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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Source Type: journals

Acknowledgement to ReviewersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Source Type: journals

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Authors: Marjorie de Neef, Albert P. Bos, Dirk Tol Tags: Original Articles Source Type: journals

Empowerment in intensive care: Patient experiences compared to next of kin and staff beliefsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 o...
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Authors: Ingrid Wåhlin, Anna-Christina Ek, Ewa Idvall Tags: Original Articles Source Type: journals

Enjoying tactile touch and gaining hope when being cared for in intensive care—A phenomenological hermeneutical studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Authors: Maria Henricson, Kerstin Segesten, Anna-Lena Berglund, Sylvia Määttä Tags: Original Articles Source Type: journals

Factors that impact on sleep in intensive care patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 con...
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Authors: Agness. C. Tembo, Vicki Parker Tags: Original Articles Source Type: journals

A phenomenographic study of ICU-nurses’ perceptions of and attitudes to organ donation and care of potential donorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Authors: Anne Flodén, Anna Forsberg Tags: Original Articles Source Type: journals

Is nurse-managed blood glucose control in critical care as safe and effective as the traditional sliding scale method?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Authors: Gary Adams, Jo Hunter, Jane Langley Tags: Original Articles Source Type: journals

The development of a clinical markers score to predict readmission to paediatric intensive careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 w...
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Authors: Sophie Linton, Chelsea Grant, Juliet Pellegrini, Andrew Davidson Tags: Original Articles Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - November 14, 2009 Category: Nursing Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Tags: Book Review Source Type: journals

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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 belief...
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Authors: David R. Thompson Tags: Book Review Source Type: journals

Research reviewsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Tags: Original Articles Source Type: journals

Analysis of patient diaries in Danish ICUs: A narrative approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Authors: Ingrid Egerod, Doris Christensen Tags: Original Articles Source Type: journals

To return or to discard? Randomised trial on gastric residual volume managementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Authors: Maria-Eulàlia Juvé-Udina, Consol Valls-Miró, Avelina Carreño-Granero, Gemma Martinez-Estalella, David Monterde-Prat, Carmen-Maria Domingo-Felici, Joan Llusa-Finestres, Gemma Asensio-Malo Tags: Original Articles Source Type: journals

Family adaptation in relation to a family member's stay in ICUEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Authors: Ing-Mari K. Söderström, Britt-Inger Saveman, Margaretha S. Hagberg, Eva G. Benzein Tags: Original Articles Source Type: journals

Limitations and practicalities of CAM-ICU implementation, a delirium scoring system, in a Dutch intensive care unitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Authors: Bea Riekerk, Evert Jan Pen, José G.M. Hofhuis, Johannes H. Rommes, Marcus J. Schultz, Peter E. Spronk Tags: Original Articles Source Type: journals

Doing one's utmost: Nurses’ descriptions of caring for dying patients in an intensive care environmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This study contributes new knowledge about what ICU nurses focus on when providing EOLC to unaccompanied patients but also to those whose relatives were present. Nurses’ EOLC was mainly described as their relationship and interaction with the dying patient's relatives, while patients who died alone were considered tragic but left a lesser impression in the nurses’ memory. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Authors: Isabell Fridh, Anna Forsberg, Ingegerd Bergbom Tags: Original Articles Source Type: journals

Nurses’ conceptions of facilitative strategies of weaning patients from mechanical ventilation—A phenomenographic studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Although these findings need to be confirmed by further studies we suggest that nurses’ variable use of individual strategies more likely complicate an efficient and safe weaning process of the patients from mechanical ventilation. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Authors: Jeanette Eckerblad, Heléne Eriksson, Anita Kärner, Ulla Edéll-Gustafsson Tags: Original Articles Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - September 11, 2009 Category: Nursing Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Tags: Original Articles Source Type: journals

Research Reviews April 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Tags: Original Articles Source Type: journals

The cardiovascular intensive care unit nurse's experience with end-of-life care: A qualitative descriptive studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This research adds to the limited body of knowledge concerning CVICU nurses’ experiences with end-of-life care. Results of this study provide a basis for putting in place support systems for CVICU nurses. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Authors: Amy O. Calvin, Cheryl M. Lindy, Stefanie L. Clingon Tags: Original Articles Source Type: journals

Patients’ perception of music versus ordinary sound in a postanaesthesia care unit: A randomised crossover trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: We performed an experimental single-blind crossover design study in a postanaesthesia care unit (PACU): (i) to test the hypothesis that patients will experience a higher degree of wellbeing if they listen to music compared to ordinary PACU sounds during their early postoperative care, (ii) to determine if there is a difference over time, and (iii) to evaluate the importance of the acoustic environment and whether patients prefer listening to music during their stay. Two groups received a three-phase intervention: one group (n=23) experienced music–ordinary sound–music and the second group (n=21) experienced or...
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Authors: Ann-Charlotte Fredriksson, Leif Hellström, Ulrica Nilsson Tags: Original Articles Source Type: journals

Manual hyperinflation of intubated and mechanically ventilated patients in Dutch intensive care units—A survey into current practice and knowledgeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This survey indicates that MH is widely used as an important item of airway management. Importantly, there is no uniformity in the performance of the procedure. Before definitive research can be developed, standards for the MH procedure should be established. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Authors: Frederique Paulus, Jan M. Binnekade, Pauline Middelhoek, Marcus J. SchuItz, Margreeth B. Vroom Tags: Original Articles Source Type: journals

The meaning of family members’ presence during intensive care stay: A qualitative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: The aim of this study was to investigate what the presence of family members meant to patients in intensive care units. The study employed a qualitative approach with semi-structured interviews and qualitative content analysis. Eleven intensive care patients were interviewed at a university hospital in Norway.The results of the study indicated that the patients desired some limitation of visitors’ presence and preferred visits only from those who were closest in daily life. Visits had a variety of functions for intensive care patients, including promoting support for patients and families. However, visits also c...
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Authors: Kristin Dahle Olsen, Elin Dysvik, Britt Sætre Hansen Tags: Original Articles Source Type: journals

Evaluation of an Electrolyte Replacement Protocol in an adult Intensive Care Unit: A retrospective before and after analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Implementation of an ERP resulted in improvements in the effectiveness and timeliness of electrolyte replacement and nurses and physicians were satisfied with the ERP. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Authors: Zahra Kanji, Karleen Jung Tags: Original Articles Source Type: journals

What factors influence suboptimal ward care in the acutely ill ward patient?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: As technological developments continue to offer patients more health care choices patient acuity increases. Patients that traditionally would have been cared for in a critical care environment are increasingly located on general wards.This change impacts on the acute care sector in a number of ways. Patients who are inpatients have more complex problems and a greater number of co-morbidities and are therefore more likely to suffer physiological deterioration. Procedures requiring inpatient stays are often more complex and associated with higher rates of mortality and morbidity. As patient acuity has increased rese...
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Authors: Debbie Massey, Leanne M. Aitken, Wendy Chaboyer Tags: Review Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - July 5, 2009 Category: Nursing Source Type: journals

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Do you have a really good book on ventilation? It is a question often put to us by novice ICU nurses, those undertaking the course and non-anaesthetic registrars. Could this be one? (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Kathy Dalley, Sarah Leyland, Jane Roe Tags: Book Review Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Tags: Original Articles Source Type: journals

Research Reviews February 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Tags: Original Articles Source Type: journals

To have and to hold nutritional control: Balancing between individual and routine care: A grounded theory studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: To have and to hold nutritional control over the patient's nutrition was found to be a balancing act between individual care and routine care. Organisation and teamwork are both challenging and supporting the provision, maintenance and development of nutritional care. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Mona Wentzel Persenius, Bodil Wilde-Larsson, Marie Louise Hall-Lord Tags: Original Articles Source Type: journals

Dissemination of research-based knowledge in an intensive care unit—A qualitative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Interprofessional research dissemination was perceived as important both in the creation of a common understanding and in knowledge development. Managers should make use of the valuable knowledge possessed by bedside professionals in their strategic planning. There is a need to allocate time for learning and reflection to provide a safe practice environment. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Britt Sætre Hansen, Elisabeth Severinsson Tags: Original Articles Source Type: journals

“Do-Not-Attempt-Resuscitation”-orders in ICCUs: A survey of attitudes and experiences of nurses in NorwayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The study revealed a positive attitude among respondents to inform patients about a DNAR-order. However, one half of the respondents had experienced that this information was not given. There may be several explanations for this discrepancy. Patients are treated individually and the right to know does not mean that every patient would want to know or needs to know. The timing of the information and the opportunity to provide it can also be a problem for such critically ill patients in the ICCU. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Mikael Næss Tags: Original Articles Source Type: journals

Perceptions of registered and enrolled nurses on thirst in mechanically ventilated adult patients in intensive care units—A phenomenographic studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Registered and enrolled nurses wish to reduce sources of discomfort among their patients but they do not always realise that patients feel thirst and therefore relieving it has a low priority among staff. Relieving thirst is a human need that must be recognised in nursing education and on intensive care units. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Marie Landström, Ing-Marie Rehn, Gunilla Hollman Frisman Tags: Original Articles Source Type: journals

Notes on critical care—Review of seminal management and leadership papers in the United KingdomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Review of recent critical care provision reveals substantial changes in clinical unit operating, and policy drivers influencing international critical care delivery. Practitioners who have worked in healthcare environments over this time, will have witnessed substantial shifts in healthcare policy, changes in professional body guidance and greater service evaluation have impacted on critical care management and leadership.This paper offers a personal perspective on seminal management and leadership papers published in the critical care literature over the past decade. Presenting a range of national and internation...
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Maureen Coombs Tags: Original Articles Source Type: journals

Quality of practice in an intensive care unit (ICU): A mini-ethnographic case studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The nurses reported satisfaction with the quality of their ICU practice, but revealed factors that could diminish quality and contribute to job dissatisfaction. Given current recruitment and retention issues and the link between satisfaction and retention, it is important to consider this these factors in advancing the knowledge base for workforce planning. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Anette Storesund, Anne McMurray Tags: Original Articles Source Type: journals

Close relatives’ experiences of caring and of the physical environment when a loved one dies in an ICUEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The participants showed forbearance with the ICU-environment. Their dying loved one's serious condition and his or her dependence on the medical-technical equipment were experienced as more frightening than the equipment as such. Returning for a follow-up-visit provided an opportunity for reconciliation and relief from guilt. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Isabell Fridh, Anna Forsberg, Ingegerd Bergbom Tags: Original Articles Source Type: journals

Cardiac surgery: 25 years onEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is the 25th Anniversary of the Journal of Intensive and Critical Care Nursing and it seems appropriate to look back over the contribution the journal has made to the developments in patient outcome following cardiac surgery. There have been enormous developments over this period with major improvements in morbidity, mortality and quality of life for people living with heart disease. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Authors: Jillian Riley Tags: Editorial Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2009 Category: Nursing Source Type: journals

Nursing involvement improves compliance with tight blood glucose control in the trauma ICU: A prospective observational studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Introduction: The importance of tight glycaemic control has gained acceptance over the last 5 years as a critical component of routine intensive care unit (ICU) measures. In an environment already strained for resources and staffing, however, effective strategies providing for increased input and responsibility of bedside nursing personnel are paramount to successful implementation.Hypothesis: Increasing input and responsibilities of ICU nursing staff in tight glycaemic control policies improves glucose control in the trauma ICU.Methods: After Institutional Review Board approval, we conducted a prospective “befo...
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Authors: Joseph J. DuBose, Shirley Nomoto, Liliana Higa, Ramona Paolim, Pedro G.R. Teixeira, Kenji Inaba, Demetrios Demetriades, Howard Belzberg Tags: Original Articles Source Type: journals

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(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Tags: Original Articles Source Type: journals

A phenomenological study to understand the experiences of nurses with regard to brainstem deathEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Nurses need more education and support to enable them to overcome cognitive dissonance and so give relatives honest information. Verbal information should be supplemented with a written information leaflet given to all relatives. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Authors: Christina Ronayne Tags: Original Articles Source Type: journals

Development of the 3-SET 4P questionnaire for evaluating former ICU patients’ physical and psychosocial problems over time: A pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The 3-set 4P questionnaire was a first step in developing an instrument for assessment of former ICU patients’ problems over time. The sample size was small and thus, further studies are needed to confirm these findings. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Authors: Eva Åkerman, Bengt Fridlund, Anders Ersson, Anetth Granberg-Axéll Tags: Original Articles Source Type: journals

The impact on parents of a child’s admission to intensive care: Integration of qualitative findings from a cross-sectional studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Parents report significant and persisting distress. Further research is needed on how best to support them acutely and in the longer term. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Authors: Gillian Colville, Janet Darkins, Janet Hesketh, Virginia Bennett, John Alcock, Jane Noyes Tags: Original Articles Source Type: journals

Nurses’ perceptions of leadership in an adult intensive care unit: A phenomenology studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: The purpose of this research was to explore ICU nurses’ perceptions of nursing leadership in the adult intensive care unit (ICU). The nursing profession needs leaders at all levels; ward, administration and executive and in an era in which there is a shortage of ICU nurses, nursing leadership is important, as positive leadership skills correlate with enhanced recruitment and retention of these specialist nurses. Six ICU nurses with at least 5 years experience in ICU nursing were recruited from a metropolitan hospital in Australia. Qualitative phenomenological methodology was used to depict the lived experiences ...
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Authors: Jenelle Linton, Maureen J. Farrell Tags: Original Articles Source Type: journals

Implementation of a multimodal infection control program during an Acinetobacter outbreakEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a multimodal infection control program designed to control a sustained outbreak Acinetobacter colonization.Methods: Multimodal interventions implemented by unit-appointed infection control nurses in an Australian intensive care unit (ICU) during a sustained outbreak of Acinetobacter colonization.Results: In the first 12 months of the outbreak, the mean monthly colonization rate was 3.1 (±1.2) cases per 100 bed-days (increased from 0.5 [±0.4] in the previous 6 months). In the subsequent 20-months, the mean monthly colonization rates declined to 1.5 (±1.5) cases per 100 bed-days (P=0.004). Hand hygie...
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Authors: Louise Rose, Kelly Rogel, Leanne Redl, John F. Cade Tags: Original Articles Source Type: journals

Intensive care or merely therapy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The names ‘intensive care’ and ‘intensive therapy’ units along with their abbreviations ICU and ITU, are often used interchangeably, should this be so? The word ‘care’ describes the act of looking after and being concerned about another individual, whereas ‘therapy’ is about the treatment or actions one might need to become well. Patients requiring intensive care or therapy are at their most vulnerable, often unable to perform the most basic of human functions adequately. These patients require excellent therapy or treatment and they have the right to expect treatment to be provided in a caring manner, with...
Source: Intensive and Critical Care Nursing - April 1, 2009 Category: Nursing Authors: Deborah Dawson Tags: Editorial Source Type: journals