© 2018

Nursing in Critical Care Setting

An Overview from Basic to Sensitive Outcomes


  • Enhances nurses’ understanding of the indications for different practices

  • Offers a much-needed conceptual framework

  • Outlines each of the sensitive outcomes and indicators


Table of contents

  1. Front Matter
    Pages i-xxi
  2. Assessment and Monitoring in ICU

    1. Front Matter
      Pages 1-1
    2. Matteo Manici, Claudio Torbinio
      Pages 3-24
    3. Gian Domenico Giusti, Giovanni Mistraletti
      Pages 25-57
    4. Alberto Lucchini, Christian De Felippis, Stefano Bambi
      Pages 59-105
    5. Irene Comisso, Alberto Lucchini
      Pages 107-136
    6. Gian Domenico Giusti, Angela Peghetti, Irene Comisso, Stefano Bambi
      Pages 137-153
  3. Basic Care in ICU

    1. Front Matter
      Pages 155-155
    2. Gian Domenico Giusti, Irene Comisso, Alberto Lucchini
      Pages 177-201
    3. Irene Comisso, Stefano Bambi
      Pages 237-241
  4. Care Quality Measurement: From Performance Indicators to Nursing Sensitive Outcomes

    1. Front Matter
      Pages 243-243
    2. Irene Comisso, Alberto Lucchini
      Pages 279-304
    3. Irene Comisso, Alberto Lucchini
      Pages 305-316
    4. Matteo Manici, Giacomo Alemanno, Magherita I. Nuzzaco
      Pages 317-333
    5. Irene Comisso, Stefano Bambi
      Pages 375-407
    6. Matteo Manici, Francesca Ghillani
      Pages 409-442

About this book


This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses' role has become more professionalized, with increasing competences in assessing and managing patients' problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives.


Hygiene care Interventional Patients’ Hygiene Model Eye care Oral care Nursing workload

Authors and affiliations

  1. 1.University Anesthesia and Intensive Care Unit, University Hospital S. Maria della MisericordiaUdineItaly
  2. 2.General Intensive Care Unit - San Gerardo Hospital – ASST Monza, University of Milano-BicoccaMilanItaly
  3. 3.Emergency and Trauma ICU, University Hospital CareggiFlorenceItaly
  4. 4.Intensive Care Unit, University Hospital of PerugiaPerugiaItaly
  5. 5.Anesthesia, Intensive Care and Hub Pain Service, University Hospital of ParmaParmaItaly

About the authors

Irene Comisso (RN, MSN) was graduated in 2000, and achieved the Master in Nursing Sciences degree in 2011. She works as ICU nurse since 2000, and lectures ICU nursing at Nursing Bachelor in Udine, Italy. She is member of the scientific board of STAT (selected topics in anaestesia and intensive care) annual congress. She is author of several publications and participated in critical care nursing conferences as speaker and chairman.
Alberto Lucchini works as a nurse in the general ICU at the Department of perioperative medicine and intensive care of San Gerardo Monza hospital since 1992. He is a chief nurse since 2003. Since 2006 he is the coordinator of master in Nursing Sciences of anesthesia and intensive care at the University of Milan Bicocca. He has been a member of the scientific board in several events and conferences on the topic of critical care nursing. He is member of the direction board of Aniarti (Italian critical care nurses association). He has se
veral publications and collaborations to observational and multicentric studies.
Stefano Bambi (RN, MSN) is a PhD candidate in nursing science at the University of Firenze, Italy. He was graduated in 1995, and has been working as staff nurse in emergency department for about 10 years. Since 2008, he is working as staff nurse in intensive care unit. He was formerly lecturer in Emergency and Critical Care Nursing at Nursing Bachelor and oth
er universitary courses in Florence. He was (invited) speaker in several conferences. He is an author of several nursing papers published in national and international journals.
Gian Domenico Giusti (RN, MSN) is staff nurse in Intensive Care Unit at Perugia Hospital. He is Lecturer in Critical Care at School of Nursing, Perugia University of Medicine, Italy. He is member of National Board of Aniarti (Italian Critical Care Nurses Associations) and member of Editorial Board of  “Scenario. Il nursing nella sopravvivenza” (Off
icial Journal of Aniarti). He is the author of many scientific publications and invited speaker in several conferences.

Bibliographic information

  • Book Title Nursing in Critical Care Setting
  • Book Subtitle An Overview from Basic to Sensitive Outcomes
  • Authors Irene Comisso
    Alberto Lucchini
    Stefano Bambi
    Gian Domenico Giusti
    Matteo Manici
  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2018
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-50558-9
  • Softcover ISBN 978-3-030-09595-6
  • eBook ISBN 978-3-319-50559-6
  • Edition Number 1
  • Number of Pages XXI, 524
  • Number of Illustrations 18 b/w illustrations, 27 illustrations in colour
  • Topics Nursing
    Intensive / Critical Care Medicine
    Health Promotion and Disease Prevention
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals


“The purpose is to provide information for any nurses caring for patients in the ICU setting. … This book is informative and timely. I loved the various monitoring methods and assessment strategies. The diagrams and pictures are very well done. The authors discuss a variety of areas, not just the cardiac and respiratory system, but also the eye … positioning. This is a very well rounded and informative book that would be a great asset for any new ICU nurse.” (Cynthia Cummings, Doody's Book Reviews, October, 2018)