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Critical Care Nurse

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https://www.readbyqxmd.com/read/29858202/using-gemba-boards-to-facilitate-evidence-based-practice-in-critical-care
#1
Annette M Bourgault, Michele J Upvall, Alison Graham
BACKGROUND: Tradition-based practices lack supporting research evidence and may be harmful or ineffective. Engagement of key stakeholders is a critical step toward facilitating evidence-based practice change. Gemba , derived from Japanese, refers to the real place where work is done. Gemba boards (visual management tools) appear to be an innovative method to engage stakeholders and facilitate evidence-based practice. OBJECTIVES: To explore the use of gemba boards and gemba huddles to facilitate practice change...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858201/preventing-venous-thromboembolism-in-adults
#2
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858200/improving-the-precepting-experience-in-a-burn-intensive-care-unit
#3
Amber Thompson, Maria Gonzales, Chelsea Bair, Sarah Ayers, Heather Mountain, Ashley Wrightenberry, Catherine Nevins, Audrey Boyles, Melanie Poe, Loree Kimball, Rayna Gorisek, Linda Long, Chris Turner
No abstract text is available yet for this article.
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858199/discharging-a-patient-after-a-percutaneous-coronary-intervention
#4
REVIEW
Cynthia Webner
No abstract text is available yet for this article.
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858197/supporting-optimal-neurodevelopmental-outcomes-in-infants-and-children-with-congenital-heart-disease
#5
Jennifer K Peterson
Improved survival has led to increased recognition of developmental delays in infants and children with congenital heart disease. Risk factors for developmental delays in congenital heart disease survivors may not be modifiable; therefore, it is important that lifesaving, high-technology critical care interventions be combined with nursing interventions that are also developmentally supportive. Implementing developmental care in a pediatric cardiac intensive care unit requires change implementation strategies and widespread support from all levels of health care professionals...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858196/nurse-project-consultant-critical-care-nurses-move-beyond-the-bedside-to-affect-quality-and-safety
#6
Lynn G Mackinson, Juliann Corey, Veronica Kelly, Kristin P O'Reilly, Jennifer P Stevens, Susan Desanto-Madeya, Donna Williams, Sharon C O'Donoghue, Jane Foley
A nurse project consultant role empowered 3 critical care nurses to expand their scope of practice beyond the bedside and engage within complex health care delivery systems to reduce harms in the intensive care unit. As members of an interdisciplinary team, the nurse project consultants contributed their clinical expertise and systems knowledge to develop innovations that optimize care provided in the intensive care unit. This article discusses the formal development of and institutional support for the nurse project consultant role...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858195/new-nutrition-guidelines-promoting-enteral-nutrition-via-a-nutrition-bundle
#7
Ashleigh VanBlarcom, Mary Anne McCoy
Malnutrition in hospitals is often overlooked, underdiagnosed, and untreated. Malnourished patients have increased risk for infection and pressure injuries, longer duration of mechanical ventilation, anemia, depressed cardiac and respiratory functions, and an overall higher risk for mortality. These complications contribute to longer hospital stays and higher health care costs. The benefits of early nutritional support in hospitals may be enhanced by use of a new nutrition care bundle that addresses all aspects of nutrition assessment and intervention...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858194/improvement-of-nutritional-intake-in-intensive-care-unit-patients-via-a-nurse-led-enteral-nutrition-feeding-protocol
#8
Ira Orinovsky, Ela Raizman
BACKGROUND: Enteral nutrition in intensive care unit patients has important prognostic clinical value. Feeding protocols are recommended by clinical practice guidelines as a key strategy to maximize the benefits and minimize the risks of enteral feedings. OBJECTIVE: To examine whether enteral nutrition in critically ill patients could be improved by implementation of a nurse-led evidence-based feeding protocol. METHODS: An interprofessional group of intensive care unit nurses, physicians, and a clinical dietitian designed a protocol to address and correct the shortcomings of enteral feeding...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858193/frailty-in-critical-care-examining-implications-for-clinical-practices
#9
Jennifer A Gibson, Sarah Crowe
Frailty is an aging-related, multisystem clinical state characterized by loss of physiological reserves and diminished capacity to withstand exposure to stressors. Frailty increases the risk of serious adverse outcomes, compared with that of nonfrail people of the same age. Adverse outcomes can be severe and may include procedural complications, delirium, significant functional decline and disability, prolonged hospital length of stay, extended recovery periods, and death. As older adults make up a continually growing proportion of hospitalized patients, critical care nurses need to understand how to recognize frailty and be familiar with related clinical practice implications...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858192/making-a-connection-family-experiences-with-bedside-rounds-in-the-intensive-care-unit
#10
Shawn E Cody, Susan Sullivan-Bolyai, Patricia Reid-Ponte
BACKGROUND: The hospitalization of a family member in an intensive care unit can be stressful for the family. Family bedside rounds is a way for the care team to inform family members, answer questions, and involve them in care decisions. The experiences of family members with intensive care unit bedside rounds have been examined in few studies. OBJECTIVES: To describe (1) the experiences of family members of patients in the intensive care unit who participated in family bedside rounds (ie, view of the illness, role in future management, and long-term consequences on individual and family functioning) and (2) the experiences of families who chose not to participate in family bedside rounds and their perspectives regarding its value, their illness view, and future involvement in care...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858191/corrections
#11
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29858190/are-women-really-better-physicians-than-men-are
#12
EDITORIAL
JoAnn Grif Alspach
No abstract text is available yet for this article.
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606686/managing-alarms-in-acute-care-across-the-life-span-electrocardiography-and-pulse-oximetry
#13
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606685/en-route-critical-care-transfer-from-a-role-2-to-a-role-3-medical-treatment-facility-in-afghanistan
#14
Amanda M Staudt, Shelia C Savell, Kimberly A Biever, Jennifer D Trevino, Krystal K Valdez-Delgado, Mithun Suresh, Jennifer M Gurney, Stacy A Shackelford, Joseph K Maddry, Elizabeth A Mann-Salinas
BACKGROUND: En route care is the transfer of patients requiring combat casualty care within the US military evacuation system. No reports have been published about en route care of patients during transfer from a forward surgical facility (role 2) to a combat support hospital (role 3) for comprehensive care. OBJECTIVE: To describe patients transferred from a role 2 to a role 3 US military treatment facility in Afghanistan. METHODS: A retrospective review of data from the Joint Trauma System Role 2 Database was conducted...
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606684/en-route-care-provided-by-us-navy-nurses-in-iraq-and-afghanistan
#15
Virginia S Blackman, Benjamin D Walrath, Lauren K Reeves, Alejandra G Mora, Joseph K Maddry, Zsolt T Stockinger
BACKGROUND: US Navy nurses provide en route care for critically injured combat casualties without having a formal program for training, utilization, or evaluation. Little is known about missions supported by Navy nurses. OBJECTIVES: To characterize the number and types of patients transported and skill sets required by Navy nurses during 2 combat support deployments. METHODS: All interfacility casualty transfers between 2 separate facilities in Iraq and Afghanistan were assessed...
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606683/pulmonary-artery-central-venous-pressure-monitoring-in-adults
#16
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606681/commit-to-sit-to-improve-nurse-communication
#17
Sibil George, Shaida Rahmatinick, Jhoanna Ramos
No abstract text is available yet for this article.
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606680/addressing-workplace-violence
#18
REVIEW
Anna Dermenchyan
No abstract text is available yet for this article.
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606679/response-to-diversity
#19
Carol Ann Rauen, Sara Knippa, Lisa Blystone, Heather Roff
No abstract text is available yet for this article.
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606678/resuscitative-endovascular-balloon-occlusion-of-the-aorta-a-bridge-to-flight-survival
#20
Carl Goforth, Matthew Bradley, Benilani Pineda, Suzanne See, Jason Pasley
Trauma endures as the leading cause of death worldwide, and most deaths occur in the first 24 hours after initial injury as a result of hemorrhage. Historically, about 90% of battlefield deaths occur before the injured person arrives at a theater hospital, and most are due to noncompressible hemorrhage of the torso. Resuscitative endovascular balloon occlusion of the aorta is an evolving technique to quickly place a balloon into the thoracic or abdominal aorta to efficiently block blood flow to distal circulation...
April 2018: Critical Care Nurse
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