Heart & lung : the journal of critical care
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Randomized Controlled Trial
Feasibility and acceptability of hand massage therapy for pain management of postoperative cardiac surgery patients in the intensive care unit.
The purpose was to evaluate the acceptability and feasibility of hand massage therapy in the intensive care unit (ICU). ⋯ Increasing staff acceptance, reducing the rest period, involving families, and repeating the treatment are avenues to consider. Building evidence for non-pharmacological pain management in the critical care setting is necessary.
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To explore how family members of ICU patients at high risk of dying respond to nursing communication strategies. ⋯ Knowledge lays a foundation for interventions targeting the areas important to family members and most likely to improve their ability to make decisions and their well-being.
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To describe intensive care unit (ICU) patients' delusional memories and interpretations of those memories. ⋯ Patients' delusional memories of ICU share common distressing themes. Assisting patients' to connect to real ICU events and process delusional memories may help with psychological recovery after critical illness.
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Observational Study
Feasibility study of unattended polysomnography in medical intensive care unit patients.
To evaluate the feasibility of using unattended, portable polysomnography (PSG) to measure sleep among patients in the medical intensive care unit (MICU). ⋯ Unattended, portable PSG produces high quality sleep data in the MICU and can facilitate investigation of sleep deprivation among critically ill patients. Patient sleep was short and highly fragmented.
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Decision regret is a negative cognitive emotion associated with experiences of guilt and situations of interpersonal harm. These negative affective responses may contribute to emotional exhaustion in critical care nurses (CCNs), increased staff turnover rates and high medication error rates. Yet, little is known about clinical decision regret among CCNs or the conditions or situations (e.g., feeling sleepy) that may precipitate its occurrence. ⋯ While 157 CCNs disclosed a clinical decision they made at work while sleepy, the prevalence may be underestimated and warrants further investigation.