Intensive and Critical Care Nursing

Nil by mouth in intensive care - A qualitative, multiformat survey exploring the impact of mandatory oral restriction, from the health care providers perspective
Nunn L, Allison M, McEntee J, Mooney L, Green L, Brown A, Lewis R, Karpasiti T, Nurek M, Meechan C, Fitzgerald-O'Connor G, Long E, Spronk P and Singh S
Nil by mouth (NBM) is a frequent imposition for patients recovering from critical illness. Its impact on patients' wellbeing and rehabilitation is under researched. We sought ICU multidisciplinary opinion to primarily assess the relevance of taste deprivation on patient care and recovery, and to identify future opportunities for innovation and research.
Exploring differences in reported mental health outcomes and quality of life between physically restrained and non-physically restrained ICU patients; a prospective cohort study
Francken L, Rood PJT, Peters MAA, Teerenstra S, Zegers M and van den Boogaard M
Physical restraints are frequently used in ICU patients, while their effects are unclear.
The obesity paradox in sepsis: An ongoing debate
Arvaniti K, Lathyris D and Koulenti D
Effect of listening to music on anxiety, pain, and cardiorespiratory parameters in cardiac surgery: A randomized clinical trial
de Andrade ÉV, Haas VJ, de Faria MF, Dos Santos Felix MM, Guimarães Raponi MB, Barichello E, da Silva Pires P, Gómez-Cantarino S and Barbosa MH
To evaluate the effect of listening to music on preoperative anxiety, postoperative pain (at rest and during coughing), and cardiorespiratory parameters in patients undergoing cardiac surgery.
Assessment of spiritual care competencies of critical care health professionals: An integrative review
Carvalho Junior A, Netto de Oliveira AM, Piexak DR, Silva CD and Lucchetti G
The primary aim of the present study was to assess the competencies related to the spiritual care by nurses and health professionals who work in intensive care units, and how these competencies influence clinical practice. As a secondary objective, we have discussed the strengths, weaknesses and threats of incorporating and teaching these competencies among the included studies.
Regional variations in incidence of surgical site infection and associated risk factors in women undergoing cesarean section: A systematic review and Meta-Analysis
Islam N, Thalib L, Mahmood S, Varol SA, Adel I, Aqel A, Atashbari F and Cinar O
Surgical site infections (SSIs) are the most common postoperative complications after cesarean section (CS), with increased mortality, prolonged hospital stays, and increased healthcare costs.
Use of the structured emergency nursing framework HIRAID® improves patient experience: A stepped-wedge cluster randomised control trial in rural, regional and metropolitan Australia
Curtis K, Kennedy B, Considine J, Lam MK, Aggar C, Shaban RZ, Hughes JA, Fry M, Alkhouri H and Murphy M
Emergency departments have high levels of uncertainty, long wait times, resource shortages, overcrowding and a constantly changing environment. Patient experience and patient safety are directly linked, yet levels of patient experience are stagnant. To improve emergency nursing care and patient experience, an emergency nursing framework HIRAID® (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication, and reassessment) was implemented in 29 Australian emergency departments.
Silent struggles: Persistent stress responses in sedated ICU patients
Mpouzika M, Karanikola M and Papathanassoglou E
Hand hygiene implementation in ICUs: A critical pillar of patient safety
Günther SC
Identifying ICU survivors and relatives with post-traumatic stress disorder using text mining: An explorative study
Oude Wesselink SF, Beishuizen A, Rinket MA, Krol T, Doornink H and Veldkamp BP
A quarter of ICU-patients develop post-traumatic stress disorder (PTSD) after discharge. These patients could benefit from early detection of PTSD. Therefore, we explored the accuracy of text mining with self-narratives to identify intensive care unit (ICU) patients and surviving relatives at risk of PTSD in a pilot study.
Risk stratification for violent behavior in critically ill patients: Current assessment tools
Berger S, Amacher SA, Lohri M, Hunziker S, Gebhard CE, Frei A and Sutter R
Workplace violence (WPV) presents challenges in intensive care units (ICUs) calling for reliable prediction of violence. This narrative review aimed to identify and evaluate risk assessment tools from acute care settings which are or might be used to predict violent behavior in adult ICU patients focusing on their performance and clinical utility.
Effects of routine postural repositioning on the distribution of lung ventilation and perfusion in mechanically ventilated patients
Huerta MDR, Giralt JAS, Díez-Fernández A, Alonso MJR, Montes N and Suárez-Sipmann F
To analyse the effects on respiratory function, lung volume and the regional distribution of ventilation and perfusion of routine postural repositioning in mechanically ventilated critically ill patients.
Should we still use chlorhexidine oral care? No!
Blot S, Conoscenti E and Klompas M
Effects of DELIMA education programme on nurses' knowledge, confidence, attitude, and screening accuracy for delirium in paediatric intensive care units
Rohmah I, Pangarsih DS, Rahayu S, Widodo AF, Chang KM, Ho MH, Tseng YH and Chiu HY
To evaluate the effects of a 4-week Delirium Introduction and Maintenance programme based on the knowledge-to-action framework on nurses' knowledge, self-confidence, attitudes, and screening accuracy for delirium in the paediatric intensive care unit (PICU).
Comparative risks and clinical outcomes of midazolam versus other intravenous sedatives in critically ill mechanically ventilated patients: A systematic review and meta-analysis of randomized trials
Chen YX and Ho MH
This systematic review synthesized literature evidence and compared midazolam's risks and clinical outcomes with other sedatives in critically ill mechanically ventilated patients.
Attracting nursing talent to the intensive care unit: A qualitative study on how to create an appealing work environment
Fernández-Castillo RJ, Basco-Prado L and Raurell-Torredà M
The global shortage of nurses who want to work in the intensive care unit (ICU) is alarming, putting at risk quality of care and patient safety. With efforts put into engagement strategies, optimized recruitment programmes are scarce, specifically in the ICU setting. The aim of this study is to describe and explore ICU nurses' opinions on their work motivational factors that influenced the decision to work in the ICU setting.
Risk factors for acquired weakness in intensive care unit patients: An umbrella review
Zhang Y, Hu Q, Zhou M, Wang Y, Yang J, Jin X, Zhang X and Ma F
This umbrella review aims to summarize and synthesize the evidence on risk factors related to intensive care unit-acquired weakness in systematic reviews to create prevention strategies and intervention measures for intensive care unit-acquired weakness.
Evaluating the effectiveness of a clinical decision support system (AI-Antidelirium) to improve Nurses' adherence to delirium guidelines in the intensive care unit
Zhang S, Ding S, Cui W, Li X, Wei J and Wu Y
To evaluate the impact of Artificial Intelligence Assisted Prevention and Management for Delirium (AI-AntiDelirium) on improving adherence to delirium guidelines among nurses in the intensive care unit (ICU).
Caring for victims of child abuse in the pediatric intensive care unit
Berdida DJE and Grande RAN
Environmental sustainability in intensive care: The crucial role of nursing and healthcare approaches
Glotta A
Reliability, validity and practicability of the Chelsea Critical Care Physical Assessment tool (CPAx) following an e-learning programme: A clinimetric study
Eggmann S, Kindler A, Hilfiker R and Nydahl P
To investigate inter- and intra-rater reliability, content and concurrent validity, and practicability of the Chelsea Critical Care Physical Assessment tool (CPAx) - a measurement instrument for physical function and activity for patients with a critical illness - from multidisciplinary, German-speaking healthcare professionals.