nursing dissertation topics icu

44-207-097-1871

Dissertation Writing Tools

1. Complete Dissertation Writing Guide - eBook
2. Dissertation Templates Pack
3. Research Methodology Handbook
4. Academic Writing Checklist
5. Citation Style Guide
6. Time Management for Dissertation Writing
7. Literature Review Toolkit
8. Grammar and Style Guide
9. Dissertation Proposal Template
10.Five Pre-written Full Dissertation Papers

56 Best Critical Care Nursing Research Topics ideas with examples

Are you searching Critical Care Nursing Research Topics? Critical care nursing is an evolving field. If you are looking for research proposal topics in critical care, we’ve got you. We have a great list of the latest nursing dissertation topics in critical care. You can use these for your undergrad and master’s programs. Similarly, if you want, we also have a list of nursing , dementia , marketing , and human resource management topics. We can also help you in completing your research according to the standards and requirements.

Best Critical Care Nursing Dissertation topics or research topics for masters and undergraduate students

Here is the list of Critical Care Nursing Research Topics and titles for college students.

Analyzing the importance of timings in the critical care nursing areas.
Probing the essential role of nursing – a literature review.
Literature review on critical nursing analysis in the past 10 years.
Examining the strategies of management of acute patients of dementia.
To maintain professional habits in the intensive care system – a case analysis of the US.
Brief examination and plans for critical care patients above the age of 50.
Do you think visitation should be allowed in the critical care unit?
An analysis of the nurse’s perspective on essential visitors of the patient.
Necessary care education is very important among critical nurses – a cross-country analysis.
Risk and caring factors of pressure injuries among ICU patients.
The difference between planned and emergency surgeries – a case scenario analysis
The study on Ventilator-associated ill patients and their need for health care facilities.
What are the challenges faced by the critical care nursing system?
Do nurses face problems with visitors? How do they cause disturbance?
Review on critical decision making by nurses in cardiac patients in the UK.
What key challenges do nurses face in ICU? – a critical analysis
Study on care in a technologically intense environment.
Study on the situation of patients with heart failure in the primary health care unit.
Equipment training for the nurses in the critical care unit.
Nurses study the importance of urgent and intensive care in the nursing field in the UK.
The nurse also provides telephonic consultation in the primary care of patients in the UK.
Discussion is related to why Should nurses are allowed to prescribe medicines to critical patients in the UK.
Emphasizing the status of psychological aid in ICU patients – a case analysis
Critically stating the miscommunication between the Physician and nurses in the intensive care unit.
A study on low income in essential nurses and how it affects their motivation and work commitment.
How do caregivers communicate with critical patients in ICU?
How do nurses manage covid’19 acute patients?
What issues were faced by nurses during the covid’19 pandemic period?
Did the covid situation also affect the personal life of critical care nurses?
What was the actual condition of the care department during this pandemic?
Is job satisfaction important in a nursing career?
Do nurses get demotivated due to low pay like offices?
What problem do nurses face while decision-making for the patients?
How do nurses take the end of life decisions? A survey analysis.
The study states that nursing scores got high in this pandemic period.
Spiritual well-being survey unit.
Does good critical thinking equal effectiveness in decision-making among critical nurses care?
Study on psychological stress among health care professionals.
Case study on post-traumatic stress system for the nurses after a patient’s death.
How does the relationship between nurse and patient impact the intensive care unit?
Study on doing critical care nurses accomplish resilience.
What is burnout syndrome, and how does it affect the quality of care offered by nurses?
Study on nutritional care to acute care patients and the role of nurses.
Connection in the middle of blood shortage and the patient outcome after transfusion.
Managing the open wound in urgent care – what measures must be taken instantly by nurses?
Study on the patients with aid and how nurses play their role.
Case study on causes of burnout patients in critical care.
Do nurses get affected by essential patients of care conditions?
Does a nurse’s private life get affected by the patient’s outcome?
Do Male and females get different types of critical care?

Above is the best Critical Care Nursing Research Topics, choose any topic of your choice and start dissertation writing in nursing or hire our expert services to customize the Critical Care Nursing Research Topics brief.

Paid Topic Mini Proposal (500 Words)

You will get the topics first and then the mini proposal which includes:

An explanation why we choose this topic.
2-3 research questions.
Key literature resources identification.
Suitable methodology including raw sample size and data collection method
View a Sample of Service

Note: After submiting your order please must check your email [inbox/spam] folders for order confirmation and login details.If email goes in spam please mark not as spam to avoid any communication gap between us.

Get An Expert Dissertation Writing Help To Achieve Good Grades

By placing an order with us, you can get;

Writer consultation before payment to ensure your work is in safe hands.
Free topic if you don't have one
Draft submissions to check the quality of the work as per supervisor's feedback
Free revisions
Complete privacy
Plagiarism Free work
Guaranteed 2:1 (With help of your supervisor's feedback)
2 Instalments plan
Special discounts

Research Topics & Ideas: Nursing

50+ Nursing Research Topic Ideas To Fast-Track Your Project

Research topics for nursing dissertations and theses

Finding and choosing a strong research topic is the critical first step when it comes to crafting a high-quality dissertation, thesis or research project. If you’ve landed on this post, chances are you’re looking for a nursing-related research topic , but aren’t sure where to start. Here, we’ll explore a variety of nursing-related research ideas and topic thought-starters, including general nursing, medical-surgical nursing, pediatric nursing, obstetrics and gynaecological nursing, ICU and mental health nursing.

NB – This is just the start…

The topic ideation and evaluation process has multiple steps . In this post, we’ll kickstart the process by sharing some research topic ideas within the nursing domain. This is the starting point, but to develop a well-defined research topic, you’ll need to identify a clear and convincing research gap , along with a well-justified plan of action to fill that gap.

If you’re new to the oftentimes perplexing world of research, or if this is your first time undertaking a formal academic research project, be sure to check out our free dissertation mini-course. In it, we cover the process of writing a dissertation or thesis from start to end. Be sure to also sign up for our free webinar that explores how to find a high-quality research topic.

Overview: Nursing Research Topics

General nursing-related topics
Medical-surgical nursing
Pediatric nursing
Obstetrics and gynaecological nursing
ICU nursing
Mental health nursing

General Nursing Research Topics & Ideas

The impact of cultural competence on patient care in the UK
The importance of evidence-based practice in nursing for patients with HIV/AIDS
The effects of workplace stress on nurse well-being and performance
The role of nurse-patient communication for patients transitioning from adolescent to adult care
The impact of technology on nursing practice and patient outcomes
The importance of interdisciplinary collaboration in healthcare for the rehabilitation of patients post-surgery
The effects of fatigue on nurse performance in the emergency room
The impact of nurse staffing levels on patient outcomes in rural areas
The effectiveness of nurse-led interventions in managing chronic conditions: a case study of diabetes
The impact of patient-centred care on health outcomes for the elderly
The importance of patient safety in nursing: bedside nurse vigilance
The effects of empathy and compassion in critical care nursing
The role of nursing in disaster preparedness and response: a case study of the Haiti earthquake of 2021
The impact of the level of nursing education on patient outcomes
The importance of ethical considerations in frail care nursing practice

Topics & Ideas: Medical-Surgical Nursing

The impact of bedside care on patient outcomes in medical-surgical units
The role of the nurse in managing post-operative patient pain
The effects of nurse-patient ratios on patient outcomes in medical-surgical units
A systematic review of different approaches to patient education in medical-surgical units
The relationship between nurse-patient communication and patient satisfaction in medical-surgical units: perspectives and recommendations to improving patient satisfaction

Topics & Ideas: Pediatrics Nursing

The impact of family-centered care on pediatric patient outcomes with sickle cell anemia
The role of nursing interventions in promoting developmental and behavioral health in pediatric patients
The effects of play therapy on anxiety and pain in pediatric patients during hospitilisation
A systematic review of different approaches to pain management in pediatric cancer patients
The relationship between parent involvement and post-operative patient outcomes in pediatric units

Ideas: Obstetrics and Gynecological Nursing

The impact of nurse-led prenatal care on maternal and fetal outcomes in African American communities
The role of the nurse in promoting sexual and reproductive health for women in the UK
The effects of midwifery care on maternal satisfaction of primiparous women and birth outcomes
A comparative study of different approaches to childbirth education for expectant mothers and partners: perceptions of control
The relationship between lactation support and breastfeeding success of primiparous women

Topics & Ideas: ICU Nursing

The impact of nursing interventions on patient outcomes in intensive care units in a developing country
The role of the nurse in managing palliative and end-of-life care in the ICU
The effects of family presence on patient outcomes and satisfaction in the ICU: A systematic review of the literature
A comparative study of different approaches to pain management for trauma patients in the ICU
The relationship between nurse-patient communication and geriatric patient outcomes in ICU

Topics & Ideas: Mental Health Nursing

The impact of nurse-led therapy on adolescent patient outcomes in mental health settings
The role of the nurse in promoting recovery and resiliency in mental health patients through group interventions
The effects of mindfulness-based interventions on stress and anxiety in mental health patients: A systematic literature review
A comparative study of the role of nurses in applying different approaches to patient education in mental health settings
The association between nurse-patient therapeutic alliance and patient outcomes in mental health settings

Nursing Dissertation & Theses

While the ideas we’ve presented above are a decent starting point for finding a nursing-related research topic, they are fairly generic and non-specific. So, it helps to look at actual dissertations and theses to see how this all comes together.

Below, we’ve included a selection of research projects from various nursing-related degree programs to help refine your thinking. These are actual dissertations and theses, written as part of Master’s and PhD-level programs, so they can provide some useful insight as to what a research topic looks like in practice.

Nursing Workload and Interventions of Licensed Nurses in Nursing Homes: An Observational Time and Motion Study (Kang, 2021)
Missed Nursing Care: Accounting for Education, Experience, and Job Satisfaction in Registered Nurses (Bechard, 2021)
Examining Predictors of Attitudes and Knowledge of Registered Nurses and Nursing Students in Tennessee toward Pregnant and Perinatal Women with a Substance Use Disorder (Patrylo, 2021)
A Program Evaluation of the Organizational Readiness for Pathway to Excellence at Two Community Hospitals (Behling, 2021)
The Impact of Covid-19 Pandemic Policy Decisions on the Wellbeing of Nursing Home Residents in Missouri (White, 2022)
Battling A Parallel Pandemic: An Evaluation of Sustainable System-Level Nursing Support in Response To COVID-19 (Gifford, 2022)
Holistic Nursing Process Maps: a Tool for Student Nurses to Operationalize the Nursing Process to Increase Clinical Reasoning (Reyes, 2022)
Satisfaction and Work-Life Balance in Undergraduate Nursing Faculty: A Mixed-Methods Study (Crawford, 2021)
The Effect of Mindfulness Meditation on the Stress, Anxiety, Mindfulness, and Self-Compassion Levels of Nursing Students (Heinrich, 2022)
Effectiveness of Simulation-Based Case Studies in Undergraduate Nursing Students (Becnel, 2022)
A Telehealth Simulation Experiment: Exploring Prebriefing (Owen, 2022)
Perceptions of Lateral Violence Among Vocational Nursing Students, Associate Degree Nursing Students, and Bachelor’s Degree Nursing Students (Martha, 2022)
Nurse Educators’ Description of Ethics from a Disciplinary Perspective: A Qualitative Descriptive Research Study (Cuchetti, 2022)
A Literature Review of the Relationship Between Oral Health and Pneumonia Risk in the Geriatric Nursing Home Population (Swift, 2021)

Looking at these titles, you can probably pick up that the research topics here are quite specific and narrowly-focused , compared to the generic ones presented earlier. This is an important thing to keep in mind as you develop your own research topic. That is to say, to create a top-notch research topic, you must be precise and target a specific context with specific variables of interest . In other words, you need to identify a clear, well-justified research gap.

Get 1-On-1 Help

If you’re still feeling a bit unsure about how to find a research topic for your nursing dissertation, thesis or research project, check out our private coaching services below.

Research Topic Kickstarter - Need Help Finding A Research Topic?

You Might Also Like:

Topic Kickstarter: Research topics in education

To learn from the GRAD Coach is a lofty goal for me. I am unable to express my gratitude for your teaching style. I need assistance with my thesis as a master’s in nursing candidate. Please assist me.

Submit a Comment Cancel reply

Your email address will not be published. Required fields are marked *

Save my name, email, and website in this browser for the next time I comment.

Print Friendly

How we work

Nursing Dissertation Ideas That Will Lead You to a Perfect Topic

#i',$content, -1); --> table of contents unique nursing dissertation topics to explore what’s a nursing dissertation and steps to write it nursing education dissertation topics: how to choose the right one list of the best dissertation topics nursing of the year some great phd nursing dissertation ideas unique nursing dissertation topics to explore.

Choosing a good topic for your dissertation in nursing is an important step in ensuring the overall success of your research project. This task may seem easy at first, but once you are at it, it can prove much trickier, primarily because it might take multiple brainstorms, drafts, and reviews for your topic to shine. But worry not — our nursing dissertation help service has got you covered!

To help you get started, we’ve developed a list of the latest nursing dissertation topics that you can use just as they are or simply to get inspiration for your dissertation project. We’ll come to those in a moment, but let’s find out what is a nursing dissertation first!

What’s a Nursing Dissertation and Steps to Write It

Admission/Application Essay
Admission Editing
Admission Proofreading
Annotated Bibliography
Argumentative essay
Article paraphrasing
Article review
Book Report/Review
Business plan
Capstone Project
Concept map
Concept paper
Conference Paper
Critical review
Custom List of Topics
Data analysis
Defence Presentation
Discussion Post
Dissertation
Dissertation Chapter - Abstract
Dissertation Chapter - Discussion
Dissertation Chapter - Introduction Chapter
Dissertation Chapter - Literature Review
Dissertation Chapter - Methodology
Dissertation Chapter - Results
Dissertation revision
Evidence-based practice paper
Exam Answers
Grant proposal
Interview essay
Letter of recommendation
Literature review
Literature review outline
Marketing plan
Math Problem
Multiple Choice Questions
Non-word assignment
Nursing care plan
Nursing teaching plan
Paraphrasing
Personal Statement
PICO/PICOT Questions
PowerPoint Presentation Plain
PowerPoint Presentation with Speaker Notes
Problem solution
Proofreading
Quality improvement project
Reaction paper
Reflection paper
Reflective Journal
Research Paper
Research Proposal
Retyping (PDF / PNG / Handwriting to Word)
Scholarship Essay
Scoping review
Shadow health assessment
Statistical Analysis
Statistics Project
Swot-analysis
Systematic review
Thesis chapter - Background
Thesis chapter - Conclusion & future works
Thesis chapter - Implementation
Thesis chapter - Introduction
Thesis chapter - Other (not listed above)
Thesis chapter - Results & evaluation
Thesis chapter - Theory & problem statement
Thesis literature review
Thesis Proposal
Thesis revision
Topic Suggestion
Topic Suggestion + Summary + References

A nursing dissertation is a research paper usually required as part of a PhD degree program. It’s a comprehensive and original work that aims to explore a specific topic in nursing and demonstrates your ability to investigate, analyze information and present findings.

Here’s how to write a nursing dissertation:

Choose a relevant dissertation topic.
Write a catchy introduction.
Collect data from reliable sources.
Critically evaluate the gathered information.
Perform a literature review.
Outline the significance of your project.
Audit and inspect employing clinical guidelines.
Describe the methodology used.
Reflect on outcomes.
Present recommendations for future research or practice.
Format your project and create a references list.
Structure and proofread the final draft.

Now that you know the fundamentals, let’s find out how to choose a good topic and dive into the best nursing education dissertation topics that will stay relevant in 2024.

Nursing Education Dissertation Topics: How to Choose the Right One?

If you’re struggling to come up with appropriate dissertation topics nursing, try taking the following steps:

Understand the objective of your project.
Make a list of topics you are familiar with or genuinely passionate about exploring.
Look into the current trends, ongoing debates, or innovations in the field for additional inspiration.
Think about what specific aspects of the subject you want your paper to focus on.
Define why these aspects are relevant and important.
Do preliminary research to determine the availability of credible sources to back up your arguments.
Think about how you’ll be presenting your findings.
Narrow down your topic to a specific research question that’s manageable and can be answered.

Lastly, our experts recommend choosing a topic that aligns with your career goals or areas you wish to specialize in. This way, you can turn a tedious writing process into a motivational journey with perspectives for future research.

List of the Best Dissertation Topics Nursing of the Year

For your convenience, we’ve organized dissertation nursing topic ideas into eight distinct thematic categories.

Child Health Dissertation Topics

How medical progress benefits patients with innate disabilities.
Physical limitations and the impact of timely medication.
The role of nurses in neonatal intensive care units.
Evaluation of mothers’ needs when caring for children aged 2 to 5.
The role of hospitals in the treatment of children’s psychiatric diseases.
Techniques for improving pediatric cancer treatment.
Childhood asthma diagnostics and treatment options.
Identifying developmental delays in Down syndrome children.
Applying Piaget’s theory to the cognitive development of healthy children.
A training program for pediatric nurses to support emergency patients.

Clinical Care Dissertation Topics

Should visitors be allowed in the intensive care unit?
Analyzing the management plans for patients with dementia.
Examining the impact of timing in critical patient nursing care.
Considerations for ICU patients’ treatment and the risks of pressure injury.
An overview of the critical nursing analysis literature from the last ten years.
What are the challenges that the critical care nursing system faces?
Medical treatment research in a high-tech environment.
What primary challenges do nurses face in intensive care units?
Do nurses ever have problems with their patients? If so, how do they deal with those problems?
A study of the demand for healthcare facilities among sick patients on ventilators.

Adult Nursing Dissertation Topics

What challenges do adult nursing professors in the United States face?
The influence of social media on adult nursing students.
Could online nursing studies help overcome the nurse shortage?
Investigation of sustainability issues in adult nursing.
Risk management and needs assessment in healthcare.
Analysis of the impact of social media on nursing careers.
What kind of treatment should adult nurses provide to dementia patients?
Examination of the level of stress faced by emergency room nurses.
Should adult nurses stay up-to-date on emerging trends in nursing?
Investigation of the transition from hospital to outpatient settings.

Evidence-Based Practice Dissertation Topics

Ways of choosing the right IV catheter size.
NPO status and hypoglycemia rates.
Nonpharmacologic methods of pain relief.
Should hospitalized patients be given pain relievers?
Ways of reducing catheter-acquired urinary tract infections (CAUTIs).
Nursing professionals’ misconceptions about evidence-based practice.
Evidence-based nursing practice rating systems.
The evidence-based practice manual for nurses.
What is the effect of visitation hours on patient outcomes?
Fall prevention in people with acute dementia.

Palliative Care Dissertation Topics

Palliative care for patients with Alzheimer’s disease.
Models of palliative care delivery for patients with cancer.
The benefits of perinatal hospice care.
Home-based palliative care for Renal disease patients.
Moral position on palliative care for terminal patients.
The role of volunteers in palliative medicine.
Initial palliative care for heart failure.
Evidence-based palliative care practice.
The role of the advanced practice nurse in palliative care.
Psychosocial screening and assessment in palliative nursing.

Mental Health Dissertation Topics

Investigation of the correlation between dopamine levels and autism.
Benefits of antipsychotic medicine for reducing delirium.
Chemical stimulants used in ADHD treatments.
Identification of bipolar disorder and associated risk factors.
Alzheimer’s disease and its connection to the environment.
The effect of social media on mental health.
The genetic component of bipolar disorder.
Methods for assisting stroke victims in regaining motor skills.
Investigation of the relationship between ADHD and screen time.
Strategies helping to prevent post-traumatic stress disorder.

Emergency Care Dissertation Topics

The impact of delays in emergency care.
How does overcrowding in emergency departments impact patients with stroke?
The importance of having a trauma team in the emergency department.
Creating cycles for emergency department physicians.
The effects of inadequate staffing in the emergency room.
Should patients be allowed to visit the emergency room to treat a fever of unknown nature?
Strategies to improve the level of healthcare in emergency rooms.
Ways to decrease the frequency of angry outbursts in the emergency room.
Ethical dilemmas faced by emergency department nurses.
The importance of having emergency rooms for patients with allergic reactions.

Environmental Health Dissertation Topics

Impact of climate change on food contamination with mycotoxins.
Airborne influenza virus detection strategies employing bioaerosol collection.
Homicide and suicide trends among farmers and other workers in the field.
The influence of loudness on the employees of food courts in college towns.
Investigation of environmental risks to the health of socially disadvantaged groups.

Now, let’s move on to some of the most promising nursing dissertation ideas for Ph.D. students and dissertation topics community health nursing.

Some Great PhD Nursing Dissertation Ideas

If you’re writing a PhD dissertation , the topic ideas below will definitely come in handy!

Steps to prevent major health problems in patients with increased work-related stress.
The latest public health initiatives to reduce childhood obesity.
The significance and effects of workplace safety in medical clinics.
Investigation of the impact of AIDS on modern society.
Increasing awareness of the issues and risks involved with the clinical management of elderly patients in ICU.
The role of drug addiction and psychological treatment in prisons.
Leading causes of cerebrovascular accidents that injure adult brain cells.
The role of WHO policies and methodologies in understanding child development.
Treatment strategies and post-treatment care for patients suffering from acute and chronic pain.
Adaptive approach to patient care in adult critical care units.

Topics Related to Community Health

Senior outpatient care and community services.
The importance of community nursing in increasing the quality of adult patients’ lives.
The impact of existing welfare theories and practices on adult patients.
The role of community nursing practice in health promotion.
Quality of seniors’ life: ethical behavior and residential care homes.

We hope these dissertation topics in nursing will inspire you to write an excellent dissertation worthy of the professor’s praise. Thanks for reading, and good luck with your paper! Should you need nursing writing help , NursingPaper is at your service 24/7!

150 Nursing Dissertation Topics to be the Smartest

As one of the most complex research types, dissertation helps university professors see that a student can show sufficient ability to conduct independent research, synthesize information, and make an original contribution regarding both theoretical and practical constituents. In most cases, this task includes finding an argumentative topic that allows forming strong response to a problem.

The proposal stage is one of the hardest since it is not easy to come up with a unique topic that will be interesting not only for you but also for readers. It may take much time to do research and find a gripping issue. Our Writix experts completed s list of nursing dissertation topics that you may use for your dissertation or which can inspire you to come up with your own idea.

Choosing Dissertation Topic Right

Usually, professors let students choose dissertation topic from the list, but it may also happen that you’ll have to create a unique one. In order to do so, think of what area is more interesting for you, which perspectives it has and if you’ll manage to find enough literature to cover it. Surf the internet, read recent news, new scientific articles, and understand what issue is relevant and is worth exploring.

Useful info: If you want to say “ pay someone to write dissertation “, we’ll hear and help you!

Look through various nursing literature review topics, get an idea of what issues has already been covered, how these papers are formatted, in which way they highlight important information. An average dissertation length usually reaches up to 10,000 words, so most professors recommend starting with an outline which is a structured plan for your future paper. While completing it, you’’ understand if the chosen topic worth writing about and if there’s enough info.

Hot Nursing Dissertation Ideas by Subject

Clinical management.

Clinical management deals with the healthcare (NHS) programs that study systems, scientific methods, incentives, and various data with an aim to improve current medical practices. It focuses on engagement and collaboration processes in the field of nursing and healthcare. Good clinical management dissertation ideas to consider:

The Blood Management
Wound Healing Practices
Specialist Rehabilitation Services
Radiation Screening
Domains of Subacute Care
Reducing Wastage of Blood and Blood Products
Domestic Violence Signs among clinical management patients
Clinical Stress Reduction
Conflict Resolution Styles
Patient Confidentiality

Public Health

Public health stands for the protection and improvement of the health of individuals in specific communities. It can be both large cities and rural areas where the promotion of a healthy lifestyle and safe medical practices help to achieve safety and overall improvement in society.

Alcohol-related Harms
Food Safety Rules
Teen Pregnancy
Tobacco Consumption in Women
Motor Vehicle Injuries
Hospital-based Infections
Rural Healing Practices
Substance Consumption
Drugstore Accessibility
Digital Accident Reporting

Community Nursing Dissertation Topics

The community nursing services are quite challenging for a dissertation, which is one of the reasons why so many students prefer using a nursing essay writing service , which helps to outline a clearer dissertation structure and find the required number of sources. Including grammar and structure checking, it helps to avoid the most common mistakes an average student makes. Good topics to consider include:

Rehabilitation of Sexual Abuse Victims
Healthcare Demands of Rural Population
Healthcare Surveys in Digital Age
Creative Care Modelling
Immigrant Care
Scottish Culture
Innovative Practices
Patient Records Discussion
Charity Nursing Work
Stress Management

Midwifery Dissertation Topics

It is related to prenatal practices and childbirth. As the field of nursing that deals with women’s health, it plays a critical role for society as one must strive for the promotion of a healthy lifestyle and infant health.

Risks of Planned Cesarean Birth
Palliative Care Standards
Childbirth Rehabilitation
Immunization During Pregnancy
Intrauterine Fetal Demise
Maternal Illnesses
Home Childbirth
Prenatal Screening
Genetic Disorders
Maternal Anxiety

Health Organisations

Many students might consider writing about NHS, yet it is also possible to write about WHO and discuss things like Covid-19 and their take on vaccination. Since the majority of health organisations will not readily disclose any information, finding a good topic will be easier if you look through our suggestions:

Inequality in Healthcare Delivery
Racial Prejudice in Emergency Unit
Rural Conflicts in Healthcare Innovations
Child Rehabilitation in School Facilities
School Screening Practices
Voluntary Work Availability
TV Healthcare Ads
Digital Administration
Distant-care Help
UK Paramedics Training

Useful info: Buy dissertations by Writix and keep calm!

Evidence-based Practice

It is a special nursing practice that is based on theories and research-based information where the evidence is presented with the help of statistical data or surveys. It helps to provide a healthy mixture of personal clinical expertise along with case study analysis and literature studies on the subject.

Oscillometric Practices
Red Blood Cell Transfusion Benefits
Impact of Environment for Intramuscular Injections
X-Ray Immune Impact
Substance Analysis
Breast Cancer Reporting
Heritage Immunology
Kindergarten Infections
Laboratory Work Risks
ER Room Precautions

Environmental Health

Nursing professionals working in the field of environmental healthcare focus on the identification of various issues related to the environment that have either positive or negative effects on human health living in a particular area. Writing a dissertation on the environmental nursing issue, always identify potential challenges and study environmental background with statistics and the facts to make your research reliable.

Weather Tracking and Informatics
Food Safety Regulations
Digital Control of Pests’ Distribution
Community-Driven Intervention in Whales
Water Quality Bias
Environmental NGOs
National Parks Status
Nursing in Remote Areas
Chemical Ground Control
Repellents Use in Children

If it sounds too complex, consider professional dissertation help where a specialist can nail it down in a best way, with zero plagiarism and right on time.

Occupational Health and Safety

It researches workplace healthcare and the safety of people employed in factories and various services like transportation, architecture, nursing, education, and many other fields. It is one one the most popular subjects these days as it involves more than one discipline in addition to nursing.

Construction Safety
Drugs and Alcohol Testing Policies
Motorcycle Safety
Food Distribution Among NGOs
Airplane Behavioral Patterns
Coal Mining Respiratory Diseases
Healthcare Insurance
Automotive Spinal Risks
Mental Side of Teaching
Painkillers Management

Mental Health Nursing Dissertation Topics

Mental health explores issues that are related to non-physical aspects per se like ADHD, Autism, Schizophrenia, bipolar disorder, and other mental health issues. As a nurse studying mental aspects, it is essential to provide background information and operate with statistical data to make the dissertation structure stand out with evidence.

Eating Disorders Among Athletes
PTSD Home Rehabilitation
Depression in Schoolchildren
Rehabilitation of Injured Army Veterans
Schizophrenia Stages
Child Abuse Victims
Cyberbullying
Bipolar Disorder Families
Nursing Burnout
HIV Social Stigma

Models and Theories in Nursing

This branch of nursing dissertation writing relates to the works of famous theorists, which is a good chance to keep your writing structured as you research well-known personalities. Start with the data collection first and remember to provide references for each fact or thesis argument that you mention.

Patricia Benner’s Theory
Change Model by Kurt Lewin
Betty Neuman’s Heritage
Mental Growth Elements in Living Nursing Model
Dorothea Orem
Madeleine Leininger
Systematic Nursing
Florence Nightingale Heritage
Digital Care Model
Virginia Henderson Morals

Child Nursing Dissertation Topics

Child nursing revolves around infants and children aged up to 14 years old, dealing with specific healthcare practices, patient management, and nursing care for young people. Since there are major differences, students starting with this type of dissertation writing must focus on case study analysis or implement generally accepted practices.

Covid-19 vaccination dangers for the middle school children
The negative impact of social media on eating disorders among youth
Why the antibiotic resistance in preschool children constantly decreases during the last two decades?
Improper nutrition and the frequency of seizures in infants
The physical changes in neural patterns of autistic children

Paediatric Nursing Dissertation Topics

Paediatric nursing plays a major role in the current NHS system in Great Britain, which became especially evident during Covid-19 time. The topics for your dissertation may range from obesity issues and ADHD to wound care treatment and the psychological aspects of school violence.

Pain management practices and cultural aspects of refugee children
Childhood cancer: how can AI-based technology help prevent and detect it
Effect of parents’ divorce on pre-school children
The analysis of current obesity prevention programs in Wales
Panic attacks among children as the negative effect of remote learning

Nursing Dissertation Topics Critical Care

Critical care or emergency nursing is often associated with ambulances and urgent cases where correct educated decisions must be made. It is a challenging field to work with your dissertation, which is why our selection of nursing critical care subjects and ideas will help you.

Satisfaction among critical care nursing personnel: analysis of the patient care practices
End-of-life decisions through the prism of global coronavirus pandemic situation
Emergency care and equal access to the “helmet bundle” for invasive ventilation patients
The factors that lead to burnout and anxiety in critical care nurses
Alarm fatigue and the mental aspect of disease reporting
Afghan refugees and language barriers for nurses in the critical care unit
Cardiac arrest identification practices vs the United States
Nursing workloads comparison between pre-Brexit and post-Brexit times
The role of culture for the spiritual well-being of the critical care nurses
The importance of critical thinking practices during the Covid-19 pandemic

Adult Nursing Dissertation Topics

Adult nursing stands for those problems and issues that are most common for adult patients where specific practices are implemented. Choosing it for your dissertation writing, remember to specify your age group as you work with dissertation methodology and research samples.

The link of alcohol to acute coronary syndrome cases
What role is played by the anxiety for respiratory disorders?
Is bipolar disorder more common in Scotland and Wales than in because of the different detection practices?
Migraine vs cluster headaches: major differences and similarities
Diabetes and weight management programs
Psychiatric care in adults during social distancing times
The role of ethnicity in adult nursing care environment
AI-based learning tools and speech disorder therapies
Self-care and hypertensive diseases treatment
Data collection methods in adult healthcare vs paediatric nursing

Nursing Dissertation Topics Dementia

Dementia is one of those conditions where nursing help is paramount for patients and their families. Choosing one of the topics below, stay respectful, and explore challenges and the treatment methods to avoid misconceptions and minor mistakes.

The role of dehydration control for patients with dementia
Client orientation: management of reality vs factual conversational assistance methods
The role of positive feedback and nursing diary keeping
The strategies to prevent false idea cultivation
Creation of the care plan for dementia patients
Cognitive stimulation therapy with the help of computer-aided tools
The role of exercises and physical activity for dementia patients
Animal therapy: why is this practice not yet common?
Home care vs clinical care setting for dementia patients
How do happiness and entertainment decrease the risks of dementia worsening?

Emergency Nursing Dissertation Topics

Emergency nursing is one of the most challenging topics to consider for your dissertation, yet if you are enrolled in one of the critical care university courses, it is an amazing opportunity to explore current emergency nursing practices.

The best methods to reduce violent outbreaks in the ER
Forensics in the paediatric fall victims
An ethical aspect of psychiatric screening
Mental disorders caused by Covid-19 restrictions: a case study
The safest methods to overcome shock in wound care caused by paediatric traumas
Talking to refugees to identify human trafficking cases
Child abuse identification and privacy matters according to legislation
The rights of women in the cases based on domestic violence reports
Drug screening methods for adolescent patients vs the United States
What has the Covid-19 situation change in the current preparation practices of the emergency care nursing personnel?

Looking through the list of dissertation topics in nursing, remember that it is not only important to find something that inspires you but to provide due credit for ideas that are not originally yours. Even though many university students believe that their Literature Review dissertation section is sufficient, it is also necessary to place relevant references for every picture, graph, statistical diagram, and quote. It will help you to keep things structured in a better way and avoid plagiarism risks.

When Professional Help is Due

If you still wonder how to choose a nursing dissertation topic or need an expert opinion about dissertation writing, there is no better way than approaching nursing assignment help . It includes multiple services like editing, search for suitable sources, finding, structuring, formatting, grammar check, scan for plagiarism. Our online help is reliable, affordable, fast, and can be easily accessed 24/7.

We use cookies to give you the best experience possible. By continuing we’ll assume you board with our cookie policy .

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Publications
Account settings

Preview improvements coming to the PMC website in October 2024. Learn More or Try it out now .

Advanced Search
Journal List

Sepsis assessment and management in critically Ill adults: A systematic review

Mohammad rababa.

Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan

Dania Bani Hamad

Audai a. hayajneh, associated data.

All relevant data are within the article and its files.

Early assessment and management of patients with sepsis can significantly reduce its high mortality rates and improve patient outcomes and quality of life.

The purposes of this review are to: (1) explore nurses’ knowledge, attitude, practice, and perceived barriers and facilitators related to early recognition and management of sepsis, (2) explore different interventions directed at nurses to improve sepsis management.

A systematic review method according to the PRISMA guidelines was used. An electronic search was conducted in March 2021 on several databases using combinations of keywords. Two researchers independently selected and screened the articles according to the eligibility criteria.

Nurses reported an adequate of knowledge in certain areas of sepsis assessment and management in critically ill adult patients. Also, nurses’ attitudes toward sepsis assessment and management were positive in general, but they reported some misconceptions regarding antibiotic use for patients with sepsis, and that sepsis was inevitable for critically ill adult patients. Furthermore, nurses reported they either were not well-prepared or confident enough to effectively recognize and promptly manage sepsis. Also, there are different kinds of nurses’ perceived barriers and facilitators related to sepsis assessment and management: nurse, patient, physician, and system-related. There are different interventions directed at nurses to help in improving nurses’ knowledge, attitudes, and practice of sepsis assessment and management. These interventions include education sessions, simulation, decision support or screening tools for sepsis, and evidence-based treatment protocols/guidelines.

Our findings could help hospital managers in developing continuous education and staff development training programs on assessing and managing sepsis in critical care patients.

Nurses have poor to good knowledge, practices, and attitudes toward sepsis as well as report many barriers related to sepsis management in adult critically ill patients. Despite all education interventions, no study has collectively targeted critical care nurses’ knowledge, attitudes, and practice of sepsis management.

Introduction

Sepsis is a global health problem that increases morbidity and mortality rates worldwide and which is one of the most common complications documented in intensive care units (ICUs) [ 1 ]. About 48.9 million cases of sepsis and 11 million sepsis-related deaths were documented in 2017 worldwide [ 2 ]. Sepsis is an emergency condition leading to several life-threatening complications, such as septic shock and multiple organ dysfunction and failure [ 3 ]. Sepsis has negative physiological, psychological, and economic consequences. Untreated sepsis can lead to septic shock; multiple organ failure, such as acute renal failure [ 4 ]; respiratory distress syndrome [ 5 ]; cardiac arrhythmia (e.g. Atrial Fibrillation) [ 6 ]; and disseminated intravascular coagulation (DIC) [ 7 ]. Also, sepsis is associated with anxiety, depression, and post-traumatic stress disorder [ 8 ]. As for the financial burden of sepsis on the healthcare system, the cost of healthcare services and supplies for ICU critical care patients with sepsis is high [ 1 ]. In 2017, the estimated annual cost of sepsis in the United States (US) was over $24 billion [ 2 ].

Previous studies have shown that among nurses, misunderstanding and misinterpretation of the early clinical manifestations of sepsis, poor knowledge, attitudes, and practices related to sepsis, and inadequate training might lead to delayed assessment and management of sepsis [ 9 – 11 ]. Moreover, the limited numbers of specific and sensitive assessment tools and standard protocols for the early identification and assessment of sepsis in critical care patients leads to delayed management, therefore increasing sepsis-related mortality rates [ 10 ].

Critical care nurses, as frontline providers of patient care, play a vital role in the decision-making process for the early identification and prompt management of sepsis [ 11 ]. Therefore, improving nurses’ knowledge, attitudes, and practices related to the early identification and management of sepsis is associated with improved patient outcomes [ 12 , 13 ]. To date, there remains a wide gap between the findings of previous research and sepsis-related clinical practice in critical care units (CCUs). Furthermore, there is no evidence in the nursing literature regarding nurses’ knowledge, attitudes, and practices related to the early identification and management of sepsis in adult critical care patients and the association of these factors with patient health outcomes. Therefore, summarizing and synthesizing the existing research on sepsis assessment and management among adult critical care patients is needed to guide future directions of sepsis-related clinical practice and research. Accordingly, this review aims to identify nurses’ knowledge, and attitudes, practices related to the early identification and management of sepsis in adult critical care patients.

Materials and methods

The present review used a systematic review design guided by structured questions constructed after reviewing the nursing literature relevant to sepsis assessment and management in adult critical care patients. The authors (MR, DB, AH) carefully reviewed and evaluated the selected articles and synthesized and analyzed their findings to reach a consensus. This review was guided by the following questions: (a) what are nurses’ knowledge, attitudes, and practices related to sepsis assessment and management in adult critical care patients?, (b) what are the perceived facilitators of and barriers to the early identification and effective management of sepsis in adult critical care units?, and (c) what are the interventions directed at improving nurses’ sepsis assessment and management?

Eligibility criteria

The review questions were developed according to the PICOS (Participants, Interventions, Comparisons, Outcome, and Study Design) framework, as displayed in Table 1 .

Inclusion criteria

The articles were retrieved and assessed independently by two researchers (MR, DB) according to the following inclusion criteria: (1) being written in English, (2) having an abstract and reference list, (3) having been published during the past 10 years, (4) focusing on critical care nurses as a target population, (5) examining knowledge, attitudes, and practices related to the assessment and management of sepsis, and (6) having been conducted in adult critical care units.

Exclusion criteria

Studies were excluded if they were (1) written in languages other than English, and (2) conducted in pediatric critical care units or non-ICU. Dissertations, reports, reviews, editorials, and brief communications were also excluded.

Search strategy

An electronic search of the databases CINAHL, MEDLINE/PubMed, EBSCO, Embase, Cochrane, Scopus, Web of Science, and Google Scholar was conducted using combinations of the following keywords: critical care, intensive care, critically ill, critical illness, knowledge, awareness, perception, understanding, attitudes, opinion, beliefs, thoughts, views, practice, skills, strategies, approaches, barriers, obstacles, challenges, difficulties, issues, problems, limitations, facilitators, motivators, enablers, sepsis, septic, septic shock, and septicemia. The search terms used in this review were described in S1 File . The search was initially conducted in March 2021, and a search re-run was conducted in April 2022. The search was conducted in the selected databases from inception to 4/2022. The initial search, using the keywords independently, resulted in 1579 articles, and after using the keyword combinations, this number was reduced to 241 articles. Then, after applying the inclusion and exclusion criteria, the number of articles was reduced to 92. A manual search of the reference lists of the 92 articles was carried out to identify any relevant publications not identified through the search. The researcher (MR) used the function “cited by” on Google Scholar to explore these publications in more depth. The researchers (MR, DB) then screened the identified citations of these publications, applying the eligibility criteria. In case of discrepancies, the researchers (MR, DB) discussed their conflicting points of view until a consensus was reached. Then, after careful reading of the article abstracts, 61 irrelevant articles were excluded, and a total of 31 articles were included in this review. Fig 1 below shows the Preferred Reporting Items for Meta-Analysis (PRISMA) checklist and flow chart used as a method of screening and selecting the eligible studies.

An external file that holds a picture, illustration, etc.
Object name is pone.0270711.g001.jpg

Data extraction

The following data were extracted from each of the selected studies: (1) the general features of the article, including the authors and publication year; (2) the characteristics of the study setting (e.g., single vs. multisite); (3) the sociodemographic and clinical characteristics of the target population, including mean age, and medical diagnosis (e.g., sepsis, septic shock, and SIRS); (4) the name of the sepsis protocol used, if any; (5) the characteristics of the study methodology (e.g., sample size and measurements); (7) the main significant findings of the study; and (8) the study strengths and limitations. All extracted data were summarized in an evidence-based table ( Table 2 ). Data extraction was performed by two researchers (MR, DB). An expert third researcher (AH) was consulted to reach a consensus between the two researchers throughout the process of data extraction.

USA: United States of America; UK; United Kingdom; ACS: acute care settings; ER: emergency room; ICU: intensive care units; SIRS: Systematic Inflammatory Response Syndrome; KAP: knowledge, attitudes, and practice; qSOFA: Quick Sequential Organ Failure Assessment; EGDT; Early Goal-Directed Therapy; NDS: Nurse Driven Sepsis Screening tool; SIRS: Sepsis Inflammatory Response; MEW-S: Modified Early Warning Score; LRTI: Lower respiratory tract infection; IQ: Quality Improvement; EBM: Enhanced Bedside Monitor; RRT: rapid response team.

Ethical considerations

There was no need to obtain ethical approval to conduct this systematic review since no human subjects were involved.

Quality assessment and data synthesis

A quality assessment of the selected studies was performed independently by two researchers based on the guidelines of Melnyk and Fineout-Overholt [ 14 ]. Disagreements between the two researchers (MR, DB) were identified and resolved through a detailed discussion held during a face-to-face meeting. For complicated cases, the researchers (MR, DB) requested a second opinion from a third researcher (AH). According to the guidelines of Melnyk and Fineout-Overholt [ 14 ], twelve of the studies were at level 3 in terms of quality, four studies at level 5, and nine studies at level 6.

A qualitative synthesis was performed to synthesize the findings of the reviewed studies. The following steps were applied throughout the process of data synthesis:

The data in the selected studies were assessed, evaluated, contrasted, compared, and summarized in a table ( Table 2 ). This data included the design, purpose, sample, main findings, strengths/limitations, and level of evidence for each of the studies.
The similarities and differences between the main findings of the selected studies were highlighted.
The strengths and limitations of the reviewed studies were discussed.

Description of the selected studies

Most of the reviewed studies were conducted in Western countries [ 9 , 11 , 12 ], with only one study conducted in Eastern countries [ 1 ], and two in Middle-Eastern countries [ 15 , 16 ]. The detailed geographical distribution of the studies and other characteristics are described in Table 2 .

Nurses’ knowledge, attitudes, and practices

Nine of the selected studies assessed nurses’ knowledge and attitudes related to sepsis assessment and management in critically ill adult patients [ 1 , 9 , 12 , 15 , 17 – 21 ] ( Table 3 ) . Nucera et al. [ 18 ] found that ICU nurses had poor attitudes towards blood culture collection techniques and timing and poor levels of knowledge related to the early identification, diagnosis, and management of sepsis. For example, the majority of nurses reported that there is no need to sterilize the tops of culture bottles, and there is no specific time for specimen collection [ 18 ]. However, the participating nurses reported good levels of knowledge related to blood culture procedures and the risk factors for sepsis. Similarly, R. J. Roberts et al. [ 19 ] found the participating nurses to have good knowledge of septic shock and good attitudes toward the initiation of antibiotics for critically ill adult patients with sepsis. Only two studies assessed nurses’ practices related to sepsis assessment and management [ 15 , 19 ]. For example, in the study of R. J. Roberts et al. [ 19 ], 40% of the nurse participants reported that they were aware of the importance of initiating antibiotics and IV fluid within one hour of septic shock recognition [ 20 ]. Also, Yousefi et al. [ 15 ] found the participating nurses to have good practices related to sepsis assessment and management.

*A range of the score reported

¥ a percentage of correct answers reported; MNR: Measured but not reported; N/A: Not Applicable

Barriers to and facilitators of sepsis assessment and management

The reviewed studies identified three types of barriers to the early identification and management of sepsis, namely patient-, nurse-, and system-related barriers ( Table 4 ). Meanwhile, only nurse- and system-related facilitators were reported in the reviewed studies. The most-reported barriers and facilitators were system-related. The reported barriers included (a) the lack of written sepsis treatment protocols or guidelines adopted as hospital policy [ 22 , 23 ]; (b) the complexity and atypical presentation of the early symptoms of sepsis [ 19 ]; (c) nurses’ poor level of education and clinical experience [ 1 , 12 ]; (d) the lack of sepsis educational programs or training workshops for nurses [ 22 , 23 ]; (e) the high comorbid burden among patients with sepsis, which complicates the critical thinking process of sepsis management [ 19 ]; (f) nurses’ deficits in knowledge related to sepsis treatment protocols and guidelines [ 22 – 24 ]; (g) the lack of mentorship programs in which junior nurses’ actions/activities are strictly supervised by experienced nurses [ 17 , 23 ]; (h) heavy workloads or high patient-nurse ratios [ 22 ]; (i) the shortage of well-trained and experienced physicians, particularly in EDs [ 19 , 22 , 23 ]; (j) the lack of awareness related to antibiotic use for patients with sepsis [ 19 , 22 ]; (k) the lack of IV access and unavailability of ICU beds [ 25 ]; (l) the non-use of drug combinations for the treatment of sepsis [ 22 , 26 , 27 ], and (m) poor teamwork and communication skills among healthcare professionals [ 22 , 26 ]. Only three facilitators of sepsis assessment and management were identified in the reviewed studies. These facilitators were (1) nurses’ improved confidence in caring for patients with sepsis, (2) increased consistency in sepsis treatment, and (3) positive enforcement of successful stories of sepsis management [ 22 , 27 ].

Measurement tools of sepsis-related knowledge, attitudes, and practices

One of the reviewed studies used a Knowledge, Attitudes, and Practice (KAP) questionnaire developed according to the Surviving Sepsis Campaign (SSC) guidelines [ 15 ] to measure nurses’ knowledge, attitudes, and practices related to sepsis assessment and management. Meanwhile, eight studies [ 1 , 9 , 12 , 17 – 21 ] used self-developed questionnaires based on the literature and SSC guidelines and validated by expert panels. Details of these measurement tools and their psychometric properties are summarized in Table 5 .

SIRS: Systematic Inflammatory Response Syndrome; KAP: knowledge, attitudes, and practice; NR: not reported; qSOFA: Quick Sequential Organ Failure Assessment

* Cronbach’s Alpha

Interventions directed at improving nurses’ sepsis assessment and management

Educational programs.

Only four of the selected studies examined the impact of educational programs on nurses’ knowledge, attitudes, and practices related to sepsis management and found significant improvements in nurses’ posttest scores ( Table 6 ) [ 11 , 15 , 28 , 29 ]. For example, Drahnak’s study [ 28 ] implemented an educational program developed by the authors and integrated with patients’ health electronic records (HER) and found significant improvements in nurses’ post-test nursing knowledge scores. Another educational program developed by the authors was implemented to improve ICU nurses’ knowledge, attitudes, and practices related to sepsis and found a significant improvement in posttest scores among the intervention group [ 15 ]. Another study was designed to examine the effectiveness of the Taming Sepsis Educational Program® (TSEP™) in improving nurses’ knowledge of sepsis [ 11 ]. A 15-minute structured educational session was developed to decrease the mean time needed to order a sepsis order set for critically ill patients through improving ER nurses’ knowledge about SSC guidelines and found that the mean time was reduced by 33 minutes among the intervention group [ 29 ].

*one group only; MNR: Measured but not reported, IHI bundles: Institute for Healthcare Improvement; HLCC; Health literacy and culture competency; EGDT; Early Goal Directed Therapy; SST: Staging sepsis Team; CLM: computerized Learning Management Systems; HER: Electronic Health Record; I: Intervention; C: Control; EBM: Enhanced Bedside Monitor; SBM: Standard Bedside Monitor; CDSS: Clinical Decision Support System

Only two studies examined the effect of using simulation in improving the early recognition and prompt treatment of sepsis by critical care nurses ( Table 6 ) [ 30 , 31 ]. Vanderzwan et al. [ 30 ] assessed the effect of a medium-fidelity simulation incorporated into a multimodel nursing pedagogy on nurses’ knowledge of sepsis and showed significant improvements in six of the nine questionnaire items. While Giuliano et al. examined the difference in mean times required for sepsis recognition and treatment initiation between nurses exposed to two different monitor displays in response to simulated case scenarios of sepsis and showed a significant reduction in the mean times required for sepsis recognition and treatment initiation by those nurses who were exposed to enhanced bedside monitor (EBM) display [ 31 ].

Decision support tools

Four of the selected studies examined the effectiveness of decision support tools, adapted based on the SSC guidelines and the “sepsis alert protocol”, on the early identification and management of sepsis and confirmed the effectiveness of these tools ( Table 7 ) [ 32 – 35 ]. The decision support tools used in three of the studies guided the nurses throughout their decision-making processes to reach effective assessment, high quality and timely management of sepsis, and, in turn, optimal patient outcomes [ 32 , 33 , 35 ]. However, no significant differences in the time of blood culture collection and antibiotic administration were reported between the intervention and control groups in the study of Delawder et al. [ 34 ].

qSOFA: Quick Sequential Organ Failure Assessment; TMH: The Methodist Hospital; NDS: Nurse Driven Sepsis Screening tool; EGDT: Early Goal-Directed Therapy; SSC: Surviving Sepsis Campaign; SIRS: Sepsis Inflammatory Response; HER: Electronic Health Records; UO: Urine Output; O2: oxygen; Map: Mean Arterial Pressure; GCS: Glasgow Coma Scale; RR: Respiratory Rate; PT: Prothrombin Time; PTT: Partial Thromboplastin Time; LL: Lactate level; QI: Quality Improvement; RRT: rapid response team.

Sepsis protocols

Eight of the selected studies examined the effectiveness of sepsis protocols [ 24 , 36 – 38 ] and sepsis screening tools [ 16 , 39 – 41 ] for the early assessment and management of sepsis ( Table 7 ). All of these articles revealed that the implementation of sepsis screening tools or protocols based on the SSC guidelines leads to the early identification and timely management of sepsis, as well as the improvement in nurses’ compliance to the SSC guidelines for the detection and management of sepsis. For example, in one study, patients who received Early Goal-Directed Therapy (EGDT) had a lower mortality rate as compared to patients who received usual care [ 16 ]. The sepsis screening tools and guidelines were also tested to examine their impact on some patient outcomes, and variabilities were identified. For example, the use of the Modified Early Warning Score (MEW-S) tool revealed no significant improvement in patient mortality rate [ 41 ]. In contrast, mortality rates were decreased by using the Nurse Driven Sepsis Protocol (NDS) [ 40 ], Quality Improvement (QI) initiative [ 38 ], and a computerized protocol [ 37 ]. In addition, nurses in the computerized protocol group had better compliance with the SSC guidelines than did nurses in the paper-based group [ 37 ]. One of the selected studies compared between a paper-based sepsis protocol and a computer-based protocol and found that antibiotic administration, blood cultures, and lactate level checks were conducted more often and sooner by nurses in the computerized protocol group [ 37 ]. Two of the selected studies used the EGDT as a screening tool for sepsis and found no significant differences in times of diagnosis, blood culture collection, or lactate measurements between the control and intervention groups [ 16 , 24 ]. However, significant differences were found in the time of antibiotic administration in the study of Oliver et al. [ 24 ]. Although El-khuri et al. [ 16 ] revealed no significant differences in the time of antibiotic administration, the mortality rate among patients in the intervention group declined significantly.

Most of the reviewed studies focused on assessing critical care nurses’ knowledge, attitudes, and practices related to sepsis assessment and management, revealing poor levels of knowledge, moderate attitude levels, and good practices. Also, this review revealed that the three most common barriers to effective sepsis assessment and management were nursing staff shortages, delayed initiation of antibiotics, and poor teamwork skills. Meanwhile, the three most common facilitators of sepsis assessment and management were the presence of standard sepsis management protocols, professional training and staff development, and positive enforcement of successful stories of sepsis treatment. Moreover, this review reported on a wide variety of interventions directed at improving sepsis management among nurses, including educational sessions, simulations, screening or decision support tools, and intervention protocols. The impacts of these interventions on patient outcomes were also explored.

The findings of our review are consistent with the findings of previous studies which have explored critical care nurses’ knowledge related to sepsis assessment and management [ 42 ]. Also, recent studies conducted in different clinical settings support the findings of our review regarding nurses’ knowledge of sepsis. For example, a recent study conducted in a medical-surgical unit revealed that nurses had good knowledge of early sepsis identification in non-ICU adult patients [ 43 ]. The variations in nurses’ levels of knowledge related to sepsis assessment were attributed to variations in educational level and work environment (i.e., ICU vs. non-ICU).

The evidence indicates that the successful treatment of critically ill patients with suspected or actual sepsis requires early identification or assessment [ 44 , 45 ]. Early assessment is a critical step for the initiation of antibiotics for patients with sepsis, leading to improved patient outcomes and a decline in mortality rates [ 44 ]. The current review also revealed the significant role of educational programs in improving nurses’ knowledge, attitudes, and practices related to the early recognition and management of sepsis. These findings are in line with the findings of another study, which tested the impact of e-learning educational modules on pediatric nurses’ retention of knowledge about sepsis [ 45 ]. The study revealed that the educational modules improved the nurses’ knowledge acquisition and retention and clinical performance related to sepsis management [ 45 ]. The findings of our review related to sepsis screening and decision support tools are in congruence with the findings of a previous clinical trial which assessed the impact of a prompt telephone call from a microbiologist upon a positive blood culture test on sepsis management [ 46 ]. The study revealed that this screening tool contributed to the prompt diagnosis of sepsis and antibiotic administration, improved patient outcomes, and reduced healthcare costs [ 46 ]. The findings of our review related to the effectiveness of educational programs in improving the assessment and management of sepsis were consistent with the findings of a recent quasi-experimental study. The study found that incorporating sepsis-related case scenarios in ongoing educational and professional training programs improved nurses’ self-efficacy and led to a prompt and accurate assessment of sepsis [ 47 ]. One of the interventions explored in this review was a simulation that facilitated decision-making related to sepsis management. The simulation was found to be effective in mimicking the real stories of patients with sepsis and proved to be a safe learning environment for inexperienced nurses before encountering real patients, increasing nurses’ competency, self-confidence, and critical thinking skills [ 48 ]. Also, a recent study showed that the combination of different interventions aimed at targeting sepsis assessment and management, including educational programs and simulation, may lead to optimal nurse and patient outcomes [ 49 ].

Limitations

The present review has several limitations. There is limited variability in the findings of the reviewed studies in terms of the main variable, sepsis. Moreover, the review excluded studies written in languages other than English and conducted among populations other than critical care nurses. However, there may be studies written in other languages which may have significant findings not considered in this review. Further, only eight databases were used to search for articles related to the topic of interest, which may have limited the number of retrieved studies. Finally, due to the heterogeneity between the selected studies, a meta-analysis was not performed.

Relevance to clinical practice

Our findings could help hospital managers in developing continuous education and staff development training programs on assessing and managing sepsis for critical care patients. Establishing continuous education, workshops, professional developmental lectures focusing on sepsis assessment and management for critical care nurses, as well as training courses on how to use evidence-based sepsis protocol and decision support and screening tools for sepsis, especially for critical care patients are highly recommended. Also, our findings could be used to development of an evidence-based standard sepsis management protocol tailored to the unmet healthcare need of patients with sepsis.

To date, nurses remain to have poor to good knowledge of and attitudes towards sepsis and report many barriers related to the early recognition and management of sepsis in adult critically ill patients. The most-reported barriers were system-related, pertaining to the implementation of evidence-based sepsis treatment protocols or guidelines. Our review indicated that despite all educational interventions, no study has collectively targeted nurses’ knowledge, attitudes, and practices related to the assessment and treatment of sepsis using a multicomponent interactive teaching method. Such a method would aim to guide nurses’ decision-making and critical thinking step by step until a prompt and effective treatment of sepsis is delivered. Also, despite all available protocols and guidelines, no study has used a multicomponent intervention to improve health outcomes in adult critically ill patients. Future research should focus on sepsis-related nurse and patient outcomes using a multilevel approach, which may include the provision of ongoing education and professional training for nurses and the implementation of a multidisciplinary sepsis treatment protocol.

Supporting information

S1 checklist, acknowledgments.

The authors want to thank the Liberian of Jordan University of Science and Technology for his help in conducting this review.

Funding Statement

This study was funded by The deanship of research at Jordan University of Science and Technology (grant number 20200668).

Data Availability

Best Nursing Research Topics for Students

What is a nursing research paper.

What They Include
Choosing a Topic
Best Nursing Research Topics
Research Paper Writing Tips

Best Nursing Research Topics for Students

Writing a research paper is a massive task that involves careful organization, critical analysis, and a lot of time. Some nursing students are natural writers, while others struggle to select a nursing research topic, let alone write about it.

If you're a nursing student who dreads writing research papers, this article may help ease your anxiety. We'll cover everything you need to know about writing nursing school research papers and the top topics for nursing research.

Continue reading to make your paper-writing jitters a thing of the past.

A nursing research paper is a work of academic writing composed by a nurse or nursing student. The paper may present information on a specific topic or answer a question.

During LPN/LVN and RN programs, most papers you write focus on learning to use research databases, evaluate appropriate resources, and format your writing with APA style. You'll then synthesize your research information to answer a question or analyze a topic.

BSN , MSN , Ph.D., and DNP programs also write nursing research papers. Students in these programs may also participate in conducting original research studies.

Writing papers during your academic program improves and develops many skills, including the ability to:

Select nursing topics for research
Conduct effective research
Analyze published academic literature
Format and cite sources
Synthesize data
Organize and articulate findings

About Nursing Research Papers

When do nursing students write research papers.

You may need to write a research paper for any of the nursing courses you take. Research papers help develop critical thinking and communication skills. They allow you to learn how to conduct research and critically review publications.

That said, not every class will require in-depth, 10-20-page papers. The more advanced your degree path, the more you can expect to write and conduct research. If you're in an associate or bachelor's program, you'll probably write a few papers each semester or term.

Do Nursing Students Conduct Original Research?

Most of the time, you won't be designing, conducting, and evaluating new research. Instead, your projects will focus on learning the research process and the scientific method. You'll achieve these objectives by evaluating existing nursing literature and sources and defending a thesis.

However, many nursing faculty members do conduct original research. So, you may get opportunities to participate in, and publish, research articles.

Example Research Project Scenario:

In your maternal child nursing class, the professor assigns the class a research paper regarding developmentally appropriate nursing interventions for the pediatric population. While that may sound specific, you have almost endless opportunities to narrow down the focus of your writing.

You could choose pain intervention measures in toddlers. Conversely, you can research the effects of prolonged hospitalization on adolescents' social-emotional development.

What Does a Nursing Research Paper Include?

Your professor should provide a thorough guideline of the scope of the paper. In general, an undergraduate nursing research paper will consist of:

Introduction : A brief overview of the research question/thesis statement your paper will discuss. You can include why the topic is relevant.

Body : This section presents your research findings and allows you to synthesize the information and data you collected. You'll have a chance to articulate your evaluation and answer your research question. The length of this section depends on your assignment.

Conclusion : A brief review of the information and analysis you presented throughout the body of the paper. This section is a recap of your paper and another chance to reassert your thesis.

The best advice is to follow your instructor's rubric and guidelines. Remember to ask for help whenever needed, and avoid overcomplicating the assignment!

How to Choose a Nursing Research Topic

The sheer volume of prospective nursing research topics can become overwhelming for students. Additionally, you may get the misconception that all the 'good' research ideas are exhausted. However, a personal approach may help you narrow down a research topic and find a unique angle.

Writing your research paper about a topic you value or connect with makes the task easier. Additionally, you should consider the material's breadth. Topics with plenty of existing literature will make developing a research question and thesis smoother.

Finally, feel free to shift gears if necessary, especially if you're still early in the research process. If you start down one path and have trouble finding published information, ask your professor if you can choose another topic.

The Best Research Topics for Nursing Students

You have endless subject choices for nursing research papers. This non-exhaustive list just scratches the surface of some of the best nursing research topics.

1. Clinical Nursing Research Topics

Analyze the use of telehealth/virtual nursing to reduce inpatient nurse duties.
Discuss the impact of evidence-based respiratory interventions on patient outcomes in critical care settings.
Explore the effectiveness of pain management protocols in pediatric patients.

2. Community Health Nursing Research Topics

Assess the impact of nurse-led diabetes education in Type II Diabetics.
Analyze the relationship between socioeconomic status and access to healthcare services.

3. Nurse Education Research Topics

Review the effectiveness of simulation-based learning to improve nursing students' clinical skills.
Identify methods that best prepare pre-licensure students for clinical practice.
Investigate factors that influence nurses to pursue advanced degrees.
Evaluate education methods that enhance cultural competence among nurses.
Describe the role of mindfulness interventions in reducing stress and burnout among nurses.

4. Mental Health Nursing Research Topics

Explore patient outcomes related to nurse staffing levels in acute behavioral health settings.
Assess the effectiveness of mental health education among emergency room nurses .
Explore de-escalation techniques that result in improved patient outcomes.
Review the effectiveness of therapeutic communication in improving patient outcomes.

5. Pediatric Nursing Research Topics

Assess the impact of parental involvement in pediatric asthma treatment adherence.
Explore challenges related to chronic illness management in pediatric patients.
Review the role of play therapy and other therapeutic interventions that alleviate anxiety among hospitalized children.

6. The Nursing Profession Research Topics

Analyze the effects of short staffing on nurse burnout .
Evaluate factors that facilitate resiliency among nursing professionals.
Examine predictors of nurse dissatisfaction and burnout.
Posit how nursing theories influence modern nursing practice.

Tips for Writing a Nursing Research Paper

The best nursing research advice we can provide is to follow your professor's rubric and instructions. However, here are a few study tips for nursing students to make paper writing less painful:

Avoid procrastination: Everyone says it, but few follow this advice. You can significantly lower your stress levels if you avoid procrastinating and start working on your project immediately.

Plan Ahead: Break down the writing process into smaller sections, especially if it seems overwhelming. Give yourself time for each step in the process.

Research: Use your resources and ask for help from the librarian or instructor. The rest should come together quickly once you find high-quality studies to analyze.

Outline: Create an outline to help you organize your thoughts. Then, you can plug in information throughout the research process.

Clear Language: Use plain language as much as possible to get your point across. Jargon is inevitable when writing academic nursing papers, but keep it to a minimum.

Cite Properly: Accurately cite all sources using the appropriate citation style. Nursing research papers will almost always implement APA style. Check out the resources below for some excellent reference management options.

Revise and Edit: Once you finish your first draft, put it away for one to two hours or, preferably, a whole day. Once you've placed some space between you and your paper, read through and edit for clarity, coherence, and grammatical errors. Reading your essay out loud is an excellent way to check for the 'flow' of the paper.

Helpful Nursing Research Writing Resources:

Purdue OWL (Online writing lab) has a robust APA guide covering everything you need about APA style and rules.

Grammarly helps you edit grammar, spelling, and punctuation. Upgrading to a paid plan will get you plagiarism detection, formatting, and engagement suggestions. This tool is excellent to help you simplify complicated sentences.

Mendeley is a free reference management software. It stores, organizes, and cites references. It has a Microsoft plug-in that inserts and correctly formats APA citations.

Don't let nursing research papers scare you away from starting nursing school or furthering your education. Their purpose is to develop skills you'll need to be an effective nurse: critical thinking, communication, and the ability to review published information critically.

Choose a great topic and follow your teacher's instructions; you'll finish that paper in no time.

Joleen Sams is a certified Family Nurse Practitioner based in the Kansas City metro area. During her 10-year RN career, Joleen worked in NICU, inpatient pediatrics, and regulatory compliance. Since graduating with her MSN-FNP in 2019, she has worked in urgent care and nursing administration. Connect with Joleen on LinkedIn or see more of her writing on her website.

Plus, get exclusive access to discounts for nurses, stay informed on the latest nurse news, and learn how to take the next steps in your career.

By clicking “Join Now”, you agree to receive email newsletters and special offers from Nurse.org. We will not sell or distribute your email address to any third party, and you may unsubscribe at any time by using the unsubscribe link, found at the bottom of every email.

Home » Blog » Dissertation » Topics » Nursing » Critical Care » Critical Care Nursing Dissertation Topics (25 Examples) For Research

Critical Care Nursing Dissertation Topics (25 Examples) For Research

Mark Jun 12, 2020 Jun 12, 2020 Critical Care , Nursing No Comments

Critical care nursing is one of the most in-demand fields of nursing. To attain a nursing degree, it is necessary for students to submit a dissertation. We offer a list of critical care nursing dissertation topics to help you in impressing your supervisor. You can also explore the adult nursing dissertation topics to get more […]

We have compiled a list of critical care nursing dissertation topics, which are both important as well as workable. We can further help with your project by doing dissertation writing on your selected research topic on critical care nursing.

List of Critical Care Nursing dissertation topics

Examining the role of critical care nurses in palliative care.

A comparative review of the literature related to intensive care readmission.

The experience of communication difficulties in critically ill patients in intensive care.

A review of the nurses’ experience of caring for critically ill patients.

A comparative analysis of the private and national healthcare systems in the UK.

The aim of intensive and critical care nursing in the field of healthcare.

Clinical management techniques and methods used by the nurses to help patients in critical care.

Examining the strategies of management and care for patients affected with chronic and acute pain.

Studying the issue of AIDs and social stigma attached to it.

The challenges of non-verbal communication while dealing with a special category of patients.

The role of telephonic consultation in primary care.

Examining whether the nurses should be allowed to prescribe medicines in critical care units?

A literature review on the conceptual model of critical care nursing.

The importance of educating critical care nurses on moral distress.

Studying the causes of burnout in critical care nursing staff.

To explore the effective management of exposure keratopathy developed in intensive care units.

Interventions for the prevention of catheter-associated urinary tract infections in intensive care units.

To study the importance of alarm setting for critically ill patients.

An intervention study in the intensive care unit focusing on the lighting, sleep, and circadian rhythms.

The importance of developing professional habits in intensive care settings.

Assessing and evaluating the caring behaviours of critical care nurses.

The importance of educating nurses related to the safety of critically ill patients.

Strategies used by nurses to create a healing impact on the critical care patients.

Exploring the open visitation in the intensive care unit – nurses’ perspective.

Identifying ways to prevent central line infections among hemodialysis patients based on knowledge and practices of nurses according to the guidelines.

Topic With Mini-Proposal (Paid Service)

Along with a topic, you will also get;

An explanation why we choose this topic.
2-3 research questions.
Key literature resources identification.
Suitable methodology with identification of raw sample size, and data collection method
View a sample of topic consultation service

Get expert dissertation writing help to achieve good grades

Writer consultation before payment to ensure your work is in safe hands.
Free topic if you don't have one
Draft submissions to check the quality of the work as per supervisor's feedback
Free revisions
Complete privacy
Plagiarism Free work
Guaranteed 2:1 (With help of your supervisor's feedback)
2 Instalments plan
Special discounts

Useful Links

How much will your dissertation cost?

Have an expert academic write your dissertation paper!

Dissertation Services

Get unlimited topic ideas and a dissertation plan for just £45.00

Order topics and plan

Get 1 free topic in your area of study with aim and justification

Yes I want the free topic

Evidence-based Practice Nursing Dissertation Topics

Published by Owen Ingram at January 3rd, 2023 , Revised On August 16, 2023

Nurses provide daily clinical care to patients based on evidence-based practices. This article encourages you to consider a career as an EBP nurse to contribute to the healthcare industry and look at the various evidence-based nursing dissertation topics for your thesis paper.

Evidence-based practice nursing involves integrating the use of the best available evidence into the care of patients. The subject is not new and has been around for several decades. It is now becoming a career option for many healthcare professionals. Evidence-based practice nursing improves patient outcomes, reduces costs, and enhances a hospital’s reputation.

Evidence-based practice nursing incorporates four fundamental principles:

The use of the best available evidence to make decisions about care for patients with specific health problems;

The ability to recognise gaps in knowledge about how to provide safe and effective patient care;
The ability to identify potential barriers that may interfere with implementing evidence-based practices; and
The ability to translate research findings into clinical practice guidelines and other practical resources

Possible Evidence-Based Practice Nursing Issues

EBP includes many studies, including those of low methodological quality, to inform clinical decision-making in each care area. In other words, it incorporates the best research evidence into clinical decision-making to treat a patient on time. It is best to use a clearly defined decision tree or matrix based on a previous literature review when performing EBP.

Evidence-based practice (EBP) is becoming increasingly important in nursing as the role evolves. EBP expertise is expected of nurse practitioners (NPs), certified nurse midwives (CNMs), and certified registered nurse anaesthetists (CRNAs). Nurses must prepare for the changes the profession is undergoing.

Care providers in this field are encouraged to apply their knowledge and expertise. In addition, you gain experience and confidence in your judgment. Due to this, more emphasis is placed on what works in practice than on what doesn’t. By teaching best practices, nurses can become leaders in their field by challenging their beliefs and experiences.

Child Health Nursing Dissertation Topics
Adult Nursing Dissertation Topics
Critical Care Nursing Dissertation Topics
Dementia Nursing Dissertation Topics
Midwifery Dissertation Topics
Palliative Care Nursing Dissertation Topics
Mental Health Nursing Dissertation Topics
Nursing Dissertation Topics
Coronavirus (COVID-19) Nursing Dissertation Topics

Evidence-Based Nursing Dissertation Topics

Topic:1 reducing falls in combative dementia patients.

Research Aim: Studying all the preventive measures to protect dementia patients from accidental falls and injuries with severe cognitive impairments.

Topic:2 Palliative oxygen usage: nasal cannula vs masks

Research Aim: Understanding the importance of the nasal canal for high flow rates of oxygen for those with breathing difficulties.

Topic:3 Early care of intoxicated patients

Research Aim: Studying the management of intoxicated patients admitted to intensive care units because of causative diseases, mortality issues and others.

Topic:4 Delirium Prevention

Research Aim: Learning the sensitivity of the topic of delirium and finding ways to prevent it with the help of sensory impairment, regular continence, hydration and others.

Topic:5 Choosing the correct catheter size of IVs

Research Aim: Measuring the accurate vessel size with respect to the length of the catheter for reducing dislodgement.

Topic:6 Reducing CAUTI's (Catheter acquired UTI)

Research Aim: Studying the intervention and the use of chlorhexidine mixture to treat the catheter associated with urinary tract infections with special tricks and techniques.

Topic:7 Alternative interventions to SOB for COPD patients

Research Aim: Differentiating between the pharma-logical and non-pharmacological interventions to treat breathlessness through different medical procedures.

Topic:8 Effect of visiting hours on patient outcomes

Research Aim: Studying the horrendous effect of visiting hours on patient outcomes because of the visiting policies made years ago.

Topic:9 Reducing pressure ulcerations

Research Aim: Finding out all the possible ways to reduce pressure ulcerations with the help of common practices like hydration, moisturisation, using skin Protestants and others.

Topic:10 Offering pain medication for hospitalised patients

Research Aim: Search for useful ways to improve pain management for hospitalized patients with acute needs to be fulfilled

Topic:11 Nonpharmacologic intervention for pain

Research Aim: Understanding the meaning of nonpharmacological pain management with different educational and psychological hypnosis conditions.

Topic:12 Discharge on heart failure and readmission rates

Research Aim: Learning different insights on the discharge education program for patients suffering from serious health problems like heart failure and terms and policies for readmission.

Topic:13 NPO status and hypoglycemic rates

Research Aim: Understanding the need of hypoglycemia in hospitalized patients and injecting into the patient’s blood glucose.

Topic:14 Ambulations after surgery

Research Aim:

Studying different body systems and the role of ambulation to get the blood system flow smoothly throughout the body after surgery or any medical procedure.

Topic:15 Reducing HAP And VAP for medical treatments

Research Aim: Understanding the difference between hospital-acquired pneumonia and ventilator-acquired pneumonia with their respective treatments through antibiotics and other medical procedures.

I/O Example

To become an Evidence-based practice nurse, you need to be able to:

Understand the importance of evidence-based practice
Develop a clear understanding of the clinical decision-making process and how it relates to nursing research and evidence-based practice.
Use principles from evidence-based practice to make decisions about patient care.
Recognize potential problems in applying evidence-based practice and be able to respond appropriately.

You will also need to gain hands-on experience in a clinical setting in order to become an evidence-based practice nurse.

A nurse who practices evidence-based practice can earn $53,000 annually. In the United States, this is the average wage for nurses, according to the Bureau of Labor Statistics.

A registered nurse’s average salary in 2014 was $58,790. According to the Bureau of Labor Statistics, registered nurses have earned an average of $51,230 over the past five years.

It is a rewarding and fulfilling career to work in evidence-based nursing. Nurses can make a significant impact on their patients’ lives through this field. There is a high demand for nurses with strong clinical skills and an understanding of evidence-based practice in today’s nursing market.

If you need help with the complete dissertation writing process, you may want to additionally read about our proposal writing service and the full dissertation writing service .

Free Dissertation Topic

Phone Number

Academic Level Select Academic Level Undergraduate Graduate PHD

Academic Subject

Area of Research

Frequently Asked Questions

How to find evidence based practice nursing dissertation topics.

For evidence-based practice nursing dissertation topics:

Identify healthcare gaps.
Review clinical problems.
Explore recent research.
Focus on patient outcomes.
Consider innovations.
Choose a topic with available data and relevance.

67 Critical Care Research Topics & Essay Ideas

🏆 best critical care research topics, ✍️ critical care essay topics for college, 🎓 hot icu evidence-based practice topics, 💡 simple icu nursing research topics.

Intensive Care Unit Nursing ( ICU)
Physical Versus Chemical Restraints in Intensive Care Unit
Analysis of Leadership in the Intensive Care Unit
Intensive Care Unit Quality Improvement Checklist
Children’s Weight Estimation in Intensive Care Units
Intensive Care Unit: Evidence-Based Practice’ Environment
Intensive Care Units: Quantitative and Qualitative Research Applications
Implementation of Cycled Lighting in Intensive Care Units Hospital conditions, especially in ICUs, could impact patients’ recovery due to experienced sleep disturbance and disrupted circadian rhythm.
Challenges in the Intensive Care Unit: Nursing Responsibilities The work at the Intensive Care Unit is never simple because nurses should take multiple responsibilities for patients and manage life-threatening health problems.
Physical Restraints in Acute and Intensive Care Units The issue of using physical restraints in health care institutions is a rather debatable topic, and some experts consider it a necessity for managing some patients.
Interprofessional Teams and iCare in Intensive Care Units The intensive care unit (ICU) is a highly complex dynamic work environment that requires highly sophisticated and engaged interprofessional team functioning.
The Intensive Care Unit: Nurses’ Responsibilities The work at the Intensive Care Unit is never simple because nurses should take multiple responsibilities for patients and manage life-threatening health problems.
Cardiac Intensive Care Unit Case Study This essay discusses the steps a cardiac intensive care unit manager would take when planning the annual budget, including reviewing income statements, analyzing expenses.
Using Information Technology and Artificial Intelligence in Critical Care Medicine Artificial Intelligence in critical care is helping to care for patients faster, supervise more patients, calculate the exact dosage for patients, and collect more detailed data.
Troubles in the Intensive Care Unit The team is hesitant to perform intubation due to the man’s advance directive expressing his wish to refuse artificial life support.
Ethical and Justice Considerations of Triage of Critical Care Resources The rising scale of the pandemic causes problems with resource allocation when providing health care to the continuously increasing number of patients impacted by the coronavirus.
Hospital-Acquired Infections Prevention in Intensive Care Unit Patients The purpose of this project is to reduce the prevalence and incidences of hospital-acquired infections among intensive care unit patients.
Decreasing Ventilator Pneumonia in the Intensive Care Units This article is a proposed protocol for implementation in US hospitals to reduce the risk of ventilatory pneumonia in intensive care units.
Interview of Nurse of the Intensive Care Unit As the subject of the interview, the senior nurse of the intensive care unit (ICU) of a Miami hospital, Mrs. S., is engaged. Mrs. S. is a registered nurse with a BSN degree.
Nosocomial Infections in Neonatal Intensive Care Units The Centre for Disease Control defines Nosocomial infections as diseases that occur three days or more after birth usually in a neonatal intensive care unit (NICU) setting.
Plan of Interview the Intensive Care Unit Nurse Plan of the interview with the intensive care unit nurse. The question where the candidate must provide the most precise response would involve a real-life scenario.
Effectiveness of Supporting Intensive Care Units Medicine appears to be the sphere of active developments and constant improvements, as high quality of service presents a matter of importance.
Enteral Feeding in Paediatric Intensive Care The nasogastric tube is a safe and effective method for short-term feeding in children with a variety of chronic conditions that can be regularly used at home and in hospital.
Intelligent Hospital Pavilion for Intensive Care Given the advantages of computerized systems for intensive care units, the latter significantly improve patient outcomes and reduce the impact of human factors on nurses’ work.
National Patient Safety Goals: Critical Care Access Limited access to healthcare services has been on the agenda of the modern healthcare system for quite a long, warranting the status of critical concern.
Compassion Fatigue in Pediatric and Intensive Care Units Compassion fatigue deserves attention in the healthcare sector and requires taking relevant measures, particularly in pediatric departments and intensive care units.
Dry Eye in Critical Care: Evidence-Based Practice A common problem for ICU patients is dry eye due to their conditions or medications that block physical mechanisms of maintaining moisture in the eyes.
Team Nursing Model in Intensive Care Unit The team nursing model involves the creation of teams whose members work together and are responsible for a limited number of patients.
Hand Hygiene Compliance in Neonatal Intensive Care Unit Simple handwashing education may be an effective intervention method to increase the literacy of staff and visitors regarding the problem in question.
Evidence-Based Practice Employed in Intensive Care The nurse manager should encourage all nurses to practice evidence-based nursing through conducting research training.
Opinion Leadership in Intensive Care Unit The paper aims to explore the concept of an opinion leader with references to scholarly literature as well as personal working experience.
Safe Medication in Intensive Care Unit In this paper, safe medication use in intensive care units (ICUs) the CPG was selected due to its relevance to the current needs of inpatient care.
Electronic Intensive Care Unit Benefits An Electronic Intensive Care Unit (eICU) represents a type of a healthcare setting that uses the latest technologies with the purpose of providing top quality care to patients.
The Needs of Family Members of Patients in Intensive Care The intensive (critical) care unit (ICU) could be a challenging setting for the family members of patients, particularly when the loved ones are at an immense risk of death.
Nurses Role Overload and Burnout in Intensive Care This paper critiques the article “Relationship among nurses role overload, burnout, and managerial coping strategies at intensive care units” by Mohamed.
The Intensive Care Unit: Intelligent Hospital Pavilion The Intensive Care Unit (ICU) is designed in such a way that it can provide adequate and timely care to high-risk patients.
Moral Distress and Effects on Critical Care Nurses Wiegand and Funk explore the moral distress experiences of nurses, the causes of such experiences, and the effects they had on nurses’ practice, attitude, and future decisions.
Psychological Flexibility and Its Relationship to Distress and Work Engagement Among Intensive Care Medical Staff
Intensive Care Unit Related Post Traumatic Stress Disorder
Pain, Parental Involvement, and Oxytocin in the Neonatal Intensive Care Unit
Pediatric Intensive Care: Immunomodulation With Activated Protein C Ex Vivo
Preventing Catheter-Related Bloodstream Infections in Intensive Care Unit
Moral Distress Among European Intensive Care Nurses
Intensive Care Nurses and Technology BSC
Nurse Burnout and Stress in Neonatal Intensive Care
Preventing Ventilator-Associated Pneumonia in the Intensive Care Unit
Intensive Care Nurse’s Views and Practices for Eye Care: An International Comparison
Prevention, Identification, and Treatment of Sepsis in Intensive Care Unit (ICU) Patients
Premature Triplets: Neonatal Intensive Care Unit at Cook Children’s Hospital
Abuse of Drugs and Alcohol in Intensive Care Unit
Medical Imaging During Intensive Care Unit (ICU)
The Assessment Process Of Patients In Intensive Care
Neonatal Intensive Care Unit Evacuation and Care During a Natural Disaster: The Experience of Cyclone Idai in Beira, Mozambique
Nursing and the Importance of Intensive Care and Critical Care Skills
Hospital Neonatal Intensive Care Unit and the Inclusion of a Child Life Therapist
Physician Scheduling for Continuity: An Application in Pediatric Intensive Care
Intensive Care Unit: Stress Meeting Needs of Family and Coping
Nosocomial Infections and the Infant Intensive Care Unit (NICU)
Horizontal Violence Experienced During Orientation in Intensive Care Units
Risk Factors for Intensive Care Unit Admission in Patients With Autoimmune Encephalitis
Intensive Care Admission and Early Neuro-Rehabilitation
Simulating Neonatal Intensive Care Capacity in British Columbia
Safety Score Improvement Plan For By-Faith Intensive Care Unit (ICU)
Continuous Renal Replacement Therapy in the Intensive Care Unit
Care for Critical Ill Patients With COVID-19: Establishment of a Temporary Intensive Care Unit in an Isolated Hospital
Modeling the Requirement for Supplementary Nurses in an Intensive Care Unit
Preventing and Assessing Intensive Care Unit Delirium

Cite this post

Chicago (N-B)
Chicago (A-D)

StudyCorgi. (2022, May 10). 67 Critical Care Research Topics & Essay Ideas. https://studycorgi.com/ideas/intensive-care-essay-topics/

"67 Critical Care Research Topics & Essay Ideas." StudyCorgi , 10 May 2022, studycorgi.com/ideas/intensive-care-essay-topics/.

StudyCorgi . (2022) '67 Critical Care Research Topics & Essay Ideas'. 10 May.

1. StudyCorgi . "67 Critical Care Research Topics & Essay Ideas." May 10, 2022. https://studycorgi.com/ideas/intensive-care-essay-topics/.

Bibliography

StudyCorgi . "67 Critical Care Research Topics & Essay Ideas." May 10, 2022. https://studycorgi.com/ideas/intensive-care-essay-topics/.

StudyCorgi . 2022. "67 Critical Care Research Topics & Essay Ideas." May 10, 2022. https://studycorgi.com/ideas/intensive-care-essay-topics/.

These essay examples and topics on Critical Care were carefully selected by the StudyCorgi editorial team. They meet our highest standards in terms of grammar, punctuation, style, and fact accuracy. Please ensure you properly reference the materials if you’re using them to write your assignment.

This essay topic collection was updated on January 5, 2024 .

Write my thesis
Thesis writers
Buy thesis papers
Bachelor thesis
Master's thesis
Thesis editing services
Thesis proofreading services
Buy a thesis online
Write my dissertation
Dissertation proposal help
Pay for dissertation
Custom dissertation
Dissertation help online
Buy dissertation online
Cheap dissertation
Dissertation editing services
Write my research paper
Buy research paper online
Pay for research paper
Research paper help
Order research paper
Custom research paper
Cheap research paper
Research papers for sale
Thesis subjects
How It Works

120+ Interesting Nursing Research Paper Topics

Developing the skill of writing dissertation topics in nursing takes practice, time, and patience. Nevertheless, that skill will improve and develop the more you write. With this article, writing an essay topic will become more comfortable than ever as your confidence increases.

Therefore, let us explore some of the guidelines for any essay topic.

Tips for Great Nursing Research Paper Topics

To attain the highest standards of dissertation topics, you need to have the following tips in mind:

The problem must define the purpose of your essay
It should be engaging
It should act as a hook
It should be of the required word count

Let’s now get to the real deal; we are going to explore 70 nursing dissertation topics arranged in clusters for easier retrieval.

Research Paper Topics in Obstetrics and Gynecology Nursing

Understanding Gestational Diabetes, screening, diagnosis, and prognosis
What are Blood pressure, renal function, and structural changes?
How pre-ecliptic pregnancy occurs
Receptor-mediated agonist and antagonism with particular regard to the audiology
The process of treatment of preterm labor and primary dysmenorrhea
Background knowledge concerning several biochemical markers
Understanding Vascular mechanical properties
Analyzing tissue localization and prognostic importance
Hormonal regulation and functional significance
Significance of the Plasminogen activation system
Dynamic Fetal and Placental Circulatory Changes during Uterine Contractions
Aspects of risk factors, evaluation, and surgical treatment
Diagnosis and prognosis, with particular reference to maternal fever in labor
Evaluation of a new form of therapy for menorrhagia
Risk factors and the role of the urethra
How well do Cloposcopic Cervical Screenings work and are they optimal?
Do individuals with a higher miscarriage frequency tend to have more anticardiolipin antibodies?
The different medical treatments for acute liver failure in pregnant patients.
The connection of thyroid problems in obstetrics patients.
Different techniques are used to determine fetal weight during the entire pregnancy.
Different methods are used to control hypertension during a patient’s pregnancy.
Women who have polycystic ovarian syndrome and how to treat their insulin resistance.
How does supplementing with vitamin D change the conditions for a mother and her child during the pregnancy?
The various medical techniques used to treat gestational diabetes.
Do vaccines prevent the transfer of Hepatitis B in pregnant women?

Nursing Research Paper Topics in Critical Care

An investigation on whether critical care nurses achieve resilience
A phenomenological study on how critical care affects the nurse and her family personally
Established models used to evaluate the efficacy of pain assessment in critical care
A review of how the nurse-patient ratio in the ICU determines the quality of care
A qualitative survey of how essential nurses of care’ manage workloads during the holiday season
Are critical care nurses sufficiently trained to monitor acute secondary health issues arising out of primary care issues?
A comparison of critical care nurses in cardiac units in private and public organizations
Does miscommunication occur between physicians and nurses in the intensive care unit?
How gender determines the effectiveness of essential nurses of care in hospitals
A comparison of different critical care nurses’ salaries and allowances in the world
How do critical caregivers communicate with patients in ICU?
What is the role of Critical Care givers organizations in the country?
Evaluating different medical schools offering critical care courses in Europe
How to avoid complications in blood transfusions among ICU patients
An insight into essential caregivers of rural areas versus those in urban areas
The importance of stress and energy burnout amongst nurses.
How can communication be improved for critical care nurses?
How to prevent ventilator-contracted pneumonia in significantly ill patients.
The connection between real and theoretical risk with the use of catheters.
The various nursing techniques used to manage open abdominal wounds.
An assessment of the effectiveness of nutritional care for significantly ill children.
How to better interact with the family of a critically ill patient.
Medical complications connected with incorrect insertion of peripheral catheters.
How to avoid medical complications with patients prone to heart attacks and hypertension.
Reasons to pursue a career in critical care nursing.

Emergency Nursing Research Paper Topics

Pediatric trauma: The need for accurate patient assessment to identify life-threatening injuries
How supporting relationship-based care is a standard of practice to improve patient satisfaction
A case study on why many young people get injured: Risky games and activities
How children maltreatment causes the deaths of many children less than four years of age
Things to look out for and some ideas on how to fight compassion fatigue
Identifying the mechanisms of injury associated with spinal injuries
Goals of metabolic acidosis, hypothermia, and coagulopathy in damage control
Assessing the benefits of a geriatric emergency department
Exploring the latest innovations in Emergency Stroke care
Short or long-term effects of heroin on Emergency response
A review of the parameters used in eye assessment
The result of a lack of self-care and how it contributes to emergency responses
How to detect the emergency level preparedness of the patients
The use of implanted venous access device in the Emergency Department
Analysis of the best test instruments for measuring an emergency nurse’s perceived stress when in the emergency department
Understanding emergency nurses’ attitudes and knowledge toward patients admitted with alcohol use and abuse
A case study on the level of treatment emergency department nurses uses toward patient care.
What can be done to further improve patient care in the emergency room?
The significance of stroke care innovations in hospital emergency rooms.
The need for more emergency rooms and nursing services in needy areas.
A case study on the emergency responses towards men affected by heroin.
What nursing techniques can be used to calm a highly distressed patient?
The best strategies to use in the emergency room to calm a distressed patient.
Detailed analysis of the techniques used to save drowning victims.
What precautions can be taken before a large medical emergency takes place?
How to manage the stress levels of emergency nurses during the COVID-19 pandemic.

Research Paper Topics in Community Health Nursing

An evaluation of new developments in community health nursing care
How does a shortage of nurses in hospitals contribute to increased life loses
Understanding critical care practices in a community health clinic
How to create a pleasant work environment in community health nursing
Effective community health nursing training programs
Evaluating proper patient support in health institutions
Legal issues affecting community health nurses
Do religious or spiritual beliefs affect community health nursing?
How can community health nurses deal with diversity in the workplace
Importance of nursing code of ethics
Media and community health nursing
Role of nurses
Health and safety of nurses
Work-life balancing
The importance of nurses educate patients in an environment of various cultures.
Detailed analysis on using frailty as a factor for home placement.
The importance of nurses educating women on domestic partner violence.
A case study on difficult patients in the community health sector.
The importance and significance of nurses in community health services.
The importance of having nurses and community health services in impoverished areas.
A case study on the impact of nurses in community health services.
How nurses manage an inpatient dealing with depression.
Detailed analysis of the outcomes that occur in a social setting from community health nursing services.
The best nursing practices used in the community health sector.

Research Paper Topics in Nursing Education

Home-based nursing services
Effects of technology advancement on nursing
Nurse wages case study
Registered nurses versus fresh graduates
Education and developmental programs for nurses
Practical communication skills as a nurse
Role of non-verbal communication in nursing
Improving the efficiency of community nurses
Purpose of personal development in nursing
Attitude and behavior of nursing behavior
Why is nursing at home chosen over hospital admission amongst most patients?
What will you need to re-enter the nursing field after taking a prolonged leave of absence?
What improvements has technology brought to nursing?
Do nurses deserve to earn higher compensation?
How do nursing graduates perform in the field compared to their time in education?
Why education is important for nurses in any medical field.
Why nurses need to have excellent communication techniques.
How body language can communicate with patients with various needs of care.
How can nursing be optimized as a whole?
How nursing can contribute to self-improvement.

And that’s all, 120 top nursing research topics for you!

Now, this is interesting:

Steps to Choosing a Top-Notch Paper Topic

In such a case, the task may seem tedious, but that is about to get solved. Here are some simple steps to follow:

Identify the purpose of your essay (informative or persuasive)
Research on topics you find intriguing
Evaluate the available options
Settle on one suitable topic

The text should interest you. I don’t thiif anyone can write a captivating essay on a topic that doesn’t interest him/her in any way.

If you would like writing assistance on these titles, contact us ASAP!

Future of Critical Care Medicine (FCCM) 2016

Open access
Published: 28 December 2017

Seven unconfirmed ideas to improve future ICU practice

John J. Marini 1 ,
Daniel De Backer 2 ,
Can Ince 3 , 4 ,
Mervyn Singer 5 ,
Frank Van Haren 6 , 7 , 8 ,
Martin Westphal 9 &
Paul Wischmeyer 10

Critical Care volume 21 , Article number: 315 ( 2017 ) Cite this article

18k Accesses

4 Citations

17 Altmetric

Metrics details

With imprecise definitions, inexact measurement tools, and flawed study execution, our clinical science often lags behind bedside experience and simply documents what appear to be the apparent faults or validity of ongoing practices. These impressions are later confirmed, modified, or overturned by the results of the next trial. On the other hand, insights that stem from the intuitions of experienced clinicians, scientists and educators—while often neglected—help place current thinking into proper perspective and occasionally point the way toward formulating novel hypotheses that direct future research. Both streams of information and opinion contribute to progress. In this paper we present a wide-ranging set of unproven ‘out of the mainstream’ ideas of our FCCM faculty, each with a defensible rationale and holding clear implications for altering bedside management. Each proposition was designed deliberately to be provocative so as to raise awareness, stimulate new thinking and initiate lively dialog.

In our current era of evidence based medicine, empirical results of clinical trials are most highly valued as the foundation of our knowledge, while experience-based and eminence-based opinions, often published as commentaries, editorials, essays and letters, take a ‘back seat’. Yet, some insights that stem from the intuitions of experienced clinicians, scientists and educators help place current thinking into proper perspective and point the way toward formulating the novel hypotheses that direct future investigative scientific efforts. In fact, while technical innovations, experimental observations and statistical meta-analyses often lead clinical practice, at other times the opposite is true; conflicting data from imperfect studies generate lingering confusion and doubt. With imprecise definitions, study executions and measurements, our clinical science often lags behind practical experience and simply documents what appear to be the faults or validity of ongoing practice. As we have experienced in recent decades, progress made with these blunt tools for advancing the care of the individual can be vexingly slow and inexact. Better study designs, targeted biomarkers, integrative as opposed to reductionist thinking and ‘big data’ capabilities hold genuine promise to personalize critical care—but clearly, we are not there yet.

In most meeting formats, faculty presenters rely on established principles and an examination of what has recently been published or confirmed to present their ideas. Debates and panel discussions either help bring about consensus (always comforting and sometimes dangerous) and/or highlight genuine differences of opinion. As in the prior two Future of Critical Care Medicine (FCCM) meetings, one of our sessions took a radical departure from those traditional approaches. What follows is a wide-ranging set of unproven ‘out of the mainstream’ ideas of our faculty, each with a defensible rationale and holding clear implications for altering bedside management. The intent of this provocative format was to stimulate thinking and interchange, and perhaps to point toward new directions for productive research, concept development, and eventual application to improved care for the critically ill.

Daniel De Backer: Release tissue nitric oxide for improving microvascular perfusion

Tissue perfusion can be altered even when cardiac output and arterial pressure remain within reasonable goals. Alterations in microvascular perfusion have been shown to occur in sepsis and septic shock [ 1 ], as well as in a variety of other conditions (cardiogenic shock, trauma, ischemia reperfusion injury, etc.). These are characterized by the close proximity of non-perfused vessels to perfused vessels, leading to microvascular shunting and increased oxygen diffusion distances. The severity and the duration of such microcirculatory disturbances relate to mortality and development of organ dysfunction [ 2 ]. Several mechanisms have been implicated in the development of these alterations, including loss of communication between vascular segments, impaired endothelial reactivity, alterations in red and white blood cell rheologies, alteration in endothelial glycocalyx, platelet aggregation and microthrombosis.

Given the characteristics of microvascular alterations and the mechanisms potentially implicated, it seems logical to try to recruit the microcirculation more than to increase the flow within the already perfused vessels. In addition, an ideal intervention should help reverse the implicated pathological mechanisms, not only improve microvascular perfusion.

Among the suggested interventions, certain vasodilatory agents have been proposed. Nitroglycerin was the first to be introduced. After initial promising results of a pilot trial including eight patients [ 3 ], a confirmatory randomized trial found no difference in the changes in microvascular perfusion between patients receiving nitroglycerin and placebo. Several factors may explain this negative result, including a potential decrease in nitric oxide (NO) generation from nitroglycerin, as it requires efficient aldehyde dehydrogenase type 2 that may be inhibited in sepsis [ 4 ].

Another point of attack is to exploit local release of NO at the microcirculatory level to promote targeted vasodilation. There are two known ways to boost NO at the endothelial level, one through endothelial NO synthase and the other through nitrite reduction.

For the first reaction (Arginine + O 2 = > Citrullin + NO], oxygen and an effective endothelial NO synthase are required. Interestingly, endothelial NO synthase may be dysfunctional in sepsis or in ischemia/reperfusion injury, due to a decrease in one of its mandatory cofactors, tetrahydrobiopterin. In an ovine model of septic shock, administration of tetrahydrobiopterin improved microvascular perfusion, vascular permeability, organ function and survival time [ 5 ]. Similarly, administration of vitamin C, which increases tetrahydrobiopterin availability, also improves microvascular perfusion in sepsis, in a pathway that depends on endothelial NO synthase [ 6 ].

The second reaction converts nitrite into NO (Hb[Fe 2+ ] + NO 2 − + H + => NO + Hb[Fe 3+ ] + OH − ). This reaction is accelerated in the presence of deoxyhemoglobin, as opposed to oxyhemoglobin [ 7 ]. As a result, it mostly occurs in the microcirculation in the hypoperfused capillaries of metabolically active areas where oxygen saturation is low.

Administer nitrites with the hope that they could be converted into NO in the most vulnerable parts of the microcirculation.

Can Ince: Better resuscitation fluids for shock can be devised that improve perfusion, boost oxygen delivery and reduce inflammation

Resuscitation from cardiocirculatory compromise is aimed at correcting decreased microcirculatory perfusion by improving blood flow and consequently sustaining tissue oxygenation. Shock is associated with a compromise in oxygen transport to the tissues, resulting in organ dysfunction. If left uncorrected this condition results in organ injury and, ultimately, in organ failure. The current approach to resuscitation is to target systemic perfusion by administration of vasoactive compounds and non-oxygen carrying salty solutions with or without larger colloid molecules to ensure a longer presence in the circulation.

The primary challenge in fluid therapy is to ensure that sufficient oxygen gets transported to the microcirculation and ultimately to the tissue cells. Here conventional fluids fail on two counts: The first shortcoming of conventional fluids is their hemorheological effect. Lower viscosity reduces the ability of the diluted blood to recruit unfilled capillaries (for which the viscosity of hematocrit is needed). This reduces the functional capillary density, creating larger diffusion distances between oxygen-carrying red blood cell-filled capillaries and the respiring cells of organ tissue. The second potential shortcoming of resuscitation fluids is their poor oxygen solubility (less than 3% compared to hemoglobin (Hb)), which decreases the oxygen carrying capacity of blood. Indeed, several experimental studies directly measuring microcirculatory oxygen availability following fluid resuscitation in models of shock have shown repeatedly that although fluids are capable of correcting systemic hemodynamic variables such as blood pressure and cardiac output, they can be ineffective in improving microcirculatory perfusion and tissue oxygenation in vulnerable organs such as the kidney. The only therapeutic modality to improve oxygen levels in the microcirculation is provided by blood transfusions [ 8 ]. However, there is much clinical reluctance to administer blood due its potential harmful side effects, such as the rise in free Hb and the potential immunological response of the host to homologous blood transfusions.

An alternative to homologous blood transfusion is offered by Hb-based oxygen carriers (HBOCs), and many such compounds have been developed over the past decades. Experimentally these compounds have been shown to improve microcirculatory oxygen availability in models of shock [ 9 ]. Although conceptually appealing, their clinical introduction has been mired by problems. These include the vasopressor effect caused by their high affinity for NO, causing vasoconstriction. Different types of HBOCs have been developed with the aim of reducing this vasopressor effect, but these compounds have not shown clinical efficacy. The reason for this lack of success are several; a) at the bedside, there is an inadequate monitoring methodology to assess the need for tissue oxygenation to indicate the need for HBOCs over simply giving fluids; b) the p50s of HBOCs ranges from 5 mmHg (where oxygen will stay stuck to the Hb) to p50s in the range of that of natural Hb where oxygen can be easily lost and not reach the parenchymal cells in need of oxygen; c) inadequately designed clinical trials have generated little knowledge about when, how much and to what target.

From a different perspective, HBOCs conventionally have been administered as stand-alone drugs, whereas they could potentially be used as an adjunct to conventional fluid therapy to increase the oxygen-carrying capacity of volume therapy. Besides improving perfusion and oxygenation, resuscitation fluids should also be effective in reducing and controlling inflammation. In pursuit of this idea, investigations have been conducted to examine the potential anti-inflammatory and anti-oxidant effects of infused fluids (e.g., starches) as well as attaching molecules such as CO and glutathione to HBOC to control inflammation and oxidative stress [ 10 ].

From a therapeutic hemodynamic point of view, therefore, resuscitation requires reversal of shock, sepsis and hypovolemia. The first objective is to ensure microcirculatory and tissue perfusion; second, to restore perfusion is accompanied by a restoration of adequate tissue oxygen availability; and finally, to ensure that the cellular constituents of the microcirculation and parenchymal cells are protected from injury associated with the inflammatory molecules and oxidative and nitrosative stress associated with shock and reperfusion.

The two categories of resuscitation fluid in current use are blood and non-oxygen carrying crystalloid or colloid solutions. Each of these has been shown to have adverse effects due to composition and uncertainty about how to titrate these solutions under different conditions of hypovolemia and shock, where too much and too little are both considered harmful. As already mentioned, the ultimate target for administering the optimal volume resides in the microcirculation for which handheld microscopy could be a potential tool to optimally administer resuscitation [ 11 ]. However, fluid content needs also to be more personalized, matching the specific needs of individual patients.

In doing so, a broth of molecules must be configured that addresses the specific type of fluid needed to target the specific physiological compartment of the individual patient in need of resuscitation. The compartments which can be identified include intracellular, interstitial and intravascular. Intracellular hydration requires a crystalloid solution with glucose, whereas interstitial hydration needs any physiologic crystalloid solution. Intravascular hypovolemia is best addressed by a colloid solution to ensure sustained filling of the vasculature. Resuscitation fluid should ideally also carry anti-inflammatory and oxygen carrying agents to completely meet the goals of resuscitation.

When considering the ultimate composition of such an ideal resuscitation fluid, one is reminded of the beneficial effects of the chicken soup cure for common inflammatory conditions [ 12 ]. It carries nutrients, provides hydration, is isotonic (if you don’t add salt of course) and is anti-inflammatory. Looking at chicken soup as a pharmacological agent for resuscitation, therefore, it seems like an ideal candidate. What is missing in chicken soup, however, is an oxygen-carrying agent such as a HBOC. Such a ‘pink chicken soup’ would hydrate, fill the vasculature (colloid effect), offer anti-inflammatory properties and promote the transport of oxygen to the tissues (the pink stuff).

A ‘pink chicken soup’ that addresses the deficiencies of our current options may indeed be a candidate for the optimal shock resuscitation fluid of the future.

John J. Marini: We should address the forgotten but crucial vascular side of ventilator-induced lung injury

Although ventilator-induced lung injury (VILI) is undoubtedly a complex process that is influenced by many factors, the great majority of investigative attention has been directed to airspace mechanics, as exemplified by tidal volume, plateau pressure, PEEP and driving pressure. Yet, because the fragile alveolus serves as the interface between gas and blood, and because the stresses applied to the airway epithelium also impact vascular endothelium, the potential for vascular pressures and flows to impact the development and/or evolution of VILI also deserves close consideration.

Mechanical forces that tear the delicate alveolar-capillary membrane can originate on either side of the boundary. Adverse ventilatory patterns applied to previously healthy lungs not only cause proteinaceous edema, but also neutrophil aggregation and hemorrhage [ 13 ]. In the supine position, hemorrhagic edema forms preferentially in dependent areas [ 14 , 15 ]. This proclivity is not subtle, and has been corroborated by the work of investigators using diverse injury models [ 16 ]. The tendency for hemorrhage to occur preferentially in the most dependent regions of the lung may have several explanations. One compelling reason to expect microvascular disruption to occur there is that the mechanical stresses applied by the tidal inflation cycle are greatly amplified at the interface of opened and closed lung tissues. An admittedly oversimplified geometrical argument indicates that strains at high airway pressure are several times as great as that experienced in the free walls of the open alveolus.

It is somewhat counter-intuitive that tissue disruption should occur in areas in which transmural stretching forces (as defined by plateau pressure minus pleural pressure) are weakest. That is to say, “alveolar stretch” is greatest in the non-dependent regions, which are relatively spared both the hemorrhagic infiltrate and most signs of inflammation. The tendency for hemorrhage to occur preferentially in the most dependent regions of the lung may have several explanations. The local mechanical driving power [ 17 ] may far exceed that experienced in non-dependent zones. Although understudied, surfactant depletion and inflammatory weakening of the interstitial structure could amplify the impact of such forces, whereas other changes of the microenvironment (e.g., flooding by edema) could abrogate the mechanical stresses experienced in distal lung units.

Interactions between vascular pressure and ventilation suggest strongly that closer attention should be paid to interventions that impact vascular pressures, flows, and resistances when high inflation pressures are in use. Because microvascular stresses appear to be a potent cofactor in the development of pulmonary edema as well as lung damage resulting from an injurious pattern of ventilation, the clinician managing acute lung injury must reconcile the competing objectives of ensuring adequate oxygen delivery and minimizing adverse effects. If increased pre-alveolar microvascular pressure accentuates a tendency for VILI, attempts to raise cardiac output may have unintended consequences. On the other hand, taking steps to reduce oxygen consumption demands could benefit the lung by reducing the pressure gradient developed across the microvasculature. Reduction in the demands for cardiac output and ventilation could dramatically reduce the tendency for VILI even when using patterns that generate similar values for peak, end-expiratory, and driving alveolar pressures.

Restrain pulmonary vascular flows and pressures by lowering oxygen demand to further reduce the incidence and severity of VILI.

Mervyn Singer: Outcomes and therapeutic responses to ICU care can be predicted for septic patients

Septic critically ill patients may be predestined to survive or die, perhaps explaining the failure of the many trials testing interventions to interrupt the natural course of sepsis. Indeed, we have not shown yet that we can “beat nature”; most progress over the past 20 years relates to inflicting less iatrogenic harm to the patient, not improving response and accelerating natural healing. If this analysis is correct, we inadvertently may simply prolong the course to death among those destined not to survive, at high personal and economic costs.

Using modern bioanalytical techniques, numerous studies have demonstrated the predictive potential of biomarkers, metabolomes, and proteomes to differentiate among eventual survivors and non-survivors of sepsis, even at a very early stage. Three interesting studies conducted from blood samples taken upon presentation to the emergency room have demonstrated that inflammatory cytokines (IL-6, IL-10) [ 18 ], cardiac troponin-T [ 19 ], and metabolomes characterizing fatty acid transport, gluconeoenesis, and the citric acid cycle [ 20 ] can point the way to the outcome that time would eventually reveal.

Similar prognostication regarding the likely response to treatment is also possible using both inflammatory biomarkers or physiological indicators. For example, stratification on the basis of inflammatory biomarkers may help direct immune modulatory therapy. Steroids given to septic animals predicted to die proved beneficial; steroids given to those projected to survive did not [ 21 ]. Reflections of these experimental observations were observed retrospectively using physiological parameters in the CORTICUS hydrocortisone trial [ 22 ]. Despite the increased risks of superinfection that the corticosteroids imposed, those septic patients with systolic blood pressures persisting below 90 mmHg after one day of appropriate fluids and vasopressors experienced a significant reduction of mortality risk if given hydrocortisone.

Another important controversy regarding pharmacotherapy of sepsis concerns the wisdom of beta blockade. In a randomized clinical trial, esmolol showed the distinct potential to reduce mortality risk, but only for patients who were both tachycardic and receiving high-dose norepinephrine therapy at 24 hours, reflecting a similar result as obtained with experimental sepsis in rats [ 23 ]. In rats with septic physiology, esmolol treatment appeared to benefit animals predicted not to survive and to harm the predicted survivors.

Such examples show that using both physiological and molecular indicators may allow us to predict the eventual outcome of life-threatening sepsis at an early time point and thereby select our treatments more effectively. Such predictive ability would not only improve the design of our clinical trials, but also help to select therapies for the individual that hold the most potential for effective and humane care.

Predict potential survivors and non-survivors of sepsis causing critical illness at an early stage and treat these patient categories differently.

Frank Van Heren: Novel adaptive designs of clinical trials improve their efficiency and value

In clinical research, randomization among alternatives is central to progress because associations and inferences from observational studies may not prove causative. Unfortunately, as currently conducted, our large randomized trials often conflict and generally have proven disappointing in the critical care setting [ 24 ]. The most likely explanations include imprecise definitions, inexact or inappropriate controls, and an inability to control or account for all influential variables, as important synergistic interactions produce emergent phenomena that are not accounted for in the trial design. Inability to recruit sufficient numbers of appropriate candidate patients over a reasonable time drags out the data collection process (often attenuating relevance to current practices) or terminates many such investigative efforts.

One innovative approach to randomized trial design is to depart from rigid one-to-one randomization and into adaptive allocation to the study limbs in accordance with relative response as the study progresses. Under this paradigm, if a subgroup starts to do better with one treatment, more future patients are allocated to that limb to confirm or refute that trend and accelerate the pace of the investigation. Frequent looks at the developing data are implicit when taking this approach.

The platform trial, an efficient strategy for simultaneously and sequentially evaluating numerous treatments within the framework of a single study, has been proposed by Berry and colleagues [ 25 ] as a tool with which to determine their relative worth among a heterogeneous population. This approach recognizes the imprecision of our current definitions and classifications, as it explicitly recognizes that targeted populations and treatment responses may be heterogeneous, even when careful measures are taken to be appropriately selective. Such a strategy departs from that of the traditional trial, which assumes itself to be testing the efficacy of a single intervention in a generally homogeneous population. A unique aspect of this particular “adaptive” approach is that the platform trial can be carried out over the long-term—even perpetually, so long as there are suitable treatments requiring evaluation. The number of treated groups or specific treatments may change over time, with specific individual treatment groups removed for demonstrated efficacy or harm. Such capability departs from our current “fixed randomization” approach in which the entire trial is stopped for success, futility, or harm based on the effects of a single experimental treatment. We must change our clinical trial paradigm so that we recognize current limitations. Should we embrace the principle that most major public health problems should be the subject of perpetual global adaptive trials?

Continuous and adaptive clinical trials with interchangeable parts should be the research standard.

Martin Westphal: Disruption of sleep patterns and circadian rhythms is an important and addressable cause of varied ICU morbidities

Melatonin, a hormone produced in the pineal gland, is well-known to influence the state of wakefulness. It is synthesized and released under the regulation of the clock genes concentrated and expressed in the suprachiasmatic nucleus of the brain. Promoted by darkness, release of melatonin peaks during health in the early morning hours and plummets just before awakening. In the ICU, that natural diurnal rhythm is seriously disrupted by internal factors related to the critical illness as well as by external factors such as light, noise, continuously infused sedatives, stress, and varied medical treatments [ 26 ]. Disrupted sleep architecture and cumulative sleep deficits are contributors to lingering delirium [ 27 ], now thought to be a major contributor to delays in extubation and rehabilitation. Selected clinical trials have shown the ability of exogenously administered melatonin to help address these issues [ 28 ]. In concept, better sleep should speed recovery and help prevent the post-ICU syndrome.

Less well appreciated by intensive care unit practitioners is the intriguing body of research evidence indicating that melatonin may have other important roles to play during serious illness and recovery. The spectrum of melatonin’s effects unrelated to sleep ranges from antioxidant properties to antimicrobial activity and immunomodulation [ 29 ]. Neuroprotective [ 30 ], antioxidant, infection inhibiting, and anti-neoplastic actions have been reported [ 29 ]. Given melatonin’s central importance as a regulatory hormone, restoring its normal daily influence and timing of its concentration could make a major contribution to ICU care. Melatonin plays a pivotal role in the regulation of circadian rhythm, not only for the brain, but for the activities of other vital organs as well. Virtually free of deleterious side effects, melatonin is inexpensive to administer and offers a variety of potentially beneficial actions. It should therefore be routinely used in both the acute and chronic phases of serious illness.

Melatonin should be administered to all critically ill patients able to receive it.

Paul Wischmeyer: Non-invasive metabolism monitoring aids in personalizing critical illness interventions

Prediction, early intervention, and monitoring of progress are essential to personalize critical care management. Treatments and doses applicable to one stage or severity of critical illness may be inappropriate to apply at a later one. An important challenge is to monitor the patient’s pre-illness, acute, chronic, and recovery stage and status by noninvasive means. Metabolic changes reflect breakdown, rebuilding, and innate cellular functioning during the illness course. One currently available methodology determines the relationship of two carbon isotopes in exhaled gas to determine stage and status: the 13 CO 2 / 12 CO 2 ratio [ 31 ]. C 12 , the far more common form in the healthy individual, is easier to break down than C 13 for energy production, and C 12 is freely exhaled as 12 CO 2 . In contrast, C 13 is incorporated into acute phase proteins and is not exhaled at usual concentrations during the inflammatory state. Consequently, at the very onset of an acute inflammatory illness, the ratio of 13 CO 2 / 12 CO 2 decreases in the exhaled gas [ 32 ]. In fact, detectable changes in the ratio precede the clinically detectable signs of infection. While individual point determinations of breath analyses do not correlate well with the inflammatory status, trends in the 13 CO 2 / 12 CO 2 ratio clearly do.

In clinical studies, down-trending of the 13 CO 2 / 12 CO 2 ratio in exhaled gas significantly precedes alterations in leukocytes, body temperature, and clinical suspicion of such developing infections, such as pneumonia. Conversely, reversal of the trend in the ratio indicates that inflammation is receding and that a stage transition is underway, perhaps indicating the emergence of different nutritional requirements. Such trend analyses appear to be both sensitive and specific. Other potential applications of the 13 CO 2 / 12 CO 2 ratio monitoring include determination of underfeeding or overfeeding status.

Metabolism monitoring may hold therapeutic potential not only for the acute state but also for the rehabilitation phase [ 33 ]. It is known that healthy mitochondria primarily utilize fatty acids to produce energy. In conjunction with the other standard physiological and biochemical indicators, monitoring of fat oxidation rate versus carbohydrate oxidation rate may help characterize tissue vitality and rehabilitation progress, and thereby help shape targeted exercise/nutritional/hormonal programs to aid faster recovery from critical illness.

Metabolism monitoring should be used to diagnose infection, determine the phase of critical illness, and guide post-ICU rehabilitation.

The seven ideas presented here are intended to be conceptually provocative and are not yet grounded in definitive scientific evidence. Nonetheless, the authors hope that they provide points of departure for thought, discussion and future investigation.

De Backer D, Creteur J, Preiser JC, Dubois MJ, Vincent JL. Microvascular blood flow is altered in patients with sepsis. Am J Respir Crit Care Med. 2002;166:98–104.

Article PubMed Google Scholar

De Backer D, Donadello K, Sakr Y, Ospina-Tascon GA, Salgado DR, Scolletta S, et al. Microcirculatory alterations in patients with severe sepsis: impact of time of assessment and relationship with outcome. Crit Care Med. 2013;41:791–9.

Spronk PE, Ince C, Gardien MJ, Mathura KR, Oudemans-van Straaten HM, Zandstra DF. Nitroglycerin in septic shock after intravascular volume resuscitation. Lancet. 2002;360:1395–6.

Huellner MW, Schrepfer S, Weyand M, Weiner H, Wimplinger I, Eschenhagen T, et al. Inhibition of aldehyde dehydrogenase type 2 attenuates vasodilatory action of nitroglycerin in human veins. FASEB J. 2008;22:2561–8.

Article CAS PubMed Google Scholar

He X, Su F, Velissaris D, Salgado DR, de Souza BD, Lorent S, et al. Administration of tetrahydrobiopterin improves the microcirculation and outcome in an ovine model of septic shock. Crit Care Med. 2012;40:2833–40.

Tyml K, Li F, Wilson JX. Septic impairment of capillary blood flow requires NADPH oxidase but not NOS and is rapidly reversed by ascorbate through an eNOS-dependent mechanism. Crit Care Med. 2008;36:2355–62.

Article CAS PubMed PubMed Central Google Scholar

Cosby K, Partovi KS, Crawford JH, Patel RP, Reiter CD, Martyr S, et al. Nitrite reduction to nitric oxide by deoxyhemoglobin vasodilates the human circulation. Nat Med. 2003;9:1498–505.

Legrand M, Mik EG, Balestra GM, Lutter R, Pirracchio R, Payen D, Ince C. Fluid resuscitation does not improve renal oxygenation during hemorrhagic shock in rats. Anesthesiology. 2010;112(1):119–27.

van Iterson M, Siegemund M, Burhop K, Ince C. Heart and gut microvascular oxygenation in pigs after resuscitation from hemorrhage by different doses of a hemoglobin based oxygen carrier. J Trauma. 2003;55:1111–24.

Toma VA, Farcaș AD, Roman I, Sevastre B, Hathazi D, Scurtu F, et al. Comparative in vivo effects of hemoglobin-based oxygen carriers [HBOC] with varying prooxidant and physiological reactivity. PLoS One. 2016;11(4):e0153909.

Article PubMed PubMed Central Google Scholar

Ince C. The rationale for microcirculatory-guided fluid therapy. Curr Opin Crit Care. 2014;20(3):301–8.

Rosner F. Therapeutic efficacy of chicken soup. Chest. 1980;78(4):672–4.

Fu Z, Costello ML, Tsukimoto K, Prediletto R, Elliott AR, Mathieu-Costello O, West JB. High lung volume increases stress failure in pulmonary capillaries. J Appl Physiol. 1992;73:123–33.

Broccard AF, Shapiro RS, Schmitz LL, Ravenscraft SA, Marini JJ. Influence of prone position on the extent and distribution of lung injury in a high tidal volume oleic acid model of acute respiratory distress syndrome. Crit Care Med. 1997;25(1):16–27.

Hotchkiss JR, Simonson DA, Marek DJ, Marini JJ, Dries DJ. Pulmonary microvascular fracture in a patient with acute respiratory distress syndrome. Crit Care Med. 2002;30(10):2368–70.

Lopez-Aguilar J, Piacentini E, Villagra A, Murias G, Pascotto S, Saenz-Valiente A, Fernandez-Segoviano P, Hotchkiss JR, Blanch L. Contributions of vascular flow and pulmonary capillary pressure to ventilator-induced lung injury. Crit Care Med. 2006;34(4):1106–12.

Marini JJ, Jaber S. Dynamic predictors of VILI risk: beyond the driving pressure. Intensive Care Med. 2016;42(10):1597–600.

Langley RJ, Tsalik EL, van Velkinburgh JC, Glickman SW, Rice BJ, Wang C, Chen B, Carin L, Suarez A, Mohney RP, Freeman DH, Wang M, You J, Wulff J, Thompson JW, Moseley MA, Reisinger S, Edmonds BT, Grinnell B, Nelson DR, Dinwiddie DL, Miller NA, Saunders CJ, Soden SS, Rogers AJ, Gazourian L, Fredenburgh LE, Massaro AF, Baron RM, Choi AM, Corey GR, Ginsburg GS, Cairns CB, Otero RM, Fowler Jr VG, Rivers EP, Woods CW, Kingsmore SF, 195. An integrated clinico-metabolomic model improves prediction of death in sepsis. Sci Transl Med. 2013;5:195ra95. doi: 10.1126/scitranslmed.3005893 .

de Groot B, Verdoorn RC, Lameijer J, van der Velden J. High-sensitivity cardiac troponin T is an independent predictor of inhospital mortality in emergency department patients with suspected infection: a prospective observational derivation study. Emerg Med J. 2014;31(11):882–8. doi: 10.1136/emermed-2013-202865 .

Kellum JA, Kong L, Fink MP, Weissfeld LA, Yealy DM, Pinsky MR, Fine J, Krichevsky A, Delude RL, Angus DC, GenIMS Investigators. Understanding the inflammatory cytokine response in pneumonia and sepsis: results of the Genetic and Inflammatory Markers of Sepsis [GenIMS] Study. Arch Intern Med. 2007;167(15):1655–63.

Osuchowski MF, Connett J, Welch K, Granger J, Remick DG. Stratification is the key: inflammatory biomarkers accurately direct immunomodulatory therapy in experimental sepsis. Crit Care Med. 2009;37(5):1567–73. doi: 10.1097/CCM.0b013e31819df06b .

Sprung CL, Annane D, Keh D, Moreno R, Singer M, Freivogel K, Weiss YG, Benbenishty J, Kalenka A, Forst H, Laterre PF, Reinhart K, Cuthbertson BH, Payen D, Briegel J, CORTICUS Study Group. Hydrocortisone therapy for patients with septic shock. N Engl J Med. 2008;358(2):111–24. doi: 10.1056/NEJMoa071366 .

Morelli A, Ertmer C, Westphal M, Rehberg S, Kampmeier T, Ligges S, Orecchioni A, D'Egidio A, D'Ippoliti F, Raffone C, Venditti M, Guarracino F, Girardis M, Tritapepe L, Pietropaoli P, Mebazaa A, Singer M. Effect of heart rate control with esmolol on hemodynamic and clinical outcomes in patients with septic shock: a randomized clinical trial. JAMA. 2013;310(16):1683–91. doi: 10.1001/jama.2013.278477 .

Marini JJ, Vincent JL, Annane D. Critical care evidence--new directions. JAMA. 2015;313(9):893–4. doi: 10.1001/jama.2014.18484 .

Berry SM, Connor JT, Lewis RJ. The platform trial: an efficient strategy for evaluating multiple treatments. JAMA. 2015;313(16):1619–20. doi: 10.1001/jama.2015.2316 .

Mundigler G, Delle-Karth G, Koreny M, Zehetgruber M, Steindl-Munda P, Marktl W, Ferti L, Siostrzonek P. Impaired circadian rhythm of melatonin secretion in sedated critically ill patients with severe sepsis. Crit Care Med. 2002;30(3):536–40.

Bellapart J, Boots R. Potential use of melatonin in sleep and delirium in the critically ill. Br J Anaesth. 2012;108(4):572–80. doi: 10.1093/bja/aes035 .

Oldham MA, Lee HB, Desan PH. Circadian rhythm disruption in the critically ill: An opportunity for improving outcomes. Crit Care Med. 2016;44(1):207–17. doi: 10.1097/CCM.0000000000001282 .

Tekbas OF, Ogur R, Korkmaz A, Kilic A, Reiter RJ. Melatonin as an antibiotic: new insights into the actions of this ubiquitous molecule. J Pineal Res. 2008;44(2):222–6. doi: 10.1111/j.1600-079X.2007.00516.x .

Yang Y, Jiang S, Dong Y, Fan C, Zhao L, Yang X, Li J, Di S, Liang Y, Liang G, Reiter RJ, Yan Q. Melatonin prevents cell death and mitochondrial dysfunction via a SIRT1-dependent mechanism during ischemic-stroke in mice. J Pineal Res. 2015;58:61–70.

McCue MD, Welch Jr KC. (13)C Breath testing in animals: theory, applications, and future directions. J Comp Physiol B. 2016;186(3):265–85. doi: 10.1007/s00360-015-0950-4 .

Butz DE, Cook ME, Eghbalnia HR, Assadi-Porter F, Porter WP. Changes in the natural abundance of 13CO2/12CO2 in breath due to lipopolysacchride-induced acute phase response. Rapid Commun Mass Spectrom. 2009;23(23):3729–35. doi: 10.1002/rcm.4310 .

Butz DE, Weidmann D, Brownsword R, Cook ME, Schoeller DA, Whigham LD. Immediate biofeedback for energy balance via expired breath Δ 13CO2. Conf Proc IEEE Eng Med Biol Soc. 2015;2015:8205–8.

PubMed Google Scholar

Download references

Acknowledgements

None declared by the authors. Publication of this supplement was supported by Fresenius Kabi.

Availability of data and materials

Not applicable.

About this supplement

This article has been published as part of Critical Care Volume 21 Supplement 3, 2017: Future of Critical Care Medicine (FCCM) 2016. The full contents of the supplement are available online at https://ccforum.biomedcentral.com/articles/supplements/volume-21-supplement-3 .

Author information

Authors and affiliations.

University of Minnesota, Minneapolis, MN, USA

John J. Marini

Department of Intensive Care, CHIREC Hospitals, Université Libre de Bruxelles, Brussels, Belgium

Daniel De Backer

Department of Intensive Care, Erasmus MC, University Medical Center Rotterdam, ‘s-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands

Department of Translational Physiology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

Bloomsbury Institute of Intensive Care Medicine, University College London, London, UK

Mervyn Singer

University of Canberra, Canberra, Australia

Frank Van Haren

Australian National University, Canberra, Australia

Intensive Care Unit, Canberra Hospital, Canberra, Australia

Department of Anesthesiology, Intensive Care and Pain Medicine, University of Muenster, Muenster, Germany

Martin Westphal

Department of Anesthesiology and Surgery, Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA

Paul Wischmeyer

You can also search for this author in PubMed Google Scholar

Contributions

All authors provided intellectual contributions and approved the final versions of their sections.

Corresponding author

Correspondence to John J. Marini .

Ethics declarations

Ethics approval and consent to participate.

Not applicable

Consent for publication

Competing interests.

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated.

Reprints and permissions

About this article

Cite this article.

Marini, J.J., De Backer, D., Ince, C. et al. Seven unconfirmed ideas to improve future ICU practice. Crit Care 21 (Suppl 3), 315 (2017). https://doi.org/10.1186/s13054-017-1904-x

Download citation

Published : 28 December 2017

DOI : https://doi.org/10.1186/s13054-017-1904-x

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

Microcirculation
Resuscitation
Ventilator-induced lung injury
Personalized medicine
Adaptive clinical trials
Metabolic monitoring

Critical Care

ISSN: 1364-8535

Submission enquiries: [email protected]

Best Evidence-Based Practice (EBP) Nursing Research Topics and Ideas

We have already explored as much as there is regarding evidence-based nursing in our comprehensive EBP paper-writing guide . A time comes in your nursing school journey, either at basic (ADN, LPN, or BSN) or advanced levels (MSN, DNP, or PhD), when you are required to select a suitable evidence-based practice nursing research topic, research, and write an evidence-based nursing paper, report, or white paper. The process for selecting the topic is more or less the same as when selecting a nursing dissertation topic or topic for a nursing capstone .

You have to go through the instructions, consider an area of nursing specialization that interests you, do some thorough research, reading, and analysis, come up with a few topics, and eliminate and remain with the most suitable topic for your EBP nursing paper. You can locate good EBP project ideas from course materials (readings, handouts, PPTs, and class notes), online blogs and websites (like NurseMyGrade), nursing textbooks, nursing journals and articles, and other online resources.

General, Current, and Latest Evidence-Based Nursing Topics

Effects of evidence-based practice on the quality and safety of patients
Attitudes and readiness for Evidence-Based Nursing Practice among newly hired nurses
Engaging advanced practice nurses in evidence-based practice through an e-monitoring program
Effectiveness of EBP practice guidelines in preventing adverse events in clinical settings
The attitudes of nurses toward adhering to clinical guidelines regarding the management of various conditions
Prevention of deep vein thrombosis (DVT) among surgical patients
Effectiveness of warming interventions for women undergoing Cesarean Section
Strategies for managing second-stage labor
Effects of gum chewing and early mobilization on intestinal mobility after cesarean birth
Therapeutic use of music in maternity wards post-cesarean section
Strategies for preparing women for unplanned Cesarean birth
Effectiveness of hydrotherapy during labor
Strategies to implement skin-to-skin contact in the OR following Cesarean birth
Benefits of the EBP Organizational culture and readiness scale
Transferability, reach, and impact of the EBP Questionnaire
Barriers and facilitators influencing the implementation of EBP in clinical settings
Challenges to implementing EBP in healthcare systems
The beliefs and competencies of medical-surgery nurses on EBP
Effects of EBP courses on MSN and DNP students' attitudes and beliefs on EBP
The impacts of gamification on EBP training among nursing students
Strategies to promote evidence-based nursing practice among nursing students
The link between knowledge of EBP and nurse job satisfaction
Impacts of nursing ethics on evidence-based practice
Strategies to address the implementation gap between practice, research, and knowledge in nursing
Using social media to promote the dissemination of evidence-based practice
Strategies for implementing and translating evidence-based practice
Benefits of frequently training nursing staff on evidence-based practice
Role of evidence-based practice in modeling professional nursing practice
Strategies for enhancing utility and understanding of evidence-based practice during undergraduate nursing education
Knowledge, attitude, beliefs, and use of evidence-based practice among registered pediatric nurses
Improving the readiness of evidence-based practice in critical care units
Strategies for improving evidence-based practice among registered nurses (RNs)
Best strategies for assessing compliance to EBP guidelines for VAP prevention among ICU nurses
Impacts of EBP guidelines on clinical decision-making
Challenges in communicating research evidence and translating it to practice
Effectiveness of SBAR Tool Implementation to advanced communication and collaboration in clinical settings
Knowledge of EBP and the confidence of newly recruited nurses
Role of evidence-based practice guidelines in maintaining competence among mental health nurses
Impacts of teaching advanced evidence-based practice research in doctoral nursing programs

Evidence-Based Topics for Anesthesia

Primary concerns in the process of extubation in the anesthesia settings
Perceptions and attitudes of anesthesia professionals on digital anesthesia information management system
Benefits of nurse anesthetist perioperative dialog
Causes of high attrition rates and turnover among nurse anesthetists
Perceptions and attitudes of nurses on automatic dispensing cabinets
Strategies for translating evidence-based research into anesthesia practice
Addressing challenges associated with anesthesia in clinical settings
Causes and solutions to anesthesia-associated mortality and morbidity
An evidence-based approach to airway management via anesthesia administration
Attitudes, knowledge, skills, and use of anesthesia teams toward EBP practice in clinical settings
Why anesthetists are hesitant to implement ERAS guidelines

Related read: How to complete Shadow Health Assessments .

Cardiovascular and Respiratory Evidence-Based Topics

Improving the quality of cardiovascular care through evidence-based practice
Addressing social determinants of health as a means of addressing cardiovascular diseases
Effects of listening to music during cardiac rehabilitation on clinical outcomes
Effectiveness of physical activity on cardiovascular health
Role of physical therapists in the management of venous thromboembolism
Effectiveness of aerobic exercise training in improving aerobic capacity after heart transplant
Impacts of guarding on the outcomes of the 6-minute walk test
Role of Mitsungumin 53 in cardiovascular diseases (CVD)
Effects of autophagy on the cardiovascular system
The ethics of using embryonic stem cells in cardiovascular research
Use of telehealth in early detection of anxiety and depression in post-coronary patients
Effectiveness of indoor allergen reduction in the management of asthma
Non-invasive technologies for diagnosing coronary artery disease in women
Impacts of smoking on the lungs of a fetus
Strategies to address obstructive sleep apnea and cardiovascular disease
The link between consuming fatty animal meat and cardiovascular health
Benefits of prone positioning for patients with ARDS
Response of COPD to prophylactic antibiotics
Evidence-based nursing strategies for the prevention of contrast-induced acute kidney injury
Impacts of home monitoring on COPD patients

Complementary and Alternative Medicine Evidence-Based Topics

The link between probiotics use and diarrhea
The effectiveness of vitamin C in the prevention of complex regional pain syndrome following wrist fractures
The link between using essential oils and hypertension
Effectiveness of cranberry products for the treatment of UTIs
Effectiveness of botulism toxin in the treatment of restless legs syndrome
Using therapeutic honey in tropical wound management
Impacts of scalp cooling on alopecia among cancer patients
Effects of spiritual beliefs on type 2 diabetes mellitus patients
Effects of aromatherapy in the management of depression and anxiety
Non-pharmacologic interventions for treatment-resistant depression among adolescents

Nursing Ethics Evidence-Based Topics

Effects of abandonment on nursing staff shortage
Effects of negligence on patient outcomes
AI ethics awareness, attitudes, and beliefs, and the behavioral intentions of nursing students
Attitudes and perspectives of nursing faculty on noncompliance with ethics in nursing academic environments
Application of Nightingale's professionalism among student nurses
Influence of nursing ethics on clinical decision-making
Perceptions and awareness of student nurses on social justice in the healthcare system
Benefits of increased ethical competency of nurses in clinical settings
Ethical problems of clinical nursing practice
Factors influencing professionalism in nursing among Registered Nurses
Information literacy and ethical decision-making among nurses
The link between clinical dishonesty and perceived clinical stress among nursing students
Strategies to help nurses handle compassion fatigue
Ethical perspectives of evidence-based practice
Influence of laws and Legislation on evidence-based practice
Moral distress among Registered Nurses
Barriers and facilitators of addressing nursing research ethics
Role of nursing ethics in the implementation of evidence-based practice

Family Practice Evidence-Based Topics

The significance of genetic counseling in diabetes prevention
Challenges for contraception for women with diabetes
Management of autism in children
Diagnosis, treatment, and management of psoriasis
Using a gluten-free diet to improve outcomes in patients with psoriasis
The link between psoriasis and cardiovascular diseases
Impacts of nutritional counseling on the BMI of patients
Using Metformin over Sulfonylurea for initial treatment of gestational diabetes
Best ways to diagnose menopause in perimenopausal women
Dinoprostone vs. vaginal misoprostol in labor induction: which is better?
Effectiveness of using narcotics to treat patients with chronic daily headaches
Vitamins and cognitive decline in Alzheimer's disease
The link between regular family dinners and obesity in adolescent patients
Is the Mediterranean diet better for bone health?
Benefits of self-managed diabetes programs
Is acupuncture effective in the treatment of allergic rhinitis?
The link between antibiotic use and acute sinusitis
Effectiveness of Flu vaccine on prevention of community-acquired pneumonia
The link between male obesity and infertility
Lower back pains and NSAIDS
Seasonal Nasal Irrigation and Seasonal Allergic Reactions: Best management strategies
Effectiveness of abortive treatment for acute migraine
Effectiveness of combination treatment for hepatitis C
Benefits of tailored education for melanoma management
Genetic testing and obesity
Treatment and management of atopic dermatitis

Nursing Forensics Evidence-Based Topics

Strategies to document injuries from domestic violence abuse by forensic nurses
Perceptions of forensic nurses on victim counseling before post-domestic violence cases
Stress management and coping strategies in prison settings
Mental health as a risk factor for sexual assault
Barriers and challenges to implementing remote sexual assault nurse examiner programs
Limit setting and de-escalation in forensic mental health units
The risk factors for domestic minor sex trafficking in the USA
Benefits of sexual assault nurse examiners practicing trauma-informed care
Ethical issues involved during forensic nursing investigations
Strategies for preparing victims of sexual assault to be witnesses in courts of law
Role of forensic nurses in combating human and sexual trafficking
The link between sexual assault and suicide
Strategies to handle compassion fatigue among forensic nurses
Strategies for emergency contraception administration among the SANE and non-SANE medical providers
Strategies forensic nurses use to resolve difficulties in supporting offenders with mental health disorders
Role of forensic nurses in addressing challenges for children in foster care
Forensic nursing interventions for patients with personality disorders
Application of telehealth among sexual assault forensic examiners
Strategies for handling children facing maltreatment from parents
Interprofessional collaboration to optimize trauma-informed care
Role of pediatric forensics in clinical settings
Role of forensic nurses in abortion investigations
Steps and evidence-based methods for screening children for neglect or abuse
Strategies for solving burnout among forensic nurses
Role of forensic nurses in death investigations
Attitudes of Sexual Assault Nurse Examiners (SANE) toward sexual assault victims
Methods for promoting resilience, competence, and quality of life of Sexual Assault Nurse Examiners
Role of correctional nurses in advocating for pregnant women's rights in prison
An evidence-based approach to suicide risk assessment following sexual assault

Gastroenterology Evidence-Based Topics

The use of probiotics to treat and manage irritable bowel syndrome (IBS)
Using behavioral therapy adjunct to drug therapy in the management of urinary incontinence
Pharmacological strategies for the management of Crohn's disease
Complementary alternative medicine approaches to the management of Gastroesophageal Reflux Disease (GERD)
Intermittent fasting among obese women and the management of pylori
Homemade solutions for constipation among pregnant women

Geriatrics or Long-Term Care Evidence-Based Topics

The effectiveness of the North Dakota Association of director of Nursing Administration (NADONA) /Long-Term Care standards of Practice in managing long-term care facilities
Strategies to encourage elderly people to age in place
Methods to improve drug adherence among elderly patients with Alzheimer's disease
Methods for managing polypharmacy among elderly adults
Design strategies to address falls for patients aging in place
Use of technology to address the challenges of elderly adults who choose to age in place
Benefits of music therapy for patients with Multiple Sclerosis
Strategies for addressing pressure ulcers among the elderly
Benefits of teaching self-care practices to elderly patients with long-term in-dwelling catheter
Using stories to entertain and give hope to elderly patients in long-term care facilities
Multifactorial approach towards management of falls in long-term care facilities

Hospital-Acquired Infections Evidence-Based Topics

Effectiveness of hand hygiene in reducing hospital-acquired infections
Strategies to prevent blood contamination and infection during transfusion
The value of Central Line-Associated Bloodstream Infection Bundle Compliance in preventing CLABSI
Impacts of implementing central nervous catheter bundle in reducing central line-associated bloodstream infections (CLABSI)
The knowledge and attitudes of nurses on evidence-based guidelines for the prevention of surgical site infections
Benefits of governments supporting nursing homes in infection management
How effective are leadership rounds in reducing healthcare-associated infections?
Knowledge, beliefs, and attitude of newly graduated nurses on infection prevention and control
Evidence-based strategies to prevent ventilator-associated pneumonia
Perceptions of NICU nurses regarding measures to prevent HAIs
The role of chlorhexidine gluconate bathing in preventing HAIs
Importance of communication networks in the management of infections in ICUs
Strategies to reduce catheter-associated urinary tract infections (CAUTIs)
The perspectives and experiences of patients on HAIs
Nurse-led quality improvement interventions to reduce hospital-acquired infections in the NICU
Using a multimodal approach to institute hand hygiene
The correlation between hospital length of stay and acquiring infections
Evidence-based strategies to prevent nosocomial infections in clinical settings
Value of e-learning for preventing healthcare-associated infections
Impacts of nurse burnout and shortage on HAIs
Core components of an infection prevention and control program for a nursing home
Leadership skills of the APRNs and prevention of HAIs
The motivations of healthcare workers to reduce HAIs
Hand hygiene knowledge and beliefs among newly recruited nurses
Impacts of hospital design on HAIs
Overcrowding in the ER and hospital-acquired infections
Effects of training on nurses' knowledge and skills in indwelling urinary catheters in preventing CAUTIs
Low rates of Influenza vaccination among nurses and HAIs
Role of environmental cleaning in the control of HAIs
Green cleaning and HAIs
Compliance with Chlorhexidine wipes to prevent Hospital-acquired infections
The knowledge of nurses of the WHO Five Moments of Hand hygiene and HAIs in the Operating rooms

Nursing Education Evidence-Based Topics

Effectiveness of situated e-learning on medical and nursing education
Benefits of cultural competence training among nurses on the patient satisfaction
Experiences and attitudes of student nurses on formal preceptor programs
The effectiveness of using virtual and augmented reality in nursing education
Strategies to attract, train, and retain student nurses until retirement
The application of gamification in nursing training
Should nurses be taught basic coding concepts?
Inclusion of LGBTQ student nurses in clinical settings
The use of social media to facilitate learning among nursing students
Benefits of introducing students to reflective nursing practice
Benefits of e-learning for nursing education
Online nursing programs as a means to prepare nurses for leadership roles
The nurse training pipeline is an essential aspect of addressing nurse shortages
Discrimination among nurse student acceptance of some programs/nursing schools
Factors affecting the progress of nursing students in the USA
Should the nursing career be ubiquitous globally?
Student nurses should join professional organizations that advocate for their rights
Steps to improve collaboration and teamwork among nurse students

Pain Management Evidence-Based Topics

Effectiveness of ERAS in postoperative pain management
Non-pharmacological methods and perceived barriers in pain management by nurses
Psychological and behavioral pain management strategies in pediatric oncology departments
Mindfulness mediation as a strategy for chronic pain management
Impacts of relaxation techniques for pain management during labor
The efficacy of cannabis-based medicines for pain management
Use of music therapy during labor
Impacts of massage therapy on cancer pain management
The effectiveness of craniosacral therapy for chronic pain management
Effectiveness of manual therapy vs. exercise therapy in the management of adult neck-pain
Non-pharmacological pain management approaches for cancer patients
Music-induced analgesia in chronic pain management
The effectiveness of transcutaneous electric nerve stimulation for cancer pain
The efficacy of acupuncture in the management of postoperative pain
The application of cannabinoids in pain management
Acupressure for pain management during labor

Pediatrics Evidence-Based Topics

Practical strategies for preventing failure to rescue obstetric patients
Effectiveness of neonatal pain management via oral sucrose
Benefits of nutritional assessment and intervention in a pediatric oncology unit
Strategies to manage inguinal hernias in children
Impacts of clinical settings appearance on the anxiety of kids in cancer care facilities
Evidence-based strategies for the management of the acute phase of Kawasaki disease
Strategies to address diabetes ketoacidosis among pediatric patients
The use of virtual reality in managing anxiety among pediatric patients
The use of probiotics in the prevention of diarrhea among children
The efficiency of using gastronomy tubes among pediatric patients
Best strategies to treat and manage infant colic
Management of ventilator-associated pneumonia (VAP) among neonates and children
Strategies parents can use to cope during acute pediatric hospitalizations
Strategies to address childhood constipation
Strategies to prevent SIDS during breastfeeding
The safety of corticosteroids in young children with acute respiratory conditions
Management of hospital-acquired venous thromboembolism in pediatric patients
Efficacy of insertion and maintenance bundles in preventing central-line associated bloodstream infections in critically ill pediatric patients
Prevalent and management strategies for burnout among pediatric nurses
The efficacy of magnesium supplementation in addressing postoperative arrhythmias after cardiopulmonary bypass among pediatric patients

As we come to the End of this Article '

You can select a topic among the ones we have listed above or get inspired to select a topic whose research direction interests you. If you need unique topics, kindly place a one-page order and get 3-4 topics researched, suggested, and listed by an expert based on your preferences.

Nobody understands evidence-based nursing practice more than our online nursing writers. Through the years, we have helped students at the ADN, BSN, MSN, DNP, and Ph.D. nursing levels access unique and exciting evidence-based topics. What's more, if you need help writing an evidence-based practice paper (report, term paper, change project, thesis, research paper, or dissertation), our astute writers can help you. You will get a 100% original, well-formatted (in APA or Harvard format), and edited paper that meets your rubric requirements.

Struggling with

Writing a Nursing Research Paper that Meets Professor's Requirements

Nursing School Assignments and Tips to Ace All of Them

Nursing Capstone Paper for BSN, MSN, and DNP Students

NurseMyGrades is being relied upon by thousands of students worldwide to ace their nursing studies. We offer high quality sample papers that help students in their revision as well as helping them remain abreast of what is expected of them.

[email protected]

Home » Blog » Dissertation » Topics » Nursing » Emergency Nursing » 80 Emergency Nursing Research Topics

80 Emergency Nursing Research Topics

FacebookXEmailWhatsAppRedditPinterestLinkedInIf you’re a student pursuing undergraduate, master’s, or doctoral degrees searching for emergency nursing research topics, you’ve come to the right place. Emergency nursing is an exciting and dynamic field that requires specialized knowledge and skills to care for patients in urgent and emergent situations. As an emergency nurse, you are crucial in assessing and […]

If you’re a student pursuing undergraduate, master’s, or doctoral degrees searching for emergency nursing research topics, you’ve come to the right place. Emergency nursing is an exciting and dynamic field that requires specialized knowledge and skills to care for patients in urgent and emergent situations. As an emergency nurse, you are crucial in assessing and managing various medical and traumatic conditions in fast-paced, high-stress environments.

Remember, emergency nursing and critical care nursing are distinct specialties within the nursing field. Emergency nursing focuses on the initial assessment, triage, and management of patients with urgent and emergent conditions in the emergency department. On the other hand, critical care nursing involves providing ongoing, comprehensive care to critically ill patients in intensive care units (ICUs) and different essential care settings. While both specialties provide specialized care in acute situations, emergency nursing focuses on stabilizing patients in the emergency department. In contrast, critical care nursing involves ongoing care for critically ill patients in the ICU.

To contribute to the advancement of emergency nursing practice, engaging in research and exploring relevant dissertation topics in emergency nursing is essential. This article aims to provide you with a diverse range of research topics in emergency nursing that can inspire your dissertation or research project. From exploring innovative interventions to investigating best practices, these topics will enable you to delve deeper into the field and contribute to the body of knowledge in emergency nursing.

A List Of Potential Research Topics In Emergency Nursing:

What are emergency nurses’ experiences and coping strategies in dealing with moral distress during the COVID-19 crisis?
How has the COVID-19 pandemic impacted the triage and management of psychiatric emergencies in the emergency department?
Investigating the role of emergency nurses in identifying and managing mental health crises.
What challenges and adaptations are made by emergency nurses in providing pediatric emergency care during the COVID-19 pandemic?
What are the experiences and perspectives of emergency nurses in providing care to suspected or confirmed COVID-19 patients?
Assessing the effectiveness of rapid antibiotic administration protocols in sepsis management.
What challenges do emergency nurses face in managing personal protective equipment (PPE) during the COVID-19 pandemic?
What are the long-term effects of COVID-19 on the respiratory health of emergency nurses?
Exploring the use of alternative therapies in managing pain and anxiety in the emergency department.
What are the strategies for improving the communication and information flow between emergency nurses and patients’ families during the pandemic?
Investigating the role of emergency nurses in identifying and managing intimate partner violence cases.
What are the experiences and challenges of emergency nurses in providing culturally sensitive care to diverse patient populations during the COVID-19 crisis?
Investigating the prevalence and management of workplace violence in the emergency department.
Investigating the impact of nurse-led interventions on patient satisfaction in the emergency setting.
Investigating the impact of nurse-led discharge education on patient outcomes in the emergency department.
How has the pandemic influenced the workflow and patient flow in the emergency department?
How has the pandemic affected the education and training of emergency nurses, particularly about emerging infectious diseases?
How has the COVID-19 pandemic affected the mental health of emergency nurses?
Exploring the role of emergency nurses in disaster triage and resource allocation.
Exploring the use of simulation training in emergency nursing education.
Examining the effectiveness of pain management protocols in the emergency setting.
Examining the impact of nurse-led quality improvement initiatives on patient safety in the emergency department.
Exploring the role of emergency nurses in providing palliative and end-of-life care.
Exploring the use of point-of-care ultrasound in emergency nursing practice.
How has the COVID-19 pandemic affected the triage and management of trauma patients in the emergency department?
Investigating the impact of nurse staffing levels on patient safety in the emergency department.
What are the strategies for maintaining patient safety and preventing healthcare-associated infections in the post-COVID emergency department?
How has the COVID-19 pandemic impacted the triage process in the emergency department?
Exploring strategies for improving communication and teamwork in the emergency department.
Investigating the experiences and challenges of emergency nurses in caring for LGBTQ+ patients.
Evaluating the effectiveness of telehealth in emergency nursing practice.
How has the pandemic affected the collaborative teamwork among emergency nurses and other healthcare professionals?
What are the strategies for addressing emergency nurses’ emotional and psychological needs in the aftermath of the pandemic?
Examining the impact of nurse-led education programs on patient outcomes in the emergency department.
Assessing the effectiveness of early mobility programs in critically ill patients in the emergency department.
Assessing the effectiveness of triage decision support systems in improving patient outcomes.
How has the COVID-19 pandemic influenced emergency nurses’ workload and stress levels?
Evaluating the effectiveness of pain assessment tools in the emergency department.
Assessing the effectiveness of early goal-directed therapy in critically ill patients in the emergency setting.
How has the role of telehealth expanded in emergency nursing practice during and after the COVID-19 pandemic?
Evaluating the impact of triage protocols on patient outcomes in the emergency department.
The role of emergency nurses in identifying and managing sepsis.
How has the COVID-19 pandemic affected vulnerable populations’ access to and utilization of emergency services?
How has the pandemic influenced the documentation and reporting practices of emergency nurses?
Examining the impact of nurse empowerment on job satisfaction and retention in the emergency department.
What are the experiences and perspectives of emergency nurses in the rapid implementation of pandemic response protocols?
Assessing the effectiveness of early intervention programs for patients with acute myocardial infarction in the emergency setting.
The impact of emergency department overcrowding on patient outcomes.
What are the challenges and opportunities of transitioning to virtual or remote emergency nursing care in the post-COVID landscape?
What are the strategies for promoting resilience and well-being among emergency nurses in prolonged crises?
Assessing the effectiveness of rapid response teams in the emergency department.
Investigating the experiences and challenges of emergency nurses in caring for geriatric patients.
Examining the impact of cultural competence on patient care in the emergency department.
Assessing the effectiveness of nurse-led discharge planning in reducing readmissions from the emergency department.
Examining the use of clinical decision support tools in triage and patient management in the emergency setting.
Investigating the experiences and challenges of emergency nurses in caring for patients with intellectual and developmental disabilities.
Assessing the effectiveness of rapid diagnostic tests in improving patient outcomes in the emergency setting.
Exploring strategies to improve triage accuracy and efficiency in the emergency department.
Examining the use of non-pharmacological interventions for managing acute pain in the emergency setting.
What are the strategies for mitigating the psychological impact of the COVID-19 pandemic on emergency nurses?
Exploring strategies for improving the identification and management of psychiatric emergencies in the emergency setting.
Exploring strategies for reducing medication errors in emergency nursing practice.
Examining the experiences and challenges of emergency nurses in caring for pediatric patients.
Assessing the role of emergency nurses in identifying and managing human trafficking victims.
Exploring the experiences and challenges of emergency nurses in caring for patients with substance use disorders.
Investigating the experiences and challenges of emergency nurses in caring for patients with dementia.
What are the best infection prevention and control practices in the emergency department during the post-COVID era?
Exploring the use of advanced technology in triage and patient assessment in the emergency setting.
Exploring strategies for improving the recognition and management of pediatric sepsis in the emergency department.
Assessing the role of emergency nurses in disaster preparedness and response.
How has the COVID-19 pandemic impacted the utilization of pre-hospital emergency medical services?
How has the COVID-19 pandemic affected the utilization of emergency services for non-COVID-19-related emergencies?
Examining the impact of educational interventions on the recognition and management of sepsis in the emergency department.
Examining the role of emergency nurses in identifying and managing domestic violence cases.
Investigating the experiences and challenges of emergency nurses in caring for victims of sexual assault.
How has the pandemic influenced the recognition and management of sepsis in the emergency department?
How has the COVID-19 pandemic influenced pain management and procedural sedation in the emergency department?
Investigating the impact of nurse-to-patient ratios on patient outcomes in the emergency department.
Exploring strategies for improving the identification and management of pediatric emergencies in the emergency department.
What are the experiences and challenges of emergency nurses in providing end-of-life care to COVID-19 patients?

These research topics cover many areas within emergency nursing, allowing students to explore and contribute to the field’s advancement. They can serve as a starting point for further exploration and development of research ideas in the dynamic field of emergency nursing.

Order Your Critical Care Dissertation Now!

External Links:

Download the Emergency nursing dissertation sample for your perusal

Research Topic Help Service

Get unique research topics exactly as per your requirements. We will send you a mini proposal on the chosen topic which includes;

Research Statement
Research Questions
Key Literature Highlights
Proposed Methodology
View a Sample of Service

Ensure Your Good Grades With Our Writing Help

Talk to the assigned writer before payment
Get topic if you don't have one
Multiple draft submissions to have supervisor's feedback
Free revisions
Complete privacy
Plagiarism Free work
Guaranteed 2:1 (With help of your supervisor's feedback)
2 Installments plan
Special discounts

200 High-Scoring Nursing Dissertation Topics For Students

Many college and university students understand that putting down an excellent dissertation about any topic is not child’s play. First, you have to pick an intriguing case that is neither too narrow nor too common. Primarily, whatever issue you end up with has to be easy to justify with superbly referenced ideas and strong points that will earn the recognition of your professor.

Choosing to read this article is a worthy investment of your time as we have drafted 200+ hot topics in different areas of the nursing field to help you overcome the odds. We also have nursing dissertation examples together with a trailer load of inspiration for your paper.

Stellar Nursing Dissertation Titles

Explain the four main concepts in nursing theory
Elaborate the nursing theory that nurses should use to treat patients with an acute mental disorder
Define the adaptation model of nursing and explain how it relates t real-life instances
Explain the theory of diversity in healthcare about nursing models
Explain the concept of critical care nursing management
What are the main attributes of the Roper Logan Tierney model
Investigate potential physical risks nurses face when treating dementia patients
How effective is the first aid treatment when attending to someone critically impacted by an occupational hazard?
What are the critical challenges faced by adult nurses in chemotherapy
Explain why patients should evaluate adult nurses
Analyze the main problems encountered by adult nurses in residential homes while interacting with their loved ones
What are the main challenges in oncology from a nursing perspective?
A review of the professional quality of oncology nurses in the US
Examine the influence of nurse advice in choosing the birth method for first-time mothers
Explain the role of nurses in weight loss programs that involve adult obesity

Tip-Top Nursing Dissertation Ideas

of evaluation in the academic consequence of nursing students
Investigate the best way nurses can offer psychological support to adults with congenital heart disease
Analyze the delirium assessment skills of adult nurses
Assess critical care management in adult wards
Examine the quality of education of different medical schools offering critical care courses in the US
Explain how critical caregivers communicate with ICU patients
Investigate how gender impacts the effectiveness of essential nurses of care in hospitals
An insight into how essential nurses of care deal with workloads during the holiday season
A case study of how nurse-patient ratio in the ICU determines the quality of care
Discuss whether essential nurses of care achieve resilience

Adult Nursing Dissertation Topics

What factors impact the quality of life among older people in a clinical set-up
What is the impact of ageing on an individual’s health?
What are the pointers of hearing loss, and how can the condition be managed
Elaborate the impact of lighting on performance if tasks requiring near vision in older adults
Which obesity and weight management programs are effective among adult patients?
Investigate efficient ways to manage joint disorders in the elderly population
Analyze the efficacy of different treatment therapies used for bladder cancer among adults
What is the best way to manage the acute coronary syndrome
Discuss mental health and psychiatric care in adults
Explain the leading causes of anxiety disorders among adults

Ideas For Nursing Dissertation Topics in 2022

What is the purpose of personal development in nursing?
How can we improve the efficiency of community nurses?
What is the role of non-verbal communication in nursing?
Highlight the most crucial education and developmental programs for nurses
Investigate the difference in efficacy between fresh graduates and registered nurses
A case study of nurse wages in different countries and how it impacts performance and productivity
Explain the impact of technology advancement in nursing

Emergency Nursing Dissertation Topics

Analyze the efficacy of using the implanted venous access device in the emergency department
Examine how to detect the emergency level preparedness of a patient
Discuss the lack of self-care and how it impacts emergency responses
Analyze the parameters utilized in eye assessment
What are the predisposing factors to heroin on emergency response?
Highlight the latest innovations in emergency stroke care
Explore the benefits and drawbacks of a geriatric emergency department
Investigate the mechanisms of injury associated with spinal injuries
Define compassion fatigue and identify the things to look out for when fighting it
Discuss the need for accurate patient assessment when identifying life-threatening injuries

Child Nursing Dissertation Topics

What is the best way to promote mental health among children
Discuss the auditory processing disorder and how to manage it among children
Explain the best way to treat depression among children
Detail how to help children with anger problems
Examine the PANDAS syndrome and how it impacts childhood behavioural disorders
Discuss whether mothers from different cultural backgrounds are worried about the weight issues of their children
Explain how academic nursing education prepares nurses to manage IPV of clients during home visits
Explain how the leadership style of child health nursing teams affects the nurses’ management of parents
Examine if nurses in the US are fully ready to spot sexual abuse of children
Investigate how nurses manage incidents of child abuse in the UK
Highlight the importance of mental and emotional health among children under 5
Analyze the range of nursing services for child and maternal health in the US
Evaluate the availability of nursing resources for adequate child care in American hospitals
Investigate the prevalence of misdiagnosis and other nursing challenges in pediatric wards
Compare the readiness of child health nursing staff to deal with rare diseases in private and public hospitals
Analyze the prevalence of breathing disorders in neonatal patients
Assess the availability of child health nursing facilities in underprivileged communities in the US
Discuss neonatal nursing staffing practices in the US
What communication issues do nurses encounter in pediatric wards
Explain fundamental problems facing child health nursing staff with patients who have obesity
What is the efficacy of in-house child health nursing facilities in American schools
Compare child nursing standards between developed and developing countries
Detail the history of pediatric nursing in American history
What is the importance of the child health nursing education
What is the impact of burnout among child health nursing and nursing staff?
Explain the effect of parents’ divorce on children

Public Health Dissertation Topics

Explain how mobile technology can make public health education programs more friendly
Highlight the benefits of healthcare applications among young adults
What risk factors are associated with sharing lunch among school children
Is it possible to improve the safety of sex workers from HIV through oral drugs?
How does weight loss increase the risk of hypertension?
What is the impact of lifestyle changes on patients with type 1 diabetes?
Evaluate the relationship between environmental pollution and birth weight
Conduct a comparative analysis of the prevalence, cause and treatment of HIV in rural and urban areas of Nigeria
Analyze the declining trend of disability in the US
What is the role of the state government in facilitating training on disaster management?
Discuss the gap between parents’ knowledge and practice of child-caring strategies in Kenyan slum areas
Discuss the impact of revising the curriculum in public health colleges to equip undergraduate students for better services
Explain public health access issues affecting America
Elaborate why providing designated smoking zones to encourage excessive and irresponsible smoking
Discuss why proper public health is the responsibility of every citizen
Highlight the quality of life of different immigrants and stateless citizens across the world
Explain how an increase in the supply of clean drinking water in rural areas of Africa will reduce infant death
Discuss how forced sexual intercourse leads to increased suicide cases among adolescent girls
What is the difference between essential cleaning services and urban sanitization?
Analyze the link between menstrual cycle irregularities and diabetes
Detail different methods that we can use to curb drug addiction among youths and their impact on public health
Explain the effect that the construction of public toilets in crowded cities will have in managing communicable diseases

Midwifery Dissertation Topics

What is the role of a midwife about health risks that amount from postpartum depression?
Discuss factors that influence the competence of midwives in a clinical set-up
Explain the extent to which midwives can facilitate informed choices among pregnant women
What challenges are associated with the water-birth randomized controlled trial?
Elaborate factors that contribute to midwives decision to stay in midwifery
Examine midwifery practice in the third stage of labour
Assess experiences of midwives regarding the evaluation of maternal postnatal genital tract health
Discuss the effectiveness of supporting the nurse-midwife intervention team in handling c-sections
What is the role of the midwife in complicated pregnancies?
Analyze midwife’s attitude towards pregnant women with substance abuse problems
Examine how midwives can improve pregnancy consequences and care
Explain how midwives can help women deal with postpartum depression
What factors affect the ability of midwives the clinical set-up
Discuss the attitude of midwives towards the privacy of patient information

Hot Research Topics In Nursing

Examine trends within the world health organizations
Analyze the extent of NHS focus on providing service to the elderly
Elaborate factors that influence healthcare policies of new health organizations
Explain the role of a midwife in a high-risk pregnancy
Outline the key differences between adult nurses and paediatrics
What are the primary skills required by a senior paediatrics nurse
Define deontological nurse practitioners and outline their roles and responsibilities
What are the benefits of treating old paediatrics patients with timely nurse care
How do nurses care for people with a long term learning disability?
What role can a domestic nurse play in helping students with learning disabilities?
How can proper nursing care help to manage depression?
Explain how mental support and nursing aid can be instrumental in treating autism
Establish the role of nursing in the field of adolescent and child psychiatry
What is the efficacy of nursing aid in treating sleep disorders?
Elaborate the link between the mental health of an individual and psychiatric nursing
An insight on the best nursing practices in the field of orthopaedic treatment

Mental Health Nursing Dissertation Topics

Discuss critical care nursing among mental health patients
What can pain the nursing staff utilize relief treatments among mental health patients?
Explain the role of physical activity in bettering the mental health of patients with dementia in the US
Highlight the denominational support for clergy mental health
What is the link between the increased risk of complications in pediatric patients and extended stay of a peripheral intravenous catheter
A case study of adjustment in urban children of a mother with mental health problems, HIV and substance abuse
Analyze the state of mental health service provision among the youth in rural areas
Examine mental health counselling as done in different cultures
Investigate the skills, training and experience needed by nurses to treat dementia patients
Assess the effectiveness of the health care management of elderly dementia patients in the US
Distinguish between the national and private health care systems in the US?
Elaborate the impact of stress on nursing staff working with mental health patients
Explain the role of nurses in the pain management of dementia patients

High-Class Nursing Research Topics

Explain how the holistic approach is beneficial for physical and mental health
Define holistic nursing and talk about its future
What is the scope and standards of holistic nursing
Explore the effects of the holistic nursing course
Examine the development of the holistic nursing competence scale
What challenges do nurses face during holistic treatment?
Investigate sanitary hygiene in developing countries and explore its consequence on environmental health
What is the importance of understanding the leading environmental health risks?
Analyze food poisoning and food-related sicknesses in third world countries
Discuss the causes of change in heart rate of people exposed to passive smoking
What are the environmental health risks associated with nuclear waste
What is the link between the length of the period of blood storage and the outcome of a patient after transfusion?
Explain the role of care nurses in palliative care
Explore the risks for ICU patients related to the pressure injuries
How should nurses interact with ICU patients’ family
Examine effective methods that we can use to collect data from ICU patients
Explain how care nurses conduct pain assessment
Detail the challenging experiences of ICU nurses in rural areas
Highlight the critical challenges of communication in the ICU
What are the likely interventions in the clinical control and management of contagious diseases?
Investigate the perceived management problems in the care of elderly patients
Discuss the optimal management strategy for post-traumatic stress disorder
Explore new directions in the management of patients in adult ICUs
What are the management outcomes of acute ischemic stroke?
Explain the risks in clinical management if patients with throat cancer
Explore the psychosocial treatment of drug addiction in a prison setting

Neglected Mental Health Dissertation Topics

Examine the problem of drugs and drinking among young adults and its impact on mental health
Discuss unemployment as a factor that contributes to adverse mental health problems
Explore mental illness and stress among the members of the LGBTQ community
What is the link between the socioeconomic backgrounds of people and mental illness
Explore the mental health needs among women facing physical and sexual abuse
Highlight mental health problems faced by older adults due to loneliness and depression
Elaborate the link between suicide and mental illness among youths
Discuss the efficacy of psychiatric treatment and medicine for patients with dementia

Reliable Help With Nursing Dissertation

Since you have gotten a rough idea of how to choose a nursing dissertation topic alongside a broad spectrum of options to select from, the rest is up to you. Even so, you might still find the whole dissertation writing process hard for one reason or another. After all, these kinds of assignments are known to take forever other than being monotonous.

Anyway, there should be absolutely no reason for you to panic or give up. You can opt for online writing help. Numerous dependable assignment help platforms will give you access to professional writers that will provide the expert assistance you need cheaply and quickly. Every student nurse deserves to score a high grade.

Give your tricky homework to an essay writing service today and get your custom paper handled by the best writers in the game.

Get on top of your homework.

72 Intensive Care Essay Topic Ideas & Examples

🏆 best intensive care topic ideas & essay examples, 👍 good essay topics on intensive care, ⭐ simple & easy intensive care essay titles.

The Nursing Workflow in the Intensive Care Unit This article summarizes the nursing workflow in the intensive care unit among the enlisted nurses in research conducted in mainland China.
Role of Nurse Practitioners in Acute and Intensive Care The innovative education of ICU nurses to become acute care nurse practitioners will push the limits of current nursing techniques and healthcare provision in several ways. We will write a custom essay specifically for you by our professional experts 808 writers online Learn More
Palliative Care in Intensive Care Unit Palliative care is an important field of the healthcare industry that allows terminally ill patients and their families to feel cared for, which is why the services at this unit should be of the highest […]
The Nurse Manager’s Role in a Pediatric Intensive Care Unit On the basis of the observation of Anderson’s skills, behaviors, and strategies that this leader exhibits, it is possible to say that he may be regarded as an efficient leader and nurse manager who obtains […]
Intensive Care & Critical Care Skills in Nursing Therefore, the current research examines the importance of intensive and critical care skills in nursing. Due to this, ICU and critical care training can be considered most beneficial in nursing.
Why Intensive Care Unit Nurses Have Low Work Morale The diagram above analyzes the root causes of the low work morale of nurses working in the intensive care unit at the hospital where I am employed.
Actors Influencing How Intensive Care Unit Nurses Allocate Their Time Show Less Given the importance of all of the above factors, the purpose of my work is to determine whether the allocation of nurses and patients is adequate to provide quality services.
Confusion Assessment Method in Intensive Care Unit According to Richardson et al, the reliability of a screening tool is confirmed by comparing the results to the gold standard of diagnosis.
Use of BIS Brain Monitors in Intensive Care Unit The objectives of the innovation project are to measure the present use of BIS in sedation at a specific facility and evaluate patient outcomes for BIS-guided sedation compared to routine clinical assessment.
Nosocomial Infections in Intensive Care Units The choice to insert the urinary catheter ought to be made with the awareness that it entails the risk of causing infections with a prolonged hospital stay.
Hiring New Registered Nurses for Intensive Care Unit The purpose of this paper is to outline methods for analyzing the ICU job, drafting the job description, and future changes that may affect the future of the job description.
Intensive Care Units Standards and Services Thus, in the cases of unplanned extubation, both self and accidental, the quality of care is observed through the nurse’s ability to react according to an incidence, with emphasis on the patient’s safety and the […]
Comfort Care of the Patient in Intensive Care The relationship between nurses’ comforting interventions and the patients’ comfort is the foundation of the theory. The purpose of the comfort theory is to establish the link between nursing interventions and patients’ comfort.
Resuscitation of Patients in Intensive Care Units The project utilizes a quasi-experimental design to choose the sample and manipulate the independent variable, the nursing training program of capnography use during CPR, to influence the dependent variable, the number of CPR cases with […]
Public Health: The Intensive Care Units To achieve this, the program will transform the work culture within the ICU to be more rigorous and goal oriented. It is important that all of the hospital critical-care stakeholders to distinguish and enforce imperative […]
Nurse Staffing, Medical Staffing and Mortality in Intensive Care In order to discuss the contribution of different types of personnel to the survival of patients in ICUs, the researchers provided different hypotheses for the relationship between the number of nurses and rates of patient […]
Clinical Personal Experience in a Pediatric Intensive Care Unit I had the opportunity to provide adequate care and patient support in the ICU. Such leadership styles are applicable in health care organizations to promote the quality of care provided to patients.
Comparison of Remifentanil Sedation with Conventional Regimen in Intensive Care Unit Studies have proposed that analgesia-based sedation using remifentanil reduces the duration of ventilation and period of stay in the ICU compared to a conventional regimen.
Ethics Review: ‘Living Wills’ and Intensive Care However, some opponents of the move to legalize advance decisions in England and Wales are of the idea that legalizing advance decisions will be tantamount to euthanizing the patients illegally.
Having Visiting Hours in the Intensive Care Unit A family member selected to visit the patient will be in position to give feedback concerning the patient to the rest of the family members and friends.
Nurse Practitioners and Physician Assistants in the Intensive Care Unit Kleinpell and Robert Grabenkort, the authors of the article under consideration, tell that nursing practitioners and physician assistants play a very important role in the intensive care unit, however, their participation is still not well […]
Intensive Care Unit Nurses’ Education Needs The reason for choosing this target group is the affiliation of the researcher: since the researcher is a nurse who works in the ICU of KFH, the analysis of the educational needs of the nurses […]
Medication Errors in Intensive Care Unit The majority of medication errors take place at the stage of administration; however, mistakes also occur during prescription, preparation of medication, and transcription.
Cross-Training in Intensive Care Unit The students who took this course will exhibit the mastery of: Assessment of the need for care under time constraints and in adverse conditions; Provision of assistance to critically ill individuals with precision, speed, and […]
Constructive Alignment in Intensive Care Nursing Education Given the potential benefits of CA for education, CA needs to be considered in terms of ICU nurse training to determine if it applies to the settings of ICU.
Evidence-Based Practice in the Intensive Care Unit The purpose of this paper is to identify challenges that are associated with the implementation of an evidence-based approach in a clinical environment and describe strategies that can be used for implementing this approach.
Intensive Care Unit Patients Therapy Differences The meta-analysis study explored the differences between burn ICU and general ICU patients. The differences are brought about by the fact that the injuries of burn patients are both external and internal.
Bloodstream Infections in Intensive Care Department The scope of the essay is limited to the discussion of the risks of contract in infectious diseases, which nurses may face in the context of the ICU environment in a hospital.
Management of Burns in Intensive and Acute Care The article can be viewed as the review of the currently used practices to cope with burns in intensive care units, and the author describes procedures that are necessary in order to provide the respiratory […]
Early Mobilization Therapy in Intensive Care Units The PDSA plan will be as follows: Plan: It will be needed to identify the setting, sample selection criteria, the intervention, and the type of data to be collected.
Early Mobility Therapy in the Intensive Care Unit Particularly, the advantages and the disadvantages of the early mobility therapy compared to the non-early mobility therapy for patients who are in intensive care will be analyzed.
Implementation of Physical Restraints in the Intensive Care Unit Once the tool determines the total number of FTEs needed for the ICU patients, they will be distributed throughout the day according to the trends of the patient volume.
Pain Management at a Neonatal Intensive Care Unit
Safety Score Improvement Plan For By-Faith Intensive Care Unit (ICU)
Seizure Detection in a Pediatric Intensive Care Unit
The Association Between Brain Volumes and Posttraumatic Stress Disorder in Intensive Care Unit
Measuring Parent Satisfaction With Care in Neonatal Intensive Care Units
Nurse Burnout and Stress in Neonatal Intensive Care Unit
Care for Critical Ill Patients With COVID-19 in Intensive Care Unit
Early Neonatal Intensive Care Unit Therapy
Implementation of an Intensive Care Unit Pharmaceutical Care Model
Premature Triplets: Neonatal Intensive Care Unit at Cook
Continuous Renal Replacement Therapy in the Intensive Care Unit
The Nature of Caring Work in an Intensive Care Unit
Intensive Care Admission and Early Neuro-Rehabilitation
Alarm Problems Going Off in the Intensive Care Unit
Patients With Traumatic Brain Injury Admitted to the Ward or Intensive Care Unit
Stress and Burnout of Nurses in the Intensive Care Unit
Pain-Related Stress During the Neonatal Intensive Care Unit Stay
Expert and Competent Non-expert Visual Cues During Simulated Diagnosis in Intensive Care
Preventing Ventilator-Associated Pneumonia in the Intensive Care Unit
Intensive Care Nurses’ Views and Practices on Eye Care
Risk Factors for Intensive Care Unit Admission in Patients With Autoimmune Encephalitis
Chronic Pain and Chronic Opioid Use After Intensive Care
Premature Infants’ Physiologic Outcomes in the Neonatal Intensive Care Unit
The Relationship Between Safety Climate and Performance in Intensive Care Units
Intensive Care Unit Related Post Traumatic Stress Disorder
Treatment of Severe Infections in the Intensive Care
The Needs of Bereaved Parents in the Pediatric Intensive Care Unit
Intensive Care Unit-Acquired Weakness
Nosocomial Infections and the Infant Intensive Care Unit
Complications and In-Hospital Mortality in Trauma Patients Treated in Intensive Care Units
The Uniform Need for Critical and Intensive Care Skills in All Branches of Nursing
Moral Distress Among European Intensive Care Nurses
Capacity Planning for Intensive Care Units
Real-Time Predictive Analytics for Therapeutic Plans in Intensive Care
Nursing and the Importance of Intensive Care
Abuse of Drugs and Alcohol in Intensive Care Unit
Physician Scheduling for Continuity: An Application in Pediatric Intensive Care
Monitoring Oxygenation and Gas Exchange in Neonatal Intensive Care Units
Mortality in Intensive Care Unit Patients
The Requirement for Supplementary Nurses in an Intensive Care Unit
Chicago (A-D)
Chicago (N-B)

IvyPanda. (2024, February 28). 72 Intensive Care Essay Topic Ideas & Examples. https://ivypanda.com/essays/topic/intensive-care-essay-topics/

"72 Intensive Care Essay Topic Ideas & Examples." IvyPanda , 28 Feb. 2024, ivypanda.com/essays/topic/intensive-care-essay-topics/.

IvyPanda . (2024) '72 Intensive Care Essay Topic Ideas & Examples'. 28 February.

IvyPanda . 2024. "72 Intensive Care Essay Topic Ideas & Examples." February 28, 2024. https://ivypanda.com/essays/topic/intensive-care-essay-topics/.

1. IvyPanda . "72 Intensive Care Essay Topic Ideas & Examples." February 28, 2024. https://ivypanda.com/essays/topic/intensive-care-essay-topics/.

Bibliography

IvyPanda . "72 Intensive Care Essay Topic Ideas & Examples." February 28, 2024. https://ivypanda.com/essays/topic/intensive-care-essay-topics/.

Palliative Care Research Topics
First Aid Research Topics
Emergency Department Titles
Anesthesiology Essay Topics
Chronic Pain Research Ideas
Evidence-Based Practice Titles
Sepsis Ideas
Respiratory Disorders Research Topics
Affordable Care Act Essay Titles
Biomedicine Essay Topics
Asthma Paper Topics
Health Promotion Research Topics
Nursing Theory Questions
Occupational Therapy Titles
Wellness Essay Topics

British tourist attacked by shark in Trinidad and Tobago

Officials say beach closures will allow the coastguard and Department of Fisheries to investigate the incident and "neutralise the shark threat, if possible".

Saturday 27 April 2024 18:42, UK

Streetview of Great Courtland Bay, Tobago Pic: Google

A British tourist is in intensive care after being attacked by a shark in Trinidad and Tobago.

The incident on Friday, which occurred near the Starfish Resort in Courland Bay, prompted the government to shut seven beaches and a marine park along the northwestern coast of the Caribbean island.

The shark appeared to be a bull shark, according to the Tobago House of Assembly, and was 8-10ft long and 2ft wide.

Bull shark pictured in Fiji in 2022. Pic: Ric Tapia/AP

Chief Secretary Farley Augustine said the victim was a 64-year-old British man, adding he was in a "stable" condition but had suffered severe injuries to his arm, thigh and stomach.

A local official named him as Peter Smith, from Berkhamsted in Hertfordshire.

"Some reattachments were done, of fingers for example, and hopefully that will save those fingers," Mr Augustine said in a news conference.

"We know that there's significant wounds on one of his legs that cannot be completely closed, but he will require extensive work.

More on Sharks

British tourist attacked by shark off Caribbean beach 'now able to communicate'

Beauty ingredient squalene linked to hundreds of shark species at risk of extinction, says new research

The woman is believed to have been attacked by a bull shark

Sydney Harbour shark attack victim Lauren O'Neill praises 'heroic neighbours' who saved her

Shark attacks in Tobago a rarity

Many experts consider bull sharks to be among the most dangerous in the world.

Historically, they are one of the three species most likely to attack humans, alongside great whites and tiger sharks, according to the National Geographic.

But their presence is rarely felt in Tobago.

In fact, there have only been two other shark attacks there in the past 20 years, data from Florida Museum's International Shark Attack File shows.

One of those - a non-fatal attack in 2004 - was a bull shark.

They are far more frequent off the eastern and southern US coasts and in the central Caribbean.

Bull sharks get their name from their short, blunt snout, as well as their aggressive disposition and a tendency to head-butt their prey before attacking, the National Geographic says.

Stephanie Wright, a British tourist who saw the attack, said she noticed people gathering on the beach and thought they may have been aiding someone who had suffered a cardiac arrest.

"Then I saw a dorsal fin come out of the sea and I went: 'Oh my God, it's a shark'. And as it turned I saw the tail come out as well."

Orion Jakerov, watersports manager at the Starfish Resort, also witnessed the incident and said the man was about waist-deep in the water when the shark attacked.

Please use Chrome browser for a more accessible video player

He told local media the man and others near him in the water had their backs turned and did not see the shark approaching.

"The other people in the water were physically trying to fight the shark off while it attacked," he added.

In a statement the government said shark sightings were reported in the Grafton area and the Buccoo Reef Marine Park.

Keep up with all the latest news from the UK and around the world by following Sky News

Be the first to get Breaking News

Install the Sky News app for free

Officials said the closures will allow the coastguard and Department of Fisheries to investigate the incident and "neutralise the shark threat, if possible".

A Foreign Office spokesperson said: "We are supporting the family of an injured British man in Tobago and are in contact with the local authorities."

Last year, there were 69 unprovoked attacks and 22 provoked bites worldwide, along with 14 fatalities, according to the Florida-based International Shark Attack File.

nursing dissertation topics icu

IMAGES

VIDEO

COMMENTS

Dissertation Writing Tools

56 Best Critical Care Nursing Research Topics ideas with examples

Best Critical Care Nursing Dissertation topics or research topics for masters and undergraduate students

Paid Topic Mini Proposal (500 Words)

Get An Expert Dissertation Writing Help To Achieve Good Grades

Other Related Posts

Research Topics & Ideas: Nursing

Overview: Nursing Research Topics

General Nursing Research Topics & Ideas

Topics & Ideas: Medical-Surgical Nursing

Topics & Ideas: Pediatrics Nursing

Ideas: Obstetrics and Gynecological Nursing

Topics & Ideas: ICU Nursing

Topics & Ideas: Mental Health Nursing

Nursing Dissertation & Theses

Get 1-On-1 Help

You Might Also Like:

Submit a Comment Cancel reply

Nursing Dissertation Ideas That Will Lead You to a Perfect Topic

What’s a Nursing Dissertation and Steps to Write It

Nursing Education Dissertation Topics: How to Choose the Right One?

List of the Best Dissertation Topics Nursing of the Year

Child Health Dissertation Topics

Clinical Care Dissertation Topics

Adult Nursing Dissertation Topics

Evidence-Based Practice Dissertation Topics

Palliative Care Dissertation Topics

Mental Health Dissertation Topics

Emergency Care Dissertation Topics

Environmental Health Dissertation Topics

Some Great PhD Nursing Dissertation Ideas

Topics Related to Community Health

150 Nursing Dissertation Topics to be the Smartest

Choosing Dissertation Topic Right

Hot Nursing Dissertation Ideas by Subject

Public Health

Community Nursing Dissertation Topics

Midwifery Dissertation Topics

Health Organisations

Evidence-based Practice

Environmental Health

Occupational Health and Safety

Mental Health Nursing Dissertation Topics

Models and Theories in Nursing

Child Nursing Dissertation Topics

Paediatric Nursing Dissertation Topics

Nursing Dissertation Topics Critical Care

Adult Nursing Dissertation Topics

Nursing Dissertation Topics Dementia

Emergency Nursing Dissertation Topics

When Professional Help is Due

Sepsis assessment and management in critically Ill adults: A systematic review

Dania Bani Hamad

Introduction

Materials and methods

Eligibility criteria

Inclusion criteria

Exclusion criteria

Search strategy

Data extraction

Ethical considerations

Quality assessment and data synthesis

Description of the selected studies

Nurses’ knowledge, attitudes, and practices

Barriers to and facilitators of sepsis assessment and management

Measurement tools of sepsis-related knowledge, attitudes, and practices

Interventions directed at improving nurses’ sepsis assessment and management

Decision support tools

Sepsis protocols

Limitations

Relevance to clinical practice

Supporting information

Funding Statement

Data Availability

Best Nursing Research Topics for Students

About Nursing Research Papers

Do Nursing Students Conduct Original Research?

Example Research Project Scenario:

What Does a Nursing Research Paper Include?

How to Choose a Nursing Research Topic