Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
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Intensive Crit Care Nurs · Oct 2019
Meta AnalysisThe impact of analgosedation on mortality and delirium in critically ill patients: A systematic review and meta-analysis.
To assess the impact of analgosedation on mortality and delirium in critically ill patients. ⋯ The ICU mortality was decreased by implementing analgosedation, but the hospital mortality and the delirium rates were not. Because of the absence of higher quality study designs, clinical heterogeneity and inclusion of small number of studies, the analysis results must be cautiously interpreted.
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Intensive Crit Care Nurs · Aug 2019
Meta AnalysisSleep deprivation determinants as perceived by intensive care unit patients: Findings from a systematic review, meta-summary and meta-synthesis.
To summarise evidence on sleep deprivation and/or poor sleep determinants as experienced by intensive care unit patients. ⋯ Despite the increased relevance of sleep deprivation and poor sleep quality, only a few studies have been performed to date aimed at identifying the factors involved in the phenomenon according to patient experience. The majority of determinants as identified from patients' perspective are modifiable.
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Intensive Crit Care Nurs · Aug 2019
Coping with moral distress - The experiences of intensive care nurses: An interpretive descriptive study.
Over the last three decades, there has been a growing body of literature that has described moral distress as a prominent issue that negatively affects intensive care nurses. Yet, little focus has been given to how intensive care nurses cope and continue in their practice despite being exposed to moral distress. ⋯ By developing coping strategies such as seeking social support, nurses can move forward in their practice and meaningfully engage with patients and families experiencing critical illness. When successful coping is not attained, nurses are at risk of becoming morally disengaged within their practice.
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Intensive Crit Care Nurs · Apr 2019
Brief training increases nurses' comfort using tele-ultrasound: A feasibility study.
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. ⋯ After brief training, participants could comfortably perform tele-ultrasound and were more willing to incorporate it into tele-ICU-directed care. Results support conducting a larger-scale trial of tele-US to assess clinical utility.
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Intensive Crit Care Nurs · Apr 2019
Filling the gaps: A mixed-methods study exploring the use of patient diaries in the critical care unit.
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. ⋯ Diaries can offer a means of providing clarity for patients who struggle to come to terms with their critical care experience and subsequent recovery, but should be given to patients with forethought and support. It remains unclear which types of patients might benefit most from diaries.