Interventions to promote oral care regimen adherence in the critical care setting: A systematic review

Author(s):  
Lien Lombardo ◽  
Caleb Ferguson ◽  
Ajesh George ◽  
Amy R. Villarosa ◽  
Boaz J. Villarosa ◽  
...  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Joost D. J. Plate ◽  
Rutger R. van de Leur ◽  
Luke P. H. Leenen ◽  
Falco Hietbrink ◽  
Linda M. Peelen ◽  
...  

Abstract Background The incorporation of repeated measurements into multivariable prediction research may greatly enhance predictive performance. However, the methodological possibilities vary widely and a structured overview of the possible and utilized approaches lacks. Therefore, we [1] propose a structured framework for these approaches, [2] determine what methods are currently used to incorporate repeated measurements in prediction research in the critical care setting and, where possible, [3] assess the added discriminative value of incorporating repeated measurements. Methods The proposed framework consists of three domains: the observation window (static or dynamic), the processing of the raw data (raw data modelling, feature extraction and reduction) and the type of modelling. A systematic review was performed to identify studies which incorporate repeated measurements to predict (e.g. mortality) in the critical care setting. The within-study difference in c-statistics between models with versus without repeated measurements were obtained and pooled in a meta-analysis. Results From the 2618 studies found, 29 studies incorporated multiple repeated measurements. The annual number of studies with repeated measurements increased from 2.8/year (2000–2005) to 16.0/year (2016–2018). The majority of studies that incorporated repeated measurements for prediction research used a dynamic observation window, and extracted features directly from the data. Differences in c statistics ranged from − 0.048 to 0.217 in favour of models that utilize repeated measurements. Conclusions Repeated measurements are increasingly common to predict events in the critical care domain, but their incorporation is lagging. A framework of possible approaches could aid researchers to optimize future prediction models.


Author(s):  
Elizabeth Adjoa Kumah ◽  
Paul Boadu ◽  
Rachel Duncan

Objectives: The purpose of this systematic review was to ascertain critical care nurses’ understanding and experiences of patient advocacy in adult critical care settings. The specific objectives were to identify how critical care nurses define patient advocacy, to explore the understanding and experiences of critical care nurses regarding patient advocacy, to explore critical care nurses’ role in patient advocacy, and to ascertain the barriers to encouraging advocacy in the critical care setting. Research design: Systematic literature search of CINAHL and Medline databases, Google Scholar, and Cochrane Database of Systematic Reviews, as well as grey literature search, was conducted. Search dates were restricted from January 2005 to 2015 in both CINAHL and Medline. Findings: 62 studies were identified, of which 6 qualitative research papers were included. Nurses gave varied definitions of patient advocacy, which were categorized into three themes: communication, protection, and doing. Nurses perceive advocacy as truly listening to patients and their families. Conclusion: For critical care nurses to be effective advocates, there must be support, collaboration, and improved working relationship between professional groups. Moreover, nurses must be empowered to be able to give power to patients and family.


2002 ◽  
Vol 30 (7) ◽  
pp. 1429-1435 ◽  
Author(s):  
Christopher M. Booth ◽  
Daren K. Heyland ◽  
William G. Paterson

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