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Addis Ababa University
1.
NITSUHBIRHAN, ASRES.
ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015
.
Degree: 2015, Addis Ababa University
URL: http://etd.aau.edu.et/dspace/handle/123456789/7576
► Background: -Intensive care unit is a consilidated area which needs high quality of care and followup of patients with more sphisticated equipments.Assesment of satisfaction is…
(more)
▼ Background: -
Intensive care unit is a consilidated area which needs high quality of
care and followup of patients with more sphisticated equipments.Assesment of satisfaction is one indicator to determine quality of
care given for the patient.In the ICU patients are not in the condition to give their opinion about the
care given for the patients.In the ICU patients are not in the condition to give their openion about the
care;thereforeanassesment of family satisfaction in
care of critically ill patient can be important indicator of quality of
care in critical
care unit.
Objective of this study: - To assess the family satisfaction in
care of critically ill patient in ICU of
governmental hospitals in Addis Ababa, Ethiopia
Method: - Institutional based cross sectional quantitative study conducted in five hospitals in adult, neonatal and pediatric ICU found in Addis Ababa Ethiopia. The total sample size was 206 and allocated to each hospital ICU usng stratified sampling method.After pretest of questioner data was collected by interviwer administered structered questioner.The data was entered,cleaned and coded to Epi data 3.1 and transferred to SPSS version21.The discriptive analysis such as frequency distribution,percentage and measurment of central tendency was used.Bivariate and Multivariate analysis with alpha=0.05 performed to measureassociation of satisfaction by different variables.
Result:- The overall satisfaction of families of patients were 62%.Their satisfaction by subsacles was, Assurance (52%) , information (41.6%), Proximity (67.3%), Support (71.3%), Comfort (41.6%).Age less than 25 by (AOR,0.218 ,95%CI0.057-0.835) and between 25 to 35 by (AOR 0.22,95%CI 0.062-0.797) and education level below grade eight by (AOR 3.1395%CI,1.16-8.43) associated with more odds of satisfaction.Families who consider the patient condition were worsening by (AOR 0.123 95%CI0.114-0.664) and families who doesnot know the current condition of patients by (AOR 0.123 95% CI 0.04-0.37) associted with Low odds of satisfaction.
Conclusion: -The overall family satisfaction in governmental hospital ICUs was 62%. Family members were less satisfied on information and comfort.
Recommendation:-health professionals hospital managers and all stake holders in the
care
giving system has to consider family centered
care and work to improve quality of
care in ICU.
Key word: - family satisfaction,
intensive care unit
Advisors/Committee Members: YOHANNES AYALEW ( MSC) (advisor).
Subjects/Keywords: family satisfaction; intensive care unit
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APA (6th Edition):
NITSUHBIRHAN, A. (2015). ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015
. (Thesis). Addis Ababa University. Retrieved from http://etd.aau.edu.et/dspace/handle/123456789/7576
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
NITSUHBIRHAN, ASRES. “ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015
.” 2015. Thesis, Addis Ababa University. Accessed April 16, 2021.
http://etd.aau.edu.et/dspace/handle/123456789/7576.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
NITSUHBIRHAN, ASRES. “ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015
.” 2015. Web. 16 Apr 2021.
Vancouver:
NITSUHBIRHAN A. ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015
. [Internet] [Thesis]. Addis Ababa University; 2015. [cited 2021 Apr 16].
Available from: http://etd.aau.edu.et/dspace/handle/123456789/7576.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
NITSUHBIRHAN A. ASSESSMENT OF FAMILY SATISFACTION IN CARE OF CRITICALLY ILL PATIENT AND ASSOCIATED FACTOR IN INTENSIVE CARE UNIT OFGOVERNMENTAL HOSPITAL, ADDIS ABABA ,ETHIOPIA,2015
. [Thesis]. Addis Ababa University; 2015. Available from: http://etd.aau.edu.et/dspace/handle/123456789/7576
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Hawaii – Manoa
2.
Mun, Eluned.
Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i.
Degree: 2017, University of Hawaii – Manoa
URL: http://hdl.handle.net/10125/50869
► D.N.P. University of Hawaii at Manoa 2015.
Palliative care is medical care that enhances quality of life for patients living with serious advanced illness, by…
(more)
▼ D.N.P. University of Hawaii at Manoa 2015.
Palliative care is medical care that enhances quality of life for patients living with serious advanced illness, by helping to align their treatment choices with their values. It has traditionally been used late in the care of patients, when all life-prolonging interventions have failed and death is imminent. Many chronically ill patients have not designated or discussed their care preferences with a surrogate decision maker. This omission can sometimes result in unwanted, aggressive treatments. There is evidence that demonstrates both the benefits of early identification of Goals-of-Care that are aligned with the patient’s wishes, and the importance of end-of-life care in the intensive care unit (ICU).
A structured, palliative care, quality-improvement program was implemented and evaluated in the ICU at Kaiser Permanente Hawaii. The goal was to incorporate basic palliative care principles into the routine ICU care, and to increase the numbers of palliative care consultations as necessary, thereby enhancing the utilization of existing palliative care services and improving end-of-life care in the ICU.
Pre- and post-interventional data showed an increase in the early identification of code status and Goals-of-Care, which, in turn, led to increased early ICU family meetings and also increased the numbers of palliative care consultations. Both the ICU length of stay and hospital length of stay decreased during the post-interventional period. The results from the family and nurse’s surveys were generally positive, and understanding of the process by the nursing staff showed improved trends throughout the interventional phase. It was concluded that integration of a structured palliative care program in the ICU was beneficial for patients, families and the ICU staff.
Subjects/Keywords: Pallative Care; Nursing; Intensive Care Unit
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
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to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mun, E. (2017). Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i. (Thesis). University of Hawaii – Manoa. Retrieved from http://hdl.handle.net/10125/50869
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mun, Eluned. “Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i.” 2017. Thesis, University of Hawaii – Manoa. Accessed April 16, 2021.
http://hdl.handle.net/10125/50869.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mun, Eluned. “Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i.” 2017. Web. 16 Apr 2021.
Vancouver:
Mun E. Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i. [Internet] [Thesis]. University of Hawaii – Manoa; 2017. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/10125/50869.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mun E. Integration of Palliative Care Standards in the ICU at Kaiser Permanente Medical Center in Hawai'i. [Thesis]. University of Hawaii – Manoa; 2017. Available from: http://hdl.handle.net/10125/50869
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Technology, Sydney
3.
Abbenbroek, Brett John.
Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models.
Degree: 2018, University of Technology, Sydney
URL: http://hdl.handle.net/10453/125518
► Aim: To explore the organisational effectiveness and impact on patient and nurse outcomes of two alternative closed Intensive Care Unit (ICU) models in Australia. Background:…
(more)
▼ Aim: To explore the organisational effectiveness and impact on patient and nurse outcomes of two alternative closed Intensive Care Unit (ICU) models in Australia.
Background: Internationally the demand for critical care is increasing. Solely increasing bed capacity is not feasible due to high resource requirements and burgeoning costs. Consolidation of conventional ‘stand-alone’ ICUs into large multi-specialty integrated service models, the ICU ‘hot-floor’, is a preferred organisational strategy. Assumed benefits include improved patient throughput and resource utilisation, concentrated expertise and enhanced operational flexibility. The effect on patient and nurse outcomes however, is not well understood. Balancing efficiency and effectiveness is fundamental to high organisational reliability and sustainability.
Design and method: This study compared a general ICU within a hot-floor service and a conventional general ICU with similar service level and workforce characteristics. Patient throughput measures and outcomes were retrospectively investigated in a sample of 1000 randomly selected patient records during 2013. In 2014, a sample of 145 clinical nurses, split between both units, completed a structured questionnaire that incorporated validated instruments to examine the work environment, satisfaction and burnout.
Outcome measures: Patient mortality, unplanned extubation, catheter associated blood stream infections, pressure injury, venous thrombosis prophylaxis, length of stay, after-hours discharge and unplanned readmission, and unit level access, occupancy and volume were collected. The Practice Environment Scale-Nursing Work Index and Maslach’s Burnout Inventory, along with supplementary questions on work perceptions, were used to collect nurse outcomes.
Results: The hot-floor model achieved higher patient throughput and a lower after-hours discharge rate, with no significant differences in patient outcomes. Patients were however more exposed to the risk of an adverse event such as deep vein thrombosis due to lower compliance with routine clinical prophylaxis protocols. Front-line nursing management, education, clinical support and senior medical staff were shared across the hot-floor service, resulting in less dedicated resources allocated to the general ICU. Nurse manager support was less effective and nurses expressed lower personal accomplishment. High patient turnover and paid overtime compounded nurse workload, though greater internal hot-floor operational flexibility reduced nurse redeployment to external wards.
Conclusion: Improved demand management achieved through greater operational flexibility is a key driver for the hot-floor model. Efficiency gains need to account for the work environment to optimise nurse outcomes, reduce turnover and mitigate patient risks. Adequately resourced front-line nursing management and education are required for high organisational reliability and long-term sustainability.
Subjects/Keywords: Burnout in intensive care nurses.; Stress among ICU nurses.; intensive care unit.; Intensive care.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Abbenbroek, B. J. (2018). Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models. (Thesis). University of Technology, Sydney. Retrieved from http://hdl.handle.net/10453/125518
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Abbenbroek, Brett John. “Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models.” 2018. Thesis, University of Technology, Sydney. Accessed April 16, 2021.
http://hdl.handle.net/10453/125518.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Abbenbroek, Brett John. “Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models.” 2018. Web. 16 Apr 2021.
Vancouver:
Abbenbroek BJ. Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models. [Internet] [Thesis]. University of Technology, Sydney; 2018. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/10453/125518.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Abbenbroek BJ. Intensive care unit organisation and its impact on patient and nurse outcomes : a cross-sectional study of two models. [Thesis]. University of Technology, Sydney; 2018. Available from: http://hdl.handle.net/10453/125518
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht
4.
Wolters, A.E.
Brain dysfunction in critical care patients.
Degree: 2015, Universiteit Utrecht
URL: http://dspace.library.uu.nl:8080/handle/1874/323703
► Risk factors for delirium were studied, an overview of long-term cognitive impairment and mental health problems after ICU stay was given, and the association between…
(more)
▼ Risk factors for delirium were studied, an overview of long-term cognitive impairment and mental health problems after ICU stay was given, and the association between
intensive care unit (ICU) delirium and long-term cognitive impairment, as well as mental health problems, was explored.
In part I of the thesis, we searched for etiological risk factors for delirium during critical illness. Psychopathology prior to hospital admission did increase the risk of developing a delirium during critical illness. No association between exposure to anticholinergic medication and delirium could be demonstrated, neither a significant effect of age or inflammation on this association was present. Yet, age and the presence of inflammation were both individually independent risk factors for transitioning to delirium. Subsequently, no association between corticosteroid exposure and the occurrence of delirium could be demonstrated.
Part II of the thesis assessed the occurrence of long-term brain dysfunction after critical illness and evaluated the association with ICU delirium and this long-term dysfunction. A systematic review showed that a substantial number of patients experience cognitive problems after critical illness, although a wide range was reported (4–62%) and follow-up duration was diverse (2–156 months). Elaborating on these cognitive problems after ICU stay, we evaluated the association with delirium during ICU stay. An association between (multiple days of) ICU delirium and long-term self-reported cognitive problems was found in one year ICU survivors. Since systemic inflammation is both a risk factor for delirium during ICU stay, and for long-term cognitive problems, a mediation analysis was conducted to explore the potential mediating effect of exposure to systemic inflammation in the association between ICU delirium and long-term cognitive problems. No mediating effect was found, suggesting that the effect of ICU delirium on long-term cognitive problems was not merely driven by the exposure to systemic inflammation. Additionally whether delirium was associated with long-term mortality and worse health-related quality of life (HRQoL) was evaluated. After adjustment for confounding, the association between ICU delirium and these outcomes did not remain, which showed that ICU delirium itself might not be etiologically related to these long-term outcomes.
The occurrence of symptoms of the postintensive
care syndrome, with a focus on symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD), three months after critical illness in patients and their families visiting an outpatient clinic was described. A substantial number of family members of former ICU patients seem to have mental health problems. Also a lot of former ICU patients experience mental health problems, three months after ICU discharge. The association between delirium during ICU stay and symptoms of anxiety, depression and PTSD was assessed one year after ICU stay. High frequencies of symptoms of anxiety, depression and PTSD in former ICU…
Advisors/Committee Members: Dijk, D. van, Slooter, A.J.C., Veldhuijzen, D.S..
Subjects/Keywords: Delirium; Risk Factors; Intensive Care Unit; Post-intensive Care Syndrome; Brain
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Wolters, A. E. (2015). Brain dysfunction in critical care patients. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/323703
Chicago Manual of Style (16th Edition):
Wolters, A E. “Brain dysfunction in critical care patients.” 2015. Doctoral Dissertation, Universiteit Utrecht. Accessed April 16, 2021.
http://dspace.library.uu.nl:8080/handle/1874/323703.
MLA Handbook (7th Edition):
Wolters, A E. “Brain dysfunction in critical care patients.” 2015. Web. 16 Apr 2021.
Vancouver:
Wolters AE. Brain dysfunction in critical care patients. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2015. [cited 2021 Apr 16].
Available from: http://dspace.library.uu.nl:8080/handle/1874/323703.
Council of Science Editors:
Wolters AE. Brain dysfunction in critical care patients. [Doctoral Dissertation]. Universiteit Utrecht; 2015. Available from: http://dspace.library.uu.nl:8080/handle/1874/323703

Delft University of Technology
5.
van de Kamp, Marit (author).
Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions.
Degree: 2018, Delft University of Technology
URL: http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908
► In recent years, it has become clear that many ex-patients and their families suffer from new or worse health problems after discharge from an intensive…
(more)
▼ In recent years, it has become clear that many ex-patients and their families suffer from new or worse health problems after discharge from an
intensive care unit. These problems, which are the result of a traumatic experience at the
intensive care, are grouped under the diagnosis post
intensive care syndrome (PICS). This research focuses on the mental health issues of this syndrome among pediatric patients and their parents. Evidence shows that the experience of children and their parents at the pediatric
intensive care unit (PICU) may impact their chances of developing mental problems afterwards. The research objective of this project is therefore defined as “how can design be used to improve the user experience of children and their parents at the pediatric
intensive care unit in such a way that it reduces their chances of developing post-
intensive care syndrome?”. Analyzed is how experience at the PICU can influence the risk factors known for developing PICS. The defined important factors were for the parents a lack of involvement and lack of confidence, for the patients a lack of a secure feeling and an overall lack of the feeling of closeness. It is argued that by improving these factors, parts of the risk factors of mental problems are avoided and therefore the chances of developing mental health problems decreases. It is analyzed how these factors can be improved by design. It was found that the feelings of closeness and security could be strengthened by providing a daily special ritual which children could do together with their parents. Furthermore, guiding the parents in what to do during such a ritual increases their feeling of being in control, which improves their confidence. Specifically, the bedtime moment was chosen as a focus because this often is the last moment of the day the children spend with their parents which means that it can evoke many negative feelings. These aspects are incorporated in a design called “Sparkling Moments”. This design uses projection in the room to change the environment and create a special moment for parent and child together. By adding different triggers during the day, parents are able to prepare this moment for their child by bringing objects and asking questions, increasing their feeling of confidence. Moreover, these triggers are bringing an aura of positivity to the normal
intensive care situation. Furthermore, by being visible through the netting of the curtain, caregivers are made aware the moment is happening. This can make them wait a moment, ensuring patient and parents are not disturbed and perceive the moment as safe; nothing bad will happen at that time. The usage of the projector and its ability to create a moment for parent and child was evaluated by user tests and hospital evaluation. As expected, an imitate and cozy atmosphere was created with the projection, allowing parent and child to feel much closer to each other. Moreover, the free and open character of the design was perceived very well. Furthermore, caregivers…
Advisors/Committee Members: Ozcan Vieira, Elif (mentor), Sonneveld, Marieke (mentor), Honig-Mazer, Petra (mentor), Ista, Erwin (mentor), Delft University of Technology (degree granting institution).
Subjects/Keywords: Pediatric intensive care unit; Post intensive care syndrome; mental health problems
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
van de Kamp, M. (. (2018). Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions. (Masters Thesis). Delft University of Technology. Retrieved from http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908
Chicago Manual of Style (16th Edition):
van de Kamp, Marit (author). “Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions.” 2018. Masters Thesis, Delft University of Technology. Accessed April 16, 2021.
http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908.
MLA Handbook (7th Edition):
van de Kamp, Marit (author). “Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions.” 2018. Web. 16 Apr 2021.
Vancouver:
van de Kamp M(. Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions. [Internet] [Masters thesis]. Delft University of Technology; 2018. [cited 2021 Apr 16].
Available from: http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908.
Council of Science Editors:
van de Kamp M(. Sparkling Moments: Reducing chances of developing post intensive care syndrome amongst pediatric patients and their parents by enabling daily special interactions. [Masters Thesis]. Delft University of Technology; 2018. Available from: http://resolver.tudelft.nl/uuid:a8b77b62-e652-4d87-ba0d-d6887da0a908

Cornell University
6.
Taylor, Margaret.
Maximizing Facility Efficiency: A Study Of Nurse Work Patterns In A Neonatal Intensive Care Unit.
Degree: M.S., Human-Environment Relations, Human-Environment Relations, 2014, Cornell University
URL: http://hdl.handle.net/1813/36128
► This study observed nurse transit times and activity patterns in an open bay neonatal intensive care unit (NICU) to understand opportunities for improving efficiency by…
(more)
▼ This study observed nurse transit times and activity patterns in an open bay neonatal
intensive care unit (NICU) to understand opportunities for improving efficiency by redesigning the NICU layout, and to use these data to estimate the impact of an alternative pod room NICU layout under consideration. The transit times and activity patterns of 4 nurses were observed while working in the open bay NICU in a hospital. Nurses were observed for a combined total of 48 hours, and times and activity patterns were recorded using a customized template for electronic software running on a smart phone. These times and activity patterns were then projected onto a proposed pod room layout for the same NICU to estimate the impact of this redesign prior to actual construction. Results showed that the nurses spent 89% of their work time in the NICU and when in the NICU they spent 44.8% of their time charting neonate information, 40.1% on direct patient
care at the incubator, 6.8% of their time in transit between NICU location, 5.4% of the time on washing or sanitizing their hands and 2.9% of the time searching for supplies. Based on this information and the spatial layout of the existing and proposed NICUs it was found that each layout has its own unique layout deficiencies, and the proposed layout does not necessarily improve efficiency. The proposed layout lowers transit times for movements from the incubator to the computer, the incubator to the medical supply cart, and the computer to the medical supply cart however the open bay layout lowers transit times for movements from the incubator to the sink. All other movement transit times depend on the specific pod
unit within the pod layout where
care is taking place.
Advisors/Committee Members: Hedge, Alan (chair), White, William D (committee member).
Subjects/Keywords: Neonatal Intensive Care Unit; Nurse; Layout
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Taylor, M. (2014). Maximizing Facility Efficiency: A Study Of Nurse Work Patterns In A Neonatal Intensive Care Unit. (Masters Thesis). Cornell University. Retrieved from http://hdl.handle.net/1813/36128
Chicago Manual of Style (16th Edition):
Taylor, Margaret. “Maximizing Facility Efficiency: A Study Of Nurse Work Patterns In A Neonatal Intensive Care Unit.” 2014. Masters Thesis, Cornell University. Accessed April 16, 2021.
http://hdl.handle.net/1813/36128.
MLA Handbook (7th Edition):
Taylor, Margaret. “Maximizing Facility Efficiency: A Study Of Nurse Work Patterns In A Neonatal Intensive Care Unit.” 2014. Web. 16 Apr 2021.
Vancouver:
Taylor M. Maximizing Facility Efficiency: A Study Of Nurse Work Patterns In A Neonatal Intensive Care Unit. [Internet] [Masters thesis]. Cornell University; 2014. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/1813/36128.
Council of Science Editors:
Taylor M. Maximizing Facility Efficiency: A Study Of Nurse Work Patterns In A Neonatal Intensive Care Unit. [Masters Thesis]. Cornell University; 2014. Available from: http://hdl.handle.net/1813/36128

University of Edinburgh
7.
Green, Cameron.
A New and Objective Measure of Sustained Attention for the Detection of Delirium in the ICU.
Degree: 2013, University of Edinburgh
URL: http://hdl.handle.net/1842/8563
► Delirium is a serious neuropsychiatric disorder characterised by acute onset of fluctuations in arousal and cognition. This condition affects up to 80% of patients admitted…
(more)
▼ Delirium is a serious neuropsychiatric disorder characterised by acute onset of fluctuations in arousal and cognition. This condition affects up to 80% of patients admitted to
Intensive Care Units (ICUs), where it is associated with numerous adverse outcomes including risk of mortality and prolonged hospitalisation. Despite this, ICU delirium remains undiagnosed in up to 75% of all cases, with the detection and assessment of delirium in this setting hindered by the high proportion of patients that are sedated or rendered non-verbal by mechanical ventilation; and with available delirium screening instruments limited by their reliance on subjective observations.
The present study aimed to adapt an existing measure of sustained attention (the Edinburgh Delirium Test Box; EDTB) to the ICU setting (EDTB-ICU) through consultation with ICU nursing staff, and by tailoring task difficulty and response methods to allow for the assessment of this heterogeneous patient population. Pilot investigations (n = 20) revealed that EDTB-ICU tasks were suitable for the assessment of sustained attention among ICU patients with a range of physical and cognitive capabilities. Longitudinal investigation of 30 ICU patients revealed that EDTB-ICU sustained attention tasks were able to sensitively (100%) and specifically (92%) detect delirium (as diagnosed by the Confusion Assessment Method for the ICU), with patient performance on this measure fluctuating over time in line with delirium diagnosis. These results indicate that the EDTB-ICU assessment provides an objective and suitably sensitive means of detecting and assessing delirium in the ICU
Advisors/Committee Members: MacLullich, Alasdair, Tieges, Zoe.
Subjects/Keywords: Delirium; Intensive Care Unit; Sustained Attention
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Green, C. (2013). A New and Objective Measure of Sustained Attention for the Detection of Delirium in the ICU. (Thesis). University of Edinburgh. Retrieved from http://hdl.handle.net/1842/8563
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Green, Cameron. “A New and Objective Measure of Sustained Attention for the Detection of Delirium in the ICU.” 2013. Thesis, University of Edinburgh. Accessed April 16, 2021.
http://hdl.handle.net/1842/8563.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Green, Cameron. “A New and Objective Measure of Sustained Attention for the Detection of Delirium in the ICU.” 2013. Web. 16 Apr 2021.
Vancouver:
Green C. A New and Objective Measure of Sustained Attention for the Detection of Delirium in the ICU. [Internet] [Thesis]. University of Edinburgh; 2013. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/1842/8563.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Green C. A New and Objective Measure of Sustained Attention for the Detection of Delirium in the ICU. [Thesis]. University of Edinburgh; 2013. Available from: http://hdl.handle.net/1842/8563
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Illinois – Chicago
8.
Lyles, Rosie D.
Prevalence of MRSA Colonization among Neonatal and Pediatric ICU Patients in Chicago.
Degree: 2015, University of Illinois – Chicago
URL: http://hdl.handle.net/10027/19598
► Background: Beginning October 2007, the MRSA Screening and Reporting Act (210 ILCS 83/) mandated active surveillance for all ICU patients in Illinois, with isolation of…
(more)
▼ Background: Beginning October 2007, the MRSA Screening and Reporting Act (210 ILCS 83/) mandated active surveillance for all ICU patients in Illinois, with isolation of MRSA-colonized patients. We assessed MRSA colonization prevalence among neonatal (NICU) and pediatric (PICU) patients using a series of point prevalence surveys.
Methods: Chicago hospitals with NICU or PICU patients were recruited for 6 single-day point prevalence surveys (PPSs) approximately 6 months apart from June 2008 to July 2011. After 2011, yearly surveys were obtained in 2012 and 2013. All ICU patients were cultured for MRSA (nose and umbilicus for neonates; nose and groin for pediatric patients) using a single swab for each body site. Hospital-reported admission screen results (i.e. 210 ILCS 83/-mandated) were also obtained. Point prevalence cultures were screened for MRSA using broth enrichment, chromogenic agar, and standard confirmatory methods.
Results: All eligible hospitals (N=10) participated (10 NICUs and 6 PICUs) with 99.6% of NICU and 93% of PICU eligible patients cultured across PPSs. Hospital-reported adherence to admission screens mandated by 210 ILCS 83/ was high (99.6% for NICU and 93.3% for PICU). Overall MRSA prevalence by PPSs in NICUs was 4.2% (89/2101); PICU, 5.7% (36/632). MRSA colonization prevalence declined in NICUs (estimated yearly odds ratio [OR], 0.92, 95% confidence interval [CI] 0.77 to 1.11, P<0.39) but not in PICUs (OR 1.25, 95% CI 1.10 to 1.42, P<0.001).
Conclusion: In the time period following implementation of mandatory active surveillance, we found MRSA colonization in a proportion of NICU and PICU patients, with evidence of on-going MRSA transmission.
Advisors/Committee Members: Zwanziger, Jack (advisor), Lin, Michael (committee member), Trick, William E. (committee member).
Subjects/Keywords: MRSA; Epidemiology; Active surveillance; Intensive care unit
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Chicago ·
MLA ·
Vancouver ·
CSE |
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Manager
APA (6th Edition):
Lyles, R. D. (2015). Prevalence of MRSA Colonization among Neonatal and Pediatric ICU Patients in Chicago. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/19598
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Lyles, Rosie D. “Prevalence of MRSA Colonization among Neonatal and Pediatric ICU Patients in Chicago.” 2015. Thesis, University of Illinois – Chicago. Accessed April 16, 2021.
http://hdl.handle.net/10027/19598.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Lyles, Rosie D. “Prevalence of MRSA Colonization among Neonatal and Pediatric ICU Patients in Chicago.” 2015. Web. 16 Apr 2021.
Vancouver:
Lyles RD. Prevalence of MRSA Colonization among Neonatal and Pediatric ICU Patients in Chicago. [Internet] [Thesis]. University of Illinois – Chicago; 2015. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/10027/19598.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Lyles RD. Prevalence of MRSA Colonization among Neonatal and Pediatric ICU Patients in Chicago. [Thesis]. University of Illinois – Chicago; 2015. Available from: http://hdl.handle.net/10027/19598
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Houston
9.
Al-Saadi, Mukhtar.
Clinical Teaching in the Intensive Care Unit: Evaluation of the Perception of Trainees and Physicians.
Degree: EdD, Curriculum and Instruction, 2018, University of Houston
URL: http://hdl.handle.net/10657/3116
► Background: The education of trainees in the intensive care unit (ICU) is extremely challenging due to factors related to the ICU environment, ICU trainees and…
(more)
▼ Background: The education of trainees in the
intensive care unit (ICU) is extremely
challenging due to factors related to the ICU environment, ICU trainees and physicians,
ICU subspecialty training, and safety and quality of
care delivered to critically ill patients.
There is a lack of standardized educational curricula and instructional methods for teaching
in the ICU. The teaching practices, the learning climate, the instructional methods, and
obstacles to learning and teaching in the ICU have not been evaluated. Purpose: The main
aim of this study was to evaluate the teaching practices, the learning climate, the ICU
environment, the preferred instructional methods, and obstacles to learning and teaching in
the ICU from the perspectives of learners (trainees) and teachers (physicians). Methods:
A survey was conducted using the Maastricht clinical teaching questionnaire and
supplementary questions in a medical school in South Texas. Data were collected from
ICU learners and teachers and were analyzed using ANOVA and multiple comparison
procedures. Results: Learners rated the teaching practices and learning climate in the ICU
significantly lower than teachers in all categories of the Maastricht clinical teaching
questionnaire. Learners and teachers recognized the ICU environment as ideal to learn and
teach complex clinical cases and to enhance procedural skills. Most teachers indicated
bedside teaching and case-based learning as the preferred instructional methods while
learners indicated a combination of methods as the preferred instructional strategy in the
ICU. The main obstacle for learners was unclear expectations and objectives of the ICU
rotation. The main obstacle for teachers was not enough time for teaching. Conclusion: A
disparity of perceptions existed between ICU trainees and physicians regarding the
teaching practices and learning climate in the ICU. The preferred instructional methods for trainees are to use different instructional strategies. The ICU environment has many
challenges for learners and teachers.
Advisors/Committee Members: Robin, Bernard R. (advisor), McNeil, Sara G. (committee member), Hausmann, Robert C. (committee member), Uriarte, Jessica (committee member).
Subjects/Keywords: Clinical teaching; Teaching practices in the intensive care unit; Instructional methods; Intensive care unit; Learning; Intensive care unit; Intensive care unit environment
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Al-Saadi, M. (2018). Clinical Teaching in the Intensive Care Unit: Evaluation of the Perception of Trainees and Physicians. (Doctoral Dissertation). University of Houston. Retrieved from http://hdl.handle.net/10657/3116
Chicago Manual of Style (16th Edition):
Al-Saadi, Mukhtar. “Clinical Teaching in the Intensive Care Unit: Evaluation of the Perception of Trainees and Physicians.” 2018. Doctoral Dissertation, University of Houston. Accessed April 16, 2021.
http://hdl.handle.net/10657/3116.
MLA Handbook (7th Edition):
Al-Saadi, Mukhtar. “Clinical Teaching in the Intensive Care Unit: Evaluation of the Perception of Trainees and Physicians.” 2018. Web. 16 Apr 2021.
Vancouver:
Al-Saadi M. Clinical Teaching in the Intensive Care Unit: Evaluation of the Perception of Trainees and Physicians. [Internet] [Doctoral dissertation]. University of Houston; 2018. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/10657/3116.
Council of Science Editors:
Al-Saadi M. Clinical Teaching in the Intensive Care Unit: Evaluation of the Perception of Trainees and Physicians. [Doctoral Dissertation]. University of Houston; 2018. Available from: http://hdl.handle.net/10657/3116

University of Minnesota
10.
Boyle, Angela.
Nurses' Interaction in Two Midwest Single-Patient Room Designed Neonatal Intensive Care Units.
Degree: MS, Design, 2015, University of Minnesota
URL: http://hdl.handle.net/11299/174744
► This study sought to understand nurses' interactions with one another in two small-sized single-patient room (SPR) designed neonatal intensive care units (NICU). Data gathered from…
(more)
▼ This study sought to understand nurses' interactions with one another in two small-sized single-patient room (SPR) designed neonatal intensive care units (NICU). Data gathered from ten nurse participants at two Midwest hospitals gave insight into what designed features enhance or inhibit nurse interaction. Rashid's (2009) theoretical framework linking hospital clinicians' face-to-face interaction, based on patient type, framed the data collection and analysis; several collective findings were uncovered. The majority of nurse participants expressed concern about their decreased visibility of one another. Participants noted the increased need for trust of one another, and awareness throughout the unit. Participants also expressed new patient safety concerns as a result of over-reliance on technology, including infection control and miscommunication. Practical implications for these findings suggest including nursing staff in the design process. Interior designers must incorporate designed features that allow nursing staff to visually monitor patients, while simultaneously having clear visibility of one another.
Subjects/Keywords: Interior Design; Neonatal Intensive Care Unit
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Boyle, A. (2015). Nurses' Interaction in Two Midwest Single-Patient Room Designed Neonatal Intensive Care Units. (Masters Thesis). University of Minnesota. Retrieved from http://hdl.handle.net/11299/174744
Chicago Manual of Style (16th Edition):
Boyle, Angela. “Nurses' Interaction in Two Midwest Single-Patient Room Designed Neonatal Intensive Care Units.” 2015. Masters Thesis, University of Minnesota. Accessed April 16, 2021.
http://hdl.handle.net/11299/174744.
MLA Handbook (7th Edition):
Boyle, Angela. “Nurses' Interaction in Two Midwest Single-Patient Room Designed Neonatal Intensive Care Units.” 2015. Web. 16 Apr 2021.
Vancouver:
Boyle A. Nurses' Interaction in Two Midwest Single-Patient Room Designed Neonatal Intensive Care Units. [Internet] [Masters thesis]. University of Minnesota; 2015. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/11299/174744.
Council of Science Editors:
Boyle A. Nurses' Interaction in Two Midwest Single-Patient Room Designed Neonatal Intensive Care Units. [Masters Thesis]. University of Minnesota; 2015. Available from: http://hdl.handle.net/11299/174744
11.
Duong-Coburn, Nhung.
Systematic Review of Sleep Quality and Sleep Promotion in the Intensive Care Unit
.
Degree: 2013, California State University – San Marcos
URL: http://hdl.handle.net/10211.8/535
► A plethora of research has confirmed that critically ill patients in the intensive care units are experiencing profound fragmented non-consolidated sleep that is interfering with…
(more)
▼ A plethora of research has confirmed that critically ill patients in the
intensive care units are experiencing profound fragmented non-consolidated sleep that is interfering with their ability to recover from illnesses and restore their sense of well being (Kamdar et al., 2012). On the contrary, screening, evaluation, and improvement of sleep quality are at suboptimal level in the
intensive care units (Mathew, 2011). A systematic review of research was conducted to identify the multiple facets of sleep disturbances and evidence-based innovative sleep promotion strategies to ameliorate the detrimental physiopsychological sequelae of sleep fragmentation for this vulnerable population.
Advisors/Committee Members: Kohlbry, Pamela (advisor).
Subjects/Keywords: sleep quality;
sleep promotion;
intensive care unit
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Duong-Coburn, N. (2013). Systematic Review of Sleep Quality and Sleep Promotion in the Intensive Care Unit
. (Thesis). California State University – San Marcos. Retrieved from http://hdl.handle.net/10211.8/535
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Duong-Coburn, Nhung. “Systematic Review of Sleep Quality and Sleep Promotion in the Intensive Care Unit
.” 2013. Thesis, California State University – San Marcos. Accessed April 16, 2021.
http://hdl.handle.net/10211.8/535.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Duong-Coburn, Nhung. “Systematic Review of Sleep Quality and Sleep Promotion in the Intensive Care Unit
.” 2013. Web. 16 Apr 2021.
Vancouver:
Duong-Coburn N. Systematic Review of Sleep Quality and Sleep Promotion in the Intensive Care Unit
. [Internet] [Thesis]. California State University – San Marcos; 2013. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/10211.8/535.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Duong-Coburn N. Systematic Review of Sleep Quality and Sleep Promotion in the Intensive Care Unit
. [Thesis]. California State University – San Marcos; 2013. Available from: http://hdl.handle.net/10211.8/535
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cincinnati
12.
Scaggs Huang, Felicia.
Potential Pathogens Are Predominant in the Oral Microbiome
of Pediatric Intensive Care Unit Patients.
Degree: MS, Medicine: Clinical and Translational
Research, 2019, University of Cincinnati
URL: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563272800210079
► Background: Healthcare-associated infections (HAIs) are a significant cause of morbidity and mortality in critically ill children. Previous research demonstrates that commensal gut anaerobes provide host…
(more)
▼ Background: Healthcare-associated infections (HAIs)
are a significant cause of morbidity and mortality in critically
ill children. Previous research demonstrates that commensal gut
anaerobes provide host resistance against colonization and
infection with pathogens, but data is lacking from other potential
reservoirs such as the mouth. Methods: A longitudinal
cross-sectional study was conducted in PICU patients (0-18 years)
receiving antibiotics who were recruited within 72 hours of
admission at a quaternary pediatric center 2017-2018. Healthy
children without antibiotic exposures in the prior 30 days were
enrolled from clinics as age-matched outpatient controls.
Metagenomic shotgun sequencing of oral swabs was performed for
comparisons of community composition and Shannon diversity between
groups using Wilcoxon rank sum and principal coordinate
analyses.Results: Comparison of oral samples found a difference in
community composition and Shannon diversity of the oral microbiomes
with increased abundance of fecal anaerobes and potential pathogens
in PICU patients (n=57) compared to age matched controls (n=55).
There was no difference in oral microbiome composition or diversity
when comparing underlying comorbidities, intubation status, or
antibiotic intensity between PICU subgroups. Conclusions: The oral
microbiome is impacted by critical illness and hospitalization in
the context of antibiotic administration. PICU patients compared to
healthy controls demonstrated loss of normal oral flora replaced
with increased fecal anaerobes and common HAI organisms, suggesting
the mouth is an important reservoir of pathogens. Future studies
using metagenomic screening may better identify children at-risk
and modify clinical interventions to allow for prevention of HAI in
the PICU.
Advisors/Committee Members: Ryan, Patrick (Committee Chair).
Subjects/Keywords: Surgery; oral microbiome; pediatric; intensive care unit
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Scaggs Huang, F. (2019). Potential Pathogens Are Predominant in the Oral Microbiome
of Pediatric Intensive Care Unit Patients. (Masters Thesis). University of Cincinnati. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563272800210079
Chicago Manual of Style (16th Edition):
Scaggs Huang, Felicia. “Potential Pathogens Are Predominant in the Oral Microbiome
of Pediatric Intensive Care Unit Patients.” 2019. Masters Thesis, University of Cincinnati. Accessed April 16, 2021.
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563272800210079.
MLA Handbook (7th Edition):
Scaggs Huang, Felicia. “Potential Pathogens Are Predominant in the Oral Microbiome
of Pediatric Intensive Care Unit Patients.” 2019. Web. 16 Apr 2021.
Vancouver:
Scaggs Huang F. Potential Pathogens Are Predominant in the Oral Microbiome
of Pediatric Intensive Care Unit Patients. [Internet] [Masters thesis]. University of Cincinnati; 2019. [cited 2021 Apr 16].
Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563272800210079.
Council of Science Editors:
Scaggs Huang F. Potential Pathogens Are Predominant in the Oral Microbiome
of Pediatric Intensive Care Unit Patients. [Masters Thesis]. University of Cincinnati; 2019. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563272800210079

Yale University
13.
Trimarchi, Tara.
Outcomes Of A Pediatric Acute Care Nurse Practitioner Driven Front-Line Care Delivery Model In An Academic Pediatric Intensive Care Unit.
Degree: DNP, Yale University School of Nursing, 2017, Yale University
URL: https://elischolar.library.yale.edu/ysndt/1079
► Background: Determining the conditions that promote high performing advanced nursing practice is important because hospitals are increasingly dependent on the use of nurse practitioners…
(more)
▼ Background: Determining the conditions that promote high performing advanced nursing practice is important because hospitals are increasingly dependent on the use of nurse practitioners (NPs) to deliver front-line
care to acute and critically ill patients.
Objective: To describe the outcomes of a front-line
care model that uses certified pediatric acute
care NPs, limits work hours and night time and weekend patient-to-provider ratio, on the outcomes of patients cared for in an academic Pediatric
Intensive Care Unit (PICU).
Methods: A retrospective quasi-experimental design was used to describe the outcomes of an NP Team model compared to a physician-only, Traditional Medical Team model that existed simultaneously in the same PICU.
Results: Patients cared for by the NP Team had lower mean acuity, experienced equivalent mortality, shorter length of stay (LOS), and with the exception of Catheter Related Urinary Tract Infections (CAUTI), slightly lower device associated hospital acquire infection rates compared to those cared for by a Traditional Medical Team.
Conclusions: In an academic PICU, a front-line
care delivery model that used certified pediatric acute
care NPs who were intermittently supplemented by pediatric hospitalist pediatricians and residents, and that limits work hours and night time and weekend patient-to-provider ratio, resulted in outcomes that are at least equivalent to those of traditional medical teams.
Advisors/Committee Members: Margaret Grey.
Subjects/Keywords: Care Model; Nurse Practitioner; Pediatric Intensive Care Unit
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Trimarchi, T. (2017). Outcomes Of A Pediatric Acute Care Nurse Practitioner Driven Front-Line Care Delivery Model In An Academic Pediatric Intensive Care Unit. (Thesis). Yale University. Retrieved from https://elischolar.library.yale.edu/ysndt/1079
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Trimarchi, Tara. “Outcomes Of A Pediatric Acute Care Nurse Practitioner Driven Front-Line Care Delivery Model In An Academic Pediatric Intensive Care Unit.” 2017. Thesis, Yale University. Accessed April 16, 2021.
https://elischolar.library.yale.edu/ysndt/1079.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Trimarchi, Tara. “Outcomes Of A Pediatric Acute Care Nurse Practitioner Driven Front-Line Care Delivery Model In An Academic Pediatric Intensive Care Unit.” 2017. Web. 16 Apr 2021.
Vancouver:
Trimarchi T. Outcomes Of A Pediatric Acute Care Nurse Practitioner Driven Front-Line Care Delivery Model In An Academic Pediatric Intensive Care Unit. [Internet] [Thesis]. Yale University; 2017. [cited 2021 Apr 16].
Available from: https://elischolar.library.yale.edu/ysndt/1079.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Trimarchi T. Outcomes Of A Pediatric Acute Care Nurse Practitioner Driven Front-Line Care Delivery Model In An Academic Pediatric Intensive Care Unit. [Thesis]. Yale University; 2017. Available from: https://elischolar.library.yale.edu/ysndt/1079
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
14.
Foster, Madison.
Audit and Feedback to Improve Laboratory Test and Transfusion Ordering in Critical Care: A Systematic Review & Assessment of Adherence to Best Practices
.
Degree: 2019, University of Ottawa
URL: http://hdl.handle.net/10393/39168
► Audit and feedback (A&F), provision of performance data, can be an effective means to change behaviour. We hypothesize that A&F may be useful in the…
(more)
▼ Audit and feedback (A&F), provision of performance data, can be an effective means to change behaviour. We hypothesize that A&F may be useful in the complex environment of critical care to address routine ordering behaviours. This thesis describes a systematic review assessing the use and effectiveness of A&F for the improvement of intensive care unit laboratory test and transfusion ordering and an analysis of how these interventions adhere to recent suggestions for best practice. The review identified relatively few published studies, almost all of which involved multi-component interventions; these were generally found to be moderately effective. Through development of an evaluation tool, we found recent suggestions for best practice may be underutilized in existing A&F interventions. This work has identified several priorities for future research to aid in the optimization of critical care A&F interventions aimed at improving test and transfusion ordering.
Subjects/Keywords: Audit;
Feedback;
Critical Care;
Intensive Care Unit;
Laboratory;
Test;
Transfusion
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Foster, M. (2019). Audit and Feedback to Improve Laboratory Test and Transfusion Ordering in Critical Care: A Systematic Review & Assessment of Adherence to Best Practices
. (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/39168
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Foster, Madison. “Audit and Feedback to Improve Laboratory Test and Transfusion Ordering in Critical Care: A Systematic Review & Assessment of Adherence to Best Practices
.” 2019. Thesis, University of Ottawa. Accessed April 16, 2021.
http://hdl.handle.net/10393/39168.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Foster, Madison. “Audit and Feedback to Improve Laboratory Test and Transfusion Ordering in Critical Care: A Systematic Review & Assessment of Adherence to Best Practices
.” 2019. Web. 16 Apr 2021.
Vancouver:
Foster M. Audit and Feedback to Improve Laboratory Test and Transfusion Ordering in Critical Care: A Systematic Review & Assessment of Adherence to Best Practices
. [Internet] [Thesis]. University of Ottawa; 2019. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/10393/39168.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Foster M. Audit and Feedback to Improve Laboratory Test and Transfusion Ordering in Critical Care: A Systematic Review & Assessment of Adherence to Best Practices
. [Thesis]. University of Ottawa; 2019. Available from: http://hdl.handle.net/10393/39168
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Boston University
15.
Danek, Kelly Jean.
Procalcitonin and its efficacy in reducing duration of antibiotics in critically ill patients with sepsis.
Degree: MS, Physician Assistant Program, 2019, Boston University
URL: http://hdl.handle.net/2144/38647
► The overuse of antibiotics is a large problem in healthcare today, accelerating the development of microbial resistance to antibiotics. Antibiotic stewardship campaigns have been implemented…
(more)
▼ The overuse of antibiotics is a large problem in healthcare today, accelerating the
development of microbial resistance to antibiotics. Antibiotic stewardship campaigns
have been implemented to help clinicians curb their use. Procalcitonin is a serum peptide
and marker of inflammation secreted in response to microbial toxins. For this reason it is
more specific to bacterial infections than other markers of general inflammation , like Creactive
protein. The population of patients with sepsis in the
Intensive Care Unit is one
in which extended durations of antibiotics are used. The FDA has approved use of
procalcitonin to guide de-escalation of antibiotic therapy in critically ill patients with
sepsis to avoid both antibiotic overuse and antibiotic related side effects. Review of
current literature shows that procalcitonin is efficacious in reducing duration of antibiotic
therapy in patients with sepsis in the ICU setting. This result, however, is not being
observed in clinical practice. This discrepancy is due to the inappropriate use of
procalcitonin that does not align with use outlined in randomized control trials. We
propose a study to determine how procalcitonin is being used in clinical practice in four
Boston area hospital
Intensive Care Units. Through chart review, we will identify patients
in the
Intensive Care Unit with sepsis from 2013-2018 recording patient demographic
information and patient characteristics. We will determine whether they had PCT
measured during their stay, and if they did, whether or not discontinuation of antibiotics
was in accordance with FDA’s proposed algorithm. We will aim to compare whether
discontinuing antibiotic therapy in accordance with the FDA’s procalcitonin deescalation
algorithm is associated with reduced duration of antibiotic therapy or incidence
of Clostridium Difficile infection. In conducting this study, we hope to identify patterns
of procalcitonin use in clinical practice and provide further evidence that using the
algorithm to guide therapy can serve as an effective tool in reducing exposure to
unnecessary antibiotics and the complications from their use.
Advisors/Committee Members: Remick, Daniel (advisor), Weinstein, John R. (advisor).
Subjects/Keywords: Medicine; Antibiotic stewardship; Critical care; Intensive Care Unit; Procalcitonin; Sepsis
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Danek, K. J. (2019). Procalcitonin and its efficacy in reducing duration of antibiotics in critically ill patients with sepsis. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/38647
Chicago Manual of Style (16th Edition):
Danek, Kelly Jean. “Procalcitonin and its efficacy in reducing duration of antibiotics in critically ill patients with sepsis.” 2019. Masters Thesis, Boston University. Accessed April 16, 2021.
http://hdl.handle.net/2144/38647.
MLA Handbook (7th Edition):
Danek, Kelly Jean. “Procalcitonin and its efficacy in reducing duration of antibiotics in critically ill patients with sepsis.” 2019. Web. 16 Apr 2021.
Vancouver:
Danek KJ. Procalcitonin and its efficacy in reducing duration of antibiotics in critically ill patients with sepsis. [Internet] [Masters thesis]. Boston University; 2019. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/2144/38647.
Council of Science Editors:
Danek KJ. Procalcitonin and its efficacy in reducing duration of antibiotics in critically ill patients with sepsis. [Masters Thesis]. Boston University; 2019. Available from: http://hdl.handle.net/2144/38647

University of the Western Cape
16.
Ndango, Immaculate Nyonka.
Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape
.
Degree: 2018, University of the Western Cape
URL: http://hdl.handle.net/11394/6867
► Parents undergo negative experiences that include parental anxiety, depression, and posttraumatic stress when their new-born babies are hospitalised in neonatal intensive care unit. During this…
(more)
▼ Parents undergo negative experiences that include parental anxiety, depression, and posttraumatic stress when their new-born babies are hospitalised in neonatal
intensive care unit. During this stressful period, parents need assistance from staff in order to cope.
A quantitative, descriptive survey design was used to describe parents’ perception of nursing support during their baby’s admission in neonatal
intensive care units (NICU) at three selected private hospitals in the city of Cape Town in the Western Cape Province. A structured existing 21- item Likert type questionnaire, the Nurse-Parent Support Tool (NPST) was used to collect data from an all-inclusive sample of 85 parents with a response rate of 78.8% (n=67). The purpose of the questionnaire was to determine their perception of information giving and communication by nurses; emotionally supportive behaviours by nurses;
care given support or instrumental support and to identify parents’ perception of esteem or appraisal support while in the NICU environment. The data was analysed using Statistical Package for Social Sciences (SPSS) version 24.
The findings of this study suggested that the overall mean score for parents’ perception of nursing support was high 4.6 (±0.5) out of a possible of 5. There was no significant difference in the overall mean perceived support score between the different facilities. No significant differences were found in terms of all the demographics characteristics with regard to perceptions of the support that was received, thus indicating that there was no relationship between the demographic variables and perception of support. The findings suggested that though high parental support was reported, the area of involving parents in the
care of their babies i.e. letting them decide whether to stay or leave during procedures need improvement.
Advisors/Committee Members: Martin, Penelope (advisor).
Subjects/Keywords: Emotional support;
Prematurity;
Neonatal;
Care given support;
Neonatal intensive care unit
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ndango, I. N. (2018). Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/6867
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ndango, Immaculate Nyonka. “Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape
.” 2018. Thesis, University of the Western Cape. Accessed April 16, 2021.
http://hdl.handle.net/11394/6867.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ndango, Immaculate Nyonka. “Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape
.” 2018. Web. 16 Apr 2021.
Vancouver:
Ndango IN. Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape
. [Internet] [Thesis]. University of the Western Cape; 2018. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/11394/6867.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ndango IN. Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape
. [Thesis]. University of the Western Cape; 2018. Available from: http://hdl.handle.net/11394/6867
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of the Western Cape
17.
Khalil, Ashraf Khalil Abduni.
Perceptions of physiotherapists on their role in the management of intensive care patients in Khartoum, Sudan
.
Degree: 2020, University of the Western Cape
URL: http://hdl.handle.net/11394/8082
► The professional status of physiotherapists in Sudan is reported to be low even though the profession was established in Khartoum, Sudan in 1969. Intensive care…
(more)
▼ The professional status of physiotherapists in Sudan is reported to be low even though the profession was established in Khartoum, Sudan in 1969.
Intensive care units are operating in Khartoum, Sudan. Physiotherapists have been reported to be integral to the management of
intensive care patients. Globally, the role of ICU physiotherapists in the management of ICU patients have been explored and described; however, this information is lacking for Khartoum, where the profession is still in its infancy. Therefore, this study aimed to explore and describe the physiotherapists’ perceptions of their role in the management of
intensive care patients in Khartoum, Sudan.
Advisors/Committee Members: Karachi, Farhana (advisor).
Subjects/Keywords: Intensive care unit;
Khartoum;
Sudan;
Critical care;
Clinical
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Khalil, A. K. A. (2020). Perceptions of physiotherapists on their role in the management of intensive care patients in Khartoum, Sudan
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/8082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Khalil, Ashraf Khalil Abduni. “Perceptions of physiotherapists on their role in the management of intensive care patients in Khartoum, Sudan
.” 2020. Thesis, University of the Western Cape. Accessed April 16, 2021.
http://hdl.handle.net/11394/8082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Khalil, Ashraf Khalil Abduni. “Perceptions of physiotherapists on their role in the management of intensive care patients in Khartoum, Sudan
.” 2020. Web. 16 Apr 2021.
Vancouver:
Khalil AKA. Perceptions of physiotherapists on their role in the management of intensive care patients in Khartoum, Sudan
. [Internet] [Thesis]. University of the Western Cape; 2020. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/11394/8082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Khalil AKA. Perceptions of physiotherapists on their role in the management of intensive care patients in Khartoum, Sudan
. [Thesis]. University of the Western Cape; 2020. Available from: http://hdl.handle.net/11394/8082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universiteit Utrecht
18.
Massaar, E.H.M.
Improving adherence to hand hygiene practice in a neonatal unit:The effectiveness of an intervention.
Degree: 2011, Universiteit Utrecht
URL: http://dspace.library.uu.nl:8080/handle/1874/211096
► Samenvatting Introductie: De meest effectieve strategie om nosocomiale infecties te voorkomen is handhygiëne. Multidisciplinaire strategieën hebben een positief resultaat aangetoond op de toepassing van handhygiëne.…
(more)
▼ Samenvatting
Introductie: De meest effectieve strategie om nosocomiale infecties te voorkomen is handhygiëne. Multidisciplinaire strategieën hebben een positief resultaat aangetoond op de toepassing van handhygiëne.
Doel: Het meten (i) van de toepassing van handhygiëne en (ii) het effect van een interventie op de handhygiëne door verpleegkundigen en artsen, werkend op een level II neonatale
unit van een kinderziekenhuis in Nederland.
Onderzoeksvragen: Wat is het effect van een interventie die handhygiëne promoot op de toepassing van handhygiëne door verpleegkundigen en artsen werkend op een level II neonatale
unit van een kinderziekenhuis in Nederland? Wat is de invloed van het bewustzijn van observaties op de handhygiëne?
Methode: Voor en na de interventie zijn 39 verpleegkundigen en drie artsen geobserveerd op de toepassing van handhygiëne. De interventie omvatte (i) een vragenlijst, (ii) posters die de handhygiëne promoten en (iii) een les met theorie en praktijk. Data werden middels een observatie- en vragenlijst verzameld. Voor de data-analyse zijn beschrijvende statistiek, een odds ratio, de Wilcoxon signed-rank toets, de Mann Whitney toets, Spearman's rank correlation coefficient en Chi kwadraat gebruikt.
Resultaten: De toepassing van handhygiëne veranderde van 34,8% naar 36,2% (p=0,78). In beide observatieperiodes was de toepassing van handhygiëne hoger bij medewerkers die zich bewust waren van de observaties. Na de interventiewas dit significant (p=0,03).
Conclusie: De interventie had geen significant effect op de toepassing van handhygiëne. Bewustzijn van de observatie door een collega van buiten het zorgteam resulteerde in een hogere toepassing van handhygiëne.
Aanbeveling: In het design van een toekomstig onderzoek zou men rekening moeten houden met de invloed van het type observeerder op het bewustzijn en de handhygiëne.
Trefwoorden
Handhygiëne, interventie, observatie, neonatale
intensive care unit.
Advisors/Committee Members: Gamel, C.J., Brus, F..
Subjects/Keywords: Trefwoorden
Handhygiëne; interventie; observatie; neonatale intensive care unit.
Keywords
Hand hygiene; intervention; observation; neonatal intensive care unit.
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Massaar, E. H. M. (2011). Improving adherence to hand hygiene practice in a neonatal unit:The effectiveness of an intervention. (Masters Thesis). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/211096
Chicago Manual of Style (16th Edition):
Massaar, E H M. “Improving adherence to hand hygiene practice in a neonatal unit:The effectiveness of an intervention.” 2011. Masters Thesis, Universiteit Utrecht. Accessed April 16, 2021.
http://dspace.library.uu.nl:8080/handle/1874/211096.
MLA Handbook (7th Edition):
Massaar, E H M. “Improving adherence to hand hygiene practice in a neonatal unit:The effectiveness of an intervention.” 2011. Web. 16 Apr 2021.
Vancouver:
Massaar EHM. Improving adherence to hand hygiene practice in a neonatal unit:The effectiveness of an intervention. [Internet] [Masters thesis]. Universiteit Utrecht; 2011. [cited 2021 Apr 16].
Available from: http://dspace.library.uu.nl:8080/handle/1874/211096.
Council of Science Editors:
Massaar EHM. Improving adherence to hand hygiene practice in a neonatal unit:The effectiveness of an intervention. [Masters Thesis]. Universiteit Utrecht; 2011. Available from: http://dspace.library.uu.nl:8080/handle/1874/211096

Freie Universität Berlin
19.
Schefold, Jörg C.
Clinical testing of immunological strategies for the therapy of patients with
severe sepsis / septic shock.
Degree: 2011, Freie Universität Berlin
URL: http://dx.doi.org/10.17169/refubium-4444
► Severe sepsis and septic shock are characterized by a rising incidence and a persistent high mortality rate. Today, many patients survive the early “pro- inflammatory”…
(more)
▼ Severe sepsis and septic shock are characterized by a rising incidence and a
persistent high mortality rate. Today, many patients survive the early “pro-
inflammatory” phase of the disease and will die in the later course of sepsis
as a consequence of severe secondary/ nosocomial infections. As a response to
initially elevated levels of “pro-inflammatory” mediators, a compensatory
“hypo-responsive“ immunological phase characterized by compromised cellular
immune functions can often be observed. Nevertheless, although the underlying
molecular mechanisms of sepsis-induced immunosupression are not completely
understood, experimental data indicate that a state of defective cellular
immunity prevents a target-oriented anti-microbial defense. Here, two
different clinical approaches to reconstitute monocytic immune function were
developed and tested in clinical trials. Reconstitution of monocytic immune
function was achieved by means of immunostimulation (GM-CSF) as well as by
extracorporeal removal of inhibitory factors (using LPS-, IL-6, C5a-
Immunoadsorption). For the first time, we performed an immune-monitoring
guided randomized placebo-controlled trial in sepsis and were able to
demonstrate that immunostimulation using GM-CSF restores monocytic immunity
(as defined by assessment of the monocytic HLA-DR expression and ex vivo
monocytic cytokine release). Moreover, GM-CSF reduces the activity of
indoleamine-2,3-dioxygenase (IDO) and thus reduces serum levels of
kynurenines. As kynurenines are critically involved in immune cell apoptosis,
reduction of kynurenines could contribute to a diminished susceptibility to
infection. In addition, we could demonstrate that adjunctive therapy with GM-
CSF significantly shortens the time of mechanical ventilation in critically
ill patients with severe sepsis and septic shock. As the respective trial was
not powered to assess clinical endpoints, a larger trial which investigates a
potential impact on mortality is currently started. As an alternative to
immunostimulation, reconstitution of monocytic immunity may also be achieved
by extracorporeal removal of inhibitory factors. For the first time, we
developed and tested a simultaneous and selective (antibody-based)
extracorporeal immune intervention in patients with severe sepsis/ septic
shock. Data from our pilot trial on LPS-, IL6- and C5a- immunoadsorption show
that selective simultaneous extracorporeal removal of LPS, IL6 and C5a
significantly restores initially suppressed levels of monocytic HLA-DR. A
beneficial impact on the clinical course of respective patients receiving the
intervention was observed. Whether such a therapy influences clinical
endpoints in patients with sepsis is now investigated in larger follow-up
trials.
Advisors/Committee Members: [email protected] (contact), m (gender), Prof. Dr. Trautwein (firstReferee), Prof. Dr. Hartung (furtherReferee).
Subjects/Keywords: Sepsis; intensive care unit; critical illness; intensive care unit; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Schefold, J. C. (2011). Clinical testing of immunological strategies for the therapy of patients with
severe sepsis / septic shock. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-4444
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Schefold, Jörg C. “Clinical testing of immunological strategies for the therapy of patients with
severe sepsis / septic shock.” 2011. Thesis, Freie Universität Berlin. Accessed April 16, 2021.
http://dx.doi.org/10.17169/refubium-4444.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Schefold, Jörg C. “Clinical testing of immunological strategies for the therapy of patients with
severe sepsis / septic shock.” 2011. Web. 16 Apr 2021.
Vancouver:
Schefold JC. Clinical testing of immunological strategies for the therapy of patients with
severe sepsis / septic shock. [Internet] [Thesis]. Freie Universität Berlin; 2011. [cited 2021 Apr 16].
Available from: http://dx.doi.org/10.17169/refubium-4444.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Schefold JC. Clinical testing of immunological strategies for the therapy of patients with
severe sepsis / septic shock. [Thesis]. Freie Universität Berlin; 2011. Available from: http://dx.doi.org/10.17169/refubium-4444
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

San Jose State University
20.
Ghabeljoo, Jila.
End of Life Care Practices for Patients Who Die in Intensive Care Units (ICU).
Degree: DNP, Nursing, 2017, San Jose State University
URL: https://doi.org/10.31979/etd.7qmv-6aum
;
https://scholarworks.sjsu.edu/etd_doctoral/66
► Today, one in five hospital deaths happens in the intensive care unit with the expectation of twice as many by 2030. Increasing, mortality has…
(more)
▼ Today, one in five hospital deaths happens in the
intensive care unit with the expectation of twice as many by 2030. Increasing, mortality has triggered a growing attention to end-of-life (EOL)
care in the ICU. However, the lack of coveted EOL and palliative
care skills creates a challenge for ICU nurses. The aim of this study was to assess the current practices of EOL
care in the ICU. In this quantitative research, a retrospective chart review method was employed to analyze the collected data from a population 60 EOL patients who died in the ICU of a Southern California hospital. The results highlight the inadequate treatment of EOL discomforts. No patients received palliative
care or POLST designation, and only one patient received hospice
care. Also, the highest mortality happened within the first 6 days of the hospital stay, indicating the time sensitive nature of ICU admissions. Therefore, early planning of the comfort
care for end-of-life patient and better communication with the inter-professional team is recommended.
Advisors/Committee Members: Diane Katsma, Robert C. Morehead, Cary Z. Joel.
Subjects/Keywords: End-of-life; Intensive Care Unit; ICU; Pain; Palliative care; Critical Care Nursing
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ghabeljoo, J. (2017). End of Life Care Practices for Patients Who Die in Intensive Care Units (ICU). (Thesis). San Jose State University. Retrieved from https://doi.org/10.31979/etd.7qmv-6aum ; https://scholarworks.sjsu.edu/etd_doctoral/66
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ghabeljoo, Jila. “End of Life Care Practices for Patients Who Die in Intensive Care Units (ICU).” 2017. Thesis, San Jose State University. Accessed April 16, 2021.
https://doi.org/10.31979/etd.7qmv-6aum ; https://scholarworks.sjsu.edu/etd_doctoral/66.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ghabeljoo, Jila. “End of Life Care Practices for Patients Who Die in Intensive Care Units (ICU).” 2017. Web. 16 Apr 2021.
Vancouver:
Ghabeljoo J. End of Life Care Practices for Patients Who Die in Intensive Care Units (ICU). [Internet] [Thesis]. San Jose State University; 2017. [cited 2021 Apr 16].
Available from: https://doi.org/10.31979/etd.7qmv-6aum ; https://scholarworks.sjsu.edu/etd_doctoral/66.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ghabeljoo J. End of Life Care Practices for Patients Who Die in Intensive Care Units (ICU). [Thesis]. San Jose State University; 2017. Available from: https://doi.org/10.31979/etd.7qmv-6aum ; https://scholarworks.sjsu.edu/etd_doctoral/66
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade Federal da Bahia
21.
Leila Maria Ribeiro Brito.
Análise das práticas de cuidado da enfermeira em unidade de terapia intensiva.
Degree: 2010, Universidade Federal da Bahia
URL: http://www.bibliotecadigital.ufba.br/tde_busca/arquivo.php?codArquivo=3571
► Este estudo teve como objeto de investigação, as práticas de cuidado da enfermeira em unidades de terapia intensiva, e teve como objetivos: descrever e analisar…
(more)
▼ Este estudo teve como objeto de investigação, as práticas de cuidado da enfermeira em unidades de terapia intensiva, e teve como objetivos: descrever e analisar as práticas de cuidado da enfermeira às pessoas hospitalizadas em unidades de terapia intensiva. Foi um estudo de natureza qualitativa, do tipo analítico e descritivo, cujos sujeitos foram enfermeiras que atuam na assistência direta, numa unidade de terapia intensiva adulto de um hospital de grande porte, da cidade de Salvador-BA. Utilizou-se a técnica da entrevista semi-estruturada, gravada, e a observação não participativa da atuação das enfermeiras, em suas práticas na UTI; através de um roteiro de observação e um diário de campo. O método de análise de dados foi a Análise de Conteúdo temática de Laurence Bardin. Totalizaram 10 (dez) participantes desta investigação. Do material que foi analisado surgiu 3 (três) categorias: 1) concepção do cuidar assistencial; 2) Concepção do cuidar relacional; 3) Entendimento de práticas de cuidado como ações de enfermagem. Foi possível concluir que a compreensão sobre o que é cuidar e o que são práticas de cuidado para o grupo estudado não é uniforme e que a vigência de uma concepção de cuidar mais assistencial e, de práticas de cuidado menos humanizadora é um fenômeno multicausal. As enfermeiras do grupo estudado referem importar-se com as questões relativas à proximidade pessoa-pessoa, da alteridade e da compaixão, mas em suas práticas de cuidado predominam ações técnicas e rotineiras. A maneira como as enfermeiras cuidam das pessoas internadas numa UTI é mais técnica caracterizada pelo distanciamento e relacionamento interpessoal superficial. É preciso considerar aspectos como o modelo biomédico de assistência à saúde vigente mais focado na produtividade, o ambiente de uma terapia intensiva com a iminência de eventos súbitos com risco de morte, a multiplicidade de vínculos empregatícios que gera cansaço físico, mental e pouca disposição à interação com o outro, dentre outros fatores que interferem na maneira como as enfermeiras concebem o cuidar e executam suas práticas de cuidado.
This study it had as inquiry object, the practical ones of care of the nurse in units of intensive therapy e had as objective: to describe and to analyze the practical ones of care of the nurse to the people hospitalized in units of intensive therapy. It was a study of qualitative nature, of the analytical and descriptive type, whose citizens had been nurses who act in the direct assistance, in an adult unit of intensive therapy of a hospital of great transport, of the city of Salvador-BA. It was used technique of the half structuralized, recorded interview, and the not participative comment of the performance of the nurses, in its practical in the UTI; through a script of comment and a daily one of field. The method of analysis of data was the thematic Analysis of Content of Laurence Bardin. They had totalized 10 (ten) participant ones of this inquiry. Of the material that was analyzed it appeared 3 (three) categories: 1) conception of…
Advisors/Committee Members: Dora Sadigursky, Zenilda Nogueira Sales, Fernanda Carneiro Mussi, Álvaro Pereira.
Subjects/Keywords: enfermagem; unidade de terapia intensiva; to care; care; nursing; intensive care unit; ENFERMAGEM; cuidar; cuidado
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Brito, L. M. R. (2010). Análise das práticas de cuidado da enfermeira em unidade de terapia intensiva. (Thesis). Universidade Federal da Bahia. Retrieved from http://www.bibliotecadigital.ufba.br/tde_busca/arquivo.php?codArquivo=3571
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Brito, Leila Maria Ribeiro. “Análise das práticas de cuidado da enfermeira em unidade de terapia intensiva.” 2010. Thesis, Universidade Federal da Bahia. Accessed April 16, 2021.
http://www.bibliotecadigital.ufba.br/tde_busca/arquivo.php?codArquivo=3571.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Brito, Leila Maria Ribeiro. “Análise das práticas de cuidado da enfermeira em unidade de terapia intensiva.” 2010. Web. 16 Apr 2021.
Vancouver:
Brito LMR. Análise das práticas de cuidado da enfermeira em unidade de terapia intensiva. [Internet] [Thesis]. Universidade Federal da Bahia; 2010. [cited 2021 Apr 16].
Available from: http://www.bibliotecadigital.ufba.br/tde_busca/arquivo.php?codArquivo=3571.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Brito LMR. Análise das práticas de cuidado da enfermeira em unidade de terapia intensiva. [Thesis]. Universidade Federal da Bahia; 2010. Available from: http://www.bibliotecadigital.ufba.br/tde_busca/arquivo.php?codArquivo=3571
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Boston University
22.
Wu, Jonathan.
Proactive palliative care in the intensive care units of an academic hospital.
Degree: MS, Medical Sciences and Public Health GMS, 2015, Boston University
URL: http://hdl.handle.net/2144/16070
► Palliative care (PC) is a specialty that improves the quality of care often for terminally ill patients and their family members by providing physical, psychosocial,…
(more)
▼ Palliative care (PC) is a specialty that improves the quality of care often for terminally ill patients and their family members by providing physical, psychosocial, and spiritual pain and symptom management. PC assists patients in decision making about their goals of care. These goals of care discussions help the treating physicians to better plan more appropriate treatment options specifically tailored for each patient based on their preferences. Due to the illness severity of the patients, approximately 20% of all hospital deaths occur in the intensive care unit (ICU). Recognition of and advocacy for integrating PC in the ICU have increased in the last decade following many studies which have shown the positive effects of PC for critically ill patients and their family members.
This was a single-center retrospective study conducted at an academic hospital that examined the effects of a proactive PC intervention and the clinical outcomes on patients who died in the medical and neurological ICUs (MICU and NICU), since the majority of ICU deaths occurred in these two units. This study was a quality improvement project that examined only patients who died, in order to make a similar comparison between patients who ultimately had the same clinical outcome. This pre-intervention (phase 1) and post-intervention three phase analysis measured the effectiveness of a screening tool (phase 2), and a daily ICU huddle (phase 3) compared to the pre-intervention phase. The study analyzed the impact the interventions had on clinical measurable outcomes such as 1) day of PC consultation after ICU admission and after meeting criteria, 2) day of meeting criteria for PC based on a screening tool, 3) hospital and ICU lengths of stay, 4) direct cost per discharge, and 5) the average number of PC consultations per month. Electronic database review of all MICU and NICU patients who died from July 2010 to December 2011 and April 2013 to October 2014 were performed. Comparisons were made between patients who received a PC consultation and those who received usual care, from both pre-intervention and post-intervention phases.
A total of 888 patients were included and analyzed in this study. The intervention reduced the average day of PC consultation after ICU admission from 9.55 in phase 1 to 4.95 in phase 2 and to 4.75 in phase 3 after the addition of the daily huddle. The average day of PC consultation after meeting criteria in the ICU was also reduced from 8.0 to 3.08 then to 2.18, respectively. The average number of PC consultations per month increased from 10.6 to 12.8 to 17.7 in the three respective phases. The cost per discharge was not significantly different from patients who received a PC consultation and for patients who received usual care. PC service did not reduce the length of stay for patients when compared to patients who received usual care. The sensitivity and specificity of the screening tool in phase 2 were 66.2% and 70.8%, respectively. The sensitivity and specificity of the screening tool with daily huddle in…
Subjects/Keywords: Medicine; Hospice; Intensive care unit; Intervention; Palliative care; Quality of care; Screening criteria
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Wu, J. (2015). Proactive palliative care in the intensive care units of an academic hospital. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/16070
Chicago Manual of Style (16th Edition):
Wu, Jonathan. “Proactive palliative care in the intensive care units of an academic hospital.” 2015. Masters Thesis, Boston University. Accessed April 16, 2021.
http://hdl.handle.net/2144/16070.
MLA Handbook (7th Edition):
Wu, Jonathan. “Proactive palliative care in the intensive care units of an academic hospital.” 2015. Web. 16 Apr 2021.
Vancouver:
Wu J. Proactive palliative care in the intensive care units of an academic hospital. [Internet] [Masters thesis]. Boston University; 2015. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/2144/16070.
Council of Science Editors:
Wu J. Proactive palliative care in the intensive care units of an academic hospital. [Masters Thesis]. Boston University; 2015. Available from: http://hdl.handle.net/2144/16070

Karlstad University
23.
Nikitin, Cecilia.
Omvårdnadsåtgärder som stödjer patientens återhämtning : En kvalitativ intervjustudie med intensivvårdssjuksköterskor.
Degree: Health Sciences, 2017, Karlstad University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48375
► Introduktion: Patientens upplevelser från intensivvårdsavdelningen kan ge upphov till stress som orsakas av flera faktorer. Detta kan påverka patienten lång tid efter utskrivningen. Det är…
(more)
▼ Introduktion: Patientens upplevelser från intensivvårdsavdelningen kan ge upphov till stress som orsakas av flera faktorer. Detta kan påverka patienten lång tid efter utskrivningen. Det är därför viktigt att veta vilka omvårdnadsåtgärder på intensivvårdsavdelningen som stödjer patientens återhämtning. Syfte: Studiens syfte var att beskriva intensivvårdssjuksköterskors uppfattningar av preventiva omvårdnadsåtgärder på intensivvårdsavdelningen som kan vara stödjande för patientens återhämtning. Metod: En kvalitativ metod valdes och datainsamling skedde i form av nio intervjuer med intensivvårdssjuksköterskor, med erfarenhet av uppföljningsarbete, på tre olika sjukhus. Analys av insamlat material, skedde med hjälp av kvalitativ innehållsanalys enligt Graneheim och Lundman. Huvudresultat: I resultatet framkom fyra huvudkategorier som beskriver områden för preventiva omvårdnadsåtgärder: Skapa meningsfullhet, Förklara omvärlden, Skapa trygghet och Förbered framtiden. Konklusion: Studiens resultat visar att kunskap om patientens historia kan användas som grund för att knyta an till patientens vardagsliv. Struktur, förklaringar och råd från personalen har uppfattats stödja patientens omvärldsuppfattning på IVA. Trygghet och närhet från personal och anhöriga anses viktigt för patienten. Framförallt har stöd till patientens inre resurser och anpassande av miljön genom nedtrappad övervakning, uppfattats kunna bidra till att patienten återfår sin självständighet och bättre kan hantera framtiden.
Introduction: A patient´s experiences during intensive care can lead to stress that is caused by several factors. This can affect the patient long after discharge. Therefore, it is essential to know which nursing interventions in the intensive care unit, that best support the patient's recovery. Aim: The aim of this study was to describe the intensive care nurses' perceptions of preventive care measures in the intensive care that can be supporting for the patient's recovery. Method: A qualitative method was chosen and the data collection was done by interviewing nine intensive care nurses with experience in monitoring work at three different hospitals. The collected material was analyzed in accordance with Graneheim and Lundman´s qualitative content analysis. Main Results: The results revealed four main categories in which preventive care measures are especially useful: Creating meaning, Explaining the environment, Creating safety and Preparing for the Future. Conclusion: By gaining knowledge about what is relevant to each particular patient it is possible to adapt care measures based on this. It seems that structure, detailed explanations and advice provided by the staff will help the patient to better assess his/her situation. Being close to staff and family is comforting for the patient. It…
Subjects/Keywords: Intensive care unit; Preventive care measures; nursing care; Intensivvårdsavdelning; Omvårdnad; Preventiva Omvårdnadsåtgärder; Nursing; Omvårdnad
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
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APA (6th Edition):
Nikitin, C. (2017). Omvårdnadsåtgärder som stödjer patientens återhämtning : En kvalitativ intervjustudie med intensivvårdssjuksköterskor. (Thesis). Karlstad University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48375
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Nikitin, Cecilia. “Omvårdnadsåtgärder som stödjer patientens återhämtning : En kvalitativ intervjustudie med intensivvårdssjuksköterskor.” 2017. Thesis, Karlstad University. Accessed April 16, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48375.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Nikitin, Cecilia. “Omvårdnadsåtgärder som stödjer patientens återhämtning : En kvalitativ intervjustudie med intensivvårdssjuksköterskor.” 2017. Web. 16 Apr 2021.
Vancouver:
Nikitin C. Omvårdnadsåtgärder som stödjer patientens återhämtning : En kvalitativ intervjustudie med intensivvårdssjuksköterskor. [Internet] [Thesis]. Karlstad University; 2017. [cited 2021 Apr 16].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48375.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Nikitin C. Omvårdnadsåtgärder som stödjer patientens återhämtning : En kvalitativ intervjustudie med intensivvårdssjuksköterskor. [Thesis]. Karlstad University; 2017. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48375
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Gothenburg / Göteborgs Universitet
24.
Engwall, Marie.
En vårdande ljusmiljö inom intensivvård -Patienters upplevelser och effekter av en cyklisk belysningsintervention.
Degree: 2017, University of Gothenburg / Göteborgs Universitet
URL: http://hdl.handle.net/2077/50859
► ABSTRACT Aim: The overall aim of this thesis was to describe and evaluate patients’, who were cared for in the intensive care unit (ICU), experiences…
(more)
▼ ABSTRACT Aim: The overall aim of this thesis was to describe and evaluate patients’, who were cared for in the intensive care unit (ICU), experiences and effects concerning a cycled lighting intervention based on health, wellbeing and recovery. Methods: An automatically controlled cycled lighting intervention aimed to mimic natural light levels, quality and position throughout the day was evaluated. An ordinary lit room was used as a control. A multiple-method approach was used. In study I, there were three aspects: a systematic review of the previous research concerning cycled lighting interventions in the intensive care; visitor evaluations of the lighting environments in the intervention and ordinary room; and measurements of illuminance, luminance and irradiance in both conditions. In study II, the patients evaluated the lighting environment in the two rooms. Data were compared and analysed. Furthermore, patients’ experiences regarding the cycled lighting environment were investigated through qualitative interviews, which were subsequently analysed by content analysis. In study III, patients’ sleep, activity and physiological parameters were measured and compared. Study IV consisted of statistical analysis of a questionnaire concerning patients’ self-reported recovery six and 12 months after their ICU treatments. Results: The literature review on cycled lighting interventions in adult ICUs was rare but more common in the neonatal ICU (NICU). Findings showed that cycled lighting interventions improved health in preterm infants, but there were also non-significant results reported. The visitors reported the cycled lighting environment as more pleasant, and based on measurements, the lighting levels were at equivalent levels with European recommendations for hospitals. The lighting levels in the ordinary room were manually controlled and were reported as being either too low or too bright during the daytime. Patients evaluated the cycled lighting environment as brighter in daytime, and this was in coherence with the results from the measurements of illumination. Patients’ individual experiences concerning the cycled lighting environment were reported in four categories: a dynamic lighting environment, the impact of lighting on patients’ sleep, the impact of light/lighting on the circadian rhythm and the degree to which the lighting calmed them. Patients’ circadian rhythms were not further strengthened by the cycled lighting intervention during their final 24-period in the ICU. Twelve months after their ICU treatments, patients cared for in the intervention environment self-reported their recovery as significantly better than those who received treatment in the ordinary room. Conclusions: A multiple methodology was used to explore the research field from a wider perspective. Combining knowledge from both the lighting research field and caring science has brought new knowledge to both and especially to the practice of nursing. Despite their severe illnesses or injuries, patients were able to assess their experiences…
Subjects/Keywords: care environment; circadian rhythm; health; intensive care unit; critical care; light; lighting; sleep; recovery; wellbeing
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APA ·
Chicago ·
MLA ·
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CSE |
Export
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APA (6th Edition):
Engwall, M. (2017). En vårdande ljusmiljö inom intensivvård -Patienters upplevelser och effekter av en cyklisk belysningsintervention. (Thesis). University of Gothenburg / Göteborgs Universitet. Retrieved from http://hdl.handle.net/2077/50859
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Engwall, Marie. “En vårdande ljusmiljö inom intensivvård -Patienters upplevelser och effekter av en cyklisk belysningsintervention.” 2017. Thesis, University of Gothenburg / Göteborgs Universitet. Accessed April 16, 2021.
http://hdl.handle.net/2077/50859.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Engwall, Marie. “En vårdande ljusmiljö inom intensivvård -Patienters upplevelser och effekter av en cyklisk belysningsintervention.” 2017. Web. 16 Apr 2021.
Vancouver:
Engwall M. En vårdande ljusmiljö inom intensivvård -Patienters upplevelser och effekter av en cyklisk belysningsintervention. [Internet] [Thesis]. University of Gothenburg / Göteborgs Universitet; 2017. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/2077/50859.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Engwall M. En vårdande ljusmiljö inom intensivvård -Patienters upplevelser och effekter av en cyklisk belysningsintervention. [Thesis]. University of Gothenburg / Göteborgs Universitet; 2017. Available from: http://hdl.handle.net/2077/50859
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Ottawa
25.
Larocque, Catherine.
Are We on the Same Page About Skin-to-Skin Care? A Descriptive Correlational Study Exploring Skin-to-Skin Care for Postoperative NICU Infants.
Degree: MSc, Sciences de la santé / Health Sciences, 2020, University of Ottawa
URL: http://dx.doi.org/10.20381/ruor-25303
► Family-centered care (FCC) is considered the gold standard for care delivery in the Neonatal Intensive Care Unit (NICU). However, there are challenges with the implementation…
(more)
▼ Family-centered
care (FCC) is considered the gold standard for
care delivery in the Neonatal
Intensive Care Unit (NICU). However, there are challenges with the implementation of FCC in practice and there is limited literature about how to tailor this approach for specialized NICU populations.
To explore FCC for surgical neonates in the NICU, the concept was explored using Roger’s evolutionary concept analysis. Results illustrate that FCC in the NICU is a philosophy or
care, rather than a set of interventions. The subsequent cross-sectional descriptive exploratory study showed that the surgical infants in our sample (n=11) received a limited amount of skin-to-skin
care (median 0 mins/day) and parents reported challenges to being involved in their infant’s
care.
This thesis supports the challenges with the implementation of FCC in practice and both the need to consider multiple perspectives and the need for broader systemic change in order to support a FCC philosophy.
Advisors/Committee Members: Peterson, Wendy Ellen (supervisor).
Subjects/Keywords: Family-centered care; Skin-to-skin care; Neonatal Intensive Care Unit; Infant pain management
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APA ·
Chicago ·
MLA ·
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CSE |
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Manager
APA (6th Edition):
Larocque, C. (2020). Are We on the Same Page About Skin-to-Skin Care? A Descriptive Correlational Study Exploring Skin-to-Skin Care for Postoperative NICU Infants. (Masters Thesis). University of Ottawa. Retrieved from http://dx.doi.org/10.20381/ruor-25303
Chicago Manual of Style (16th Edition):
Larocque, Catherine. “Are We on the Same Page About Skin-to-Skin Care? A Descriptive Correlational Study Exploring Skin-to-Skin Care for Postoperative NICU Infants.” 2020. Masters Thesis, University of Ottawa. Accessed April 16, 2021.
http://dx.doi.org/10.20381/ruor-25303.
MLA Handbook (7th Edition):
Larocque, Catherine. “Are We on the Same Page About Skin-to-Skin Care? A Descriptive Correlational Study Exploring Skin-to-Skin Care for Postoperative NICU Infants.” 2020. Web. 16 Apr 2021.
Vancouver:
Larocque C. Are We on the Same Page About Skin-to-Skin Care? A Descriptive Correlational Study Exploring Skin-to-Skin Care for Postoperative NICU Infants. [Internet] [Masters thesis]. University of Ottawa; 2020. [cited 2021 Apr 16].
Available from: http://dx.doi.org/10.20381/ruor-25303.
Council of Science Editors:
Larocque C. Are We on the Same Page About Skin-to-Skin Care? A Descriptive Correlational Study Exploring Skin-to-Skin Care for Postoperative NICU Infants. [Masters Thesis]. University of Ottawa; 2020. Available from: http://dx.doi.org/10.20381/ruor-25303

Universiteit Utrecht
26.
Roomer, W.
The satisfaction of companion animal owners after hospitalization of their pet on the Intensive Care Unit of the Utrecht University Clinic for Companion Animals.
Degree: 2009, Universiteit Utrecht
URL: http://dspace.library.uu.nl:8080/handle/1874/213189
► The Utrecht University Clinic for Companion Animals (UCCA) provides high standard veterinary care. However, it is difficult for pet owners to assess the quality of…
(more)
▼ The Utrecht University Clinic for Companion Animals (UCCA) provides high standard veterinary
care. However, it is difficult for pet owners to assess the quality of the
care provided objectively. The UCCA therefore would like the owners to at least have the sense that the given veterinary
care is of high quality, by providing the pet owners with good services. The
intensive care unit (ICU) in particular wants to know if their given
care is assessed as high quality by pet owners and if there are any areas for improvement. For this reason a written customer satisfaction survey was carried out. The emphasis was on the contact points between pet owner and veterinarian. Of the 322 approached pet owners, 215 people (66,8%) completed the survey. The results show that most aspects of the services provided to the owners are appreciated as good to very good. Considering the UCCA as a whole, these scores were given to the treatment of the pet as well as the owner, the accessibility and the time spend waiting. For the ICU specifically, these scores were given for animal handling, the quality of the given medical
care, provided services to the owner, invested personal time of the veterinarian towards the owner and patient, treatment of pets around death, instructions for aftercare, the organisation of discharge, emotional support and the written information given at registration. There were some aspects which scored impartial to good, including the costs for
care provided by the UCCA as a whole. For the ICU in particular this score was given to the costs and costs estimation in advance, the visit options and the emotional support of an owner during death of a pet. As high as 90,7% of all owners noted that their satisfaction towards the ICU was good to very good. Owners seemed not to be able to separately assess both the UCCA as a whole and the ICU in particular. One option the ICU has in mind to improve services to owners in the future, is to place webcams above animal pens. This idea is well received by most of the owners. Furthermore there is room for improvement by clear and consistent communication regarding costs and visit options. Although owners were satisfied with the instructions concerning aftercare, there is a need for more written instructions. Last but not least motivating owners to get health insurance for their pets can improve the way pet owners experience value for money.
Advisors/Committee Members: Robben, J.H., Endenburg, N..
Subjects/Keywords: Diergeneeskunde; companion animals, intensive care unit, ICU, customer satisfaction survey
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Roomer, W. (2009). The satisfaction of companion animal owners after hospitalization of their pet on the Intensive Care Unit of the Utrecht University Clinic for Companion Animals. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/213189
Chicago Manual of Style (16th Edition):
Roomer, W. “The satisfaction of companion animal owners after hospitalization of their pet on the Intensive Care Unit of the Utrecht University Clinic for Companion Animals.” 2009. Doctoral Dissertation, Universiteit Utrecht. Accessed April 16, 2021.
http://dspace.library.uu.nl:8080/handle/1874/213189.
MLA Handbook (7th Edition):
Roomer, W. “The satisfaction of companion animal owners after hospitalization of their pet on the Intensive Care Unit of the Utrecht University Clinic for Companion Animals.” 2009. Web. 16 Apr 2021.
Vancouver:
Roomer W. The satisfaction of companion animal owners after hospitalization of their pet on the Intensive Care Unit of the Utrecht University Clinic for Companion Animals. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2009. [cited 2021 Apr 16].
Available from: http://dspace.library.uu.nl:8080/handle/1874/213189.
Council of Science Editors:
Roomer W. The satisfaction of companion animal owners after hospitalization of their pet on the Intensive Care Unit of the Utrecht University Clinic for Companion Animals. [Doctoral Dissertation]. Universiteit Utrecht; 2009. Available from: http://dspace.library.uu.nl:8080/handle/1874/213189

University of Utah
27.
Görges, Matthias.
Signal processing, human factors, and modelling to support bedside care in the intensive care unit.
Degree: PhD, Bioengineering, 2011, University of Utah
URL: http://content.lib.utah.edu/cdm/singleitem/collection/etd3/id/300/rec/2181
► Medical error causes preventable death in nearly 100,000 patients per year in the US alone. Common sources for error include medication related problems, technical equipment…
(more)
▼ Medical error causes preventable death in nearly 100,000 patients per year in the US alone. Common sources for error include medication related problems, technical equipment failure, interruptions, complicated and error-prone devices, information overload (providing too much patient data for one person to process effectively), and environmental problems like inadequate lighting or distracting ambient noise. Intensive care units are one of the riskiest locations in a hospital, with up to 9 reported events per 100 patient days. This risk is in large contrast to anesthesia in the operating rooms. Here much advancement in the area of patient safety has been made in the past, dropping the average risk for anesthesia related death to less than 1 in 200,000 anesthetics—an improvement by a factor of 20 in the past 30 years. Improvements in technology and other innovations contributing to this success now need to be adapted for and implemented in the intensive care unit setting. Nurses are increasingly regarded as key decision makers within the healthcare team, as they outnumber physicians 4:1. Reducing nurses’ workload and improving medical decision making by providing decision support tools can have a significant impact in reducing the chances of medical errors. This dissertation consists of four manuscripts: 1) a review of previous medical display evaluations, providing insight into solutions that have worked in the past; 2) a study on reducing false alarms and increasing the usefulness of the remaining alarms by introducing alarm delays and detecting alarm context;, such as suctioning automatically silencing ventilator alarms; 3) a study of simplifying the frequent but complicated task of titrating vasoactive medications by providing a titration support tool that predicts blood pressure changes 5 minutes into the future; and 4) a study on supporting the triage of unfamiliar patients by introducing a far-view display that incorporates information from previously disparate devices and presents trend and alarm information at one easy to scan and interpret location.
Subjects/Keywords: Graphical display; Human factors; Intensive care unit; Nursing; Signal processing
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APA ·
Chicago ·
MLA ·
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CSE |
Export
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APA (6th Edition):
Görges, M. (2011). Signal processing, human factors, and modelling to support bedside care in the intensive care unit. (Doctoral Dissertation). University of Utah. Retrieved from http://content.lib.utah.edu/cdm/singleitem/collection/etd3/id/300/rec/2181
Chicago Manual of Style (16th Edition):
Görges, Matthias. “Signal processing, human factors, and modelling to support bedside care in the intensive care unit.” 2011. Doctoral Dissertation, University of Utah. Accessed April 16, 2021.
http://content.lib.utah.edu/cdm/singleitem/collection/etd3/id/300/rec/2181.
MLA Handbook (7th Edition):
Görges, Matthias. “Signal processing, human factors, and modelling to support bedside care in the intensive care unit.” 2011. Web. 16 Apr 2021.
Vancouver:
Görges M. Signal processing, human factors, and modelling to support bedside care in the intensive care unit. [Internet] [Doctoral dissertation]. University of Utah; 2011. [cited 2021 Apr 16].
Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd3/id/300/rec/2181.
Council of Science Editors:
Görges M. Signal processing, human factors, and modelling to support bedside care in the intensive care unit. [Doctoral Dissertation]. University of Utah; 2011. Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd3/id/300/rec/2181

Universiteit Utrecht
28.
Zaal, I.J.
Epidemiology of Delirium in the Intensive Care Unit.
Degree: 2014, Universiteit Utrecht
URL: http://dspace.library.uu.nl:8080/handle/1874/300277
► Delirium is a common neuropsychiatric syndrome in critically ill patients, characterized by a disturbance in attention and cognition. Delirium is not an inevitable consequence of…
(more)
▼ Delirium is a common neuropsychiatric syndrome in critically ill patients, characterized by a disturbance in attention and cognition. Delirium is not an inevitable consequence of critical illness itself, however, it is associated with poor patient outcomes such as an increased ICU length of stay and cognitive impairment one year after ICU discharge. It is believed that delirium is caused by an interplay between predisposing factors that make a patient more susceptible to develop delirium (for example higher age), and noxious insults that can provoke delirium (such as infection, medication or trauma). As delirium imposes a significant burden on patients, their relatives, health
care professionals and health
care systems, the factors that can be modified for possible prevention of delirium are of special interest. In this thesis some of these modifiable risk factors are determined.
In 1112 critically ill patients admitted to the ICU of the University medical Center Utrecht (UMCU) delirium was common with an incidence of 48%. In 43% of the delirious patients delirium occurred only once during their ICU admission for a period of one day. In this thesis it was shown that a higher anticholinergic drug exposure at ICU admission affected the onset of delirium during ICU stay with a subdistribution hazard ratio of 1.35 (95% Confidence Interval [CI]: 1.09-1.68). Benzodiazepines are frequently used in critically ill patients for patient comfort and safety. The administration of as little as 5 mg benzodiazepines (in midazolam equivalents) in non-comatose, non-delirious patient was associated with the development of delirium the next day (odds ratio 1.04, 95% CI: 1.03-1.05). In a before-after study the onset and duration of delirium in a ward-like ICU environment was compared toa newly build ICU with all single-rooms and, among other interventions, an increased exposure to natural daylight. Although patients had a similar risk of developing delirium in the single-room ICU, the number of days that patients suffered from a delirium decreased with 0.4 (955 CI: 0.1-0.7) days. Earlier findings show an increased ICU mortality with the development of delirium while adjusting for the disease severity at ICU admission. In this thesis we additionally adjusted for the evolution of disease severity after ICU admission and for competing events of developing delirium (i.e. ICU discharge and death as they both preclude the development of delirium during ICU admission). Doing so, delirium did not attribute to death during ICU admission. However, patients with delirium were less likely to be discharged, exposing them, on average, for longer period of time to the ICU with an everyday risk of dying. When specifying prolonged delirium (two or more days) this prolonged delirium did have an association with increased ICU mortality.
Advisors/Committee Members: Dijk, D. van, Slooter, A.J.C..
Subjects/Keywords: Geneeskunde; delirium; intensive care unit; epidemiology; risk factors
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Zaal, I. J. (2014). Epidemiology of Delirium in the Intensive Care Unit. (Doctoral Dissertation). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/300277
Chicago Manual of Style (16th Edition):
Zaal, I J. “Epidemiology of Delirium in the Intensive Care Unit.” 2014. Doctoral Dissertation, Universiteit Utrecht. Accessed April 16, 2021.
http://dspace.library.uu.nl:8080/handle/1874/300277.
MLA Handbook (7th Edition):
Zaal, I J. “Epidemiology of Delirium in the Intensive Care Unit.” 2014. Web. 16 Apr 2021.
Vancouver:
Zaal IJ. Epidemiology of Delirium in the Intensive Care Unit. [Internet] [Doctoral dissertation]. Universiteit Utrecht; 2014. [cited 2021 Apr 16].
Available from: http://dspace.library.uu.nl:8080/handle/1874/300277.
Council of Science Editors:
Zaal IJ. Epidemiology of Delirium in the Intensive Care Unit. [Doctoral Dissertation]. Universiteit Utrecht; 2014. Available from: http://dspace.library.uu.nl:8080/handle/1874/300277

University of Michigan
29.
Alnarshi, Joseph.
Examining Health Communication among Physicians and Nurses in Hospital Neonatal Intensive Care Units (NICU).
Degree: Master's of Public Health, School of Health Professions and Studies: Public Health, 2017, University of Michigan
URL: http://hdl.handle.net/2027.42/137955
► Background: The primary purpose of this study was to determine the best practices for effective communication among healthcare professionals in a Neonatal Intensive Care Unit…
(more)
▼ Background: The primary purpose of this study was to determine the best practices for effective communication among healthcare professionals in a Neonatal
Intensive Care Unit (NICU) setting. Through the use of focus groups among the nursing staff and interviews with physicians, researchers gained insight into the current communication practices used in the NICU. Furthermore, several suggestions were made by both the nursing staff and the physicians that can be applied in the future to improve health communication. With this information, this study can provide valid evidence of what methods of communication work and also certain ways to improve the areas that need improvement. A thorough literature review was conducted to assess the current studies regarding health communication in various medical environments. The review was subdivided into various sections that include previous NICU interventions, and health communication among physicians and nurses. Although the primary focus of this study is health communication between physicians and nurses, it is important to also examine the communication methods between the medical providers and the parents in the NICU. The children admitted to the NICU of hospitals are high risk patients and thus the health information must be properly transferred between the parents, physicians and nurses in order to administer the best possible
care for the children. Methods: Two focus groups with parents, 2 focus groups with nurses, and 3 individual interviews with 3 physicians were conducted to recognize gaps and to understand their current strategies used for effective health communication between nurses and providers, among nurses, among physicians, and between providers and parents. Each participant was asked to fill out a demographic survey that provided basic information about the participants (APPENDIX 6). A table will be created with the demographic information for the nurses and physicians. Trained moderators guided the discussion using a set of questions. The recordings of the discussion were transcribed verbatim by the online service Transcribeme.com. The transcripts were analyzed using grounded theory techniques. The focus group questions concentrated on how to effectively communicate with parents, nurses, and physicians. It was important to gain insight on the effectiveness of these current strategies used because based on these results, a viable communication tool will be developed for future use by nurses and physicians within a NICU to address the findings from this pilot study.
Advisors/Committee Members: Kodjebacheva, Gergana (advisor), Hilliker, Lauren (committee member), Flint (affiliationumcampus).
Subjects/Keywords: Neonatal Intensive Care Unit (NICU); communication practice; health communication; nurses; physicians
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Manager
APA (6th Edition):
Alnarshi, J. (2017). Examining Health Communication among Physicians and Nurses in Hospital Neonatal Intensive Care Units (NICU). (Masters Thesis). University of Michigan. Retrieved from http://hdl.handle.net/2027.42/137955
Chicago Manual of Style (16th Edition):
Alnarshi, Joseph. “Examining Health Communication among Physicians and Nurses in Hospital Neonatal Intensive Care Units (NICU).” 2017. Masters Thesis, University of Michigan. Accessed April 16, 2021.
http://hdl.handle.net/2027.42/137955.
MLA Handbook (7th Edition):
Alnarshi, Joseph. “Examining Health Communication among Physicians and Nurses in Hospital Neonatal Intensive Care Units (NICU).” 2017. Web. 16 Apr 2021.
Vancouver:
Alnarshi J. Examining Health Communication among Physicians and Nurses in Hospital Neonatal Intensive Care Units (NICU). [Internet] [Masters thesis]. University of Michigan; 2017. [cited 2021 Apr 16].
Available from: http://hdl.handle.net/2027.42/137955.
Council of Science Editors:
Alnarshi J. Examining Health Communication among Physicians and Nurses in Hospital Neonatal Intensive Care Units (NICU). [Masters Thesis]. University of Michigan; 2017. Available from: http://hdl.handle.net/2027.42/137955

Universidade do Rio Grande do Norte
30.
Pereira, Mabel Maria Marques.
À beira do leito : sentimentos de pacientes durante a passagem de plantão em Unidade de Terapia Intensiva
.
Degree: 2011, Universidade do Rio Grande do Norte
URL: http://repositorio.ufrn.br/handle/123456789/14733
► This study aims to understand the feelings of patients admitted to the Intensive Care Unit (ICU) that experienced a change of shift at the bedside.…
(more)
▼ This study aims to understand the feelings of patients admitted to the
Intensive Care Unit (ICU) that experienced a change of shift at the bedside. The change of shift is one of the routines used by nursing in their work process and of great significance for the patient; therefore, deserves careful analysis in seeking to perfect themselves for the improvement of nursing
care. It is a descriptive research, with a qualitative approach. The collection of information was performed using semi-structured interview, in August and September of 2011, after authorization from the Ethics Committee of the Federal University of Rio Grande do Norte, as opinion 290/2011. The analysis, based on interviews of patients, took the humanization as the thread of investigation backed by authors who deal on the
subject and the theory of the gift of Marcel Mauss that sits on drug give-receive-return. The results indicate that the change of shift at the bedside but has not configured, the content of the speech of patients interviewed, as a moment that has generated fear and anxiety, could be deduced by the expression of silence, tears and other signs during interviews, how hard it is to live this experience. Nevertheless, despite this apparent tranquility, revealed uncertainty and apprehension face the speech of professional, during the visit at the bedside, particularly when referring to their health and their neighbors. On the other hand, the indifference to the participation of the patient at the time of the visit, expressing an attitude of merely technical nature, dehumanizes the act of taking
care, the essence of nursing. And, for all the patients that we understand, about the visit to the bedside, as well as the ICU, we can infer that there is suffering for them. However, we understand your feelings and revelations seeking support in the theory of Mauss's gift: the patient receives the gift (
care), and imbued with a feeling of gratitude, the rewards in the form of compliments and courtesies. Precisely for this reason, we need to sharpen our sensitivity to deal about the human condition in all its vulnerability.
Advisors/Committee Members: Germano, Raimunda Medeiros (advisor), CPF:00446114472 (advisor), http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4721938D8 (advisor).
Subjects/Keywords: Humanização;
Enfermagem;
Unidade de Terapia Intensiva.;
Humanization;
Nursing;
Intensive Care Unit.
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Manager
APA (6th Edition):
Pereira, M. M. M. (2011). À beira do leito : sentimentos de pacientes durante a passagem de plantão em Unidade de Terapia Intensiva
. (Thesis). Universidade do Rio Grande do Norte. Retrieved from http://repositorio.ufrn.br/handle/123456789/14733
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Pereira, Mabel Maria Marques. “À beira do leito : sentimentos de pacientes durante a passagem de plantão em Unidade de Terapia Intensiva
.” 2011. Thesis, Universidade do Rio Grande do Norte. Accessed April 16, 2021.
http://repositorio.ufrn.br/handle/123456789/14733.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Pereira, Mabel Maria Marques. “À beira do leito : sentimentos de pacientes durante a passagem de plantão em Unidade de Terapia Intensiva
.” 2011. Web. 16 Apr 2021.
Vancouver:
Pereira MMM. À beira do leito : sentimentos de pacientes durante a passagem de plantão em Unidade de Terapia Intensiva
. [Internet] [Thesis]. Universidade do Rio Grande do Norte; 2011. [cited 2021 Apr 16].
Available from: http://repositorio.ufrn.br/handle/123456789/14733.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Pereira MMM. À beira do leito : sentimentos de pacientes durante a passagem de plantão em Unidade de Terapia Intensiva
. [Thesis]. Universidade do Rio Grande do Norte; 2011. Available from: http://repositorio.ufrn.br/handle/123456789/14733
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
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