American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Randomized Controlled Trial
Safety and Effectiveness of Early Oral Hydration in Patients After Cardiothoracic Surgery.
Patients fast after cardiothoracic surgery because of concerns for nausea, vomiting, dysphagia, and aspiration pneumonia; fasting, however, causes thirst, a distressing symptom. To our knowledge, no studies exist to guide hydration practices in this population. ⋯ This research provides new evidence that oral hydration (ice chips and water) soon after extubation is safe and significantly reduces thirst in particular patients.
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Multicenter Study
Predictive Modeling of Pressure Injury Risk in Patients Admitted to an Intensive Care Unit.
Pressure injuries are an important problem in hospital care. Detecting the population at risk for pressure injuries is the first step in any preventive strategy. Available tools such as the Norton and Braden scales do not take into account all of the relevant risk factors. Data mining and machine learning techniques have the potential to overcome this limitation. ⋯ The model effectively predicts risk of pressure injury. This allows nurses to focus on patients at high risk for pressure injury without increasing workload.
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Multicenter Study Observational Study
Role Incongruence and Psychological Stress Symptoms in Substitute Decision Makers of Intensive Care Patients.
Most intensive care patients require substitute decision makers (SDMs) to make decisions. The SDMs may prefer an active, shared, or passive decision-making role. Role incongruence is when preferred and actual roles differ. ⋯ Adverse psychological symptoms are prevalent in SDMs of critically ill patients and are related to role incongruence.