Patient care guidelines: a telephone survey of intensive care practices in New South Wales

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Serena KnowlesSandy Middleton

Abstract

There are a number of practice areas highlighted in the literature as important for the care of critically ill patients. However, the current implementation of evidence into clinical practice for these areas is largely unknown. The development of clinical practice guidelines can translate the current evidence into useful tools to guide clinicians in providing evidence based care. To identify existence of current guidelines and informal routine procedures and clinicians' views of same within New South Wales (NSW) Intensive Care Units (ICUs) and High Dependency Units (HDUs) for 11 practice areas, namely, bowel management, endotracheal tube (ETT) stabilisation, tracheostomy tube stabilisation, feeding, analgesia, sedation, thromboembolic prevention, head of bed elevation, ulcer prophylaxis and glucose control. A telephone survey conducted with a representative from NSW ICUs and HDUs. There was variation in the number of guidelines and informal routine procedures reported for the 11 practice areas within the study units. Larger ICUs (Joint Faculty of Intensive Care Medicine Level II and Level III) and those who employed an onsite CNC were significantly more likely to have formal guidelines in place. Overall, there were very few aud...Continue Reading

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Citations

Nov 1, 2012·Indian Journal of Pharmacology·Bikash Medhi, Rakesh K Sewal
Mar 12, 2019·Current Opinion in Critical Care·Mark P PlummerAdam M Deane

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