An interprofessional multicomponent intervention to improve end-of-life care in intensive care: A before-and-after study.

Background: The provision of end-of-life care (EOLC) is an ongoing component of practice in intensive care units (ICUs). Interdisciplinary, multicomponent interventions may enhance the quality of EOLC for patients and the experience of family members and ICU clinicians during this period.

Objectives: This study aimed to assess the impact of a multicomponent intervention on EOLC practices in the ICU and family members' and clinicians' perceptions of EOLC.

Characterizing Flocculated Mineral Sediments with Acoustic Backscatter, Using Solid and Hybrid Scattering Models.

This study investigated the performance of an acoustic backscatter system (ABS) for the particle characterization of complex wastes. Two sediments were used: a fine, milled calcite that was flocculated with anionic polyacrylamide and naturally flocculated pond sludge. Particles were initially measured independently by light-based techniques to gain size, the coefficient of variation (COV), and fractal dimensions.

Fostering positive emotions, psychological well-being, and productive relationships in the intensive care unit: A before-and-after study.

Background: Intensive care units (ICUs) are emotionally demanding workplaces. Exposure to stress can negatively impact ICU staff members' emotional resilience, health, and capacity to provide care. Despite recognition of the benefits of promoting "healthy workplaces", there are limited interventional studies aimed at improving the well-being of ICU staff.

Dying in intensive care: An analysis of the perspectives of families and clinicians on end-of-life care.

Background: Despite a growing body of research into end-of-life care (EOLC) in intensive care units (ICUs), few studies have concurrently explored the perspectives of families and clinicians.

Objective: The objective of this study was to identify the characteristics of high-quality EOLC in the ICU from family and clinician perspectives and by examining the care documented in medical records.

Methods: A convergent mixed-methods study incorporating electronic health record audits (n = 20), structured interview surveys with families (n = 20), clinician surveys (n = 189), and focus groups (n = 10) was undertaken at a 30-bed, level 3 ICU at a metropolitan public adult teaching hospital in Australia.

The role and relevance of public private partnerships in English healthcare.

Health systems are now organized across England to deliver a more integrated population-based approach, not competing for services, rather collaborating and driving better value for the population from a fixed resource. This approach of health system leadership and collaboration has resulted in governance including a mixed economy of public-private provision but with greater alignment to delivering an agreed set of outcomes and value-based healthcare for the population. This dramatic shift from provider competition to collaboration and integration means a reframing of contracting and partnerships with the independent sector.