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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/29961671/validation-of-displayed-electrocardiographic-rhythms-at-the-central-monitoring-station
#1
Michele M Pelter, Teri M Kozik, Salah S Al-Zaiti, Mary G Carey
No abstract text is available yet for this article.
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961670/skin-impact-of-alcohol-based-hand-rubs-vs-handwashing
#2
REVIEW
Margo Halm, Kristin Sandau
No abstract text is available yet for this article.
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961669/postoperative-bedside-critical-care-of-thoracic-surgery-patients
#3
Jennifer Grondell, Charlotte Holleran, Esther Mintz, Ory Wiesel
No abstract text is available yet for this article.
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961668/disinfection-of-blood-pressure-cuffs-and-electrocardiographic-telemetry-leads-with-0-5-hydrogen-peroxide-wipes
#4
Riley Risteen, Susan Cohen, Lauren Mooney, Erika Giovanniello, Gerald B Miley, Brian L Hollenbeck
BACKGROUND: Disinfection of frequently touched surfaces in the hospital is critical for providing safe care. Because of their complex intricate surfaces, blood pressure cuffs and electrocardiographic telemetry leads may be harder than other equipment to disinfect. OBJECTIVE: To determine the effectiveness of 0.5% hydrogen peroxide wipes in cleaning and disinfecting inpatient hospital surfaces, including hook and loop (Velcro) fasteners of blood pressure cuffs and electrocardiographic telemetry leads...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961667/family-members-experiences-with-bereavement-in-the-intensive-care-unit
#5
Casey Jones, Kathleen Puntillo, Doranne Donesky, Jennifer L McAdam
BACKGROUND: Losing a loved one in the intensive care unit can be challenging for families. Providing bereavement support may assist in the grieving process. OBJECTIVE: To describe family members' experiences with bereavement after the death of a loved one in the intensive care unit. METHODS: This secondary analysis used an exploratory, descriptive design to study family members' experiences with bereavement. Family members of patients from 2 intensive care units in a tertiary medical center in the western United States participated...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961666/collecting-nursing-research-data-24-hours-a-day-challenges-lessons-and-recommendations
#6
Mary Lou Sole, Steven Talbert, Melody Bennett, Aurea Middleton, Lara Deaton, Daleen Penoyer
BACKGROUND: Research on many routine nursing interventions requires data collection around the clock each day (24/7). Strategies for implementing and coordinating a study 24/7 are not discussed in the literature, and best practices are needed. OBJECTIVE: To identify strategies incorporated into implementing a nursing intervention trial 24/7, including key lessons learned. METHODS: Strategies to facilitate implementation of a clinical trial of a nursing intervention with patients undergoing mechanical ventilation are shared...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961665/relationships-among-palliative-care-ethical-climate-empowerment-and-moral-distress-in-intensive-care-unit-nurses
#7
Krista Wolcott Altaker, Jill Howie-Esquivel, Janine K Cataldo
BACKGROUND: Intensive care unit nurses experience moral distress when they feel unable to deliver ethically appropriate care to patients. Moral distress is associated with nurse burnout and patient care avoidance. OBJECTIVES: To evaluate relationships among moral distress, empowerment, ethical climate, and access to palliative care in the intensive care unit. METHODS: Intensive care unit nurses in a national database were recruited to complete an online survey based on the Moral Distress Scale-Revised, Psychological Empowerment Index, Hospital Ethical Climate Survey, and a palliative care delivery questionnaire...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961664/derivation-of-a-piro-score-for-prediction-of-mortality-in-surgical-patients-with-intra-abdominal-sepsis
#8
Juan G Posadas-Calleja, Henry T Stelfox, Andre Ferland, Danny J Zuege, Daniel J Niven, Luc Berthiaume, Christopher James Doig
BACKGROUND: Mortality in patients with intra-abdominal sepsis remains high. Recognition and classification of patients with sepsis are challenging; about 70% of critical care specialists find the existing definitions confusing and not clinically useful. OBJECTIVE: To assess the usefulness of the predisposition, infection/injury, response, organ dysfunction (PIRO) concept in surgical intensive care patients with severe sepsis or septic shock due to an intra-abdominal source...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961663/correlation-between-mminds-and-ciwa-ar-scoring-tools-in-patients-with-alcohol-withdrawal-syndrome
#9
Audrey J Littlefield, Mojdeh S Heavner, Claire C Eng, Dawn A Cooper, Jason J Heavner, Jeanette M Kurtz, Margaret A Pisani
BACKGROUND: Many alcohol withdrawal scoring tools are used in hospitalized patients to assess the severity of alcohol withdrawal and guide treatment. The revised Clinical Institute Withdrawal Assessment (CIWA-Ar) and the modified Minnesota Detoxification Scale (mMINDS) are commonly used but have never been correlated. OBJECTIVE: To determine the strength of correlation between the CIWA-Ar and mMINDS scoring tools in patients with alcohol withdrawal syndrome. METHODS: A single-center, prospective correlation study conducted at a large academic medical center...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961662/using-patient-assessment-tools
#10
REVIEW
Linda Bell
No abstract text is available yet for this article.
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961661/educational-intervention-to-improve-delirium-recognition-by-nurses
#11
Cheri S Blevins, Regina DeGennaro
BACKGROUND: Delirium poses increased morbidity and mortality risks for hospitalized patients. Underrecognition by health care providers contributes to poor outcomes for patients. Little has been published about methods used to teach health care providers how to screen for delirium using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). OBJECTIVE: To evaluate the effectiveness of a multimodal educational intervention for nurses in the medical intensive care unit to improve their knowledge and skills regarding delirium and delirium recognition...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961660/ensuring-breathing-comfort-at-the-end-of-life-the-integral-role-of-the-critical-care-nurse
#12
Margaret L Campbell
This article describes the author's program of clinical research focused on assessment and treatment of respiratory distress among critically ill patients at the end of life. Dyspnea is a subjective experience of breathing discomfort that occurs in the presence of cardiopulmonary and neuromuscular diseases. Dyspnea is one of the most common and most distressing symptoms experienced by critically ill patients. Many critically ill patients, particularly those not expected to survive, become cognitively impaired or unconscious and lose the ability to report symptoms, although dyspnea can be known only from a patient's report...
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961659/clinical-pearls
#13
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29961658/the-health-of-our-health-care-system
#14
EDITORIAL
Richard H Savel, Cindy L Munro
No abstract text is available yet for this article.
July 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716914/2018-national-teaching-institute-research-abstracts
#15
(no author information available yet)
No abstract text is available yet for this article.
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716913/the-value-of-lead-avr-a-frequently-neglected-lead
#16
Salah S Al-Zaiti, Teri M Kozik, Michele M Pelter, Mary G Carey
No abstract text is available yet for this article.
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716912/effect-of-dynamic-light-application-on-cognitive-performance-and-well-being-of-intensive-care-nurses
#17
EDITORIAL
Koen S Simons, Enzio R K Boeijen, Marlies C Mertens, Paul Rood, Cornelis P C de Jager, Mark van den Boogaard
BACKGROUND: Exposure to bright light has alerting effects. In nurses, alertness may be decreased because of shift work and high work pressure, potentially reducing work performance and increasing the risk for medical errors. OBJECTIVES: To determine whether high-intensity dynamic light improves cognitive performance, self-reported depressive signs and symptoms, fatigue, alertness, and well-being in intensive care unit nurses. METHODS: In a single-center crossover study in an intensive care unit of a teaching hospital in the Netherlands, 10 registered nurses were randomly divided into 2 groups...
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716911/early-warning-score-communication-bundle-a-pilot-study
#18
EDITORIAL
Cheryl Gagne, Susan Fetzer
BACKGROUND: Unplanned admissions of patients to intensive care units from medical-surgical units often result from failure to recognize clinical deterioration. The early warning score is a clinical decision support tool for nurse surveillance but must be communicated to nurses and implemented appropriately. A communication process including collaboration with experienced intensive care unit nurses may reduce unplanned transfers. OBJECTIVE: To determine the impact of an early warning score communication bundle on medical-surgical transfers to the intensive care unit, rapid response team calls, and morbidity of patients upon intensive care unit transfer...
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716910/noninvasive-blood-pressure-monitoring-and-prediction-of-fluid-responsiveness-to-passive-leg-raising
#19
Joya D Pickett, Elizabeth Bridges, Patricia A Kritek, JoAnne D Whitney
BACKGROUND: Intravenous fluid boluses are administered to patients in shock to improve tissue hypoperfusion. However, fluid boluses result in clinically significant stroke volume increases in only about 50% of patients. Hemodynamic responses to passive leg raising measured with invasive and minimally invasive methods are accurate predictors of fluid responsiveness. However, few studies have used noninvasive blood pressure measurement to evaluate responses to passive leg raising. OBJECTIVE: To determine if passive leg raising-induced increases in pulse pressure or systolic blood pressure can be used to predict clinically significant increases in stroke volume index in healthy volunteers...
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716909/survival-of-patients-with-severe-acute-respiratory-distress-syndrome-treated-without-extracorporeal-membrane-oxygenation
#20
Sarina K Sahetya, Roy G Brower, R Scott Stephens
BACKGROUND: Case series have reported favorable outcomes with extracorporeal membrane oxygenation (ECMO) in patients with severe acute respiratory distress syndrome. However, those patients were generally young, with few comorbid conditions. OBJECTIVE: To characterize the clinical features and survival rates of patients with severe acute respiratory distress syndrome who met criteria for ECMO but were managed without it. METHODS: Patients who met the study criteria were identified prospectively...
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
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