Nursing in critical care
-
Nursing in critical care · Jan 2018
Multicenter StudyNurses' and physicians' perceptions of Confusion Assessment Method for the intensive care unit for delirium detection: focus group study.
Delirium in the intensive care unit (ICU) has received more attention in the past decade. Early detection, prevention and treatment of delirium are important, and the most commonly used tool for delirium assessment is the Confusion Assessment Method for the ICU (CAM-ICU). ⋯ There is a need for ongoing training and clearer guidelines on how to proceed with the delirium screening of non-sedated patients.
-
Nursing in critical care · Jan 2018
Intensive care survivor-reported symptoms: a longitudinal study of survivors' symptoms.
There is growing interest in potential long-term outcomes following intensive care, but few researchers have studied the prevalence of multiple symptoms or the association between pain and other symptoms. ⋯ Knowledge about ICU survivor's prevalence and risk for having multiple symptoms may help health care professionals to give better care, if needed, to the ICU survivors.
-
Nursing in critical care · Nov 2017
Observational StudyRepeated sleep-quality assessment and use of sleep-promoting interventions in ICU.
To describe sleep quality using repeated subjective assessment and the ongoing use of sleep-promoting interventions in intensive care. It is well known that the critically ill experience sleep disruption while receiving treatment in the intensive care unit. Both the measurement and promotion of sleep is challenging in the complex environment of intensive care unit. ⋯ The Richards-Campbell Sleep Questionnaire was used on repeated occasions, and sleep-promoting interventions were used extensively. There was no evidence of improvement in sleep quality since the implementation of a sleep guideline. The use of the Richards-Campbell Sleep Questionnaire for the subjective self-assessment of sleep quality in intensive care unit patients and the implementation of simple-promoting interventions by intensive care unit clinicians is both feasible and may be the most practical way to assess sleep in the intensive care unit context.
-
Nursing in critical care · Sep 2017
Randomized Controlled Trial Comparative StudyRandomized crossover trial of endotracheal tube suctioning systems use in newborns.
Maintaining endotracheal tube patency is critical for neonates receiving mechanical ventilation. Endotracheal tube suctioning removes accumulated secretions preventing potential adverse events, however is also potentially hazardous to the patient. ⋯ This research can provide support for clinical practice regarding endotracheal tube suctioning of newborns describing that the use of closed systems was similar to the open system regarding pain presence and intensity, as well as, in the clinical effects analysed, in accordance with other studies produced in this field.
-
Nursing in critical care · Sep 2017
Review Meta AnalysisThe optimal blood glucose level for critically ill adult patients.
Glycaemic control is recognized as one of the important aspects in managing critically ill patients. Both hyperglycaemia and hypoglycaemia independently increase the risk of patient mortality. Hence, the identification of optimal glycaemic control is of paramount importance in the management of critically ill patients. ⋯ This literature review has revealed a need to call for consensus in the measurement and reporting of glycaemic control using standardized glucometrics.