Australian College of Critical Care Nurses (ACCCN) practice standards for specialist critical care nurses: A two-phase revision

Australian Critical Care 29 (2016) 110–123

Contents lists available at ScienceDirect

Australian Critical Care journal homepage: www.elsevier.com/locate/aucc

Papers and Poster Abstracts

The 40th Australian and New Zealand Scientific meeting on Intensive Care and the 21th Annual Paediatric and Neonatal Intensive Care Conference, Auckland, New Zealand, October 2015

Adult Critical Care Free Papers Australian College of Critical Care Nurses (ACCCN) practice standards for specialist critical care nurses: A two-phase revision Tina Kendrick 1,∗ , Fenella Gill 2 , Melanie Greenwood 3 1

NETS NSW, Westmead, Australia Curtin University, Perth, Australia 3 University of Tasmania, Hobart, Australia 2

Winner: Best Adult Nursing Free Paper sponsored by

Phase one: Twelve focus groups (79 participants) were conducted. Draft standards were written based on the main themes. Phase two: The panel, representing research, management, clinical practice and education responded to round I (n = 64), round II (n = 56), and round III (n = 40). Fifteen practice standards with elements and performance criteria were grouped into four domains. These standards capture contemporary critical care nurse practices using an expanded range of technologies to care for complex critical care patients across the lifespan in diverse settings; from rural centres to highly specialised tertiary centres. The revised ACCCN Practice Standards build upon and are additional to the Nursing & Midwifery Board of Australia National Competency Standards for Registered Nurses. Critical care nurses can use the 3rd edition of the Practice Standards confidently as they were originally intended: as the ‘gold standard’ description of Australian specialist level critical care nurse practice. http://dx.doi.org/10.1016/j.aucc.2015.12.002

Diaries for Intensive Care Unit Survivors (DISCUSS): Perspectives of patients and family members regarding psychological support Data collection for the development of the ACCCN Competency Standards was undertaken almost 20 years ago. Since then the landscape of critical care nursing has changed and it is not known if the Standards reflect contemporary practice. In this study, the standards were examined to determine their ongoing suitability to describe current practice of specialist critical care nurses in Australia. Following institutional ethics approval nurses from the critical care community were invited to participate in a two-phased project. In phase one focus groups were held in all states. Focus groups were audio-recorded and field notes taken. Thematic analysis was conducted using two techniques: two researchers analysed transcribed data while two researchers analysed audio-recordings and field notes. Phase Two consisted of an eDelphi technique. A national panel of critical care nurses responded to three survey rounds. The panel responded to a rating scale: level of agreement using a 7-point likert-type scale. A 70% agreement level for each statement was determined apriori. 1036-7314/

Leanne M. Aitken 1,2,3,∗ , Janice Rattray 4 , Justin Kenardy 5 , Alastair M. Hull 4,6 , Amanda Ullman 1 , Robyne Le Brocque 5 , Marion Mitchell 1,2 , Chelsea Davis 2 , Bonnie Macfarlane 1,2 1 NHMRC Centre of Research Excellence in Nursing, Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Australia 2 Princess Alexandra Hospital, Woolloongabba, Queensland, Australia 3 City University London, United Kingdom 4 University of Dundee, United Kingdom 5 University of Queensland, Australia 6 NHS Tayside, United Kingdom

Diaries summarising care in the intensive care unit (ICU) are routine practice in some countries, although format and method of delivery vary. Evidence to support diary use is limited and uptake by