Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
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Intensive Crit Care Nurs · Dec 2014
ICU delirium: a survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit.
Delirium is an independent predictor of mortality and morbidity in the intensive care unit and is associated with a prolonged hospital and intensive care unit stay. National guidelines suggest that intensive care unit delirium is screened for daily using the confusion assessment method for the intensive care unit validated screening tool. Research suggests that there is a lack of knowledge on intensive care unit delirium, its screening tools and that it is inadequately screened for. ⋯ This study has shown that despite national guidelines screening with a validated delirium screening tool is not being performed in two of the intensive care unit surveyed and one site employs the confusion assessment method for the intensive care however screening is sporadic. This study contributes to the evidence base suggesting that intensive care unit delirium is under recognised and screened for despite current guidelines.
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Intensive Crit Care Nurs · Dec 2014
Transcranial regional cerebral oxygen desaturation predicts delayed cerebral ischaemia and poor outcomes after subarachnoid haemorrhage: a correlational study.
To examine the relationship between regional cerebral oxygen saturation (rSO2), delayed cerebral ischaemia (DCI), and outcomes after aneurysmal subarachnoid haemorrhage (aSAH). ⋯ These results suggest that NIRS has the potential for detecting DCI after aSAH. This potential needs to be further explored in a larger prospective study.
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Intensive Crit Care Nurs · Dec 2014
Sore throat in women after intubation with 6.5 or 7.0 mm endotracheal tube: a quantitative study.
Women experience more sore throats than men after endotracheal intubation. ⋯ Nurses specialising in the supervision of daily care specific to the intubated patient should note and alleviate sore throat as part of their nursing care.
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Intensive Crit Care Nurs · Dec 2014
Team competence among nurses in an intensive care unit: the feasibility of in situ simulation and assessing non-technical skills.
Nursing competence affects quality of care in intensive care units (ICUs). Team competence is particularly important for preventing errors. This paper focuses on the feasibility of using an in situ simulation model to explore team competence in the ICU, and on using parts of the Anaesthetists' Non-Technical Skills (ANTS) taxonomy for assessing Non-Technical Skills (NTS) in nursing teams. ⋯ In situ simulation may be feasible for assessing competence in ICUs. The ANTS appears to be a promising foundation for developing a team assessment tool for ICUs.