Nursing in critical care
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Nursing in critical care · Nov 2008
Editorial CommentRe: Critical care nursing: towards 2015. Editors' note.
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Nursing in critical care · Nov 2008
ReviewClinical tools for the assessment of pain in sedated critically ill adults.
This paper aims to review the evidence regarding pain assessment tools for sedated patients and to establish whether the use of a tool can be recommended in practice. ⋯ The implementation of the BPS can be recommended in intensive care units and may improve the management of pain among sedated patients by providing a systematic and consistent approach to pain assessment to guide interventions. The CPOT may also prove useful in assessing pain among sedated patients, but first requires further validation. Also, further research is needed into the effects of pain assessment tools on pain management practices and patient outcomes.
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Nursing in critical care · Nov 2008
Self-extubation risk assessment tool: predictive validity in a real-life setting.
To evaluate the predictive validity of the self-extubation risk assessment tool (SERAT) in intensive care patients. ⋯ Because of the high number of false positives, the use of the SERAT in clinical practice to date is not advocated. The positive predictive value has to be improved to avoid the implementation of intensive interventions in patients who are not at risk.
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Nursing in critical care · Nov 2008
Critical care nurses' workload estimates for managing patients during induced hypothermia.
The purpose of this study was to provide an initial foundation for exploring how induced hypothermia impacts nursing workload in an intensive care unit setting. ⋯ Nurses are open to using a variety of different interventions to manage temperature in critically ill patients. The time required to complete any one intervention varies significantly, but the combination of interventions most certainly has a significant impact on the workload for bedside nurses.