Nursing in critical care
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Nursing in critical care · Jul 2016
ReviewCritical illness trajectory for patients, families and nurses - a literature review.
In the 21st century, we are starting to discover and understand the longer term sequelae of critical illness from both patient's and family members' perspectives. The consequential effects on physical and psychological function and the social landscape are being slowing realized. We are beginning to understand the long-term legacy of critical care, with survivorship possibly the greatest challenge within the critical care setting. ⋯ Critical care nurses can and should play a role in preparing and supporting patients and families beyond the critical care unit. In turn, Registered Nurses needed to be supported to fulfil this important role in enabling the process of moving patients and their families from surviving to thriving (survivorship).
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Nursing in critical care · Jul 2016
Critical Patient Severity Classification System predicts outcomes in intensive care unit patients.
The CPSCS was developed to assess the nursing care demands of patients in intensive care units (ICUs). ⋯ The findings of this study contribute to valuable evidence that nursing-related factors have an impact on patient outcomes such as ICU mortality and LOS and that they have implications for hospital management, clinical practice and future research.
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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.