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 the NTICU, the health unit coordinator or registered nurse identified the family member who was either the next-of-kin, surrogate decision-maker, or person who had been most frequently present at the patient's bedside. This person was provided a packet containing a letter of consent and the Critical Care Family Satisfaction Survey (CCFSS). RESULTS:Surveys were completed by 78 family members, the majority of whom were the wife of the patient (n = 35, 44%), 60 years and older (n = 48, 60.8%). Fifty-seven percent of patients (n = 45) were in the ICU less than 3 days and 59% (n = 47) of medical events were injury-related. Total CCFSS scores ranged from 69 to 100 (median 95). The item with the largest number of dissatisfied responses was "Noise level in the critical care unit" (n = 4, 5.3% not satisfied). Open-ended question comments were primarily positive (n = 60, 66%), with 32% (n = 29) representing areas for improvement. CONCLUSIONS:Results of this satisfaction survey have been disseminated to leadership and have been taken into consideration in the planning of a new hospital building currently being built, including ICU patient rooms that allow for more privacy and reduced noise, and more comfortable family rooms. RELEVANCE TO CLINICAL PRACTICE:Family members are a very useful source of feedback for ICU care. Several concerns identified by family members in this study are likely to be relevant to other sites. These included: communication between health care providers and family about patient status, noise in the ICU, peaceful waiting areas for family, and slow transfers.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Peterson MJ,Woerhle T,Harry M,Heger AMC,Gerchman-Smith M,Vogel L,Hughes C,McCarty Cdoi
10.1111/nicc.12583subject
Has Abstractpub_date
2020-12-20 00:00:00eissn
1362-1017issn
1478-5153pub_type
杂志文章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 wit...
journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/nicc.12132
更新日期:2017-11-01 00:00:00
abstract:AIM:To compare accuracy and certainty of diagnosis of cardiac ischaemia using the Panoramic ECG display tool plus conventional 12-lead electrocardiogram (ECG) versus 12-lead ECG alone by UK critical care nurses who were members of the British Association of Critical Care Nurses (BACCN). BACKGROUND:Critically ill patie...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2012.00492.x
更新日期:2012-09-01 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: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: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: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: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::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: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: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 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: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::It has been recommended that nursing staff who are new to paediatric intensive care should be offered an orientation programme There is no guidance currently available to influence the content or duration of such a programme on a national level A multi-centre research study was carried out to identify the existing pro...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract:AIMS:This literature review looks at the evidence around transferring patients from intensive care units (ICU) to wards. The literature informs us that patients and their families experience problems when being transferred from an ICU environment and that this increases overall anxiety. BACKGROUND:The effects of survi...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/nicc.12047
更新日期:2013-11-01 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: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: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 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: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
更新日期:2017-07-01 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: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: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: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::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 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: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: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::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: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
更新日期:2010-11-01 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