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Dimensions of Critical Care Nursing: DCCN

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https://www.readbyqxmd.com/read/28570382/critical-care-nurses-suggestions-to-improve-end-of-life-care-obstacles-minimal-change-over-17-years
#1
Renea L Beckstrand, Kacie Hart Hadley, Karlen E Luthy, Janelle L B Macintosh
BACKGROUND: Critical-care nurses (CCNs) provide end-of-life (EOL) care on a daily basis as 1 in 5 patients dies while in intensive care units. Critical-care nurses overcome many obstacles to perform quality EOL care for dying patients. OBJECTIVES: The purposes of this study were to collect CCNs' current suggestions for improving EOL care and determine if EOL care obstacles have changed by comparing results to data gathered in 1998. METHODS: A 72-item questionnaire regarding EOL care perceptions was mailed to a national, geographically dispersed, random sample of 2000 members of the American Association of Critical-Care Nurses...
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28570380/rigor-or-reliability-and-validity-in-qualitative-research-perspectives-strategies-reconceptualization-and-recommendations
#2
Brigitte S Cypress
Issues are still raised even now in the 21st century by the persistent concern with achieving rigor in qualitative research. There is also a continuing debate about the analogous terms reliability and validity in naturalistic inquiries as opposed to quantitative investigations. This article presents the concept of rigor in qualitative research using a phenomenological study as an exemplar to further illustrate the process. Elaborating on epistemological and theoretical conceptualizations by Lincoln and Guba, strategies congruent with qualitative perspective for ensuring validity to establish the credibility of the study are described...
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28570379/promoting-evidence-based-practice-at-a-primary-stroke-center-a-nurse-education-strategy
#3
Christina Anne Case
BACKGROUND: Promoting a culture of evidence-based practice within a health care facility is a priority for health care leaders and nursing professionals; however, tangible methods to promote translation of evidence to bedside practice are lacking. OBJECTIVES: The purpose of this quality improvement project was to design and implement a nursing education intervention demonstrating to the bedside nurse how current evidence-based guidelines are used when creating standardized stroke order sets at a primary stroke center, thereby increasing confidence in the use of standardized order sets at the point of care and supporting evidence-based culture within the health care facility...
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28570377/part-i-the-effects-of-music-for-the-symptom-management-of-anxiety-pain-and-insomnia-in-critically-ill-patients-an-integrative-review-of-current-literature
#4
Naheed Meghani, Mary Fran Tracy, Niloufar Niakosari Hadidi, Ruth Lindquist
Critical care environments are known for provoking anxiety, pain, and sleeplessness. Often, these symptoms are attributed to patients' underlying physiological conditions; life-sustaining or life-prolonging treatments such as ventilators, invasive procedures, tubes, and monitoring lines; and noise and the fast-paced technological nature of the critical care environment. This, in turn, possibly increases length of stay and morbidity and challenges the recovery and healing of critically ill patients. Complementary therapies can be used as adjunctive therapies alongside pharmacological interventions and modalities...
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28570376/research-use-of-nurses-working-in-the-critical-care-units-barriers-and-facilitators
#5
Issa M Hweidi, Loai Issa Tawalbeh, Musa A Al-Hassan, Razan M Alayadeh, Ahmed Mohammad Al-Smadi
BACKGROUND: There is a distinct gap between theory and practice with respect to research use in clinical practice, particularly in critical care units, that could be related to the presence of a number of barriers that hinder the use of research findings. AIMS: The aims of the study were to identify barriers and facilitators to research use as perceived by Jordanian nurses in critical care units and to examine the predictors of research use among those nurses. METHODS: The study used a cross-sectional, correlational design...
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28570375/dccn-welcomes-kelly-a-powers-phd-rn-cne-to-2017-editorial-board
#6
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375999/the-conversation-project-a-reminder-for-critical-care-nurses
#7
Vickie A Miracle
For the past several years, there has been much talk and published about "The Conversation Project." This is an effort to inform people about their options and wishes toward end of life. In this article, a brief review of this project will be presented, as well as tips to get started and my experience in caring for 4 aging parents and determining their desires for end-of-life care.
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375998/exploring-the-philosophical-paradigmatic-conceptual-theoretical-underpinnings-of-qualitative-research-a-focus-on-a-phenomenological-study-in-intensive-care-unit
#8
Brigitte S Cypress
Qualitative research has become more accepted as a legitimate mode of inquiry in the social and behavioral sciences for many years but not without controversy and confusion even now in the 21st century. The procedures for conducting a qualitative research study evolve from a philosophical, paradigmatic, and interpretive frameworks. These are the aspects of a naturalistic inquiry where inconsistency is evident related to its complexity. The purpose of this article is to describe qualitative methods focusing on these aspects that included phenomenology to set the stage for discussion and using a phenomenological study as an exemplar to further illustrate the process...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375997/patients-and-families-satisfaction-with-visiting-policies-in-cardiac-intensive-care-units
#9
Shiva Khaleghparast, Soodabeh Joolaee, Majid Maleki, Hamid Peyrovi, Behrooz Ghanbari, Naser Bahrani
BACKGROUND: Families play a vital role in the recovery of patients admitted to intensive care units. They can help patients to adapt themselves to the crisis and feel more satisfied. OBJECTIVE: In this study, we examined the patients' and families' satisfaction with the current visiting policies in cardiac intensive care units in the largest Cardiovascular Medical and Research Center of Iran. METHOD: This research used a cross-sectional descriptive design...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375996/listening-to-how-experienced-nurses-care-for-the-dying-husband-and-his-spouse
#10
Lana McLouth Kanacki, Betty Wehtje Winslow
BACKGROUND: Although most nurses in critical care settings provide nursing care for marital couples when 1 of the partners is dying, this is a relatively new area of research. OBJECTIVE: The aim of this study is to describe the nature of nursing care provided for marital couples in the critical care unit when the husbands were dying. METHOD: A qualitative interpretive description was used to construct this study. Data were collected by conducting semistructured individual interviews with 15 experienced critical care nurses in quiet conference rooms...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375995/management-of-postoperative-fever-in-adult-cardiac-surgical-patients
#11
Susan K O'Mara
Postoperative fever after cardiac surgery is a common occurrence. Most fevers are benign and self-limiting resulting from inflammation caused by surgical trauma and blood contact with cardiopulmonary bypass circuit resulting in the release of cytokines. Only a small percentage of time is postoperative fever due to an infection complicating surgery. The presence of fever frequently triggers a battery of diagnostic tests that are costly, could expose the patient to unnecessary risks, and can produce misleading or inconclusive results...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375994/translating-research-to-practice-providing-critically-ill-children-the-opportunity-to-go-home-or-to-hospice-for-end-of-life-care
#12
Harriett Nelson, Sandra Mott
BACKGROUND: A freestanding quaternary pediatric hospital in New England has been facilitating parents' requests to take their child home or to a hospice facility from an Intensive Care Unit at end of life for the withdrawal of life sustaining measures for the past 16 years. However, knowledge of the aftermath of this decision was very limited. Before responding to a growing interest in making this service more available, an exploratory study was done to learn about the parents' perceptions of the experience over time...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375992/pain-agitation-and-delirium-guidelines-interprofessional-perspectives-to-translate-the-evidence
#13
Juliane Jablonski, Jaime Gray, Todd Miano, Gretchen Redline, Heather Teufel, Tara Collins, Jose Pascual-Lopez, Martha Sylvia, Niels D Martin
BACKGROUND: Societal guidelines exist for the management of pain, agitation, and delirium (PAD) in critically ill patients. This contemporary practice aims for a more awake and interactive patient. Institutions are challenged to translate the interrelated multivariable concepts of PAD into daily clinical practice and to demonstrate improvement in quality outcomes. An interdisciplinary goal-directed approach shows outcomes in high-acuity surgical critical care during the early stages of implementation...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375991/implementing-family-meetings-into-a-respiratory-care-unit-a-care-and-communication-quality-improvement-project
#14
Vicki Loeslie, Ma Sunnimpha Abcejo, Claudia Anderson, Emily Leibenguth, Cathy Mielke, Jeffrey Rabatin
BACKGROUND: Substantial evidence in critical care literature identifies a lack of quality and quantity of communication between patients, families, and clinicians while in the intensive care unit. Barriers include time, multiple caregivers, communication skills, culture, language, stress, and optimal meeting space. For patients who are chronically critically ill, the need for a structured method of communication is paramount for discussion of goals of care. OBJECTIVE: The objective of this quality improvement project was to identify barriers to communication, then develop, implement, and evaluate a process for semistructured family meetings in a 9-bed respiratory care unit...
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375990/2017-guide-to-nursing-certification-boards
#15
Lisa Morris Bonsall, Myrna Buiser Schnur, Cara Deming, Kim Fryling-Resare, Robert Maroldo
Nursing specialty certification is one way to enhance your professional development and to exhibit dedication to high-quality, safe patient care and a commitment of excellence to your organization. Use this resource to explore your options and contact the certifying body that meets your needs.
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28375989/vaccine-safety-evidence-based-research-must-prevail
#16
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28151792/tips-for-submitting-a-manuscript-to-dccn
#17
Kathleen Ahern Gould
No abstract text is available yet for this article.
March 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28151791/educational-interventions-to-improve-support-for-family-presence-during-resuscitation-a-systematic-review-of-the-literature
#18
Kelly A Powers
BACKGROUND: Family presence during resuscitation (FPDR) remains controversial among nurses. Individual studies have shown educational interventions can improve support for FPDR; however, a systematic review of the literature has not been performed to appraise and synthesize the evidence. OBJECTIVES: The aim of this systematic review was to appraise and synthesize studies conducted to test the effect of education on nurses' and providers' support for FPDR. METHODS: Electronic searches of CINAHL, MEDLINE, and PubMed were performed...
March 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28151790/management-of-opioid-and-sedative-weaning-in-pediatric-congenital-heart-disease-patients-assessing-the-state-of-practice
#19
Caitlin O'Connell, Sonja Ziniel, Lauren Hartwell, Jean Connor
BACKGROUND: Opioid and sedative medications are commonly used to treat pediatric patients with congenital heart disease; however, their use is not without adverse effects. Symptoms of withdrawal can occur if the medications are discontinued abruptly or weaned too quickly. OBJECTIVE: The aim of this study was to understand and describe the current management of opioid and sedative weaning in pediatric congenital heart disease patients in freestanding children's hospitals across the United States...
March 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28151789/creating-a-sacred-space-in-the-intensive-care-unit-at-the-end-of-life
#20
Ann L Fournier
Improving care at the end of life is a health priority. At least one-third of deaths in the United States occur in the hospital; nearly half of the Americans who die in the hospital will have spent time in the intensive care unit during the last 3 days of life. Critically ill patients and their families identify significant unmet spiritual, environmental, and communication needs. Although the Society of Critical Care Medicine recommends that the spiritual needs of critically ill patients be addressed by the health care team and be incorporated in patients' plans of care, spiritual concerns are infrequently addressed during goals-of-care discussions...
March 2017: Dimensions of Critical Care Nursing: DCCN
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