Endotracheal suction interventions in mechanically ventilated children: An integrative review to inform evidence-based practice
The objective of this study was to review and critically appraise the evidence for paediatric endotracheal suction interventions. (Source: Australian Critical Care)
Source: Australian Critical Care - August 4, 2020 Category: Nursing Authors: Jessica. A. Schults, Marion. L. Mitchell, Marie. Cooke, Debbie. A. Long, Alexandra Ferguson, Brenda Morrow Tags: Review Paper Source Type: research

Functional outcomes at 12 months for patients with traumatic brain injury, intracerebral haemorrhage and subarachnoid haemorrhage treated in an Australian neurocritical care unit: A prospective cohort study
Acute severe brain injury is associated with significant morbidity and mortality. Patients and their families need accurate information regarding expected outcomes. Few studies have reported the long-term functional outcome of patients with acute severe brain injury treated in an Australian neurocritical care unit. (Source: Australian Critical Care)
Source: Australian Critical Care - July 29, 2020 Category: Nursing Authors: Emily Fitzgerald, Naomi Hammond, David H. Tian, Celia Bradford, Oliver Flower, Kelly Harbor, Phil Johnson, Richard Lee, Jonathon Parkinson, Ashleigh Tracey, Anthony Delaney Tags: Research paper Source Type: research

Post-extubation dysphagia incidence in critically ill patients: A systematic review and meta-analysis
Post-extubation dysphagia has been associated with adverse health outcomes. To assist service planning and process development for early identification, an understanding of the number of patients affected is required. However, significant variation exists in the reported incidence which ranges from 3% to 62%. (Source: Australian Critical Care)
Source: Australian Critical Care - July 29, 2020 Category: Nursing Authors: Melanie McIntyre, Sebastian Doeltgen, Nathan Dalton, Mayank Koppa, Timothy Chimunda Tags: Review Paper Source Type: research

Routine activities in the intensive care unit provide opportunities for family engagement
Manias, E., et  al., Communicating with patients, families and health professionals about managing medications in intensive care: A qualitative observational study. Intensive and Critical Care Nursing, 2019. 54: p. 15–22. (Source: Australian Critical Care)
Source: Australian Critical Care - July 28, 2020 Category: Nursing Authors: Georgia Tobiano, Benjamin R. Mackie Tags: Research paper Source Type: research

Is hypophosphataemia an independent predictor of mortality in critically ill patients with bloodstream infection? A multicenter retrospective cohort study
Hypophosphataemia affects up to one-third of patients in the intensive care unit (ICU) and is particularly common during sepsis. Experimental data suggest that hypophosphataemia leads to an acquired dysfunction of leukocytes, thus promoting infections and increasing the risk of death during sepsis. (Source: Australian Critical Care)
Source: Australian Critical Care - July 27, 2020 Category: Nursing Authors: Ma ël Padelli, Cécile Aubron, Olivier Huet, Geneviève Héry-Arnaud, Véronique Vermeersch, Claire Hoffmann, Éléonore Bettacchioli, Hadrien Maguet, Jean-Luc Carré, Cyril Leven Tags: Research paper Source Type: research

Early anthropometry, strength, and function in survivors of critical illness
Critically ill patients experience acute muscle wasting and long-term functional impairments, yet this has been inadequately categorised early in recovery. (Source: Australian Critical Care)
Source: Australian Critical Care - July 26, 2020 Category: Nursing Authors: Nikki YK Yeo, Benjamin AJ Reddi, Christopher G. Schultz, Stephanie N. O'Connor, Marianne J. Chapman, Lee-anne S Chapple Tags: Research paper Source Type: research

Evaluation of coagulation status using viscoelastic testing in Intensive Care patients with COVID-19: An observational point prevalence cohort study
Coronavirus-19 (COVID-19) is associated with a high rate of thrombosis, the pathophysiology of which is not well defined. Viscoelastic testing may identify and characterise hypercoagulable states which are not apparent using conventional coagulation assays (Source: Australian Critical Care)
Source: Australian Critical Care - July 21, 2020 Category: Nursing Authors: Luke Wallace Collett, Samuel Gluck, Richard Michael, Benjamin John Reddi Tags: Research paper Source Type: research

A pilot randomised controlled trial of dressing and securement methods to prevent arterial catheter failure in intensive care
Critically ill patients in an intensive care setting often require arterial catheters for blood pressure monitoring and arterial blood collection. Arterial catheter failure, which manifests in both mechanical and infective forms, remains common. Dressing and securement inadequacies may impact this failure; however, the best method for dressing and securing arterial catheters is yet to be determined. (Source: Australian Critical Care)
Source: Australian Critical Care - July 19, 2020 Category: Nursing Authors: Emily N. Larsen, Amanda Corley, Marion Mitchell, India Lye, Madeleine Powell, Sheena Tom, Gabor Mihala, Amanda J. Ullman, Victoria Gibson, Nicole Marsh, Tricia M. Kleidon, Ivan L. Rapchuk, Claire M. Rickard Tags: Research paper Source Type: research

The effectiveness of early prophylactic hypothermia in adult patients with traumatic brain injury: A systematic review and meta-analysis
Previously published systematic reviews have explored the effects of therapeutic hypothermia on adult patients with traumatic brain injury (TBI). However, none explored the effect of early prophylactic hypothermia (within 6  h from injury to hypothermia induction). Animal studies indicated that early prophylactic hypothermia may reduce secondary injury and improve neurological outcomes. This systematic review aimed to investigate the effects of early prophylactic hypothermia on adult TBI regarding mortality, favourabl e outcomes, and complications. (Source: Australian Critical Care)
Source: Australian Critical Care - July 19, 2020 Category: Nursing Authors: Xiaoheng Wu, Yanling Tao, Lorraine Marsons, Phillip Dee, Dan Yu, Yumei Guan, Xiuhong Zhou Tags: Review Paper Source Type: research

Sleep and agitation during subacute traumatic brain injury rehabilitation: A scoping review
Sleep disturbance and agitation are frequent conditions during the subacute period of recovery in moderate to severe traumatic brain injury (TBI). Clarity is needed regarding the association between the two conditions to improve fundamental nursing care. (Source: Australian Critical Care)
Source: Australian Critical Care - July 19, 2020 Category: Nursing Authors: Ingrid Poulsen, Leanne Langhorn, Ingrid Egerod, Lena Aadal Tags: Review Paper Source Type: research

The intensive care unit environment from the perspective of medical, allied health and nursing clinicians: A qualitative study to inform design of the ‘ideal’ bedspace
While the impact of the intensive care environment on patients ’ experiences and outcomes has been extensively studied, relatively little research has examined the impact on clinicians and their provision of care in the intensive care unit (ICU). Understanding staff experience and views about the environment is needed to optimise the ICU environment, patient outcomes and staff wellbeing. (Source: Australian Critical Care)
Source: Australian Critical Care - July 17, 2020 Category: Nursing Authors: Oystein Tronstad, Dylan Flaws, India Lye, John F. Fraser, Sue Patterson Tags: Research paper Source Type: research

ACCCN and ACIPC Position Statement on Facilitating Next-of-Kin Presence for Patients Dying from COVID-19 in the ICU
The COVID-19 pandemic is challenging health care systems worldwide; none more so than critical and intensive care settings. Significant attention has been placed on the capacity of Australian ICUs to respond to a COVID-19 surge, particularly in relation to beds, ventilators, staffing, personal protective equipment and unparalleled increase in deaths in ICUs associated with COVID-19 seen internationally. While death is not uncommon in critical care, the international experience demonstrates that restrictions to family presence at the end of life result in significant distress for families and clinicians. (Source: Australian Critical Care)
Source: Australian Critical Care - July 16, 2020 Category: Nursing Authors: Melissa J. Bloomer, St éphane Bouchoucha Tags: Discussion paper Source Type: research

The effectiveness of faecal collection devices in preventing incontinence-associated dermatitis in critically ill patients with faecal incontinence: A systematic review and meta-analysis
The objective of this study was to investigate the effects of different types of faecal collection devices on incontinence-associated dermatitis (IAD) in critically ill patients with faecal incontinence. (Source: Australian Critical Care)
Source: Australian Critical Care - July 6, 2020 Category: Nursing Authors: Yan Zhang, Minmin Leng, Jinli Guo, Junfang Duan, Zhiwen Wang Tags: Review Paper Source Type: research

Editorial Board
(Source: Australian Critical Care)
Source: Australian Critical Care - July 1, 2020 Category: Nursing Source Type: research

Research in the context of coronavirus disease 2019: Considerations for critical care environments
Disasters and public health emergencies, such as coronavirus disease 2019 (COVID-19), by their very nature, overwhelm the operational capacity of health services to provide their normal level and array of services. From a health service perspective, this may include any event that results in the need for a health service to adapt their business as usual practices in an attempt to restore and maintain the normal day-to-day health services and standards of care.1 This is of importance as the inability to provide normal operational capacity results in increased morbidity and mortality for those patients in the health service ...
Source: Australian Critical Care - July 1, 2020 Category: Nursing Authors: Jamie Ranse Tags: Editorial Source Type: research

Nutrition management for critically and acutely unwell hospitalised patients with coronavirus disease 2019 (COVID-19) in Australia and New Zealand
Coronavirus disease 2019 (COVID-19) results from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The clinical features and subsequent medical treatment, combined with the impact of a global pandemic, require specific nutritional therapy in hospitalised adults. This document aims to provide Australian and New Zealand clinicians with guidance on managing critically and acutely unwell adult patients hospitalised with COVID-19. These recommendations were developed using expert consensus, incorporating the documented clinical signs and metabolic processes associated with COVID-19, the literature from other respira...
Source: Australian Critical Care - July 1, 2020 Category: Nursing Authors: Lee-anne S. Chapple, Kate Fetterplace, Varsha Asrani, Aidan Burrell, Allen C. Cheng, Peter Collins, Ra'eesa Doola, Suzie Ferrie, Andrea P. Marshall, Emma J. Ridley Tags: Discussion paper Source Type: research

Nutrition Management for Critically and Acutely Unwell Hospitalised Patients with COVID-19 in Australia and New Zealand
Coronavirus disease 2019 (COVID-19) results from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The clinical features and subsequent medical treatment, combined with the impact of a global pandemic, require specific nutritional therapy in hospitalised adults. This document aims to provide Australian and New Zealand clinicians with guidance on managing critically and acutely unwell adult patients hospitalised with COVID-19. These recommendations were developed using expert consensus, incorporating the documented clinical signs and metabolic processes associated with COVID-19, the literature from other respira...
Source: Australian Critical Care - July 1, 2020 Category: Nursing Authors: Lee-anne S. Chapple, Kate Fetterplace, Varsha Asrani, Aidan Burrell, Allen C. Cheng, Peter Collins, Ra ’eesa Doola, Suzie Ferrie, Andrea P. Marshall, Emma J. Ridley Tags: Discussion paper Source Type: research

Hyperoxia in patients with cardiogenic shock after myocardial infarction supported with venoarterial extracorporeal membrane oxygenation
Venoarterial extracorporeal membrane oxygenation (V-A ECMO) improves perfusion and oxygenation in patients with cardiogenic shock. However, it can also result in supranormal oxygen exposure. Recent evidence suggests hyperoxia may be harmful, particularly in critically ill patients. The aim of this study was to describe oxygen exposure in patients receiving V-A ECMO after acute myocardial infarction  and to investigate the association between hyperoxia and in-hospital mortality. (Source: Australian Critical Care)
Source: Australian Critical Care - June 30, 2020 Category: Nursing Authors: Paul Ross, Charne Miller, Jayne Sheldrake, William McGuiness, Andrew Udy, Aidan Burrell Tags: Research paper Source Type: research

Discomfort of the critically ill paediatric patient and correlated variables
The care of critically ill children is usually invasive and aggressive, requiring numerous traumatic procedures that may cause fear, pain, and discomfort. (Source: Australian Critical Care)
Source: Australian Critical Care - June 27, 2020 Category: Nursing Authors: Alejandro Bosch-Alcaraz, Iolanda Jordan, Ll úcia Benito-Aracil, MªÁngeles Saz-Roy, Anna Falcó-Pegueroles Tags: Research paper Source Type: research

Nutrition-related outcomes and dietary intake in non –mechanically ventilated critically ill adult patients: A pilot observational descriptive study
Critically ill patients who do not receive invasive mechanical ventilation (IMV) are a growing population, experiencing complex interventions that may impair dietary intake and nutrition-related outcomes. (Source: Australian Critical Care)
Source: Australian Critical Care - May 23, 2020 Category: Nursing Authors: Lee-anne Chapple, Michelle Gan, Rhea Louis, Alison Yaxley, Annabel Murphy, Rosalie Yandell Tags: Research paper Source Type: research

A national survey of intensive care follow-up clinics in Australia
Intensive care follow-up clinics (ICFCs) have been implemented internationally with the aim to address the growing number of patients living with sequalae of critical illness and intensive care. However, data on Australian intensive care follow-up practice are rare. (Source: Australian Critical Care)
Source: Australian Critical Care - May 16, 2020 Category: Nursing Authors: Katrina Cook, Roland Bartholdy, Monique Raven, Gary von Dohren, Sumeet Rai, Kimberley Haines, Mahesh Ramanan Tags: Research paper Source Type: research

Improving adherence to facility protocol and reducing blood culture contamination in an intensive care unit: A quality improvement project
Blood culture contamination (BCC) is a safety and quality indicator for intensive care units (ICUs). BCC rates in our ICU ranged from 2.90% to 6.70% in 2017. (Source: Australian Critical Care)
Source: Australian Critical Care - May 14, 2020 Category: Nursing Authors: Mei He, Sufang Huang, Jie Xiong, Qi Xiao Tags: Research paper Source Type: research

Physicians' perceptions about managing enteral nutrition and the implementation of tools to assist in nutritional decision-making in a paediatric intensive care unit
For critically ill children hospitalised in paediatric intensive care units, adequate nutrition reduces their risk of morbidity and mortality. Barriers may impede optimal nutritional support in this population. Moreover, physicians are usually responsible for prescribing nutrition, although they are not experts. Therefore, tools may be used to assist in nutritional decision-making, such as nutrition protocols. (Source: Australian Critical Care)
Source: Australian Critical Care - May 12, 2020 Category: Nursing Authors: Cl émence Moullet, Elodie Schmutz, Jocelyne Laure Depeyre, Marie-Hélène Perez, Jacques Cotting, Corinne Jotterand Chaparro Tags: Research paper Source Type: research

Handover practices of nurses transferring trauma patients from intensive care units to the ward: A multimethod  observational study
This study assessed current handover practices for ICU trauma patients, identifying barriers and facilitators to best practice handover. (Source: Australian Critical Care)
Source: Australian Critical Care - May 12, 2020 Category: Nursing Authors: Madeleine Powell, Duncan Brown, Chelsea Davis, James Walsham, Pauline Calleja, Sue Nielsen, Marion Mitchell Tags: Research paper Source Type: research

The speech pathology workforce in intensive care units: Results from a national survey
Admission to the intensive care unit (ICU) with mechanical ventilation can lead to patients experiencing impaired swallowing and communication function. This can negatively affect patient experiences and outcomes. There is increasing research supporting early intervention for swallowing and communication; however, there are no published ICU workforce data to determine patient access. (Source: Australian Critical Care)
Source: Australian Critical Care - May 6, 2020 Category: Nursing Authors: Lara Anne Cardinal, Amy Freeman-Sanderson, Leanne Togher Tags: Research paper Source Type: research

Editorial Board
(Source: Australian Critical Care)
Source: Australian Critical Care - May 1, 2020 Category: Nursing Source Type: research

Prevalence of pressure injuries and the management of support surfaces (mattresses) in adult intensive care patients: a multicentre point prevalence study in Australia and New Zealand
Pressure injuries (PIs) are a patient safety issue that impact patient outcomes. Intensive Care Unit (ICU) patients are at high risk of PIs. Our objective is to report the prevalence and classification of documented PIs in adult ICU patients, the use of pressure injury risk assessment tools and support surface management as a part of the prevention of PIs.Design, setting& participants: A prospective, single day, multicentre, cross-sectional study of patient ’s ≥ 16 years admitted to adult ICUs in Australia and New Zealand (ANZ), August 2016 as part of the ANZICS-CTG Point Prevalence Program. (Source: Australian Critical Care)
Source: Australian Critical Care - April 28, 2020 Category: Nursing Authors: Elizabeth Yarad, Anne O ’Connor, Jason Meyer, Matthew Tinker, Serena Knowles, Yang Li, Naomi Hammond, George Institute for Global Health and the Australian and New Zealand Intensive Care Society Tags: Research paper Source Type: research

Exercise is feasible in patients receiving vasoactive medication in a cardiac surgical intensive care unit: A prospective observational study
Patients may require vasoactive medication after cardiac surgery. The effect and safety profile of exercise on haemodynamic parameters in these patients is unclear. (Source: Australian Critical Care)
Source: Australian Critical Care - April 26, 2020 Category: Nursing Authors: Jemima Boyd, Jennifer Paratz, Oystein Tronstad, Lawrence Caruana, James Walsh Tags: Research paper Source Type: research

Usability and acceptability of a mobile application prototype for a combined behavioural activation and physical rehabilitation intervention in acute respiratory failure survivors
Acute respiratory failure survivors experience depression symptoms and new impairments in physical function. Behavioural activation, an evidence-based nonpharmacological treatment for depression, combined with physical rehabilitation, is a promising intervention. Notably, mHealth applications (Apps) are potentially effective methods of delivering home-based interventions. (Source: Australian Critical Care)
Source: Australian Critical Care - April 24, 2020 Category: Nursing Authors: Ann M. Parker, Archana Nelliot, Caroline M. Chessare, Albahi M. Malik, Mounica Koneru, Megan M. Hosey, A. Ant Ozok, Kathleen D. Lyons, Dale M. Needham Tags: Research paper Source Type: research

A collaborative research culture in the intensive care unit: A focus on allied health
In this issue of Australian Critical Care, we focus on research by allied health professionals (AHPs) and the benefits of multidisciplinary, collaborative research in intensive care. Allied health is an overarching term used to describe a diverse group of healthcare professions, each with its own unique focus.1 Professions under the banner of allied health include physiotherapy, speech pathology, occupational therapy, dietetics, psychology, and pharmacy and represent around 20% of health professionals in Australia. (Source: Australian Critical Care)
Source: Australian Critical Care - April 23, 2020 Category: Nursing Authors: E.J. Ridley, C.L. Hodgson Tags: Editorial Source Type: research

Factors influencing critical care nurses ’ intentions to use physical restraints adopting the theory of planned behaviour: A cross-sectional multicentre study
Studies addressing critical care nurses' practices regarding physical restraints have focused on individual nurses' knowledge and attitudes but lack the understanding of other social influences that could affect nurses ’ intentions to use them. (Source: Australian Critical Care)
Source: Australian Critical Care - April 22, 2020 Category: Nursing Authors: Gemma Via-Clavero, Joan Gu àrdia-Olmos, Anna Falcó-Pegueroles, Diana Gil-Castillejos, Anna Lobo-Cívico, Laura De La Cueva-Ariza, Marta Romero-García, Pilar Delgado-Hito Tags: Research paper Source Type: research

Delirium in intensive care: A stepped-wedge cluster randomised controlled trial for a nurse-led intervention to reduce the incidence and duration of delirium among adults admitted to the intensive care unit (protocol)
Delirium is an acute disorder of attention and cognition with the highest rates among adults receiving intensive care. An acute episode of delirium is associated with morbidity and mortality, as well as a significant psychological sequela. Importantly, an increasing body of evidence supports the benefit of nonpharmacological, nurse-led interventions to reduce the incidence and duration of delirium among adults cared for in the intensive care unit (ICU). (Source: Australian Critical Care)
Source: Australian Critical Care - April 19, 2020 Category: Nursing Authors: Joan Lynch, Kaye Rolls, Yu Chin Hou, Sonja Hedges, Masar Al Sayfe, Sharon-Ann Shunker, Kathleen Brennan, David Sanchez, Tony Bogdanovski, Leanne Hunt, Evan Alexandrou, Steven A. Frost Tags: Research paper Source Type: research

Acceptability, safety, and feasibility of in-bed cycling with critically ill patients
In-bed cycling is a promising intervention that may assist critically ill patients to maintain muscle mass and improve their trajectory of recovery. The acceptability of in-bed cycling from the different perspectives of patients, clinicians, and families are unknown. In addition, the safety and feasibility of in-bed cycling in an Australian tertiary intensive care unit (ICU) is relatively unknown. (Source: Australian Critical Care)
Source: Australian Critical Care - April 18, 2020 Category: Nursing Authors: Marc R. Nickels, Leanne M. Aitken, Adrian G. Barnett, James Walsham, Steven M. McPhail Tags: Research paper Source Type: research

The impact of frailty in critically ill patients after trauma: A prospective observational study
This study aimed to determine the impact of frailty in an Australian trauma intensive care unit (ICU) population. (Source: Australian Critical Care)
Source: Australian Critical Care - April 17, 2020 Category: Nursing Authors: Claire J. Tipping, Emily Bilish, Meg Harrold, Anne E. Holland, Terry Chan, Carol L. Hodgson Tags: Research paper Source Type: research

Acute kidney injury in Indigenous intensive care patients
Patients presenting to intensive care units (ICUs) report high rates of acute kidney injury (AKI) requiring renal replacement therapy (RRT). Globally, Indigenous populations report higher rates of renal disease than their non-Indigenous counterparts. (Source: Australian Critical Care)
Source: Australian Critical Care - April 16, 2020 Category: Nursing Authors: Susan P. Jacups, Angus W. Carter, Andrew Murray Tags: Research paper Source Type: research

What is nutritional assessment? A quick guide for critical care clinicians
Nutritional status is associated with patient outcomes such as length and cost of hospital stay, morbidity, and mortality. Trained nutrition professionals perform nutritional assessment to evaluate the patient's nutritional status, identify nutritional risk, and plan appropriate nutrition interventions. By being aware of key nutrition risk factors and by using simple methods to assess muscle stores, which may be depleted even if the patient is overweight or obese, other members of the healthcare team can help to identify who is at nutritional risk and who may be malnourished. (Source: Australian Critical Care)
Source: Australian Critical Care - April 14, 2020 Category: Nursing Authors: Suzie Ferrie Tags: Review Paper Source Type: research

Earlier tracheostomy is associated with an earlier return to walking, talking, and eating
Conjecture remains regarding the optimal timing for tracheostomy. Most studies examine patient mortality, ventilation duration, intensive care unit (ICU) length of stay, and medical complications. Few studies examine patient-centric outcomes. The aim of this study was to determine whether timing of tracheostomy had an impact on length of stay, morbidity, mortality, and patient-centric outcomes towards their functional recovery. (Source: Australian Critical Care)
Source: Australian Critical Care - April 13, 2020 Category: Nursing Authors: A.-L. Sutt, O. Tronstad, A.G. Barnett, S. Kitchenman, J.F. Fraser Tags: Research paper Source Type: research

Compassion fatigue in critical care nurses and its impact on nurse-sensitive indicators in Saudi Arabian hospitals
To examine the previously untested relationship between the level of compassion fatigue (CF) in critical care nurses and the rates of three nurse-sensitive indicators in four critical care units in hospitals in Saudi Arabia. (Source: Australian Critical Care)
Source: Australian Critical Care - April 4, 2020 Category: Nursing Authors: Jalal Alharbi, Debra Jackson, Kim Usher Tags: Research paper Source Type: research

Family satisfaction with care in the intensive care unit: A regional Australian perspective
Many patients admitted to an intensive care unit (ICU) are unable to make ongoing decisions of care for themselves during their ICU stay. The perspectives of families and other nominated decision makers are particularly important in forming a partnership with clinicians to provide effective person-centred care. The aim of this study is to evaluate family satisfaction with care in the ICU in regional NSW, Australia, and explore the relationship between the level of satisfaction and family characteristics. (Source: Australian Critical Care)
Source: Australian Critical Care - March 13, 2020 Category: Nursing Authors: Mark McLennan, Christina Aggar Tags: Research paper Source Type: research

The experiences of nurses using noninvasive ventilation: An integrative review of the literature
Noninvasive ventilation (NIV) is a common treatment delivered in critical care and is imperative in the management of many acute respiratory illnesses. Nurses are integral to the initiation and management of NIV, but there is a paucity of evidence on the experiences of nurses in this role. (Source: Australian Critical Care)
Source: Australian Critical Care - March 3, 2020 Category: Nursing Authors: Elyce Green, Maree Bernoth Tags: Review Paper Source Type: research

Experiences of nurses working in a triage area: An integrative review
The aim of the study is to review the literature on the experiences of nurses working in triage within emergency departments in hospitals. (Source: Australian Critical Care)
Source: Australian Critical Care - March 3, 2020 Category: Nursing Authors: Julienne Mae Reblora, Violeta Lopez, Yong-Shian Goh Tags: Review Paper Source Type: research

Statistics: The grammar of science
For clinicians, the desire to base practice and treatment decisions on the best available evidence is strong, and they are fuelled by the desire to deliver optimal patient care and achieve the best possible outcomes. In the decades since the birth of evidence-based practice, advances in research methods have developed to ensure the highest quality evidence is produced. However, the evidence warrants scrutiny because inadequacies in research methods, including statistical analysis, can jeopardise research quality. (Source: Australian Critical Care)
Source: Australian Critical Care - February 27, 2020 Category: Nursing Authors: Andrea P. Marshall, Ian Hughes Tags: Editorial Source Type: research

Editorial Board
(Source: Australian Critical Care)
Source: Australian Critical Care - February 27, 2020 Category: Nursing Source Type: research

Feasibility and acceptability of conducting a partially randomised controlled trial examining interventions to improve psychological health after discharge from the intensive care unit
Interventions to support psychological recovery after critical illness, including information provision via an intensive care unit (ICU) diary or discharge summary, have been widely adopted in some regions, albeit without strong empirical evidence. (Source: Australian Critical Care)
Source: Australian Critical Care - February 26, 2020 Category: Nursing Authors: Maria I. Castillo, Marion Mitchell, Chelsea Davis, Madeleine Powell, Robyne Le Brocque, Amanda Ullman, Krista Wetzig, Janice Rattray, Alastair M. Hull, Justin Kenardy, Leanne M. Aitken Tags: Research paper Source Type: research

Clinical deterioration in patients with ST-elevation myocardial infarction during and for 24  h after percutaneous coronary intervention: An observational study
In-hospital adverse events such as cardiac arrest are preceded by abnormalities in physiological data and are associated with high mortality. Healthcare institutions have implemented rapid response systems such as the medical emergency team for early recognition and response to clinical deterioration. Yet, most cardiac catheterisation laboratories, have yet to formally implement a rapid response system, so the nature and frequency of clinical deterioration is unclear and no published data exist. (Source: Australian Critical Care)
Source: Australian Critical Care - February 22, 2020 Category: Nursing Authors: Dianne D'Rosario, Judy Currey, Julie Considine, James Cameron Tags: Research paper Source Type: research

The experiences and needs of relatives of intensive care unit patients during the transition from the intensive care unit to a general ward: A qualitative study
Relatives of intensive care unit (ICU) patients play an important role as caregivers and can experience emotional distress, also referred to as post-intensive care syndrome-family. A deeper understanding of what relatives go through and what they need may provide input on how to strengthen family-centred care and, in the end, contribute to the reduction of symptoms of post-intensive care syndrome-family. (Source: Australian Critical Care)
Source: Australian Critical Care - February 20, 2020 Category: Nursing Authors: Sabine Adriana Johanna Josepha op ‘t Hoog, Maaike Dautzenberg, Anne Maria Eskes, Hester Vermeulen, Lilian Christina Maria Vloet Tags: Research paper Source Type: research

Shared decision-making in the intensive care unit requires more frequent and high-quality communication: A research critique
Informing and actively involving patients and their families in decision-making is a goal of patient- and family-centred health care.1 Shared decision-making is a collaborative process that enables healthcare decisions to be made between patients and/or families and clinicians, with consideration of patient values and preferences, while also using the best available scientific evidence to make recommendations.2 This collaborative process is recommended by critical care societies3 and healthcare organisations internationally. (Source: Australian Critical Care)
Source: Australian Critical Care - February 19, 2020 Category: Nursing Authors: Julie Cussen, Lauren Jodi Van Scoy, Allison M. Scott, Georgia Tobiano, Daren K. Heyland Tags: Research paper Source Type: research

Influence of sedation on delirium recognition in critically ill patients: A multinational cohort study
Guidelines advocate intensive care unit (ICU) patients be regularly assessed for delirium using either the Confusion Assessment Method for the ICU (CAM-ICU) or the Intensive Care Delirium Screening Checklist (ICDSC). Single-centre studies, primarily with the CAM-ICU, suggest level of sedation may influence delirium screening results. (Source: Australian Critical Care)
Source: Australian Critical Care - February 5, 2020 Category: Nursing Authors: Mark van den Boogaard, Annelies Wassenaar, Frank M.P. van Haren, Arjen J.C. Slooter, Philippe G. Jorens, Mathieu van der Jagt, Koen S. Simons, Ingrid Egerod, Lisa D. Burry, Albertus Beishuizen, Peter Pickkers, John W. Devlin Tags: Research paper Source Type: research

The impact of mass casualty incidents on intensive care units
Mass casualty incidents occur worldwide and have the capacity to overwhelm local healthcare facilities. There has been much research into how these events are managed in the prehospital environment and in the emergency department. However, there is a paucity in research addressing the impact that mass casualty incidents have on adult intensive care units. This review seeks to identify what literature is available that addresses the impact that mass casualty incidents have on intensive care units. (Source: Australian Critical Care)
Source: Australian Critical Care - January 22, 2020 Category: Nursing Authors: David Sellers, Jamie Ranse Tags: Review Paper Source Type: research

Accuracy of pupil size assessment methods
We have read the article by Smith et  al.;1 however, we believe that some discussion is required. The authors have compared the outcomes of manual versus automated pupil size measurement in an intensive care unit. (Source: Australian Critical Care)
Source: Australian Critical Care - January 1, 2020 Category: Nursing Authors: Piotr Kanclerz, Katarzyna Przew łócka Tags: Letter to the editor Source Type: research