Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
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Intensive Crit Care Nurs · Aug 2011
The effectiveness of an evidence-based nursing care program to reduce ventilator-associated pneumonia in a Korean ICU.
This study has analysed VAP prevention strategies and concentrating on approaches proven to have been effective by previous studies, has developed a general and systematic intervention for preventing VAP. ⋯ An intervention VAP prevention program promoted ICU nurses' VAP prevention awareness and performance and could therefore help decrease the VAP rate.
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Intensive Crit Care Nurs · Aug 2011
Development of a scale for "difficulties felt by ICU nurses providing end-of-life care" (DFINE): a survey study.
To develop a scale for assessing "difficulties felt by intensive care unit (ICU) nurses providing end-of-life care" (DFINE). ⋯ DFINE demonstrated acceptable reliability and validity. However, additional surveys need to be conducted with a larger sample to further characterise the scale.
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Intensive Crit Care Nurs · Aug 2011
Needs of American relatives of intensive care patients: perceptions of relatives, physicians and nurses.
This study investigated differences between the perceptions of American relatives, physicians and nurses concerning the needs of relatives visiting intensive care patients. ⋯ There were significant correlations (p<0.05) between the relatives, physicians and nurses on eight of the 45 individual items on the CCFNI. Subscale (Information, Proximity, Assurance, Comfort and Support) scores for the needs perceived by relatives, physicians and nurses were calculated and there were significant differences in the three groups on Information (F=5.90, df=2, p=.0005), Support (F=4.12, df=2, p=.022) and Comfort (F=5.01, df=2, p=.010). Relatives and nurses made multiple comments on the surveys. This is important information for all health care workers to consider in setting visiting policies in adult ICUs and developing approaches such as family centred care.
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Intensive Crit Care Nurs · Aug 2011
ICU nurses' perceptions of potential constraints and anticipated support to practice defibrillation: a qualitative study.
The study examines the experience of intensive care nurses in caring for patients in cardiac arrest, and their perceptions of introducing nurse-led defibrillation. ⋯ Nurse-led defibrillation is an approach of delivering prompt care to critically ill patients, and a way ahead for intensive care nursing in Hong Kong. Emphasis on a consistent policy to promote nurse-led defibrillation practice is needed.