Abstract:
BACKGROUND:With ageing, older people face cardiovascular problems as the major cause of disability and death. Although immediate medical attention is a major factor in determining outcomes of cardiac problems, lack of personnel (i.e. registered nurse, certified nursing assistant and home care aide) in nursing homes without residing doctor limits the awareness of such problems, thus making it difficult to initiate timely and appropriate intervention. AIM:The aim of this study was to conceptualize critical care for nursing home residents with cardiac vulnerability and develop practical knowledge in nursing practice. METHODS:Conventional content analysis was performed on date from interviews with 30 nurses from 10 nursing homes in South Korea between July and November 2010. RESULTS:The analysis revealed three major cardiac problems resulting from residents' cardiac vulnerability: angina, myocardial infarction (MI) and cardiogenic shock. Through content analysis, we extracted 6 themes and 21 subthemes for nurses' conceptualization of critical care for nursing home residents with cardiac vulnerability. In nursing homes without a residing doctor, nurses assessed the physical, functional and cognitive conditions along with the responses and symptoms of residents when emergency situations related to the cardiac problems occurred. Moreover, with a lack of infrastructures of a hospital, nurses provided critical care to the elderly by using personal practice strategies based on their personal experience in facilities along with practical knowledge of nurses while following the management principles of emergencies. CONCLUSIONS AND RELEVANCE TO CLINICAL PRACTICE:We found that nurses conceptualized critical nursing care for cardiac problems at nursing homes, which are different from those of general hospitals. The results of this study will provide basis for the development of care guidelines and educational materials that can be used by novice nurses or nursing students.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Kim MS,Kim HJ,Choi JE,Kim SJ,Chang SOdoi
10.1111/nicc.12132subject
Has Abstractpub_date
2017-11-01 00:00:00pages
329-338issue
6eissn
1362-1017issn
1478-5153journal_volume
22pub_type
杂志文章,多中心研究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::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:BACKGROUND:Nurse-led (protocol-directed) ventilation weaning (NLVW) is utilized in adult intensive care and has shown to be safe and reduce ventilation times. Our paediatric intensive care unit (PICU) implemented a NLVW (and extubation) protocol in 2004, yet it was observed that some NLVW-trained nurses were not undert...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12055
更新日期:2014-11-01 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::It was observed in practice that the withdrawal of extracorporeal membrane oxygenation (ECMO) was the cause of much ethical and moral discussion amongst nurses within the ITU where the study took place. No previous literature was located addressing the withdrawal of ECMO, from either a medical or nursing perspective. ...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:2002-05-01 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::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::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: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: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::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: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 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 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: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: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: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
更新日期:2020-12-08 00:00:00
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: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:BACKGROUND:Ventilator-associated pneumonia (VAP) has been identified as the most common nosocomial infection in intensive care units (ICUs) with associated health and financial costs. To date, more research has been carried out in adult ICUs than in paediatric units, thus prompting a review and investigation of the imp...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/j.1478-5153.2008.00290.x
更新日期:2008-09-01 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: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 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: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: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
更新日期:2020-05-01 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::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::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: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 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