Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
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Intensive Crit Care Nurs · Apr 2019
Cervical spine clearance in the adult obtunded blunt trauma patient: A systematic review.
A missed cervical spinal injury could have devastating consequences. Patients with a suspected cervical spinal injury are kept in rigid collars for cervical immobilisation. Prolonged collar use has important clinical implications. A well-defined guideline related to the removal of cervical collars from adult obtunded blunt trauma patients has not been developed. ⋯ It is important for institutions to re-examine the latest evidence regarding cervical spinal clearance in order to update their guidelines.
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Intensive Crit Care Nurs · Feb 2019
Preferences of patients' family regarding family-witnessed cardiopulmonary resuscitation: A qualitative perspective of intensive care patients' family members.
To describe preferences of intensive care patients' family members regarding the idea of an inpatient family-witnessed cardiopulmonary resuscitation. ⋯ Results of this study suggest a possible gap in family-centred care delivery in intensive care settings. System changes are necessary in order to increase nurses' awareness of patients' families' preferences, and successfully implement recommended family-witnessed cardiopulmonary resuscitation.
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Intensive Crit Care Nurs · Dec 2018
Embracing the new vulnerable self: A grounded theory approach on critical care survivors' post-intensive care syndrome.
This study explored critical care survivors' experience of post-intensive care syndrome. ⋯ These results contribute to understanding the post-intensive care syndrome phenomenon and coping process of critical care survivors. This syndromes is a multidimensional phenomenon and the recovery process is a continuum. An integrated rehabilitation program that extends beyond utilising family support requires development.
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Intensive Crit Care Nurs · Dec 2018
ReviewDeveloping professional competence among critical care nurses: An integrative review of literature.
Professional competence is the ability to base clinical decisions on prior experiences with particular clinical situations. ⋯ Perception of self-competence, seeing beyond the technical aspects of care to the patient, and perceptions of and bonding with intensive care patients and their families are other facets of professional competence that warrant further study.
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Intensive Crit Care Nurs · Dec 2018
Implementation and evaluation of a follow-up programme after intensive care treatment: A practice development project.
This study aimed to measure the effects of a newly developed follow-up programme on intensive care unit patient quality of care, as perceived by their relatives, and the appropriateness of the programme according to nurses. ⋯ Communication and general support as perceived by patients' relatives improved; however, no influence on the total quality of care of the revised discharge protocol was shown. Nurses considered the programme as useful. The intervention might enable nurses to better respond to the instrumental and affective needs of patients and their relatives.