Official journal of the Canadian Association of Critical Care Nurses最新文献_第3页

Reducing emotional conflict during the organ donor process. 减少器官捐献过程中的情绪冲突。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

I Davis, L A Gillham-Eisen

引用次数: 0

Positioning and intracranial hypertension: implications of the new critical pathway for nursing practice. 定位与颅内高压:护理实践中新的关键途径的意义。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

J Beitel

引用次数: 0

An assessment of a sedative algorithm for sleep in an intensive care unit. 重症监护病房的睡眠镇静算法评估。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

G Brown, W Scott

{"title":"An assessment of a sedative algorithm for sleep in an intensive care unit.","authors":"G Brown, W Scott","doi":"","DOIUrl":"","url":null,"abstract":"The difficulty for intensive care unit (ICU) patients to obtain frequent and extensive sleep has been well-documented. This project assessed the benefit of an algorithm of pharmacological assistance (lorazepam and methotrimeprazine) on sedation level and sleep duration in the ICU. The setting was a 15-bed closed ICU dealing with medical and surgical patients in a tertiary care, teaching hospital. Desired and actual levels of sedation for individual patients were determined hourly by the bedside nurse. Medications could be administered to facilitate achieving the desired level of sedation. Our results should no difference occurred in the achievement of the target sedation or duration of sleep with the implementation of the sedation algorithm. The amount of additional medication required during the night did change with the implementation of the sedation algorithm. A reduction in the amount of diazepam, morphine, and additional methotrimeprazine was noted. Efforts to change nursing practice will be required to improve the quality and quantity of sleep in ICU patients. This clinical evaluation demonstrates that the implementation of an algorithm for medication use is not effective alone in obtaining the desired level and duration of sleep in ICU patients. Nursing practice should continue to look at non-pharmacological factors, such as environmental noise, patient interruptions, and patient care practice to determine strategies in addition to medications which would aid the critically ill patient in achieving adequate sleep.","PeriodicalId":79699,"journal":{"name":"Official journal of the Canadian Association of Critical Care Nurses","volume":"9 4","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determining the potential need for a bereavement follow-up program: how well are family and health care workers' needs currently being met? 确定丧亲随访计划的潜在需求:目前家庭和卫生保健工作者的需求得到满足的程度如何?

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

J Kojlak, S P Keenan, D Plotkin, N Giles-Fysh, W J Sibbald

{"title":"Determining the potential need for a bereavement follow-up program: how well are family and health care workers' needs currently being met?","authors":"J Kojlak, S P Keenan, D Plotkin, N Giles-Fysh, W J Sibbald","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of the study was to determine the need for a bereavement follow-up program for either the families of patients dying in a critical care unit or the health care workers who care for these patients. Two questionnaires, the first a telephone administered questionnaire to all consenting family members of patients dying in the critical care unit, and the second a self-administered questionnaire administered to all health care workers in the critical care unit, were developed and piloted for content validity and clarity. The data was analyzed using descriptive statistics. Family members of 42 patients who died in the critical care unit were interviewed (54% response rate). During the critical care unit stay most family members obtained support from family and friends. While 70% listed health care workers as a source of support, 50% were satisfied with the support from staff. After a family member had died, 40% of those interviewed did not identify a specific source for support and 48% were interested in obtaining information on community resources available for aid in the bereavement process. The results from 117 (79% response rate) health care workers revealed that 30% were either uncomfortable or only somewhat comfortable with the dying process and the support available for them to deal with the death of their patients. The authors identified a need for bereavement follow-up programs for both the families of patients who die in the critical care unit and for the health care workers who care for these patients.","PeriodicalId":79699,"journal":{"name":"Official journal of the Canadian Association of Critical Care Nurses","volume":"9 1","pages":"12-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The results are in!--1997 Canadian Association of Critical Care Nurses Survey. 结果出来了!——1997年加拿大重症护理护士协会调查。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

引用次数: 0

Critical thinking: extending the boundaries. 批判性思维:拓展界限。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

G MacDonald

引用次数: 0

With shortages critical, more nurses becoming certified. 由于短缺严重，越来越多的护士获得了认证。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

引用次数: 0

The use of restraints in critical care. 在重症监护中使用束缚。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

B Leith

引用次数: 0

Living at home on a ventilator. 在家里靠呼吸机生活。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1998-01-01

M I Fitch, E Ross

引用次数: 0

The use of limited critical care resources: an ethical dilemma. 使用有限的重症护理资源:一个伦理困境。

Official journal of the Canadian Association of Critical Care Nurses Pub Date : 1997-01-01

M Farnalls

引用次数: 0