Nursing in critical care
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Nursing in critical care · May 2016
Appropriateness of care and moral distress among neonatal intensive care unit staff: repeated measurements.
Perceived constraints to providing patient care in their own morally justified way may cause moral distress (MD) in neonatal nurses and physicians. Negative long-term effects of MD include substandard patient care, burnout and leaving the profession. ⋯ MD might be prevented by improved continuity of care, safe levels of staffing and better team communication, along with other targeted interventions with demonstrated effectiveness, such as palliative care programs and facilitated ethics conversations.
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Nursing in critical care · May 2016
ReviewIntraosseous vascular access in critically ill adults-a review of the literature.
The IO route is an established method of obtaining vascular access in children in acute and emergency situations and is now increasingly being used in adults as an alternative to intravenous access, yet a paucity of evidence exists regarding its use, effectiveness and implementation. ⋯ The IO route is clearly a valuable alternative to problematic intravascular access. However, further research, including cost effectiveness reviews, is required to gain clarity of whole acute care approaches.
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Nursing in critical care · May 2016
Association between job strain, mental health and empathy among intensive care nurses.
Nursing shortage is a worldwide issue. It could influence factors such as job strain, nurses' mental health and nurse empathy towards patients. ⋯ It is important to reduce psychological demand among intensive care nurses in order to prevent psychological distress. The exploration of the connection between empathy and psychological distress should be advanced. This study suggests that SCSs provide an innovative approach that is useful for research.
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Nursing in critical care · May 2016
Performance obstacles of nurses in intensive care units of Greek National Health System hospitals.
Nurses in intensive care units confront various challenges and problems during their everyday work that adversely affect performance and patient safety. Despite their importance, performance obstacles have been studied extensively only in the USA, with no validated instrument being available in the Greek setting for their measurement. ⋯ Nursing administrators and health care policy makers should administer the questionnaire in all Greek hospitals in order to quantify performance obstacles and identify potential managerial remedies.
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Nursing in critical care · May 2016
Intrahospital transports of critically ill patients: critical care nurses' perceptions.
Between 30% and 70% of intrahospital transports is associated with some form of adverse event, compromising patient safety. ⋯ Nurses reported they were alert to the potential risks patients face during transport. Because fewer staff remained in the intensive care units, these remaining patients are also at risk during intrahospital transport.