Abstract:
AIMS AND OBJECTIVES:To determine the effectiveness of an oral health care program for preventing ventilator-associated pneumonia (VAP). BACKGROUND:Research has shown a significant correlation between oral bacteria and VAP, indicating that an oral health care program plays a very important role in VAP prevention. DESIGN AND METHODS:A quasi-experimental study was used and conducted in the intensive care unit in a medical centre. A total of 199 mechanically ventilated patients were enrolled and divided into two groups: the experimental group (n=99) and control group (n=100). The experimental group was cared for using an evidence-based oral health care program, and the control group was cared for using routine nursing care procedures. Each group received the assigned treatment for four consecutive days. RESULTS:The incidence of VAP in the experimental group (4%, 4/95) was significantly lower than that in the control group (21%, 18/82). The oral assessment guide (OAG) mean score (9.16 ± 2.07) of the experimental group was significantly different (P<0.05) from that of the control group (10.07 ± 1.79). The general estimated equation further showed that there was a significant difference between groups (P<0.01) for the third post-test data and no significant difference for the pre-test or the first and second post-test data between groups, indicating that an increased duration of intervention resulted in significant decreases in the OAG scores in the experimental group compared with the control group. CONCLUSIONS:The evidence-based oral health care program effectively improved oral mucosal health and statistically reduced the incidence of VAP in this study. RELEVANCE TO CLINICAL PRACTICE:The study findings may be useful as an empirical reference for health care professionals performing an oral health care program in the future. Additionally, it may serve as a reference for long-term care policies aimed at reducing the ventilation duration, days of hospitalization and mortality rate to enhance patient safety and the quality of medical care.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Liao YM,Tsai JR,Chou FHdoi
10.1111/nicc.12037subject
Has Abstractpub_date
2015-03-01 00:00:00pages
89-97issue
2eissn
1362-1017issn
1478-5153journal_volume
20pub_type
杂志文章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::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:
更新日期:1997-05-01 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: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:AIM:This article is a literature view of student nurses' experiences of critical care and the value of their experience to the nursing community. To explore the literature in relation to the value of critical care as a learning environment, the experiences and perceptions of student nurses in critical care and the impa...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/nicc.12053
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:The shortage of critical care and specialist nurses has been an ongoing issue for many decades. Although all areas of nursing are affected, critical care areas are especially vulnerable to recruitment and retention problems. High nursing turnover in critical care areas is evident; however, research into the ...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/nicc.12348
更新日期:2019-01-01 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: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
更新日期:2020-09-14 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: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::The transfer of information between nurses from emergency departments (EDs) and critical care units is essential to achieve a continuity of effective, individualized and safe patient care. There has been much written in the nursing literature pertaining to the function and process of patient handover in general nursin...
journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1478-5153.2007.00244.x
更新日期:2007-11-01 00:00:00
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
更新日期:2005-07-01 00:00:00
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
更新日期:2014-11-07 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: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
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Measuring gastric residual volume (GRV) to guide enteral feeding is a common nursing practice in intensive care units, yet little evidence supports this practice. In addition, this practice has been shown to potentially contribute to inadequate energy delivery in intensive care, which remains a problem in cr...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12304
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Continuous positive airway pressure (CPAP) is a common treatment modality for acute respiratory failure (ARF) in critical care. Historically, a tight-fitting mask is used to provide respiratory support. This however is not without risks to the patient. The helmet CPAP is a new product that provides the same ...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2011.00478.x
更新日期:2012-01-01 00:00:00
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
更新日期:2003-05-01 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: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::Quality of life is a dynamic, multi-dimensional concept, the essence of which is its individuality. In this study quality of life six to 12 months after intensive care was not significantly lower than quality of life prior to intensive care, assessed retrospectively. Family, leisure activities and people were seen as ...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:1998-09-01 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:The assessment of sleep quality in critically ill patients is a relevant factor of high-quality care. Despite the fact that sleep disturbances and insufficient sleep management contain an increased risk of severe morbidity for these patients, a translated and applicable instrument to evaluate sleep is not av...
journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/nicc.12275
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Ventilator-associated pneumonia is the most prevalent infection in Intensive Care Units, with the highest mortality rate; crude mortality rates may be as high as 20-75%. Many practices such as prevention measures (e.g. hand washing, wearing gloves, suctioning, elevated head of bed between 30° and 45°) have d...
journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/nicc.12273
更新日期:2017-05-01 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::The aim of this study was to describe Danish parents' experiences when their newborn or small child was critically ill. Thirteen parents were interviewed. Data were analysed using qualitative content analysis. The child's transfer to the paediatric intensive care unit (PICU) meant either help or death for the parents....
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1362-1017.2005.00096.x
更新日期:2005-03-01 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: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 respo...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12080
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:One of the most important bottlenecks in the organ donation process worldwide is the high family refusal rate. AIMS AND OBJECTIVES:The main aim of this study was to examine whether family guidance by trained donation practitioners increased the family consent rate for organ donation. DESIGN:This was a pros...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12462
更新日期:2020-09-01 00:00:00
abstract::The transcripts of two hand-overs in a critical care unit are ethnomethodologically examined. Specimens of nurses' practices in accomplishing forms of social order are identified. The hand-overs show how nurses transfer all sorts of taken-for-granted scientific, technological, medical, nursing, psychological and socio...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00