The objective of this review is to describe the practice of memory making as part of end-of-life care within an adult intensive care setting and determine reported outcomes. METHODS: A scoping review of the literature was performed. Data were collected from sources such as ProQuest, CINAHL, Medline, Embase, PsycINFO, and PubMed using combinations of the keywords: including adult, critical care, intensive care, ICU, death, dying, grief, bereavement, end?of?life, memento*, memor*, keepsak*, and transitional object...
January 17, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30661867/cardiovascular-risk-assessment-tools-a-scoping-review
#6
REVIEW
Jennifer Sacramento-Pacheco, Gonzalo Duarte-Clíments, Juan Gómez-Salgado, Macarena Romero-Martín, María Begoña Sánchez-Gómez
OBJECTIVES: The objective of this review was to describe cardiovascular risk (CVR) assessment methods and to identify evidence-based practice recommendations when dealing with population at risk of developing cardiovascular diseases. REVIEW METHODS AND DATA SOURCES: A literature review following the Arksey and O'Malley scoping review methodology was conducted. By using appropriate key terms, literature searches were conducted in PubMed, SciELO, Cochrane Library, Dialnet, ENFISPO, Medigraphic, ScienceDirect, Cuiden, and Lilacs databases...
January 17, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30660433/safety-culture-in-two-metropolitan-australian-tertiary-hospital-intensive-care-units-a-cross-sectional-survey
#7
Elspeth Dunstan, Fiona Coyer
BACKGROUND: Safety culture is significant in the complex intensive care environment, where the consequences of human error can be catastrophic. Research within Australian intensive care units has been limited and little is understood about the safety culture of intensive care units in Queensland. AIM: The aim was to evaluate and compare safety culture in the intensive care units of two metropolitan tertiary hospitals in Queensland. METHOD: A cross-sectional survey, Safety Attitudes Questionnaire, was administered to all medical, nursing and allied health professionals in the research sites (A and B) during January and February 2016...
January 16, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30655035/the-impact-of-removing-gastric-residual-volume-monitoring-and-enteral-nutrition-rate-titration-in-adults-receiving-mechanical-ventilation
#8
Alicia Nicole Wiese, Matthew Jm Rogers, Mandy Way, Emma Ballard
BACKGROUND: Monitoring gastric residual volume (GRV) and titrating enteral nutrition (EN) towards goal rate are common practices in the intensive care unit (ICU) despite limited supportive evidence. We investigated the effect of removal of GRV monitoring and commencing EN at goal rate had on EN provision in mechanically ventilated ICU patients. METHODS: We conducted a single-centre, pre-post implementation study, in a 10-bed ICU comprising 181 patients with ventilation ≥48 h and given EN within 24 h of intubation...
January 14, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30638842/lessons-learnt-from-the-implementation-of-same-day-discharge-after-percutaneous-coronary-intervention
#9
Yingyan Chen, Andrea Marshall, Frances Lin
BACKGROUND: Change in healthcare organisations is constant and requires adequate resources for effective implementation. Same-day discharge after percutaneous coronary intervention has been found to be no different from the patients who stayed overnight after procedure; however, its uptake remains low. OBJECTIVES: The aim of the study was to identify what factors helped or hindered the implementation of same-day discharge. METHODS: This interpretive study was conducted in a cardiac catheterisation suite of an Australian tertiary hospital between June and December 2016...
January 9, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30595418/a-nurse-led-critical-care-outreach-program-to-reduce-readmission-to-the-intensive-care-unit-a-quasi-experimental-study-with-a-historical-control-group
#10
Hang Mui So, Wing Wa Yan, Sek Ying Chair
INTRODUCTION: Various critical care outreach services have been developed and evaluated worldwide; however, the conflicting findings indicate the need to strengthen the outreach service research. This study aimed to evaluate the effects of a nurse-led critical care follow-up program on intensive care unit (ICU) readmission and hospital mortality in patients with respiratory problems discharged from the ICU in Hong Kong. METHODS: A quasi-experimental study design, with a historical control and a prospective intervention for 13 months, was used...
December 27, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30591313/level-of-satisfaction-of-critical-care-patients-regarding-the-nursing-care-received-correlation-with-sociodemographic-and-clinical-variables
#11
Marta Romero-García, Pilar Delgado-Hito, Laura de la Cueva-Ariza, Maria Antonia Martínez-Momblan, Maria Teresa Lluch-Canut, Joan Trujols-Albet, Maria-Eulàlia Juvé-Udina, Llúcia Benito
BACKGROUND: The satisfaction of critical care patients regarding the nursing care received is a key indicator of the quality of hospital care. It is, therefore, essential to identify the factors associated with the level of satisfaction of critical care patients. OBJECTIVES: To analyse the level of satisfaction of critical care patients in relation to the nursing care received and to determine the relationship between the level of satisfaction and the sociodemographic and clinical variables...
December 24, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30591312/are-point-of-care-measurements-of-glycated-haemoglobin-accurate-in-the-critically-ill
#12
Luke M Weinel, Matthew J Summers, Mark E Finnis, Alexis Poole, Palash Kar, Marianne J Chapman, Adam M Deane, Yasmine Ali Abdelhamid
INTRODUCTION: Critically ill patients with type 2 diabetes mellitus (T2DM) and chronic hyperglycaemia may benefit from a more liberal approach to glucose control than patients with previously normal glucose tolerance. It may therefore be useful to rapidly determine HbA1c concentrations. Point-of-care (POC) analysers offer rapid results but may be less accurate than laboratory analysis. AIM(S): The aim of this study was to determine agreement between POC and laboratory HbA1c testing in critically ill patients with T2DM...
December 24, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30591311/nurses-perceived-barriers-and-educational-needs-for-early-mobilisation-of-critical-ill-patients
#13
Changhwan Kim, Sanghee Kim, Jeonghoon Yang, Mona Choi
BACKGROUND: Early mobilisation (EM) of critically ill patients is an evidence-based intervention designed to improve treatment outcomes and enhance the quality of life after intensive care. However, several barriers exist to its establishment in clinical practice. Thus, the objective of the present study was to identify barriers perceived by critical care nurses, corresponding educational needs, and provide useful information for program implementation in Korea. METHODS: A cross-sectional study was conducted from April to June 2017 using a structured, self-administered questionnaire that was completed by 151 critical care nurses from three tertiary hospitals and four secondary hospitals located in Seoul...
December 24, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30558968/chlorhexidine-impregnated-gel-dressing-compared-with-transparent-polyurethane-dressing-in-the-prevention-of-catheter-related-infections-in-critically-ill-adult-patients-a-pilot-randomised-controlled-trial
#14
Amanda S Margatho, Marcia A Ciol, Jeanne M Hoffman, Paula E D Dos Reis, Rejane K Furuya, Dennisani A F S Lima, Anibal Basile-Filho, Renata C C P Silveira
BACKGROUND: In patients with short-term percutaneous central venous catheter (CVC), it is recommended that a dressing be applied to the catheter insertion site to prevent catheter-related infections. OBJECTIVES: The objective of this study was to assess the feasibility of a randomised controlled trial to compare the efficacy of chlorhexidine-impregnated dressing with that of polyurethane dressing in the prevention of catheter-related infections in critically ill adult patients with short-term percutaneous CVC...
December 14, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30554940/ventilator-associated-events-in-children-a-review-of-literature
#15
REVIEW
Noor Azizah Mohd Ali, Jacqueline Jauncey-Cooke, Fiona Bogossian
BACKGROUND: The complexity and variation in ventilator associated pneumonia (VAP) definitions in paediatrics may pose threats to the reliable identification of VAP. The revision of the surveillance definition to ventilator-associated event (VAE) has been mandated in adult populations, to overcome these issues. However, the evidence for application of the definition is unknown in children. OBJECTIVES: To review the evidence on the application of the new VAE surveillance definition in paediatric population and examine the potential challenges in clinical practice...
December 13, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30545667/differences-in-the-characteristics-treatment-and-outcomes-of-patient-groups-reviewed-by-intensive-care-liaison-nurses-in-australia-a-multicentre-prospective-study
#16
Tammie McIntyre, Carmel Taylor, Michael Bailey, Daryl Jones
BACKGROUND: There is a lack of knowledge about tasks intensive care unit liaison nurses (ICU LNs) perform during patient review, despite this role operating in at least 31 acute care hospitals in Australia. OBJECTIVES: To evaluate the tasks that ICU LNs perform during patient review in the following referral subcategories: review after ICU discharge, rapid response team (RRT) review, and ward referral. METHODS: A 2-month prospective observational study using standardised case report forms to collect data on patients reviewed by ICU LNs in 20 Australian hospitals was conducted...
December 10, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30528560/structures-processes-and-outcomes-of-specialist-critical-care-nurse-education-an-integrative-review
#17
REVIEW
Janice Gullick, Frances Lin, Debbie Massey, Lorraine Wilson, Melanie Greenwood, Katina Skylas, Mark Woodard, Agness C Tembo, Marion Mitchell, Fenella J Gill
OBJECTIVES: The objective of this study was to review and synthesise international literature to reveal the contemporary structures, processes, and outcomes of critical care nurse (CCN) education. METHOD: An integrative review on specialist critical care education was guided by Whittemore and Knafl's integrative review steps: problem identification; literature search; and data evaluation, analysis, and presentation. Donabedian's Quality Framework (Structure-Process-Outcome) provided a useful analytical lens and structure for the reporting of findings...
December 5, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30503245/quality-of-life-in-family-caregivers-of-patients-in-the-intensive-care-unit-a-longitudinal-study
#18
Hanne Birgit Alfheim, Milada Cvancarova Småstuen, Kristin Hofsø, Kirsti Tøien, Leiv Arne Rosseland, Tone Rustøen
BACKGROUND: Family caregivers of patients in the intensive care unit (ICU) experience impairments in the quality of life. Previous studies report that psychological quality of life improves over time, but there has been limited longitudinal research, and measurement points have differed. Factors such as age, gender, and posttraumatic stress symptoms have been found to be associated with the quality of life, but level of hope and its associations with the quality of life have not been investigated...
November 29, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30501993/magnesium-sulphate-replacement-therapy-in-cardiac-surgery-patients-a-systematic-review
#19
REVIEW
Rebecca M Jedwab, Alison M Hutchinson, Bernice Redley
OBJECTIVE: The objective of this review was to identify evidence to inform clinical practice guidelines for magnesium sulphate (MgSO4 ) replacement therapy for postoperative cardiac surgery patients. DATA SOURCES: Three databases were systematically searched: CINAHL Complete, MEDLINE Complete, and EmBase. REVIEW METHOD USED: A systematic literature review method was used to locate, appraise, and synthesise available evidence for each step of the medication management cycle (indication, prescription, preparation, administration, and monitoring) for MgSO4 replacement therapy...
November 27, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://read.qxmd.com/read/30471940/a-patient-centred-care-and-engagement-program-in-intensive-care-reduces-adverse-events-and-improves-patient-and-care-partner-satisfaction
#20
Elizabeth Manias
No abstract text is available yet for this article.
November 21, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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