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Mastering tracheostomy care: Refresher programme for tracheostomy training for nurses: Comparison of two training methods based on hands-on simulation-based training alone versus additional complementary self-directed e-learning. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-21 Wei Jun Dan Ong,Amit Kansal,Fauziah Jabil,Li-Phing Clarice Wee,Yit Ying Adeline Tan,Ching Yee Tan,Eleanor Dela Peña,Faheem Ahmed Khan
BACKGROUND Effective clinical education is essential for managing tracheostomy patients safely and efficiently. Simulation-based training has shown greater efficacy than traditional methods in various clinical settings. Our internal training programme, called the Tracheostomy Refresher Program (TRP) was used to enhance nurses' skills in tracheostomy care. AIM/OBJECTIVE The aim of this study was to
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Defining minimum workforce standards for intensive care physiotherapy in Australia and New Zealand: A Dephi study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-21 Peter Thomas,Wendy Chaseling,Leanne Marais,Claire Matheson,Michelle Paton,Nelmari Swanepoel
BACKGROUND Intensive care staffing guidelines provide recommendations for the safe and effective delivery of health care while recognising professional requirements of the workforce. To guide recommendations for physiotherapy staffing guidelines, profession-specific consultation is needed. OBJECTIVES The objective of this study was to develop consensus-based recommendations for minimum workforce standards
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Intensive care unit patients' experiences of receiving music therapy sessions during invasive procedures: A qualitative phenomenological study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-21 Verónica Saldaña-Ortiz,Esther Martínez-Miguel,Carlos Navarro-García,Isabel Font-Jimenez,José Miguel Mansilla-Domínguez
BACKGROUND Excessive noise in intensive care units poses a significant challenge, impacting both patients and staff by elevating stress, disrupting recovery, and impeding effective communication among healthcare professionals. Despite the World Health Organization recommending noise levels below 35 dB, alarms in these units often surpass these limits, contributing to consistently high noise levels
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Organisation of clinical research in intensive care units: A scoping review. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-20 Mireille Adda,Claire Dupuis,Lise Laclautre,Claude Dubray,Christian Dualé,Bertrand Souweine
BACKGROUND Clinical research is essential for the development and progress of therapies and procedures. Intensive care units (ICUs) manage the sickest patients. Numerous clinical trials are organised in ICUs to evaluate new treatments or support techniques. Concomitantly, new professions involved in clinical research set-ups are emerging. AIM The aim of this scoping review was to identify the nature
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Critically ill patients' experiences of discomfort and comfort in the intensive care unit: A qualitative descriptive study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-19 Yusuke Oyama,Hiroaki Yamase,Kyosuke Fujita,Hiroshi Tashita,Tomoharu Honda,Koji Yoshida,Akira Nagata
BACKGROUND The physiological state of critically ill patients is severely impaired by illness or trauma and is uncomfortable. Such experiences cause long-term anxiety and post-traumatic stress disorder. OBJECTIVE This study aimed to understand discomfort and comfort based on the experiences of critically ill adult patients in the intensive care unit and to explore ways to improve their comfort. METHODS
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Appropriateness of respiratory physiotherapy positioning for acute lobar collapse. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-19 Louise Hansell,Maree Milross,George Ntoumenopoulos
BACKGROUND Positioning is an important physiotherapy treatment modality for the management of aeration loss associated with acute lobar atelectasis (ALA). Physiotherapists typically rely on lung auscultation and interpretation of chest x-ray (CXR) to inform treatment selection. These tools lack diagnostic accuracy, which could limit the ability of a physiotherapist to locate ALA and select an appropriate
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Construction of an extubation protocol for adult tracheal intubation patients in the intensive care unit: A Delphi study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-19 Li Wang,Qin Zhang,Danyang Guo,Zaichun Pu,Lele Li,Ziji Fang,Xiaoli Liu,Ping Jia
OBJECTIVE The objective of this study was to develop an extubation practice protocol for adult intensive care unit (ICU) patients who underwent endotracheal intubation, providing theoretical guidance for clinical extubation procedures in the ICU. METHODS A research team was established consisting of medical, nursing, anaesthesia, and respiratory therapy professionals; the multidisciplinary team systematically
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Practices of assessment of pain, sedation, iatrogenic withdrawal syndrome, and delirium in European paediatric intensive care units: A secondary analysis of the European Prevalence of Acute Rehab for Kids in the paediatric intensive care unit study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-18 Silvia Alvarado,Ibo MacDonald,Vivianne Chanez,Sapna R Kudchadkar,Erwin Ista,Anne-Sylvie Ramelet
BACKGROUND Analgosedation is standard practice to ensure comfort and safety of critically ill children in paediatric intensive care units (PICUs). However, a significant number of children develop iatrogenic withdrawal syndrome or delirium with these drugs. The European Society of Paediatric and Neonatal Intensive Care published a position statement in 2016, but how successfully its recommendations
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Intensive care nurses' impostor phenomenon: Associations with narcissistic personality, shame-proneness, and guilt-proneness. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-17 Sun Joo Jang,Sun Ju Chang,Haeyoung Lee
BACKGROUND Intensive care unit nurses commonly experience impostor phenomenon owing to constant exposure to urgent situations, high work pressure, and the demands of their professional roles. Impostor phenomenon may induce anxiety and self-doubt and adversely affect personal growth and career development. Therefore, identifying the severity of impostor phenomenon among intensive care unit nurses and
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Dose-response relationship between awake prone-positioning duration and PaO2/FiO2 changes and risk of disease aggravation in patients with severe COVID-19: A prospective cohort study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-10 WanLing Li,Na Xu,Jia Wei,WenJuan Zhu,YanBin Niu,Jing Wei,Qi Mei,XiuMei Wang,Hui Wang
BACKGROUND Patients not mechanically ventilated often fail to achieve the recommended duration of awake prone positioning due to treatment interruption and discomfort. Few studies have investigated the link between treatment outcome and prone-positioning duration, the inability to accurately guide patients to perform awake prone positioning. OBJECTIVES The aim of this study was to characterise and
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Comparative analysis of open and closed tracheal suction systems on mechanical ventilation efficiency in adults: A systematic review and meta-analysis. Aust. Crit. Care (IF 2.6) Pub Date : 2024-09-05 Zhenghua Liang,Qian Liao,Jinlong Xu,Simei Wang,Qiuyu Liu,Zefang Liu,Dan Wen
BACKGROUND There are two types of suction methods used clinically: closed tracheal suction system (CTSS) and open tracheal suction system (OTSS). However, the safety and efficacy of these two suction systems for patients remain to be analysed. OBJECTIVE The objective of this study was to assess the safety and efficacy of OTSSs and CTSSs in adult mechanical ventilation. METHODS Computer searches were
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Nurse-led dysphagia screening in the intensive care unit - An implementation study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-28 Anne Højager Nielsen,Robert Winding,Bettina Hvas Busk,Lillian Noe,Birthe Husted,Gitte Juhl Kristensen,Helle Svenningsen,Therese Ovesen
BACKGROUND Postextubation is common in the intensive care unit, and bedside screening by nurses is important to detect the condition and avoid aspiration to the airways. OBJECTIVE The objective of this study was to assess the implementation of nurse-led, systematic dysphagia screening in the intensive care unit and to identify barriers and facilitators for dysphagia screening. METHODS Design: pragmatic
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N95 respirator seal integrity following extended-use by healthcare workers in the intensive care unit: A cohort study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-22 Samuel J Reade,Ahmad Bassam,Wisam Al-Bassam,Umesh Kadam
AIM/OBJECTIVES Fit testing of N95/FFP2 respirators is universally recommended before exposure to airborne infectious diseases such as COVID-19. Respirator supply shortage in the COVID-19 pandemic encouraged extended-use for up to 4 h, despite uncertainty about seal integrity over time. The aim of our study was to assess N95 seal integrity after at least 2 h of continuous clinical use in the intensive
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Nutritional gap after transfer from the intensive care unit to a general ward - A retrospective quality assurance study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-22 Anne Wilkens Knudsen,Simone Møller Hansen,Thordis Thomsen,Heidi Knudsen,Tina Munk
BACKGROUND Adequate nutrition is important for recovery after critical illness. Even so, our knowledge of patients' nutritional intake after intensive care unit (ICU) discharge is scarce. OBJECTIVES We aimed to explore nutritional planning and achieved nutritional intake in ICU patients who transfer from the ICU to general wards. METHODS A retrospective quality assurance study. INCLUSION CRITERIA adult
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Nutrition practices in Australia and New Zealand in response to evolving evidence: Results of three point-prevalence audits. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-22 L S Chapple,A Neuts,S N O'Connor,P Williams,S Hurford,P J Young,N E Hammond,S Knowles,M J Chapman,S Peake,
BACKGROUND The Augmented versus Routine Approach to Giving Energy Trial (TARGET) was a 4000-patient trial in which augmented enteral calorie dose did not influence outcomes. AIM We aimed to quantify practice change following TARGET. METHODS Three single-day, prospective, multicentre, point-prevalence audits of adult patients receiving enteral nutrition (EN) in participating Australian and New Zealand
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Effect of different mouthwashes on ventilator-related outcomes and mortality in intensive care unit patients: A network meta-analysis. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-22 Qianqian He,Zengjin Peng,Caiyun He,Chao Zhang,Rong Hu
BACKGROUND Ventilator-associated pneumonia is a common and life-threatening complication in intensive care unit (ICU) patients. Maintaining oral hygiene is crucial for reducing ventilator-associated pneumonia incidence. Various mouthwash solutions are used for oral care in ICU settings, but their comparative effectiveness remains unclear. This study aims to systematically evaluate and compare the efficacy
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Creating a home with a critically ill child: A qualitative study exploring the experiences of parents of children admitted to paediatric critical care following treatment in neonatal care. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-22 Sarah E Seaton,Joseph C Manning,Gillian Colville,Nicola Mackintosh
BACKGROUND Survival of children with complex medical conditions has increased over time. Around 5% of children admitted to a neonatal unit (NNU) later have an admission to a paediatric intensive care unit (PICU) in early life. No work to date has explored the needs of parents who have a child admitted to both of these healthcare settings. OBJECTIVE The overall aim of this study was to understand parents'
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Nutrition intake, muscle thickness, and recovery outcomes for critically ill patients requiring non-invasive forms of respiratory support: A prospective observational study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-21 Elizabeth Viner Smith,Matthew J Summers,Imogen Asser,Rhea Louis,Kylie Lange,Emma J Ridley,Lee-Anne S Chapple
BACKGROUND Use of high-flow nasal cannula (HFNC) and non-invasive ventilation (NIV) in the intensive care unit (ICU) is increasing, yet reporting of nutrition intake, muscle thickness, or recovery outcomes in this population is limited. OBJECTIVE The objective of this study was to quantify muscle thickness, nutrition intake, and functional recovery outcomes for patients receiving HFNC/NIV within the
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Live music in the intensive care unit-A mixed-methods pilot study exploring the experience and impact of live music played for the adult intensive care patient. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-14 Linette Thorn,Margrethe Langer Bro,Trine Højfeldt Lund,Pia Dreyer
BACKGROUND Evidence for music's beneficial effect on physical and mental disorders is mounting. Intensive care unit (ICU) patients experience multiple uncomfortable symptoms, which may be alleviated using a music-based intervention. Few studies have examined the experience and the physical impact of patient-tailored live music offered by trained health musicians in an adult ICU. AIMS This study aimed
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The Chinese Mandarin COMHON Index and Braden Scale to assess pressure injury risk in intensive care: An inter-rater reliability and convergent validity study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-10 Josephine Lovegrove,Paul Fulbrook,Cui Yuan,Frances Lin,Xian-Liang Liu
BACKGROUND The COMHON Index is an intensive-care-specific pressure injury risk assessment tool, which has demonstrated promising psychometric properties. It has been translated into Chinese Mandarin but requires inter-rater reliability testing and comparison to the standard care instrument (Braden Scale) before clinical use. OBJECTIVES This study aimed to test and compare the inter-rater reliability
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Sensory processing sensitivity and compassion fatigue in intensive care unit nurses: A chain mediation model. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-10 Jiaqi Shi,Xinmei Cao,Zhi Chen,Xinyue Pang,Danwen Zhuang,Guohua Zhang,Lijie Mao
BACKGROUND Compassion among intensive care unit (ICU) nurses is an essential component of humanistic care in the ICU However, the enormous pressures of the job and the lack of social support have led to persistently severe compassion fatigue. Sensory processing sensitivity, as a personality trait for individuals to perceive external factors, has underlying significance for compassion fatigue. AIMS
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The development of a family-led novel intervention for delirium prevention and management in the adult intensive care unit: A co-design qualitative study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-10 Gideon U Johnson,Amanda Towell-Barnard,Christopher McLean,Beverley Ewens
AIM The aim of this study was to codesign a Family Members' Voice Reorientation Intervention (FAMVR) for delirium prevention and management in critically ill adult patients through collaborative process with previous patients, families, and clinical staff. BACKGROUND Delirium is a common consequence of intensive care admission, and there is limited evidence to support family-led interventions to prevent
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Nurses' perspectives about end-of-life care when family presence is restricted during a pandemic: A qualitative study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-09 Myung Hui Choi,Hyun Jung Kim,Hye Jin Yoo
BACKGROUND To prevent the infection from spreading, patients who were dying from COVID-19 were treated in isolation with restricted family access, which differed from existing end-of-life care procedures. This was a significant change that affected the care provided by nurses. OBJECTIVES This study explored nurses' end-of-life care experiences in a limited family visitation setting during the COVID-19
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Frailty as a trigger for goals-of-care discussions in rapid response calls: A single-centre retrospective cohort study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-09 D Sharp,D McKenzie,L Padayachee,A Subramaniam
BACKGROUND Timely goals-of-care (GOC) discussions are essential for end-of-life planning, particularly during acute hospital admissions, where ambiguity often persists. Frailty, prevalent in the ageing population and linked to adverse outcomes, underscores the need to align treatment strategies with quality of life. Recognising frailty as a trigger for GOC discussions during rapid response calls (RRCs)
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A systematic review on the effect of telehealth communication with intensive care unit families on patient and family outcomes. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-09 Claire Crossfield,Guncag Ozavci,Robin Digby,Tracey Bucknall
BACKGROUND During the Covid-19 pandemic, family visitation to intensive care was severely restricted. In response, family communication moved to remote-only options. The effect on patients and families of this communication change is poorly understood. OBJECTIVE The aim of this review was to synthesise the available research on remote-only communication interventions and their effect on patient and
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Physicians' decision making when weaning patients from mechanical ventilation: A qualitative content analysis. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-08 Catarina Tingsvik,Maria Henricson,Fredrik Hammarskjöld,Jan Mårtensson
BACKGROUND Weaning from mechanical ventilation is a complex and central intensive care process. This complexity indicates that the challenges of weaning must be explored from different perspectives. Furthermore, physicians' experiences and the factors influencing their decision-making regarding weaning are unclear. OBJECTIVES This study aimed to explore and describe the factors influencing physicians'
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Psychometric validation of the Kolcaba General Comfort Questionnaire in critically ill patients Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-06 Ma Dolores Gonzalez-Baz RN PhD, Enrique Pacheco del Cerro RN PhD, Esperanza Ferrer-Ferrándiz RN PhD, Irene Araque-Criado RN MSC, Raúl Merchán-Arjona RN MSC, Telmo de la Rubia González, Ma Nieves Moro Tejedor RN PhD
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Exploring critically ill patients' functional recovery through family partnerships: A descriptive qualitative study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-08-05 Julie Cussen,Sasithorn Mukpradab,Georgia Tobiano,Kimberley J Haines,Lauren O'Connor,Andrea P Marshall
BACKGROUND Early mobilisation interventions play a role in preventing intensive care unit-acquired weakness in critically ill patients and may contribute to improved recovery. Patient-and-family-centred care includes collaborative partnerships between healthcare professionals and families and is a potential strategy to promote early mobilisation in critical care; however, we currently do not know family
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The many hats of a researcher in the intensive care unit – Moving towards integrating researchers into intensive care unit care teams Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-26 Anmol Shahid PhD, Sarah Lovelock RN, Julie Cussen MN, Henry Thomas Stelfox MD PhD, Andrea P. Marshall RN PhD
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Clinical practices for defining, detecting, and diagnosing postoperative atrial fibrillation after coronary revascularization surgery - A scoping review. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-25 Megan Higgs,Julee McDonagh,Jenny Sim
OBJECTIVES This scoping review was undertaken to understand the degree of variation in clinical practices associated with postoperative atrial fibrillation (POAF), following coronary revascularization surgery by collating and synthesising key concepts from current published literature. REVIEW METHODS AND DATA SOURCES This scoping review was conducted following the framework outlined by Askey and O'Malley
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Feasibility and safety of interactive virtual reality upper limb rehabilitation in patients with prolonged critical illness Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-25 Eline Haghedooren PT MSc, Renata Haghedooren MD, Daniel Langer PT PhD, Rik Gosselink PT PhD FERS
This study investigated the feasibility and safety of interactive virtual reality rehabilitation (VRR) for patients with a critical illness and a long stay in the intensive care unit (ICU), as a motivational tool for rehabilitation. Single-centre, non-randomised proof-of-concept clinical trial. Adult, calm, and alert critically ill patients with a prolonged stay (≥8 days) in the ICU. Patients received
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Determining the needs of relatives of patients with a COVID-19 diagnosis in the intensive care unit. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-24 Hasan Şeren,Gülay Altun Uğraş,Tuğba Çam Yanik
BACKGROUND The precautions taken in the intensive care unit (ICU) during the COVID-19 pandemic have caused a change in the needs of relatives of patients. OBJECTIVE This research was conducted to determine the needs of relatives of ICU patients diagnosed with COVID-19. METHODS The sample of this cross-sectional study consisted of 68 relatives of patients treated with COVID-19 in the ICU. Data were
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Risk prediction models for intensive care unit-acquired weakness in critically ill patients: A systematic review. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-15 Yue Zhou,YuJian Sun,YuFan Pan,Yu Dai,Yi Xiao,YuFeng Yu
BACKGROUND Intensive care unit (ICU)-acquired weakness (ICU-AW) is a critical complication that significantly worsens patient prognosis. It is widely thought that risk prediction models can be harnessed to guide preventive interventions. While the number of ICU-AW risk prediction models is increasing, the quality and applicability of these models in clinical practice remain unclear. OBJECTIVE The objective
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Comparing characteristics and outcomes of in-hospital cardiac arrest during the early and late COVID-19 pandemic at an academic institution in Saudi Arabia. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-09 Abdullah Bakhsh,Saleh Binmahfooz,Ibtihal Balubaid,Hind Aljedani,Mohsin Khared,Abdulrahman Alghamdi,Saleh Alabdulwahab,Mohannad Alzahrani,Aziza Abushosha,Layan Alharbi,Reem Baarma,Elmoiz Babekir
BACKGROUND The COVID-19 pandemic has introduced major changes in the resuscitation practices of cardiac arrest victims. AIM We aimed to compare the characteristics and outcomes of patients who sustained in-hospital cardiac arrest (IHCA) during the early COVID-19 pandemic period (2020) with those during the late COVID-19 pandemic period (2021). METHODS This was a retrospective review of adult patients
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EMpowerment of PArents in THe Intensive Care: A multicentre validation study in Japan. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-08 Yujiro Matsuishi,Joseph C Manning,Haruhiko Hoshino,Yuki Enomoto,Ikkei Munekawa,Ryo Ikebe,Masanori Tani,Naoko Tanaka,Bryan J Mathis,Nobutake Shimojo,Yoshiaki Inoue,Jos M Latour
BACKGROUND The importance of assessing family satisfaction in paediatric intensive care units (PICUs) is becoming increasingly recognised. The survey, EMpowerment of Parents in THe Intensive Care "EMPATHIC-30", was designed to assess family satisfaction and has been translated and implemented in several countries but not yet in Japan. OBJECTIVES The objective of this study was to translate, culturally
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Consequences of a stay in the intensive care unit and outpatient follow-up care for chronic critically ill patients: A retrospective data analysis. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-06 Carol Maurer,Matthias Thomas Exl,Hans-Peter Gander,Daniela Bertschi,Irene Fischbacher,Isabelle Barbezat,Christian Eissler,Marie-Madlen Jeitziner
BACKGROUND Patients with chronic critical illness (CCI) represent a particularly vulnerable patient population with significant quality-of-life consequences and a need for follow-up care. Existing research on their quality-of-life trajectory and outpatient follow-up care is limited. OBJECTIVES The aim of this study was to (i) describe a quality improvement project focussing on patients with CCI in
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Analysis of the survival journey and post-traumatic growth process of children and their families following paediatric intensive care unit admission: A grounded theory study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-04 Guihua Liu,Huining Xin,Jinling Lin,Xiaoting Li,Yuhong Zhang,Xiaojuan Wang,Jinhua Liao,Rongfang Hu
OBJECTIVES Advances in critical care technology have lowered mortality rates among critically ill individuals. Nonetheless, survivors and their families may develop new physical, mental, cognitive, and social challenges due to paediatric intensive care unit (PICU) treatments, impacting their quality of life. The aim of this study was to investigate the survival journey and post-traumatic growth process
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Intubation of critically ill patients: A pilot study of minute-by-minute physiological changes within an Australian tertiary intensive care unit. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-03 Zhen Ti Yong,Akinori Maeda,Fumitaka Yanase,Ary Serpa Neto,Rinaldo Bellomo
BACKGROUND There are no published minute-by-minute physiological assessment data for endotracheal intubation (ETT) performed in the intensive care unit (ICU). The majority of physiological data is available from Europe and North America where etomidate is the induction agent administered most commonly. AIMS The aim of this study was to describe the feasibility of obtaining minute-by-minute physiological
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Ventilator-tube holder for mobilising patients with a tracheostomy: A pilot usability study (TrachVest). Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-03 Paul Twose,Susan Peirce,John Maisey,Laura Jones,Jason Nunn
INTRODUCTION Patients in intensive care may have a tracheostomy and be dependent on a respiratory ventilator while yet conscious and able to mobilise. Early rehabilitation is known to be key to patient recovery. However, for these patients, therapy staff members are required to manage the ventilator tubing in addition to other patient-connected equipment whilst focussing on patient mobility and progress
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Nurses' perceptions of patient pain, delirium, and sedation assessments in the intensive care unit: A qualitative study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-03 Anu Correya,Helen Rawson,Cherene Ockerby,Alison M Hutchinson
BACKGROUND Pain, delirium, and sedation should be assessed routinely using validated assessment scales. Inappropriately managed pain, delirium, and sedation in critically ill patients can have serious consequences regarding mortality, morbidity, and increased healthcare costs. Despite the benefits of a bundled approach to pain, delirium, and sedation assessments, few studies have explored nurses' perceptions
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Flexible fibreoptic bronchoscopy is beneficial in children on extracorporeal membrane oxygenation support. Aust. Crit. Care (IF 2.6) Pub Date : 2024-07-03 Pravin Babhalgaonkar,Gareth Forster,Ian B Masters,Emma Haisz,Adrian Mattke,Sarfaraz Rahiman
BACKGROUND Flexible fibreoptic bronchoscopy (FFB) has the potential to enhance diagnostic capabilities and improve pulmonary function in children on extracorporeal membrane oxygenation (ECMO). OBJECTIVES The objective of this study was to evaluate the benefits (clinical, radiological, and microbiological) of FFB and assess associated complications in children on ECMO. METHODS We conducted a single-centre
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Two-year prospective cohort of intensive care survivors enrolled on a digitally enabled recovery pathway focussed on individualised recovery goal attainment. Aust. Crit. Care (IF 2.6) Pub Date : 2024-06-17 Louise Rose,Chloe Apps,Kate Brooks,Ella Terblanche,Jean-Christophe Larose,Erin Law,Nicholas Hart,Joel Meyer
BACKGROUND Despite substantial evidence documenting physical, psychological, and cognitive problems experienced by intensive care unit (ICU) survivors, few studies explore interventions supporting recovery after hospital discharge. Individualised recovery goal setting, the standard of care across many rehabilitation areas, is rarely used for ICU survivors. Digital health technologies may help to address
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"How to navigate this new area": Intensive care clinicians' perceptions of voluntary assisted dying in the intensive care unit: A multisite exploratory study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-06-15 Melissa J Bloomer,Kylie O'Neill,Jayne Hewitt,Andrew Wheaton,Margaret O'Connor,Ann Bonner
BACKGROUND There is growing momentum worldwide for assisted dying. In Australia, voluntary assisted dying may occur in any setting, including an intensive care unit (ICU). As the subject of much debate worldwide, exploring ICU clinicians' perceptions of assisted dying is essential. AIM The aim of this study was to explore clinicians' perceptions of and preparedness for voluntary assisted dying in the
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The role of critical care nurses in organ and tissue donation: A position statement of the Australian College of Critical Care Nurses. Aust. Crit. Care (IF 2.6) Pub Date : 2024-06-14 Melissa J Bloomer,Laura A Brooks,Alysia Coventry,Kristen Ranse,Jessie Rowe,Shontelle Thomas
INTRODUCTION Australian organ and tissue donation rates are low compared to other countries. Acknowledging that donation practices vary across Australia, the Australian College of Critical Care Nurses supported the development of a position statement to explicate critical care nurses' role in supporting organ and tissue donation. Several Australian peak professional organisations provide guidance to
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Effectiveness, experience, and usability of low-technology augmentative and alternative communication in intensive care: A mixed-methods systematic review. Aust. Crit. Care (IF 2.6) Pub Date : 2024-06-11 Hissah A Alodan,Anna-Liisa Sutt,Rebekah Hill,Joud Alsadhan,Jane L Cross
BACKGROUND Patients in the intensive care unit (ICU) are commonly on mechanical ventilation, either through endotracheal intubation or tracheostomy, which usually leaves them nonverbal. Low-technology augmentative and alternative communication (AAC) strategies are simple and effective ways to enhance communication between patients and their communication partners but are underutilised. AIM The aim
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Neurodevelopmental outcome and quality of life in children admitted to the paediatric intensive care unit: A single-centre Australian cohort study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-06-11 Debbie Long,Jessicah Minogue,Karina Charles,Suzanne Morgan,Jessica Schults,Renate Le Marsney,Christian Stocker,Kristen S Gibbons,Belinda Dow
BACKGROUND The development of new morbidities has become increasingly identified in paediatric critical care medicine. To date, there has been limited research of long-term outcomes following paediatric critical illness in Australia. OBJECTIVES The objective of this study was to quantify neurodevelopmental impairments in children following paediatric intensive care unit (PICU) discharge and their association
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Patients' and relatives' experiences of cognitive impairment following an intensive care unit admission. A qualitative study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-06-05 Anette Bjerregaard Alrø,Helle Svenningsen,Helene Korvenius Nedergaard,Hanne Irene Jensen,Pia Dreyer
BACKGROUND Cognitive impairment poses a significant challenge following critical illness in the intensive care unit. A knowledge gap exists concerning how patients experience cognitive impairments. OBJECTIVES The aim was to explore patients' and relatives' experiences of patients' cognitive impairment due to critical illness following an intensive care unit admission. METHODS A qualitative multicentre
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Ultrasound-derived rates of muscle wasting in the intensive care unit and in the post-intensive care ward for patients with critical illness: Post hoc analysis of an international, multicentre randomised controlled trial of early rehabilitation. Aust. Crit. Care (IF 2.6) Pub Date : 2024-06-03 Thomas C Rollinson,Bronwen Connolly,Linda Denehy,Graham Hepworth,David J Berlowitz,Sue Berney
BACKGROUND AND AIMS Muscle wasting results in weakness for patients with critical illness. We aim to explore ultrasound-derived rates of change in skeletal muscle in the intensive care unit (ICU) and following discharge to the post-ICU ward. DESIGN Post hoc analysis of a multicentre randomised controlled trial of functional-electrical stimulated cycling, recumbent cycling, and usual care delivered
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Use of point-of-care ultrasound during cardiac arrest in the intensive care unit: A cross-sectional survey. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-25 David A West,Caroline Killick,Daryl Jones,
BACKGROUND There is growing interest in the use of point-of-care ultrasound during cardiac arrest, but few studies document its use in the intensive care unit. OBJECTIVE We hypothesised this may reflect a low prevalence of use of point-of-care ultrasound during cardiac arrest or negative attitudes towards its use. We aimed to determine the self-reported prevalence, attitudes towards, and barriers to
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The influence of anxiety and depression on critical care nurses' performance: A multicenter correlational study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-25 Sameer A Alkubati,Salman H Alsaqri,Gamil G Alrubaiee,Mokhtar A Almoliky,Talal Al-Qalah,Eddieson Pasay-An,Habib Almeaibed,Shimmaa M Elsayed
BACKGROUND Anxiety and depression among critical care nurses (CCNs) negatively affect performance because of association with clinical medical errors, ineffective communication, absenteeism from work, and burnout. OBJECTIVES The aim of this study was to investigate the prevalence of anxiety and depression and their associated factors as well as their impact on the CCNs' performance in Hail city, Saudi
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Association between changes in disease severity and physical function after surviving a critical illness: A multicentre retrospective observational study. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-25 Keibun Liu,Tomohiro Hamagami,Naoki Sugiyasu,Kenji Fujizuka,Akira Kawauchi,Sou Yamada,Takayuki Ogura,Naoko Hirata,Takafumi Tani,Shunsuke Taito,Kohei Ota,David McWilliams,Hajime Katsukawa,Toru Kotani
BACKGROUND Whilst disease severity can significantly impact functional outcomes, the ability to predict the scale of this impact has not been consistent. AIM We aimed to investigate whether changes in disease severity within the first 48 h of ICU admission are more strongly associated with physical dysfunction than a single-time assessment of disease severity at ICU admission. METHODS A multicentre
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Anxiety and depression following critical illness: A comparison of the recovery trajectories of patients and caregivers. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-25 Christie Docherty,Tara Quasim,Pamela MacTavish,Helen Devine,Peter O'Brien,Laura Strachan,Phil Lucie,Lucy Hogg,Martin Shaw,Joanne McPeake
BACKGROUND Following critical illness, family members are often required to adopt caregiving responsibilities. Anxiety and depression are common long term problems for both patients and caregivers. However, at present, it is not known how the trajectories of these symptoms compare between patients and caregivers. OBJECTIVES The aim of this study was to investigate and compare the trajectories of anxiety
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Comparison of Glasgow Coma Scale and Full Outline of UnResponsiveness score to assess the level of consciousness in patients admitted to intensive care units and emergency departments: A quantitative systematic review. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-21 Frida Krag Brun,Vilde Holte Fagertun,Marie Hamilton Larsen,Marianne Trygg Solberg
OBJECTIVES We aimed to investigate the reliability and validity of the Glasgow Coma Scale (GCS) and the Full Outline of UnResponsiveness (FOUR) score used by nurses and physicians to assess the level of consciousness in patients admitted to intensive care units (ICUs) and emergency departments (EDs). REVIEW METHOD USED This systematic review was guided by the Cochrane Handbook for Systematic Reviews
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How is work-family conflict linked to nurse-assessed patient safety among intensive care unit nurses? A serial multiple mediation analysis. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-17 Qianqian Yang,Linlin Yang,Chunling Yang,Xia Wu,Zhen Xu,Xiaobing Wang
AIM The aim of this study was to test whether rumination and negative affectivity mediate the relationship between work-family conflict and nurse-assessed patient safety among intensive care unit nurses. BACKGROUND Most intensive care unit nurses experience work-family conflicts that jeopardise patient safety. Although prior studies have explored the effect of work-family conflict on patient safety
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Environmental impact of a blood test reduction intervention in adult intensive care units: A before and after quality improvement project Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-15 Julia K. Pilowsky RN PhD, Kathleen Lane RN MIntCareNurs, Georgina Learmonth MD PhD, Oliver Walsh MBBS FCICM, Craig Scowen MSc, Linda Williams RN MHealth Management, Nhi Nguyen MBBS FCICM, APTIC Investigators
Pathology testing is a very common investigation in the intensive care unit (ICU). Many tests are ordered on a routine basis rather than for a specific clinical indication, resulting in potential patient harm and unnecessary financial and environmental costs. The objective of this study was to determine whether a multifaceted intervention based on the principles of education, audit, and feedback can
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Opinions and priorities for an e-health platform: A member consultation from an intensive care patient organisation. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-09 Anna Zacharelou,Mel Major,Puck van der Meer,Marike van der Schaaf,Lilian Vloet,Margo M C van Mol
BACKGROUND To prevent deterioration after admission to the intensive care unit (ICU), and to improve rehabilitation, the ICU team should use digital technologies to provide comprehensive and practical information alongside personalised support for survivors and their family members. However, a knowledge gap exists on the users' preferences for such an e-health platform in ICU follow-up services. OBJECTIVES
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Prevalence and risk factors associated within 48-hour unplanned paediatric intensive care unit readmissions: An integrative review. Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-08 Martina K Barnwell,Huaqiong Zhou,Simon Erickson
BACKGROUND Unplanned paediatric intensive care unit (PICU) readmission is associated with increased morbidity/mortality, hospital length of stay, and health service cost and is recognised as a key performance indicator of quality-of-care delivery. However, research evidence on unplanned PICU readmission risk factors is limited, and results were inconsistent across studies. AIM The aim of this experiment
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Implementation of a digital diary in the intensive care unit; understanding the facilitators and barriers: A qualitative exploration Aust. Crit. Care (IF 2.6) Pub Date : 2024-05-07 Carola M.A. Schol RN MSc, Margo M.C. van Mol RN PhD, Elke Berger RN MSc, Crista Leerentveld RN MSc, Diederik A.M.P.J. Gommers MD PhD, Erwin Ista RN PhD
In the recent years, digital intensive care unit (ICU) diaries have emerged as more advantageous than paper diaries. Despite the advantages of digital diaries, the successful implementation and maintenance of this digital intervention present significant challenges in clinical practice. Therefore, understanding the facilitators and barriers among stakeholders influencing this process becomes imperative
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Prescription of potentially inappropriate medications after an intensive care unit stay for acute respiratory failure. Aust. Crit. Care (IF 2.6) Pub Date : 2024-04-29 Somnath Bose,Danielle Groat,Joanna L Stollings,Patrick Barney,Victor D Dinglas,Valerie M Goodspeed,Harris Carmichael,Mustafa Mir-Kasimov,James C Jackson,Dale M Needham,Samuel M Brown,Carla M Sevin,
BACKGROUND Among survivors of critical illness, prescription of potentially inappropriate medications (PIM) at hospital discharge is thought to be an important, modifiable patient safety concern. To date, there are little empirical data evaluating this issue. RESEARCH QUESTION The objective of this study was to determine the frequency of PIM prescribed to survivors of acute respiratory failure (ARF)