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Journals and Conferences
AIM This paper is a report of a review conducted to identify and critically evaluate research investigating nursing practice in detecting and managing deteriorating general ward patients. BACKGROUND Failure to recognize or act on deterioration of general ward patients has resulted in the implementation of early warning scoring systems and critical care… (More)
Factors influencing intracranial pressure are summarised. The Codman subdural bolt is presented as a useful tool for monitoring intracranial pressure in a district general hospital. Implications for nursing care of patients with a Codman subdural bolt are discussed.
This qualitative, phenomenological study was undertaken to find out how patients felt about being transferred from the intensive care unit to the ward. The six patients who took part in the study, had been in intensive care for more than 4 days. Their transfer was planned as part of their recovery from a critical illness. Following transfer to the ward, the… (More)
AIM To determine whether the implementation of a Reading-Modified Early Warning Scoring (R-MEWS) system, is associated with an increased recording of respiratory rate (RR) in hospital inpatients, and whether the presence of a critical care outreach (CCO) service has a further impact on the recording of patient's vital signs. METHOD Five annual point… (More)
This study examined acute systolic (SBP) and diastolic (DBP) blood pressure responses within passive and modified proprioceptive neuromuscular facilitation (PNF) stretching techniques. Nonhypertensives (N = 60) were assigned to one of three treatment groups. Group 1 employed an antagonist passive stretch (APS), 6-sec maximal voluntary isometric contraction… (More)
Patients can experience unexpected deterioration in their physiological condition that can lead to critical illness, cardiac arrest, admission to the intensive care unit and death. While ward staff can identify deterioration through monitoring physiological signs, these signs can be missed, interpreted incorrectly or mismanaged. Rapid response systems using… (More)
The implementation and evaluation of a modified early warning system (MEWS) on surgical wards are described. The MEWS was found to be a useful adjunct to the outreach service. Early data have shown that MEWS can help direct critical intervention. Ward staff have benefit from both the MEWS and the outreach service.
AIMS AND OBJECTIVES To audit ward nursing practice in the adherence to an early warning scoring protocol in the detection and initial management of the deteriorating ward patient and investigate factors that may impact on practice. BACKGROUND Hospital inpatients can experience unexpected physiological deterioration leading to poor outcomes and death.… (More)
The level of nurse-to-patient staffing ratios in critical care environments is a controversial issue. Tracy Pilcher and Mandy Odell review the literature and examine some of the main factors that influence staffing levels. The British Association of Critical Care Nurses' (BACCN) position statement is outlined.