Nursing in critical care
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Nursing in critical care · Mar 2020
Burnout: Caring for critically ill and end-of-life patients with cancer.
Critical care and palliative care professionals treat and support seriously ill patients on a daily basis, and the possibility of burnout may be high. The consequences of burnout can include moral injury and distress, and compassion fatigue, which are detrimental to both care and staff. ⋯ Staff highlighted possible solutions to reduce burnout, which included debriefing, managing emotional well-being, and valuing individuals.
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Nursing in critical care · Mar 2020
Post-traumatic stress symptoms and sense of coherence in proximity to intensive care unit discharge.
Post-traumatic stress (PTS) symptoms following intensive care unit (ICU) treatment can lead to post-traumatic stress disorder and represent a severe health burden. In trauma patients, a strong sense of coherence (SOC) is associated with fewer PTS symptoms. However, this association has not been investigated in a general ICU sample. ⋯ Early individual follow up after ICU discharge focusing on pain relief and delusional memory may reduce PTS symptoms, with a potential of improving rehabilitation.
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Nursing in critical care · Jan 2020
Observational StudyValidating a pain assessment tool in heterogeneous ICU patients: Is it possible?
Non-communicative adult ICU patients are vulnerable to inadequate pain management with potentially severe consequences. In German-speaking countries, there is limited availability of a validated pain assessment tool for this population. ⋯ The German CPOT version can be recommended for ICUs in German-speaking countries.
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Nursing in critical care · Nov 2019
Nursing staff's experiences of intensive care unit diaries: a qualitative study.
Diaries as an intervention to aid psychological recovery among intensive care patients have been used for about 20 years, and findings tend to be positive. The provision of a diary directed at the patient may clarify the story of the intensive care unit (ICU) even for the family members and the family members of non-survivors. Members of nursing staff are the primary authors, but how they themselves experience the use of ICU diaries has been minimally explored. ⋯ Nursing staff requested mentoring and group discussions concerning the format, content and communication channels of the diary.
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Nursing in critical care · Nov 2019
Richards-Campbell sleep questionnaire: psychometric properties of Chinese critically ill patients.
Sleep abnormalities occur frequently in critically ill patients. Nurses are strategically placed, specifically in intensive care units, to promote sleep in such patients. Currently, an effective sleep assessment tool in Chinese is not available for intensive care settings. ⋯ If the validity of this questionnaire is supported in other ICU samples, RCSQ-C could be used as a routine evaluation instrument to distinguish good and poor sleepers and then direct nurses to form corresponding treatment plans to promote sleep.