Nursing in critical care
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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.
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Nursing in critical care · Mar 2016
ReviewHow diaries written for critically ill influence the relatives: a systematic review of the literature.
Diaries written by nurses for the critically ill patient helps relatives cope and support the patient. When relatives participate in writing a diary for the critically ill, patients appreciate it. Furthermore, the diary may reduce post-traumatic stress disorder, anxiety and depression in patients and relatives. ⋯ Providing relatives with a diary may help them cope. However, caution should be taken as possible adverse effects related to the interaction between relatives in the diary may not yet be known.
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Nursing in critical care · Mar 2016
Nurses' perspectives: hospitalized older patients and end-of-life decision-making.
To explore pressing issues identified by nurses caring for older patients in US NICHE (Nurses Improving Care for the Healthsystem Elders) hospitals, regarding palliative care and end-of-life (EOL) decision-making. Objectives are to (1) identify the most pressing palliative care and EOL decision-making issues and strategies to address them and (2) identify the association of nursing demographics (age, gender, race, education and experience), institutional/unit characteristics and these issues. ⋯ Palliative care and EOL decision-making will remain a nursing priority as people age and require increased care.
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Nursing in critical care · Mar 2016
Observational StudyThe role of shock index as a predictor of multiple-trauma patients' pathways.
This research was conducted with the aim of investigating the accuracy of the shock index (SI) in distinguishing which multiple-trauma patients should be admitted to an intensive care unit (ICU) after treatment in an emergency room (ER). ⋯ The results of this study suggest the possibility of using SI in multiple-trauma patients as a triage indicator to assess the patients' care complexity and to guide the choice of proper clinical paths.