Journal of critical care
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To examine the performance and properties of the Revised Health Care System Distrust Scale among surrogates in the intensive care unit (ICU). ⋯ Among surrogates in the ICU, the Health Care System Distrust Scale has high internal consistency and convergent validity. There was substantial variability in surrogates' trust in the health-care system.
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Journal of critical care · Feb 2012
Device-associated infection rates and extra length of stay in an intensive care unit of a university hospital in Wroclaw, Poland: International Nosocomial Infection Control Consortium's (INICC) findings.
The aim of this study was to determine device-associated health care-associated infections (DA-HAI) rates, microbiologic profile, bacterial resistance, and length of stay in one intensive care unit (ICU) of a hospital member of the International Nosocomial Infection Control Consortium (INICC) in Poland. ⋯ Most DA-HAI rates are lower in Poland than in INICC, but higher than in the National Healthcare Safety Network, expressing the feasibility of lowering infection rates and increasing patient safety.
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Journal of critical care · Feb 2012
Effect of attachment styles of individuals discharged from an intensive care unit on intensive care experience.
The present study was conducted as a cross-sectional type to examine the effect of attachment styles of individuals discharged from an intensive care unit (ICU) on intensive care experience and health status. ⋯ Individuals' attachment styles should be taken into consideration when planning and implementing the nursing care and treatment of individuals hospitalized in an ICU.
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Journal of critical care · Feb 2012
Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.
The objectives of this study are to describe organizational and safety culture in Canadian intensive care units (ICUs), to correlate culture with the number of beds and physician management model in each ICU, and to correlate organizational culture and safety culture. ⋯ Differences in perceptions between staff in larger and smaller ICUs highlight the importance of teamwork across units in larger ICUs.
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Journal of critical care · Feb 2012
Peak postoperative troponin levels outperform preoperative cardiac risk indices as predictors of long-term mortality after vascular surgery Troponins and postoperative outcomes.
The utility of postoperative troponins as an independent predictor of long-term mortality after vascular surgery is unknown. ⋯ Among patients undergoing vascular surgery, an elevated postoperative troponin level provides incremental value in predicting long-term outcomes, when compared with standard preoperative cardiac and surgical risks.