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Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses

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https://read.qxmd.com/read/30770269/intensive-care-nurses-fail-to-translate-knowledge-and-skills-into-practice-a-mixed-methods-study-on-perceptions-of-oral-care
#1
LETTER
Maria Andersson, Bodil Wilde-Larsson, Mona Persenius
No abstract text is available yet for this article.
February 12, 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30737100/caring-for-non-sedated-mechanically-ventilated-patients-in-icu-a-qualitative-study-comparing-perspectives-of-expert-and-competent-nurses
#2
Camilla Bekker Mortensen, Maj-Brit Nørregaard Kjær, Ingrid Egerod
BACKGROUND: Sedation practice has evolved from deep to lighter or no sedation in mechanically ventilated patients in the intensive care unit (ICU). The care of conscious intubated patients constitutes a change in the nurse-patient interaction. OBJECTIVE: We aimed to compare the perspectives of expert and competent nurses regarding their interaction with non-sedated mechanically ventilated ICU patients. METHOD: The study had a qualitative comparative design applying semi-structured dyadic interviews...
February 5, 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30737099/microbiological-colonization-of-healthcare-workers-mobile-phones-in-a-tertiary-level-italian-intensive-care-unit
#3
Alessandro Galazzi, Mauro Panigada, Elena Broggi, Anna Grancini, Ileana Adamini, Filippo Binda, Tommaso Mauri, Antonio Pesenti, Dario Laquintana, Giacomo Grasselli
BACKGROUND: Careful hand hygiene of healthcare workers is recommended to reduce transmission of pathogenic microorganisms to patients. Mobile phones are commonly used during work shifts and may act as vehicles of pathogens. OBJECTIVE: To assess the colonizsation rate of intensive care unit healthcare workers' mobile phones before and after work shifts. METHODS: Prospective observational study conducted in an academic, tertiary-level intensive care unit...
February 5, 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30642773/early-mobilisation-in-intensive-care-during-renal-replacement-therapy-a-quality-improvement-project
#4
Carolyn Ragland, Lauren Ochoa, Tonja Hartjes
OBJECTIVE: To improve mobility for patients undergoing renal replacement therapy within intensive care. DESIGN: A quality improvement study utilising a step-wise mobility protocol within a before-and-after audit design. SETTING: Twenty-four bed Trauma/Surgical intensive care unit within a level one trauma and academic centre. MAIN OUTCOME: Improvement of compliance to the mobility plan following introduction of a step-wise mobility protocol...
January 11, 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30638801/a-mixed-methods-exploration-of-intensive-care-unit-nurses-perception-of-handling-oxygen-therapy-to-critically-ill-patients
#5
Gitte Bunkenborg, Karin Bundgaard
OBJECTIVES: Nurses handle supplementary oxygen to intensive care unit patients as part of their daily practise. To secure patients of optimal and safe care, knowledge of nurses' perception of this practise, including influencing factors for adjusting oxygenation levels is essential. This study aimed to explore intensive care nurses' perception of handling oxygenation and of factors that govern and influence this practise. RESEARCH METHODOLOGY/DESIGN: A mixed methods approach was applied comprising six focus group interviews, conducted in February/March 2017, leading to construction of a questionnaire distributed to 535 ICU nurses in September 2017...
January 9, 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30600141/barriers-in-achieving-patient-participation-in-the-critical-care-unit
#6
A-C Falk, Anna Schandl, Catarina Frank
OBJECTIVES: Patient participation in healthcare is important for optimizing treatment outcomes and for ensuring satisfaction with care. Therefore, this study aims to identify barriers to patient participation in the critical care unit, as identified by critical care nurses. DESIGN AND SETTINGS: Qualitative data were collected in four focus group interviews with 17 nurses from two separate hospitals. The interviews were analyzed using qualitative content analysis...
December 29, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30579828/promoting-nighttime-sleep-in-the-intensive-care-unit-alternative-strategies-in-nursing
#7
Nicola Pagnucci, Angela Tolotti, Lucia Cadorin, Dario Valcarenghi, Francesco Forfori
AIM: To identify if complementary interventions impacted on conscious intensive care patients' perception of stress factors and quality of sleep. RESEARCH METHODOLOGY: A non-controlled clinical study was undertaken on conscious patients in an intensive care unit in central Italy. Patients perception of stress factors and quality of sleep during the first night with usual medical and nursing treatments was measured using two questionnaires: the Stress Factors in Intensive Care Unit Questionnaire and the Modified Richards-Campbell Sleep Questionnaire...
December 20, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30579827/realising-the-seriousness-the-experience-of-suffering-a-second-myocardial-infarction-a-qualitative-study
#8
Ulrica Strömbäck, Åsa Engström, Britt-Marie Wälivaara
OBJECTIVES: The aim of this study was to describe people's experiences of suffering a second myocardial infarction. RESEARCH METHODOLOGY: A descriptive qualitative design. Interviews were conducted with eight persons afflicted by two myocardial infarctions. Data were analysed with qualitative content analysis. FINDINGS: The analysis resulted in one theme and four categories. The theme was 'Realising the seriousness' and the categories were: 1) Knowledge from previous experience; 2) A wake-up call for lifestyle changes; 3) The future becomes unpredictable; 4) Trying to find balance in life...
December 19, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30579826/nursing-activity-measurement-for-intensive-care-unit-patients-with-specific-conditions-an-area-of-further-investigation
#9
LETTER
Enrico Giuliani, Giovanni Lionte, Paola Ferri, Alberto Barbieri
No abstract text is available yet for this article.
December 19, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30579825/patient-and-or-family-activated-rapid-response-service-patients-perceptions-of-deterioration-and-need-for-a-service
#10
Wharewaina Strickland, Alison Pirret, Susan Takerei
BACKGROUND: Patient and/or family activated escalation may improve care to deteriorating patients. However, limited literature describes patients' and families' experience of deterioration and what barriers might restrict call activation. OBJECTIVE: This study explored patients' and families' experiences of acute ward deterioration, their perception of a need for a patient and/or family activated escalation service and barriers that may prevent them from using it...
December 19, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30573347/filling-the-gaps-a-mixed-methods-study-exploring-the-use-of-patient-diaries-in-the-critical-care-unit
#11
Natalie Pattison, Geraldine O'Gara, Clare Lucas, Keetje Gull, Karen Thomas, Shelley Dolan
BACKGROUND: Survivors of critical illness often take time to recovery physically and psychologically from their critical care experience. There is tentative evidence suggesting that the use of a patient or family led diary with entries by nurses, doctors and allied health professionals may help the patient 'fill in the gaps' by making sense of a time they have forgotten. Many have confused or frightening memories and a diary can aid patients and their families in the recovery after critical illness...
December 18, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30527667/closing-the-theory-practice-gap-a-bridge-too-far
#12
LETTER
Sonia O Labeau
No abstract text is available yet for this article.
December 6, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30522822/reprint-of-recovery-programme-for-icu-survivors-has-no-effect-on-relatives-quality-of-life-secondary-analysis-of-the-rapit-study
#13
Søs Bohart, Ingrid Egerod, Morten H Bestle, Dorthe Overgaard, Doris F Christensen, Janet F Jensen
BACKGROUND: Relatives of intensive care patients are at risk of developing symptoms of anxiety, depression and posttraumatic stress resulting in reduced health-related quality of life. Recovery programmes for patients have been implemented, but their effect on relatives is uncertain. AIM: To determine whether relatives benefit from a recovery programme intended for intensive care survivors. RESEARCH DESIGN: A randomised controlled trial of 181 adult relatives: intervention group (n = 87), control group (n = 94)...
December 3, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30514602/brief-training-increases-nurses-comfort-using-tele-ultrasound-a-feasibility-study
#14
Taylor M Douglas, Andrea R Levine, Peter P Olivieri, Michael T McCurdy, Alfred Papali, Marc T Zubrow, Karen M Rodick, Julie M Hurley, Avelino C Verceles
BACKGROUND: Nurses and other non-physician providers have demonstrated proficiency at obtaining images in the tele-ultrasound system. However, use of this skill requires comfort with the procedure and willingness to incorporate it into practice. OBJECTIVES: To assess 1) level of comfort of non-physician providers performing tele-ultrasound before and after brief training and 2) feasibility of implementing an educational programme that improves level of comfort. METHODS: Feasibility study including a brief training session followed by hands-on tele-ultrasound...
December 1, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30509691/cervical-spine-clearance-in-the-adult-obtunded-blunt-trauma-patient-a-systematic-review
#15
REVIEW
Joana Raquel Santos Veiga, Kay Mitchell
BACKGROUND: A missed cervical spinal injury could have devastating consequences. Patients with a suspected cervical spinal injury are kept in rigid collars for cervical immobilisation. Prolonged collar use has important clinical implications. A well-defined guideline related to the removal of cervical collars from adult obtunded blunt trauma patients has not been developed. AIM: We sought to determine if Magnetic Resonance Imaging offered a definitive benefit over Computer Tomography with respect to patient management...
November 30, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30348476/family-centred-care-in-the-intensive-care-unit-more-than-just-flexible-visiting-hours
#16
EDITORIAL
Jos M Latour, Maureen Coombs
No abstract text is available yet for this article.
February 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30249426/the-impact-of-family-centred-care-interventions-in-a-neonatal-or-paediatric-intensive-care-unit-on-parents-satisfaction-and-length-of-stay-a-systematic-review
#17
REVIEW
Elisabeth Segers, Henrietta Ockhuijsen, Petra Baarendse, Irene van Eerden, Agnes van den Hoogen
OBJECTIVE: To explore the impact of family centred care interventions on parents' satisfaction and length of stay for patients admitted to a paediatric intensive care unit or a neonatal intensive care unit. METHODS: A systematic review was conducted. Searches have been done in Cinahl, Cochrane, Embase and PubMed from February 2016 till October 2017. All included studies were quality appraised. Due to the heterogeneity of interventions findings were narratively reviewed...
February 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30075992/the-current-practice-of-family-centred-care-in-italian-neonatal-intensive-care-units-a-multicentre-descriptive-study
#18
Immacolata Dall'Oglio, Rachele Mascolo, Emanuela Tiozzo, Anna Portanova, Martina Fiori, Orsola Gawronski, Andrea Dotta, Simone Piga, Caterina Offidani, Rosaria Alvaro, Gennaro Rocco, Jos M Latour
OBJECTIVES: To explore family-centred care practices in Italian neonatal intensive care units and describe areas for improvement. METHODS: A cross-sectional, multicentre, survey was conducted using the Italian language version of "Advancing family-centred new-born intensive care: a self-assessment inventory". The instrument is divided into 10 sections rating the status of family-centred care (1 = not at all, 5 = very well) and ranking the perceived priority for change/improvement (1 = low, 3 = high)...
February 2019: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30245151/ward-visits-one-essential-step-in-intensive-care-follow-up-an-interview-study-with-critical-care-nurses-and-ward-nurses
#19
Marie Häggström, Cajsa Fjellner, Marie Öhman, Malin Rising Holmström
OBJECTIVE: The aim of this study was to describe critical care nurses' and ward nurses' perceptions of the benefits and challenges with a nurse-led follow-up service for intensive care-survivors at general wards. BACKGROUND: Patients recently transferred from intensive care to the general ward are still vulnerable and require complex care. There are different models of intensive care follow-up services and some include ward visits after transfer from intensive care...
December 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/30473314/patient-decision-making-regarding-left-ventricular-assist-devices-a-multiple-case-study
#20
Judy Dillworth, Victoria Vaughan Dickson, Alex Reyentovich, Michele G Shedlin
OBJECTIVES: To understand how patients make decisions regarding a left ventricular assist device (LVAD). DESIGN: A qualitative multiple case study design was used to explore the context and influence of individuals regarding patients' decision-making processes through: 1) detailed, in-depth interviews of those mostly involved in the patient's decision and 2) pertinent data including observations, medical records, educational information and physical artifacts. Data clusters and patterns of co-occurring codes were examined using thematic analysis...
November 22, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
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