Models and activities of critical care outreach in New Zealand hospitals: results of a national census.

Abstract:

AIM:To review clinical models and activities of critical care outreach (CCO) in New Zealand public hospitals. METHODS:Data were collected using a two-stage process. Stage 1 consisted of a cross-sectional descriptive online survey distributed to nurse managers of all CCO in New Zealand. Stage 2 requested that all respondent sites supply outreach documentation for analysis. RESULTS:Twenty acute care public hospitals replied to the data request (100%). Nine hospitals (45%) had CCO and completed the survey. There was considerable diversity in the models of CCO used. All nine hospitals had CCO that were nurse-led; 66% of these had intensive care medical input. There was variation in the size and scope of each CCO with only 4 (44%) sites providing 24-h clinical cover. The majority of referral requests made to CCO were for ward-based reviews (mean: 57%) and intensive care discharge reviews (mean: 31%). The most frequently performed activity was provision of support to ward staff (89%). All CCO routinely collected data on activities across a range of clinical areas. CONCLUSION:Less than half of the public hospitals in New Zealand have a CCO service despite national recommendations that every hospital utilize one to support deteriorating ward patients. New Zealand hospitals that have critical care outreach have adopted recognized international models and adapted these to meet local demands. Whilst the evidence base demonstrating impact of critical care outreach continues to be established, international support for critical care outreach continues. Given this, critical care outreach should be more widely available 24/7 and activities standardized across New Zealand to align with national recommendations. RELEVANCE TO CLINICAL PRACTICE:Critical care outreach service models and activities in New Zealand hospitals continue to be diverse. Awareness of these variances will help influence critical care outreach service development and regional integration.

journal_name

Nurs Crit Care

journal_title

Nursing in critical care

authors

Pedersen A,Psirides A,Coombs M

doi

10.1111/nicc.12080

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

233-42

issue

4

eissn

1362-1017

issn

1478-5153

journal_volume

21

pub_type

杂志文章
  • The effectiveness of cardiac rehabilitation.

    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:

    authors: Thompson D

    更新日期:1996-09-01 00:00:00

  • Comparing the effectiveness of two types of cooling blankets for febrile patients.

    abstract::A randomized controlled trial was conducted to compare the effectiveness of airflow- and waterflow-cooling blankets for febrile patients in intensive care unit. More patients in the airflow than in the waterflow-cooling blanket group reached the desired temperature of <38 degrees C at the end of 8h (94.1 versus 60.0%,...

    journal_title:Nursing in critical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1362-1017.2005.00133.x

    authors: Loke AY,Chan HC,Chan TM

    更新日期:2005-09-01 00:00:00

  • Family presence during resuscitation: a descriptive study of nurses' attitudes from two Saudi hospitals.

    abstract:BACKGROUND:The presence of family in the patient care area during resuscitation events is a matter of current debate among health care professionals in many communities. Family presence is highly recommended by many health organizations worldwide for several reasons including patient and family rights. There are no pol...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2011.00479.x

    authors: Al-Mutair AS,Plummer V,Copnell B

    更新日期:2012-03-01 00:00:00

  • Nursing practice environment, resilience, and intention to leave among critical care nurses.

    abstract:BACKGROUND:Retaining experienced critical care nurses (CCNs) remains a challenge for health care organizations. Nursing practice environment and resilience are both seen as modifiable factors in ameliorating the impact on CCNs' intention to leave and have not yet been explored in Malaysia. AIMS AND OBJECTIVES:To asses...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12551

    authors: Ying LY,Ramoo V,Ling LW,Nahasaram ST,Lei CP,Leong LK,Danaee M

    更新日期:2020-09-14 00:00:00

  • Designing and developing a new high dependency unit. Here's one I prepared earlier....

    abstract::A new high dependency unit is established for postoperative cardiac patients, from design to implementation Facilities were incorporated within financial, time and space constraints. Layout and use of space was determined for optimal working conditions and care of the patient. The choice of equipment was a vital part ...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:

    authors: Lee S

    更新日期:1996-07-01 00:00:00

  • An evaluation of the impact of a tracheostomy weaning protocol on extubation time.

    abstract:BACKGROUND:To avoid the possible complications of prolonged intubation, it is necessary and advisable to attempt weaning from the tracheostomy tube at the earliest opportunity. However, while weaning protocols have proven successful in reducing ventilation time of critical care patients, there is little evidence of the...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2008.00325.x

    authors: Spencer A,Clifford C

    更新日期:2009-05-01 00:00:00

  • Nurses' autonomy in sleep management improves patients' sleep quality: A cross-sectional study.

    abstract:BACKGROUND:The current literature indicates that intensive care (ICU) patients' sleep quality is generally poor, which is associated with serious physical and psychological consequences. AIMS AND OBJECTIVES:To describe the practices nurses use to provide good-quality sleep to adult ICU patients and assess nurses' perc...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12579

    authors: Lis K,Sak-Dankosky N,Czarkowska-Pączek B

    更新日期:2020-12-08 00:00:00

  • Twelve-hour shift on ITU: a nursing evaluation.

    abstract::This paper describes the introduction and subsequent evaluation of a 12-h shift system in a large ITU in the northeast of UK. To date, only a small number of studies has evaluated nurses working the 12-h shifts in critical care areas. To evaluate the level of staff satisfaction, data were collected by means of a quest...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1046/j.1478-5153.2003.00016.x

    authors: Richardson A,Dabner N,Curtis S

    更新日期:2003-05-01 00:00:00

  • Bed-rest post-femoral arterial sheath removal--what is safe practice? A clinical audit.

    abstract::Numbers of patients undergoing coronary angiography and angioplasty procedures have increased in England due to targets within the National Service Framework for Coronary Heart Disease. Little evidence is available regarding optimal bed-rest duration for patients post-femoral arterial sheath removal following these pr...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1362-1017.2005.00121.x

    authors: Tagney J,Lackie D

    更新日期:2005-07-01 00:00:00

  • An observational pilot study of CSF diversion in subarachnoid haemorrhage.

    abstract:BACKGROUND:A primary focus of hospital treatment following admission for subarachnoid haemorrhage (SAH) is a prevention of cerebral artery vasospasm, which may result in ischaemic stroke. Intraventricular catheter (IVC) insertion to facilitate cerebral spinal fluid (CSF) drainage and intracranial pressure (ICP) monitor...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2010.00444.x

    authors: Amato A,Britz GW,James ML,Graffagnino C,Zomorodi AR,Zomorodi ME,Olson DM

    更新日期:2011-09-01 00:00:00

  • Barbara's story: a thematic analysis of a relative's reflection of being in the intensive care unit.

    abstract:AIM:The aim of this reflective account is to provide a view of the intensive care unit (ICU) relative's experiences of supporting and being supported in the ICU. BACKGROUND:Understanding the relatives' experiences of ICU is important especially because a recent work has identified the potential for this group to devel...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12145

    authors: Christensen M,Probst B

    更新日期:2015-03-01 00:00:00

  • Complications related to early mobilization of mechanically ventilated patients on Intensive Care Units.

    abstract:AIMS AND OBJECTIVES:To compare international literature on the detection of complications associated with early mobilization of mechanically ventilated patients in intensive care units (ICUs). BACKGROUND:Early mobilization of mechanically ventilated ICU patients is considered to be a more beneficial approach to treatm...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12134

    authors: Nydahl P,Ewers A,Brodda D

    更新日期:2014-11-07 00:00:00

  • A post cardiac surgery intervention to manage delirium involving families: a randomized pilot study.

    abstract:BACKGROUND:As many delirium manifestations (e.g., hallucinations or fears) are linked to patients' experiences and personality traits, it is suggested that interventions should be tailored to optimize its management. The inclusion of family members, as part of an intervention, has recently emerged as a solution to deve...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/nicc.12288

    authors: Mailhot T,Cossette S,Côté J,Bourbonnais A,Côté MC,Lamarche Y,Denault A

    更新日期:2017-07-01 00:00:00

  • Prevalence and risk factors of delirium in the intensive care unit: An observational study.

    abstract:BACKGROUND:Several risk factors, such as age, alcohol abuse, dementia, and severe illness, can contribute to the development of delirium. However, limited information is available in the literature regarding the risk of delirium among surgical, trauma, neurological, and medical intensive care patients. AIMS AND OBJECT...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12526

    authors: Gravante F,Giannarelli D,Pucci A,Gagliardi AM,Mitello L,Montagna A,Latina R

    更新日期:2020-07-06 00:00:00

  • Effects of open and closed suction systems on the haemodynamic parameters in cardiac surgery patients.

    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

    authors: Özden D,Görgülü RS

    更新日期:2015-05-01 00:00:00

  • The effects on nurses of treatment-withdrawal decisions made in ICUs and SCBUs.

    abstract::This descriptive study explores the effects on nurses of treatment-withdrawal decisions made in ten ICUs and two SCBUs in Southern England. The study focused on the decision-making process, the reasons given in support of a decision to withdraw, the actions taken subsequently and the nurses' roles throughout the proce...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:

    authors: Schneider R

    更新日期:1997-07-01 00:00:00

  • Self-reported sleep and health among Norwegian hospital nurses in intensive care units.

    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

    authors: Bjorvatn B,Dale S,Hogstad-Erikstein R,Fiske E,Pallesen S,Waage S

    更新日期:2012-07-01 00:00:00

  • Acute cardiogenic pulmonary oedema: reflecting on the management of an intensive care unit patient.

    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

    authors: Skinner J,McKinney A

    更新日期:2011-07-01 00:00:00

  • Co-administration of multiple intravenous medicines: Intensive care nurses' views and perspectives.

    abstract:BACKGROUND:Co-administration of multiple intravenous (IV) medicines down the same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while ensuring medicine compatibility. AIMS AND OBJECTIVES:This study explores ICU nurses' views on the everyday practice surrounding co-administration of multip...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12497

    authors: Oduyale MS,Patel N,Borthwick M,Claus S

    更新日期:2020-05-01 00:00:00

  • Nurses well-being in intensive care units: study of factors promoting team commitment.

    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

    authors: Galletta M,Portoghese I,Coppola RC,Finco G,Campagna M

    更新日期:2016-05-01 00:00:00

  • The needs of parents with a child on an adult intensive therapy unit.

    abstract::This review examines, by means of a literature search, the needs of parents who have a critically ill child on adult intensive therapy units. These needs are compared with the needs of relatives of adult patients in ITUs. Whether nurses trained in adult nursing have the necessary skills, knowledge and attitudes to car...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,评审

    doi:

    authors: Plowright C

    更新日期:1997-05-01 00:00:00

  • Sedation practice in Nordic and non-Nordic ICUs: a European survey.

    abstract:BACKGROUND AND AIMS:A trend towards lighter sedation has been evident in many intensive care units (ICUs). The aims of the survey were to describe sedation practice in European ICUs and to compare sedation practice in Nordic and non-Nordic countries. DESIGN AND METHODS:A cross-sectional survey of ICU nurses attending ...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1111/nicc.12003

    authors: Egerod I,Albarran JW,Ring M,Blackwood B

    更新日期:2013-07-01 00:00:00

  • Experiences of intensive care nurses assessing sedation/agitation in critically ill patients.

    abstract:BACKGROUND:Patients admitted to the intensive care unit (ICU) will more often than not require sedative and analgesic drugs to enable them to tolerate the invasive procedures and therapies caused as a result of their underlying condition and/or necessary medical interventions. AIM:This article reports a study explorin...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2008.00282.x

    authors: Weir S,O'Neill A

    更新日期:2008-07-01 00:00:00

  • Family members' opinions about bereavement care after cardiac intensive care unit patients' deaths.

    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

    authors: Erikson A,Puntillo K,McAdam J

    更新日期:2019-07-01 00:00:00

  • What are the attitudes of coronary care nurses towards the introduction of nurse-initiated thrombolysis?

    abstract::This study explores nurses' attitudes to the introduction of nurse-initiated thrombolysis, within a large district coronary care unit. A qualitative survey was used to elicit attitudes from all ENB 124 qualified members of staff presently employed within the unit. Concerns expressed by the nursing staff, prior to intr...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:

    authors: Smallwood A,van der Woning M

    更新日期:1999-05-01 00:00:00

  • An evaluation of enteral feeding practices in critically ill children.

    abstract:BACKGROUND:Establishing and sustaining enteral feeding in critically ill children is challenging and has met with many problems. AIMS AND OBJECTIVES:The aim of this study was to investigate (a) how actual calorie intake compared with estimated caloric requirements and (b) whether feeding guideline adherence resulted i...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/j.1478-5153.2010.00420.x

    authors: Tume L,Latten L,Darbyshire A

    更新日期:2010-11-01 00:00:00

  • How much time do nurses need to write an ICU diary?

    abstract:BACKGROUND:Diaries in the Intensive Care Unit (ICU) support patients and relatives during and after a stay on the ICU. Barriers to implementation of the ICU diary are workload, unwanted closeness to patients and lack of time. AIMS AND OBJECTIVES:The purpose of the study was to evaluate the time nurses consume writing ...

    journal_title:Nursing in critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1111/nicc.12046

    authors: Nydahl P,Bäckman CG,Bereuther J,Thelen M

    更新日期:2014-09-01 00:00:00

  • Part 1: Pressure ulcer assessment - the development of Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE).

    abstract:INTRODUCTION:Critically ill patients are at high risk of developing pressure ulcers resulting in serious untoward patient and health care system outcomes. Pressure ulcer prevention is therefore an important patient safety priority and establishing a structured approach to pressure ulcer risk assessment to identify pati...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12173

    authors: Richardson A,Barrow I

    更新日期:2015-11-01 00:00:00

  • Intensive care nurses' experiences during the COVID-19 pandemic: A qualitative study.

    abstract:BACKGROUND:Because of the COVID-19 pandemic, health care systems worldwide are working under challenging conditions. Patients, who are seriously ill, require intensive care admission. In fighting COVID-19, nurses are frontline health care workers and, as such, have a great responsibility providing needed specialized pa...

    journal_title:Nursing in critical care

    pub_type: 杂志文章

    doi:10.1111/nicc.12589

    authors: Fernández-Castillo RJ,González-Caro MD,Fernández-García E,Porcel-Gálvez AM,Garnacho-Montero J

    更新日期:2021-01-05 00:00:00

  • Exploring the nature of informed consent in coronary care practice.

    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:

    authors: Albarran JW

    更新日期:1996-05-01 00:00:00