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Dimensions of Critical Care Nursing: DCCN

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https://www.readbyqxmd.com/read/29596297/innovation-in-clinical-practice-a-preliminary-study-on-delirium-assessment-in-intensive-care-unit-using-an-application-for-smartphone
#1
Gian Domenico Giusti, Marco Proietti Righi, Stefano Bambi
No abstract text is available yet for this article.
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596296/increasing-access-to-palliative-care-services-in-the-intensive-care-unit
#2
Caitlin Marie McCarroll
BACKGROUND: The Institute of Medicine's report, Dying in America, highlights the critical need for the widespread implementation of palliative care to improve end-of-life care. Approximately 20% of all deaths in America occur during or shortly after an intensive care unit (ICU) admission; therefore, it is important for critical care units to have systems in place to facilitate patient access to palliative care services. OBJECTIVES: The aim of this quality improvement (QI) project was to develop and implement a palliative care screening tool using evidence-based triggers to help increase the proportion of palliative care consultations in the ICU setting...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596294/family-presence-during-resuscitation-physicians-perceptions-of-risk-benefit-and-self-confidence
#3
Renee Samples Twibell, Debra Siela, Alexis Neal, Cheryl Riwitis, Heather Beane
BACKGROUND: Families often desire proximity to loved ones during life-threatening resuscitations and perceive clear benefits to being present. However, critical care nurses and physicians perceive risks and benefits. Whereas research is accumulating on nurses' perceptions of family presence, physicians' perspectives have not been clearly explicated. Psychometrically sound measures of physicians' perceptions are needed to create new knowledge and enhance collaboration among critical care nurses and physicians during resuscitation events...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596292/informing-leadership-models-nursing-and-organizational-characteristics-of-neonatal-intensive-care-units-in-freestanding-children-s-hospitals
#4
Cheryl A Toole, Michele DeGrazia, Jean Anne Connor, Kimberlee Gauvreau, Hillary Bishop Kuzdeba, Patricia A Hickey
BACKGROUND: Neonatal intensive care units (NICUs) located in freestanding children's hospitals may exhibit significant variation in nursing and organizational characteristics, which can serve as opportunities for collaboration to understand optimal staffing models and linkages to patient outcomes. OBJECTIVES: Adopting methods used by Hickey et al in pediatric cardiovascular critical care, the purpose of this study was to provide a foundational description of the nursing and organizational characteristics for NICUs located in freestanding children's hospitals in the United States...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596291/interprofessional-simulations-promote-knowledge-retention-and-enhance-perceptions-of-teamwork-skills-in-a-surgical-trauma-burn-intensive-care-unit-setting
#5
Katie L George, Beth Quatrara
BACKGROUND: The current state of health care encompasses highly acute, complex patients, managed with ever-changing technology. The ability to function proficiently in critical care relies on knowledge, technical skills, and interprofessional teamwork. Integration of these factors can improve patient outcomes. Simulation provides "hands-on" practice and allows for the integration of teamwork into knowledge/skill training. However, simulation can require a significant investment of time, effort, and financial resources...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596290/use-of-recruitment-maneuvers-in-patients-with-acute-respiratory-distress-syndrome
#6
Angela Nguyen
Acute respiratory distress syndrome (ARDS) is a deadly complication in critically ill patients that causes significant morbidity and mortality. Patients with ARDS are seen across intensive care unit settings, with treatment being largely supportive involving techniques through mechanical ventilation. Using low-tidal-volume ventilation is a standard of practice for patients with ARDS, as a lung protection strategy; however, alveolar decruitment may occur. Recruitment maneuvers can recruit collapsed alveoli and promote oxygenation...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596289/identification-and-management-of-acute-cardiac-tamponade
#7
Nancy L York, Christy Kane, Carol S Smith
Although incidence is rare, acute cardiac tamponade (CT) is a cardiovascular condition often resulting in a high mortality rate. In acute CT, rapid accumulation of fluid occurs in the pericardial sac and prevents the heart's chambers from adequately filling with blood, leading to reduced diastolic filling, diminished stroke volumes, and subsequent hemodynamic instability. Health care providers should be aware of at-risk patients and the earliest signs and symptoms because an acute CT is considered a medical emergency...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596288/management-of-intracranial-pressure-part-i-pharmacologic-interventions
#8
Tara L Sacco, Samantha A Delibert
Dangerous, sustained elevation in intracranial pressure (ICP) is a risk for any patient following severe brain injury. Intracranial pressure elevations that do not respond to initial management are considered refractory to treatment, or rICP. Patients are at significant risk of secondary brain injury and permanent loss of function resulting from rICP. Both nonpharmacologic and pharmacologic interventions are utilized to intervene when a patient experiences either elevation in ICP or rICP. In part 1 of this 2-part series, pharmacologic interventions are discussed...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29596287/moments-finding-passion-and-purpose
#9
Kathleen Ahern Gould
No abstract text is available yet for this article.
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381507/millennial-loyalty-are-you-capturing-a-highly-relevant-generational-cohort
#10
Jennifer Volland
No abstract text is available yet for this article.
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381506/building-connections-with-patients-and-families-in-the-intensive-care-unit-a-canadian-top-performer-success-story
#11
Debbie Matchett, Michel Haddad, Jennifer Volland
Consumers are increasingly becoming the voice and impetus for hospital organizational change in the United States. This is in part due to their increased stake in cost sharing with hospitals, health systems, and the ambulatory setting and revisions to health plans with higher deductibles and copays. With customers wanting services better, faster, and more economical than in the past, organizations need to break the ceiling on improvement levels for exceeding expectations of patient experience. Of interest is the hospital critical care area, because of the heightened patient needs, support, and resources that are required in this acute setting...
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381505/evaluating-sleep-in-a-surgical-trauma-burn-intensive-care-unit-an-elusive-dilemma
#12
Laura Longley, Theresa Simons, Luella Glanzer, Claire Du, Heather Trinks, Lisa Letzkus, Beth Quatrara
BACKGROUND: Evidence points to the adverse effects of sleep deprivation on a person's health. Despite decades of attention to the issue, patients, particularly those in the intensive care unit (ICU), continue to suffer. OBJECTIVE: The purpose of this pilot study was to examine patients' perceptions of their sleep experience in the surgical trauma burn ICU and identify contributing factors. METHODOLOGY: Patients were administered the 6-question Richards-Campbell Sleep Questionnaire (RCSQ) consisting of a 0- to 100-mm scale, with a low score indicating poor sleep quality...
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381504/reducing-anxiety-and-improving-engagement-in-health-care-providers-through-an-auricular-acupuncture-intervention
#13
Teresa M Buchanan, Patricia M Reilly, Carol Vafides, Patricia Dykes
BACKGROUND: Stress and anxiety are experienced by health care providers as a consequence of caregiving and may result in physical, emotional, and psychological outcomes that negatively impact work engagement. AIM: The purpose of this study was to determine whether auricular acupuncture can reduce provider anxiety and improve work engagement. METHODS: Study participants received 5 auricular acupuncture sessions within a 16-week period utilizing the National Acupuncture Detoxification Association protocol for treating emotional trauma...
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381502/the-effect-of-cardiac-education-on-knowledge-and-self-care-behaviors-among-patients-with-heart-failure
#14
Loai Issa Tawalbeh
BACKGROUND: No studies have been conducted in Jordan to examine the effect of cardiac education on knowledge and self-care behaviors among patients with heart failure in Jordan. PURPOSE: The purpose of this study was to examine the effect of a cardiac educational program on knowledge and self-care behaviors among patients with heart failure. METHOD: A quasi-experimental pretest/posttest design was used. A convenient sample of 127 patients with heart failure was recruited...
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381501/using-critical-care-simulations-to-prepare-nursing-students-for-capstone-clinical-experiences
#15
Benjamin Smallheer, Jennifer Hunt, Judson Smith
The purpose of this innovative learning strategy was to decrease students' fear and anxiety within the critical care environment before the initiation of a critical care capstone clinical experience by enhancing their familiarity of the critical care environment through deliberate practice and experiential learning. This will in turn increase student knowledge and competence in the critical care setting.Critical care units are often used during a capstone clinical experience to enhance critical thinking and clinical reasoning...
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381500/pregnancy-related-coronary-artery-dissection-recognition-of-a-life-threatening-process
#16
Julie R Robinson
Pregnancy-related spontaneous coronary artery dissection (P-SCAD) is a rare but life-threatening condition of the peripartum and postpartum mother. The gold standard of diagnosing P-SCAD is a left cardiac catheterization; however, this diagnostic tool may not be used early because myocardial infarction is not typically a top differential diagnosis for women and especially young pregnant women presenting with acute chest pain. Providers and registered nurses, particularly those in the prehospital setting, the emergency department, and labor and delivery units, should be aware of signs, symptoms, potential risk factors, and diagnostic results that could indicate P-SCAD and initiate early and appropriate treatment to improve maternal outcomes...
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381499/the-care-act-identifying-and-supporting-family-caregivers-from-hospitals-to-home
#17
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29194174/the-effects-of-endotracheal-suctioning-in-the-pediatric-population-an-integrative-review
#18
Anna C Fisk
BACKGROUND: Critically ill pediatric patients with endotracheal tubes routinely receive endotracheal tube suctioning to clear secretions and ensure tube patency. This common practice can result in adverse effects. OBJECTIVES: The aim of this study was to evaluate the research literature on the stressors of endotracheal suctioning and consequent effect on the pediatric patient. METHODS: An integrative review was conducted using the Whittemore and Knafl modified framework for integrative reviews, and article selection was guided by the Preferred Reporting Items for Systematic Reviews and Meta-analyses flow diagram...
January 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29194173/unit-level-changes-in-central-line-associated-bloodstream-infection-before-and-after-implementation-of-the-affordable-care-act-and-mandatory-reporting-legislation
#19
Benjamin C Woodward, Reba A Umberger
BACKGROUND: Central line-associated bloodstream infection (CLABSI) prevention efforts have increased over the past decade because of implications of the Affordable Care Act and mandatory reporting laws. These legislative measures allow for reduced reimbursement to hospitals with high level of CLABSIs and other health care-associated infections. OBJECTIVE: The aim of this study was to explore the impact of legislation and mandatory reporting on CLABSI rates and reporting...
January 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29194171/improving-the-accuracy-of-delirium-assessments-in-neuroscience-patients-scaling-a-quality-improvement-program-to-improve-nurses-skill-compliance-and-accuracy-in-the-use-of-the-confusion-assessment-method-in-the-intensive-care-unit-tool
#20
Justin DiLibero, Susan DeSanto-Madeya, Rachael Dottery, Lauren Sullivan, Sharon C O'Donoghue
BACKGROUND: Delirium affects up to 80% of critically ill patients; however, many cases of delirium go unrecognized because of inaccurate assessments. The effectiveness of interventions to improve assessment accuracy among the general population has been established, but assessments among neuroscience patients are uniquely complicated due to the presence of structural neurologic changes. OBJECTIVES: The purposes of this quality improvement project were to improve the accuracy of nurse's delirium assessments among neuroscience patients and to determine the comparative effectiveness of the intervention between medical and neuroscience patients...
January 2018: Dimensions of Critical Care Nursing: DCCN
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