ORCID Profile
0000-0002-7481-2445
Current Organisation
Alfred Health
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Publisher: Elsevier BV
Date: 2023
DOI: 10.1016/J.AUCC.2022.01.008
Abstract: For over two decades, nurse-led critical care outreach services have improved the recognition, response, and management of deteriorating patients in general hospital wards, yet variation in terms, design, implementation, and evaluation of such services continue. For those establishing a critical care outreach service, these factors make the literature difficult to interpret and translate to the real-world setting. The aim of this study was to provide a practical approach to establishing a critical care outreach service in the hospital setting. An international expert panel of clinicians, managers, and academics with experience in implementing, developing, operationalising, educating, and evaluating critical care outreach services collaborated to synthesise evidence, experience, and clinical judgment to develop a practical approach for those establishing a critical care outreach service. A rapid review of the literature identified publications relevant to the study. A modified Delphi technique was used to achieve expert panel consensus particularly in areas where insufficient published literature or ambiguities existed. There were 502 publications sourced from the rapid review, of which 104 were relevant and reviewed. Using the modified Delphi technique, the expert panel identified five key components needed to establish a critical care outreach service: (i) approaches to service delivery, (ii) education and training, (iii) organisational engagement, (iv) clinical governance, and (v) monitoring and evaluation. An expert panel research design successfully synthesised evidence, experience, and clinical judgement to provide a practical approach for those establishing a critical care outreach service. This method of research will likely be valuable in other areas of practice where terms are used interchangeably, and the literature is erse and lacking a single approach to practice.
Publisher: Universidad de Santander - UDES
Date: 2020
Abstract: Coronavirus disease 2019 (COVID-19) has dominated almost every aspect of human life on planet Earth since it was first discovered in Wuhan, Hubei province, China, in December 20191. A quick google search of the expression COVID-19 reveals more than 3.22 billion results. In order to understand the importance of this type of virus, we need to carry out two extremely important epidemiological issues: the basic reproduction number (Ro) and the effective infection number (R). Ro is used to measure the transmission potential of a virus. This number is an average of how many people to whom an infected patient is able to transmit the pathogen, assuming that people close to the patient are not immune to it. Now let's understand R. A population will rarely be completely susceptible to infection in the real world. Some contacts will be immune due to a previous infection that conferred immunity or as a result of previous immunization, due to the action of vaccines. Therefore, not all contacts will be infected and the average number of secondary cases per infectious case will be less than Ro. In this calculation, we take into account susceptible and non-susceptible people. With this information presented, we can conclude that if the value of R is , the number of cases will increase, starting an epidemic. For a virus to stop spreading, R must be . To estimate R, we multiply the value of Ro by the susceptible fraction of a population2.
Publisher: Springer Publishing Company
Date: 03-2019
Abstract: Due to changes in critical care worldwide, the World Federation of Critical Care Nurses Board of Directors commissioned a review of its 2005 Declaration of Buenos Aires: Position Statement on the Provision of a Critical Care Nursing Workforce. To provide international recommendations to inform and assist critical care nursing associations, health services, governments, and other interested stakeholders in the development and provision of an appropriate critical care nursing workforce. An international review group was established, comprised of critical care nurse clinicians, leaders, and researchers. A literature search was undertaken, which informed the revision of the 2005 Declaration, which is contained in the 2019 Position Statement. The position is supported by six central principles, and is comprised of eight key statements: A critical care unit should have a dedicated nurse leader Each shift should have at least one registered nurse (RN) designated as the team leader The majority of RNs providing patient care should hold a recognized post-registration qualification or certification in critical care Critical care RN staffing should be assessed on a shift-by-shift basis according to patient acuity, the staffing profile, and unit need An additional critical care RN, not counted in RN-to-patient ratios or allocated a patient load, may provide additional hands-on assistance in patient care, and coordinate other patient-related activities Support staff (such as nursing and allied health assistants, nursing aides, and care assistants) should work only under the direct supervision of a critical care RN, and never in place of a critical care RN Where institutionally supported, and in accordance with local legislation, a critical care RN may provide expert critical care consultancy A critical care unit should be staffed to provide at least one senior nurse, who holds a recognized post-registration critical care qualification or certification, and ideally further qualifications in education.
Publisher: Wiley
Date: 22-10-2020
DOI: 10.1111/JNU.12599
Publisher: Elsevier BV
Date: 05-2021
Publisher: Wiley
Date: 09-03-2023
DOI: 10.1111/JNU.12884
Abstract: To examine the status of critical care nursing internationally, assess the impact of the COVID‐19 pandemic, and identify research priorities by surveying professional critical care nursing organizations (CCNOs) worldwide. A descriptive survey methodology was used. This study is the sixth worldwide quadrennial review to assess international critical care nursing needs and provide evidence to inform critical care nursing policy, practice and research priorities globally. The sixth World Federation of Critical Care Nurses survey of CCNOs was emailed to potential participants from countries with CCNOs or known critical care nurse leaders. Data were collected online using Survey Monkey™. Responses were entered into SPSS version 28 software (IBM Corp.) and analyzed by geographical region and national wealth group. Ninety‐nine national representative respondents participated in the survey (70.7% response rate). The most important issues identified were working conditions, teamwork, staffing levels, formal practice guidelines, wages, and access to quality education programs. The top five CCNO services that were of most importance were providing national conferences, local conferences, workshops and education forums, practice standards and guidelines, and professional representation. Important pandemic‐related services and activities provided by CCNOs included addressing emotional and mental well‐being of nurses, providing guidance related to nurse staffing/workforce needs, assisting to coordinate efforts to obtain personal protective equipment supplies, serving as a country liaison with the World Health Organization's COVID‐19 response activities, and assisting in the development and implementation of policies regarding standards of care. The most important contributions expected from the World Federation of Critical Care Nurses were standards for professional practice, standards for clinical practice, website resources, professional representation, and providing online education and training materials. The top five research priority areas were: stress levels (inclusive of burnout, emotional exhaustion and compassion fatigue) critical care nursing shortage, skill mix and workforce planning recruitment, retention, turnover, working conditions critical care nursing education and patient outcomes and adverse events, staffing levels, patient outcomes. The results highlight priority areas for critical care nursing internationally. The COVID‐19 pandemic impacted critical care nurses as direct care providers. As a result, addressing the ongoing needs of critical care nurses remains a priority area of focus. The results also highlight important policy and research priorities for critical care nursing globally. Results of this survey should be incorporated into strategic action plans at the national and international levels. Issues of importance to critical care nurses including research and policy priorities during and following COVID‐19 are now clarified through this survey. The impact and importance that COVID‐19 has had on critical care nurses and their preferences and priorities are provided. Clear guidance to leaders and policy makers on where critical care nurses would like to see greater focus and attention to help strengthen the contribution of critical care nursing practice to the global healthcare agenda.
Publisher: AMPCo
Date: 06-2006
Publisher: Elsevier BV
Date: 06-1992
DOI: 10.1016/S1036-7314(92)70031-9
Abstract: Botulism is a rare yet potentially common form of food poisoning that can be fatal. (1) Few documented cases of botulism exist in Australia (2,3,4) and New Zealand (5), emphasising how infrequently it is encountered. The recent admission to our Intensive Care Unit (ICU) of a man suspected of having botulism was a timely reminder of just how dangerous this condition can be. This paper will review the contemporary knowledge and interventions necessary in the management of botulism. It will also utilise anecdotes from our recent experience to illustrate some of the clinical scenarios and potentially fatal complications seen in this condition.
Publisher: Springer Science and Business Media LLC
Date: 09-10-2020
Publisher: Springer Publishing Company
Date: 09-2020
Publisher: Springer Publishing Company
Date: 05-2021
Publisher: Elsevier BV
Date: 12-1997
DOI: 10.1016/S1036-7314(97)70412-0
Abstract: Methanol intoxication, a rare and potentially lethal form of poisoning, usually results from ingestion and occasionally inhalation of methanol. Initial symptoms of blurred vision, elongated anion gap and metabolic acidosis are typically delayed and may not at first be recognised as methanol-related complaints. Once diagnosed, treatment must be prompt and definitive. As well as general supportive care, ethanol infusion, dialysis and alkalinization from the mainstays of treatment. The cases described in this paper are compared to previous reports from other countries worldwide and contrast the variance in outcome often seen in methanol poisoning. The paper describes two tragic deaths and two lucky survivors, all of whom had consumed a cocktail of methanol and other alcoholic beverages at the same party. The ICU nurse's role in managing the methanol-intoxicated patient relies on that person's sound knowledge of the unusual biochemical reactions occurring in the body and the need to institute definitive and supportive measures to help both patient and family recover.
Publisher: Springer Publishing Company
Date: 03-2020
Abstract: To explore and understand the current context of critical care nursing in Papua New Guinea (PNG). A three day fact finding mission and consulation process with leaders of critical care and health services in PNG. Although challenged by limited resources and healthcare infrastructure there is a determination among local health care providers to growth and improve the provision of critical care services from the major hospitals of PNG. The PNG Critical Care Nurses Society (PNG CCNS) was officially formed in March 2020, providing hope and optimism for a renewed emphasis on this important speciality in PNG. The authors and the PNG CCNS recommend the establishment of active and supportive partnerships with other critical care leaders of the world to help guide future developments in PNG.
Publisher: Springer Publishing Company
Date: 09-2019
Abstract: This article summarizes the development of critical care nursing in Sri Lanka. After years of development, Sri Lanka steadily progresses to establish critical care medicine as a separate specialty with fully trained Intensivists and nurses playing pivotal roles. However, courses of critical care nurse training are still lacking. Other barriers in developing critical care nursing in Sri Lanka include lacking career development plan, financial and policy support. The formulation of the Sri Lanka Society of Critical Care Nurses is helpful to fill this gap and to build up a local critical care nursing community in Sri Lanka.
Publisher: Elsevier BV
Date: 09-1993
Publisher: Wiley
Date: 02-08-2020
DOI: 10.1111/JAN.14418
Publisher: Springer Science and Business Media LLC
Date: 26-02-2021
No related grants have been discovered for Ged Williams.