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 patients with CCI and their families. DESIGN AND METHODS:This qualitative study followed Thorne's interpretive description methods. In 2012, 16 intensive care unit nurses from one academic hospital participated in interviews. RESULTS:Our primary theme was that of internal tension generated through participants' knowledge of patients' anticipated and protracted dying, while wanting to shield families from suffering. This internal tension resulted from responsibilities to preserve hope for patients and families, while at the same time wanting to provide them prognostic information. Participants experienced challenges of: (i) preserving family trust, (ii) determining when and how to engage families in discussions and (iii) providing possibilities of a 'good' death. A secondary theme described constraints to acting on their insights because of interprofessional team dynamics or limited communication, within the team and with the family. CONCLUSION AND RELEVANCE TO CLINICAL PRACTICE:Internal tension, as experienced by participants reflects the challenges of transition from acute to palliation and end-of-life care, made more complex in CCI, because of its poorly defined terminal stage. Nurses' ability to manage the complex process of supporting hope while gradually providing information to build family understanding of CCI highlights their central role in facilitating what and how prognostic information is given, while managing the emotional implications and family response. To better support nurses do this, we advocate for formal structures enabling nurses to participate in decision-making regarding timing of transitions using palliation and end-of-life care.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Leung D,Blastorah M,Nusdorfer L,Jeffs A,Jung J,Howell D,Fillion L,Rose Ldoi
10.1111/nicc.12154subject
Has Abstractpub_date
2017-07-01 00:00:00pages
229-237issue
4eissn
1362-1017issn
1478-5153journal_volume
22pub_type
杂志文章abstract：AIM:the aim of this pilot study was to describe family members' satisfaction with the care provided in a Swedish intensive care unit (ICU) based on the following needs: assurance, information, proximity, support, and comfort, which are all included in the Critical Care Family Satisfaction Survey (CCFSS). BACKGROUND:kn...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2010.00388.x
更新日期：2011-01-01 00:00:00
abstract：:The purpose of this study was to investigate the needs of relatives of patients on a cardiothoracic ICU, as perceived by themselves. An exploratory research design was used--a modified replication of a study carried out by Molter (1979) in the USA. Data were collected from a sample of convenience consisting of 14 rela...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
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
更新日期：2015-03-01 00:00:00
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
更新日期：2005-09-01 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：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: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：:The Cardiothoracic Centre Liverpool faced an acute nursing recruitment problem, which is accentuated in the specialist area of intensive care. To ensure that activity through the 20-bedded unit remains broadly in line with contracted levels, a number of initiatives were implemented to help maximise the financial and n...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：BACKGROUND:Patient positioning is an independent nursing intervention and may increase peripheral oxygenation for patients with lung disease. Few studies have been conducted on the effect of body positions on oxygenation in patients with lung disease. AIMS AND OBJECTIVES:To investigate the effects of five different po...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12477
更新日期：2021-01-01 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：: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：: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：: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: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:There is an increasing number of studies addressing nurses' perception of caring behaviours; however, on the issue of quality of care, it is important to understand why nurses focus more on certain elements of caring than others, and this needs to investigate influencing factors on, priorities, and predictor...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12590
更新日期：2021-01-25 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：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
更新日期：2008-07-01 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：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
更新日期：2013-07-01 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: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
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journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1998-09-01 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：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
更新日期：2009-05-01 00:00:00
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. DESI...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12037
更新日期：2015-03-01 00:00:00
abstract：AIMS AND OBJECTIVES:To critically review evidence on the effects of psychological support during intensive care unit (ICU) treatment on adult ICU patients' psychological and physiological outcomes. Evidence from intervention studies on imagery and relaxation has been included, as well. BACKGROUND:Stress and negative e...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2009.00383.x
更新日期：2010-05-01 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：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
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journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1996-07-01 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
