American journal of critical care : an official publication, American Association of Critical-Care Nurses
The most recent articles from:
Am. J. Crit. Care
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Case Reports Comparative Study
Global ST-T Wave Changes: Ischemic vs Nonischemic.
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Physical restraints are used in intensive care units, particularly among patients at risk for self-terminating necessary treatment interventions, including endotracheal tubes and invasive catheters. Assessments conducted by intensive care unit nurses often influence the collaborative decision to initiate and discontinue restraints in critical care patients. However, little is known about factors that influence the critical thought processes of intensive care unit nurses in determining use of restraints. ⋯ Top priorities were ensuring patient safety and comfort. Nurses synthesized factors including practice experience, patient-specific behaviors and risk, and patients' need for devices in determining use of restraints.