1,479 results match your criteria Intensive and Critical Care Nursing[Journal]


Intensive care nurses fail to translate knowledge and skills into practice - A mixed methods study on perceptions of oral care.

Intensive Crit Care Nurs 2019 Feb 12. Epub 2019 Feb 12.

Faculty of Health, Science and Technology, Karlstad University, Sweden.

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http://dx.doi.org/10.1016/j.iccn.2019.02.001DOI Listing
February 2019

Caring for non-sedated mechanically ventilated patients in ICU: A qualitative study comparing perspectives of expert and competent nurses.

Intensive Crit Care Nurs 2019 Feb 5. Epub 2019 Feb 5.

Intensive Care Unit 4131, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark. Electronic address:

Background: Sedation practice has evolved from deep to lighter or no sedation in mechanically ventilated patients in the intensive care unit (ICU). The care of conscious intubated patients constitutes a change in the nurse-patient interaction.

Objective: We aimed to compare the perspectives of expert and competent nurses regarding their interaction with non-sedated mechanically ventilated ICU patients. Read More

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http://dx.doi.org/10.1016/j.iccn.2019.01.004DOI Listing
February 2019

Microbiological colonization of healthcare workers' mobile phones in a tertiary-level Italian intensive care unit.

Intensive Crit Care Nurs 2019 Feb 5. Epub 2019 Feb 5.

Anesthesia, Intensive Care and Emergency Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy; Department of Pathophysiology and Transplantation, University of Milan, Milano, Italy. Electronic address:

Background: Careful hand hygiene of healthcare workers is recommended to reduce transmission of pathogenic microorganisms to patients. Mobile phones are commonly used during work shifts and may act as vehicles of pathogens.

Objective: To assess the colonizsation rate of intensive care unit healthcare workers' mobile phones before and after work shifts. Read More

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http://dx.doi.org/10.1016/j.iccn.2019.01.005DOI Listing
February 2019
2 Reads

Early mobilisation in intensive care during renal replacement therapy: A quality improvement project.

Intensive Crit Care Nurs 2019 Jan 11. Epub 2019 Jan 11.

University of Florida, United States.

Objective: To improve mobility for patients undergoing renal replacement therapy within intensive care.

Design: A quality improvement study utilising a step-wise mobility protocol within a before-and-after audit design.

Setting: Twenty-four bed Trauma/Surgical intensive care unit within a level one trauma and academic centre. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.12.005DOI Listing
January 2019

A mixed methods exploration of intensive care unit nurses' perception of handling oxygen therapy to critically ill patients.

Intensive Crit Care Nurs 2019 Jan 9. Epub 2019 Jan 9.

Head and Orthopaedic Diseases and Clinical Nursing Research Unit, Aalborg University Hospital, Mølleparkvej 8A, 9000 Aalborg, Denmark. Electronic address:

Objectives: Nurses handle supplementary oxygen to intensive care unit patients as part of their daily practise. To secure patients of optimal and safe care, knowledge of nurses' perception of this practise, including influencing factors for adjusting oxygenation levels is essential. This study aimed to explore intensive care nurses' perception of handling oxygenation and of factors that govern and influence this practise. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.12.004DOI Listing
January 2019

Barriers in achieving patient participation in the critical care unit.

Intensive Crit Care Nurs 2018 Dec 29. Epub 2018 Dec 29.

School of Health and Caring Sciences, Linnaeus University, SE-351 95 äxjö, Sweden. Electronic address:

Objectives: Patient participation in healthcare is important for optimizing treatment outcomes and for ensuring satisfaction with care. Therefore, this study aims to identify barriers to patient participation in the critical care unit, as identified by critical care nurses.

Design And Settings: Qualitative data were collected in four focus group interviews with 17 nurses from two separate hospitals. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.11.008DOI Listing
December 2018

Promoting nighttime sleep in the intensive care unit: Alternative strategies in nursing.

Intensive Crit Care Nurs 2018 Dec 20. Epub 2018 Dec 20.

University of Pisa, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, Italy.

Aim: To identify if complementary interventions impacted on conscious intensive care patients' perception of stress factors and quality of sleep.

Research Methodology: A non-controlled clinical study was undertaken on conscious patients in an intensive care unit in central Italy. Patients perception of stress factors and quality of sleep during the first night with usual medical and nursing treatments was measured using two questionnaires: the Stress Factors in Intensive Care Unit Questionnaire and the Modified Richards-Campbell Sleep Questionnaire. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09643397173008
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http://dx.doi.org/10.1016/j.iccn.2018.11.010DOI Listing
December 2018
40 Reads

Realising the seriousness - The experience of suffering a second myocardial infarction: A qualitative study.

Intensive Crit Care Nurs 2018 Dec 19. Epub 2018 Dec 19.

Department of Health Science, Luleå University of Technology, SE-971 87 Luleå, Sweden.

Objectives: The aim of this study was to describe people's experiences of suffering a second myocardial infarction.

Research Methodology: A descriptive qualitative design. Interviews were conducted with eight persons afflicted by two myocardial infarctions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09643397183017
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http://dx.doi.org/10.1016/j.iccn.2018.12.002DOI Listing
December 2018
6 Reads

Nursing activity measurement for intensive care unit patients with specific conditions - An area of further investigation.

Intensive Crit Care Nurs 2018 Dec 20. Epub 2018 Dec 20.

Anesthesia and Intensive Care, University of Modena and Reggio Emilia, Modena, Italy.

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http://dx.doi.org/10.1016/j.iccn.2018.11.003DOI Listing
December 2018

Patient and/or family activated rapid response service: Patients' perceptions of deterioration and need for a service.

Intensive Crit Care Nurs 2018 Dec 19. Epub 2018 Dec 19.

Critical Care Complex, Middlemore Hospital, New Zealand.

Background: Patient and/or family activated escalation may improve care to deteriorating patients. However, limited literature describes patients' and families' experience of deterioration and what barriers might restrict call activation.

Objective: This study explored patients' and families' experiences of acute ward deterioration, their perception of a need for a patient and/or family activated escalation service and barriers that may prevent them from using it. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.11.007DOI Listing
December 2018

Filling the gaps: A mixed-methods study exploring the use of patient diaries in the critical care unit.

Intensive Crit Care Nurs 2018 Dec 18. Epub 2018 Dec 18.

Kings College Hospital, United Kingdom. Electronic address:

Background: Survivors of critical illness often take time to recovery physically and psychologically from their critical care experience. There is tentative evidence suggesting that the use of a patient or family led diary with entries by nurses, doctors and allied health professionals may help the patient 'fill in the gaps' by making sense of a time they have forgotten. Many have confused or frightening memories and a diary can aid patients and their families in the recovery after critical illness. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.10.005DOI Listing
December 2018

Reprint of Recovery programme for ICU survivors has no effect on relatives' quality of life: Secondary analysis of the RAPIT-study.

Intensive Crit Care Nurs 2019 Feb 3;50:111-117. Epub 2018 Dec 3.

Department of Anesthesiology, Holbæk Hospital, Smedelundsgade 60, 4300 Holbæk and Nordsjællands Hospital, University of Copenhagen, Dyrehavevej 29, 3400 Hilleroed, Denmark. Electronic address:

Background: Relatives of intensive care patients are at risk of developing symptoms of anxiety, depression and posttraumatic stress resulting in reduced health-related quality of life. Recovery programmes for patients have been implemented, but their effect on relatives is uncertain.

Aim: To determine whether relatives benefit from a recovery programme intended for intensive care survivors. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.11.009DOI Listing
February 2019
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Closing the theory-practice gap: A bridge too far?

Authors:
Sonia O Labeau

Intensive Crit Care Nurs 2018 Dec 6. Epub 2018 Dec 6.

Ghent University, Faculty of Medicine & Health Science, Ghent, Belgium; University College Ghent, Faculty of Education, Health and Social Work, Ghent, Belgium. Electronic address:

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http://dx.doi.org/10.1016/j.iccn.2018.11.006DOI Listing
December 2018

Brief training increases nurses' comfort using tele-ultrasound: A feasibility study.

Intensive Crit Care Nurs 2018 Dec 1. Epub 2018 Dec 1.

Division of Pulmonary and Critical Care, University of Maryland School of Medicine, 110 S. Paca St, 2nd Floor, Baltimore, MD 21201, United States; Intensive Care Unit, University of Maryland Midtown Campus, 827 Linden Ave, 5th Floor, Baltimore, MD 21201, United States. Electronic address:

Background: Nurses and other non-physician providers have demonstrated proficiency at obtaining images in the tele-ultrasound system. However, use of this skill requires comfort with the procedure and willingness to incorporate it into practice.

Objectives: To assess 1) level of comfort of non-physician providers performing tele-ultrasound before and after brief training and 2) feasibility of implementing an educational programme that improves level of comfort. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.11.004DOI Listing
December 2018
4 Reads

Cervical spine clearance in the adult obtunded blunt trauma patient: A systematic review.

Intensive Crit Care Nurs 2018 Dec 1. Epub 2018 Dec 1.

Integrative Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK; Critical Care Research Group, Southampton NIHR Biomedical Research Centre, University Hospital Southampton, Southampton, UK.

Background: A missed cervical spinal injury could have devastating consequences. Patients with a suspected cervical spinal injury are kept in rigid collars for cervical immobilisation. Prolonged collar use has important clinical implications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09643397183014
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http://dx.doi.org/10.1016/j.iccn.2018.11.001DOI Listing
December 2018
8 Reads

Patient decision-making regarding left ventricular assist devices : A multiple case study.

Intensive Crit Care Nurs 2018 Nov 23. Epub 2018 Nov 23.

The Pless Center for Nursing Research, New York University, Rory Meyers College of Nursing, 433 First Avenue, #742, New York, NY 10010, United States. Electronic address:

Objectives: To understand how patients make decisions regarding a left ventricular assist device (LVAD).

Design: A qualitative multiple case study design was used to explore the context and influence of individuals regarding patients' decision-making processes through: 1) detailed, in-depth interviews of those mostly involved in the patient's decision and 2) pertinent data including observations, medical records, educational information and physical artifacts. Data clusters and patterns of co-occurring codes were examined using thematic analysis. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.10.004DOI Listing
November 2018
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The burden of not-weighted factors in nursing workload: Can Nursing Activities Score be more suitable than TISS 28 and NEMS?

Intensive Crit Care Nurs 2018 Nov 22. Epub 2018 Nov 22.

Neurosurgical ICU, Careggi University Hospital, Florence, Italy.

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http://dx.doi.org/10.1016/j.iccn.2018.11.002DOI Listing
November 2018

Promoting a nursing team's ability to notice intent to communicate in lightly sedated mechanically ventilated patients in an intensive care unit: An action research study.

Intensive Crit Care Nurs 2018 Nov 19. Epub 2018 Nov 19.

Department of Biostatistics, Graduate School of Medicine, Hokkaido University Japan, Kita 8, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-0808, Japan.

Objectives: This study aimed to examine changes in the practice of nurses who received an intervention designed to increase their awareness of endotracheally intubated, lightly sedated mechanically ventilated patients' intent to communicate.

Research Methodology: Action research was applied. Specifically, three interventions promoting awareness of patients' intent to communicate were administered and pre- and post-intervention, observations of patient-nurse interactions, unstructured interviews with nurses and a patients' satisfaction survey were conducted. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.10.006DOI Listing
November 2018
8 Reads

Parents' and carers' experiences of transition and aftercare following a child's discharge from a paediatric intensive care unit to an in-patient ward setting: A qualitative systematic review.

Intensive Crit Care Nurs 2018 Nov 16. Epub 2018 Nov 16.

School of Health Sciences, The University of Nottingham, Nottingham, UK; The University of Nottingham Centre of Evidence Based Health Care: A Collaborating Centre of The Joanna Briggs Institute, The University of Nottingham, Nottingham, UK; Nottingham Children's Hospital and Neonatology, Nottingham University Hospitals NHS Trust, Nottingham, UK; Children and Families Research, Centre for Innovative Research Across a Life Course, Coventry University, UK. Electronic address:

Objectives: To explore parents' experiences of transition and aftercare following their child's discharge from a paediatric intensive care unit to an in-patient ward.

Methods: A qualitative systematic review was conducted. Electronic databases CINAHL, MEDLINE, EMBASE, Psych INFO, and ASSIA were searched for qualitative studies with no date limits imposed. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.10.003DOI Listing
November 2018
4 Reads

Application of a ventilator associated pneumonia prevention guideline and outcomes: A quasi-experimental study.

Intensive Crit Care Nurs 2018 Oct 23. Epub 2018 Oct 23.

Centro Hospitalar S. João, E.P.E., Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.

Objective: Ventilator associated pneumonia is the most frequent health-care-associated infection in Intensive Care Units, causing increased antibiotic consumption and resistance, length of stay, plus multiple health and economic costs. The aim of the study was to assess whether a customised guideline implementation would improve ventilator-associated pneumonia incidence and associated intensive care outcomes.

Design: This was a quasi-experimental, before-after study consisting of pre-intervention, intervention and post-intervention periods. Read More

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https://www.sciencedirect.com/science/article/pii/S096433971
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https://linkinghub.elsevier.com/retrieve/pii/S09643397183015
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http://dx.doi.org/10.1016/j.iccn.2018.10.001DOI Listing
October 2018
15 Reads

Family-centred care in the intensive care unit: More than just flexible visiting hours.

Intensive Crit Care Nurs 2019 Feb 19;50:1-2. Epub 2018 Oct 19.

Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Level 7 Clinical Services Block, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021, New Zealand. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S09643397183031
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http://dx.doi.org/10.1016/j.iccn.2018.10.002DOI Listing
February 2019
16 Reads

Intensive care nurses fail to translate knowledge and skills into practice - A mixed-methods study on perceptions of oral care.

Intensive Crit Care Nurs 2018 Oct 5. Epub 2018 Oct 5.

Department of Health Science, Karlstad University, Faculty of Health, Science and Technology, Karlstad, Sweden.

Objectives: To identify intensive care nurses' perceptions of oral care according to Coker et al.'s (2013) conceptual framework and to contribute to the knowledge base of oral care in intensive care.

Design/methods: This was a concurrent embedded mixed-methods design, with more weight given to the quantitative part. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.09.006DOI Listing
October 2018
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A multicase study of prolonged critical illness in the intensive care unit: Families' experiences.

Intensive Crit Care Nurs 2019 Feb 5;50:21-27. Epub 2018 Oct 5.

School of Nursing, Massey University, PO Box 756, Wellington, New Zealand. Electronic address:

Background: It is widely acknowledged a critical illness is a stressful life event for not only the patient but also their family members; when an illness becomes prolonged, the impact is profound. It is suggested that as medical technologies advance, the number of days patients stay in an intensive care unit will increase. Therefore, it is important nurses understand how families experience a prolonged critical illness of their family member in an intensive care unit. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.08.010DOI Listing
February 2019
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Lived experiences of grief of Muslim nurses caring for patients who died in an intensive care unit: A phenomenological study.

Intensive Crit Care Nurs 2018 Oct 5. Epub 2018 Oct 5.

Faculty of Nursing, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. Electronic address:

Objective: To describe the meaning of the lived experiences of grief of Muslim nurses caring for patients who died in an intensive care unit.

Methodology: Gadamerian philosophy was used to underpin the hermeneutic phenomenological approach followed to analyse and interpret the lived experiences of nurses who cared for patients who died in intensive care units. Fourteen nurses met the inclusion criteria. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09643397183012
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http://dx.doi.org/10.1016/j.iccn.2018.09.003DOI Listing
October 2018
4 Reads

Exploring nurses' end-of-life care for dying patients in the ICU using focus group interviews.

Intensive Crit Care Nurs 2018 Oct 5. Epub 2018 Oct 5.

College of Nursing, Korea University, Republic of Korea. Electronic address:

Purpose: The aim of this study is to illuminate how nurses working in an intensive care unit perceive their professional duties regarding end-of-life care based on their end-of-life care experience.

Design And Methods: A qualitative research design utilising focus-group interviews was employed. Two focus groups with twelve nurses were recruited, one consisting of nurses with less than five years of clinical experience in intensive care units and the other with more than five years of experience. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.09.007DOI Listing
October 2018
9 Reads

Re: Effectiveness of institutional policies, protocols and order sets on organ donation rates in the Intensive Care Unit.

Intensive Crit Care Nurs 2018 12 27;49:80. Epub 2018 Sep 27.

Hamilton Health Sciences, Hamilton, Canada; School of Nursing, McMaster University, Hamilton, Canada.

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https://linkinghub.elsevier.com/retrieve/pii/S09643397183029
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http://dx.doi.org/10.1016/j.iccn.2018.09.004DOI Listing
December 2018
1 Read

Effectiveness of institutional policies, protocols and order sets on organ donation rates in the Intensive Care Unit.

Intensive Crit Care Nurs 2018 12 27;49:79-80. Epub 2018 Sep 27.

Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Department of Internal Medicine, Ghent University, Ghent, Belgium. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S09643397183024
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http://dx.doi.org/10.1016/j.iccn.2018.09.005DOI Listing
December 2018
1 Read

The impact of family centred care interventions in a neonatal or paediatric intensive care unit on parents' satisfaction and length of stay: A systematic review.

Intensive Crit Care Nurs 2019 Feb 22;50:63-70. Epub 2018 Sep 22.

Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands. Electronic address:

Objective: To explore the impact of family centred care interventions on parents' satisfaction and length of stay for patients admitted to a paediatric intensive care unit or a neonatal intensive care unit.

Methods: A systematic review was conducted. Searches have been done in Cinahl, Cochrane, Embase and PubMed from February 2016 till October 2017. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.08.008DOI Listing
February 2019
4 Reads

Ward visits- one essential step in intensive care follow-up. An interview study with critical care nurses' and ward nurses'.

Intensive Crit Care Nurs 2018 Dec 20;49:21-27. Epub 2018 Sep 20.

Mid Sweden University, Sweden.

Objective: The aim of this study was to describe critical care nurses' and ward nurses' perceptions of the benefits and challenges with a nurse-led follow-up service for intensive care-survivors at general wards.

Background: Patients recently transferred from intensive care to the general ward are still vulnerable and require complex care. There are different models of intensive care follow-up services and some include ward visits after transfer from intensive care. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.08.011DOI Listing
December 2018
1 Read

The impact of follow-up visits and diaries on patient outcome after discharge from intensive care: A descriptive and explorative study.

Intensive Crit Care Nurs 2018 Dec 18;49:14-20. Epub 2018 Sep 18.

Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 52 Stockholm, Sweden.

Objectives: To explore the possible effects of intensive care follow-up visits and diaries on patients physical and psychosocial problems at 2, 6, and 12 months after unit discharge as well as the patient' experiences of follow-up visits and diaries.

Methods: A descriptive and explorative cohort design. Patients (n = 441) with a length of ICU stay for ≥24 hours, who responded to the 3-set 4P questionnaire were included. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.09.002DOI Listing
December 2018

Parent's experiences of their child's withdrawal syndrome: a driver for reciprocal nurse-parent partnership in withdrawal assessment.

Intensive Crit Care Nurs 2019 Feb 14;50:71-78. Epub 2018 Sep 14.

Faculty of Health & Applied Sciences, University of the West of England, Blackberry Hill, Bristol BS16 1DD, UK. Electronic address:

Withdrawal assessment in critically ill children is complicated by the reliance on non-specific behaviours and compounded when the child's typical behaviours are unknown. The existing approach to withdrawal assessment assumes that nurses elicit the parents' view of the child's behaviours.

Objective And Research Methodology: This qualitative study explored parents' perspectives of their child's withdrawal and preferences for involvement and participation in withdrawal assessment. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.09.001DOI Listing
February 2019
1 Read

Response from Authors.

Intensive Crit Care Nurs 2018 10;48:93-94

The Sagol Center for Hyperbaric Medicine and Research, Assaf Harofeh Medical Center, Beer-Jaacov 70300, Israel; Sackler School of Medicine and Sagol School of Neuroscience, Tel-Aviv University, Israel.

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http://dx.doi.org/10.1016/j.iccn.2018.08.001DOI Listing
October 2018
8 Reads

Carbon monoxide poisoning in a young, healthy patient: A case study of heart failure recovery after Hyperbaric Oxygenation Treatment.

Intensive Crit Care Nurs 2018 10;48:92

Institute of Cerebrovascular Diseases, Affiliated Hospital of Qingdao University, Qingdao, China. Electronic address:

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http://dx.doi.org/10.1016/j.iccn.2018.08.002DOI Listing
October 2018
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The needs of families of trauma intensive care patients: A mixed methods study.

Intensive Crit Care Nurs 2019 Feb 5;50:11-20. Epub 2018 Sep 5.

Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Objective: To identify the needs of families of trauma patients in the Intensive Care Unit and to assess nurses' perceptions of those needs.

Methodology: A sequential mixed-methods study was utilised combining survey data and semi-structured interviews.

Setting: A tertiary Intensive Care Unit in Australia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09643397173041
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http://dx.doi.org/10.1016/j.iccn.2018.08.009DOI Listing
February 2019
13 Reads

Embracing the new vulnerable self: A grounded theory approach on critical care survivors' post-intensive care syndrome.

Intensive Crit Care Nurs 2018 Dec 5;49:44-50. Epub 2018 Sep 5.

Department of Nursing, Dong-A University, Busan, South Korea. Electronic address:

Objectives: This study explored critical care survivors' experience of post-intensive care syndrome.

Research Design And Setting: This qualitative study employed a classic grounded theory approach with 13 survivors after intensive care unit treatment.

Main Outcome Measures: Data were collected through one-to-one in-depth interviews. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.08.004DOI Listing
December 2018
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The validity and reliability study of Turkish version of the fathers' support scale: Neonatal intensive care unit.

Intensive Crit Care Nurs 2019 Feb 1;50:125-130. Epub 2018 Sep 1.

Faculty of Health Science, Pediatric Nursing Department, Pamukkale University, Denizli, Turkey.

Background: Fathers whose infants are cared for in the neonatal intensive care unit have negative experiences and thus require support.

Aim: This study was carried out with the aim of performing a validity and reliability study of the Turkish version of the "Father's Support Scale: Neonatal Intensive Care Unit" (FSS: NICU).

Method: The study included 165 fathers whose infants were hospitalised in the neonatal intensive care units of a university hospital and a state hospital in the west of Turkey. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.08.007DOI Listing
February 2019
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High rates of methicillin-resistant Staphylococcus aureus colonisation in a Brazilian Intensive Care Unit.

Intensive Crit Care Nurs 2018 Dec 29;49:51-57. Epub 2018 Aug 29.

Universidade federal do piauí, Bairro ininga, Teresina, PI CEP 64049-550, Brazil.

Objective: To evaluate the colonisation rate of Staphylococcus aureus in the oropharynx and the insertion site of central venous catheters in intensive care unit patients.

Design: Cross-sectional study.

Setting: Brazilian intensive care unit. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.08.003DOI Listing
December 2018
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The experiences of new graduate nurses hired and retained in adult intensive care units.

Intensive Crit Care Nurs 2018 Dec 29;49:72-78. Epub 2018 Aug 29.

Texas Woman's University, College of Nursing: 304 Administration Dr. Denton, TX 76204, United States. Electronic address:

Background: It is a common practice that new graduate Registered Nurses are hired into adult intensive care units as initial entry into practise. There exists a practice readiness gap between nursing curricula and actual clinical practise expectations at adult intensive care settings; this has led to negative consequences and subsequent nurse turnover, a concern nationwide. Nonetheless, some new graduate nurses survived their initial transition and continue to practise in adult settings. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09643397173034
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http://dx.doi.org/10.1016/j.iccn.2018.08.005DOI Listing
December 2018
5 Reads

Developing professional competence among critical care nurses: An integrative review of literature.

Intensive Crit Care Nurs 2018 Dec 27;49:65-71. Epub 2018 Aug 27.

Texas Woman's University: CON, 304 Administration Dr., Denton, TX 76204, United States. Electronic address:

Background: Professional competence is the ability to base clinical decisions on prior experiences with particular clinical situations.

Methods: An integrative review of the literature using the methodology of Whittemore and Knafl. The guiding question was: What is the extent and nature of the published literature on intensive care nurses developing professional competence?

Results: This review analysed 21 peer-reviewed articles obtained from electronic databases. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.07.008DOI Listing
December 2018

The current practice of family-centred care in Italian neonatal intensive care units: A multicentre descriptive study.

Intensive Crit Care Nurs 2019 Feb 31;50:36-43. Epub 2018 Jul 31.

The Italian NICUs FCC Study Group, Italy.

Objectives: To explore family-centred care practices in Italian neonatal intensive care units and describe areas for improvement.

Methods: A cross-sectional, multicentre, survey was conducted using the Italian language version of "Advancing family-centred new-born intensive care: a self-assessment inventory". The instrument is divided into 10 sections rating the status of family-centred care (1 = not at all, 5 = very well) and ranking the perceived priority for change/improvement (1 = low, 3 = high). Read More

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http://dx.doi.org/10.1016/j.iccn.2018.07.005DOI Listing
February 2019
2 Reads

Parent perceptions of the impact of the Paediatric Intensive Care environment on delivery of family-centred care.

Intensive Crit Care Nurs 2019 Feb 27;50:88-94. Epub 2018 Jul 27.

University of North Carolina at Chapel Hill, School of Nursing, Carrington Hall, Campus Box 7460, Chapel Hill, NC 27599-7460, United States.

Objectives: To examine parent perception of how the physical and cultural environment of the paediatric intensive care unit impacted the implementation of family-centred care as outlined by the Institute for Patient and Family Centered Care.

Research Design: A qualitative descriptive design utilizing secondary analysis from a longitudinal study. Sixty-one interviews with three mothers and three fathers (31 interviews with mothers, 30 interviews with fathers) of infants with complex congenital heart defects treated in a paediatric intensive care unit were subjected to secondary analysis via content analysis. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.07.007DOI Listing
February 2019
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Anticipatory grief and impaired problem solving among surrogate decision makers of critically ill patients: A cross-sectional study.

Intensive Crit Care Nurs 2018 Dec 26;49:1-5. Epub 2018 Jul 26.

Division of Pulmonary and Critical Care, University of Maryland School of Medicine, Baltimore, MD, United States; Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, United States. Electronic address:

Objectives: Anticipatory grief, the experience of grief before the death of a mourned individual, is common among people with seriously ill loved ones and associated with impaired social problem solving. We sought to evaluate anticipatory grief in the Intensive Care Unit setting.

Research Methodology/design: Cross-sectional study of surrogate decision-makers of patients admitted to an intensive care unit, incorporating survey methodology. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.07.006DOI Listing
December 2018
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Technology-enabled performance monitoring in intensive care: An integrative literature review.

Intensive Crit Care Nurs 2018 Oct 24;48:42-51. Epub 2018 Jul 24.

University of California, Davis, Betty Irene Moore School of Nursing, 2450 48th Street, Suite 2600, Sacramento, CA 95817, United States.

Background: Implementation of evidence-based bundles in intensive care units is integral to improving quality of care and patient outcomes. However, it increases the burden of data collection and analysis required for performance monitoring and feedback of an inter-disciplinary care team. Health information technology including electronic health records and data analytic tools could automate this process and provide real-time feedback to the team. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.07.003DOI Listing
October 2018

Nursing workloads and activity in critical care: A review of the evidence.

Intensive Crit Care Nurs 2018 Oct 2;48:10-20. Epub 2018 Jul 2.

Faculty of Health and Life Sciences, University of Northumbria, Coach Lane Campus, Benton, Newcastle upon Tyne NE7 7XA, United Kingdom.

Objectives: To review current methods for informing nurse workforce decisions in critical care. Many clinical outcomes are worse if staffing is inadequate. Workforce planning is usually according to guidelines developed from the opinions of expert groups. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.06.002DOI Listing
October 2018
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Application of prone position in hypoxaemic patients supported by veno-venous ECMO.

Intensive Crit Care Nurs 2018 Oct 20;48:61-68. Epub 2018 Jul 20.

University of Milan-Bicocca, Milan, Italy; Department of Anesthesia and Intensive Care Medicine, Niguarda Ca' Granda Hospital, Milan, Italy.

Introduction: Veno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) is an advanced respiratory care therapy allowing replacement of pulmonary gas exchange. Despite VV-ECMO support, some patients may remain hypoxaemic. A possible therapeutic procedure for these patients is the application of prone positioning. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.04.002DOI Listing
October 2018
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Picking up the pieces: Qualitative evaluation of follow-up consultations post intensive care admission.

Intensive Crit Care Nurs 2018 Oct 20;48:85-91. Epub 2018 Jul 20.

Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark. Electronic address:

Objectives: On an intensive care unit at a university hospital in Denmark patients are offered a nurse-led consultation three months post intensive care unit admission, to help them cope with Post Intensive Care Syndrome and identify opportunities for further intervention. The aim of the study was: 1) To describe former intensive care patients' experiences of the consultation, specifically regarding content and setting. 2) To explore the benefits of the consultation in regard to the individual patients' symptoms of Post Intensive Care Syndrome. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.06.004DOI Listing
October 2018

Nursing workload in the intensive care unit - Can it be measured?

Intensive Crit Care Nurs 2018 10 19;48:1-2. Epub 2018 Jul 19.

Neonatal Intensive Care Unit, Rosie Hospital, Cambridge University Hospitals, Cambridge, UK; Department of Internal Medicine, Ghent University, Ghent, Belgium. Electronic address:

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http://dx.doi.org/10.1016/j.iccn.2018.06.005DOI Listing
October 2018

Burnout and resilience in critical care nurses: A grounded theory of Managing Exposure.

Intensive Crit Care Nurs 2018 Oct 20;48:28-35. Epub 2018 Jul 20.

Faculty of Health Disciplines, Athabasca University, Canada.

Background: Many critical care nurses experience burnout; however, resilience shows promise as a potential solution to burnout. This study was conducted to better understand nurse burnout and resilience in response to workplace adversity in critical care.

Design: A grounded theory investigation, using the Corbin and Strauss methodology. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.07.002DOI Listing
October 2018
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Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: A questionnaire study.

Intensive Crit Care Nurs 2018 Oct 20;48:21-27. Epub 2018 Jul 20.

Ghent University, Department of Internal Medicine, Faculty of Medicine and Health Sciences, De Pintelaan 185, 9000 Ghent, Belgium; Ghent University Hospital, Department of General Internal Medicine, De Pintelaan 185, 9000 Ghent, Belgium.

Objectives: To investigate the relationship between communication and job satisfaction and their association with intention to leave and burnout among intensive care unit nurses.

Research Methodology/design: A multicentre questionnaire study.

Setting/participants: Intensive care nurses (n = 303) from three Flemish hospitals. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.07.001DOI Listing
October 2018

Acceptability and feasibility of an interprofessional end-of-life/palliative care educational intervention in the intensive care unit: A mixed-methods study.

Intensive Crit Care Nurs 2018 Oct 22;48:75-84. Epub 2018 Jun 22.

Ingram School of Nursing, McGill University, 680 Sherbrooke West, Montreal H3A 2M7, Canada; Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital, 3755 Côte Ste-Catherine Road, Montreal H3T 1E2, Canada. Electronic address:

Objectives: This study aimed to describe a seven hour End-of-Life/Palliative Care educational intervention including online content related to symptom management, communication and decision-making capacity and an in-person group integration activity, from the perspective of the interprofessional team in terms of its acceptability and feasibility.

Research Design: A mixed-methods study design was used.

Setting And Sample: The study was conducted in a medical-surgical Intensive Care Unit in Montreal, Canada. Read More

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http://dx.doi.org/10.1016/j.iccn.2018.04.011DOI Listing
October 2018
7 Reads