- Feasibility and acceptability of a toolkit to guide patient and family participation in intensive care unit rounds. [Journal Article]Aust Crit Care. 2026 Oct 09; 39(6):101708. [Online ahead of print]AC
- CONCLUSIONS: This pilot study demonstrated that a structured ICU rounds toolkit was feasible to introduce and acceptable to participating family members and healthcare providers who engaged with the materials. However, healthcare provider awareness and uptake were variable. Future studies should evaluate strategies to improve uptake and sustainability, alongside the toolkit's impact on family engagement, communication, and patient- and family-centred outcomes.
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- Co-development of an intervention to support families of chronic critically ill children in paediatric critical care-The OCTO-Plus intervention. [Journal Article]Aust Crit Care. 2026 Oct 08; 39(6):101692. [Online ahead of print]AC
- CONCLUSIONS: OCTO-Plus emerged from a rigorous, iterative process that emphasised contextual relevance, stakeholder partnership, and implementation readiness. The intervention is poised to enhance family functioning, communication, and continuity. Validation of its feasibility and acceptability will determine real-world uptake and sustainability in PCC.
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- Cognitive impairment after critical illness: A scoping review of recovery trajectories, assessment practices, and risk factors. [Review]Aust Crit Care. 2026 Oct 08; 39(6):101698. [Online ahead of print]AC
- CONCLUSIONS: Persistent post-ICU cognitive impairment is common and heterogeneous among adult survivors of critical illness, with cognitive deficits often emerging early after ICU discharge and persisting in some survivors. These findings support the conceptualisation of cognitive recovery as a dynamic and multifactorial process influenced by patient vulnerability, critical illness, treatment exposures, and postdischarge factors. Evidence remains limited regarding predictors of prolonged or persistent impairment. Greater standardisation of cognitive assessment and longitudinal and interventional research is needed to characterise recovery trajectories, identify individuals at risk of persistent impairment, and evaluate potentially modifiable targets.
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- Effect of virtual reality during cycle ergometer session in the intensive care unit: A pilot randomised cross-over trial. [Journal Article]Aust Crit Care. 2026 Oct 08; 39(6):101697. [Online ahead of print]AC
- CONCLUSIONS: VR did not significantly increase ACD, it substantially enhanced subjective immersion and motivation. These findings support further investigation of immersive technologies as adjuncts to early rehabilitation strategies in the ICU.
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- To report or not? A qualitative study of critical care nurses' experiences of incident reporting. [Journal Article]Aust Crit Care. 2026 Oct 08; 39(6):101693. [Online ahead of print]AC
- CONCLUSIONS: This study highlights the impact organisational and supportive culture play a major role in critical care nurses' willingness to report incidents. These findings explore the experiences of incident reporting among critical care nurses in Australia, which organisations may use to address the barriers and emphasise the facilitators to encourage effective reporting.
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- Vancomycin dosing and monitoring in the intensive care unit: Guideline adherence and efficacy. [Journal Article]Aust Crit Care. 2026 Oct 07; 39(6):101691. [Online ahead of print]AC
- CONCLUSIONS: Vancomycin protocol adherence in a mixed medical-surgical ICU was low; however, adherence was not associated with therapeutic levels. Patients with CNS infection, ARC, or renal impairment are at risk of nontherapeutic levels.
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- Healthcare professionals' perspectives on the use of virtual reality for intensive care patients: A cross-sectional survey. [Journal Article]Aust Crit Care. 2026 Oct 07; 39(6):101699. [Online ahead of print]AC
- CONCLUSIONS: This survey highlights that intensive care unit healthcare professionals, with little VR experience, lack a cohesive perspective on the risks associated with VR use in this setting. Moving forward, the development of robust implementation strategies should be incorporated into VR research which address healthcare provider concerns and assist in the development of interprofessional clarity on the use of VR between healthcare providers.
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- Safety issues and harms of communication vulnerability for adult patients in critical care: A qualitative descriptive study. [Journal Article]Aust Crit Care. 2026 Oct 07; 39(6):101695. [Online ahead of print]AC
- CONCLUSIONS: Communication difficulties experienced during critical illness contribute to safety issues and harms across multiple physical, psychological, and social domains. Findings contribute to a growing body of evidence characterising the experiences and perceptions of patient safety in the adult intensive care unit. Findings have multiprofessional clinical implications in critical care settings particularly in relation to patient communication assessment and treatment and the creation of communication accessible and safe critical care settings.
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- Increasing the visibility of delirium as a hospital acquired complication: A consumer co-designed, nurse-led quality improvement program in a quaternary intensive care unit. [Journal Article]Aust Crit Care. 2026 Sep 22; 39(6):101704. [Online ahead of print]AC
- CONCLUSIONS: A consumer co-designed, nurse-led quality improvement program improved process measures associated with delirium recognition and communication, including screening documentation reliability, delirium documentation, and caregiver engagement in a large adult ICU. Delirium improvement programs should treat recognition, explicit documentation, and caregiver communication as interdependent components of delirium care. Partnering with consumers helped shift project aims from clinician recognition to proactive family preparation and partnership.
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- Evaluation of a device for insertion of a small intestinal feeding tube in the critically ill: A prospective multicentre international cohort study. [Journal Article]Aust Crit Care. 2026 Oct 06; 39(6):101701. [Online ahead of print]AC
- CONCLUSIONS: The probability of successful small intestinal placement of feeding tubes by motivated clinicians in a critical care environment approximated the prespecified threshold of 80%, without the need for extensive specific device experience.
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- Guided Protocol for Readiness to WEAN (GPR-WEAN): A consensus-based clinical framework for prescribing ventilator liberation in tracheostomised intensive care unit patients. [Journal Article]Aust Crit Care. 2026 Oct; 39(5):101689.AC
- CONCLUSIONS: GPR-WEAN provides a structured, consensus-based clinical framework that translates multidimensional patient assessment into explicit prescriptions for ventilator liberation in tracheostomised ICU patients. By integrating respiratory, neuromuscular, metabolic, and airway protection domains, the framework offers a reproducible pathway to standardise ventilator liberation practices and supports future prospective validation across diverse critical care settings.
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- Impact of a standardised music intervention on serum cortisol among sedated, mechanically ventilated adults in the intensive care unit: A randomised controlled trial. [Randomized Controlled Trial]Aust Crit Care. 2026 Oct; 39(5):101686.AC
- CONCLUSIONS: A standardised music intervention significantly reduced serum cortisol levels in sedated, mechanically ventilated ICU patients without affecting physiological stability. These findings support music as a safe, nonpharmacological adjunct to modulate stress responses in critical care.
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- Equity in treatment limitations in Australian intensive care units: The influence of cultural and socioeconomic diversity. [Editorial]Aust Crit Care. 2026 Oct; 39(5):101694.AC
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- How the nurse-patient relationship is enacted in Danish intensive care units: An ethnographic study of conscious mechanically ventilated patients. [Journal Article]Aust Crit Care. 2026 Oct; 39(5):101683.AC
- CONCLUSIONS: The nurse-patient relationship with conscious mechanically ventilated ICU patients was enacted along a continuum ranging from technical-instrumental to relational focus, where safety, trust, and collaboration are essential. Nurses dynamically navigate this continuum, balancing attentiveness, advocacy, involvement, and touch with clinical and technical competence while remaining sensitive to patients' pace and capacity as well as managing contextual factors, such as technology and interruptions. This emphasises that nurses' responsibility and commitment to the nursepatient relationship is fundamental to provide quality care.
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- Neuman Systems Model-based psychoeducation for psychological distress and coping in spouses of intensive care unit patients: An action research study. [Journal Article]Aust Crit Care. 2026 Oct; 39(5):101687.AC
- CONCLUSIONS: The findings of this study suggested that psychoeducation based on the NSM may contribute to reduced psychological distress and improved coping styles among spouses of patients in the ICU. Following the intervention, participants most frequently reported emotional expression, acceptance, and seeking social support as coping strategies, alongside reduced anxiety and greater coping confidence. Further research in larger studies with appropriate comparison groups is needed to investigate these preliminary findings and determine the long-term impact of this intervention.
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