Observed differences in nutrition management at two time points spanning a decade in critically ill trauma patients with and without head injury
Nutritional needs of trauma patients admitted to the intensive care unit may differ from general critically ill patients, but most current evidence is based on large clinical trials recruiting mixed populations. (Source: Australian Critical Care)
Source: Australian Critical Care - June 28, 2023 Category: Nursing Authors: Rhea Louis, Luke M. Weinel, Aidan Burrell, Bethany Gardner, Sarah McEwen, Marianne J. Chapman, Stephanie N. O'Connor, Lee-anne S. Chapple Tags: Research paper Source Type: research
Indicators of patient deterioration in poorly resourced private hospitals: Which vital sign to watch? A retrospective case –control study
Patient vital signs are a measure of wellness if monitored regularly and accurately. Staff shortages in poorly resourced regional hospitals often result in inadequate patient monitoring, putting patients at risk of undetected deterioration. (Source: Australian Critical Care)
Source: Australian Critical Care - June 28, 2023 Category: Nursing Authors: Marie Danielle Le Lagadec, Trudy Dwyer, Matthew Browne Tags: Research paper Source Type: research
How often are infusion sets for central venous catheters changed in Australian and New Zealand Intensive Care Units? A point prevalence survey
Infusion sets (comprising the tubing, measuring burettes, fluid containers, transducers) that are connected to invasive vascular devices are changed on a regular basis in an effort to reduce bacterial colonisation and bloodstream infection. There is a balance between reducing infection and creating unnecessary waste. Current evidence suggests that for central venous catheters (CVCs), changing infusion sets at 7 days does not increase infection risks. (Source: Australian Critical Care)
Source: Australian Critical Care - June 27, 2023 Category: Nursing Authors: Matthew H. Anstey, Nicky Maxwell, Claire M. Rickard, Naomi E. Hammond, Serena Knowles, Forbes McGain, The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group, Steering Committee members, Coord Tags: Brief research report Source Type: research
A retrospective descriptive study of medical record documentation of how treatment limitations are communicated with family members of patients from culturally diverse backgrounds
Communication between clinicians and family members of patients about treatment limitation practices is essential to care-planning and decision-making. For patients and family members from culturally diverse backgrounds, there are additional considerations when communicating about treatment limitations. (Source: Australian Critical Care)
Source: Australian Critical Care - June 18, 2023 Category: Nursing Authors: Laura A. Brooks, Elizabeth Manias, Melissa J. Bloomer Tags: Research paper Source Type: research
Development and validation of a risk score to predict unplanned hospital readmissions in ICU survivors: A data linkage study
Intensive Care Unit (ICU) follow-up clinics are growing in popularity internationally; however, there is limited evidence as to which patients would benefit most from a referral to this service. (Source: Australian Critical Care)
Source: Australian Critical Care - June 18, 2023 Category: Nursing Authors: Julia K. Pilowsky, Amy von Huben, Rosalind Elliott, Michael A. Roche Tags: Research paper Source Type: research
Editorial Board
(Source: Australian Critical Care)
Source: Australian Critical Care - June 15, 2023 Category: Nursing Source Type: research
Inclusivity in published research: the potential to learn from others
Care of critically ill patients is complex, expensive,1 and challenging because of patient heterogeneity.2 Critical care is considered a component of most modern healthcare services; however, the way in which it is delivered and the resources available differ across3 and within countries.4 In low-resource settings, the delivery of critical care presents many challenges. Among these are the perception of high cost associated with critical care and the lack of prioritisation over more common public health measures. (Source: Australian Critical Care)
Source: Australian Critical Care - June 15, 2023 Category: Nursing Authors: Andrea P. Marshall, Gelana Fekadu Tags: Editorial Source Type: research
Feasibility, safety, and patient acceptability of electronic inspiratory muscle training in patients who require prolonged mechanical ventilation in the intensive care unit: A dual-centre observational study
Inspiratory muscle training (IMT) is an intervention that can be used to rehabilitate the respiratory muscle deconditioning experienced by patients with critical illness, requiring prolonged mechanical ventilation. Clinicians are currently using mechanical threshold IMT devices that have limited resistance ranges. (Source: Australian Critical Care)
Source: Australian Critical Care - June 13, 2023 Category: Nursing Authors: Marc Nickels, Katie Erwin, Grant McMurray, Richie Talbot, Mark Strong, Anand Krishnan, Frank M.P. van Haren, Bernie Bissett Tags: Research paper Source Type: research
Understanding an epidemiological view of a retrospective audit of medication errors in an intensive care unit
Medication errors in the intensive care setting continue to occur at significant rates and are often associated with adverse events and potentially life-threatening repercussions. (Source: Australian Critical Care)
Source: Australian Critical Care - June 5, 2023 Category: Nursing Authors: Kelly Ottosen, Tracey Bucknall Tags: Research paper Source Type: research
Metabolic load during morning care and active bed exercises in critically ill patients: An explorative study
To avoid overexertion in critically ill patients, information on the physical demand, i.e., metabolic load, of daily care and active exercises is warranted. (Source: Australian Critical Care)
Source: Australian Critical Care - June 5, 2023 Category: Nursing Authors: Robin C.H. Kwakman, Eric L. Voorn, Juultje Sommers, Karin Gerrits, Frans Nollet, Raoul H.H. Engelbert, Marike van der Schaaf Tags: Research paper Source Type: research
Models of intensive care unit follow-up care and feasibility of intervention delivery: A systematic review
Models of post-ICU care without in-person attendance at the index hospital potentially have higher rates of recruitment, intervention delivery success, and increased participant retention when compared to hospital-based interventions. (Source: Australian Critical Care)
Source: Australian Critical Care - May 31, 2023 Category: Nursing Authors: Stephanie Dimopoulos, Nina E. Leggett, Adam M. Deane, Kimberley J. Haines, Yasmine Ali Abdelhamid Tags: Review paper Source Type: research
The relationship between moral courage and lovingkindness –compassion levels in critical care nurses: A cross-sectional study
Ethical dilemmas and ethical problems are very common in intensive care units. Nurses need moral courage to deal with these problems. Nurses ’ high empathy, humility, lovingkindness, and compassion support them to act with moral courage. (Source: Australian Critical Care)
Source: Australian Critical Care - May 31, 2023 Category: Nursing Authors: Özlem Fidan, Nesrin Çunkuş Köktaş, Arife Şanlialp Zeyrek Tags: Research paper Source Type: research
Factors associated with intubation in patients with acute hypoxaemic respiratory failure treated with high-flow nasal cannula oxygen therapy: A prospective, observational study
High-flow nasal cannula (HFNC) oxygen is an alternative to conventional oxygen in acute hypoxaemic respiratory failure. Some patients require intubation, with a risk of delay; thus, early predictors may identify those requiring earlier intubation. The “ROX” index (ratio of pulse oximetry/fraction of inspired oxygen to respiratory rate) predicts intubation in patients with pneumonia treated with HFNC therapy, but this index has not been validated in non-pneumonia causes of acute hypoxaemic respiratory failure. (Source: Australian Critical Care)
Source: Australian Critical Care - May 23, 2023 Category: Nursing Authors: Timothy E. Weir, Shailesh Bihari Tags: Research paper Source Type: research
Implementation and utilisation of Australian critical care practice standards: What do we know?
The Australian College of Critical Care Nurses published the third edition of practice standards (PSs) for specialist critical care nurses in 2015. Higher-education providers currently use these standards to inform critical care curricula; however, how critical care nurses perceive and use PSs in clinical practice is unknown. (Source: Australian Critical Care)
Source: Australian Critical Care - May 18, 2023 Category: Nursing Authors: Yolanda Cox, Justin L.C. Bilszta, Debbie Massey Tags: Research paper Source Type: research
Communication functions of adult patients admitted to intensive care: A multicentre, binational point prevalence study
Patient communication is profoundly impacted during the intensive care unit (ICU) stay. While the impacts of altered communication are recognised, there is a paucity of data on the prevalence of communication attempts as well as modes utilised by patients and unit practices to manage communication function. (Source: Australian Critical Care)
Source: Australian Critical Care - May 15, 2023 Category: Nursing Authors: Amy Freeman-Sanderson, Bronwyn Hemsley, Kelly Thompson, Kris D. Rogers, Serena Knowles, Naomi E. Hammond, The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group Tags: Research paper Source Type: research
