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Carbon emissions: can I make a difference?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - October 13, 2009 Category: Nursing Authors: Julie Scholes Tags: Editorial Source Type: journals

BACCN International Conference 2009–'An International Perspective: Cementing Alliances and Forging Success'Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - October 12, 2009 Category: Nursing Authors: Karen Hill Tags: News Source Type: journals

Arterial transducer placement and cerebral perfusion pressure monitoring: a discussionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: At the present time, there is insufficient evidence for recommending standard placement for mean arterial pressure (MAP) measurements for patients with TBI. There are implications to consider as the treatment prescribed will differ depending on where the arterial transducer is placed because the MAP and CPP displayed will fall by 15 mm Hg at a head elevation of 30 degrees. This poses a number of questions: is the CPP underestimated with the arterial transducer placed at head level? Is the CPP overestimated if the transducer is placed at mid axilla level?Recommendations: Further research is recommended. However,...
Source: Nursing in Critical Care - October 12, 2009 Category: Nursing Authors: Helen A. Jones Tags: Literature Review Source Type: journals

The immediate life support course: implementation into an undergraduate nursing programmeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Student feedback reported that the ILS course helped them understand what constituted the acutely ill patient and the role of the nurse in managing a deteriorating situation. Students also reported that they valued the experience as highlighting gaps in their knowledge. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - October 12, 2009 Category: Nursing Authors: Billiejoan Rice, Patrick Gallagher, Niall Mc Kenna, Marian Traynor, Trevor Mc Nulty Tags: Research Source Type: journals

The importance of knowing the patient in weaning from mechanical ventilationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: 'Knowing the patient' was implied during the interviews as essential to the delivery of patient-centred care. There were two main factors that needed to be present in order for nurses to know their patients: continuity of care and expertise. 'Ways of knowing' was reliant on gaining information about the patient. The role of the patient was a passive recipient of treatment.Implications for practice: Knowing the patient has been defined as a characteristic of expert nursing. To be truly patient-centred nursing needs to address the barriers that prevent nurses from getting to 'know' their patients. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - October 12, 2009 Category: Nursing Authors: Cheryl Crocker, Julie Scholes Tags: Research Source Type: journals

Recovering from the psychological impact of intensive care: how constructing a story helpsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In order to recover psychologically, some ICU patients need help overcoming obstacles to their ability to construct an adequately coherent narrative of their experience.Relevance to clinical practice: ICU follow-up clinics could gain increased clarity of purpose from this narrative conceptual framework, eventually evaluating and validating benchmarks for assessing psychological recovery in relation to specified dimensions of narrative processing. Practice development informed by narrative process theory could also enhance ICU nursing communication. Since story construction is central to a person's core identit...
Source: Nursing in Critical Care - October 12, 2009 Category: Nursing Authors: Susan Lecky Williams Tags: Research Source Type: journals

Patient-centred care: reality or rhetoric?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 24, 2009 Category: Nursing Authors: Fiona Timmins, Felicity Astin Tags: Editorials Source Type: journals

Become a member of the BACCN National BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Karen Hill Tags: News Source Type: journals

BACCN corporate strategy to improve critical careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Colette Laws-Chapman Tags: News Source Type: journals

Family witnessed resuscitation: an invitation to share your experiencesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: John Albarran Tags: News Source Type: journals

An evaluation of the impact of a tracheostomy weaning protocol on extubation timeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Alison Spencer, Collette Clifford Tags: Erratum Source Type: journals

Reduction of catheter related bloodstream infections in intensive care: one for all, all for one?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Dominique M Vandijck, Stijn I Blot, Sonia O Labeau Tags: Critical Commentary Source Type: journals

Interacting with relatives in intensive care unit. Nurses' perceptions of a challenging taskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The nurses' outcome expectations and self-efficacy in terms of knowledge and skills interacting with relatives were high. There was considerable variation in the nurses' agreement on when to involve relatives in caring activities or allowing them to be with the patient in critical situations. The self-efficacy theory was not supported as a result of lack of correlation between nurses' self-efficacy and outcome expectations and their attitude towards involving relatives in ICU.Relevance to clinical practice: The study provides important knowledge to clinicians, educators and managers on how to educate and superv...
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Anne Sophie Ågård, Helle Terkildsen Maindal Tags: Research Source Type: journals

A nurse-led intensive care after-care programme – development, experiences and preliminary evaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The development and preliminary evaluation of this nurse-led intensive care programme resulted in a feasible programme, requiring modest resources, with a high level of patient and relative satisfaction.Relevance to clinical practice: This paper attempts to share with professional colleagues important steps during the developmental process of establishing an intensive care follow-up service and presents the content and preliminary evaluation of a nurse-led intensive care after-care programme focusing on the patients' and relatives' perspectives. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Karin AM Samuelson, Ingrid Corrigan Tags: Evaluation Source Type: journals

Postoperative hyperglycaemia of diabetic patients undergoing cardiac surgery – a clinical auditEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The findings from this audit highlight the importance of regular blood glucose testing to enable early detection of hyperglycaemia and timely initiation of appropriate treatments regimes for diabetic patients undergoing cardiac surgery. Findings also show that hyperglycaemia derangement may make a difference in the recovery phase. While patients will benefit from lesser wound infections, hospitals might save costs involved with treating postoperative complications.Relevance to practice: More consistent blood glucose testing might be achieved through the use of evidence-based protocols. However, the education of...
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Daniela Lehwaldt, Mary Kingston, Sheila O'Connor Tags: Audit Source Type: journals

Characteristics of deaths in paediatric intensive care: a 10-year studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: End-of-life care is an important facet of paediatric intensive nursing/medicine. Ten years on from the Royal College of Paediatrics and Child Health publication 'Withholding or withdrawing life sustaining treatment in children: A framework for practice', this study found managed withdrawal of MWLSMT to be the most commonly practised mode of death in a tertiary PICU, and this was consistent over the study period. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Rebecca Sands, Joseph C Manning, Harish Vyas, Asrar Rashid Tags: Audit Source Type: journals

British Association of Critical Care Nurses position statement on prescribing in critical careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The position statement is based upon evidence from the literature, National Health Service policy and the Nursing and Midwifery Council regulations. It takes account of the critical care patient pathway before, during and after an admission to critical care. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Kate Bray, Deborah Dawson, Vanessa Gibson, Heather Howells, Heather Cooper, Joanna McCormick, Catherine Plowright Tags: Position Statement Source Type: journals

Shared mental models enhance team performanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - August 23, 2009 Category: Nursing Authors: Brigid Gillespie, Wendy Chaboyer Tags: Editorials Source Type: journals

National Institute for Health and Clinical Excellence announces guideline on critical illness rehabilitationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 17, 2009 Category: Nursing Authors: Catherine Plowright Tags: Editorials Source Type: journals

Simple guide to payment by resultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Karen Hill Tags: News Source Type: journals

North West region returnsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Chris Jones Tags: News Source Type: journals

Critical Care Nurse Wins One of Three Marjorie Simpson New Researcher Awards for 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Tags: News Source Type: journals

End-of-life study eventEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Vanessa Gibson Tags: News Source Type: journals

BACCN Conference – York, 2008. Impressions of a novice intensive care unit nurseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Michal Nixon Tags: News Source Type: journals

Commentary: Ulger F et al. (2009). Are we aware how contaminated our mobile phones with nosocomial pathogens?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: These results showed that HCWs hands and their mobile phones were contaminated with various types of micro-organisms. Mobile phones used by HCWs in daily practice may be a source of nosocomial infections in hospitals. Abstract reprinted from Annals of Clinical Microbiology and Antimicrobials, volume 8, Ulger F et al., 'Are we aware how contaminated our mobile phones with nosocomial pathogens?', doi:10.1186/1476-0711-8-7. © 2009, reproduced with permission from BioMed Central Ltd. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Dinah Gould Tags: Thinking Outside The Box Source Type: journals

Acute kidney injury and renal replacement therapy in the intensive care unitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: AKI is associated with increased mortality in ICU, and RRT should be considered early in the disease process. Continuous haemofiltration is the most common modality of treatment in this group of patients, and a detailed knowledge of the management of such patients is required. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Peter Faber, Andrew A Klein Tags: Literature Review Source Type: journals

Quick change versus double pump while changing the infusion of inotropes: an experimental studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The study was conducted on a limited sample; no statistically significant differences were detected; QC is the quickest and more cost-effective method. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Ilaria de Barbieri, Anna C Frigo, Alessandra Zampieron Tags: Research Source Type: journals

Heparin versus citrate for anticoagulation in critically ill patients treated with continuous renal replacement therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The studies examined lacked reference to the power of the studies and strength in the presentation of the results. Because of the lack of reliability in the studies, it would be suggested that further research is needed on this topic in order to produce rigorous high-quality reviews with limited bias. The use of citrate, as with all treatments in clinical practice, should be used with caution and assessed on an individual patient basis. Reviewing this evidence helps to gain an insight into different treatment options available, identifying some of the risks and benefits. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Joanne Tillman Tags: Literature Reviews Source Type: journals

Weaning from ventilation – current state of the science and artEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Weaning from mechanical ventilation has attracted a growing interest recently in the medical and nursing press. Attempts have been made to determine a patient's readiness to wean, define criteria for successful weaning and enhance the weaning process through the developments of protocols. Key to this work is the role of the critical care nurse. Transferring the role and the responsibility of weaning from the traditional perspective of the intensivist to the nurse is not without challenges. Inherent is the need for skill and expertise and the willingness to accept this level of responsibility, not questioned in the medical ...
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Cheryl Crocker Tags: Literature Reviews Source Type: journals

Earplugs improve patients' subjective experience of sleep in critical careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Earplug use improved the subjective experience of sleep for un-medicated critical care patients without interfering with care delivery.Relevance to Practice: The negligible cost and low level of invasiveness of earplugs makes this preferable as a primary intervention to promote sleep while avoiding unnecessary sedating medications. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Carrie J Scotto, Carol McClusky, Scott Spillan, Justin Kimmel Tags: Research Source Type: journals

Communication, swallowing and feeding in the intensive care unit patientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: There is still much more research to be performed and evidence to be gained regarding the input into communication, swallowing and feeding in the ICU; however, a full-team approach to these areas can have very positive effects on the patient's experience. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Sally Batty Tags: Practice Development Source Type: journals

Grasping the nutritional situation: a grounded theory study of patients' experiences in intensive careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The patients' views of nutritional care during their stay in the ICU may contribute to understanding of how patients make sense of their nutritional changes and how they are involved in their nutritional care. This study shows that grasping the nutrition can be a way to regain some control in a situation where the patients are highly dependent on professional care. Further research is needed to develop this substantive theory in other intensive care settings to support patients' nutritional journey in intensive care.Relevance to clinical practice: Nurses can promote patients' abilities to grasp their nutrition...
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Mona W Persenius, Marie L Hall-Lord, Bodil Wilde-Larsson Tags: Research Source Type: journals

Sepsis bundles: time for a nursing initiative?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - June 15, 2009 Category: Nursing Authors: Elizabeth DE Papathanassoglou Tags: Editorials Source Type: journals

Minimising central venous catheter-associated bloodstream infections –'Matching Michigan' in EnglandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 9, 2009 Category: Nursing Authors: Annette Richardson Tags: Editorials Source Type: journals

Request to BACCN researchersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Julie Scholes, John Albarran Tags: News Source Type: journals

BACCN Conference 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Karen Hill Tags: News Source Type: journals

BACCN essay competitionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Karen Hill Tags: News Source Type: journals

Commentary: Knowles RE, Tarrier N (2009). Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: a randomized control trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Survivors of critical illnesses are likely to experience clinically significant symptoms of anxiety and depression following their discharge from hospital. The prospective diary intervention was designed to help patients understand what happened to them in intensive care, and it has a significant positive impact on anxiety and depression scores almost 2 months after patients' discharge from ICU. Attempts to replicate these results using larger samples are therefore encouraged, with the aim of informing best practice guidelines. Abstract reprinted from the Critical Care Medicine, volume 37, Knowles and Tarrier,...
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Christina Jones Tags: Thinking Outside The Box Source Type: journals

Delirium in the intensive care unit: a reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Routine screening of all patients in the ICU for the presence of delirium is crucial to its successful management. Nurses are on the front line to detect, manage and even prevent delirium. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Emma Arend, Martin Christensen Tags: Literature Reviews Source Type: journals

Teaching anaesthetic nurses optimal force for effective cricoid pressure: a literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Forces of 20[ndash]30 N are adequate to occlude the oesophagus and minimize the risk of acid aspiration. However, it is difficult for practitioners to accurately estimate this force in everyday practice. Various methods of assessing force were discussed, with the use of a 50-mL syringe suggested as a cost-effective and simple method to utilize in practice.Relevance to clinical practice: The literature review demonstrated that the subject of cricoid pressure is relevant in critical care practice in order to ensure patient safety during RSI. Thus, all critical care nurses have a duty to gain a working knowledge ...
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Andrew Parry Tags: Literature Reviews Source Type: journals

An evaluation of the impact of a tracheostomy weaning protocol on extubation timeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Although the findings from the study were not statistically significant, they can be seen as clinically significant in terms of patient comfort and reduced dependency in care by a reduction of time with a tracheostomy. It is recommended that a larger scale study be carried out to determine if a tracheostomy weaning protocol does make an impact on length of time to extubation in wider care settings. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Collette Clifford, Alison Spencer Tags: Research Source Type: journals

The COMFORT behavioural scale and the modified FLACC scale in paediatric intensive careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The COMFORT-B scale was a more reliable measure of children's sedation than bedside subjective assessment and gives more substantial information about sedation than the FLACC scale. Concurrent validity for assessment of pain was supported for both scales. The modified FLACC showed construct validity for measuring pain.Relevance to clinical practice: The use of validated scales may improve the assessment and management of pain and sedation in intubated children. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Monica Johansson, Eva Kokinsky Tags: Research Source Type: journals

EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The involvement of European intensive care nurses in EOL care discussions and decisions is reasonably consistent with many engaged in initiating dialogue with coworkers. In general, views and experiences of EOL care were similar, with the exception of the provision of nutrition and use of sedation.Relevance to practice: Use of formal guidelines and education may increase nurses' involvement and confidence with EOL decisions. (Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Jos M Latour, Paul Fulbrook, John W Albarran Tags: Research Source Type: journals

A tribute to colleagues and the people of Victoria, Southern AustraliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Julie Scholes, John Albarran, Tracy Pilcher Tags: Editors' Note Source Type: journals

Reduction of catheter related bloodstream infections in intensive care: one for all, all for one?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - April 1, 2009 Category: Nursing Authors: Onno K Helder, Jos M Latour Tags: Editorials Source Type: journals

Collaboration and teamwork in critical careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - February 23, 2009 Category: Nursing Authors: Tracy Pilcher Tags: Editorials Source Type: journals

Reviewer panel members who reviewed manuscripts in 2008 for Nursing in Critical CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - February 22, 2009 Category: Nursing Tags: Reviewers Source Type: journals

Call for new regional committee membersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - February 22, 2009 Category: Nursing Tags: News Source Type: journals

2009 International ConferenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - February 22, 2009 Category: Nursing Authors: Joanne Leonard Tags: News Source Type: journals

BACCN SecretariatEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Nursing in Critical Care)
Source: Nursing in Critical Care - February 22, 2009 Category: Nursing Tags: News Source Type: journals