MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Intensive and Critical Care Nursing' source. Wed, 08 Feb 2012 21:54:36 +0100 http://www.medworm.com/index.php?rid=5611390&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001200%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611390 Sat, 21 Jan 2012 02:22:30 +0100 5611390 http://www.medworm.com/index.php?rid=5611389&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001261%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611389 Sat, 21 Jan 2012 02:22:30 +0100 5611389 http://www.medworm.com/index.php?rid=5611388&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001169%2Fabstract%3Frss%3Dyes ‘Ward-Based Critical Care: a guide for health professions’ is a work centred on the care of those adult in-patients whose condition may be deteriorating and who are still being cared for at ward level. The title would indicate that it is targeted at ward based staff caring for these patients. Therefore, this book appears to sit between works aimed at critical care and those focusing on the care of medical and surgical patients. Despite this I would suggest it would also be of considerable benefit for Critical Care staff. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611388 Sat, 21 Jan 2012 02:22:30 +0100 5611388 http://www.medworm.com/index.php?rid=5611387&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001066%2Fabstract%3Frss%3Dyes Conclusions: The near-decision-making process of nurses expressed a pattern determined by personal factors, clinicians, organisations, structures and cultural reported unwritten rules. To ensure that the nurses become responsible and independent decision makers, it is necessary to pay particular attention to structural and cultural conditions in order to help them reach their full potential in the future. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611387 Sat, 21 Jan 2012 02:22:30 +0100 5611387 http://www.medworm.com/index.php?rid=5611386&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971100125X%2Fabstract%3Frss%3Dyes Conclusions: Preliminary data from this pilot study suggest that a comprehensive information and support programme designed to support nurses in the ICU can enhance well being and workplace related factors. Work is currently underway to document the program's impact on family members in the ICU. Future studies should document further how and when similar programme contribute to enhance the workplace for other ICU staff. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611386 Sat, 21 Jan 2012 02:22:30 +0100 5611386 http://www.medworm.com/index.php?rid=5611385&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000966%2Fabstract%3Frss%3Dyes Conclusion: Our findings suggest that strict enforcement of infection control strategies may have a positive impact on the efforts to minimise the risk of HAIs. These findings carry a clinical significance that shall not be ignored with regard to our overall efforts to minimise the risk of developing HAIs in the ICU. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611385 Sat, 21 Jan 2012 02:22:30 +0100 5611385 http://www.medworm.com/index.php?rid=5611384&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001248%2Fabstract%3Frss%3Dyes Conclusions: The results suggest that the communication skills training programme could be valuable in reinforcing basic/intuitive communication strategies, assisting in the acquisition of new skills and ensuring communication supply availability. Practice integration will most likely require unit-wide interdisciplinary dissemination, expert modelling and reinforcement. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611384 Sat, 21 Jan 2012 02:22:30 +0100 5611384 http://www.medworm.com/index.php?rid=5611383&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001194%2Fabstract%3Frss%3Dyes Conclusion: A patient's endurance whilst conscious during mechanical ventilation seems to be facilitated by the presence of nurses, who mediate hope and belief in recovery, strengthening the patient's will to fight for recovery and survival. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611383 Sat, 21 Jan 2012 02:22:30 +0100 5611383 http://www.medworm.com/index.php?rid=5611382&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001078%2Fabstract%3Frss%3Dyes Conclusion: The results provide insight into critical care NP prescribing practice to better inform future critical care workforce development. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611382 Sat, 21 Jan 2012 02:22:30 +0100 5611382 http://www.medworm.com/index.php?rid=5611381&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001364%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5611381 Sat, 21 Jan 2012 02:22:30 +0100 5611381 http://www.medworm.com/index.php?rid=5459815&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001157%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459815 Thu, 01 Dec 2011 05:00:00 +0100 5459815 http://www.medworm.com/index.php?rid=5459814&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971100108X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459814 Thu, 01 Dec 2011 05:00:00 +0100 5459814 http://www.medworm.com/index.php?rid=5459813&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971100098X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459813 Thu, 01 Dec 2011 05:00:00 +0100 5459813 http://www.medworm.com/index.php?rid=5459812&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000942%2Fabstract%3Frss%3Dyes This study investigated the severity of post-traumatic stress (PTS) symptoms, the relationships between PTS symptoms and clinical and demographic characteristics and the subjective experiences of patients who were critically ill and mechanically ventilated in intensive care. Study participants (n=97) completed the Impact of Event Scale (IES) to assess avoidance and intrusive symptoms of PTS within one week of hospital discharge. A subset (n=5) with IES scores suggestive of symptoms of PTS participated in semistructured interviews analysed with content analysis. Participants had a mean age of 57.73 years, 40% were female and median duration of ventilation was 90.98hours. The mean IES score was 20.34. Scores >25 were reported by 37% and were associated with younger age (p (Source: Intensive ... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459812 Thu, 01 Dec 2011 05:00:00 +0100 5459812 http://www.medworm.com/index.php?rid=5459811&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000954%2Fabstract%3Frss%3Dyes Conclusions: These findings show the importance of pre- and post operative contacts between healthcare professionals, patients and NoK. When the NoK and the patients are well informed it constitutes a basis for fruitful conversations between them and the healthcare professionals, and everyone can be better prepared if complications occur. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459811 Thu, 01 Dec 2011 05:00:00 +0100 5459811 http://www.medworm.com/index.php?rid=5459810&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000930%2Fabstract%3Frss%3Dyes Conclusion: The theory represents the core process of ‘surviving a critical illness through mutually being there with each other’ in which both the patients and their MFC are involved. Implications and recommendations were proposed to provide a basis for further research and nursing practice on the phenomenon of informal support and care of critically ill patients and their recovery. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459810 Thu, 01 Dec 2011 05:00:00 +0100 5459810 http://www.medworm.com/index.php?rid=5459809&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000772%2Fabstract%3Frss%3Dyes Conclusion: The ambiguity and various perceptions of brain death diagnosis seem to be a crucial aspect when caring for a brain dead patient. The lack of structured and sufficient organisation also appears to be a limiting factor. Both these aspects are essential for the ICU nurses’ opportunities to fulfil their professional responsibility during the organ donation process. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459809 Thu, 01 Dec 2011 05:00:00 +0100 5459809 http://www.medworm.com/index.php?rid=5459808&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000802%2Fabstract%3Frss%3Dyes Conclusions: Patients arrive in critical care units with preexisting oral hygiene issues. Dental plaque tends to accumulate in the posterior teeth (molars and premolars) that may be hard for nurses to visualise and reach; this problem may be exacerbated by endotracheal tubes and other equipment. Knowing accumulation trends of plaque will guide the development of effective oral care protocols. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459808 Thu, 01 Dec 2011 05:00:00 +0100 5459808 http://www.medworm.com/index.php?rid=5459807&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711001005%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5459807 Thu, 01 Dec 2011 05:00:00 +0100 5459807 http://www.medworm.com/index.php?rid=5228349&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000796%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228349 Mon, 19 Sep 2011 06:12:19 +0100 5228349 http://www.medworm.com/index.php?rid=5228348&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000784%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228348 Mon, 19 Sep 2011 06:12:19 +0100 5228348 http://www.medworm.com/index.php?rid=5228347&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000747%2Fabstract%3Frss%3Dyes Conclusion: The study suggests that the actual numbers of nurses might explain the calculated NAS of 75–90% per nurse. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228347 Mon, 19 Sep 2011 06:12:19 +0100 5228347 http://www.medworm.com/index.php?rid=5228346&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000759%2Fabstract%3Frss%3Dyes Conclusions: The results provide insight into how critical care staffing and skill-mix affect patient satisfaction and guide future nursing research in this subject area. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228346 Mon, 19 Sep 2011 06:12:19 +0100 5228346 http://www.medworm.com/index.php?rid=5228345&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000760%2Fabstract%3Frss%3Dyes Conclusion: Examining embodied experience of corporeality, temporality, spatiality and relationality, opens new ways for coping amongst patients and their families, as well as care giving possibilities for the, nurses. This study affirms the mutual influence amongst the family, patient and nurses during a critical, illness experience and supports the tenets of family-centred care, which mandates the purposeful, inclusion of the family in all aspects of their loved one's care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228345 Mon, 19 Sep 2011 06:12:19 +0100 5228345 http://www.medworm.com/index.php?rid=5228344&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000723%2Fabstract%3Frss%3Dyes Conclusion: Nurses demonstrated a very good knowledge of the needs of relatives and reported effective nursing interventions in supporting those needs, but knowledge is not necessarily translated into practice. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228344 Mon, 19 Sep 2011 06:12:19 +0100 5228344 http://www.medworm.com/index.php?rid=5228343&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000516%2Fabstract%3Frss%3Dyes Summary: The aim of this review is to determine if witnessed resuscitation helps parents come to terms with the death of their child. Witnessed resuscitation is a controversial subject. There is disagreement in the literature and the opinions of healthcare professionals, as to whether parents should be present during the resuscitation of their children. This is an international problem that occurs consistently, when caring for patients requiring resuscitation. Despite this, however, research indicates that the advantages of this form of resuscitation for parents far outweigh the disadvantages.Electronic searches of PubMed, CINAHL and OVID were performed, with a manual search of retrieved articles. Primary studies, which were included, examined parents’ views of witnessed resuscitation in... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228343 Mon, 19 Sep 2011 06:12:19 +0100 5228343 http://www.medworm.com/index.php?rid=5228342&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000711%2Fabstract%3Frss%3Dyes Summary: The aim of the study was to describe the factors that influence critical care nurses when deciding to wean patients from mechanical ventilation. The study adopted a qualitative methodology, using semi-structured interviews and a vignette. An invited sample of critical care nurses (n=24) from one Irish intensive care unit was employed. Each nurse was interviewed once and a vignette was used to structure the interview questioning. The findings were analysed using thematic content analysis. Six major themes influencing nurses’ decision to wean emerged, as follows: physiological influences; clinical reassessment and decision making; the nurse's experience, confidence and education; the patient's medical history and current ventilation; the intensive care working environment; and use... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228342 Mon, 19 Sep 2011 06:12:19 +0100 5228342 http://www.medworm.com/index.php?rid=5228341&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000735%2Fabstract%3Frss%3Dyes Summary: This paper focuses on the importance of language in the expression of pain. Variation in definitions of pain is presented, together with a review of the evidence examining the impact language may have on the way pain is expressed linguistically. The implications for conducting research with children who speak different languages are explored. Strategies such as using non-linguistic methods of communication, additional time required for conducting interviews and the inclusion of research team members from the same ethnic or linguistic background are presented. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228341 Mon, 19 Sep 2011 06:12:19 +0100 5228341 http://www.medworm.com/index.php?rid=5228340&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000838%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5228340 Mon, 19 Sep 2011 06:12:19 +0100 5228340 http://www.medworm.com/index.php?rid=5001570&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971100053X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001570 Thu, 07 Jul 2011 15:37:20 +0100 5001570 http://www.medworm.com/index.php?rid=5001569&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000425%2Fabstract%3Frss%3Dyes Conclusion: An intervention VAP prevention program promoted ICU nurses’ VAP prevention awareness and performance and could therefore help decrease the VAP rate. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001569 Thu, 07 Jul 2011 15:37:20 +0100 5001569 http://www.medworm.com/index.php?rid=5001568&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000449%2Fabstract%3Frss%3Dyes This study investigated differences between the perceptions of American relatives, physicians and nurses concerning the needs of relatives visiting intensive care patients.Design and participants: This was a prospective descriptive study. Perceived needs were measured using the 45 item Critical Care Family Needs Inventory (CCFNI) with 101 relatives visiting as well as 28 physicians and 109 nurses working with the same group of patients.Setting: Data were collected using a convenience sample of patients, their relatives visiting, as well as the physicians and nurses working with the same patients in six adult intensive care units in a large American tertiary acute care medical centre with over a 900 bed capacity.Results and conclusions: There were significant correlations (p (Source: Intens... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001568 Thu, 07 Jul 2011 15:37:20 +0100 5001568 http://www.medworm.com/index.php?rid=5001567&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000437%2Fabstract%3Frss%3Dyes Conclusion: Inappropriate use of NIV in non-designated areas is associated with a high mortality. Critical care outreach nurses can play a pivotal role in influencing appropriate patient selection for NIV. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001567 Thu, 07 Jul 2011 15:37:19 +0100 5001567 http://www.medworm.com/index.php?rid=5001566&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000474%2Fabstract%3Frss%3Dyes Conclusion: DFINE demonstrated acceptable reliability and validity. However, additional surveys need to be conducted with a larger sample to further characterise the scale. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001566 Thu, 07 Jul 2011 15:37:19 +0100 5001566 http://www.medworm.com/index.php?rid=5001565&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000528%2Fabstract%3Frss%3Dyes Conclusion: The ICU patients in our study were severely malnourished at admission, and their nutritional status worsened during their ICU stay even though enteral nutritional support was provided. The changes in nutritional status during the ICU stay were related to the patients’ baseline nutritional status and underfeeding during their ICU stay. This study highlights an urgent need to provide adequate nutritional support for ICU patients. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001565 Thu, 07 Jul 2011 15:37:18 +0100 5001565 http://www.medworm.com/index.php?rid=5001564&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000504%2Fabstract%3Frss%3Dyes Conclusion: Nurse-led defibrillation is an approach of delivering prompt care to critically ill patients, and a way ahead for intensive care nursing in Hong Kong. Emphasis on a consistent policy to promote nurse-led defibrillation practice is needed. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001564 Thu, 07 Jul 2011 15:37:18 +0100 5001564 http://www.medworm.com/index.php?rid=5001563&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000462%2Fabstract%3Frss%3Dyes Conclusions: In light of sparse high level evidence to inform guidelines, further research is needed inform clinical practice. Oral hygiene is a critical element of nursing care and a standardised approach has the potential to improve clinical outcomes. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001563 Thu, 07 Jul 2011 15:37:18 +0100 5001563 http://www.medworm.com/index.php?rid=5001562&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000450%2Fabstract%3Frss%3Dyes Conclusion: Conduct of this large national survey required considerable financial resources, time, energy and coordination. We anticipate greater understanding of the work and cost associated with planning and implementing such surveys may inform researchers as well as critical care nurses considering responding to future survey invitations. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001562 Thu, 07 Jul 2011 15:37:17 +0100 5001562 http://www.medworm.com/index.php?rid=5001561&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000565%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=5001561 Thu, 07 Jul 2011 15:37:17 +0100 5001561 http://www.medworm.com/index.php?rid=4799140&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000085%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799140 Mon, 09 May 2011 15:42:50 +0100 4799140 http://www.medworm.com/index.php?rid=4799139&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000255%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799139 Mon, 09 May 2011 15:42:50 +0100 4799139 http://www.medworm.com/index.php?rid=4799138&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000267%2Fabstract%3Frss%3Dyes Conclusion: We conclude that postoperative bright light exposure adjusted the sleep–wakefulness cycle and improved the bed rest of patients. It was also indicated that bright light therapy is useful for reducing postoperative delirium. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799138 Mon, 09 May 2011 15:42:49 +0100 4799138 http://www.medworm.com/index.php?rid=4799137&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000280%2Fabstract%3Frss%3Dyes Conclusions: Giving parents the choice of being involved in their child's care using touch and distraction techniques during painful procedures can provide an invaluable opportunity to foster parenting and support the child during a difficult PICU experience. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799137 Mon, 09 May 2011 15:42:49 +0100 4799137 http://www.medworm.com/index.php?rid=4799136&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000279%2Fabstract%3Frss%3Dyes Conclusion: Enhanced understanding of the parental role in the PICU from the perspective of parents can help guide the development of strategies to more effectively support parents and promote parenting during this extremely stressful time. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799136 Mon, 09 May 2011 15:42:48 +0100 4799136 http://www.medworm.com/index.php?rid=4799135&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000231%2Fabstract%3Frss%3Dyes Summary: Sleep deprivation is common amongst patients in intensive care units (ICU) and can lead to physiological and psychological dysfunctions that affect the healing process and increase morbidity and mortality. A focus on the effects of the ICU environment on patient sleep quality has lead to strategies for improvements in patient care. The aim of this small-scale study was to investigate the perceptions of the sleep-promoting interventions that ICU nurses believe they provide. A review of the literature identified four main approaches, i.e., noise reduction, light reduction, patient comfort improvement and clustering of patient care activities, to allow uninterrupted time for adequate sleep. A questionnaire was created to collect information on the nurses’ interventions to promote n... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799135 Mon, 09 May 2011 15:42:48 +0100 4799135 http://www.medworm.com/index.php?rid=4799134&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000103%2Fabstract%3Frss%3Dyes Conclusion: RCs judge adherence to international research guidelines the most important pre-requisite for the position and wish involvement in research design and dissemination. With little change from 2004, inadequate peer support and unsatisfactory employment conditions constituted most of the “worst” aspects. Autonomy and working in the ICU team are the “best” aspects of the role in addition to the intellectual stimulation of research. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799134 Mon, 09 May 2011 15:42:47 +0100 4799134 http://www.medworm.com/index.php?rid=4799133&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000097%2Fabstract%3Frss%3Dyes Summary: Objective: To investigate critical care nurses’ current practice and knowledge related to pain assessment and management for critically ill adults able and unable to self-report pain.Design: Cross sectional self-report survey.Results: Survey response rate was 57%. Though more respondents used formal pain assessment tools often or routinely for patients able to self-report compared to patients unable to communicate (P (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799133 Mon, 09 May 2011 15:42:47 +0100 4799133 http://www.medworm.com/index.php?rid=4799132&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000310%2Fabstract%3Frss%3Dyes Summary: Critical care has been criticised for its inconsistency in implementing and evaluating evidence based practice both at national and international level. A review of the critical care literature by identified interventions that might help prevent morbidity or mortality in the intensive care unit; from this four elements were developed into the initial ventilator care bundle. The aim of this bundle was to improve the quality of care for mechanically ventilated patients by improving compliance with relevant evidence based practice; implementation of this or an adapted cluster of interventions has been shown consistently to reduce the incidence of ventilator-associated pneumonias across countries. There are now numerous care bundles and the bundle approach to quality improvement has b... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799132 Mon, 09 May 2011 15:42:47 +0100 4799132 http://www.medworm.com/index.php?rid=4799131&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000346%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4799131 Mon, 09 May 2011 15:42:47 +0100 4799131 http://www.medworm.com/index.php?rid=4711328&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971100005X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711328 Thu, 31 Mar 2011 23:00:00 +0100 4711328 http://www.medworm.com/index.php?rid=4711327&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000061%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711327 Thu, 31 Mar 2011 23:00:00 +0100 4711327 http://www.medworm.com/index.php?rid=4711326&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710001187%2Fabstract%3Frss%3Dyes This study described the experiences of eight Thai nurses caring for persons with life-sustaining technologies in adult intensive care settings. Using individual semi-structured interviews, Van Manen's hermeneutic phenomenological approach was used to analyse the data. Nine thematic categories formed the description of the experience of caring for. The experience of caring for is described as valuing competency to care despite differing insecurities in the use of technology. Influenced by relationships and compassion, the risk that technology prevented an appreciation of persons as wholes is embodied in the encouraging collaboration of fostering time to care regardless of being in a restricted space surrounded with technology. Locsin's theory of Technological Competency as Caring in Nursin... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711326 Thu, 31 Mar 2011 23:00:00 +0100 4711326 http://www.medworm.com/index.php?rid=4711325&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000073%2Fabstract%3Frss%3Dyes Conclusion: Multidisciplinary follow-up after intensive care can be of value in identifying untreated physical and psychological problems in ICU survivors. Liaison with specialists enables referral for identified problems. Patients screened and treated in the first six months appear to have little need for further follow-up after intensive care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711325 Thu, 31 Mar 2011 23:00:00 +0100 4711325 http://www.medworm.com/index.php?rid=4711324&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000036%2Fabstract%3Frss%3Dyes Summary: This four-phase mixed method study developed an evidence based “Endotracheal Suction Assessment Tool” (ESAT) as a guide for nurses undertaking “endotracheal tube” (ETT) suction within “Paediatric Intensive Care” (PIC). Phase 1 involved a comprehensive literature review to determine the most commonly used criteria for assessing the need for ETT suction. In Phase 2 an “Endotracheal Suction Questionnaire” (ESQ) was developed to survey experienced PIC nurses in Australia and New Zealand regarding their ETT suction decision making process and validity testing of the ESQ. In Phase 3, the ESQ was administered to target group (n=104). In Phase 4, the empirical evidence generated from this study, based upon the criteria rated by nurses in this study as being most clinically... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711324 Thu, 31 Mar 2011 23:00:00 +0100 4711324 http://www.medworm.com/index.php?rid=4711323&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000048%2Fabstract%3Frss%3Dyes Conclusion: Most critical care patients have both unpleasant and pleasant memories of their ICU stay. Pleasant memories such as support and caring service are important to relief the stress and may balance the impact of the distressing memories of the ICU stay. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711323 Thu, 31 Mar 2011 23:00:00 +0100 4711323 http://www.medworm.com/index.php?rid=4711322&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710001175%2Fabstract%3Frss%3Dyes Conclusion: Poor communication between the team, patients and families and diminished collaboration within the multi-disciplinary team emerged as central concepts in this study and influenced care decisions and practises regarding the use of mechanical restraints in the clinical area. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711322 Thu, 31 Mar 2011 23:00:00 +0100 4711322 http://www.medworm.com/index.php?rid=4711321&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000024%2Fabstract%3Frss%3Dyes Conclusion: The final interpretation elucidated the experience of visiting as the sudden shift between being present in real life vs. being present in the real life of unreality. It was a process whereby the patient and the family build a new understanding of life that creates a new form of interplay within the family. The pre-critical illness life is no longer there – a new life has begun. To support patients and their families in this process of change a family-centred care perspective is necessary. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711321 Thu, 31 Mar 2011 23:00:00 +0100 4711321 http://www.medworm.com/index.php?rid=4711320&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000115%2Fabstract%3Frss%3Dyes Since the inception of advanced organ support, delivered through the specialism of critical care, there exists a challenging paradox in that lives are often saved through the delivery of critical care therapies, but in doing so, patients often face other short and longer term complications secondary to their critical care. stated that ‘the very first requirement in a Hospital that it should do the sick no harm.’ Due to the nature of the therapies used in critical care, practitioners spend a large amount of their time focusing on identifying and minimising the risk of such complications. Complications such as Ventilator Associated Pneumonia and Central Line Infections have evidenced based strategies such as care bundles to assist in minimising their occurrence. In ensuring that the long... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711320 Thu, 31 Mar 2011 23:00:00 +0100 4711320 http://www.medworm.com/index.php?rid=4711319&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339711000140%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4711319 Thu, 31 Mar 2011 23:00:00 +0100 4711319 http://www.medworm.com/index.php?rid=4364791&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710001059%2Fabstract%3Frss%3Dyes This very handy pocket-sized book provides concise information about drugs used in the Intensive Care Unit. The 4th edition has a change to the second author replacing Gilbert Park with Rob Shulman who is a lead pharmacist in intensive care. The target audience remains trainee medical staff, nurses and pharmacists. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364791 Wed, 19 Jan 2011 18:21:48 +0100 4364791 http://www.medworm.com/index.php?rid=4364790&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000100X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364790 Wed, 19 Jan 2011 18:21:48 +0100 4364790 http://www.medworm.com/index.php?rid=4364789&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710001047%2Fabstract%3Frss%3Dyes Summary: This pilot study aimed to explore the validity of the bispectral (BIS) index, the Critical-Care Pain Observation Tool (CPOT) score, and vital signs (mean arterial pressure, heart rate) during rest and painful procedures in sedated and mechanically ventilated ICU adults. A convenience sample of nine patients with various diagnoses participated in this observational repeated measures study. Patients were observed during 2minute periods at rest (baseline), and during procedures known to be painful: turning and endotracheal suctioning. Both the BIS index and the CPOT score were found to increase when patients were exposed to procedures compared with rest, and were found to be more sensitive to procedures compared with vital signs. Indeed, vital signs remained quite stable during proce... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364789 Wed, 19 Jan 2011 18:21:48 +0100 4364789 http://www.medworm.com/index.php?rid=4364788&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710001035%2Fabstract%3Frss%3Dyes Summary: The aim of this study was to describe factors affecting the sleep of parents of critically ill children and to determine strategies used to improve their sleep. One hundred and eighteen parents of 91 children recruited during their child's paediatric intensive care unit stay responded in writing to open-ended questions assessing their experiences with sleep and eliciting ideas for strategies to promote sleep to be used by parents and provided by hospital staff. Patterns and concepts were coded and organised into themes using a qualitative descriptive approach.Seven themes emerged related to influences on and strategies to improve sleep: (1) the child's condition; (2) being at the bedside or not; (3) difficult thoughts and feelings; (4) changes to usual sleep; (5) caring for self a... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364788 Wed, 19 Jan 2011 18:21:48 +0100 4364788 http://www.medworm.com/index.php?rid=4364787&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000868%2Fabstract%3Frss%3Dyes Summary: The study objective was to determine whether the ‘cardiac decompensation score’ could identify cardiac decompensation in a patient with existing cardiac compromise managed with intraaortic balloon counterpulsation (IABP). A one-group, posttest-only design was utilised to collect observations in 2003 from IABP recipients treated in the intensive care unit of a 450 bed Australian, government funded, public, cardiothoracic, tertiary referral hospital. Twenty-three consecutive IABP recipients were enrolled, four of whom died in ICU (17.4%). All non-survivors exhibited primarily rising scores over the observation period (p (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364787 Wed, 19 Jan 2011 18:21:48 +0100 4364787 http://www.medworm.com/index.php?rid=4364786&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000087X%2Fabstract%3Frss%3Dyes Conclusion: Despite several international guidelines, research and literature about unrestricted visiting hours on the ICUs, none of the ICUs in this study operates with such a visiting policy. If we take these results into account then the question rises if ICUs are aware of these patients and family needs on the ICUs. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364786 Wed, 19 Jan 2011 18:21:48 +0100 4364786 http://www.medworm.com/index.php?rid=4364785&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000844%2Fabstract%3Frss%3Dyes Conclusions: This study has provided an insight regarding the intense clinical engagement associated with the role of the FSP and highlighted the importance of this role for family member's optimal care and support. It is vital that adequate professional development is instigated and that support mechanisms are in place for those health care professionals (HCP) undertaking this role in order to help family members through this difficult experience. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364785 Wed, 19 Jan 2011 18:21:48 +0100 4364785 http://www.medworm.com/index.php?rid=4364784&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000856%2Fabstract%3Frss%3Dyes Conclusions: In order to provide family-centered care, the critical care nurse must recognise the unique needs of the “nurse family member.” By empathising with the emotional experience, allowing the “in-charge” nurse family member to be part of the team, facilitating ongoing observation and monitoring by the nurse family member, seeking out and clarifying information for the nurse family member and partnering to advocate for the patient, the critical care nurse builds a relationship of trust that allows the nurse family member to assume their family role. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364784 Wed, 19 Jan 2011 18:21:47 +0100 4364784 http://www.medworm.com/index.php?rid=4364783&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710001060%2Fabstract%3Frss%3Dyes Conclusion: Aligning the needs of the relatives to be involved in the care with the needs of the patient and the work situation of the nurses requires open communication between all three parties. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364783 Wed, 19 Jan 2011 18:21:47 +0100 4364783 http://www.medworm.com/index.php?rid=4364782&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710001096%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4364782 Wed, 19 Jan 2011 18:21:47 +0100 4364782 http://www.medworm.com/index.php?rid=4184920&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000959%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184920 Sat, 20 Nov 2010 10:19:33 +0100 4184920 http://www.medworm.com/index.php?rid=4184919&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000947%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184919 Sat, 20 Nov 2010 10:19:33 +0100 4184919 http://www.medworm.com/index.php?rid=4184918&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000807%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184918 Sat, 20 Nov 2010 10:19:33 +0100 4184918 http://www.medworm.com/index.php?rid=4184917&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000832%2Fabstract%3Frss%3Dyes Summary: Following critical illness requiring prolonged mechanical ventilation and sedation, intensive care patients often present with neuromuscular weakness. This results from critical illness polyneuropathy (CIP) and critical illness myopathy (CIM). A lack of diagnostic criteria for each syndrome complicates prevention and treatment. Consequently the term critical illness polyneuromyopathy (CIPNM) has emerged and is characterised by severe weakness, reduced or absent limb reflexes and marked muscle wasting. Although clinical trials report a high incidence of CIPNM, in clinical practice it often remains undetected. The pathophysiological mechanisms that lead to neuromuscular weakness are not entirely clear, however several risk factors have been identified and will be discussed. To date,... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184917 Sat, 20 Nov 2010 10:19:33 +0100 4184917 http://www.medworm.com/index.php?rid=4184916&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000820%2Fabstract%3Frss%3Dyes Summary: The aim of this review is to analyse the evidence related to the relationship between facial expression and pain assessment tools in the critically ill non-communicative patients. Pain assessment is a significant challenge in critically ill adults, especially those who are unable to communicate their pain level. During critical illness, many factors alter verbal communication with patients including tracheal intubation, reduced level of consciousness and administration of sedation and analgesia. The first step in providing adequate pain relief is using a systematic, consistent assessment and documentation of pain. However, no single tool is universally accepted for use in these patients. A common component of behavioural pain tools is evaluation of facial behaviours. Although use ... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184916 Sat, 20 Nov 2010 10:19:32 +0100 4184916 http://www.medworm.com/index.php?rid=4184915&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000819%2Fabstract%3Frss%3Dyes Conclusion: This study highlights areas where measures can be made to facilitate pressure ulcer prevention in intensive care units, such as raising knowledge and making pressure ulcer prevention a part of daily care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184915 Sat, 20 Nov 2010 10:19:31 +0100 4184915 http://www.medworm.com/index.php?rid=4184914&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000662%2Fabstract%3Frss%3Dyes Conclusion: Diarrhoea in ETF critically ill patients is multi-factorial. The early identification of diarrhoea risk factors and the development of a diarrhoea risk management algorithm is recommended. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184914 Sat, 20 Nov 2010 10:19:31 +0100 4184914 http://www.medworm.com/index.php?rid=4184913&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000613%2Fabstract%3Frss%3Dyes Conclusion: Evidence to support probiotic use in the management of ETF diarrhoea in critically ill patients remains unclear. This paper argues that probiotics should not be administered to critically ill patients until further research has been conducted to examine the causal relationship between probiotics and mortality, irrespective of the patient's disease state or projected prophylactic benefit of probiotic administration. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184913 Sat, 20 Nov 2010 10:19:29 +0100 4184913 http://www.medworm.com/index.php?rid=4184912&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000790%2Fabstract%3Frss%3Dyes Conclusion: Introducing developmental care in a neonatal unit changes neonatal nurses’ experiences of caring for infants and mother–infant dyads. The meaning of body, time, space and relationships are decisive and deserve to be included in nurses’ and nurse leaders’ discussion about developmental and family centred neonatal care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184912 Sat, 20 Nov 2010 10:19:28 +0100 4184912 http://www.medworm.com/index.php?rid=4184911&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000090X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=4184911 Sat, 20 Nov 2010 10:19:28 +0100 4184911 http://www.medworm.com/index.php?rid=3967224&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000443%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967224 Wed, 15 Sep 2010 06:51:36 +0100 3967224 http://www.medworm.com/index.php?rid=3967223&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000650%2Fabstract%3Frss%3Dyes Conclusion: As in other countries, this study demonstrated that the awareness of delirium in ICUs is low with a lack of implementation of validated screening tools for its diagnosis. Emphasis should be placed on education and implementation of these tools to improve the quality of care for ICU patients. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967223 Wed, 15 Sep 2010 06:51:36 +0100 3967223 http://www.medworm.com/index.php?rid=3967222&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000674%2Fabstract%3Frss%3Dyes In this study, shared leadership is explored at the managerial level. The aim of this case study was to describe two nurse manager's experiences of working together as equal partners within a shared leadership model at an intensive care unit in Sweden. The study comprised a total of 12 interviews collected over three years with two nurse managers who worked together in shared leadership. ‘Developing active influence to improve care’ was identified as the core category, which was related to five subcategories ‘Safeguarding leadership’, ‘Enabling leadership’, ‘Supporting ‘two’-getherness’, ‘Transparent determination’ and ‘Balancing power’. A new construct ‘two’-getherness’ was created, this means that two equal nurse managers within a trustful relationship s... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967222 Wed, 15 Sep 2010 06:51:36 +0100 3967222 http://www.medworm.com/index.php?rid=3967221&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000625%2Fabstract%3Frss%3Dyes Summary: The aim of the study was to explore patients’ experiences and perceptions of receiving intensive care diaries. A focus group and intensive care diaries for four former ICU patients were analysed to understand what works and what needs further development for patients who receive a diary. The study had a triangulated approach and group dynamics were described as the focus group was used to explore agreement and disagreement among the participants. Little is known about the content of intensive care diaries and their usefulness and meaning for the patients. The participants in our study agreed that the diary alone provided incomplete information and reading the diary did not necessarily bring back memories, but helped complete their story. The patients needed to know what they had... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967221 Wed, 15 Sep 2010 06:51:36 +0100 3967221 http://www.medworm.com/index.php?rid=3967220&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000601%2Fabstract%3Frss%3Dyes Conclusion: The study shows that a focus on analgesia-based sedation and continual control of the sedation level should be considered in order to decrease the risk of oversedation. Inclusion of relatives’ opinions, increased collaboration between nurses and physicians, and implementation of sedation tools, may contribute to even better patient outcome and should be focus in further studies. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967220 Wed, 15 Sep 2010 06:51:36 +0100 3967220 http://www.medworm.com/index.php?rid=3967219&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000571%2Fabstract%3Frss%3Dyes Conclusion: Findings show that not only personal knowledge and skills, but also a supporting atmosphere and a good teamwork, has to be focused and encouraged by supervisors in order to increase staff's experiences of empowerment. Staff also need a chance to feel that they do something good for patients, next of kin and other staff members. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967219 Wed, 15 Sep 2010 06:51:36 +0100 3967219 http://www.medworm.com/index.php?rid=3967218&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000056X%2Fabstract%3Frss%3Dyes Conclusion: The research provided an insight into how family members viewed the impact of the admission and how they subsequently found ways of dealing with the situation.Relevance to clinical practice: Using a holistic approach to nursing assessment and care delivery in intensive care necessitates that nurses interact with and care for family members of patients. Development of a philosophy of family centred care is necessary, with formal assessment of families to take place soon after admission and an appropriate plan of care drawn up at this time. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967218 Wed, 15 Sep 2010 06:51:35 +0100 3967218 http://www.medworm.com/index.php?rid=3967217&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000558%2Fabstract%3Frss%3Dyes Conclusion: The patient is connected to the ICUs environment, but is usually not able to influence it. It is important to eliminate things that prevent recovery and to promote feeling safe. Besides the physical environment, things that prevent recovery and increase a feeling of being safe can be found in both the social and the symbolic environment. We also need to learn more about ICU patients’ subjective experiences in order to be able to describe the psychological environment. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967217 Wed, 15 Sep 2010 06:51:35 +0100 3967217 http://www.medworm.com/index.php?rid=3967216&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000686%2Fabstract%3Frss%3Dyes This study was designed to examine physical restraint practices across European ICUs. A prospective point prevalence survey was conducted in adult ICUs across European countries to examine: physical and chemical restraint use during the weekend and weekdays, reasons for physical restraint use, timing of restraint use, type of restraint used and availability of restraint policies. Thirty-four general (adult) ICUs in nine countries participated in the study providing information on 669 patients with details of physical and chemical restraint use in 566 patients. Prevalence of physical restraint use in individual units ranged from 0 to 100% of patients. Thirty-three per cent of patients were physically restrained; those that were restrained were more likely to be ventilated (χ2=87.56, p (Sou... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967216 Wed, 15 Sep 2010 06:51:35 +0100 3967216 http://www.medworm.com/index.php?rid=3967215&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000716%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3967215 Wed, 15 Sep 2010 06:51:35 +0100 3967215 http://www.medworm.com/index.php?rid=3770210&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000340%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770210 Wed, 21 Jul 2010 06:17:06 +0100 3770210 http://www.medworm.com/index.php?rid=3770209&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000406%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770209 Wed, 21 Jul 2010 06:17:06 +0100 3770209 http://www.medworm.com/index.php?rid=3770208&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000352%2Fabstract%3Frss%3Dyes The Publisher regrets that in the above published paper we did not acknowledge that this article was originally published in Australian Critical Care 2008 21(3)127–140. The article is republished with permission from Australian Critical Care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770208 Wed, 21 Jul 2010 06:17:06 +0100 3770208 http://www.medworm.com/index.php?rid=3770207&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000236%2Fabstract%3Frss%3Dyes This book delivers to the reader ‘exactly what it says on the tin’ and much more. The nursing assessments and interventions are clearly described in a manner that a novice nurse would find easy to follow, this is enhanced with practical advice throughout the book. It is nicely grounded down to minutiae in most chapters (such as avoiding use of a pen torch whose bulb extend beyond the torch) and written in an accessible style. The only possible practice tip I wanted to see but could not find is perhaps the ‘how to’ administer fluid challenges. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770207 Wed, 21 Jul 2010 06:17:06 +0100 3770207 http://www.medworm.com/index.php?rid=3770205&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000431%2Fabstract%3Frss%3Dyes In conclusion, staff reported positive views of work and the model shared leadership in the investigated ICU. One implication is that nurse managers have to be conscious of different health professionals in the unit and it is important to offer a good working environment for all staff. However, more research is needed within the area of shared leadership. A future research project could be to add a qualitative research question about how work and shared leadership affects different health professionals in the day to day practice both at the managerial as well as the team level to improve health care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770205 Wed, 21 Jul 2010 06:17:06 +0100 3770205 http://www.medworm.com/index.php?rid=3770204&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000418%2Fabstract%3Frss%3Dyes Conclusions: Despite a high level of satisfaction with the care provided in the ICU many respondents considered a follow-up bereavement service potentially useful to deal with the death of the family member and to get remaining questions answered. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770204 Wed, 21 Jul 2010 06:17:05 +0100 3770204 http://www.medworm.com/index.php?rid=3770203&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000042X%2Fabstract%3Frss%3Dyes Summary: Influenza is a common seasonal viral infection that affects large numbers of people. In early 2009, many people were admitted to hospitals in Mexico with severe respiratory failure following an influenza-like illness, subtyped as H1N1. An increased mortality rate was observed. By June 2009, H1N1 was upgraded to pandemic status. In June–July, Australian ICUs were experiencing increased activity due to the influenza pandemic. While hospitals implemented plans for the pandemic, the particularly heavy demand to provide critical care facilities to accommodate an influx of people with severe respiratory failure became evident and placed a great burden on provision of these services. This paper describes the initial experience (June to mid September) of the pandemic from the nursing pe... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770203 Wed, 21 Jul 2010 06:17:05 +0100 3770203 http://www.medworm.com/index.php?rid=3770202&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000212%2Fabstract%3Frss%3Dyes Conclusion: The study concluded that the systems are useful adjuncts to identify developing critical illness in haematology patients but cannot be used in isolation due to the high number of false negative results that occur. Any plan to introduce either system should acknowledge the increase in workload that will result. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770202 Wed, 21 Jul 2010 06:17:05 +0100 3770202 http://www.medworm.com/index.php?rid=3770201&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000039X%2Fabstract%3Frss%3Dyes Summary: In this article, sedation protocol research in the intensive care environment is critically examined, focusing upon the differences in outcomes from research conducted on mechanically ventilated patients in various countries. Limitations of the current research are discussed, with suggestions of how sedation protocol research may be conducted in future. Also, the monitoring of important clinical factors is discussed so that clinicians can assess the impact upon patients of changes to sedation management practices within their own ICU. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770201 Wed, 21 Jul 2010 06:17:05 +0100 3770201 http://www.medworm.com/index.php?rid=3770200&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000479%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3770200 Wed, 21 Jul 2010 06:17:04 +0100 3770200 http://www.medworm.com/index.php?rid=3562190&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000054%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562190 Fri, 14 May 2010 13:45:26 +0100 3562190 http://www.medworm.com/index.php?rid=3562189&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000008X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562189 Fri, 14 May 2010 13:45:26 +0100 3562189 http://www.medworm.com/index.php?rid=3562188&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000066%2Fabstract%3Frss%3Dyes This study emphasises the importance of looking at a patient who is critically ill as a whole person within the context of their cultural, spiritual and biographical milieu. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562188 Fri, 14 May 2010 13:45:26 +0100 3562188 http://www.medworm.com/index.php?rid=3562187&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000078%2Fabstract%3Frss%3Dyes Conclusion: Considering the significant adverse consequences of agitation, antipyretic therapy may be recommended for the elderly ICU population, especially when fever is combined with other factors predisposing to agitation or when fever becomes high. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562187 Fri, 14 May 2010 13:45:25 +0100 3562187 http://www.medworm.com/index.php?rid=3562186&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000200%2Fabstract%3Frss%3Dyes Conclusions: In a simulated environment, a computerised protocol for TGC resulted in significant insulin dosing error reduction, saved time and improved nurse satisfaction. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562186 Fri, 14 May 2010 13:45:25 +0100 3562186 http://www.medworm.com/index.php?rid=3562185&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000224%2Fabstract%3Frss%3Dyes Conclusions: This study demonstrates that family members of critically ill patients enjoyed participating in their relatives’ care and critical care nurses supported them in individualising the care. They felt useful and it improved communication and facilitated close physical and emotional contact with their relative. This partnership approach successfully incorporated family members into the daily care for their sick relative and connects patients, families and nurses in critical care within this Family Centred Care model of care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562185 Fri, 14 May 2010 13:45:25 +0100 3562185 http://www.medworm.com/index.php?rid=3562184&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000194%2Fabstract%3Frss%3Dyes Conclusions: Whilst these results do not justify routine follow-up for all, they suggest that, for the most traumatised parents, rates of long-term distress could be reduced by this intervention. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562184 Fri, 14 May 2010 13:45:25 +0100 3562184 http://www.medworm.com/index.php?rid=3562183&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000030%2Fabstract%3Frss%3Dyes Conclusion: A safe working environment improves the possibility to deliver a satisfactory work performance. Shared experiences and communication between colleagues should be encouraged; teamwork should be enhanced by the implementation of local and national training courses, and unambiguous work guidelines should be given. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562183 Fri, 14 May 2010 13:45:25 +0100 3562183 http://www.medworm.com/index.php?rid=3562182&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000029%2Fabstract%3Frss%3Dyes Conclusion: Parents of children who survived MSS show recovery. Nevertheless a minority still experiences emotional burden and disease-related limitations. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562182 Fri, 14 May 2010 13:45:25 +0100 3562182 http://www.medworm.com/index.php?rid=3562181&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000042%2Fabstract%3Frss%3Dyes This article discusses some of the issues and problems that can occur using examples from a large multi-national nursing study by the RACHEL group. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562181 Fri, 14 May 2010 13:45:25 +0100 3562181 http://www.medworm.com/index.php?rid=3562180&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339710000273%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3562180 Fri, 14 May 2010 13:45:25 +0100 3562180 http://www.medworm.com/index.php?rid=3329140&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433970900113X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329140 Thu, 04 Mar 2010 15:16:04 +0100 3329140 http://www.medworm.com/index.php?rid=3329139&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001256%2Fabstract%3Frss%3Dyes Summary: Background: Informational support to family members of ICU patients has significant potential for reducing their psychological distress, enabling them to better cope and support the patient.Objectives: To describe family member perception of informational support, anxiety, satisfaction with care, and their interrelationships, to guide further refinement of a local informational support initiative and its eventual evaluation.Methodology/design: This cross-sectional descriptive correlational pilot study collected data from a convenience sample of 29 family members using self-report questionnaires.Setting: 22-bed medical-surgical intensive care unit of a 659-bed university affiliated teaching hospital in Montreal, Quebec, Canada.Results: Mean informational support, assessed with a mo... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329139 Thu, 04 Mar 2010 15:16:04 +0100 3329139 http://www.medworm.com/index.php?rid=3329138&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001128%2Fabstract%3Frss%3Dyes Conclusions: The study results show the importance of nursing staff adequacy to workload fluctuations for reducing ICU costs. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329138 Thu, 04 Mar 2010 15:16:04 +0100 3329138 http://www.medworm.com/index.php?rid=3329137&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001268%2Fabstract%3Frss%3Dyes Summary: Transporting the critically ill patient is described within the literature as a high-risk procedure. Both guidelines and minimum standards are available to inform practice. However, a practical, clinically useful, and evidence-based document (tool) for the ICU nurse to use when transporting a critically ill patient was not identified in the literature. Consequently, the development of an intrahospital transport tool is described. This transport tool was designed to mitigate the risks associated with patient transport by providing the Intensive Care Unit (ICU) nurse with an integrated documentation record, incorporating patient assessment with a procedural guideline. The result is a framework for the ICU nurse to use throughout intrahospital transfers, informing and supporting them... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329137 Thu, 04 Mar 2010 15:16:04 +0100 3329137 http://www.medworm.com/index.php?rid=3329136&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001116%2Fabstract%3Frss%3Dyes Conclusion: The patients’ consciousness enabled the relatives to judge their condition for themselves and enter into contact. This resulted in a sense of being in control but also efforts to suppress own suffering. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329136 Thu, 04 Mar 2010 15:16:04 +0100 3329136 http://www.medworm.com/index.php?rid=3329135&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001104%2Fabstract%3Frss%3Dyes Summary: The aim of this study was to examine the discriminant and criterion validity of vital signs (mean arterial pressure [MAP], heart rate [HR], respiratory rate [HR], transcutaneous oxygen saturation [SpO2], and end-tidal CO2) for pain assessment in postoperative cardiac surgery ICU adults. A repeated-measure within-subject design was used. A convenience sample of 105 patients from a cardiology health center in Canada participated. Patients were observed during three testing periods: (1) unconscious and mechanically ventilated, (2) conscious and mechanically ventilated and (3) after extubation. For each of these testing periods, vital signs were assessed using the ICU monitoring at rest, during a nociceptice procedure and 20min postprocedure. Conscious patients’ self-reports of pain... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329135 Thu, 04 Mar 2010 15:16:04 +0100 3329135 http://www.medworm.com/index.php?rid=3329134&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001049%2Fabstract%3Frss%3Dyes Summary: Objectives: To evaluate the application of the Sequential Organ Failure Assessment (SOFA) in describing the severity of organ dysfunctions and the associated mortality rates in critically ill patients at a teaching hospital.Research methodology: Prospective longitudinal study performed in 1164 adult, critically ill patients who were admitted consecutively into intensive care units between January 2004 and December 2005. We analysed static evaluation of SOFA and dynamic changes in the SOFA scores. The discriminative power of SOFA was evaluated using ROC curves.Results: There was an increase in the mortality rate when the SOFA scores increased (, p (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329134 Thu, 04 Mar 2010 15:16:03 +0100 3329134 http://www.medworm.com/index.php?rid=3329133&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000871%2Fabstract%3Frss%3Dyes Conclusion: Passive dissemination of research materials was not sufficient to generate an increased awareness, knowledge, or perceived utility of research. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329133 Thu, 04 Mar 2010 15:16:03 +0100 3329133 http://www.medworm.com/index.php?rid=3329132&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001153%2Fabstract%3Frss%3Dyes Summary: There is a growing requirement to use standardised instruments for collecting research data and monitoring patient progress. Two sets of properties should be addressed when selecting and adapting research instruments: psychometric properties (validity, appropriateness, reliability, and responsiveness) and clinical properties (feasibility and acceptability of the instrument). This paper outlines steps necessary to fulfil these requirements when using a research instrument in different cultures. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329132 Thu, 04 Mar 2010 15:16:03 +0100 3329132 http://www.medworm.com/index.php?rid=3329131&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001141%2Fabstract%3Frss%3Dyes The recent Declaration of Vienna launched by the European Society of Intensive Care Medicine () emphasises the global nature of disease yet the increasingly uneven distribution of resources. Over the past decade, studies have identified variation across European countries in physician values and practices (), resuscitation directives () end of life practices () and nurse involvement in end-of-life decision-making (). Increase in the use of internet and e-mail for data collection has made international studies much easier to conduct, for example the EPIC study examining the prevalence of nosocomial infection was supported by 1417 ICUs across Europe () and the ETHICUS study examining end of life practices across Europe included data from 37 units in 17 countries (). (Source: Intensive and Cr... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329131 Thu, 04 Mar 2010 15:16:03 +0100 3329131 http://www.medworm.com/index.php?rid=3329130&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433971000011X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3329130 Thu, 04 Mar 2010 15:16:03 +0100 3329130 http://www.medworm.com/index.php?rid=3158671&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001086%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158671 Mon, 11 Jan 2010 15:06:44 +0100 3158671 http://www.medworm.com/index.php?rid=3158670&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001098%2Fabstract%3Frss%3Dyes In short, this textbook is invaluable to any nurse undertaking practice based assessments in the clinical environment as part of their education and preparation to be a critical care nurse in high dependency or intensive care. It would also prove a useful tool for those experienced in critical care who would like a refresher, particularly if they are engaged in mentorship or other educational roles. It is small, compact and easily portable for reference use in the clinical area. The authors’ style demonstrates a wealth of experience and knowledge in the field of critical care. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158670 Mon, 11 Jan 2010 15:06:44 +0100 3158670 http://www.medworm.com/index.php?rid=3158669&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000895%2Fabstract%3Frss%3Dyes Conclusion: The physical environment became a hindrance to the interplay as it was designed for medical and technical use and thus did not promote healing. The professionals are important for interpreting the signals from both patients and next of kin, as well as for finding caring strategies, such as physical contact that promote interplay, which in turn strengthens connectedness. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158669 Mon, 11 Jan 2010 15:06:44 +0100 3158669 http://www.medworm.com/index.php?rid=3158668&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001037%2Fabstract%3Frss%3Dyes Summary: Objectives: Mechanically ventilated patients commonly receive sedative medications. There is increasing evidence that sedative medications impact on patient outcomes. Nursing behaviour is a key determinant of sedation administration. The purpose of this study was to determine factors that influence nurse sedation administration to mechanically ventilated patients.Methods: The Nurse Sedation Practices Scale was mailed to a random sample of 1250 members of the American Association of Critical Care Nurses.Results: A response rate of 39% was obtained. Respondents were primarily staff nurses (73%) with a bachelor's degree in nursing (59%) from various intensive care unit (ICU) settings. We limited the analysis to adult ICU practitioners (n=423). The majority of nurses (81%) agreed that... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158668 Mon, 11 Jan 2010 15:06:43 +0100 3158668 http://www.medworm.com/index.php?rid=3158667&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000883%2Fabstract%3Frss%3Dyes Summary: While the physical sensations surrounding tracheostomy tube insertion have been reported within nursing and allied healthcare literature, the lived experience of these sensations is poorly described. This appears relevant given the imminent results of the Tracman study (2008).A purposive sample of three participants who had tracheostomy tubes previously within a critical care area or still in situ were recruited. They described their experiences in a face-to-face semi-structured interview that were audio taped. The interviews were transcribed verbatim and analysed using Giorgi's 5 concrete steps of the human scientific phenomenological method (1997).Findings revealed themes that drew attention to the fundamental aspects of the experience. These were:Practical recommendations draw ... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158667 Mon, 11 Jan 2010 15:06:43 +0100 3158667 http://www.medworm.com/index.php?rid=3158666&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001025%2Fabstract%3Frss%3Dyes Conclusion: Family members with a non-Western ethnic background experienced several challenges within the complex ICU environment. Multicultural family members had distinct strategies to deal with the hospitalisation of a critically ill loved one. Interaction difficulties and cultural traditions were not influenced by the environment alone, however the challenges seemed to deal with universal human interaction independent of the context. Nurses need to be sensitive to the families’ cultural customs in order to meet their expectations in a respectful way. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158666 Mon, 11 Jan 2010 15:06:43 +0100 3158666 http://www.medworm.com/index.php?rid=3158665&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000858%2Fabstract%3Frss%3Dyes Summary: Following a two-day history of pyrexia, stomach pain, diarrhoea and an emergency laparotomy my wife was admitted to an intensive care unit (ICU) with septic shock. Lucy was artificially ventilated for seven days, and was treated with fluids, vasopressors and antibiotics. Her condition continued to deteriorate and on about the third day she looked as though she might die. However over the next few days Lucy began to recover and she was eventually transferred to a ward and came home three weeks after admission to hospital. During her stay in the intensive care unit, Lucy developed pneumonia, bilateral pleural effusions, acute renal failure and a pericardial effusion. Over the weeks and months that followed, Lucy began to describe her experiences and the impact that these have had on... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158665 Mon, 11 Jan 2010 15:06:43 +0100 3158665 http://www.medworm.com/index.php?rid=3158664&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001074%2Fabstract%3Frss%3Dyes Conclusions: The results of this study suggest that clinicians need a better understanding of the value of track and trigger scoring systems in identifying trends in the patient's condition. Further, our data suggest that steps need to be taken in acute hospital wards to improve team members’ understanding of each others’ roles and capabilities. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158664 Mon, 11 Jan 2010 15:06:43 +0100 3158664 http://www.medworm.com/index.php?rid=3158663&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001013%2Fabstract%3Frss%3Dyes Conclusion: Nurses working in the intensive care unit readily perceive and are willing to report errors or near misses; however they may choose informal or formal methods to report. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158663 Mon, 11 Jan 2010 15:06:43 +0100 3158663 http://www.medworm.com/index.php?rid=3158662&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709001189%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=3158662 Mon, 11 Jan 2010 15:06:42 +0100 3158662 http://www.medworm.com/index.php?rid=2990942&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000974%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990942 Sat, 14 Nov 2009 14:44:46 +0100 2990942 http://www.medworm.com/index.php?rid=2990941&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000962%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990941 Sat, 14 Nov 2009 14:44:46 +0100 2990941 http://www.medworm.com/index.php?rid=2990940&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000986%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990940 Sat, 14 Nov 2009 14:44:46 +0100 2990940 http://www.medworm.com/index.php?rid=2990939&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000743%2Fabstract%3Frss%3Dyes Conclusion: In every day PICU practice an unknown set of nursing situations exist, carrying the potential for the occurrence of an adverse event. The CNSI may be a valuable tool in analysing the incidence of these situations. The CNSI is a practical instrument used to quantify and analyse the frequency of potential nursing errors. It focuses on identifying events that could reduce patient's safety, before harm occurs. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990939 Sat, 14 Nov 2009 14:44:46 +0100 2990939 http://www.medworm.com/index.php?rid=2990938&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000500%2Fabstract%3Frss%3Dyes Summary: Experiences of critically ill patients are an important aspect of the quality of care in intensive care units. If next of kin and staff try to empower the patient, this is probably performed in accordance with their beliefs about what patients experience as empowering. As intensive care patients often have difficulties communicating, staff and next of kin need to interpret their wishes, but there is limited knowledge about how correct picture next of kin and staff have of the intensive care patient's experiences. The aim of this study was to compare intensive care patients’ experiences of empowerment with next of kin and staff beliefs. Interviews with 11 intensive care patients, 12 next of kin and 12 staff were conducted and analysed using a content analysis method. The findings... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990938 Sat, 14 Nov 2009 14:44:45 +0100 2990938 http://www.medworm.com/index.php?rid=2990937&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000706%2Fabstract%3Frss%3Dyes This study reveals that it is possible to experience moments of pleasure in the midst of being a severely ill patient at an ICU and, through this experience also gain hope. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990937 Sat, 14 Nov 2009 14:44:45 +0100 2990937 http://www.medworm.com/index.php?rid=2990936&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000718%2Fabstract%3Frss%3Dyes Summary: This literature review shows that sleep is important for healing and survival of critical illness (). Sleep deprivation impinges on recovery, ability to resist infection, brings about neurological problems such as delirium, respiratory problems because it weakens upper air way muscles thus prolonging the duration of ventilation, ICU stay and complicating periods just after extubation (). Noise, pain and discomfort () modes of ventilation and drugs have been cited as causes of sleep deprivation in critically ill patients (). The inability of nurses to accurately assess patients’ sleep has also been cited as a concern while polysonography has been cited as the most effective way of assessing patients’ sleep despite the difficulties associated with it.While some of these causes o... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990936 Sat, 14 Nov 2009 14:44:45 +0100 2990936 http://www.medworm.com/index.php?rid=2990935&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000512%2Fabstract%3Frss%3Dyes In conclusion: various perceptions adopted by ICU nurses might influence the chances of a potential donor becoming an actual donor. This study demonstrates that nurses who promote organ donation strive to fulfil the will of the potential donor by taking responsibility for the perception that “nothing must go wrong”. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990935 Sat, 14 Nov 2009 14:44:45 +0100 2990935 http://www.medworm.com/index.php?rid=2990934&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433970900086X%2Fabstract%3Frss%3Dyes Conclusion: An insulin infusion protocol (IIP) that uses the last two blood glucose levels in order to determine the new infusion rate is better at maintaining glycaemic control than the traditional sliding scale method. A protocol that allows a nurse to commence and maintain the infusion is as safe and more effective than the traditional sliding scale method. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990934 Sat, 14 Nov 2009 14:44:44 +0100 2990934 http://www.medworm.com/index.php?rid=2990933&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433970900072X%2Fabstract%3Frss%3Dyes Summary: Objective: Readmission to ICU following discharge is associated with increased length of stay (LOS), increased rates of mortality, morbidity and resource consumption. Reducing readmission rates is one of the key aims of the Intensive Care Unit liaison nurse (ICULN). Our objective was to identify factors associated with readmission which were identifiable both from demographics and from each LN visit, and from this develop a clinical markers score.Methods: In this case control study, cases were all children who required ICU readmission within 48h of discharge over two years. The comparison group included children who were discharged on the same day as those who required readmission. Using multivariate logistic regression analysis the factors associated with ICU readmission were ide... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990933 Sat, 14 Nov 2009 14:44:44 +0100 2990933 http://www.medworm.com/index.php?rid=2990932&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000925%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2990932 Sat, 14 Nov 2009 14:44:44 +0100 2990932 http://www.medworm.com/index.php?rid=2784219&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000810%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2784219 Fri, 11 Sep 2009 16:58:10 +0100 2784219 http://www.medworm.com/index.php?rid=2784218&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000731%2Fabstract%3Frss%3Dyes Many patients needing intensive and critical care nursing have an underlying chronic condition which will, once the acute event is over, require long-term management. Chronic disease management is very much in vogue, but initiating (and maintaining) changes in unhealthy behaviours is notoriously challenging. This book is very much a practical guide. It will aid nurses using cognitive behavioural techniques to help individuals live with a long-term condition. It is written in a simple and readable way and covers the main principles of cognitive behavioural therapy and its use in chronic disease management, unhelpful beliefs and coping behaviours and the principles of motivational interviewing, goal setting and relaxation, augmented by useful case studies. (Source: Intensive and Critical Ca... Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2784218 Fri, 11 Sep 2009 16:58:10 +0100 2784218 http://www.medworm.com/index.php?rid=2784217&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS096433970900069X%2Fabstract%3Frss%3Dyes (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2784217 Fri, 11 Sep 2009 16:58:10 +0100 2784217 http://www.medworm.com/index.php?rid=2784216&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000639%2Fabstract%3Frss%3Dyes Conclusions: Patient diaries acknowledge the patient experience and provide new insights into nursing performance. This study offers a framework for understanding ICU patient diaries, which may facilitate cross-unit comparisons and support future guideline development. The dual perspectives of patient diaries and the ambiguous ownership of the narratives may pave the way for insights to improve critical care nursing and ICU rehabilitation. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2784216 Fri, 11 Sep 2009 16:58:10 +0100 2784216 http://www.medworm.com/index.php?rid=2784215&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000585%2Fabstract%3Frss%3Dyes Conclusions: The results of this study support the recommendation to reintroduce gastric content aspirated to improve GRV management without increasing the risk for potential complications. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2784215 Fri, 11 Sep 2009 16:58:10 +0100 2784215 http://www.medworm.com/index.php?rid=2784214&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000627%2Fabstract%3Frss%3Dyes Conclusion: Adaptation is an issue for the whole family and is facilitated by being able to stay close to the patient and receive supportive unambiguous information from the staff both during the ICU stay and after discharge. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2784214 Fri, 11 Sep 2009 16:58:10 +0100 2784214 http://www.medworm.com/index.php?rid=2784213&cid=s_35631_27_f&fid=35631&url=http%3A%2F%2Fwww.intensivecriticalcarenursing.com%2Farticle%2FPIIS0964339709000287%2Fabstract%3Frss%3Dyes Conclusion: Implementation of the CAM-ICU in daily critical care is feasible. A structural training programme is probably helpful for success of implementation. (Source: Intensive and Critical Care Nursing) Intensive and Critical Care Nursing journals http://www.medworm.com/rss/comments.php?id=2784213 Fri, 11 Sep 2009 16:58:09 +0100 2784213