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dc.contributor.authorAitken, Leanneen_US
dc.contributor.authorWilliams, Geden_US
dc.contributor.authorHarvey, Maureneen_US
dc.contributor.authorBlot, Stijnen_US
dc.contributor.authorKleinpell, Ruthen_US
dc.contributor.authorLabeau, Soniaen_US
dc.contributor.authorMarshall, Andreaen_US
dc.contributor.authorRay-Barruel, Gillianen_US
dc.contributor.authorMoloney-Harmon, Patriciaen_US
dc.contributor.authorRobson, Wayneen_US
dc.contributor.authorJohnson, Alexanderen_US
dc.contributor.authorLan, Pang Nguken_US
dc.contributor.authorAhrens, Tomen_US
dc.contributor.editorJoseph E Parrilloen_US
dc.date.accessioned2017-05-03T14:04:07Z
dc.date.available2017-05-03T14:04:07Z
dc.date.issued2011en_US
dc.date.modified2012-09-14T00:50:54Z
dc.identifier.issn00903493en_US
dc.identifier.doi10.1097/CCM.0b013e31821867ccen_US
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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent350735 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.publisher.placeUnited Statesen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom1800en_US
dc.relation.ispartofpageto1818en_US
dc.relation.ispartofissue7en_US
dc.relation.ispartofjournalCritical Care Medicineen_US
dc.relation.ispartofvolume39en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchcode111003en_US
dc.titleNursing considerations to complement the Surviving Sepsis Campaign guidelinesen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright 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.en_US
gro.date.issued2011
gro.hasfulltextFull Text


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