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Nursing in Critical Care Setting

An Overview from Basic to Sensitive Outcomes

  • Book
  • © 2018

Overview

Authors:
  1. Irene Comisso

    1. University Anesthesia and Intensive Care Unit, University Hospital S. Maria della Misericordia, Udine, Italy

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  2. Alberto Lucchini

    1. General Intensive Care Unit - San Gerardo Hospital – ASST Monza, University of Milano-Bicocca, Milan, Italy

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  3. Stefano Bambi

    1. Emergency and Trauma ICU, University Hospital Careggi, Florence, Italy

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  4. Gian Domenico Giusti

    1. Intensive Care Unit, University Hospital of Perugia, Perugia, Italy

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  5. Matteo Manici

    1. Anesthesia, Intensive Care and Hub Pain Service, University Hospital of Parma, Parma, Italy

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  • Enhances nurses’ understanding of the indications for different practices
  • Offers a much-needed conceptual framework
  • Outlines each of the sensitive outcomes and indicators

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Table of contents (20 chapters)

  1. Front Matter

    Pages i-xxi
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  2. Assessment and Monitoring in ICU

    1. Front Matter

      Pages 1-1
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    2. Monitoring Patients: What’s New in Intensive Care Setting?

      • Matteo Manici, Claudio Torbinio
      Pages 3-24

    3. Neurological, Pain, Sedation, and Delirium Assessment

      • Gian Domenico Giusti, Giovanni Mistraletti
      Pages 25-57

    4. Respiratory and Ventilatory Assessment

      • Alberto Lucchini, Christian De Felippis, Stefano Bambi
      Pages 59-105

    5. Cardiovascular Assessment

      • Irene Comisso, Alberto Lucchini
      Pages 107-136

    6. Early Mobility, Skin, and Pressure Ulcer Risk Assessment

      • Gian Domenico Giusti, Angela Peghetti, Irene Comisso, Stefano Bambi
      Pages 137-153

  3. Basic Care in ICU

    1. Front Matter

      Pages 155-155
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    2. Interventional Patient Hygiene Model: New Insights in Critical Care Nursing, Starting from the Basics of Care

      • Stefano Bambi
      Pages 157-176

    3. Eye, Mouth, Skin Care, and Bed Bath

      • Gian Domenico Giusti, Irene Comisso, Alberto Lucchini
      Pages 177-201

    4. Positioning the Critically Ill Patient: Evidence and Impact on Nursing Clinical Practice

      • Stefano Bambi, Stefano Elli
      Pages 203-236

    5. General Considerations About Infection Prevention

      • Irene Comisso, Stefano Bambi
      Pages 237-241

  4. Care Quality Measurement: From Performance Indicators to Nursing Sensitive Outcomes

    1. Front Matter

      Pages 243-243
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    2. Prevention of Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia

      • Stefano Bambi
      Pages 245-277

    3. Hospital-Acquired Catheter-Related Bloodstream Infection Prevention

      • Irene Comisso, Alberto Lucchini
      Pages 279-304

    4. Catheter-Acquired Urinary Tract Infections

      • Irene Comisso, Alberto Lucchini
      Pages 305-316

    5. Venous Thromboembolism Prevention and Prophylaxis

      • Matteo Manici, Giacomo Alemanno, Magherita I. Nuzzaco
      Pages 317-333

    6. Hospital-Acquired Injuries: Device-Related Pressure Ulcers, Falls, and Restraints

      • Stefano Bambi
      Pages 335-373

    7. Enteral Nutrition and Bowel Management

      • Irene Comisso, Stefano Bambi
      Pages 375-407

    8. Visiting Policies in ICUs

      • Matteo Manici, Francesca Ghillani
      Pages 409-442
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Keywords

About this book

This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses' role has become more professionalized, with increasing competences in assessing and managing patients' problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives. 





Reviews

“The purpose is to provide information for any nurses caring for patients in the ICU setting. … This book is informative and timely. I loved the various monitoring methods and assessment strategies. The diagrams and pictures are very well done. The authors discuss a variety of areas, not just the cardiac and respiratory system, but also the eye … positioning. This is a very well rounded and informative book that would be a great asset for any new ICU nurse.” (Cynthia Cummings, Doody's Book Reviews, October, 2018)

Authors and Affiliations

  • University Anesthesia and Intensive Care Unit, University Hospital S. Maria della Misericordia, Udine, Italy

    Irene Comisso

  • General Intensive Care Unit - San Gerardo Hospital – ASST Monza, University of Milano-Bicocca, Milan, Italy

    Alberto Lucchini

  • Emergency and Trauma ICU, University Hospital Careggi, Florence, Italy

    Stefano Bambi

  • Intensive Care Unit, University Hospital of Perugia, Perugia, Italy

    Gian Domenico Giusti

  • Anesthesia, Intensive Care and Hub Pain Service, University Hospital of Parma, Parma, Italy

    Matteo Manici

About the authors

Irene Comisso (RN, MSN) was graduated in 2000, and achieved the Master in Nursing Sciences degree in 2011. She works as ICU nurse since 2000, and lectures ICU nursing at Nursing Bachelor in Udine, Italy. She is member of the scientific board of STAT (selected topics in anaestesia and intensive care) annual congress. She is author of several publications and participated in critical care nursing conferences as speaker and chairman.
Alberto Lucchini works as a nurse in the general ICU at the Department of perioperative medicine and intensive care of San Gerardo Monza hospital since 1992. He is a chief nurse since 2003. Since 2006 he is the coordinator of master in Nursing Sciences of anesthesia and intensive care at the University of Milan Bicocca. He has been a member of the scientific board in several events and conferences on the topic of critical care nursing. He is member of the direction board of Aniarti (Italian critical care nurses association). He has several publications and collaborations to observational and multicentric studies.

Stefano Bambi (RN, MSN) is a PhD candidate in nursing science at the University of Firenze, Italy. He was graduated in 1995, and has been working as staff nurse in emergency department for about 10 years. Since 2008, he is working as staff nurse in intensive care unit. He was formerly lecturer in Emergency and Critical Care Nursing at Nursing Bachelor and other universitary courses in Florence. He was (invited) speaker in several conferences. He is an author of several nursing papers published in national and international journals.
Gian Domenico Giusti (RN, MSN) is staff nurse in Intensive Care Unit at Perugia Hospital. He is Lecturer in Critical Care at School of Nursing, Perugia University of Medicine, Italy. He is member of National Board of Aniarti (Italian Critical Care Nurses Associations) and member of Editorial Board of  “Scenario. Il nursing nella sopravvivenza” (Off
icial Journal of Aniarti). He is the author of many scientific publications and invited speaker in several conferences.

Bibliographic Information

  • Book Title: Nursing in Critical Care Setting

  • Book Subtitle: An Overview from Basic to Sensitive Outcomes

  • Authors: Irene Comisso, Alberto Lucchini, Stefano Bambi, Gian Domenico Giusti, Matteo Manici

  • DOI: https://doi.org/10.1007/978-3-319-50559-6

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing AG, part of Springer Nature 2018

  • Hardcover ISBN: 978-3-319-50558-9Published: 19 July 2018

  • Softcover ISBN: 978-3-030-09595-6Published: 11 February 2019

  • eBook ISBN: 978-3-319-50559-6Published: 06 June 2018

  • Edition Number: 1

  • Number of Pages: XXI, 524

  • Number of Illustrations: 18 b/w illustrations, 27 illustrations in colour

  • Topics: Nursing, Intensive / Critical Care Medicine, Health Promotion and Disease Prevention

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