Show simple item record

dc.contributor.authorAitken, Leanne M
dc.contributor.authorWilliams, Ged
dc.contributor.authorHarvey, Maurene
dc.contributor.authorBlot, Stijn
dc.contributor.authorKleinpell, Ruth
dc.contributor.authorLabeau, Sonia
dc.contributor.authorMarshall, Andrea
dc.contributor.authorRay-Barruel, Gillian
dc.contributor.authorMoloney-Harmon, Patricia A
dc.contributor.authorRobson, Wayne
dc.contributor.authorJohnson, Alexander P
dc.contributor.authorLan, Pang Nguk
dc.contributor.authorAhrens, Tom
dc.contributor.editorJoseph E Parrillo
dc.date.accessioned2017-05-03T14:04:07Z
dc.date.available2017-05-03T14:04:07Z
dc.date.issued2011
dc.date.modified2012-09-14T00:50:54Z
dc.identifier.issn0090-3493
dc.identifier.doi10.1097/CCM.0b013e31821867cc
dc.identifier.urihttp://hdl.handle.net/10072/41408
dc.description.abstractObjectives: To provide a series of recommendations based on the best available evidence to guide clinicians providing nursing care to patients with severe sepsis., Design: Modified Delphi method involving international experts and key individuals in subgroup work and electronic-based discussion among the entire group to achieve consensus., Methods: We used the Surviving Sepsis Campaign guidelines as a framework to inform the structure and content of these guidelines. We used the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) system to rate the quality of evidence from high (A) to very low (D) and to determine the strength of recommendations, with grade 1 indicating clear benefit in the septic population and grade 2 indicating less confidence in the benefits in the septic population. In areas without complete agreement between all authors, a process of electronic discussion of all evidence was undertaken until consensus was reached. This process was conducted independently of any funding., Results: Sixty-three recommendations relating to the nursing care of severe sepsis patients are made. Prevention recommendations relate to education, accountability, surveillance of nosocomial infections, hand hygiene, and prevention of respiratory, central line-related, surgical site, and urinary tract infections, whereas infection management recommendations related to both control of the infection source and transmission-based precautions. Recommendations related to initial resuscitation include improved recognition of the deteriorating patient, diagnosis of severe sepsis, seeking further assistance, and initiating early resuscitation measures. Important elements of hemodynamic support relate to improving both tissue oxygenation and macrocirculation. Recommendations related to supportive nursing care incorporate aspects of nutrition, mouth and eye care, and pressure ulcer prevention and management. Pediatric recommendations relate to the use of antibiotics, steroids, vasopressors and inotropes, fluid resuscitation, sedation and analgesia, and the role of therapeutic end points., Conclusion: Consensus was reached regarding many aspects of nursing care of the severe sepsis patient. Despite this, there is an urgent need for further evidence to better inform this area of critical care.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent350735 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1800
dc.relation.ispartofpageto1818
dc.relation.ispartofissue7
dc.relation.ispartofjournalCritical Care Medicine
dc.relation.ispartofvolume39
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchAcute care
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420501
dc.titleNursing considerations to complement the Surviving Sepsis Campaign guidelines
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2011 LWW. This is a non-final version of an article published in final form in Critical Care Medicine, Volume 39 - Issue 7 - pp 1800-1818. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal link for access to the definitive, published version.
gro.date.issued2011
gro.hasfulltextFull Text
gro.griffith.authorMarshall, Andrea


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record