Pressure injury prevention practice in Australian intensive care units : A national cross-sectional survey

Journal article

Levido, Annabel, Fulbrook, Paul, Barakat-Johnson, Michelle, Campbell, Jill, Delaney, Lori, Latimer, Sharon, Walker, Rachel M., Wynne, Rochelle, Doubrovsky, Anna and Coyer, Fiona. (2023). Pressure injury prevention practice in Australian intensive care units : A national cross-sectional survey. Australian Critical Care. 36(2), pp. 186-194. https://doi.org/10.1016/j.aucc.2021.11.004
AuthorsLevido, Annabel, Fulbrook, Paul, Barakat-Johnson, Michelle, Campbell, Jill, Delaney, Lori, Latimer, Sharon, Walker, Rachel M., Wynne, Rochelle, Doubrovsky, Anna and Coyer, Fiona
Abstract

Introduction
Pressure injury (PI) is an ongoing problem for patients in intensive care units (ICUs). The aim of this study was to explore the nature and extent of PI prevention practices in Australian adult ICUs.

Materials and methods
An Australian multicentre, cross-sectional study was conducted via telephone interview using a structured survey instrument comprising six categories: workplace demographics, patient assessment, PI prevention strategies, medical devices, skin hygiene, and other health service strategies. Publicly funded adult ICUs, accredited with the College of Intensive Care Medicine, were surveyed. Data were analysed using descriptive statistics and chi-square tests for independence to explore associations according to geographical location.

Results
Of the 75 eligible ICUs, 70 responded (93% response rate). PI was considered problematic in two-thirds (68%) of all ICUs. Common PI prevention strategies included risk assessment and visual skin assessment conducted within at least 6 h of admission (70% and 73%, respectively), a structured repositioning regimen (90%), use of barrier products to protect the skin (94%), sacrum or heel prophylactic multilayered silicone foam dressings (88%), regular PI chart audits (96%), and PI quality improvement projects (90%). PI prevention rounding and safety huddles were used in 37% of ICUs, and 31% undertook PI research. Although most ICUs were supported by a facility-wide skin integrity service, it was more common in metropolitan ICUs than in rural and regional ICUs (p < 0.001). Conversely, there was greater involvement of occupational therapists in PI prevention in rural or regional ICUs than in metropolitan ICUs (p = 0.026).

Discussion and conclusion
This is the first study to provide a comprehensive description of PI prevention practices in Australian ICUs. Findings demonstrate that PI prevention practices, although nuanced in some areas to geographical location, are used in multiple and varied ways across ICUs.

Keywordsadult critical care; intensive care unit; national; pressure injury; pressure ulcer; prevention; survey
Year2023
JournalAustralian Critical Care
Journal citation36 (2), pp. 186-194
PublisherElsevier Ltd
ISSN1036-7314
Digital Object Identifier (DOI)https://doi.org/10.1016/j.aucc.2021.11.004
PubMed ID34955332
Scopus EID2-s2.0-85121807304
Page range186-194
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online23 Dec 2021
Publication process dates
Accepted22 Nov 2021
Deposited18 Oct 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8zw43/pressure-injury-prevention-practice-in-australian-intensive-care-units-a-national-cross-sectional-survey

Log in to edit

Restricted files

Publisher's version

  • 101
    total views
  • 0
    total downloads
  • 3
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Psychometric properties of the Braden scale to assess pressure injury risk in intensive care : A systematic review.
Mehicic, Aldiana, Burston, Adam Scott and Fulbrook, Paul Richard. (2024). Psychometric properties of the Braden scale to assess pressure injury risk in intensive care : A systematic review. Intensive and Critical Care Nursing. 83, pp. 1-11. https://doi.org/10.1016/j.iccn.2024.103686
Comparison of pressure injury risk assessment outcomes using a structured assessment tool versus clinical judgement : A systematic review
Lovegrove, Josephine, Ven, Saroeun, Miles, Sandra J. and Fulbrook, Paul. (2023). Comparison of pressure injury risk assessment outcomes using a structured assessment tool versus clinical judgement : A systematic review. Journal of Clinical Nursing. 32(9), pp. 1674-1690. https://doi.org/10.1111/jocn.16154
Incidence and characteristics of hospital-acquired mucous membrane pressure injury : A five-year analysis
Fulbrook, Paul, Lovegrove, Josephine and Butterworth, Jacob. (2023). Incidence and characteristics of hospital-acquired mucous membrane pressure injury : A five-year analysis. Journal of Clinical Nursing. 32(13-14), pp. 3810-3819. https://doi.org/10.1111/jocn.16473
State-wide prevalence of pressure injury in intensive care versus acute general patients : A five-year analysis
Fulbrook, Paul, Lovegrove, Josephine, Hay, Karen and Coyer, Fiona. (2023). State-wide prevalence of pressure injury in intensive care versus acute general patients : A five-year analysis. Journal of Clinical Nursing. pp. 1-15. https://doi.org/10.1111/jocn.16687
Critical care nursing policy, practice, and research priorities : An international cross-sectional study
Williams, Ged, Fulbrook, Paul, Alberto, Laura, Kleinpell, Ruth, Christensen, Mathilde, Sitoula, Kabita and Kobuh, Ntogwiachu Daniel. (2023). Critical care nursing policy, practice, and research priorities : An international cross-sectional study. Journal of Nursing Scholarship. 55, p. 1044–1057. https://doi.org/10.1111/jnu.12884
Reporting accuracy of pressure injury categorisation in an acute tertiary hospital : A four-year analysis
Fulbrook, Paul and Lovegrove, Josephine. (2023). Reporting accuracy of pressure injury categorisation in an acute tertiary hospital : A four-year analysis. Journal of Clinical Nursing. 32(18), p. 6403–6414. https://doi.org/10.1111/jocn.16662
Systematic review : Incidence and prevalence of mucous membrane pressure injury in adults admitted to acute hospital settings
Fulbrook, Paul, Lovegrove, Josephine, Miles, Sandra and Isaqi, Ban. (2023). Systematic review : Incidence and prevalence of mucous membrane pressure injury in adults admitted to acute hospital settings. International Wound Journal. 19(2), pp. 278-293. https://doi.org/10.1111/iwj.13629
Translation and piloting of the Chinese Mandarin version of an intensive care-specific pressure injury risk assessment tool (the COMHON Index)
Lovegrove, Josephine, Fulbrook, Paul, Miles, Sandra J., Steele, Michael, Liu, Xian-Liang, Zhang, Lin and Cobos Vargas, Angel. (2022). Translation and piloting of the Chinese Mandarin version of an intensive care-specific pressure injury risk assessment tool (the COMHON Index). International Journal of Nursing Sciences. 9(2), pp. 169-178. https://doi.org/10.1016/j.ijnss.2022.03.003
Use of a sacral foam dressing to prevent pressure injury in at-risk subacute hospitalized older adults : A pilot randomized controlled trial
Lovegrove, Josephine, Fulbrook, Paul and Miles, Sandra J.. (2022). Use of a sacral foam dressing to prevent pressure injury in at-risk subacute hospitalized older adults : A pilot randomized controlled trial. Journal of Wound Ostomy and Continence Nursing. 49(4), pp. 322-330. https://doi.org/10.1097/WON.0000000000000894
Patient and carer experience of living with a pressure injury : A meta-synthesis of qualitative studies
Burston, Adam, Miles, Sandra J. and Fulbrook, Paul. (2022). Patient and carer experience of living with a pressure injury : A meta-synthesis of qualitative studies. Journal of Clinical Nursing. 32, p. 3233–3247. https://doi.org/10.1111/jocn.16431
Skin tear prevalence in an Australian acute care hospital : A 10-year analysis
Miles, Sandra J., Fulbrook, Paul and Williams, Damian M.. (2022). Skin tear prevalence in an Australian acute care hospital : A 10-year analysis. International Wound Journal. 19(6), pp. 1418-1427. https://doi.org/10.1111/iwj.13735
Effectiveness of interventions to prevent pressure injury in adults admitted to intensive care settings : A systematic review and meta-analysis of randomised controlled trials
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
Implementation and evaluation of multilayered pressure injury prevention strategies in an Australian intensive care unit setting
Coyer, Fiona, Cook, Jane-Louise, Doubrovsky, Anna, Campbell, Jill, Vann, Amanda, McNamara, Greg, Edward, Karen-Leigh, Hartel, Gunter and Fulbrook, Paul. (2022). Implementation and evaluation of multilayered pressure injury prevention strategies in an Australian intensive care unit setting. Australian Critical Care. 35(2), pp. 143-152. https://doi.org/10.1016/j.aucc.2021.03.005
Authors' response to comment on "International consensus on pressure injury preventative interventions by risk level for critically ill patients : A modified Delphi study"
Lovegrove, Josephine, Fulbrook, Paul and Miles, Sandra. (2021). Authors' response to comment on "International consensus on pressure injury preventative interventions by risk level for critically ill patients : A modified Delphi study". International Wound Journal. 18(5), pp. 738-741. https://doi.org/10.1111/iwj.13519
Effectiveness of interventions to prevent pressure injury in adults admitted to acute hospital settings : A systematic review and meta-analysis of randomised controlled trials
Lovegrove, Josephine, Fulbrook, Paul, Miles, Sandra J. and Steele, Michael. (2021). Effectiveness of interventions to prevent pressure injury in adults admitted to acute hospital settings : A systematic review and meta-analysis of randomised controlled trials. International Journal of Nursing Studies. 122, p. Article 104027. https://doi.org/10.1016/j.ijnurstu.2021.104027
Incidence and prevalence of pressure injury in adult cardiac patients admitted to intensive care : A systematic review and meta-analysis
Fulbrook, Paul, Mbuzi, Vainess and Miles, Sandra. (2021). Incidence and prevalence of pressure injury in adult cardiac patients admitted to intensive care : A systematic review and meta-analysis. International Journal of Nursing Studies. 114, p. 103826. https://doi.org/10.1016/j.ijnurstu.2020.1038260020-7489
The Fifth International Survey of Critical Care Nursing Organizations : Implications for policy
Williams, Ged, Fulbrook, Paul, Kleinpell, Ruth and Alberto, Laura. (2020). The Fifth International Survey of Critical Care Nursing Organizations : Implications for policy. Journal of Nursing Scholarship. 52(6), pp. 652-660. https://doi.org/10.1111/jnu.12599
Relationship between prescription and documentation of pressure injury prevention interventions and their implementation : An exploratory, descriptive study
Lovegrove, Josephine, Fulbrook, Paul and Miles, Sandra. (2020). Relationship between prescription and documentation of pressure injury prevention interventions and their implementation : An exploratory, descriptive study. Worldviews on Evidence-Based Nursing. 17(6), pp. 465-475. https://doi.org/10.1111/wvn.12473
International consensus on pressure injury preventative interventions by risk level for critically ill patients : A modified Delphi study
Lovegrove, Josephine, Fulbrook, Paul and Miles, Sandra. (2020). International consensus on pressure injury preventative interventions by risk level for critically ill patients : A modified Delphi study. International Wound Journal. 17(5), pp. 1112-1127. https://doi.org/10.1111/iwj.13461
World Federation of Critical Care Nurses 2019 Position Statement : Provision of a critical care nursing workforce
Bloomer, Melissa J., Fulbrook, Paul, Goldsworthy, Sandra, Livesay, Sarah, Mitchell, Marion L., Williams, Ged and Friganovic, Adriano. (2019). World Federation of Critical Care Nurses 2019 Position Statement : Provision of a critical care nursing workforce. Connect: The World of Critical Care Nursing. 13(1), pp. 738-741. https://doi.org/10.1891/1748-6254.13.1.3
International critical care nursing considerations and quality indicators for the 2017 surviving sepsis campaign guidelines [Letter]
Kleinpell, Ruth, Blot, Stijn, Boulanger, Carole, Fulbrook, Paul and Blackwood, Bronagh. (2019). International critical care nursing considerations and quality indicators for the 2017 surviving sepsis campaign guidelines [Letter]. Intensive Care Medicine. 45(11), pp. 1663-1666. https://doi.org/10.1007/s00134-019-05780-1
Preparing Chinese patients with comorbid heart disease and diabetes for home management: a mixed method study
Liu, Xian-Liang, Willis, Karen, Wu, Chiung-Jung, Fulbrook, Paul, Shi, Yan and Johnson, Maree. (2019). Preparing Chinese patients with comorbid heart disease and diabetes for home management: a mixed method study. BMJ Open. 9, p. e029816. https://doi.org/10.1136/bmjopen-2019-029816
Parents’ experiences of care in a paediatric emergency department : A phenomenological inquiry
Peeler, Alison, Fulbrook, Paul, Edward, Karen-Leigh and Kinnear, Frances B.. (2019). Parents’ experiences of care in a paediatric emergency department : A phenomenological inquiry. Australasian Emergency Care. 22(2), pp. 113-118. https://doi.org/10.1016/j.auec.2018.12.004
Prevalence of pressure injury in adults presenting to the emergency department by ambulance
Fulbrook, Paul, Miles, Sandra and Coyer, Fiona. (2019). Prevalence of pressure injury in adults presenting to the emergency department by ambulance. Australian Critical Care. 32(6), pp. 509 - 514. https://doi.org/10.1016/j.aucc.2018.10.002
Factors influencing self-management priority setting and decision-making among Chinese patients with acute coronary syndrome and type 2 diabetes mellitus
Liu, Xian-Liang, Willis, Karen, Fulbrook, Paul, Wu, Jo, Shi, Yan and Johnson, Maree. (2019). Factors influencing self-management priority setting and decision-making among Chinese patients with acute coronary syndrome and type 2 diabetes mellitus. European Journal of Cardiovascular Nursing. 18(8), pp. 700 - 710. https://doi.org/10.1177/1474515119863178
Australian nurses' knowledge of pressure injury prevention and management: A cross-sectional survey
Fulbrook, Paul, Lawrence, Petra and Miles, Sandra. (2019). Australian nurses' knowledge of pressure injury prevention and management: A cross-sectional survey. Journal of Wound Ostomy and Continence Nursing. 46(2), pp. 106 - 112. https://doi.org/10.1097/WON.0000000000000508
Preparing Chinese patients with comorbid heart disease and diabetes for home management: A mixed methods study
Liu, Xian-Liang, Willis, Karen, Wu, Chiung-Jung Jo, Fulbrook, Paul, Shi, Yan and Johnson, Maree. (2019). Preparing Chinese patients with comorbid heart disease and diabetes for home management: A mixed methods study. BMJ Open. 9, pp. 1 - 13. https://doi.org/10.1136/bmjopen-2019-029816
Analysis of written resources for parents of children discharged from a paediatric emergency department
Phonpruk, Kodchanipa, Flowers, Karen, Naughton, Geraldine and Fulbrook, Paul. (2019). Analysis of written resources for parents of children discharged from a paediatric emergency department. Journal of Child Health Care. 23(4), pp. 652 - 662. https://doi.org/10.1177/1367493519852460
Effectiveness of prophylactic sacral protective dressings to prevent pressure injury: A systematic review and meta-analysis
Fulbrook, Paul, Mbuzi, Vainess and Miles, Sandra. (2019). Effectiveness of prophylactic sacral protective dressings to prevent pressure injury: A systematic review and meta-analysis. International Journal of Nursing Studies. 100, pp. 1 - 13. https://doi.org/10.1016/j.ijnurstu.2019.103400
Study protocol: A pilot clinical trial of topical glyceryl trinitrate for chronic venous leg ulcer healing
Miles, Sandra, Lord, Roger, Williams, D. and Fulbrook, Paul. (2019). Study protocol: A pilot clinical trial of topical glyceryl trinitrate for chronic venous leg ulcer healing. Wound Practice & Research. 27(3), pp. 131 - 134. https://doi.org/10.33235/wpr.27.3.131-134
Turning the page
Fulbrook, Paul Richard. (2018). Turning the page. Connect: The World of Critical Care Nursing. 12(3), pp. 54-55. https://doi.org/10.1891/1748-6254.12.3.54
Sharing innovative research and practice development initiatives in critical care nursing [Editorial]
Papathanassoglou, Elizabeth and Fulbrook, Paul Richard. (2018). Sharing innovative research and practice development initiatives in critical care nursing [Editorial]. Connect: The World of Critical Care Nursing. 12(4), pp. 90-91. https://doi.org/10.1891/1748-6254.12.4.90
Paediatric emergency nurses’ perceptions of parents’ understanding of discharge information: A qualitative study
Phonpruk, Kodchanipa, Flowers, Karen, Fulbrook, Paul and Naughton, Geraldine. (2018). Paediatric emergency nurses’ perceptions of parents’ understanding of discharge information: A qualitative study. Australasian Emergency Care. 21(2), pp. 56 - 63. https://doi.org/10.1016/j.auec.2018.05.001
The experience of men and women with cystic fibrosis who have become a parent: A qualitative study
Jessup, Melanie, Li, Anne, Fulbrook, Paul and Bell, Scott C.. (2018). The experience of men and women with cystic fibrosis who have become a parent: A qualitative study. Journal of Clinical Nursing. 27(44050), pp. 1702 - 1712. https://doi.org/10.1111/jocn.14229
ACCCN Workforce Standards for Intensive Care Nursing: Systematic and evidence review, development, and appraisal
Chamberlain, Diane J., Pollock, Wendy and Fulbrook, Paul. (2018). ACCCN Workforce Standards for Intensive Care Nursing: Systematic and evidence review, development, and appraisal. Australian Critical Care. 31(5), pp. 292 - 302. https://doi.org/10.1016/j.aucc.2017.08.007
Effectiveness of programs to promote cardiovascular health of Indigenous Australians: A systematic review
Mbuzi, Vainess, Fulbrook, Paul and Jessup, Melanie. (2018). Effectiveness of programs to promote cardiovascular health of Indigenous Australians: A systematic review. International Journal for Equity in Health. 17(1), pp. 1 - 17. https://doi.org/10.1186/s12939-018-0867-0
Multidisciplinary evaluation of an emergency department nurse navigator role: A mixed methods study
Jessup, Melanie, Fulbrook, Paul and Kinnear, Frances B.. (2018). Multidisciplinary evaluation of an emergency department nurse navigator role: A mixed methods study. Australian Critical Care. 31(5), pp. 303 - 310. https://doi.org/10.1016/j.aucc.2017.08.006
Prescription of pressure injury preventative interventions following risk assessment: An exploratory, descriptive study
Lovegrove, Josephine Grace, Fulbrook, Paul and Miles, Sandra. (2018). Prescription of pressure injury preventative interventions following risk assessment: An exploratory, descriptive study. International Wound Journal. 15(6), pp. 985 - 992. https://doi.org/10.1111/iwj.12965
The relationship between pressure ulcer risk assessment and preventative interventions: A systematic review
Lovegrove, Josephine Grace, Miles, Sandra and Fulbrook, Paul. (2018). The relationship between pressure ulcer risk assessment and preventative interventions: A systematic review. Journal of Wound Care. 27(12), pp. 862 - 875. https://doi.org/10.12968/jowc.2018.27.12.862
Are pressure injuries related to skin failure in critically ill patients?
Nowicki, Jake L., Mullany, Daniel, Spooner, Amy, Nowicki, Tracy A., Mckay, Peta M., Corley, Amanda, Fulbrook, Paul and Fraser, John F.. (2018). Are pressure injuries related to skin failure in critically ill patients? Australian Critical Care. 31(5), pp. 257 - 263. https://doi.org/10.1016/j.aucc.2017.07.004
High-risk respiratory patients' experiences of bronchoscopy with conscious sedation and analgesia: A qualitative study
Saxon, Catherine, Fulbrook, Paul, Fong, Kwun M. and Ski, Chantal F.. (2018). High-risk respiratory patients' experiences of bronchoscopy with conscious sedation and analgesia: A qualitative study. Journal of Clinical Nursing. 27(13-14), pp. 2740 - 2751. https://doi.org/10.1111/jocn.14120
The patients’ perspective of sustaining a fall in hospital: A qualitative study
Gettens, Stephanie, Fulbrook, Paul, Jessup, Melanie and Low Choy, Nancy. (2018). The patients’ perspective of sustaining a fall in hospital: A qualitative study. Journal of Clinical Nursing. 27(3-4), pp. 743 - 752. https://doi.org/10.1111/jocn.14075
Evaluation of standardized instruments for use in universal screening of very early school-age children: Suitability, technical adequacy, and usability
Miles, Sandra, Fulbrook, Paul and Mainwaring-Mägi, Debra. (2018). Evaluation of standardized instruments for use in universal screening of very early school-age children: Suitability, technical adequacy, and usability. Journal of Psychoeducational Assessment. 36(2), pp. 99 - 119. https://doi.org/10.1177/0734282916669246
Depression and pain in heart transplant recipients: an observational study
Conway, Aaron, Sheridan, Judith, Maddicks-Law, Joanne, Fulbrook, Paul, Ski, Chantal, Thompson, David, Clark, Robyn A. and Doering, Lynn. (2017). Depression and pain in heart transplant recipients: an observational study. Biological Research for Nursing. 19(1), pp. 71 - 76. https://doi.org/10.1177/1099800416666717
Perioperative hypothermia during hip fracture surgery: An observational study
Gurunathan, Usha, Stonell, Christopher and Fulbrook, Paul. (2017). Perioperative hypothermia during hip fracture surgery: An observational study. Journal of Evaluation in Clinical Practice. 23(4), pp. 762 - 766. https://doi.org/10.1111/jep.12712
Implementation and evaluation of a ‘Navigator’ role to improve emergency department throughput
Fulbrook, Paul, Jessup, Melanie and Kinnear, Frances. (2017). Implementation and evaluation of a ‘Navigator’ role to improve emergency department throughput. Australasian Emergency Nursing Journal. 20(3), pp. 114 - 121. https://doi.org/10.1016/j.aenj.2017.05.004
Indigenous peoples’ experiences and perceptions of hospitalisation for acute care: A metasynthesis of qualitative studies
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.
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
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
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
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
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
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
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
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
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.
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
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 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
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
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.
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 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
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.
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
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
Realizing advanced nursing practice through reflection
Fulbrook, Paul. (2004). Realizing advanced nursing practice through reflection. Nursing in Critical Care. 9(6), pp. 255 - 256. https://doi.org/10.1111/j.1362-1017.2004.00089.x
Developing a network protocol: Nurse-led weaning from ventilation
Fulbrook, Paul, Delaney, N., Rigby, J., Sowden, A., Trevett, M., Turner, L. and Whittam, A.. (2004). Developing a network protocol: Nurse-led weaning from ventilation. Connect: The World of Critical Care Nursing. 3(2), pp. 28 - 37.
Why do student nurses leave? Suggestions from a Delphi study
Fulbrook, Paul. (2003). Why do student nurses leave? Suggestions from a Delphi study. Nurse Education Today. 23(6), pp. 449 - 458. https://doi.org/10.1016/S0260-6917(03)00063-7
Developing best practice in critical care nursing: Knowledge, evidence and practice
Fulbrook, Paul. (2003). Developing best practice in critical care nursing: Knowledge, evidence and practice. Nursing in Critical Care. 8(3), pp. 96 - 102. https://doi.org/10.1046/j.1478-5153.2003.00010.x
Care bundles in critical care: A practical approach to evidence-based practice
Fulbrook, Paul and Mooney, Sharon. (2003). Care bundles in critical care: A practical approach to evidence-based practice. Nursing in Critical Care. 8(6), pp. 249 - 255. https://doi.org/10.1111/j.1362-1017.2003.00039.x