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 factors that influence nurses' intentions to leave adult critical care areas is limited. AIM:To explore factors that may influence nurses' intentions to leave adult critical care areas. OBJECTIVES:To appraise existing evidence and highlight gaps in knowledge regarding factors that may influence nurses' intentions to leave adult critical care areas. METHODS:A systematic mixed-method literature review was conducted. The search strategy was developed using the List, Keep and Delete approach, a framework used to identify search terms for systematic health care reviews. The following key words were used: intentions to leave, nurses, adult and critical care. The databases searched were BNI, CINAHL, PubMed, PsycINFO, Embase and Health B Elite from 2005 to 2016. Primary data from non-critical care areas and neonatal and paediatric critical care areas were excluded. Comprehensive supplementary searching was performed. Papers were critically appraised using the NICE (2012) checklists. Data were analysed using the Braun and Clarke (2006) thematic framework. RESULTS:A total of 15 studies, including 13 cross-sectional studies and 2 qualitative studies, were reviewed. Three main themes emerged following data analysis. These themes were quality of the work environment, nature of working relationships and traumatic/stressful workplace experiences. CONCLUSIONS:The literature review highlighted the need for further research and greater understanding of how these themes may impact critical care nurses. Nurse managers and leaders should consider these findings when developing strategies to improve nurse retention. RELEVANCE TO PRACTICE:The shortage of critical care nurses is currently a global issue impacting costs and quality of patient care.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Khan N,Jackson D,Stayt L,Walthall Hdoi
10.1111/nicc.12348subject
Has Abstractpub_date
2019-01-01 00:00:00pages
24-32issue
1eissn
1362-1017issn
1478-5153journal_volume
24pub_type
杂志文章,评审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：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：: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：
更新日期：1996-07-01 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: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：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
更新日期：2012-03-01 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：BACKGROUND:The intensive care unit (ICU) is not only a place to recover from injuries incurred during accidents and from serious illness. For many patients, it is also a place where they might die. Nursing care does not stop when a patient dies; rather, it continues with the care of the deceased and with family support...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2012.00525.x
更新日期：2012-11-01 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: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：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：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
abstract：AIM:To explore the meaning of vigilant attendance for relatives of critically ill patients in Greece. BACKGROUND:A plethora of international research has identified proximity to the patient to be a major concern for relatives of critically ill patients. Greece however follows a strict visiting policy in intensive care...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12054
更新日期：2014-09-01 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：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：: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：: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：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：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：: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：
更新日期：1997-07-01 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：: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: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：: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：: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 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：BACKGROUND:International and national standards for ICUs have been developed to ensure patient safety and provide effective and efficient service in these units. However, global economic crises along with shortages in professional health care staff affect the ability of ICUs to meet and maintain these standards. AIMS ...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12066
更新日期：2016-09-01 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：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
更新日期：2011-09-01 00:00:00
