American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Multicenter Study
Benefits of Peer Support for Intensive Care Unit Survivors: Sharing Experiences, Care Debriefing, and Altruism.
After critical illness, patients are often left with impairments in physical, social, emotional, and cognitive functioning. Peer support interventions have been implemented internationally to ameliorate these issues. ⋯ Peer support is a relatively simple intervention that could be implemented to support patients during recovery from critical illness. However, more research is required into how these programs can be implemented in a safe and sustainable way in clinical practice.
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Randomized Controlled Trial Multicenter Study
Nurses' Perceptions of Workload Burden in Pediatric Critical Care.
Quantifying nurses' perceptions of workload burden when managing critically ill patients is essential for designing interventions to ease nurses' workday. ⋯ This study describes the workload burden perceived by PICU nurses when managing critically ill patients in general and when managing protocolized therapies.
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Multicenter Study
Factors Associated With Home Visits in a 5-Year Study of Acute Respiratory Distress Syndrome Survivors.
Participant retention is vital for longitudinal studies. Home visits may increase retention, but little is known about the subset of patients they benefit. ⋯ Home visits were important for retaining older and more physically impaired study participants, helping reduce selection bias caused by excluding them.
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Multicenter Study
Predictive Modeling of Pressure Injury Risk in Patients Admitted to an Intensive Care Unit.
Pressure injuries are an important problem in hospital care. Detecting the population at risk for pressure injuries is the first step in any preventive strategy. Available tools such as the Norton and Braden scales do not take into account all of the relevant risk factors. Data mining and machine learning techniques have the potential to overcome this limitation. ⋯ The model effectively predicts risk of pressure injury. This allows nurses to focus on patients at high risk for pressure injury without increasing workload.
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Multicenter Study Observational Study
Role Incongruence and Psychological Stress Symptoms in Substitute Decision Makers of Intensive Care Patients.
Most intensive care patients require substitute decision makers (SDMs) to make decisions. The SDMs may prefer an active, shared, or passive decision-making role. Role incongruence is when preferred and actual roles differ. ⋯ Adverse psychological symptoms are prevalent in SDMs of critically ill patients and are related to role incongruence.