Nursing in critical care
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Nursing in critical care · Jul 2014
Intensive care unit nurses' evaluation of simulation used for team training.
To implement a simulation-based team training programme and to investigate intensive care nurses' evaluations of simulation used for team training. ⋯ The findings may motivate and facilitate the use of simulation for team training to promote patient safety in intensive care and provide educators with support to develop and improve simulation-based training programmes.
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Nursing in critical care · Jul 2014
Improvement of enteral nutrition in intensive care unit patients by a nurse-driven feeding protocol.
To examine whether early enteral nutrition (EN) of critically ill patients could be improved by a nurse-driven implementation of an existing feeding protocol. ⋯ Adherence to guidelines regarding early start and timely escalation of EN can be improved if ICU nursing staff is responsible for translating it into action with the help of a written algorithm.
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Nursing in critical care · Jul 2014
Critical incidents among intensive care unit nurses and their need for support: explorative interviews.
This article aims (a) to get insight into intensive care nurses' most critical work-related incidents, (b) their reactions and coping and (c) perceived support, in a Dutch intensive care unit. ⋯ Managers should acknowledge the effects of critical incidents on intensive care nurses and take preventive measures: reducing critical incidents, improving open communication, imposing a buddy-system for collegial support, and timely evaluating the necessity of professional help.
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Nursing in critical care · Jul 2014
Teaching paediatric ward teams to recognise and manage the deteriorating child.
Issues around the deterioration of hospitalised children are known: the failure to observe and monitor patients adequately, a failure to recognise the deteriorating patient, a failure to communicative effectively within the healthcare team and a failure to respond appropriately or in a timely manner (Pearson, 2008; NPSA, 2009). In response to this, a new 1-day course called RESPOND (Recognising Signs of Paediatric hOspital iNpatients Deterioration) was developed. ⋯ This preliminary evaluation combined with a reduction in hospital cardiac arrest rates suggest that the multiprofessional RESPOND course (in conjunction with an early warning tool and response system) is successful as part of a targeted strategy to promote patient safety within a children's hospital.