Effectiveness of interventions to prevent pressure injury in adults admitted to intensive care settings : A systematic review and meta-analysis of randomised controlled trials

Journal article

Lovegrove, Josephine, Fulbrook, Paul, Miles, Sandra and Steele, Michael. (2022). Effectiveness of interventions to prevent pressure injury in adults admitted to intensive care settings : A systematic review and meta-analysis of randomised controlled trials. Australian Critical Care. 35(2), pp. 186-203. https://doi.org/10.1016/j.aucc.2021.04.007

Publication dates
Authors	Lovegrove, Josephine, Fulbrook, Paul, Miles, Sandra and Steele, Michael
Abstract	Objective The aim of the study was to investigate the effectiveness of interventions to prevent pressure injury in adults admitted to intensive care settings. Review method used This is a systematic review and meta-analysis of randomised controlled trials. Data sources Five databases (CINAHL, MEDLINE, Scopus, Web of Science, and Embase) were searched in mid-2019. Searches were updated (in April 2020) to year end 2019. Review methods From an overarching systematic review and meta-analysis examining the effectiveness of pressure injury preventative interventions in adults admitted to acute hospital settings, trials conducted in intensive care were separated for an intensive care–specific synthesis. Two reviewers, with a third as an arbitrator, undertook study selection, data extraction, and risk-of-bias assessment. Included trials were grouped by intervention type for narrative synthesis and for random-effects meta-analysis using intention-to-treat data where appropriate. Results Overall, 26 trials were included. Ten intervention types were found (support surfaces, prophylactic dressings, positioning, topical preparations, continence management, endotracheal tube securement, heel protection devices, medication, noninvasive ventilation masks, and bundled interventions). All trials, except one, were at high or unclear risk of bias. Four intervention types (endotracheal tube securement, heel protection devices, medication, and noninvasive ventilation masks) comprised single trials. Support surface trials were limited to type (active, reactive, seating, other). Meta-analysis was undertaken for reactive surfaces, but the intervention effect was not significant (risk ratio = 0.24, p = 0.12, I2 = 51%). Meta-analyses demonstrated the effectiveness of sacral (risk ratio = 0.22, p < 0.001, I2 = 0%) and heel (risk ratio = 0.31, p = 0.02; I2 = 0%) prophylactic dressings for pressure injury prevention. Conclusions Only prophylactic sacral and heel dressings demonstrated effectiveness in preventing pressure injury in adults admitted to intensive care settings. Further intensive care–specific trials are required across all intervention types. To minimise bias, we recommend that all future trials are conducted and reported as per relevant guidelines and recommendations.
Keywords	critical care; critical care nursing; intensive care units; intervention trials; meta-analysis; nursing; nursing interventions; pressure ulcer; pressure injury; systematic review
Year	2022
Journal	Australian Critical Care
Journal citation	35 (2), pp. 186-203
Publisher	Elsevier Ltd
ISSN	1036-7314
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.aucc.2021.04.007
Scopus EID	2-s2.0-85108122064
Research or scholarly	Research
Page range	186-203
Funder	The Prince Charles Hospital Foundation
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	16 Jun 2021
Publication process dates
Accepted	16 Apr 2021
Deposited	25 Aug 2022
Grant ID	PhD2019-01

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Mbuzi, Vainess, Fulbrook, Paul and Jessup, Melanie. (2017). Indigenous peoples’ experiences and perceptions of hospitalisation for acute care: A metasynthesis of qualitative studies. International Journal of Nursing Studies. 71, pp. 39 - 49. https://doi.org/10.1016/j.ijnurstu.2017.03.003

Indigenous cardiac patients’ and relatives’ experiences of hospitalisation: A narrative inquiry

Mbuzi, Vainess, Fulbrook, Paul and Jessup, Melanie. (2017). Indigenous cardiac patients’ and relatives’ experiences of hospitalisation: A narrative inquiry. Journal of Clinical Nursing. 26(23-24), pp. 5052 - 5064. https://doi.org/10.1111/jocn.14005

Motivational interviewing to enhance treatment attendance in mental health settings: A systematic review and meta-analysis

Lawrence, Petra, Fulbrook, Paul, Somerset, Shawn and Schulz, Paula. (2017). Motivational interviewing to enhance treatment attendance in mental health settings: A systematic review and meta-analysis. Journal of Psychiatric and Mental Health Nursing. 24(9-10), pp. 699 - 718. https://doi.org/10.1111/jpm.12420

Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: A single-group pretest/post-test study

Davison, Michelle, Kinnear, Frances and Fulbrook, Paul. (2017). Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: A single-group pretest/post-test study. BMJ Simulation & Technology Enhanced Learning. 3(4), pp. 149 - 153. https://doi.org/10.1136/bmjstel-2016-000138

Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison

Coyer, Fiona, Miles, Sandra, Gosley, Sandra, Fulbrook, Paul, Sketcher-Baker, Kirstine, Cook, Jane-Louise and Whitmore, Jacqueline. (2017). Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison. Australian Critical Care. 30(5), pp. 244 - 250. https://doi.org/10.1016/j.aucc.2016.12.003

Nursing Strategies for Effective Weaning of the Critically Ill Mechanically Ventilated Patient

Darian Ward and Paul Fulbrook. (2016). Nursing Strategies for Effective Weaning of the Critically Ill Mechanically Ventilated Patient. Critical Care Nursing Clinics of North America. 28(4), pp. 499-512. https://doi.org/10.1016/j.cnc.2016.07.008

Pilot testing a model of psychological care for heart transplant recipients

Conway, Aaron W., Sheridan, Judith, Maddicks-Law, Joanne and Fulbrook, Paul Richard. (2016). Pilot testing a model of psychological care for heart transplant recipients. BMC Nursing. 15(62), pp. 1 - 8. https://doi.org/10.1186/s12912-016-0183-1

Pressure injury risk assessment in intensive care : Comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales

Fulbrook, Paul and Anderson, Alissa. (2016). Pressure injury risk assessment in intensive care : Comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales. Journal of Advanced Nursing (online version). 72(3), pp. 680 - 692. https://doi.org/10.1111/jan.12825

The Safewards Program in Queensland public hospital acute mental health settings

Higgins, Niall, Dart, Nathan, Meehan, Thomas, Fulbrook, Paul, Kilshaw, Michael, Anderson, Debra and Fawcett, Lisa. (2016). The Safewards Program in Queensland public hospital acute mental health settings. Australian Nursing and Midwifery Journal. 23(11), pp. 41 - 41.

A 10-year review of a vascular access service for patients receiving hemodialysis: Analysis of procedural modifications and service innovations

Lancashire, John F., Steele, Michael Craig, Swinbank, Amy, Du Toit, Dianne and Jackson, Mark J.. (2016). A 10-year review of a vascular access service for patients receiving hemodialysis: Analysis of procedural modifications and service innovations. JAVA. 21(2), pp. 93 - 102. https://doi.org/10.1016/j.java.2016.03.003

Salivary leptin concentrations in Bruneian secondary school children

Idris, Adi, Khamis, Ahmed Gharib, Ghazali, Nur Basirah, Steele, Michael, Koh, David and Tuah, Nik Ani. (2016). Salivary leptin concentrations in Bruneian secondary school children. Asian Pacific Journal of Tropical Biomedicine. 6(4), pp. 335 - 337. https://doi.org/10.1016/j.apjtb.2016.01.003

The effect of evidence-based, treatment-oriented, clinical practice guidelines on improving patient care outcomes: A systematic review protocol

Colbeck, Marc, Lockwood, Craig, Peters, Micah, Fulbrook, Paul and McCabe, Delia. (2016). The effect of evidence-based, treatment-oriented, clinical practice guidelines on improving patient care outcomes: A systematic review protocol. The JBI Database of Systematic Reviews and Implementation Reports. 14(6), pp. 42 - 51. https://doi.org/10.11124/JBISRIR-2016-002515

Accuracy of anxiety and depression screening tools in heart transplant recipients

Conway, Aaron William, Sheridan, Judith, Maddicks-Law, Joanne, Fulbrook, Paul Richard, Ski, Chantal, Thompson, David Robert and Doering, Lynn V.. (2016). Accuracy of anxiety and depression screening tools in heart transplant recipients. Applied Nursing Research. 31, pp. 177 - 181. https://doi.org/10.1016/j.apnr.2016.07.015

World Federation of Critical Care Nurses: Brisbane Declaration on Culturally Sensitive Critical Care Nursing

Friganovic, Adriano, Bloomer, Melissa, Northam, Holly L., Kalauz, Sonja, Zellinger, Mary, Lopez, Violeta and Fulbrook, Paul. (2016). World Federation of Critical Care Nurses: Brisbane Declaration on Culturally Sensitive Critical Care Nursing. Connect: The World of Critical Care Nursing. 10(3), pp. 80 - 82. https://doi.org/10.1891/1748-6254.10.3.80

Pressure injury risk assessment in intensive care: comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales

Fulbrook, Paul and Anderson, Alissa. (2016). Pressure injury risk assessment in intensive care: comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales. Journal of Advanced Nursing (online version). 73(3), pp. 680 - 692. https://doi.org/10.1111/jan.12825

An evaluation of staff transitioning from a combined adult/child emergency department to a new paediatric emergency department: A qualitative study

Peeler, Alison, Fulbrook, Paul Richard, Edward, Karen-Leigh and Kinnear, Frances B.. (2016). An evaluation of staff transitioning from a combined adult/child emergency department to a new paediatric emergency department: A qualitative study. Australasian Emergency Nursing Journal. 19(3), pp. 153 - 158. https://doi.org/10.1016/j.aenj.2016.05.004

Comparative effects of 2 aqua exercise programs on physical function, balance, and perceived quality of life in older adults with osteoarthritis

Fisken, Alison L., Waters, Debra L., Hing, Wayne A., Steele, Michael Craig and Keogh, Justin W.. (2015). Comparative effects of 2 aqua exercise programs on physical function, balance, and perceived quality of life in older adults with osteoarthritis. Journal of Geriatric Physical Therapy. 38(1), pp. 17 - 27. https://doi.org/10.1519/JPT.0000000000000019

Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress : A pilot study

Lawrence, Petra and Fulbrook, Paul. (2015). Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress : A pilot study. Pilot and Feasibility Studies. 1(33), pp. 1 - 9. https://doi.org/10.1186/s40814-015-0028-9

A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management

Lawrence, Petra, Fulbrook, Paul and Miles, Sandra. (2015). A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management. Journal of Wound Ostomy and Continence Nursing. 42(5), pp. 450 - 460. https://doi.org/10.1097/WON.0000000000000141

Unsteady natural convection and statistical analysis in a CNT-water filled cavity with non-isothermal heating

Rahman, Mahmudur M., Öztop, Hakan F., Steele, Michael Craig, Naim, Abdul Ghani, Al-Salem, Khaled and Ibrahim, Talaat A.. (2015). Unsteady natural convection and statistical analysis in a CNT-water filled cavity with non-isothermal heating. International Communications in Heat and Mass Transfer. 64, pp. 50 - 60. https://doi.org/10.1016/j.icheatmasstransfer.2015.02.012

Can a barcode scanner for blood collection improve patient identification integrity in the emergency department? A prospective before-and-after study

Spain, David, Crilly, Julia, Pierce, John, Steele, Michael Craig, Scuffham, Paul and Keijzers, Gerben B.. (2015). Can a barcode scanner for blood collection improve patient identification integrity in the emergency department? A prospective before-and-after study. Emergency Medicine Australasia. 27(1), pp. 47 - 54. https://doi.org/10.1111/1742-6723.12334

Critical care nursing organizations and activities : A fourth worldwide review

Williams, Ged, Fulbrook, Paul, Kleinpell, Ruth, Schmollgruber, Shelley and Alberto, Laura. (2015). Critical care nursing organizations and activities : A fourth worldwide review. International Nursing Review (online version). 62(4), pp. 453 - 461. https://doi.org/10.1111/inr.12205

Does a single dose of intravenous dexamethasone reduce Symptoms in Emergency department patients with low Back pain and RAdiculopathy (SEBRA)? A double-blind randomised controlled trial

Balakrishnamoorthy, Ravichandra, Horgan, Isabelle, Perez, Siegfried, Steele, Michael Craig and Keijzers, Gerben B.. (2015). Does a single dose of intravenous dexamethasone reduce Symptoms in Emergency department patients with low Back pain and RAdiculopathy (SEBRA)? A double-blind randomised controlled trial. Emergency Medicine Journal. 32(7), pp. 525 - 530. https://doi.org/10.1136/emermed-2013-203490

Certainty and uncertainty about end of life care nursing practices in New Zealand intensive care units : A mixed methods study

Coombs, Maureen, Fulbrook, Paul, Donovan, Sarah, Tester, Rachel and deVries, Kay. (2015). Certainty and uncertainty about end of life care nursing practices in New Zealand intensive care units : A mixed methods study. Australian Critical Care. 28(2), pp. 82 - 86. https://doi.org/10.1016/j.aucc.2015.03.002

Validity of the paddington alcohol test in an Australian emergency department

Fulbrook, Paul, Lawrence, Petra and Watt, Kerrianne. (2015). Validity of the paddington alcohol test in an Australian emergency department. Alcohol and Alcoholism. 50(4), pp. 407 - 412. https://doi.org/10.1093/alcalc/agv024

The experiences of parents and nurses of hospitalised infants requiring oxygen therapy for severe bronchiolitis : A phenomenological study

Peeler, Alison, Fulbrook, Paul and Kildea, Susan. (2015). The experiences of parents and nurses of hospitalised infants requiring oxygen therapy for severe bronchiolitis : A phenomenological study. Journal of Child Health Care. 19(2), pp. 216 - 228. https://doi.org/10.1177/1367493513503587

Shoulder pain in primary care - Part 2: Predictors of clinical outcome to 12 months

Laslett, Mark, Steele, Michael Craig, Hing, Wayne, McNair, Peter and Cadogan, Angela. (2015). Shoulder pain in primary care - Part 2: Predictors of clinical outcome to 12 months. Journal of Rehabilitation Medicine. 47(1), pp. 66 - 71. https://doi.org/10.2340/16501977-1885

Fear of falling : Association between the Modified Falls Efficacy Scale, in-hospital falls and hospital length of stay

Gettens, Stephanie and Fulbrook, Paul. (2015). Fear of falling : Association between the Modified Falls Efficacy Scale, in-hospital falls and hospital length of stay. Journal of Evaluation in Clinical Practice (online version). 21(1), pp. 43 - 50. https://doi.org/10.1111/jep.12226

Survey of an Australian general emergency department : Estimated prevalence of mental health disorders

Fulbrook, Paul and Lawrence, Petra. (2015). Survey of an Australian general emergency department : Estimated prevalence of mental health disorders. Journal of Psychiatric and Mental Health Nursing (online version). 22(1), pp. 30 - 38. https://doi.org/10.1111/jpm.12191

Issues and challenges associated with nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory: A qualitative study

Fulbrook, Paul, Conway, Aaron, Rolley, John and Page, Karen. (2014). Issues and challenges associated with nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory: A qualitative study. Journal of Clinical Nursing. 23(3-4), pp. 374 - 384. https://doi.org/10.1111/jocn.12147

Compliance with lipid-lowering medication after diagnosis of coronary heart disease

McKellar, Sandra and Fulbrook, Paul. (2014). Compliance with lipid-lowering medication after diagnosis of coronary heart disease. British Journal of Cardiac Nursing. 9(5), pp. 244 - 249.

Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey

Conway, Aaron, Rolley, John, Page, Karen and Fulbrook, Paul. (2014). Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey. Australian Critical Care. 27(1), pp. 4 - 10. https://doi.org/10.1016/j.aucc.2013.05.003

South African critical care nurses' views on end-of-life decision-making and practices

Fulbrook, Paul, Langley, Gayle, Schmollgruber, Shelley, Albarran, John and Latour, Jos. (2014). South African critical care nurses' views on end-of-life decision-making and practices. Nursing in Critical Care. 19(1), pp. 9 - 17. https://doi.org/10.1111/nicc.12026

Shoulder pain patients in primary care - Part 1: Clinical outcomes over 12 months following standardized diagnostic workup, corticosteroid injections, and community-based care

Laslett, Mark, Steele, Michael Craig, Hing, Wayne, McNair, Peter and Cadogan, Angela. (2014). Shoulder pain patients in primary care - Part 1: Clinical outcomes over 12 months following standardized diagnostic workup, corticosteroid injections, and community-based care. Journal of Rehabilitation Medicine. 46(9), pp. 898 - 907. https://doi.org/10.2340/16501977-1860

Sleep assessment of hospitalised patients : A literature review

Fulbrook, Paul, Hoey, Lynn and Douglas, James. (2014). Sleep assessment of hospitalised patients : A literature review. International Journal of Nursing Studies. 51(9), pp. 1281 - 1288. https://doi.org/10.1016/j.ijnurstu.2014.02.001

Use and validation of the balance outcome measure for elder rehabilitation in acute care

Kuys, Suzanne, Crouch, Tom, Dolecka, Urszula, Steele, Michael and Low Choy, Nancy. (2014). Use and validation of the balance outcome measure for elder rehabilitation in acute care. New Zealand Journal of Physiotherapy. 42(1), pp. 16 - 21.

The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: a randomised controlled trial

Vaughan, Sue, Wallis, Marianne, Polit, Denise, Steele, Michael Craig, Shum, David and Morris, Norman. (2014). The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: a randomised controlled trial. Age and Ageing. 43(5), pp. 623 - 629. https://doi.org/10.1093/ageing/afu010

Perception and responses to different forms of aqua-based exercise among older adults with osteoarthritis

Fisken, Alison L., Waters, Debra L., Hing, Wayne A., Steele, Michael Craig and Keogh, Justin W.. (2014). Perception and responses to different forms of aqua-based exercise among older adults with osteoarthritis. International Journal of Aquatic Research and Education. 8(1), pp. 32 - 52. https://doi.org/10.1123/ijare.2013-0007

A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey

Keijzers, Gerben B., Campbell, Don, Hooper, Jeffrey, Bost, Nerolie, Crilly, Julia, Steele, Michael Craig, Del Mar, Chris and Geeraedts, Leo M.G.. (2014). A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey. World Journal of Surgery. 38(1), pp. 222 - 232. https://doi.org/10.1007/s00268-013-2226-z

Introduction of an acute surgical unit: Comparison of performance indicators and outcomes for operative management of acute appendicitis

Lancashire, John F., Steele, Michael Craig, Parker, D. and Puhalla, H.. (2014). Introduction of an acute surgical unit: Comparison of performance indicators and outcomes for operative management of acute appendicitis. World Journal of Surgery. 38(8), pp. 1947 - 1953. https://doi.org/10.1007/s00268-014-2497-z

Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes

McGuire, Amanda, Anderson, Debra and Fulbrook, Paul. (2014). Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes. Collegian. 21(4), pp. 301 - 310. https://doi.org/10.1016/j.colegn.2013.07.001

The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants

Montgomery, Karly, Low Choy, Nancy, Steele, Michael and Hough, Judith. (2014). The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants. Journal of Paediatrics and Child Health. 50(12), pp. 972 - 977. https://doi.org/10.1111/jpc.12689

Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory : A modified Delphi study

Fulbrook, Paul, Conway, Aaron, Rolley, John and Page, Karen. (2014). Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory : A modified Delphi study. Journal of Advanced Nursing. 70(5), pp. 1040 - 1053. https://doi.org/10.1111/jan.12337

The first 18 months: Parental choices regarding their infant's health care needs

Kearney, Lauren and Fulbrook, Paul. (2014). The first 18 months: Parental choices regarding their infant's health care needs. Neonatal, Paediatric and Child Health Nursing. 17(3), pp. 17 - 22.

Risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory : a matched case-control study

Conway, Aaron, Page, Karen, Rolley, John and Fulbrook, Paul. (2013). Risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory : a matched case-control study. European Journal of Cardiovascular Nursing. https://doi.org/10.1177/1474515112470351

Crunch Time: How did the students perform?

Steele, Michael Craig and Sugden, Steve. (2013). Crunch Time: How did the students perform? International Journal of Mathematical Education in Science and Technology. 44(1), pp. 143 - 152. https://doi.org/10.1080/0020739X.2012.662302

Decreasing pressure injury prevalence in an Australian general hospital : a ten-year review

Miles, Sandra, Fulbrook, Paul, Nowicki, Tracy and Franks, Cherie. (2013). Decreasing pressure injury prevalence in an Australian general hospital : a ten-year review. Wound Practice & Research.

A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars

Cooke, Georga P.E., Doust, Jenny A. and Steele, Michael C.. (2013). A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. BMC Medical Education. 13(2), pp. 1 - 6. https://doi.org/10.1186/1472-6920-13-2

Improving statistical analysis of matched case-control studies in nursing literature

Conway, Aaron, Rolley, John, Fulbrook, Paul, Page, Karen and Thompson, David. (2013). Improving statistical analysis of matched case-control studies in nursing literature. Research in Nursing and Health. https://doi.org/10.1002/nur.21536

Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer

Alcorn, Kylie, Gerrard, John, Macbeth, Deborough and Steele, Michael Craig. (2013). Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer. American Journal of Infection Control. 41(12), pp. 1205 - 1208. https://doi.org/10.1016/j.ajic.2013.05.019

Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial

Perez, Siegfried R.S., Keijzers, Gerben B., Steele, Michael Craig, Byrnes, Joshua and Scuffham, Paul A.. (2013). Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial. EMA - Emergency Medicine Australasia. 25(6), pp. 527 - 534. https://doi.org/10.1111/1742-6723.12151

Understanding the experiences of mothers who are breastfeeding an infant with tongue-tie : a phenomenological study

Edmunds, Janet, Fulbrook, Paul and Miles, Sandra. (2013). Understanding the experiences of mothers who are breastfeeding an infant with tongue-tie : a phenomenological study. Journal of Human Lactation. https://doi.org/10.1177/0890334413479174

Children's conceptions of their parent's lung transplant

Fulbrook, Paul, Leisfield, T and Wiggins, K. (2013). Children's conceptions of their parent's lung transplant. Journal of Child Health Care. https://doi.org/10.1177/1367493512450625

A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests

Steele, Michael Craig, Smart, Neil A., Hurst, Cameron and Chaseling, Janet. (2012). A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests. In K. Kumar and A. Chaturvedi (Ed.). International Conference on Recent Developments in Statistics, Econometrics and Forecasting, University of Allahabad, India, December 27-28, 2010. United States of America: Brown Walker Press. pp. 104 - 109

A survey of Italian intensive care nurses' knowledge levels

Fulbrook, Paul. (2012). A survey of Italian intensive care nurses' knowledge levels. Not Listed - Awaiting Journal Creation.

Open Access community child health clinics : the everyday experience of parents and child health nurses

Kearney, Lauren and Fulbrook, Paul. (2012). Open Access community child health clinics : the everyday experience of parents and child health nurses. Journal of Child Health Care. 16(1), pp. 5 - 14. https://doi.org/10.1177/1367493511419874

Effect of feedback on ventilator care bundle compliance : before and after study

Lawrence, Petra and Fulbrook, Paul. (2012). Effect of feedback on ventilator care bundle compliance : before and after study. Nursing in Critical Care. 17(6), pp. 293 - 301. https://doi.org/10.1111/j.1478-5153.2012.00519.x

A survey of European intensive care nurses' knowledge levels

Fulbrook, Paul, Albarran, John W., Baktoft, Birte and Sidebottom, Ben. (2012). A survey of European intensive care nurses' knowledge levels. International Journal of Nursing Studies. 49(2), pp. 191 - 200. https://doi.org/10.1016/j.ijnurstu.2011.06.001

Reduction of post-surgical pericardial adhesions using a pig model

Alizzi, Ali M., Summers, Phillip, Boon, Virginia H., Tantiongco, John-Paul, Thompson, Teresa, Leslie, Belinda J., Williams, David, Steele, Michael Craig, Bidstrup, Benjamin P. and Diqer, Al-Mutazz A.. (2012). Reduction of post-surgical pericardial adhesions using a pig model. Heart, Lung and Circulation. 21(1), pp. 22 - 29. https://doi.org/10.1016/j.hlc.2011.10.002

A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients

Smart, Neil A. and Steele, Michael Craig. (2012). A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients. Congestive Heart Failure. 18(4), pp. 205 - 211. https://doi.org/10.1111/j.1751-7133.2011.00274.x

Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients

Tan, Chee K., Ulett, Kimberly B., Steele, Michael C., Benjamin, William H. and Ulett, Glen C.. (2012). Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients. BMC Infectious Diseases. 12(273), pp. 1 - 8. https://doi.org/10.1186/1471-2334-12-273

Critical care nursing organizations and activities: A third worldwide review

Williams, Ged, Bost, Nerolie, Chaboyer, Wendy, Fulbrook, Paul, Alberto, Laura, Thorsteinsdóttir, Rósa, Schmollgruber, Shelley and Chan, David. (2012). Critical care nursing organizations and activities: A third worldwide review. International Nursing Review. 59(1), pp. 73 - 80. https://doi.org/10.1111/j.1466-7657.2011.00926.x

Using community surveillance data to differentiate between emerging and endemic amphibian diseases

Young, Sam, Skerratt, Lee F., Mendez, Diana, Speare, Rick, Berger, Lee and Steele, Michael Craig. (2012). Using community surveillance data to differentiate between emerging and endemic amphibian diseases. Diseases of Aquatic Organisms. 98(1), pp. 1 - 10. https://doi.org/10.3354/dao02416

Person-centered medicine and chronic disease :the role of interdisciplinary education and treatment adherence

Boyle, Cathy, Post, Gerardus, Masel, Philip, Fulbrook, Paul and Clark, Kevin. (2011). Person-centered medicine and chronic disease :the role of interdisciplinary education and treatment adherence. International Journal of Person Centered Medicine. 1(3), pp. 606 - 611.

Foetal monitoring: A women-centred decision-making pathway

Rattray, Janene, Flowers, Karen, Miles, Sandra and Clarke, Jillian. (2011). Foetal monitoring: A women-centred decision-making pathway. Women and Birth. 24(2), pp. 65 - 71. https://doi.org/10.1016/j.wombi.2010.08.003

The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review

Smart, Neil A. and Steele, Michael Craig. (2011). The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review. Congestive Heart Failure. 17(3), pp. 110 - 114. https://doi.org/10.1111/j.1751-7133.2011.00217.x

The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study

Szlezak, Adam, Georgilopoulos, Peter, Bullock-Saxton, Joanne and Steele, Michael. (2011). The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study. Manual Therapy. 16, pp. 609 - 613. https://doi.org/10.1016/j.math.2011.06.004

Tongue-tie and breastfeeding: A review of the literature

Edmunds, Janet, Miles, Sandra J. and Fulbrook, Paul. (2011). Tongue-tie and breastfeeding: A review of the literature. Breastfeeding Review (print version). 19(1), pp. 19 - 26.

The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes

Crilly, Julia, Keijzers, Gerben B., Krahn, Dirken, Steele, Michael Craig, Green, David and Freeman, Janeen. (2011). The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes. Quality Management in Health Care. 20(4), pp. 322 - 333. https://doi.org/10.1097/QMH.0b013e318231355a

The ventilator care bundle and its impact on ventilator-associated pneumonia: A review of the evidence

Lawrence, Petra and Fulbrook, Paul. (2011). The ventilator care bundle and its impact on ventilator-associated pneumonia: A review of the evidence. Nursing in Critical Care (print version). 16(5), pp. 222 - 234. https://doi.org/10.1111/j.1478-5153.2010.00430.x

Exercise training in haemodialysis patients: A systematic review and meta-analysis

Smart, Neil and Steele, Michael Craig. (2011). Exercise training in haemodialysis patients: A systematic review and meta-analysis. Nephrology. 16(7), pp. 626 - 632. https://doi.org/10.1111/j.1440-1797.2011.01471.x

Foetal monitoring: A woman-centred decision-making pathway

Rattray, Janene, Flowers, Karen, Miles, Sandra and Clarke, Jillian. (2011). Foetal monitoring: A woman-centred decision-making pathway. Women and Birth (print version). 24(2), pp. 65 - 71. https://doi.org/10.1016/j.wombi.2010.08.003

Tertiary survey performance in a regional trauma hospital without a dedicated trauma service

Keijzers, Gerben B., Campbell, Don, Hooper, Jeffrey, Bost, Nerolie, Crilly, Julia, Steele, Michael Craig, Eddington, Blake and Geeraedts, Leo M.G.. (2011). Tertiary survey performance in a regional trauma hospital without a dedicated trauma service. World Journal of Surgery. 35(10), pp. 2341 - 2347. https://doi.org/10.1007/s00268-011-1231-3

Die anwesenheit von angehörigen während der kardiopulmonalen reanimation / the presence of family members during cardiopulmonary resuscitation

Fulbrook, Paul. (2010). Die anwesenheit von angehörigen während der kardiopulmonalen reanimation / the presence of family members during cardiopulmonary resuscitation. Intensiv: Fachzeitschrift fuer Intensivpflege und Anaesthesie. 18(1), pp. 38 - 40.

Preparation of nurses for novice entry to perioperative practice: Evaluation of a short education program

Allanson, Anne Maree and Fulbrook, Paul. (2010). Preparation of nurses for novice entry to perioperative practice: Evaluation of a short education program. ACORN : The Journal of Perioperative Nursing in Australia. 23(2), pp. 14 - 27.

Bed safety off the rails

Nowicki, Tracy, Fulbrook, Paul and Burns, Cheryl. (2010). Bed safety off the rails. Australian Nursing and Midwifery Journal. 18(1), pp. 31 - 34.

Pressure injury prevention : continence, skin hygiene and nutrition management

Roosen, Kerri, Fulbrook, Paul and Nowicki, Tracy. (2010). Pressure injury prevention : continence, skin hygiene and nutrition management. Australian Nursing Journal. 18(2), pp. 31 - 34.

Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data

Steele, M., Smart, N., Hurst, C. and Chaseling, J.. (2009). Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data. In R.S. Anderssen, R.D. Braddock and L.T.H. Newham (Ed.). The 18th World IMACS Congress and MODSIM09 International Congress on Modelling and Simulation. United States of America: Modelling and Simulation Society of Australia and New Zealand and International Association for Mathematics and Computers in Simulation, July 2009. pp. 192 - 196

EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care

Latour, Jos M., Fulbrook, Paul Richard and Albarran, John W.. (2009). EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care. Nursing in Critical Care. 14(3), pp. 110 - 121. https://doi.org/10.1111/j.1478-5153.2008.00328.x

Provision of child health services 2005-2009: Evaluation of an open access clinic

Kearney, Lauren, Fulbrook, Paul Richard and Howlett, Lorrie. (2009). Provision of child health services 2005-2009: Evaluation of an open access clinic Queensland Health.

Changing the mindset: An inter-disciplinary approach to management of bariatric patient

Nowicki, Tracy, Burns, Cheryl, Fulbrook, Paul Richard and Jones, Jacqueline. (2009). Changing the mindset: An inter-disciplinary approach to management of bariatric patient. Collegian. 16(4), pp. 171 - 175. https://doi.org/10.1016/j.colegn.2009.03.002

Intensive and critical care nursing perspectives

Williams, G. F., Fulbrook, Paul Richard, Alexandrov, A. W., Montanez, W. Canon, Salisu-Kabara, H. M. and Chan, D. W.K.. (2009). Intensive and critical care nursing perspectives. In In A. Gullo, J. Besso and P.D.Lumb & G.F.Williams (Ed.). Intensive and critical care medicine pp. 119 - 132 Springer-Verlag.

A clinical improvement project to develop and implement a decision-making framework for the use of seclusion

Hyde, Sandra, Fulbrook, Paul Richard, Fenton, Keryn and Kilshaw, Michael. (2009). A clinical improvement project to develop and implement a decision-making framework for the use of seclusion. International Journal of Mental Health Nursing. 18, pp. 398 - 408. https://doi.org/10.1111/j.1447-0349.2009.00631.x

The effectiveness of a caring protocol: An evaluation study

Fulbrook, Paul. (2009). The effectiveness of a caring protocol: An evaluation study. Journal of Research in Nursing. 14(4), pp. 317 - 318. https://doi.org/10.1177/1744987108093360

The presence of family members during cardiopulmonary resuscitation: Position statement

Lynch, Fiona, Fulbrook, Paul, Latour, Jos, Albarran, John, de Graaf, Wouter, Devictor, Denis and Norekval, Tone. (2008). The presence of family members during cardiopulmonary resuscitation: Position statement. Infant: for neonatal and paediatric healthcare professionals (print version). 4(2), pp. 44 - 45.

Enteral feeding practices in European ICUs: A survey from the European federation of critical care nursing associations (EFCCNA)

Roynette, C., Numico, Anke Bongers, Fulbrook, Paul, Albarran, John and Hofman, Z.. (2008). Enteral feeding practices in European ICUs: A survey from the European federation of critical care nursing associations (EFCCNA). e-SPEN Journal: the European e-journal of clinical nutrition and metabolism. 2(2), pp. 33 - 39. https://doi.org/10.1016/j.eclnm.2007.10.004

Improving Teacher Responsiveness In Making Adjustments for School Children With 'Critical Prone' Medical Conditions

Miles, Sandra and Flowers, Karen. (2008). Improving Teacher Responsiveness In Making Adjustments for School Children With 'Critical Prone' Medical Conditions [Dataset]. Australian Catholic University. https://doi.org/10.26199/acu.85097

Paediatric critical care nurses' attitudes and experiences of parental presence during cardiopulmonary resuscitation: A European survey

Fulbrook, Paul, Latour, Jos and Albarran, John. (2007). Paediatric critical care nurses' attitudes and experiences of parental presence during cardiopulmonary resuscitation: A European survey. International Journal of Nursing Studies. 44(7), pp. 1238 - 1249. https://doi.org/10.1016/j.ijnurstu.2006.05.006

Critical care nursing organizations and activities - a second worldwide review: Original article

Willia, Ged, Chaboyer, Wendy, Alberto, Laura, Thorsteinsdottir, Rosa, Schmollgruber, Shelley, Fulbrook, Paul, Chan, Dominic and Bost, Nerolie. (2007). Critical care nursing organizations and activities - a second worldwide review: Original article. International Nursing Review. 54(2), pp. 151 - 159. https://doi.org/10.1111/j.1466-7657.2007.00543.x

A European survey of enteral nutrition practices and procedures in adult intensive care units

Fulbrook, Paul, Bongers, Anke and Albarran, John. (2007). A European survey of enteral nutrition practices and procedures in adult intensive care units. Journal of Clinical Nursing. 16(11), pp. 2132 - 2141. https://doi.org/10.1111/j.1365-2702.2006.01841.x

The presence of family members during cardiopulmonary resuscitation: European federation of critical care nursing associations, European society of paediatric and neonatal intensive care and European society of cardiology council on cardiovascular

Fulbrook, Paul, Latour, Jos, Albarran, John, de Graaf, Wouter, Lynch, Fiona, Devictor, Denis and Norekval, Tone. (2007). The presence of family members during cardiopulmonary resuscitation: European federation of critical care nursing associations, European society of paediatric and neonatal intensive care and European society of cardiology council on cardiovascular. European Journal of Cardiovascular Nursing. 6(4), pp. 255 - 258. https://doi.org/10.1016/j.ejcnurse.2007.07.003

Understanding the experiences of mothers who are breast feeding an infant with tongue-tie: a hermeneutic phenomenology study.

Miles, Sandra and Fulbrook, Paul. (2007). Understanding the experiences of mothers who are breast feeding an infant with tongue-tie: a hermeneutic phenomenology study [Dataset]. Australian Catholic University. https://doi.org/10.26199/acu.85095

Portable oxygen: Longer for less with oxymizer pendant

Fulbrook, Paul and Serginson, John. (2006). Portable oxygen: Longer for less with oxymizer pendant. Airways Journal (print version). 4(2), pp. 105 - 108.

Education for outreach: Development of an inter-professional MSC in critical care

Fulbrook, Paul and Cockerell, Janet. (2005). Education for outreach: Development of an inter-professional MSC in critical care. Nursing in Critical Care. 10(5), pp. 255 - 262. https://doi.org/10.1111/j.1362-1017.2005.00123.x

Advancing the clinical perspective: A practice development project to develop the nurse practitioner role in an acute hospital trust

Walsgrove, Hilary and Fulbrook, Paul. (2005). Advancing the clinical perspective: A practice development project to develop the nurse practitioner role in an acute hospital trust. Journal of Clinical Nursing. 14(4), pp. 444 - 455. https://doi.org/10.1111/j.1365-2702.2004.01089.x

Effectiveness of interventions to prevent pressure injury in adults admitted to intensive care settings : A systematic review and meta-analysis of randomised controlled trials

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