Systematic Review Summary

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A Systematic Review of the Impact of Sedation Practice in the ICU on Resource Use, Costs and Patient Safety This is a summary of the article “A Systematic Review of the Impact of Sedation Practice in the ICU on Resource Use, Costs and Patient Safety” by Jackson et al. in the Critical Care journal. The article begins by addressing Intensive Care Unit (ICU)’s patients’ tendency to be put under sedation for prolonged durations. The focus of the article is to evaluate the impact of altered or diverse practices for sedation management on economical implications and patient safety consequences. The systematic review processes started by searching for suitable and eligible studies online that answered the main focus and objectives of the review.…show more content…
in the World Views on Evidence-Based Nursing journal. The article begins by addressing the fact that families, together with the healthcare professionals were particularly implicated when it comes to the process of decision-making of the Intensive Care Unit (ICU)’s patients, especially about the use of life support. The use of life support by ICU’s patients can be, regarding the decision to withhold or withdraw life support at the end-of-life of the patients. Shared Decision Making (SDM) approach was suggested as the best practice guidelines to improve the quality of end-of-life decision-making. The focus of the article is to explore the effectiveness of SDM interventions to improve communication between the healthcare team, patients, their family members and surrogate decision-makers about the decision to use life support in the…show more content…
As a Consultant, CNS/ANP is required to utilize his/her role to solve problems regarding treatment and management of ICU’s patients. And in regard of this article, concerning SDM function in life support in end-of-life decision that need to decided collectively by healthcare team, patients, their family members and surrogate decision-makers. The importance and objectives of the CNS/ANP’s consultation are to improve the patients’ management and treatment in ICU. Base on the content of the article, there were good and bad implications that CNS/ANP might encounter. The good implication is that CNS/ANP is given the opportunity to explain and discuss with the involved parties regarding patient’s current condition and the prognosis. By involving the others, CNS/ANP can play the role as the Consultant; therefore give her/his expert opinion regarding the
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