Incorporation of Daily Goals in Daily Care Planning Does Not Shorten Length of Stay in the Intensive Care Unit
A strategy of defining and checking explicitly formulated patient-specific treatments targets or “daily goals” in the intensive care unit has been associated with improved communication. We investigated the effect of incorporation of daily goals into daily care planning on length of stay in the intensive care unit. Furthermore, the type of daily goals and deviations from daily goals in daily care with or without documented reason were evaluated. Four university hospitals in the Netherlands, of which 2 study “daily goal” hospitals and 2 control hospitals, participated in a prospective before-after study. During the ...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Quality of Sleep Among Intensive Care Unit Patients: A Literature Review
Investigating sleep disturbances among intensive care unit (ICU) patients and its serious consequences is considered a crucial issue for nurses. The need of sleep increases during hospitalization time to preserve energy for the healing process. Previous studies have demonstrated that sleep disturbance is one of the most common complaints of patients in the ICUs, with a prevalence of more than 50%. Although the total sleep time might be normal, the patients' sleep is fragmented and light in the intensive care settings. The main purpose of this review is to generate a clear view of what is known about sleep disturbances amon...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Effects of Nurse-Led Intervention on Patients' Anxiety and Sleep Before Coronary Artery Bypass Grafting
The aim of this study to examine the effects of supportive-educational nurse-led intervention on the patients' anxiety and sleep before the coronary artery bypass grafting.
The current clinical trial recruited 160 patients (N = 160) waiting for the coronary artery bypass grafting by random block sampling and divided them into two 80-people experimental and control groups. Spielberger's State Anxiety Inventory was completed on the first day. The Groningen's Sleep Quality Index was also completed by the patients on the day of surgery. Data were analyzed in SPSS software version 16, using descriptive and inferential statisti...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Evaluation of an Educational Video: What to Expect on the First Day of Chemotherapy
According to the American Cancer Society, more than 1.6 million new cases of cancer were diagnosed in 2015. Anxiety levels in individuals diagnosed with cancer are high, with the highest levels occurring at the time of diagnosis. A cancer diagnosis and the associated chemotherapy are life-altering events for patients and their families. In addition to managing the devastating news about the disease, patients are tasked with learning to manage the impact of chemotherapy and its impact on their bodies and sense of well-being. These authors report the development of an education video aimed at addressing typical questions and...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Effects of Multimethod Intervention on Bedside Report Compliance and Patient Satisfaction
Miscommunication is a large contributing factor to hospital sentinel events. Communication with nurses is a component of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey not only assesses patient satisfaction but also impacts how hospitals are reimbursed. A literature review reveals that nursing bedside shift positively impacts patient satisfaction and nurse communication. There is limited research on how to implement bedside report as well as what to include during report. A pilot study evaluated an educational intervention and its impact on nurses' compliance with be...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Pharmacologic Reversal of Direct Oral Anticoagulants
This article examines the efficacy and safety of these emerging reversal agents, as well as other historical agents for reversal of direct oral anticoagulants. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
An Assessment of an Outpatient Antimicrobial Therapy Program in a Rural Medical Center : A Retrospective Chart Review
This article presents results from a research study that evaluated an OPAT program that treated community-acquired pneumonia. If patients had the opportunity to receive outpatient intravenous antibiotics for community-acquired pneumonia, would this prevent future hospitalization? Was there a decrease in hospital admissions? An informal cost-benefit analysis comparing OPAT with inpatient hospital admissions for the same disease was also reviewed to provide evidence whether there was a change. What was the overall health care cost savings? The medical charts of 50 patients with confirmed pneumonia who had received OPAT in a ...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Targeted Temperature Management for Improved Outcomes: Are We There Yet?
Therapeutic hypothermia, also referred to as targeted temperature management, has been a component of the postcardiac arrest treatment guidelines since 2010. Although almost a decade has passed since its inclusion in the postarrest guidelines, many unanswered questions remain regarding selection of the appropriate patient population, optimal target temperature, ideal window of time in which to initiate therapy after arrest, most efficient, safe, and accurate equipment choice for inducing and maintaining hypothermia, most effective duration of treatment, and rate of cooling or rewarming. On a national and international leve...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Point-of-Care Ultrasonography in Emergency and Critical Care Medicine
To stabilize critically ill patients, emergency and critical care medicine providers often require rapid diagnosis and intervention. The demand for a safe, timely diagnostic device, alongside technological innovation, led to the advent of point-of-care ultrasonography (POCUS). POCUS allows the provider to gain invaluable clinical information with a high level of accuracy, leading to better clinical decision-making and improvements in patient safety. We have outlined the history of POCUS adaptation in emergency and critical care medicine and various clinical applications of POCUS described in literature. (Source: Critical C...
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - March 8, 2018 Category: Nursing Tags: Foreword Source Type: research
Direct Observation of Medication Errors in Critical Care Setting: A Systematic Review
This article reviews published research about these errors and reports results of observational studies. The types of errors, incidence, and root causes have been considered along with adverse consequences. The implications for bedside practice as a result of this review are fairly straightforward. Medication errors are happening at an alarming rate in the critical care environment, and these errors are preventable. It is imperative that all personnel respect and follow established guidelines and procedural safeguards to ensure flawless drug delivery to patients. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Safety and Security Concerns of Nurses Working in the Intensive Care Unit: A Qualitative Study
Intensive care units (ICUs) exist to serve as a safe place for critically ill patients to receive care from skilled practitioners. In this qualitative study, ICU nurses shared their perspectives on elements that promote safety and security on their units. After obtaining institutional review board approval, participants participated in telephone interviews with a nurse researcher who has experience as a bedside ICU nurse. Five categories and 14 themes were identified and then confirmed using member checking. Results indicate that participants prefer to provide care in ICUs with no more than 12 to 14 beds and provide the fo...
Source: Critical Care Nursing Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Informatics for the Modern Intensive Care Unit
Advanced informatics systems can help improve health care delivery and the environment of care for critically ill patients. However, identifying, testing, and deploying advanced informatics systems can be quite challenging. These processes often require involvement from a collaborative group of health care professionals of varied disciplines with knowledge of the complexities related to designing the modern and “smart” intensive care unit (ICU). In this article, we explore the connectivity environment within the ICU, middleware technologies to address a host of patient care initiatives, and the core informatics concept...
Source: Critical Care Nursing Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Tele-ICU and Patient Safety Considerations
The tele-ICU is designed to leverage, not replace, the need for bedside clinical expertise in the diagnosis, treatment, and assessment of various critical illnesses. Tele-ICUs are primarily decentralized or centralized models with differing advantages and disadvantages. The centralized model has sufficiently powered published data to be associated with improved mortality and ICU length of stay in a cost-effective manner. Factors associated with improved clinical outcomes include improved compliance with best practices; providing off-hours implementation of the bedside physician's care plan; and identification of and rapid ...
Source: Critical Care Nursing Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Environmental Infection Prevention: Priorities of Patient Safety Collaboration
This article addresses the role of the ICU nurse as a team facilitator collaborating with environmental services, infection preventionists, and others to influence ICU design during preconstruction planning and unit environmental hygiene after construction to promote patient safety and prevent HAI associated with contaminated environments and equipment. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
