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Journal articles on the topic 'Intensive and critical care nursing'

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Published: 4 June 2021
Last updated: 9 February 2022

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1

Bergbom, Ingegerd. "Intensive and Critical Care Nursing." Intensive and Critical Care Nursing 23, no. 3 (June 2007): 121–23. http://dx.doi.org/10.1016/j.iccn.2007.03.008.

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2

McKinley, Sharon. "Australian intensive care nursing." Intensive and Critical Care Nursing 23, no. 6 (December 2007): 309–12. http://dx.doi.org/10.1016/j.iccn.2007.08.007.

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3

Quinn, Tom. "Cardiovascular intensive care nursing." Intensive and Critical Care Nursing 9, no. 3 (September 1993): 211. http://dx.doi.org/10.1016/0964-3397(93)90035-v.

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4

Melander, Sheila. "Critical Care Nursing." Critical Care Medicine 25, no. 2 (February 1997): 377. http://dx.doi.org/10.1097/00003246-199702000-00036.

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5

Woodrow, Philip. "Nursing perspectives for intensive care." Intensive and Critical Care Nursing 13, no. 3 (June 1997): 151–55. http://dx.doi.org/10.1016/s0964-3397(97)80889-0.

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6

Robb, Yvonne A. "Family nursing in intensive care part one: is family nursing appropriate in intensive care?" Intensive and Critical Care Nursing 14, no. 3 (June 1998): 117–23. http://dx.doi.org/10.1016/s0964-3397(98)80363-7.

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7

HENDRICKS, PETER, and DOROTHY G. LAPPE. "Pediatric intensive care nursing." Critical Care Medicine 21, Supplement (September 1993): S393. http://dx.doi.org/10.1097/00003246-199309001-00061.

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8

Spratt, C. "‘Caring’ in intensive care nursing." Australian Critical Care 5, no. 1 (March 1992): 27. http://dx.doi.org/10.1016/s1036-7314(92)70024-1.

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9

Monypenny, F. "Pioneering intensive care nursing education." Australian Critical Care 9, no. 1 (March 1996): 35. http://dx.doi.org/10.1016/s1036-7314(96)70341-7.

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10

Boyle, Martin, Rand Butcher, Vicki Conyers, Tina Kendrick, Mary MacNamara, and Susie Lang. "Transition to intensive care nursing." Australian Critical Care 22, no. 1 (February 2009): 48. http://dx.doi.org/10.1016/j.aucc.2008.12.009.

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11

King, C. "Critical care nursing." Accident and Emergency Nursing 3, no. 1 (January 1995): 52. http://dx.doi.org/10.1016/0965-2302(95)90073-x.

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12

Korhan, Esra Akn, Gülendam Hakverdioğlu Yönt, Firdevs Erdemir, and Maria Müller-Staub. "Nursing Diagnosis in Intensive Care Unit." Critical Care Nursing Quarterly 37, no. 2 (2014): 219–24. http://dx.doi.org/10.1097/cnq.0000000000000024.

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13

Vieira, João V., Sérgio Deodato, and Felismina Mendes. "Conceptual Models of Nursing in Critical Care." Critical Care Research and Practice 2021 (March 12, 2021): 1–6. http://dx.doi.org/10.1155/2021/5583319.

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Introduction. Intensive care units are systems organized for the provision of care to patients in critical situations. In general, it is suggested that intensive care consists of a multidisciplinary and interprofessional specialty. Nevertheless, the predominance, relative to the professions that incorporate these units, falls on nurses. A conceptual model of nursing provides a framework for reflection, observation, and interpretation of phenomena and, specifically, it provides guidelines and guidance for aspects of clinical practice. Objective. To understand the applicability of conceptual models of nursing in intensive care units. Method. Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The research was performed in CINAHL, Cochrane, Pubmed, Scopus, and Web of Science to identify studies published prior to 2021. Fourteen studies were selected. Results. There is no conceptual model of nursing universally accepted as ideal for intensive care units. However, there is unanimity in the identification of several benefits associated with the application of a conceptual model of nursing in the care of critically ill patients. Conclusion. For the selection of a conceptual model of nursing for these contexts, the focus should be on the person and the choice should fall on the model that is most appropriate to the patient, and not on the philosophy that supports the model. Considering the nature of care, the nursing team can select a model or a combination of models.
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Williams, Lisa-Mae, Kenneth E. Hubbard, Olive Daye, and Connie Barden. "Telenursing in the Intensive Care Unit: Transforming Nursing Practice." Critical Care Nurse 32, no. 6 (December 1, 2012): 62–69. http://dx.doi.org/10.4037/ccn2012525.

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In tele–intensive care units, informatics, telecommunication technology, telenursing, and telemedicine are merged to provide expert, evidence-based, and cutting-edge services to critically ill patients. Telenursing is an emerging subspecialty in critical care that is neither well documented in the extant literature nor well understood within the profession. Documentation and quantification of telenursing interventions help to clarify the impact of the telenurse’s role on nursing practice, enhancement of patient care, patient safety, and outcomes. Tele–intensive care unit nursing will continue to transform how critical care nursing is practiced by enhancing/leveraging available resources through the use of technology.
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15

Howard, L., J. Letts, P. Tynan, M. Sandford, C. Scheinkestel, J. Cooper, M. Anderson, and D. Tuxen. "Burns nursing – the intensive care perspective." Australian Critical Care 10, no. 1 (March 1997): 22. http://dx.doi.org/10.1016/s1036-7314(97)70382-5.

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16

Topia, H., and P. Wills. "Cardiomyoplasty – nursing management in intensive care: the nursing challenge." Australian Critical Care 9, no. 1 (March 1996): 23. http://dx.doi.org/10.1016/s1036-7314(96)70312-0.

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17

Pettigrew, Jan. "Intensive Nursing Care: The Ministry of Presence." Critical Care Nursing Clinics of North America 2, no. 3 (September 1990): 503–8. http://dx.doi.org/10.1016/s0899-5885(18)30810-4.

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18

Kim, Jin-il, Doo Ree Kim, and Hyo Nam Lim. "Senior Nursing Students' Perceived Competence of Intensive and Critical Care Nursing." Journal of Korean Academic Society of Nursing Education 22, no. 2 (May 31, 2016): 115–24. http://dx.doi.org/10.5977/jkasne.2016.22.2.115.

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19

Lakanmaa, Riitta-Liisa, Tarja Suominen, Juha Perttilä, Marita Ritmala-Castrèn, Tero Vahlberg, and Helena Leino-Kilpi. "Graduating nursing students' basic competence in intensive and critical care nursing." Journal of Clinical Nursing 23, no. 5-6 (June 21, 2013): 645–53. http://dx.doi.org/10.1111/jocn.12244.

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20

Henry, Linda, and Joanne Duffy. "A cardiovascular intensive care nursing staff response to managed care." Critical Care Nursing Quarterly 18, no. 3 (November 1995): 28–35. http://dx.doi.org/10.1097/00002727-199511000-00006.

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21

So, Hang Mui, and Xi Cao. "Critical Care Nursing in Hong Kong." Connect: The World of Critical Care Nursing 12, no. 3 (September 1, 2018): 70–72. http://dx.doi.org/10.1891/1748-6254.12.3.70.

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BackgroundNursing shortage, especially in critical care unit, has become a big concern worldwide.AimThis study aimed to provide the current states of critical care nursing in Hong Kong.MethodsA literature search was conducted. Findings were narratively summarized.FindingsHong Kong faces an increasing demands in critical care service. However, the shortage of nursing manpower in ICU imposes challenges to meet such demands as well as the quality of critical care. Hospital authority has implemented various strategies such as the development of practice through Specialty Advisory Group (Critical Care) and Coordinating Committee in Intensive Care to address these issues.ConclusionEfforts from all stakeholders are needed to meet the demands and improve the quality of critical care.
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22

Preston, Sharon, Stephen R. Laver, Wendy Lloyd, and Andrew Padkin. "Introducing intensive insulin therapy: the nursing perspective." Nursing in Critical Care 11, no. 2 (March 2006): 75–79. http://dx.doi.org/10.1111/j.1362-1017.2006.00152.x.

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23

Timmins, Fiona, and Jacinta Kelly. "Spiritual assessment in intensive and cardiac care nursing." Nursing in Critical Care 13, no. 3 (May 2008): 124–31. http://dx.doi.org/10.1111/j.1478-5153.2008.00276.x.

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24

Wysokinski, Mariusz, Anna Ksykiewicz-Dorota, and Wieslaw Fidecki. "Demand for Nursing Care for Patients in Intensive Care Units in Southeast Poland." American Journal of Critical Care 19, no. 2 (March 1, 2010): 149–55. http://dx.doi.org/10.4037/ajcc2010559.

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Background The Therapeutic Intervention Scoring System is widely used in both Western Europe and the United States to assess the level of patients’ need for nursing care. Poland currently has 3 types of intensive care according to a territorial division of the country and the scope of medical treatment offered: poviat, voivodeship, and clinical. Objective To determine the need for nursing care for patients in the 3 types of intensive care units in southeastern Poland. Methods The investigation was conducted at 6 intensive care units in southeastern Poland in 2005 and 2006. Two units were randomly selected from each type of intensive care unit. A total of 155 patients from the units were categorized according to scores on the Therapeutic Intervention Scoring System 28. Results Among the 3 types of units, patients varied significantly with respect to age, length of hospitalization, and scores on the Therapeutic Intervention Scoring System 28. Nevertheless, demand for nursing care during night and day shifts was similar in all 3 types. On the basis of the patients’ scores, all 3 types of units provided appropriate staffing levels necessary to meet the demands for nursing care. Most patients required category III level of care. Conclusion Need or demand for nursing care in intensive care units in Poland varies according to the type of intensive care unit and can be determined on the basis of scores on the Therapeutic Intervention Scoring System 28.
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25

Windle, Jill. "Critical care and emergency nursing." Accident and Emergency Nursing 3, no. 3 (July 1995): 168. http://dx.doi.org/10.1016/s0965-2302(95)80019-0.

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26

Jastremski, Connie A. "Critical Care Nursing Secrets, Second Edition." Critical Care Medicine 35, no. 4 (April 2007): 1223. http://dx.doi.org/10.1097/01.ccm.0000264150.05495.66.

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27

Lebel, Valérie, and Sylvie Charette. "Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review." Critical Care Nurse 41, no. 1 (February 1, 2021): 32–44. http://dx.doi.org/10.4037/ccn2021188.

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Background Having a family member admitted to an intensive care unit is a stressful experience that may lead to psychological symptoms including depression, anxiety, and posttraumatic stress disorder. Objective To better understand the phenomenon of stress experienced by families of intensive care unit patients and identify nursing interventions that may help reduce it. Methods An integrative literature review was performed to identify principal stressors for families of patients receiving care in neonatal, pediatric, and adult intensive care units and recommended nursing interventions. Results The principal stressors in the 3 types of intensive care units were change in parental role or family dynamics, appearance and behavior of the patient, the care setting, and communication with the health care staff. Nursing interventions should focus on valuing the role of family members in patient care, improving communication, and providing accurate information. Clinical Relevance Family members of intensive care patients will benefit from nursing interventions that adequately acknowledge and address the stress they experience. Conclusion Nurses play a crucial role in helping to reduce the stress experienced by family members of intensive care unit patients.
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28

ACCCN workforce advisory panel. "Interim position statement on intensive care nursing staffing." Australian Critical Care 14, no. 2 (May 2001): 48–49. http://dx.doi.org/10.1016/s1036-7314(01)80003-5.

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29

Verger, Judy. "The future of intensive care: Focus on nursing." Australian Critical Care 21, no. 4 (November 2008): 177–80. http://dx.doi.org/10.1016/j.aucc.2008.08.002.

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30

Juers, Alison. "Transition to intensive care nursing—A national approach?" Australian Critical Care 22, no. 1 (February 2009): 5. http://dx.doi.org/10.1016/j.aucc.2009.01.002.

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31

Ramalho Neto, José Melquiades, Lucrécia Maria Bezerra, Márcia Abath Aires de Barros, Maria Miriam Lima da Nóbrega, and Wilma Dias de Fontes. "Nursing process and septic shock: intensive nursing care." Revista de Enfermagem UFPE on line 5, no. 9 (October 20, 2011): 2260. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0509201125.

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ABSTRACT Objective: to employ the Nursing Process by using the International Classification for Nursing Practices (ICNP®) and the Campaign Guidelines Surviving to Sepsis. Method: descriptive research, of case study, which was evaluated by the Committee of Ethics in Research of the Lauro Wanderley University Hospital/UFPB according to CAAE number 0085.0.126.000-08, and carried out with a woman who was hospitalized in the General Intensive Care Unit of a school-hospital having been diagnosed with Septic Shock. The data analysis was accomplished from a clinical judgment about the patient’s basic needs, which led to diagnoses, results and nursing interventions defined with the ICNP®. Results: the identified nursing diagnoses and results were: septic shock, decreased cardiac output, inefficient tissue perfusion, impaired spontaneous ventilation, hyperthermia, self-care deficit syndrome, risk for unstable glucose and impaired skin integrity risk. The planned and established interventions were focused on hemodynamic support, antibiotic therapy and interruption trial of the physiopathological sequence which would culminate, potentially, with the dysfunction of multiple organs and death. Conclusion: it is considered that the use of the Nursing Process guided the effective interventions which influenced, positively, the patient’s prognosis as well as her intensive care unit discharge. Descriptors: septic shock; critical care; nursing; nursing process; intensive care units.RESUMOObjetivo: aplicar o Processo de Enfermagem utilizando a Classificação Internacional das Práticas de Enfermagem (CIPE®) e as diretrizes da Campanha Sobrevivendo à Sepse. Método: pesquisa descritiva do tipo estudo de caso, apreciada pelo Comitê de Ética em Pesquisa do Hospital Universitário Lauro Wanderley/UFPB mediante CAAE nº 0085.0.126.000-08, e desenvolvida com uma mulher internada na Unidade de Terapia Intensiva Geral de um hospital escola com diagnóstico de Choque Séptico. A análise dos dados foi realizada a partir do julgamento clínico sobre as necessidades básicas da paciente, que levaram aos diagnósticos, resultados e intervenções de enfermagem definidos com a CIPE®. Resultados: os diagnóstico-resultados de enfermagem identificados foram: Choque séptico, Débito cardíaco diminuído, Perfusão tissular ineficaz, Ventilação espontânea prejudicada, Hipertermia, Síndrome do déficit do autocuidado, Risco de glicemia instável e Risco de integridade da pele prejudicada. As intervenções planejadas e implementadas voltaram-se para o suporte hemodinâmico, antibioticoterapia e tentativa de interrupção da sequência fisiopatológica que potencialmente culminaria com disfunção de múltiplos órgãos e morte. Conclusão: considera-se que a aplicação do Processo de Enfermagem norteou a prestação de efetivas intervenções que influenciaram positivamente no prognóstico da paciente e na sua alta da unidade de cuidados críticos. Descritores: choque séptico; cuidados críticos; enfermagem; processos de enfermagem; unidades de terapia intensiva.RESUMENObjetivo: aplicar el Proceso de Enfermería utilizando la Clasificación Internacional de Prácticas de Enfermería (CIPE®) y las directrices de la Campaña Sobreviviendo a la Sepsis. Método: investigación descriptiva del tipo estudio de caso, aprobada por el Comité de Ética en Investigación del Hospital Universitario Lauro Wanderley/ UFPB por medio de CAAE nº 085.0126.000-08 y desarrollada con una mujer internada en la Unidad de Vigilancia Intensiva General de un hospital escuela con diagnóstico de Choque Séptico. El análisis de los datos se realizó a partir del juicio clínico sobre las necesidades básicas de la paciente, que condujeron a los diagnósticos, resultados e intervenciones de enfermería definidos con la CIPE®. Resultados: los diagnósticos-resultados de enfermería identificados fueron: Choque séptico, Débito cardíaco disminuido, Perfusión tisular ineficaz, Ventilación espontánea afectada, Hipertermia, Síndrome del déficit del autocuidado, Riesgo de glicemia inestable y Riesgo de integridad de la piel afectada. Las intervenciones planeadas e implementadas se enfocaron en el soporte hemodinámico, antibioticoterapia e intento de interrupción de la secuencia fisiopatológica que potencialmente culminaría con disfunción de múltiples órganos y muerte. Conclusión: se considera que la aplicación del Proceso de Enfermería norteó la prestación de efectivas intervenciones que influyeron positivamente en el pronóstico de la paciente y en su alta de la unidad de vigilancia intensiva. Descriptores: choque séptico; cuidados críticos; enfermería; procesos de enfermería; unidades de terapia intensiva.
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32

Kerstein, MB, and M. Hasler. "Introducing student nurses to critical care: shadow a critical care nurse." Critical Care Nurse 10, no. 7 (June 1, 1990): 16–18. http://dx.doi.org/10.4037/ccn1990.10.7.16.

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The lack of student experience in critical care makes it difficult for graduate nurses to anticipate what expectations and demands might confront them in intensive care. Consequently, some new graduates discounted critical care as an opportunity available to them. Our institution believed that critical care had special qualities and if those qualities could be demonstrated to nurses, recruitment would improve. An unexpected benefit from the program was the positive staff nurse response to showcasing their skills and expertise. The success of the program was evidenced by the student evaluations and the hiring of students. To date, seven nursing students out of 20 who attended the program have been hired by the hospital. The long-term impact of the program on retention and recruitment is difficult to predict. The department will track these students, as they do all new hires; however, the initial success warranted continuation of the program. Student response to the program has resulted in plans to expand the "shadow a nurse" concept housewide to showcase the nursing specialities such as rehabilitation, maternal/child health, oncology, orthopedics, chemical dependency, and critical care. Current planning involves designing a program aimed toward high school students, with the goal of encouraging young people to consider nursing as a career.
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33

Pate, Mary Frances D. "Powered by Insight: Pediatric Intensive Care Nursing." AACN Advanced Critical Care 18, no. 1 (January 1, 2007): 15–18. http://dx.doi.org/10.4037/15597768-2007-1003.

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34

Robb, Yvonne A. "Have nursing models a place in intensive care units?" Intensive and Critical Care Nursing 13, no. 2 (April 1997): 93–98. http://dx.doi.org/10.1016/s0964-3397(97)80203-0.

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35

Clancy, Grace T., and Denise Maguire. "Advanced Practice Nursing in the Neonatal Intensive Care Unit." Critical Care Nursing Clinics of North America 7, no. 1 (March 1995): 71–76. http://dx.doi.org/10.1016/s0899-5885(18)30424-6.

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36

Elliot, Caroline J. "Legal issues and nursing practice in intensive care units." Intensive and Critical Care Nursing 10, no. 4 (December 1994): 304. http://dx.doi.org/10.1016/0964-3397(94)90054-x.

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37

Balasanova, Alëna A., and Dongchan Park. "Nursing Insights on Delirium in the Intensive Care Unit." Critical Care Nursing Quarterly 44, no. 2 (April 2021): 277–86. http://dx.doi.org/10.1097/cnq.0000000000000361.

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38

Krumberger, Joanne M. "Linking Critical Care Family Research to Quality Assurance." AACN Advanced Critical Care 2, no. 2 (May 1, 1991): 321–28. http://dx.doi.org/10.4037/15597768-1991-2019.

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The Joint Commission on Accreditation of Health Care Organizations standards require the inclusion of all major clinical functions performed by nurses in the nursing quality assurance (QA) program. To achieve this goal, nurses must first define the scope of care, which includes articulating the specific activities performed in the critical care unit, who provides the care, where and when nursing care is provided, and to whom nursing care is provided. Interventions directed toward families are recognized as falling within the scope of nursing practice. This article addresses how family research was used to develop a QA tool to evaluate family satisfaction with nursing interventions to meet their identified needs in an intensive care unit setting
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39

Ääri, Riitta-Liisa, Suominen Tarja, and Leino-Kilpi Helena. "Competence in intensive and critical care nursing: A literature review." Intensive and Critical Care Nursing 24, no. 2 (April 2008): 78–89. http://dx.doi.org/10.1016/j.iccn.2007.11.006.

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40

Kisorio, Leah C., and Gayle C. Langley. "Critically ill patients' experiences of nursing care in the intensive care unit." Nursing in Critical Care 24, no. 6 (January 30, 2019): 392–98. http://dx.doi.org/10.1111/nicc.12409.

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41

Lakanmaa, Riitta-Liisa, Tarja Suominen, Marita Ritmala-Castrén, Tero Vahlberg, and Helena Leino-Kilpi. "Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study." BioMed Research International 2015 (2015): 1–12. http://dx.doi.org/10.1155/2015/536724.

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Critical care patients benefit from the attention of nursing personnel with a high competence level. The aim of the study was to describe and evaluate the self-assessed basic competence of intensive care unit nurses and related factors. A cross-sectional survey design was used. A basic competence scale (Intensive and Critical Care Nursing Competence Scale version 1, Likert scale 1–5, 1 = poor and 5 = excellent) was employed among Finnish intensive care unit nurses (n=431). Intensive care unit nurses’ self-assessed basic competence was good (mean 4.19, SD 0.40). The attitude and value base of basic competence was excellent whereas experience base was the poorest compared to the knowledge base and skill base of intensive and critical care nursing. The strongest factor explaining nurses’ basic competence was their experience of autonomy in nursing care (Fvalue 60.85,β0.11, SE 0.01, andP≤0.0001). Clinical competence was self-rated as good. Nurses gave their highest competence self-ratings for ICU patient care according to the principles of nursing care. The ICU nurses also self-rated their professional competence as good. Collaboration was self-rated as the best competence. In basic and continuing education and professional self-development discussions it is meaningful to consider and find solutions for how to improve nurses’ experienced autonomy in nursing.
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42

Zeraati, Mashaalah, and Negin Masoudi Alavi. "Designing and Validity Evaluation of Quality of Nursing Care Scale in Intensive Care Units." Journal of Nursing Measurement 22, no. 3 (2014): 461–71. http://dx.doi.org/10.1891/1061-3749.22.3.461.

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Background and Purpose: Quality of nursing care measurement is essential in critical care units. The aim of this study was to develop a scale to measure the quality of nursing care in intensive care units (ICUs). Methods: The 68 items of nursing care standards in critical care settings were explored in a literature review. Then, 30 experts evaluated the items’ content validity index (CVI) and content validity ratio (CVR). Items with a low CVI score (<0.78) and low CVR score (<0.33) were removed from the scale. Results: The 50 items remained in the scale. The Scale level-CVI and Scale level-CVR were 0.898 and 0.725, respectively. Conclusion: The nursing care scale in ICU (Quality of Nursing Care Scale-ICU) that was developed in this research had acceptable CVI and CVR.
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43

Diers, D., J. Bozzo, L. Blatt, and M. Roussel. "Understanding nursing resources in intensive care: a case study." American Journal of Critical Care 7, no. 2 (March 1, 1998): 143–48. http://dx.doi.org/10.4037/ajcc1998.7.2.143.

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OBJECTIVE: We describe the use of a measurement of nursing acuity in an ICU based on data from an integrated clinical and financial information system to shed light on the problem of a perceived change in the work of the unit. SETTING: A surgical-neurosurgical ICU in a teaching hospital with more than 800 beds. DESIGN: Changes in the work of nursing, defined by nursing acuity and by case mix and use of ancillary services in this unit for an 18-month period, were reviewed. RESULTS: The caseload was unpredictable. The lack of a systematic pattern of use of hospital resources burdened the nurses. CONCLUSION: For the first time at this institution, timely clinical and financial information has been brought together in an understandable format that can be used to explain trends and variances, to plan for the future, and to manage for cost and quality. The model for information management described here might serve other hospitals as well.
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44

Sen, Nagamani, J. P. Raj, and K. R. John. "Factors influencing nursing care in a surgical intensive care unit." Indian Journal of Critical Care Medicine 10, no. 1 (January 2006): 15–20. http://dx.doi.org/10.4103/0972-5229.24684.

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45

Rees, Sophie. "Nursing a diabetic patient with hypoglycaemia — a nursing care report." Veterinary Nurse 10, no. 9 (November 2, 2019): 506–10. http://dx.doi.org/10.12968/vetn.2019.10.9.506.

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Hypoglycaemia presents a genuine life-threatening emergency in the intensive care unit. Veterinary nurses play a vital role in the emergency and critical care of hypoglycaemic patients. This patient care report will discuss and evaluate the nursing care involved with maintenance of intravenous catheter, monitoring of blood glucose and dietary management.
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46

Laupland, Kevin B., and Fiona Coyer. "Physician and Nurse Research in Multidisciplinary Intensive Care Units." American Journal of Critical Care 29, no. 6 (November 1, 2020): 450–57. http://dx.doi.org/10.4037/ajcc2020136.

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Background Although clinical care is multidisciplinary, intensive care unit research commonly focuses on single-discipline themes. We sought to characterize intensive care unit research conducted by physicians and nurses. Methods One hundred randomly selected reports of clinical studies published in critical care medical and nursing journals were reviewed. Results Of the 100 articles reviewed, 50 were published in medical journals and 50 were published in nursing journals. Only 1 medical study (2%) used qualitative methods, compared with 9 nursing studies (18%) (P = .02). The distribution of quantitative study designs differed between medical and nursing journals (P &lt; .001), with medical journals having a predominance of cohort studies (29 articles [58%]). Compared with medical journal articles, nursing journal articles had significantly fewer authors (median [interquartile range], 5 [3-6] vs 8 [6-10]; P &lt; .001) and study participants (94 [51-237] vs 375 [86-4183]; P &lt; .001) and a significantly lower proportion of male study participants (55% [26%-65%] vs 60% [51%-65%]; P = .02). Studies published in medical journals were much more likely than those published in nursing journals to exclusively involve patients as participants (47 [94%] vs 25 [50%]; P &lt; .001). Coauthorship between physicians and nurses was evident in 14 articles (14%), with infrequent inclusion of authors from other health care disciplines. Conclusions Physician research and nurse research differ in several important aspects and tend to occur within silos. Increased interprofessional collaboration is possible and worthwhile.
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47

Blissitt, Patricia A. "Manual of Critical Care Nursing: Nursing Interventions and Collaborative Management." Critical Care Medicine 39, no. 10 (October 2011): 2390. http://dx.doi.org/10.1097/ccm.0b013e31822d44f8.

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48

Smith, Kimberly K. "Critical care nursing in an austere environment." Critical Care Medicine 36, Suppl (July 2008): S297—S303. http://dx.doi.org/10.1097/ccm.0b013e31817daa01.

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49

Fink, Anne M. "Sleep Neurobiology and the Critical Care Environment." Critical Care Nurse 40, no. 4 (August 1, 2020): e1-e6. http://dx.doi.org/10.4037/ccn2020432.

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Topic Sleep in the intensive care unit can be poorly consolidated and highly fragmented. This review examines the neurobiology of normal and abnormal sleep, with a focus on the changes that occur in the intensive care unit environment. Clinical Relevance Patients in the intensive care unit demonstrate a lack of rapid-eye-movement sleep and an inability to effectively transition from light to deep stages of sleep. These abnormalities can adversely affect hemodynamic parameters and physiological and psychological outcomes. Purpose To describe the brain mechanisms and electroencephalographic characteristics of wakefulness and the different stages of sleep. This review also describes how sleep can be altered by hospitalization in the intensive care unit and how nurses can design interventions that improve sleep and outcomes. Content Covered The review examines sleep mechanisms, including brain electrical activity, regulatory centers in the brain, and circadian and diurnal patterns of sleep and hemodynamic function. Nursing interventions for specific patient risk factors in the intensive care unit are proposed.
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50

Williams, Sue, Kaye Robyn Ogle, and Gavin Leslie. "ACCCN national nursing workforce survey of intensive care units." Australian Critical Care 14, no. 2 (May 2001): 50–54. http://dx.doi.org/10.1016/s1036-7314(01)80004-7.

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