Seeing beyond monitors —Critical care nurses’ multiple skills in patient observation: Descriptive qualitative study
The aim of this study was to provide a comprehensive description of multiple skills in patient observation in critical care nursing. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 28, 2017 Category: Nursing Authors: Mika Alastalo, Leena Salminen, Riitta-Liisa Lakanmaa, Helena Leino-Kilpi Source Type: research

Effect of nocturnal sound reduction on the incidence of delirium in intensive care unit patients: An interrupted time series analysis
This study hypothesized that implementing a protocol that reduces overall nocturnal sound levels improves quality of sleep and reduces the incidence of delirium in Intensive Care Unit (ICU) patients. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 25, 2017 Category: Nursing Authors: Ineke van de Pol, Mat van Iterson, Jolanda Maaskant Tags: Clinical research article Source Type: research

Factors affecting pain assessment scores in patients on mechanical ventilation
To determine how respiratory status and other aspects of the patients ’ condition affect pain assessments. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 24, 2017 Category: Nursing Authors: Yumi Ito, Koji Teruya, Hiroshi Kubota, Tomoko Yorozu, Emiko Nakajima Tags: Research article Source Type: research

Evaluating the impact of obesity on safety and efficacy of weight-based norepinephrine dosing in septic shock: A single-center, retrospective study
The objective was to evaluate the safety and efficacy of weight-based norepinephrine dosing using actual body weight in the morbidly obese compared with normal weight patients. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 23, 2017 Category: Nursing Authors: Paul J. Wong, Komal A. Pandya, Alexander H. Flannery Tags: Clinical research article Source Type: research

Early postoperative blood pressure and blood loss after cardiac surgery: A retrospective analysis
Increased blood loss after cardiac surgery is a risk factor for patient morbidity and mortality. Guidelines for postoperative haemodynamic management recommend normotensive blood pressure to avoid increased chest drain volumes. The aim of this study was to verify the correlation of early postoperative hypertension and blood loss in patients after cardiac surgery during the early postoperative period. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 20, 2017 Category: Nursing Authors: Cagla Demirci, Florian Zeman, Christof Schmid, Bernhard Floerchinger Source Type: research

The breath of life. Patients ’ experiences of breathing during and after mechanical ventilation
Breathlessness is a prevalent and distressing symptom in intensive care, underestimated by nurses and physicians. Therefore, to develop a more comprehensive understanding of this problem, the study had two aims: to compare patients ’ self-reported scores of breathlessness obtained during mechanical ventilation (MV) with experiences of breathlessness later recalled by patients and: to explore the lived experience of breathing during and after MV. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 20, 2017 Category: Nursing Authors: Hege S. Haugdahl, Helena Dahlberg, P ål Klepstad, Sissel L. Storli Tags: Original article Source Type: research

Glycaemic variability in patients with severe sepsis or septic shock admitted to an Intensive Care Unit
Sepsis is associated with morbidity and mortality, which implies high costs to the global health system. Metabolic alterations that increase glycaemia and glycaemic variability occur during sepsis. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 17, 2017 Category: Nursing Authors: L.M. Silveira, A. Basile-Filho, E.A. Nicolini, C.A.M. Dessotte, G.C.S. Aguiar, A.M. Stabile Source Type: research

Images of suffering depicted in diaries of family caregivers in the acute stage of necrotising soft tissue infection: A content analysis
Severe necrotising soft tissue infections (NSTI) are rare life threatening rapidly progressing bacterial infections requiring immediate diagnosis and treatment. The aim of the study was to explore the experience of family caregivers of patients with necrotising soft tissue infection during the acute stage of disease. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 11, 2017 Category: Nursing Authors: Ingrid Egerod, Annette E. Andersson, Ann-Mari Fagerdahl, Vibeke E. Knudsen Source Type: research

High frequency ultrasound sacral images in the critically ill: Tissue characteristics versus visual evaluation
High frequency ultrasound (HFUS) systems may identify tissue injury. We compared HFUS tissue characteristics (dermal thickness and dermal density) with visual image examination. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 4, 2017 Category: Nursing Authors: Mary Jo Grap, Christine M. Schubert, Ruth S. Burk, Valentina Lucas, Paul A. Wetzel, Anathea Pepperl, Cindy L. Munro Source Type: research

The effect of cycled lighting in the intensive care unit on sleep, activity and physiological parameters: A pilot study
Patients in intensive care suffer from severe illnesses or injuries and from symptoms related to care and treatments. Environmental factors, such as lighting at night, can disturb patients ’ circadian rhythms. The aim was to investigate whether patients displayed circadian rhythms and whether a cycled lighting intervention would impact it. In this pilot study (N=60), a cycled lighting intervention in a two-bed patient room was conducted. An ordinary hospital room functioned as the c ontrol. Patient activity, heart rate, mean arterial pressure and body temperature were recorded. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 3, 2017 Category: Nursing Authors: Marie Engwall, Isabell Fridh, G öran Jutengren, Ingegerd Bergbom, Anders Sterner, Berit Lindahl Tags: Original research paper Source Type: research

Editorial board
(Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - March 3, 2017 Category: Nursing Source Type: research

Intensive care nurses ’ experiences and perceptions of delirium and delirium care
To explore nurses ’ experiences and perceptions of delirium, managing delirious patients, and screening for delirium, five years after introduction of the Confusion Assessment Method for Intensive Care into standard practice. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - February 28, 2017 Category: Nursing Authors: Katarzyna Zamoscik, Rosemary Godbold, Pauline Freeman Source Type: research

Intensive care nurses ’ perceptions of Inter Specialty Trauma Nursing Rounds to improve trauma patient care—A quality improvement project
Trauma patients admitted to the Intensive Care Unit (ICU) frequently present with complex and clinically challenging care needs including significant life-changing scenarios. The complexity of trauma patients ’ injuries requires multiple speciality medical teams to provide specific care (Rose, 2011). Effective communication and inter speciality collaboration is essential to enhance the quality of patient care as the focus needs to be on the patient as a whole and not one aspect of their injury (Costa e t al., 2014; O’Leary et al., 2011). (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - February 28, 2017 Category: Nursing Authors: Fiona L. Jennings, Marion Mitchell Tags: Clinical research article Source Type: research

A family intervention to reduce delirium in hospitalised ICU patients: A feasibility randomised controlled trial
This study sought to assess the feasibility of design and recruitment, and acceptability for family members and nurses of a family delivered intervention to reduce delirium in ICU patients. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - February 25, 2017 Category: Nursing Authors: Marion L. Mitchell, Susanne Kean, Janice E. Rattray, Alastair M. Hull, Chelsea Davis, Jenny E. Murfield, Leanne M. Aitken Tags: Clinical research article Source Type: research

An intervention to improve the catheter associated urinary tract infection rate in a medical intensive care unit: Direct observation of catheter insertion procedure
Healthcare associated infections from indwelling urinary catheters lead to increased patient morbidity and mortality. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - February 21, 2017 Category: Nursing Authors: Janet M. Galiczewski, Kathleen M. Shurpin Tags: Original article Source Type: research