Nurses' and physicians' sedation practices in Danish ICUs in 2003 A national survey

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Ingrid EgerodLena Johansen

Abstract

The aim of the study was to describe and compare physicians' and nurses' estimated use of sedatives and analgesics in patients requiring mechanical ventilation in Danish Intensive Care Units (ICUs) in 2003. Questionnaires were mailed in January 2003 to all Danish ICUs providing mechanical ventilation (n = 48). One physician and one nurse at each site were included in the study. Thirty-nine questionnaires were returned by physicians (response rate 81%) and 43 by the nurses (response rate 90%). Physicians and nurses agreed that sedation related decisions are predominately made during rounds and that most decisions are made by physicians and nurses collaboratively. Only 9% of the nurses and 23% of the physicians reported using a written protocol for sedation, while 30% of the nurses and 44% of the physicians reported the use of sedation scoring systems. The study generally supported the hypothesis, that nurses' and physicians' would respond similarly, but there were, however, significant variations, regarding formal sedation practices. Sedation decisions are made collaboratively by nurses and physicians, while sedation protocols and scoring systems are still not systematically implemented in Danish ICUs. The most common drugs for ...Continue Reading

References

Nov 27, 1991·JAMA : the Journal of the American Medical Association·J H Hansen-FlaschenP N Lanken
Jun 22, 1974·British Medical Journal·M A RamsayR Goodwin
May 1, 1994·Intensive Care Medicine·I L Cohen
Aug 1, 1997·Journal of the American Podiatric Medical Association·M I Altman
Mar 25, 2000·JAMA : the Journal of the American Medical Association·M E OstermannW J Sibbald
May 18, 2000·The New England Journal of Medicine·John P KressJesse B Hall
May 18, 2000·The New England Journal of Medicine·J E Heffner
May 24, 2000·Intensive Care Medicine·B De JongheH Outin
Aug 9, 2001·British Journal of Anaesthesia·H M SolimanJ L Vincent
Feb 6, 2002·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·American College of Critical Care Medicine of the Society of Critical Care Medicine, American Society of Health-System Pharm
Mar 1, 2002·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·E Manias
Jun 5, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Denise H. Rhoney, Kellie R. Murry
Jun 12, 2003·JAMA : the Journal of the American Medical Association·E Wesley ElyGordon R Bernard
Oct 8, 2003·Critical Care Medicine·Christina JonesMelanie Gager
Nov 26, 2003·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Karin A SamuelsonBengt Fridlund
Aug 19, 2004·Acta Anaesthesiologica Scandinavica·P GuldbrandScandinavian Critical Care Trials Group
Sep 10, 2004·Scandinavian Journal of Caring Sciences·Mette Rosendal DarmerIngrid Egerod
Sep 29, 2004·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Harriet AdamsonDoug Elliott

Citations

Nov 12, 2005·Intensive Care Medicine·Ingrid EgerodLena Johansen
Sep 6, 2008·Journal of Neuroimmune Pharmacology : the Official Journal of the Society on NeuroImmune Pharmacology·Craig WeinertSabita Roy
Dec 13, 2007·Critical Care Medicine·Lorraine C MionMary E Johnson
Jul 25, 2012·Critical Care Medicine·Christopher W SeymourTimothy D Girard
May 25, 2006·Nursing in Critical Care·Ingrid Egerod
Aug 17, 2010·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Irene Randen, Ida Torunn Bjørk
Feb 19, 2008·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Lone Schou, Ingrid Egerod
Sep 22, 2007·Nursing in Critical Care·Ingrid EgerodEva Laerkner
Feb 22, 2008·Nursing in Critical Care·Sally Pinder, Martin Christensen
Jun 21, 2013·Nursing in Critical Care·Irene RandenIda Torunn Bjørk
Nov 19, 2011·Acta Anaesthesiologica Scandinavica·H WøienIda Torunn Bjørk
Apr 22, 2009·Qualitative Health Research·Ingrid Egerod
Jan 10, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·Corey FryAmalia Cochran
Sep 23, 2009·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Mark O'ConnorE Manias
Feb 5, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·M Todd GreeneSanjay Saint
Jun 7, 2017·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Ralph SchneiderCaroline Rolfes

Related Concepts

Staff Attitude
Treatment Protocols
Collaboration
Care of Intensive Care Unit Patient
Prevalence Studies
Decision Making, Organizational
Drug Administration Schedule
Drug Utilization
Sedative Effect
Physicians, Junior

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.

Related Papers

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Karin A SamuelsonBengt Fridlund
Acta Anaesthesiologica Scandinavica
P GuldbrandScandinavian Critical Care Trials Group
Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Nikki Walker, Patricia Gillen
© 2021 Meta ULC. All rights reserved