Nursing in critical care
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Nursing in critical care · Nov 2020
Randomized Controlled Trial Multicenter StudyPROtocol-based MObilizaTION on intensive care units: stepped-wedge, cluster-randomized pilot study (Pro-Motion).
Early mobilization of patients in intensive care units (ICUs) improves patient recovery, but implementation remains challenging. Protocols may enhance the rate of out-of-bed mobilizations. ⋯ Implementing inter-professional protocols for mobilization is feasible and safe and may contribute to an increase of ICU patients mobilized out of bed.
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Nursing in critical care · Sep 2019
Multicenter StudyCore competencies for nurses in Chinese intensive care units: a cross-sectional study.
Core competencies of intensive care unit (ICU) nurses were defined as the essential capability to influence patient safety and interdisciplinary collaboration; however, there has been no research conducted that relates to core competencies of ICU nurses at Chinese tertiary-A hospitals in Shanghai. ⋯ Nursing managers should implement targeted interventions to improve nurse-physician co-operation and translate research into practice competencies, such as high-fidelity simulation, inter-professional education, scientific research training and innovative skills tutorials. Moreover, this study demonstrated the influencing factors that can be used to improve core competences of ICU nurses.
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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.
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Nursing in critical care · Sep 2017
Multicenter StudyKnowledge, attitude and practice of intensive care unit nurses about physical restraint.
Physical restraint is mainly used in intensive care units (ICUs) to prevent delirious or agitated patients from removing tubes and lines connected to them. However, inappropriate use of physical restraint could have many detrimental physical effects on the patient, such as nerve damage, asphyxiation or even death. ⋯ Conducting education programmes on physical restraint for ICU nurses and providing other preventive strategies are important in improving nurses' knowledge, attitude and practice.
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Nursing in critical care · May 2017
Multicenter Study Comparative Study Observational StudyKnowledge level of nurses in Jordan on ventilator-associated pneumonia and preventive measures.
Ventilator-associated pneumonia is the most prevalent infection in Intensive Care Units, with the highest mortality rate; crude mortality rates may be as high as 20-75%. Many practices such as prevention measures (e.g. hand washing, wearing gloves, suctioning, elevated head of bed between 30° and 45°) have demonstrated an effect of reducing the incidence of this infection. ⋯ Hospital and nursing administrators should be actively involved in educational programmes and in assuring support for continuing education. Protocol for ventilator-associated pneumonia prevention should be developed based on current evidence-based guidelines.