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

Knowles, S; Rolls, K; Elliott, D; Hardy, J; Middleton, S

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

Knowles, S Rolls, K

Elliott, D

Hardy, J Middleton, S

Permalink

Publication Type:: Journal Article
Citation:: Australian Critical Care, 2010, 23 (1), pp. 21 - 29
Issue Date:: 2010-02-01

Closed Access

	Filename	Description	Size
	2010000966OK.pdf		151.08 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Knowles, S	en_US
dc.contributor.author	Rolls, K https://orcid.org/0000-0003-1807-6620	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.contributor.author	Hardy, J	en_US
dc.contributor.author	Middleton, S	en_US
dc.date.available	2009-10-07	en_US
dc.date.issued	2010-02-01	en_US
dc.identifier.citation	Australian Critical Care, 2010, 23 (1), pp. 21 - 29	en_US
dc.identifier.issn	1036-7314	en_US
dc.identifier.uri	http://hdl.handle.net/10453/15633
dc.description.abstract	Background: There are a number of practice areas highlighted in the literature as important for the care of critically ill patients. However, the current implementation of evidence into clinical practice for these areas is largely unknown. The development of clinical practice guidelines can translate the current evidence into useful tools to guide clinicians in providing evidence based care. Aim: To identify existence of current guidelines and informal routine procedures and clinicians' views of same within New South Wales (NSW) Intensive Care Units (ICUs) and High Dependency Units (HDUs) for 11 practice areas, namely, bowel management, endotracheal tube (ETT) stabilisation, tracheostomy tube stabilisation, feeding, analgesia, sedation, thromboembolic prevention, head of bed elevation, ulcer prophylaxis and glucose control. Method: A telephone survey conducted with a representative from NSW ICUs and HDUs. Results: There was variation in the number of guidelines and informal routine procedures reported for the 11 practice areas within the study units. Larger ICUs (Joint Faculty of Intensive Care Medicine Level II and Level III) and those who employed an onsite CNC were significantly more likely to have formal guidelines in place. Overall, there were very few audits reportedly conducted for the 11 practice areas. Bowel management was the area of practice most respondents reported as a neglected area of critical care nursing practice and the one they were least satisfied with. Conclusion: This survey provides a baseline of current practice and guideline use within NSW ICUs and HDUs. It also highlights areas for consideration to further develop clinical practice guidelines that could benefit critically ill patients. © 2009 Australian College of Critical Care Nurses Ltd.	en_US
dc.relation.ispartof	Australian Critical Care	en_US
dc.relation.isbasedon	10.1016/j.aucc.2009.10.001	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Critical Illness	en_US
dc.subject.mesh	Clinical Protocols	en_US
dc.subject.mesh	Intensive Care	en_US
dc.subject.mesh	Nursing Care	en_US
dc.subject.mesh	Questionnaires	en_US
dc.subject.mesh	Chi-Square Distribution	en_US
dc.subject.mesh	Statistics, Nonparametric	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Nursing Evaluation Research	en_US
dc.subject.mesh	Diffusion of Innovation	en_US
dc.subject.mesh	Nurse Clinicians	en_US
dc.subject.mesh	Nursing Staff, Hospital	en_US
dc.subject.mesh	Hospital Bed Capacity	en_US
dc.subject.mesh	Hospitals, Public	en_US
dc.subject.mesh	Physician's Practice Patterns	en_US
dc.subject.mesh	Guideline Adherence	en_US
dc.subject.mesh	Nursing Audit	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Practice Guidelines as Topic	en_US
dc.subject.mesh	Evidence-Based Practice	en_US
dc.subject.mesh	Critical Care	en_US
dc.subject.mesh	Practice Patterns, Physicians'	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Patient care guidelines: A telephone survey of intensive care practices in New South Wales	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	23	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	23	en_US

Abstract:

Background: There are a number of practice areas highlighted in the literature as important for the care of critically ill patients. However, the current implementation of evidence into clinical practice for these areas is largely unknown. The development of clinical practice guidelines can translate the current evidence into useful tools to guide clinicians in providing evidence based care. Aim: To identify existence of current guidelines and informal routine procedures and clinicians' views of same within New South Wales (NSW) Intensive Care Units (ICUs) and High Dependency Units (HDUs) for 11 practice areas, namely, bowel management, endotracheal tube (ETT) stabilisation, tracheostomy tube stabilisation, feeding, analgesia, sedation, thromboembolic prevention, head of bed elevation, ulcer prophylaxis and glucose control. Method: A telephone survey conducted with a representative from NSW ICUs and HDUs. Results: There was variation in the number of guidelines and informal routine procedures reported for the 11 practice areas within the study units. Larger ICUs (Joint Faculty of Intensive Care Medicine Level II and Level III) and those who employed an onsite CNC were significantly more likely to have formal guidelines in place. Overall, there were very few audits reportedly conducted for the 11 practice areas. Bowel management was the area of practice most respondents reported as a neglected area of critical care nursing practice and the one they were least satisfied with. Conclusion: This survey provides a baseline of current practice and guideline use within NSW ICUs and HDUs. It also highlights areas for consideration to further develop clinical practice guidelines that could benefit critically ill patients. © 2009 Australian College of Critical Care Nurses Ltd.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/15633