‘Implicit rationing of nursing care processes’—Decision‐making in ICU nurses' experiences: A qualitative study
Nursing in Critical Care
by Shuyan Fang, Yingnan Zhao, Shizheng Gao, Juanjuan Sun, Dongpo Song, Yifan Wu, Qiqing Zhong, Jiao Sun
2d ago
Abstract Background Implicit rationing of nursing care is defined as the withholding of necessary nursing measures for patients because of a lack of nursing resources. However, no studies have explored the experience of decision-making about implicit rationing of nursing care in an intensive care unit (ICU). Aim To explore the process of ICU nurses' decisions and judgement based on the conceptual framework of implicit rationing of nursing care. Study design A qualitative study was undertaken between June 2020 and September 2020. The data collection methods were participative observation and in ..read more
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Physical restraint and associated agitation
Nursing in Critical Care
by Shimon Cohen, Avraham Meyer, Nisim Ifrach, Sara Dichtwald
4d ago
Abstract Background Physical restraint of patients in intensive care units (ICUs) has an estimated prevalence of 50%. Many medical centres do not have specific protocols for physical restraint, and the decision of whether to physically restrain a patient is up to the nursing staff. Disadvantages of physical restraint include injuries, exacerbation of agitation and an increased risk of developing post-traumatic stress disorder (PTSD). Aim To report prevalence and outcomes in terms of morbidity and mortality of physical restraint in general ICU patients in an 800-bed secondary medical centre. St ..read more
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Investigation of burnout and quality of work life of cardiac surgery nurses: A cross‐sectional study
Nursing in Critical Care
by Nihal Celikturk Doruker, Fatma Demir Korkmaz
4d ago
Abstract Background The care processes of cardiac surgery patients are difficult, complex and stressful. Nurses, who have an important role in the care of these patients, may experience burnout or poor quality of work life may be affected because of difficult care processes, and professional difficulties. Aim This study analysed burnout and quality of work life in cardiac surgery nurses. Study Design This cross-sectional study was conducted with 68 nurses in the clinic and intensive care unit of a university hospital's cardiovascular surgery department. Clinical nurses care for inpatients in t ..read more
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A dimensional analysis of experienced intensive care unit nurses' clinical decision‐making for bleeding after cardiac surgery
Nursing in Critical Care
by Patrick Lavoie, Caroline Arbour, Amélie Blanchet Garneau, José Côté, Maude Crétaz, André Denault, Émilie Gosselin, Alexandra Lapierre, Tanya Mailhot, Virginie Tessier
1w ago
Abstract Background Bleeding following cardiac surgery is common and serious, yet a gap persists in understanding how experienced intensive care nurses identify and respond to such complications. Aim To describe the clinical decision-making of experienced intensive care unit nurses in addressing bleeding after cardiac surgery. Study Design This qualitative study adopted the Recognition-Primed Decision Model as its theoretical framework. Thirty-nine experienced nurses from four adult intensive care units participated in semi-structured interviews based on the critical decision method. The inter ..read more
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A case study of a patient with platelet transfusion refractoriness (PTR) combined with human leucocyte antigen (HLA) antibody positivity during hepatic arterial infusion chemotherapy in conjunction with the ‘atezolizumab plus bevacizumab’ regimen
Nursing in Critical Care
by Yawen Xie, Yanxia Huang, Shuyue Liu
1w ago
Abstract Hepatic arterial infusion chemotherapy in conjunction with the combination therapy of atezolizumab (T) and bevacizumab (A) is widely used in hepatocellular carcinoma. Some adverse events such as hypertension, weakness and elevated transaminase levels occurred during treatment, while there is currently no reported case about thrombocytopenia with concomitant HLA antibody-positive PTR. We summarize the critical care nursing experience of a patient with PTR because of HLA antibody positivity during hepatic arterial infusion chemotherapy in conjunction with atezolizumab plus bevacizumab ..read more
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Priority analysis of educational needs for new nurses in the intensive care unit: A cross‐sectional study
Nursing in Critical Care
by Sung Ok Chang, Seung‐Kyo Chaung, Kyeong‐Yae Sohng, Kyunghee Kim, Jongsoon Won, Min‐Jung Choi
1w ago
Abstract Background New intensive care unit (ICU) nurses often experience stress because of concerns about potentially harming their patients in a work environment that demands the rapid development of several skills in a limited training period. Aim This study aimed to investigate the prioritisation of educational needs within adult ICUs, focusing on how new nurses evaluate their current knowledge and perceive the most critical competencies. Study Design A cross-sectional study was conducted among a convenience sample of 102 new ICU nurses in general and tertiary hospitals in South Korea. Edu ..read more
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Nursing interventions to prevent pressure injury among open heart surgery patients: A systematic review
Nursing in Critical Care
by Yeter Kurt, Mağfiret Kaşikçi, Reezena Malaska
1w ago
Abstract Background Nurses are vital in identifying and preventive pressure injuries (PIs) in hospitalized patients undergoing open heart surgery. Interventions to prevent PIs are crucial for every critical patient, and it's essential to recognize that preventing PIs involves a complex intervention. Aim To examine the nursing interventions for the prevention of PI in patients with open heart surgery. Method A systematic review study. Web of Science, Science Direct, PubMed, Scopus, MEDLINE Ultimate, CINAHL Ultimate, ULAKBIM, Cochrane Library, Google Scholar and university library databases were ..read more
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Mothers' experiences of privacy in neonatal intensive care units: A qualitative study
Nursing in Critical Care
by Maryam Maleki, Soheila Abbasi, Maryam Esmaeili, Abbas Mardani
2w ago
Abstract Background Examining the privacy experiences of mothers in neonatal intensive care units (NICUs) can play a crucial role in bolstering patient privacy safeguards and elevating the overall quality of health care. However, our understanding of mothers' experiences regarding privacy issues they may face after their infants' hospitalization in the NICU is limited. Aim This study aimed to investigate the experiences of mothers concerning privacy within NICUs to contribute valuable insights for improving infant care and privacy protection. Design A qualitative content analysis using a conve ..read more
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Effectiveness of decision aids on critically ill patients' outcomes and family members' knowledge, anxiety, depression and decisional conflict: A systematic review and meta‐analysis
Nursing in Critical Care
by Yana Xing, Weixin Cai, Anxin Wang, Yuan Yuan, Ran Zhang
2w ago
Abstract Background Decision aids (DAs) have been proposed to support patients and families with disease information processing and decision-making, but their effectiveness for critically ill patients and their families is incompletely understood. Aim To systematically synthesize evidence on the effectiveness of the DAs on the prognosis of critically ill patients and knowledge, anxiety, depression and decisional conflict of their family members. Study Design Systematic review and meta-analysis. We conducted a systematic search of literature using PubMed, Embase, Cochrane Library, Web of Scienc ..read more
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A new classification for emergency critically ill patients and analysis of their adverse events during intrahospital transport: A cluster analysis
Nursing in Critical Care
by Ying An, Kai Cao, Fei Li, Qi Lu, Ya‐Mei Guan, Zhen‐Hui Lu, Ai‐Ping Wang, Zi‐Rong Tian
2w ago
Abstract Background Critical patients may experience various adverse events during transportation within hospitals. Therefore, quickly evaluating and classifying patients before transporting them from the emergency department and focusing on managing high-risk patients are critical. At present, no unified classification method exists; all the current approaches are subjective. Aims To ensure transportation safety, we conducted a cluster analysis of critically ill patients transferred from the emergency department to the intensive care unit. Study Design Single-centre cohort study. This study w ..read more
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