Nursing in critical care
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Nursing in critical care · Sep 2020
Nurse education to reduce physical restraints use in ICU: A scoping review.
Physical restraints are defined as a manual approach to reduce a patient's physical movement and has been regarded as a protective nursing measure in the intensive care unit (ICU) to avoid unplanned extubation, falls, and other unexpected events. However, the limitations and changes associated with physical restraints have been verified by several studies. Restraint minimization has been advocated by studies worldwide; however, the most effective interventions are still being explored. ⋯ Nurse education on physical restraints should be carried out in ICUs. Online courses, practical sessions, and simulated scenarios should be a part of future nurse education. In addition to nurses' knowledge and attitude changes, frequency of physical restraints and other patient-related outcomes should also be considered for outcome evaluation.
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Nursing in critical care · Sep 2020
Family-centred end-of-life care and bereavement services in Swedish intensive care units: A cross-sectional study.
Post-intensive care syndrome-family is a common problem in relatives of patients who die in an intensive care unit. Family-centred end-of-life care with support for the family during and after the death is supposed to prevent suffering and avoid illness. ⋯ There is a need for national guidelines to ensure that all bereaved families receive equal and individual family-centred end-of-life care.