Abstract：
AIM:To compare accuracy and certainty of diagnosis of cardiac ischaemia using the Panoramic ECG display tool plus conventional 12-lead electrocardiogram (ECG) versus 12-lead ECG alone by UK critical care nurses who were members of the British Association of Critical Care Nurses (BACCN). BACKGROUND:Critically ill patients are prone to myocardial ischaemia. Symptoms may be masked by sedation or analgesia, and ECG changes may be the only sign. Critical care nurses have an essential role in detecting ECG changes promptly. Despite this, critical care nurses may lack expertise in interpreting ECGs and myocardial ischaemia often goes undetected by critical care staff. METHOD:British Association of Critical Care Nurses (BACCN) members were invited to complete an online survey to evaluate the analysis of two sets of eight ECGs displayed alone and with the new display device. RESULTS:Data from 82 participants showed diagnostic accuracy improved from 67·1% reading ECG traces alone, to 96·0% reading ECG plus Panoramic ECG display tool (P < 0·01, significance level α = 0·05). Participants' diagnostic certainty score rose from 41·7% reading ECG alone to 66·8% reading ECG plus Panoramic ECG display tool (P < 0·01, α = 0·05). CONCLUSION:The Panoramic ECG display tool improves both accuracy and certainty of detecting ST segment changes among critical care nurses, when compared to conventional 12-lead ECG alone. This benefit was greatest with early ischaemic changes. Critical care nurses who are least confident in reading conventional ECGs benefit the most from the new display. RELEVANCE TO CLINICAL PRACTICE:Critical care nurses have an essential role in the monitoring of critically ill patients. However, nurses do not always have the expertise to detect subtle ischaemic ECG changes promptly. Introduction of the Panoramic ECG display tool into clinical practice could lead to patients receiving treatment for myocardial ischaemia sooner with the potential for reduction in morbidity and mortality.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Wilson N,Hassani A,Gibson V,Lightfoot T,Zizzo Cdoi
10.1111/j.1478-5153.2012.00492.xsubject
Has Abstractpub_date
2012-09-01 00:00:00pages
239-46issue
5eissn
1362-1017issn
1478-5153journal_volume
17pub_type
杂志文章abstract：:It has been recommended that nursing staff who are new to paediatric intensive care should be offered an orientation programme There is no guidance currently available to influence the content or duration of such a programme on a national level A multi-centre research study was carried out to identify the existing pro...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：BACKGROUND:Changes in patient profile, and in the health care environment, altering socioeconomic conditions and advances in science and information technology challenge the nursing profession, in particular intensive care nursing. All these changes will undoubtedly affect the way we will practice in the (near) future....
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2010.00409.x
更新日期：2010-09-01 00:00:00
abstract：BACKGROUND:chronic critical illness (CCI) is a complex syndrome with a high risk of dying in hospital. Intensive care unit nurses are well-positioned to lead conversations integrating palliative and end-of-life care, yet have reported limited involvement. AIM:To generate further understanding of nurses' experiences of...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12154
更新日期：2017-07-01 00:00:00
abstract：AIMS:This study was carried out to determine the effects of open and closed suction systems on haemodynamic parameters of the patients who underwent open heart surgery. BACKGROUND:Nurses should work meticulously and carefully as many complications may develop if the method used to perform suctioning is not appropriate...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12094
更新日期：2015-05-01 00:00:00
abstract：:Factors influential in the occurrence and timing of heart attacks are summarised. Patients' and partners' experiences of heart attack are reviewed. Evidence is presented for the efficacy and effectiveness of cardiac rehabilitation programmes. A three elemental model for cardiac rehabilitation is introduced. Key recomm...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1996-09-01 00:00:00
abstract：:The Intensive Care Society (1998) recommends that facilities should be available to follow up bereaved relatives. As part of bereavement follow up, a memorial service has been held at Royal Preston Hospital for the last three years. Over 300 people attended in 2003. A memorial service is often referred to as a ritual....
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1362-1017.2004.00081.x
更新日期：2004-09-01 00:00:00
abstract：AIM AND BACKGROUND:Shift work, and especially night work, is associated with poor health. Nurses, work a variety of work schedules including night work. So far, few studies have specifically investigated sleep and health among intensive care nurses. DESIGN AND METHODS:We investigated sleep, sleepiness, fatigue, subjec...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2012.00504.x
更新日期：2012-07-01 00:00:00
abstract：:ICU psychosis is common amongst patients admitted to critical care settings. ICU psychosis is the result of a complex interaction between physiological and psychological factors. Environmental factors will contribute to ICU psychosis (including sleep deprivation, excessive noise, separation, poor communication and imm...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1999-01-01 00:00:00
abstract：:Recent interest in continuity of care has meant that the illness trajectory experienced by intensive care unit (ICU) patients has received more attention. Using continuous quality improvement as a framework, this paper describes information obtained during a 3-year period relating to ICU patients' long-term experience...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1046/j.1478-5153.2003.00020.x
更新日期：2003-07-01 00:00:00
abstract：:The nature of informed consent is bound within legal and moral duties. An analysis of informed consent includes the elements of understanding, disclosure, competence, voluntariness and authorisation, all of which can be affected by a variety of factors. Nurses can make a unique contribution to informed consent situati...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1996-05-01 00:00:00
abstract：AIMS:This literature review looks at the evidence around transferring patients from intensive care units (ICU) to wards. The literature informs us that patients and their families experience problems when being transferred from an ICU environment and that this increases overall anxiety. BACKGROUND:The effects of survi...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/nicc.12047
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:Critical care consensus groups recommend providing bereavement support; however, little is known about what cardiac intensive care patients' families would find useful and beneficial in their grieving process. AIM AND OBJECTIVES:To describe cardiac intensive care unit (ICU) patients' families' opinions on s...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12439
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Ventilator-associated pneumonia (VAP) is a common complication of mechanical ventilation after endotracheal intubation. The role of chlorhexidine and tooth-brushing has been considered as a clinical intervention to reduce infection rates, however, evidence to inform this needs appraising. AIM:This paper pre...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2011.00465.x
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVES:To explore the attitudes of Swedish intensive care nurses towards organ donor advocacy. BACKGROUND:The concept of organ donor advocacy is critical to nurses who care for potential donors in order to facilitate organ donation (OD). DESIGN:A retrospective cross-sectional study was employed. METHODS:Inclusio...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12128
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Patients discharged from critical care to general hospital wards are vulnerable to clinical deterioration, critical care readmission, and death. In response, routine critical care stepdown programmes (CCSDPs) have been widely developed, which involve the review of all patients on general wards following disc...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12572
更新日期：2020-11-06 00:00:00
abstract：BACKGROUND:Fatigue and abnormalities in cardiovascular parameters are recognized as major problems for patients with acute coronary syndrome. Non-pharmacological nursing interventions are useful for controlling this fatigue and reducing patients' suffering during hospitalization. AIM:The present study compared the eff...
journal_title：Nursing in critical care
pub_type： 杂志文章,随机对照试验
doi：10.1111/nicc.12302
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Intensive care units (ICUs) are challenging work environments because of the critical condition of patients, and ICU nurses frequently lament low job satisfaction and high staff turnover. Nevertheless, organizational and work characteristics, and the quality of relationships with staff can help to maintain n...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12083
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:Delirium in the intensive care unit (ICU) is associated with increased mortality, longer hospital stays, and increased odds of institutionalization after discharge. Delirium is a significant complication that occurs frequently in ICU yet lacks a standardized treatment protocol. Because of the limited effec...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12594
更新日期：2021-01-20 00:00:00
abstract：:This reflection considers of the actions of the author, a junior ward sister working on a cardiology ward. The reflection is triggered by the unsafe environment found when arriving on the ward unexpectedly, and the report from a staff member. It explores the actions taken in relation to the staff involved, considers t...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:The aim of this study was to establish a standardized approach to the initial care of patients with diabetic ketoacidosis (DKA) and hyperglycaemic hyperosmolar syndrome (HHS). DKA and HHS are metabolic emergencies. Effective and efficient management is the responsibility of the multidisciplinary team. The ad...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2007.00259.x
更新日期：2008-01-01 00:00:00
abstract：AIM:The aim of this paper is to reflect upon the management interventions of non-invasive ventilation (NIV) and diuretic therapy that were implemented for a patient admitted to an intensive care unit (ICU) with acute cardiogenic pulmonary oedema. BACKGROUND:Acute pulmonary oedema is a serious and life-threatening comp...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2011.00410.x
更新日期：2011-07-01 00:00:00
abstract：:Allowing children to visit adult intensive care units (ICUs) has been an area of controversy. There is a lack of recent research dealing with visits by children and physicians' views and whether differences exist between the views held by nurses and physicians regarding visits by children. The aim of this study was to...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2007.00209.x
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:The purpose of this quality improvement initiative was to evaluate satisfaction of family members of patients in a neuro trauma ICU (NTICU). METHODS:Adult patients (age 18+) admitted to the NTICU for at least 24 hours between June 2017 and November 2018 were identified. Near or at the time of discharge from ...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12583
更新日期：2020-12-20 00:00:00
abstract：:The nature of the supervising relationship is explored in relation to an intensive care unit. The relationship between clinical supervision and individual performance review is discussed. Preparation and support for the supervisor's role is identified. Peer, group and external supervision arrangements are explored. ...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1997-01-01 00:00:00
abstract：AIMS AND OBJECTIVES:This paper aims to undertake a review on the current evidence available on therapeutic hypothermia (TH) following cardiac arrest. BACKGROUND:The use of TH has been associated as a potential treatment for a number of medical conditions including head injury and cerebral vascular accidents. Within th...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2008.00267.x
更新日期：2008-05-01 00:00:00
abstract：:The issue of the presence of patients' loved ones during their intensive care unit (ICU) stay is a frequently discussed topic among ICU staff. Today, ICU patients' loved ones are seen as important for the care of the patient. There is a gap in knowledge and research concerning the frequency and duration of visits by l...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2006.00196.x
更新日期：2007-01-01 00:00:00
abstract：:The involvement of patients and the public in the development, implementation and evaluation of health care services and research is recognized to have tangible benefits in relation to effectiveness and credibility. However, despite >96% of children and young people surviving critical illness or injury, there is a pau...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12298
更新日期：2018-03-01 00:00:00
abstract：:The care bundle is a new concept in critical care, which is currently being promoted by the National Health Service Modernisation Agency for Critical Care. Care bundles originated in North America and are described best as groups of evidence-based practice interventions. The theory behind care bundles is that when sev...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1362-1017.2003.00039.x
更新日期：2003-11-01 00:00:00
abstract：:The aim of this small-scale study was to measure, analyse and compare levels of acoustic noise, in a nine-bedded general intensive care unit (ICU). Measurements were undertaken using the Norsonic 116 sound level meter recording noise levels in the internationally agreed 'A' weighted scale. Noise level data were obtain...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2007.00229.x
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND:Sustaining high-quality, critical care practice is challenging because of current limits to financial, environmental, and social resources. The National Health Service in England intends to be more sustainable, although there is minimal research into what sustainability means to people working in critical ca...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12493
更新日期：2021-01-01 00:00:00
