Relevant bibliographies by topics / Intensive Care

Academic literature on the topic 'Intensive Care'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 July 2024

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Contents

Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Intensive Care.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Journal articles on the topic "Intensive Care"

1

Chellel, Annie. "Intensive Care Aftercare Intensive Care Aftercare." Nursing Standard 16, no. 51 (September 4, 2002): 29. http://dx.doi.org/10.7748/ns2002.09.16.51.29.b145.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Waldmann, C. S. "Intensive after care after intensive care." Current Anaesthesia & Critical Care 9, no. 3 (June 1998): 134–39. http://dx.doi.org/10.1016/s0953-7112(98)80007-0.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Lindemans, A. D. "Intensieve insulinebehandeling op de intensive care." Medisch-Farmaceutische Mededelingen 44, no. 6 (June 2006): 171. http://dx.doi.org/10.1007/bf03058802.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Harvey, Maurene A. "Palliative care makes intensive care units intensive care and intensive caring units*." Critical Care Medicine 39, no. 5 (May 2011): 1204–5. http://dx.doi.org/10.1097/ccm.0b013e31820f6d47.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Killman, Debbie. "Paediatric Intensive Care NursingPaediatric Intensive Care Nursing." Nursing Children and Young People 25, no. 3 (April 2013): 12. http://dx.doi.org/10.7748/ncyp2013.04.25.3.12.s9.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Ross, Helen Klein. "Intensive Care." Iowa Review 44, no. 3 (December 2014): 12. http://dx.doi.org/10.17077/0021-065x.7511.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Butka, Brenda. "Intensive Care." Annals of Internal Medicine 167, no. 1 (July 4, 2017): 65. http://dx.doi.org/10.7326/m17-0257.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Williams, Carol. "Intensive care." Nursing Standard 13, no. 19 (January 27, 1999): 58. http://dx.doi.org/10.7748/ns.13.19.58.s46.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Schoene, Rb. "Intensive Care." Rocky Mountain Review of Language and Literature 50, no. 2 (1996): 166. http://dx.doi.org/10.2307/1348231.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Routh, G. "Intensive care." Anaesthesia 45, no. 1 (January 1990): 66–67. http://dx.doi.org/10.1111/j.1365-2044.1990.tb14528.x.

Full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Dissertations / Theses on the topic "Intensive Care"

1

Hammond, Janet Margaret Justine. "Nosocomial infections in intensive care." Master's thesis, University of Cape Town, 1993. http://hdl.handle.net/11427/26477.

Full text
Abstract:
The objectives of this thesis are : 1) To provide a review of the literature on the significance, pathogenesis, diagnosis and management of secondary infections in the Intensive Care Unit. 2) To present the findings of a study of the technique of selective parenteral and enteral antisepsis regimen (SPEAR) in the patient population of the Respiratory ICU at Groote Schuur Hospital, aimed at reducing the incidence of secondary infection and, further to evaluate the study in terms of the effect of SPEAR on the incidence of secondary infection and its influence on the mortality due to secondary infection. 3) To present the findings of the effect of SPEAR on patient bacterial colonisation in the ICU, and to evaluate its longterm influence on the microbial flora of the ICU.
APA, Harvard, Vancouver, ISO, and other styles
2

Whitfield, Karen M. "Sedation in paediatric intensive care." Thesis, Aston University, 2002. http://publications.aston.ac.uk/11055/.

Full text
Abstract:
This study consisted of two stages. Stage 1 investigated the reproducibility and practicality of two observational sedation assessment scales for use in critically ill children. The two scales were different in design, the first being simple in design requiring a single assessment of the patient. The second was more complex in design requiring assessment of five patient parameters to obtain an overall sedation score. It was established that nursing staff preferred the second, more complex sedation scale mainly because it was perceived to give a more accurate assessment of level of sedation and anxiety rather than merely level of sedation. Stage 2 investigated the pharmacokinetics and pharmacodynamics of midazolam in critically ill children. 52 children, aged between 0 and 18 years were recruited to the study and 303 blood samples taken to analyse midazolam and its metabolites, 1-hydroxymidazolam (1-OH) and 4-hydroxymidazolam (4-OH). A significant correlation was found between midazolam plasma concentration and sedative effect (r=0.598, p=0.01). It was found that a midazolam plasma concentration of 223ng/ml (±31.9) achieved a satisfactory level of sedation. Only a poor correlation was found between dose of midazolam and plasma concentration of midazolam. Similarly only a poor correlation was found between sedative effect and dose of midazolam. Clearance of midazolam was found to be 6.3ml/kg/min (±0.36), which is lower than that reported in healthy children (9.11-13.3ml/kg/min). neonates produced the lowest clearance values (1.63ml/kg/min), compared to children aged 1 to 12 months (8.52ml/kg/min) who achieved the highest clearance values. Clearance was found to decrease after the age of 12 months to values of 5.34ml/kg/min in children aged 7 yeas and above. Patients with renal (n=5) and liver impairment (n=4) were found to have reduced midazolam clearance (1.37 and 0.74ml/kg/min respectively). Disease state was found to affect production of 1-OH. Patients with renal impairment (n=5) produced the lowest 1-OH midazolam plasma ratio (0.059) compared to patients with head injury (0.858).
APA, Harvard, Vancouver, ISO, and other styles
3

Vetcho, Siriporn. "Family-Centred Care Within Thai Neonatal Intensive Care." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/417298.

Full text
Abstract:
Background: Neonates who require specialized care and life-saving therapies in neonatal intensive care units (NICUs) and neonatal special care units (NSCUs) can be exposed to separation from their parents and families. Consequently, establishing a parental-neonate bond can be difficult. However, addressing this problem of separation through involving parents and families in neonatal care to improve parent-professional collaboration can result in positive outcomes for neonates and their families. Family-centred care (FCC) has developed over decades and is broadly recommended as an ideal model of care in daily clinical practice in NICUs. However, FCC implementation is challenging at individual, organizational, cultural, and healthcare system levels. In particular, developing countries are challenged by the lack of material resources, infrastructure, and staff shortages. In Thailand, the practical incorporation of FCC into daily clinical practice in neonatal care units is difficult, and it has not been sustainably achieved. Furthermore, there has been minimal research reporting on the development, implementation, and evaluation of FCC in the neonatal critical care context within Thailand. Aim and Objectives: The aim of this PhD study has been to develop, implement and evaluate innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. It had three objectives, each representing a distinct phase in the study: (1) to identify perceptions, current practices and FCC strategies; (2) to develop and implement an innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU; and (3) to evaluate the FCC innovation developed in Phase 2. Methods and Results Design: The multistage, mixed-methods study design applied the Participatory Intervention Model (PIM) to guide the innovation’s development, implementation, and evaluation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. Setting and context: This study was conducted in a tertiary care hospital in southern Thailand (February 2020-January 2021). Ethics approval was obtained from the Research Ethics Committee of Hatyai Hospital and Griffith University. Phase 1: Identification of perceptions, current practices, and FCC strategies Phase 1 was planned to include data collection over 3 months. Due to the COVID-19 pandemic, it was reduced to 2 months during the very early stages of the pandemic (February to March 2020). This phase consisted of two parts, including surveys and interviews with parents and the interdisciplinary professionals. Participants: Participants consisted of two groups: parents of neonates (all gestational ages with no life-threatening or life-limiting diagnosis) who had an expected NICU stay of at least 72 hours and visited the study NICU at least once, and interdisciplinary professionals with a permanent position for at least 1 year in the study unit. Part A: Survey of parents and interdisciplinary professionals Surveys of parents and interdisciplinary professionals were conducted using the validated Perceptions of Family Centred Care – Parent (PFCC-P) and Perceptions of Family Centred Care – Staff (PFCC-S) instruments which were translated into Thai. Sample size: Sample size was based on availability of parents and interdisciplinary professionals over the planned 3-month Phase 1 period. Recruiting parent participants in Phase 1 was prior/during the very early stages of the COVID-19 pandemic and needed to be stopped prior to pre-determined sample size of 100 parents due to visitor restriction (n = 85). Eighty-five parents and 20 interdisciplinary professionals completed the surveys. Data analysis: Demographic characteristics of parents, interdisciplinary professionals, and neonates are reported using descriptive statistics. The subscale scores for parents and interdisciplinary professionals were not normally distributed, so medians were calculated for each of the three sub-scales (respect, collaboration, and support). Parents’ and interdisciplinary professionals’ perceptions of FCC (PFCC-P & PFCC-S) were compared using the Mann-Whitney U test to examine differences in medians in the preimplementation phase because they were unpaired groups. Part B: Semi-structured interviews with parents and interdisciplinary professionals Face-to-face, semi-structured, individual interviews were planned to gain information from extended family members and parents and interdisciplinary professionals; however, given the visitation restrictions, only parents and interdisciplinary professionals were recruited to participate (during the first half of February 2020). Sample size: The sample size was determined when data saturation was identified. Eight interdisciplinary professionals and nine parents participated in face-to-face interviews. Data analysis: Thematic analysis was used to analyse the transcribed Thai language interviews. Results: The survey results across the median of three subscales demonstrated that parents and interdisciplinary professionals’ perceptions on the FCC strategies in current practice were 2-3/4 (Interquartile range [IQR] 1.7-3.8) and 3-4/4 (2.85-3.55), respectively. Considering the median subscale scores, the interdisciplinary professionals had significantly higher subscale scores for respect (median 3.00 (95% CI, 2.91-3.24) vs 2.50 (2.37-2.81)), collaboration (median 3.22 (3.10-3.37) vs 2.33 (1.9-2.62)), and support (median 3.20 (3.03-3.39) vs 2.60 (2.03-2.61)) (all p ≤ 0.001). The interview findings highlighted that the interdisciplinary professionals in this study accepted that the three critical elements of FCC (respect, collaboration, and support) were necessary to be implemented into clinical practice. However, they believed that in reality it was not easy in the Thai NICUs context. This finding identified that the challenge to promote parent-healthcare professional partnerships was associated with the structure and processes of the healthcare delivery system. In addition, the individuality of families' readiness and healthcare providers' perceptions of parents’ involvement as obstacles to providing care were found to be challenges to current practices of FCC. Phase 2: Development and implementation of innovation to facilitate FCC This phase was achieved by two different methods: strategy development working group and implementation of the FCC innovation. Strategy development working group: The development of FCC innovations by the strategy development working group (June to August 2020) was based on Phase 1 findings and the reported integrative literature review. In addition, the FCC innovations were considered within the policies and practices of the NICU in the context of COVID- 19 in Thailand. The development working group members were key and high-level stakeholders in the NICU. Educational activities for the healthcare professional team to incorporate the FCC innovations into their clinical practice in NICU were provided. Implementation of the FCC innovation: The FCC innovations were then implemented over 2 months (September to October 2020), during a period of restrictions on parents and staff arising from COVID-19. Results: The working group identified the gaps in the three key elements (respect, collaboration, and support) to providing FCC in a Thai NICU through the analysis of Phase 1’s results in consort with the findings from the integrative review. A preliminary protocol for the FCC innovations and implementation plan were developed consistent with the challenges associated with COVID-19 in Thailand. FCC practice innovations associated with improving communication were established, including changes and updates to the material within the parent booklet with specific material related to COVID- 19, neonatal updates at bedside or conducted via telephone calls, interdisciplinary family meeting for complex care situations, structured communication checklists, and documentation templates. In addition, although visiting restrictions were limiting, parents were provided with more flexibility as to when they could visit based on individual circumstances. The majority of the healthcare providers in this setting (80%) attended the educational activities to incorporate the FCC innovations into their clinical practice in the NICU. The FCC innovations were incorporated into daily NICU practice by nurses in cooperation with other healthcare providers and ancillary support staff during the pandemic. Phase 3: Evaluation of the FCC innovation Phase 3 (post-implementation) was conducted over 3 months (November 2020-January 2021), and it focused on evaluating the FCC innovations. This phase repeated the collection of data from the validated PFCC-P and PFCC-S surveys of parents and interdisciplinary professionals' perceptions, as per Phase 1, to assess respect, collaboration, and support changes after implementing the FCC innovations in the Thai NICU during the pandemic. Sample size: One hundred parents and 20 interdisciplinary professionals completed the surveys. Data analysis: As per Phase 1 for demographic characteristics. The Mann-Whitney U test was used to analyse parents' perceptions of the items of the PFCC-P pre- and postimplementation given they were two independent groups. Wilcoxon signed-rank test was used to compare the perceptions of the interdisciplinary professionals pre- and postimplementation using the PFCC-S given they were matched samples. Results: The participants consisted of 83 pairs of parents (i.e., mother and/or father of neonate participated) (35 pre; 48 post), which represented 102 neonates (50 pre; 52 post). There were 185 parents; 85 pre-implementation and 100 post-implementation. For the NICU health care team, 20 participated. The median scores of parents' perceptions post-implementation significantly improved for respect (2.50 to 3.50; 95%CI, 3.02-3.53), collaboration (2.33 to 3.33; 2.90- 3.40), support (2.60 to 3.60; 2.84-3.62), and the overall score (2.50 to 3.43) (p < 0.001, 95%CI 2.93-3.51). There was an absolute difference of at least 0.3 in the pre- and postimplementation scores for three subscales and overall score, where 0.3 corresponds to 10% of the rating scale. Comparatively, interdisciplinary professionals' perception of FCC did not significantly change pre- and post-implementation for respect ([median] 3.00 to 2.92; 95%CI, 2.87-3.16), collaboration (3.22 to 3.33; 3.16-3.47), support (3.20 to 3.20; 2.96-3.28) and overall (3.15 to 3.20; 95%CI, 3.10-3.25). Conclusions:Results from this study indicate that incorporating FCC innovations in the NICU appeared to be successful, despite the challenges of COVID-19. The key finding was that the innovations incorporated in the NICU were primarily based on communication strategies, a simple means to support, collaborate with, and respect parents that required low investment within the complex situation arising from COVID-19. These innovations were essential to engage collaborative working between parents and healthcare providers to promote parents as partners in a neonatal critical care team. To successfully implement FCC innovations in different settings, further innovations associated with communication methods need to target the specifics of individuals involved, healthcare settings, and available resources.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing & Midwifery
Griffith Health
Full Text
APA, Harvard, Vancouver, ISO, and other styles
4

Goldsborough, Jennifer. "Palliative Care Integration in the Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4787.

Full text
Abstract:
Palliative health care is offered to any patient experiencing a life limiting or life changing illness. The palliative approach includes goals of care, expert symptom management, and advance care planning in order to reduce patient suffering. Complex care can be provided by palliative care specialists while primary palliative care can be given by educated staff nurses. However, according to the literature, intensive care unit (ICU) nurses have demonstrated a lack of knowledge in the provision of primary care as well as experiencing moral distress from that lack of knowledge. In this doctor of nursing practice staff education project, the problem of ICU nurses' lack of knowledge was addressed. Framed within Rosswurm and Larrabee's model for evidence-based practice, the purpose of this project was to develop an evidence-based staff education plan. The outcomes included a literature review matrix, an educational curriculum plan, and a pretest and posttest of questions based on the evidence in the curriculum plan. A physician and a master's prepared social worker, both certified in palliative care, and a hospital nurse educator served as content experts. They evaluated the curriculum plan using a dichotomous 6-item format and concluded that the items met the intent of the objectives. They also conducted content validation on each of the pretest/posttest items using a Likert-type scale ranging from 1 (not relevant) to 4 (very relevant). The content validation index was 0.82 indicating that test items were relevant to the educational curriculum objectives. Primary palliative care by educated ICU nurses can result in positive social change by facilitating empowerment of patients and their families in personal goal-directed care and reduction of suffering.
APA, Harvard, Vancouver, ISO, and other styles
5

郭子琪 and Chi-ki Priscilla Kwok. "Nurse-controlled intensive insulin infusion in adult intensive care unit." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720858.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Kwok, Chi-ki Priscilla. "Nurse-controlled intensive insulin infusion in adult intensive care unit." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40720858.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Basu, Priyam. "WIRELESS COMMUNICATION FOR HOME CARE AND HOSPITAL INTENSIVE CARE." Master's thesis, Temple University Libraries, 2013. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/216512.

Full text
Abstract:
Computer and Information Science
M.S.
Many emerging and existing medical applications can benefit from having continuous access to the patients vitals. This paper presents the results of a set of experiments conducted in a medical setting to determine the feasibility of using wireless communication in both home care and hospital intensive care environments. The study is also done with the intention of developing a new wireless protocol for use in medical settings. This protocol will later be incorporated into different medical devices operating inside a patient room with a view that significant performance improvements should be observed.
Temple University--Theses
APA, Harvard, Vancouver, ISO, and other styles
8

Stadd, Karen. "Initiating Kangaroo Care in the Neonatal Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5267.

Full text
Abstract:
Kangaroo care (KC) is a cost-efficient method to increase infant-parent bonding and neonatal health outcomes worldwide. Despite evidence supporting KC in critically ill infants, nursing perceptions regarding patient safety and interrupted work flow continued to impede practice in the local high-tech neonatal intensive care unit (NICU). Their current policy failed to address the 2-person transfer method recommended for safe practice. In addition, both staff and parents lacked training and education regarding the benefits and feasibility of KC. This doctoral project aimed to decrease practice barriers and promote earlier and more frequent KC by developing and integrating an evidence-based clinical pathway within a multifaceted champion-based simulated educational training program for NICU staff and parents. Published outcomes and generated organizational data for program synthesis connected the gap in practice. Kolcaba's comfort theory served as the guiding framework to ensure a partnership in care. This quasi-experimental quantitative study used the generalized liner model for data analysis. Study findings indicated that KC occurred 2.4 more times after the intervention compared to before (p = 0.001). Descriptive data revealed that KC episodes for intubated patients nearly doubled after implementation (11.1% from 6.2%). Post-survey scores for nursing knowledge and comfort level also improved after the intervention. Although earlier KC practice was non-conclusive (p = 0.082), future trials should control groups for day of life since admission. Disseminating the KC pathway can have a positive social change on family-centered care by increasing NICU nurses' knowledge, comfort, and adoption of this evidence-based practice as an expected routine standard of care.
APA, Harvard, Vancouver, ISO, and other styles
9

Dunbar, Pervell Velethia. "Nursing Care of Terminal patients in Intensive Care Units." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1379.

Full text
Abstract:
Nursing Care for Terminal Patients in Intensive Care Units by Pervell Dunbar Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2015 Although the goal of the ICU has always been to save lives, ICU now additionally provides end-of life (EOL) care. The objective of this project was to provide ICU nurses with a comprehensive awareness of physical, emotional, and spiritual EOL care issues of patients and their families in order to be better equipped to handle EOL care. The framework used was Jean Watson's Caring model (10 Caritas). A literature review revealed a poster previously used by a major health organization as a conversation starter to facilitate decision-making among ICU nurses, EOL patients, and their families related to EOL issues. The purpose of this quality improvement initiative was to introduce and implement an educational EOL tool that would engage patients and family members in meaningful and useful conversations with ICU nurses. Twenty seven ICU nurses were selected by the unit's director to attend a PowerPoint presentation on the use of the EOL educational poster. Four ICU nurses were chosen by the director to be champions for this project. After the presentation, there was a period for questions and answers, and the ICU nurses were requested to give feedback on the presentation. The result from the feedback revealed that EOL care is outside previous practice and may require extra education and support. These comments substantiated similar conclusions from other researchers as described in this paper. With an increase in EOL training for ICU nurses and the implementation of EOL teaching tools like the poster used in this study, ICU nurses may be better able to have conversations with EOL patients and families, thus improving patient care.
APA, Harvard, Vancouver, ISO, and other styles
10

Soh, Kim Lam. "Improving health outcomes by preventing intensive care related infection in Malaysia Intensive Care Unit (INVEST study)." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/996.

Full text
Abstract:
Ventilator-associated pneumonia (VAP), catheter-related blood stream infection (CRBSI) and pressure ulcers (PU) are well recognized complications in intensive care units (ICUs). Many of these are preventable but can also complicate patient recovery, prolong length of stay, increase costs, morbidity and mortality. In Malaysia, the majority of studies investigating VAP and CRBSI in Malaysia have focussed on identifying risk factors, diagnostic criteria and treatment of ICU-related complications. Further, in spite of the burden of PU there are limited studies undertaken in Malaysia and few of these have been nurse-led. Importantly, to date there has been limited investigation of the efficacy and effectiveness of quality improvement initiatives and the contextual issues impacting on clinical practice improvement in Malaysia.In spite of the increasing emphasis on quality assurance in Malaysian ICUs there has been a limited focus on nurse-specific interventions and the majority of projects have been initiated by physicians. This study has evaluated the utility of a nurse-led action research project to drive clinical practice improvement in the ICU and is significant in demonstrating the capacity of nurses to critique and control their practice. The project conducted for this thesis was called the Improving health outcomes by preveNting intensiVe care related infEction in Malaysia intenSive care uniT - INVEST study. The INVEST Study as reported in this thesis has been undertaken using an action research approach to improve the uptake of evidence-based strategies to prevent infection in the ICU in the Malaysian cultural context.The aims of this thesis were to identify best practices, evaluate the current nursing practice in prevention of VAP, CRBSI and PU in ICU patients in a single Malaysian ICU, and evaluate the impact of the evidence-based interventions to improve patient outcomes. The specific and research objectives of this study were to:1. Identify best practice interventions for preventing VAP, CRBSI and PU in the ICU. 2. Document the current rates of VAP, CRBSI and PU in an ICU in Malaysia. 3. Implement an action research intervention to collaboratively develop and implement strategies for improvement 4. Assess the impact of the intervention on clinical outcomes, staff dynamics, work place culture and sustainability of practice change An action research approach was used in this study to involve and empower nurses and drive practice change. A literature review identified that many action research studies conducted in the ICU were mainly most focused on process measures and not outcomes. In this study the data were collected in three phases following the action research cycles which comprised of a period of planning, acting, observation, reflecting and re-planningIn Phase I of the thesis current best practice interventions for the prevention of VAP, CRBSI and PU in ICU are described. A literature search was conducted to identify evidence-based practices (EBP) that were recommended by bodies to improve the prevention of VAP, CRBSI and PU. A core set of nursing activities was identified in preventing the complications of VAP, CRBSI and PU. These were hand washing, hygiene care, positioning of patient, elevation of the head of bed and providing adequate nutrition.Pre- intervention data collection consisted of an environmental scan, including interview with the key stakeholders, patient profiling and a nurse survey. Twenty-one cases of ICU complications were identified in 18 of the 91 patients (19.8%) admitted in December 2009. Of the patients, three developed two complications - PU and VAP (two patients) or CRBSI (one patient). The findings indicated that this ICU had a high case load due to the high ICU bed demand. Patients needing ICU care were being nursed in general wards due to the unavailability of ICU beds.Nurses reported a good knowledge of prevention strategies with a mean score of 124.84 ±SD14.66 and reported a high level of positive regard for their professional practice environment based on the results of Revised Professional Practice Environment (RPPE). Three components had mean scores of ≥3 and five <3 within the eight components. Three components of RPPE subscales with highest mean scores were Internal Work Motivation (M 3.24; SD 0.3), Relationship With Physician (M 3.22; SD 0.53) and Cultural Sensitivity (M 3.04; SD 0.24). The two lowest mean scores were for Handling Disagreement and Teamwork with 2.77 (SD 0.16) and 2.45 (SD 0.47), respectively. Nurses also showed positive attitudes toward the sustainability of the change process. The Sustainability Indices ranged from 13.4 to 100 with a mean of 75.21 (SD 21.71).In Phase 2 the intervention was conducted over six months from February to July 2010. The Center of Disease Control and Prevention (CDC) criteria for diagnosis of VAP and CRBSI, and the Waterlow Pressure Ulcer Risk Assessment Scale were promoted in the unit. Nurses were exposed and encouraged to implement evidence-based nursing interventions as identified in care criteria. All nurses were invited to the unit nursing education to increase their knowledge and awareness about evidence-based practice in prevention of the ICU complications. Nurses were encouraged to gain control of their practice. Evidence-based practice articles were also provided to increase their knowledge level and posters were distributed and placed in the unit to increase nurses awareness of the quality improvement initiativesFocus group discussions were conducted in Phase 2 and found that nurses in the unit were unaware of the importance of standardized assessment in their daily practice. They had a lack of understanding regarding the importance of standardised risk assessments. Despite the reluctance of many nurses to embrace the EBP, due to a perception of their workload, the focus groups also revealed nurses were optimistic that change will get easier and could be eventually achieved. Participants were positive about the change that could take place in the future. The hierarchical relationships with medical doctors were also identified as a factor limiting nurses from adopting the guidelines.Phase 3 of the project, the post-intervention phase was conducted from March to May 2011. The data collection process was repeated as Phase 1 and Phase 2. There were 11 cases of ICU complications identified during the post-intervention phase in 10 (8.7%) of the 115 patients admitted during March 2011. One patient developed both VAP and PU, while four developed VAP and another five PU. In the post-intervention group, no cases of CRBSI were detected. The total mean score of nurses’ knowledge was 121.45±SD16.85. An independent-samples t-test was conducted to compare nurses’ knowledge pre and post intervention, and found no significant differences, t (150) =1.32, P 0.189. The Sustainability Indices ranged from 41.3 to 100 percent with a mean of 76.81±SD21.45.Approximately 84% of the nurses in pre-intervention and 70% in post-intervention scored >55%. The nurses reported a positive regard for their practice environment in the pre- and post-intervention groups. The mean scores for each component were comparable for both the pre- and post-intervention groups except for Internal Work Motivation, Control Over Practice and Staff Relationship With Physician. The highest mean scores within the eight components for the post-intervention group were for Internal Work Motivation (M 3.13; SD 0.27), Relationship With Physician (M 3.04; SD 0.33) and Cultural Sensitivity (M 3.01; SD 0.23). The three lowest were for Handling Disagreement and Conflict (2.80; SD 0.20), Control Over Practice (2.71; SD 0.34) and Teamwork (2.48; SD 0.31).There was a reduction in overall complications from 19.8% to 8.7%. Few nurses in the focus group were optimistic that at least some changes had taken place, and positively improving their knowledge on assessment of patients and some of their common practices in the ICU. The challenge, which they were presently facing was the implementation of hospital information system because most of them were not knowledgeable in information technology.The main outcome of this study was that there was a reduction in number of patients with PU from 16 to 6 in pre and post intervention groups. This reduction of PU was statistically significant (χ[superscript]2=8.14, df=1, p=0.04).In conclusion whether there was a real improvement in patient care provided due to the interventions given was not able to be determined due to methodological considerations and inability to control for confounders. These data underscore the importance of considering cultural factors, both organisational and societal in quality improvement initiatives and empowering nurses for practice change. A risk management system which acknowledges competing demands in dynamic, real world environments is important to consider in future quality improvement studies. The series of studies presented in this thesis have contributed to understanding of factors influencing implementation and sustainability of quality improvement initiatives in a Malaysia ICU. Information acquired from the thesis will be useful information for further improvement targeting education, services, research, policy and future quality improvement project plans in Malaysia.
APA, Harvard, Vancouver, ISO, and other styles
More sources

Books on the topic "Intensive Care"

1

Park, G. R. Intensive care. Oxford: OUP, 1994.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
2

Roe, F. J. C. Intensive care. London: Constable, 1990.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
3

Copyright Paperback Collection (Library of Congress), ed. Intensive care. Toronto: Harlequin, 2004.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
4

Andrew, Bodenham, and Bellamy Mark C, eds. Intensive care. 3rd ed. Edinburgh: Churchill Livingstone, 2010.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
5

Andrew, Bodenham, and Bellamy Mark C, eds. Intensive care. 2nd ed. Edinburgh: Churchill Livingstone, 2004.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
6

R, Goldhill D., and Withington P. Stuart, eds. Textbook of intensive care. London: Chapman & Hall Medical, 1997.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
7

Woodrow, Philip. Intensive Care Nursing. Edited by Philip Woodrow. Fourth edition. | Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315231174.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

1988), World Postgraduate Surgical Week of the University of Milan (1st. Intensive care--transplantation. Bologna: Monduzzi Editore, 1988.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
9

Vincent, Jean-Louis, ed. Intensive Care Medicine. New York, NY: Springer New York, 2007. http://dx.doi.org/10.1007/978-0-387-49518-7.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Angus, Derek C., and Jean Carlet, eds. Surviving Intensive Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 2003. http://dx.doi.org/10.1007/978-3-642-55733-0.

Full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Book chapters on the topic "Intensive Care"

1

Hough, Alexandra. "Intensive care." In Physiotherapy in Respiratory Care, 215–44. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4899-3049-1_9.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Akpınar, Aslıhan. "Intensive Care." In Encyclopedia of Global Bioethics, 1–9. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05544-2_254-1.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

d’Athis, F., and J. J. Eledjam. "Intensive Care." In Exocrine Pancreatic Cancer, 189–200. Berlin, Heidelberg: Springer Berlin Heidelberg, 1986. http://dx.doi.org/10.1007/978-3-642-71178-7_10.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Matthaiou, Dimitrios K., and George Dimopoulos. "Intensive Care." In Hematologic Malignancies, 147–53. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-57317-1_10.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Sharman, Mahesh, and Jeff Clark. "Intensive Care." In Health Care for People with Intellectual and Developmental Disabilities across the Lifespan, 1731–43. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-18096-0_135.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Scheffer, G. J. "Intensive care." In Anesthesiologie, 483–90. Houten: Bohn Stafleu van Loghum, 2007. http://dx.doi.org/10.1007/978-90-313-6396-4_45.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Barasa, Immaculate W. K., and Erik N. Hansen. "Intensive Care." In Pediatric Surgery, 123–35. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-41724-6_12.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Akpınar, Aslıhan. "Intensive Care." In Encyclopedia of Global Bioethics, 1650–58. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-09483-0_254.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

ten Have, Henk, and Maria do Céu Patrão Neves. "Intensive Care." In Dictionary of Global Bioethics, 649. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-54161-3_318.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Scheffer, G. J., and B. J. M. van der Meer. "Intensive care." In Leerboek anesthesiologie, 551–59. Houten: Bohn Stafleu van Loghum, 2013. http://dx.doi.org/10.1007/978-90-313-9863-8_45.

Full text
APA, Harvard, Vancouver, ISO, and other styles

Conference papers on the topic "Intensive Care"

1

Stylianides, Nikolas, Marios D. Dikaiakos, George Panayi, and Theodoros Kyprianou. "Intensive Care Window: Real time monitoring and analysis in the intensive care environment." In 2009 9th International Conference on Information Technology and Applications in Biomedicine (ITAB 2009). IEEE, 2009. http://dx.doi.org/10.1109/itab.2009.5394437.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

V, Ramya. "Embedded Intensive Patient Care Unit." In First International Conference on Artificial Intelligence, Soft Computing and Applications. Academy & Industry Research Collaboration Center (AIRCC), 2011. http://dx.doi.org/10.5121/csit.2011.1315.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Gjermundrod, Harald, Marios Papa, Demetrios Zeinalipour-Yazti, Marios D. Dikaiakos, George Panayi, and Theodoros Kyprianou. "Intensive Care Window: A Multi-Modal Monitoring Tool for Intensive Care Research and Practice." In Twentieth IEEE International Symposium on Computer-Based Medical Systems. IEEE, 2007. http://dx.doi.org/10.1109/cbms.2007.64.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Evans, Ruth, Victoria Barber, Padmanabhan Ramnarayan, and Jo Wray. "97 Paediatric intensive care retrieval – families’ experience of their child’s journey to intensive care." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.97.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Dian Kurniawati, Ninuk, Suharto Suharto, and Nursalam Nursalam. "Mind-Body-Spiritual Nursing Care in Intensive Care Unit." In 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/inc-17.2017.59.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Hardiman, Elizabeth, David Gorstige, Kaly Snell, Kay Protheroe, and Rachel Quibell. "P-64 Care of the dying on intensive care." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress, Recovering, Rebounding, Reinventing, 24–25 March 2022, The Telford International Centre, Telford, Shropshire. British Medical Journal Publishing Group, 2022. http://dx.doi.org/10.1136/spcare-2022-scpsc.85.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

O'Brien, T. "Point-of-care sensor technology for critical care applications." In IEE Colloquium on New Measurements and Techniques in Intensive Care. IEE, 1996. http://dx.doi.org/10.1049/ic:19961040.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Monsalve, Mauricio, Sriram Pemmaraju, and Philip M. Polgreen. "Interactions in an intensive care unit." In the 4th Conference. New York, New York, USA: ACM Press, 2013. http://dx.doi.org/10.1145/2534088.2534105.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Suominen, Hanna, Helja Lundgren-Laine, Sanna Salantera, Helena Karsten, and Tapio Salakoski. "Information flow in intensive care narratives." In 2009 IEEE International Conference on Bioinformatics and Biomedicine Workshop, BIBMW. IEEE, 2009. http://dx.doi.org/10.1109/bibmw.2009.5332083.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Shioleno, A. M., and K. Rajwani. "Medical Intensive Care Unit Intern Curriculum." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4787.

Full text
APA, Harvard, Vancouver, ISO, and other styles

Reports on the topic "Intensive Care"

1

Zhang, Wei, Yun Tang, Huan Liu, and Li ping Yuan. Risk prediction models for intensive care unit-acquired weakness in intensive care unit patients: A systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2021. http://dx.doi.org/10.37766/inplasy2021.4.0010.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Baker, Laurence, and Ciaran Phibbs. Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care. Cambridge, MA: National Bureau of Economic Research, September 2000. http://dx.doi.org/10.3386/w7883.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Gao, Tingting, Yang Wang, and Hong Jiang. A Meta analysis of Hospice care in Chinese intensive care unit. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2020. http://dx.doi.org/10.37766/inplasy2020.12.0007.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Cutler, David, Mary Beth Landrum, and Kate Stewart. Intensive Medical Care and Cardiovascular Disease Disability Reductions. Cambridge, MA: National Bureau of Economic Research, May 2006. http://dx.doi.org/10.3386/w12184.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Denny, Dr N. M., Dr K. Fox, Dr C. Gillbe, Dr A. W. Harrop-Griffiths, Dr M. Jones, Dr N. Love, Dr P. MacNaughton, et al. Ultrasound in anaesthesia and intensive care: a guide to training. The Association of Anaesthetists of Great Britain and Ireland, July 2011. http://dx.doi.org/10.21466/g.uiaaic-.2011.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Song, Xiu, Nan Wang, and Juan Wu. Risk factors for post intensive care syndrome: A systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2021. http://dx.doi.org/10.37766/inplasy2021.5.0077.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

NAPICU. National minimum standards for psychiatric intensive care in general adult services. NAPICU, 2014. http://dx.doi.org/10.20299/napicu.2017.001.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Kuzmin, Vyacheslav, and Alexander Kulikov. Electronic training course "Anesthesia and intensive care in a multidisciplinary hospital". SIB-Expertise, December 2022. http://dx.doi.org/10.12731/er0654.15122022.

Full text
Abstract:
Актуальность дополнительной профессиональной образовательной программы повышения квалификации врачей по теме" Анестезия и интенсивная терапия в многопрофильной больнице" обусловлена необходимостью совершенствования профессиональный компетенций анестезиологов-реаниматологов актульным вопросам анестезиологии и реаниматологии
APA, Harvard, Vancouver, ISO, and other styles
9

Rodrigues, Joao Alberto Martins ]., Clovis Cechinel, and Tissiane Bona Zomer. APPLICATION OF PERME INTENSIVE CARE UNIT MOBILITY SCORE IN HOSPITALIZED PEOPLE: SCOPING REVIEW. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2023. http://dx.doi.org/10.37766/inplasy2023.10.0031.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Vawter, Katelyn, Megan Ortiz, and Bobby Bellflower. Food Insecurity Screening of Families in a Level III Neonatal Intensive Care Unit. University of Tennessee Health Science Center, April 2024. http://dx.doi.org/10.21007/con.dnp.2024.0083.

Full text
APA, Harvard, Vancouver, ISO, and other styles
You might also be interested in the extended bibliographies on the topic 'Intensive Care' for particular source types:
Journal articles Dissertations / Theses Books
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography