Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
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Intensive Crit Care Nurs · Aug 2013
Critical care nurses' knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia--a survey study.
To explore critical care nurses' knowledge of, adherence to and barriers towards evidence-based guidelines for prevention of ventilator-associated pneumonia. ⋯ The results could be used to inform local practice and stimulate debate on measures to prevent ventilator-associated pneumonia. Education, guidelines as well as ventilator bundles and instruments should be developed and updated to improve infection control.
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Intensive Crit Care Nurs · Jun 2013
Practical wisdom: a qualitative study of the care and management of non-invasive ventilation patients by experienced intensive care nurses.
To describe the reasoning and actions of experienced nurses caring for patients with non-invasive ventilation due to acute respiratory failure from chronic obstructive pulmonary disease. ⋯ Understanding how experienced nurses think and act during non-invasive ventilation care may help to optimise continuing professional development and help educate junior nurses.
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Intensive Crit Care Nurs · Jun 2013
Randomized Controlled TrialDoes music influence stress in mechanically ventilated patients?
Mechanically ventilated patients experience profound stress. Interventions are needed to ameliorate stress that does not cause adverse effects. The purpose of this study was to explore the influence of music on stress in a sample of patients over the duration of ventilatory support. ⋯ While music did not significantly reduce cortisol, less profound spikes in UFC levels were observed but that, given the limitations of the research, this observation could have occurred merely by chance.
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Intensive Crit Care Nurs · Jun 2013
Intensive care pain treatment and sedation: nurses' experiences of the conflict between clinical judgement and standardised care: an explorative study.
To examine nurses' experiences of performing clinical judgements of patient pain and sedative requirements after implementation of assessment tools, and how the tools influenced these judgements. ⋯ The use of tools was perceived to improve the quality of pain control and sedation, and supported nurses in their decision-making. Great importance was attached to personal knowledge and experience.
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Intensive Crit Care Nurs · Apr 2013
People's experiences of being mechanically ventilated in an ICU: a qualitative study.
In previous studies people receiving mechanical ventilation treatment have described experiencing distress over their inability to speak and feelings such as anxiety. More research is needed to improve their experience in the intensive care unit and promote recovery. The aim of this study was to describe the intensive care unit experiences of people undergoing mechanical ventilation. ⋯ To be dependent on other people and technical medical equipment for survival creates a sense of being delivered into the hands of others, as the people being mechanically ventilated could not trust their body to function.