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Critical Care Nursing Quarterly

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https://www.readbyqxmd.com/read/28240700/factors-influencing-weaning-older-adults-from-mechanical-ventilation-an-integrative-review
#1
REVIEW
Karen V Stieff, Fidelindo Lim, Leon Chen
This study aim was to describe the influences that affect weaning from mechanical ventilation among older adults in the intensive care unit (ICU). Adults older than 65 years comprised only 14.5% of the US population in 2014; however, they accounted up to 45% of all ICU admissions. As this population grows, the number of ICU admissions is expected to increase. One of the most common procedures for hospitalized adults 75 years and older is mechanical ventilation. An integrative review methodology was applied to analyze and synthesize primary research reports...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240699/central-venous-access-the-missed-patient-safety-goal
#2
Matthew Herring
Hospital-acquired conditions are conditions that never should happen to a patient while in the care of physicians, nurses, and the health care facility. Central line-associated bloodstream infections plague the nation's health care facilities. With increasing rates of infections being reported during hospitalization, hospital-acquired conditions, namely, infections, and more specifically central line-associated bloodstream infections, are now at the top of patient safety concerns and impact organization's reimbursement...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240698/simple-strategies-for-surviving-the-night-shift
#3
Laura Crooks
Without a doubt, working nights is stressful and can wreak havoc on your physical, mental, and emotional health. It is like fitting a square peg into a round hole; you are living on a schedule opposite from most of the world. Your internal rhythms are disrupted socially and biologically when you work nights. But it does not have to be as disruptive as we let it be. There are lifestyle strategies to better manage working nights; some are mental approaches and some are physical or behavioral tactics.
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240697/improving-nurse-satisfaction-with-open-visitation-in-an-adult-intensive-care-unit
#4
Elizabeth Kozub, Stephanie Scheler, Gloria Necoechea, Noeleen O╩╝Byrne
The focus on patient- and family-centered care (PFCC) has become increasingly prevalent throughout health care. In the intensive care unit (ICU), family involvement becomes critical, as patients are often unable to fully engage in their care. After expanding family visitation to 24 hours, nurses in a surgical ICU perceived that they did not have the ability to tailor the visitation to meet the patient's condition and there was an opportunity to improve nurse satisfaction related to PFCC. The objective of this performance improvement project was to increase nurse satisfaction related to PFCC and create consistency across clinicians for visitation practices...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240696/implementing-iround-a-computer-based-auditing-tool
#5
Darcie Brady
Many hospitals use rounding or auditing as a tool to help identify gaps and needs in quality and process performance. Some hospitals are also using rounding to help improve patient experience. It is known that purposeful rounding helps improve Hospital Consumer Assessment of Healthcare Providers and Systems scores by helping manage patient expectations, provide service recovery, and recognize quality caregivers. Rounding works when a standard method is used across the facility, where data are comparable and trustworthy...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240695/an-analysis-of-the-prevalence-of-depression-post-myocardial-infarction
#6
Jessica L DiSante, Angela Macci Bires, Thomas W Cline, Kristen Waterstram-Rich
Coronary artery disease (CAD) is the leading cause of death in the United States. The World Bank and the World Health Organization predict that depression and coronary heart disease will be the largest causes of global health burden and disability by the year 2020. Studies have demonstrated that patients with CAD experience depression at a higher rate than the general population. Because of this connection, it is critical to recognize depression and manage depression effectively for people with CAD. Studies have also provided evidence that identifying and treating depression in patients early after a myocardial infarction improve clinical outcomes...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240694/improving-clinical-outcomes-for-patients-with-class-iii-heart-failure
#7
Melissa Shapiro, Angela Macci Bires, Kristen Waterstram-Rich, Thomas W Cline
Heart failure (HF) is a serious medical problem in the United States and is placing a financial strain on the health care system. It is the leading cause of mortality and as the overall incidence continues to increase, so does the economic impact on the health care system. Innovative treatment options, in the form of disease management programs and implantable cardiac devices, such as the CorVue capable implantable cardioverter defibrillator (ICD) pacemaker, offer the promise of an enhanced quality of life and reduced mortality...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240693/clinical-simulation-learning-in-critical-care
#8
Kerstin Hudgins
Nurses are expected to master many skills, especially in critical care; thus, competency is crucial. Clinical educators must determine whether nurses who are new to the skill set have attained an acceptable level of achievement in performance; hence, are they capable of providing quality and safe patient care? Simulation learning is used in the hospital setting and largely in academic centers. Strategies include for the instructor to acquire an aspect of abilities and deficits as a basis upon which to create learning experiences that enable nurses to develop essential clinical competence...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240692/preparing-the-family-and-children-for-surgery
#9
Ahmad Yahya Al-Sagarat, Haytham Mohammad Al-Oran, Hala Obeidat, Adlah Mohammad Hamlan, Lorna Moxham
The focus of this literature analysis is the concept of preparing the family and children for surgery. As posited in the literature, surgery causes stress and anxiety that have a negative impact on both parents and their children. Therefore, the need for health care professionals to facilitate positive preparation for surgery to minimize anxiety and enhance postoperative recovery is important. Preparing the family and children for surgery is discussed in depth under the following themes: Preoperative Anxiety in Children, the Impact of Preoperative Anxiety on the Pediatric Patients and Parents, Preoperative Psychological Preparation for Children and Parents, and the Role of Nurse Practitioners in Preoperative Preparation...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240691/nurses-error-management-in-critical-care-units-a-qualitative-study
#10
Alireza Nikbakht Nasrabadi, Hamid Peyrovi, Sina Valiee
Nursing errors are common in critical care units, and nurses are in the first line of confrontation. The purpose of this study was to explore the processes of managing nursing errors in critical care units in Iran and to develop a theoretical explanation of the phenomenon. This was a grounded theory study. We recruited a sample of 18 critical care nurses for the study. The sampling method was purposive and then changed to theoretical. The data were collected through in-depth interviews. For data analysis, we employed the constant comparative analysis technique...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240690/foreword
#11
Darcie M Brady, Patricia Fox
No abstract text is available yet for this article.
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893511/continuous-infusion-antiepileptic-medications-for-refractory-status-epilepticus-a-review-for-nurses
#12
REVIEW
Adam L Wiss, Michael Samarin, Jacob Marler, G Morgan Jones
Status epilepticus requires treatment with emergent initial therapy with a benzodiazepine and urgent control therapy with an additional antiepileptic drug (AED) to terminate clinical and/or electrographic seizure activity. However, nearly one-third of patients will prove refractory to the aforementioned therapies and are prone to a higher degree of neuronal injury, resistance to pharmacotherapy, and death. Current guidelines for refractory status epilepticus (RSE) recommend initiating a continuous intravenous (CIV) anesthetic over bolus dosing with a different AED...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893510/preparing-critical-care-and-medical-surgical-nurses-to-open-a-new-hospital
#13
Odette Y Comeau, Josette Armendariz-Batiste, Jennifer Grant Baer
Building a new hospital is an exciting time. However significant planning is required to prepare staff to assume care of patients in an environment with new workflow changes and new equipment. The challenges of this advanced preparation are compounded when the opening of the new hospital includes the planned move of the inpatient census of patients from an existing hospital to the new hospital. Goals and objectives on the move day include patient and staff safety, with a seamless transition to the new environment...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893509/educating-providers-in-return-to-play-suggested-guidelines-postconcussion
#14
Angela Macci Bires, Amanda L Leonard, Brandon Thurber
As the awareness of concussions increases, it is imperative to be able to evaluate, diagnose, and treat concussed individuals properly to prevent further complications or death. The primary purpose of this study was to compare a provider's current awareness and comfort level as it relates to the return-to-play guidelines for concussions. A secondary aim was to evaluate current protocols that are in use and determine whether they coincide with the suggested guidelines. An educational intervention was implemented to assess the knowledge and confidence of health care providers...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893508/best-practices-for-pressure-ulcer-prevention-in-the-burn-center
#15
Julia Warner, Mary Ann Raible, Gina Hajduk, Jacqueline Collavo
The State of Pennsylvania Hospital Engagement Network, in collaboration with a hospital system in Southwestern Pennsylvania, established a goal of reducing hospital-acquired pressure ulcers by 20%. A 6-month unfavorable trend of nurse-sensitive clinical indicators called for immediate process improvement. A retrospective chart review resulted in identification of predominant risk factors placing the burn patient at high risk for pressure ulcer formation. Implementations of pressure ulcer prevention measures were inconsistent...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893507/case-study-obstetrical-trauma-with-maternal-death-and-fetal-survival
#16
Matthew Mowry
Trauma during pregnancy is the leading cause of non-obstetric-related maternal and fetal death. This article summarizes obstetric physiology and outlines the assessment and treatment of traumatic injuries of the pregnant patient. A case is presented in which a pregnant woman with blunt abdominal trauma was managed efficiently in a trauma center within a hospital that does not have in-house obstetric services.
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893506/the-hospital-course-of-a-successfully-treated-patient-with-respiratory-failure-beginning-to-end
#17
T Brian Callister
The successful treatment of a patient with acute respiratory failure is a complex undertaking that requires clinical competence, evidence-based interventions, seamless coordination of care transitions, and transparent open communication among all members of the health care team. Many of the processes of care in these critically ill patients are reassuringly consistent across services, across hospitals, across health systems, and even across the country. Although the clinical course of such complicated patients can be extremely unpredictable, we are fortunate that the professional, technical, and psychosocial aspects of care for these patients can be relatively orderly, evidence-based, and transparent...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893505/rib-fracture-protocol-advancing-the-care-of-the-elderly-patient
#18
Susan Leininger
This article discusses unique factors associated with rib fractures in the elderly patient population and explains the process used in one facility to develop a revised protocol for the management of elderly patients with a rib fracture. The goals were to eliminate gaps in early trauma care management and employ a care routine that would improve outcomes for this vulnerable group of patients with fracture.
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893504/accurate-identification-of-infection-source-in-burn-trauma-patients-with-central-line-infection-to-determine-appropriate-treatment-option-as-well-as-proper-public-reporting
#19
Holly M Hampe, Lisa Graper, Kathy Hayes-Leight, Deborah Olszewski, Matthew Moffa, Derek N Bremmer
With the advent of the Patient Safety Movement in the late 1990s and the CMS (Centers for Medicare & Medicaid Services) nonreimbursement program for never events, there has been much focus on the prevention and accurate identification of health care-associated infections such as central line-associated bloodstream infections (CLABSIs). There has certainly been a national effort to decrease the occurrence of these infections. With the implementation of patient safety initiatives such as the central line prevention bundle, there has been a considerable reduction in the number of CLABSIs except for patients with burn trauma...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27893503/impacting-care-and-treatment-of-the-burn-patient-conversion-to-electronic-documentation
#20
Holly M Hampe, Terri Keeling, Michelle Fontana, Debbie Balcik
Improving patient care through enhanced electronic communication among health care providers is aimed at reducing the number of medication and medical errors. The American Reinvestment and Recovery Act (ARRA) was signed into law in 2009, supporting the federal government's commitment to the improvement of health care quality, safety, and efficiency through requirements to implement an electronic health record by October 2015 or hospitals and eligible providers potentially realizing penalties or reduced reimbursement rates...
January 2017: Critical Care Nursing Quarterly
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