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American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses

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https://www.readbyqxmd.com/read/27802960/five-layered-soft-silicone-foam-dressing-to-prevent-pressure-ulcers-in-the-intensive-care-unit
#1
Peggy Kalowes, Valerie Messina, Melanie Li
BACKGROUND: In critically ill patients, prevention of pressure ulcers is a challenge because of the high risk for multiple comorbid conditions, immobility, hemodynamic instability, and increased use of medical devices. OBJECTIVES: To compare the difference in incidence rates of hospital-acquired pressure ulcers (HAPUs) in critically ill patients between those treated with usual preventive care and a 5-layered soft silicone foam dressing versus a control group receiving usual care...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802959/ventricular-ectopy-in-hospitalized-elderly-adults
#2
Mary G Carey, Teri M Kozik, Michele M Pelter, Salah S Al-Zaiti
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802958/the-evolving-paradigm-of-individualized-postresuscitation-care-after-cardiac-arrest
#3
REVIEW
David B Seder, Christine Lord, David J Gagnon
The postresuscitation period after a cardiac arrest is characterized by a wide range of physiological derangements. Variations between patients include preexisting medical problems, the underlying cause of the cardiac arrest, presence or absence of hemodynamic and circulatory instability, severity of the ischemia-reperfusion injury, and resuscitation-related injuries such as pulmonary aspiration and rib or sternal fractures. Although protocols can be applied to many elements of postresuscitation care, the widely disparate clinical condition of cardiac arrest survivors requires an individualized approach that stratifies patients according to their clinical profile and targets specific treatments to patients most likely to benefit...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802957/making-time-for-quiet
#4
REVIEW
Margo Halm
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802956/education-on-patient-ventilator-synchrony-clinicians-knowledge-level-and-duration-of-mechanical-ventilation
#5
Donna Lynch-Smith, Carol Lynn Thompson, Rexann G Pickering, Jim Y Wan
BACKGROUND: Improved recognition of patient-ventilator asynchrony may reduce duration of mechanical ventilation. OBJECTIVE: To evaluate the effects of education about patient-ventilator synchrony on clinicians' level of knowledge and patients' mean duration of mechanical ventilation. METHODS: A quasi-experimental 1-group pretest-posttest study was performed in a 16-bed intensive care unit. Analysis included 33 clinicians and 97 ventilator patients...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802955/effect-of-abcde-bundle-implementation-on-prevalence-of-delirium-in-intensive-care-unit-patients
#6
Mandy Bounds, Stacey Kram, Karen Gabel Speroni, Kim Brice, Mary Anne Luschinski, Stephanie Harte, Marlon G Daniel
BACKGROUND: The ABCDE bundle incorporates multidisciplinary measures to improve and/or preserve patients' physical, functional, and neurocognitive status through awakening and breathing coordination, delirium prevention and management, and early physical mobility. OBJECTIVES: To quantify the prevalence and duration of delirium in patients in the intensive care unit (ICU) before and after implementation of the ABCDE bundle. METHODS: Delirium prevalence was defined as the percentage of patients who had at least 1 positive delirium score on the Intensive Care Delirium Screening Checklist (ICDSC) during the ICU stay; delirium duration was the number of days during the ICU stay that a positive ICDSC score was noted...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802954/differing-effects-of-fatigue-and-depression-on-hospitalizations-in-men-and-women-with-heart-failure
#7
Seongkum Heo, Jean McSweeney, Pao-Feng Tsai, Songthip Ounpraseuth
BACKGROUND: In patients with heart failure, worsening of signs and symptoms and depression can affect hospitalization and also each other, resulting in synergistic effects on hospitalizations. A patient's sex may play a role in these effects. OBJECTIVES: To determine the effects of fatigue and depression on all-cause hospitalization rates in the total sample and in subgroups of men and women. METHODS: A secondary analysis was done of data collected January 1, 2010, through December 31, 2012 (N = 582; mean age, 63...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802953/prognostic-importance-of-sleep-quality-in-patients-with-heart-failure
#8
Kyoung Suk Lee, Terry A Lennie, Seongkum Heo, Eun Kyeung Song, Debra K Moser
BACKGROUND: Poor sleep quality is common and is associated with poor quality of life and health status in patients with heart failure. However, few investigators have focused on the impact of impaired sleep quality on survival in heart failure. OBJECTIVE: To examine whether self-reported sleep quality is associated with prognosis in patients with heart failure. METHODS: The study sample consisted of 204 patients with heart failure. Sleep quality was measured with the Pittsburgh Sleep Quality Index...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802952/detection-of-posttraumatic-stress-symptoms-in-patients-after-discharge-from-intensive-care
#9
Heather Warlan, Lois Howland, Cynthia Connelly
BACKGROUND: Despite emphasis on identifying personal and clinical characteristics that place patients at higher risk for posttraumatic stress syndrome after intensive care, the extent of screening for the syndrome in intensive care patients is unknown. OBJECTIVES: To examine the feasibility and acceptability of a screening tool to detect posttraumatic stress syndrome, screen for the syndrome soon after discharge from intensive care to identify patients at risk for post-traumatic stress disorder, and determine personal and clinical factors related to higher scores on the screening instrument...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802951/communicating-to-help-patients-and-families
#10
REVIEW
Linda Bell
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802950/the-family-navigator-a-pilot-intervention-to-support-intensive-care-unit-family-surrogates
#11
Alexia M Torke, Lucia D Wocial, Shelley A Johns, Greg A Sachs, Christopher M Callahan, Gabriel T Bosslet, James E Slaven, Susan M Perkins, Susan E Hickman, Kianna Montz, Emily S Burke
BACKGROUND: Communication problems between family surrogates and intensive care unit (ICU) clinicians have been documented, but few interventions are effective. Nurses have the potential to play an expanded role in ICU communication and decision making. OBJECTIVES: To conduct a pilot randomized controlled trial of the family navigator (FN), a distinct nursing role to address family members' unmet communication needs early in an ICU stay. METHODS: An interprofessional team developed the FN protocol...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802949/clinical-nurse-participation-at-family-conferences-in-the-pediatric-intensive-care-unit
#12
Anne C Watson, Tessie W October
BACKGROUND: Clinical nurses attend family conferences in the intensive care unit, but their role during these meetings is not yet fully understood. OBJECTIVES: To assess perceived and observed contributions of the clinical nurse during family conferences. METHODS: Prospective cross-sectional survey and review of 40 audio-recorded family conferences conducted in the 44-bed pediatric intensive care unit of an urban pediatric hospital. RESULTS: Survey responses from 47 nurses were examined...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802948/using-a-decision-wheel-to-reduce-use-of-restraints-in-a-medical-surgical-intensive-care-unit
#13
Stacy Hevener, Barbara Rickabaugh, Toby Marsh
BACKGROUND: Little information is available on the use of tools in intensive care units to help nurses determine when to restrain a patient. Patients in medical-surgical intensive care units are often restrained for their safety to prevent them from removing therapeutic devices. Research indicates that restraints do not necessarily prevent injuries or removal of devices by patients. OBJECTIVES: To decrease use of restraints in a medical-surgical intensive care unit and to determine if a decision support tool is useful in helping bedside nurses determine whether or not to restrain a patient...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802947/-getting-used-to-it-helps-prevent-burnout-and-distress
#14
LETTER
Michael E Carr
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802946/-getting-used-to-it-perpetuates-a-clinical-hierarchy
#15
LETTER
Naomi R Benjamin
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802945/response
#16
LETTER
Marion Leary
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802944/improving-in-hospital-cardiac-arrest-response
#17
LETTER
Martin R Blaney
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802943/clinical-pearls
#18
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27802942/we-are-a-team-%C3%A2-with-room-for-improvement
#19
EDITORIAL
Richard H Savel, Cindy L Munro
No abstract text is available yet for this article.
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27587429/nurses-perceptions-of-pediatric-intensive-care-unit-environment-and-work-experience-after-transition-to-single-patient-rooms
#20
Sapna R Kudchadkar, M Claire Beers, Judith A Ascenzi, Ebaa Jastaniah, Naresh M Punjabi
BACKGROUND: The architectural design of the pediatric intensive care unit may play a major role in optimizing the environment to promote patients' sleep while improving stress levels and the work experience of critical care nurses. OBJECTIVES: To examine changes in nurses' perceptions of the environment of a pediatric critical care unit for promotion of patients' sleep and the nurses' work experience after a transition from multipatient rooms to single-patient rooms...
September 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
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