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Critical Care Nursing Quarterly

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https://www.readbyqxmd.com/read/29494376/the-stay-s-a-f-e-strategy-for-managing-interruptions-reduces-distraction-time-in-the-simulated-clinical-setting
#1
Elizabeth A Henneman, Jenna L Marquard, Cheryl Nicholas, Vanessa Martinez, Kristine DeSotto, Susan S Scott, William E Soares, Philip L Henneman
Interruptions occurring during the delivery of health care are frequent and create a serious threat to patient safety. It is important to test strategies directed at decreasing the negative effects of interruptions. The purpose of this pilot study was to test the Stay S.A.F.E. strategy for managing interruptions. A pretest, posttest quasi-experimental design was used to test the primary hypothesis that the Stay S.A.F.E. interruption management strategy would significantly (P < .05) reduce distraction time away from a primary task following an interruption...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494375/perceptual-effects-of-physical-and-visual-accessibilities-in-intensive-care-units-a-quasi-experimental-study
#2
Mahbub Rashid, Nayma Khan, Belinda Jones
This article reports the findings of a 2-phase quasi-experimental study looking at the perceptual effects of physical and visual accessibilities on clinical staff in intensive care units (ICUs). In a previous CCNQ article by Rashid et al, the first phase of the study was reported comparing, among other things, physical and visual accessibilities and their associations with staff perception in 2 ICUs with the open-plan and racetrack-type layouts. The data for that phase of the study were collected in December 2014, which included the data on physical and visual accessibilities collected using the spatial analysis techniques of Space Syntax, and the data on staff perception collected using a questionnaire survey...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494374/stress-reduction-in-postcardiac-surgery-family-members-implementation-of-a-postcardiac-surgery-tool-kit
#3
Lauren Breisinger, Angela Macci Bires, Thomas W Cline
The intensive care unit (ICU) can be a place of stress, anxiety, and emotional instability for both patients and families. Medical and nursing care during this acute time is patient focused, and family members are often left in the dark. Unintentional exclusion from information results in high levels of stress, anxiety, and uncertainty for families. Due to the acuity of illness, family members of cardiac surgery patients experience the highest levels of stress. Spouses may experience intense psychosomatic symptoms such as depression, anxiety, and fear for several months after the surgery...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494373/incorporation-of-daily-goals-in-daily-care-planning-does-not-shorten-length-of-stay-in-the-intensive-care-unit
#4
Jan M Binnekade, Anja H Brunsveld-Reinders, M Sesmu Arbous, Marcel G W Dijkgraaf, Janneke Horn, Jos A P van der Sloot, Anja Balzereit, Marcus J Schultz, Sylvia Brinkman, Margreeth B Vroom
A strategy of defining and checking explicitly formulated patient-specific treatments targets or "daily goals" in the intensive care unit has been associated with improved communication. We investigated the effect of incorporation of daily goals into daily care planning on length of stay in the intensive care unit. Furthermore, the type of daily goals and deviations from daily goals in daily care with or without documented reason were evaluated. Four university hospitals in the Netherlands, of which 2 study "daily goal" hospitals and 2 control hospitals, participated in a prospective before-after study...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494372/quality-of-sleep-among-intensive-care-unit-patients-a-literature-review
#5
Mohammad Bani Younis, Ferial A Hayajneh
Investigating sleep disturbances among intensive care unit (ICU) patients and its serious consequences is considered a crucial issue for nurses. The need of sleep increases during hospitalization time to preserve energy for the healing process. Previous studies have demonstrated that sleep disturbance is one of the most common complaints of patients in the ICUs, with a prevalence of more than 50%. Although the total sleep time might be normal, the patients' sleep is fragmented and light in the intensive care settings...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494371/effects-of-nurse-led-intervention-on-patients-anxiety-and-sleep-before-coronary-artery-bypass-grafting
#6
Nesa Mousavi Malek, Masoumeh Zakerimoghadam, Maryam Esmaeili, Anoushiravan Kazemnejad
The aim of this study to examine the effects of supportive-educational nurse-led intervention on the patients' anxiety and sleep before the coronary artery bypass grafting.The current clinical trial recruited 160 patients (N = 160) waiting for the coronary artery bypass grafting by random block sampling and divided them into two 80-people experimental and control groups. Spielberger's State Anxiety Inventory was completed on the first day. The Groningen's Sleep Quality Index was also completed by the patients on the day of surgery...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494370/evaluation-of-an-educational-video-what-to-expect-on-the-first-day-of-chemotherapy
#7
Tiffany S Koss, Angela Macci Bires, Thomas W Cline, Donna L Mason
According to the American Cancer Society, more than 1.6 million new cases of cancer were diagnosed in 2015. Anxiety levels in individuals diagnosed with cancer are high, with the highest levels occurring at the time of diagnosis. A cancer diagnosis and the associated chemotherapy are life-altering events for patients and their families. In addition to managing the devastating news about the disease, patients are tasked with learning to manage the impact of chemotherapy and its impact on their bodies and sense of well-being...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494369/effects-of-multimethod-intervention-on-bedside-report-compliance-and-patient-satisfaction
#8
Daniela N Faloon, Holly Hampe, Thomas Cline
Miscommunication is a large contributing factor to hospital sentinel events. Communication with nurses is a component of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey not only assesses patient satisfaction but also impacts how hospitals are reimbursed. A literature review reveals that nursing bedside shift positively impacts patient satisfaction and nurse communication. There is limited research on how to implement bedside report as well as what to include during report...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494368/pharmacologic-reversal-of-direct-oral-anticoagulants
#9
Nicholas Farina, James T Miller
Direct oral anticoagulants are becoming increasingly popular in outpatient use. These medications have lacked specific reversal agents. However, this is changing. The Federal Food and Drug Administration approved idarucizumab for reversal of dabigatran in 2016, and another agent, andexanet alfa, is currently in clinical trials for reversal of rivaroxaban and apixaban. This article examines the efficacy and safety of these emerging reversal agents, as well as other historical agents for reversal of direct oral anticoagulants...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494367/an-assessment-of-an-outpatient-antimicrobial-therapy-program-in-a-rural-medical-center-a-retrospective-chart-review
#10
Matthew Shawn Burkett, Angela Macci Bires, Thomas W Cline, Anthony Knight
Current literature supports outpatient parenteral antimicrobial therapy (OPAT). This article presents results from a research study that evaluated an OPAT program that treated community-acquired pneumonia. If patients had the opportunity to receive outpatient intravenous antibiotics for community-acquired pneumonia, would this prevent future hospitalization? Was there a decrease in hospital admissions? An informal cost-benefit analysis comparing OPAT with inpatient hospital admissions for the same disease was also reviewed to provide evidence whether there was a change...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494366/targeted-temperature-management-for-improved-outcomes-are-we-there-yet
#11
Micaela Carwell
Therapeutic hypothermia, also referred to as targeted temperature management, has been a component of the postcardiac arrest treatment guidelines since 2010. Although almost a decade has passed since its inclusion in the postarrest guidelines, many unanswered questions remain regarding selection of the appropriate patient population, optimal target temperature, ideal window of time in which to initiate therapy after arrest, most efficient, safe, and accurate equipment choice for inducing and maintaining hypothermia, most effective duration of treatment, and rate of cooling or rewarming...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494365/point-of-care-ultrasonography-in-emergency-and-critical-care-medicine
#12
Leon Chen, Tony Malek
To stabilize critically ill patients, emergency and critical care medicine providers often require rapid diagnosis and intervention. The demand for a safe, timely diagnostic device, alongside technological innovation, led to the advent of point-of-care ultrasonography (POCUS). POCUS allows the provider to gain invaluable clinical information with a high level of accuracy, leading to better clinical decision-making and improvements in patient safety. We have outlined the history of POCUS adaptation in emergency and critical care medicine and various clinical applications of POCUS described in literature...
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29494364/foreword
#13
Carmen G Warner
No abstract text is available yet for this article.
April 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29210769/direct-observation-of-medication-errors-in-critical-care-setting-a-systematic-review
#14
REVIEW
Margaret J Foster, Jodie C Gary, Sreedevi Moodahanglur Sooryanarayana
Medication errors continue to be an issue for the critically ill and are costly to both patients and health care facilities. This article reviews published research about these errors and reports results of observational studies. The types of errors, incidence, and root causes have been considered along with adverse consequences. The implications for bedside practice as a result of this review are fairly straightforward. Medication errors are happening at an alarming rate in the critical care environment, and these errors are preventable...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29210768/safety-and-security-concerns-of-nurses-working-in-the-intensive-care-unit-a-qualitative-study
#15
Yolanda Keys, Jaynelle F Stichler
Intensive care units (ICUs) exist to serve as a safe place for critically ill patients to receive care from skilled practitioners. In this qualitative study, ICU nurses shared their perspectives on elements that promote safety and security on their units. After obtaining institutional review board approval, participants participated in telephone interviews with a nurse researcher who has experience as a bedside ICU nurse. Five categories and 14 themes were identified and then confirmed using member checking...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29210767/informatics-for-the-modern-intensive-care-unit
#16
Diana C Anderson, Ashley A Jackson, Neil A Halpern
Advanced informatics systems can help improve health care delivery and the environment of care for critically ill patients. However, identifying, testing, and deploying advanced informatics systems can be quite challenging. These processes often require involvement from a collaborative group of health care professionals of varied disciplines with knowledge of the complexities related to designing the modern and "smart" intensive care unit (ICU). In this article, we explore the connectivity environment within the ICU, middleware technologies to address a host of patient care initiatives, and the core informatics concepts necessary for both the design and implementation of advanced informatics systems...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29210766/tele-icu-and-patient-safety-considerations
#17
Erkan Hassan
The tele-ICU is designed to leverage, not replace, the need for bedside clinical expertise in the diagnosis, treatment, and assessment of various critical illnesses. Tele-ICUs are primarily decentralized or centralized models with differing advantages and disadvantages. The centralized model has sufficiently powered published data to be associated with improved mortality and ICU length of stay in a cost-effective manner. Factors associated with improved clinical outcomes include improved compliance with best practices; providing off-hours implementation of the bedside physician's care plan; and identification of and rapid response to physiological instability (initial clinical review within 1 hour) and rapid response to alerts, alarms, or direct notification by bedside clinicians...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29210765/environmental-infection-prevention-priorities-of-patient-safety-collaboration
#18
Patti G Grota, Patti S Grant
Although progress has been made in decreasing health care-associated infections (HAI) in intensive care unit (ICU) patients, there has been an increase in HAI caused by drug-resistant pathogens, particularly those that contaminate the environment such as methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, Pseudomonas spp, Acinetobacter spp, and Clostridium difficile. The ICU environment including sinks and medical equipment has been identified as being at risk for contamination and associated with cross-transmission of pathogens between the health care provider, the environment, and the patient...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29210764/deriving-information-requirements-for-a-smart-nursing-system-for-intensive-care-units
#19
Kunal Khanade, Farzan Sasangohar, Steven C Sutherland, Karen E Alexander
The workplace environment for intensive care nursing is highly stressful, with long working hours and a dynamic workload that may induce fatigue. The resulting stress and fatigue may reduce nurses' efficiency and may contribute to medical errors. A smart wearable system is being designed to help nurses who experience high levels of stress and fatigue at work. This article documents the systematic process of deriving information requirements from 2 focus groups conducted separately with nurses and nurse managers working in various Southeastern Texas hospitals...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29210763/evaluating-nurses-perception-of-patient-safety-design-features-in-intensive-care-units
#20
Faria Islam, Mahbub Rashid
A methodological study was conducted to test the validity and reliability of the patient safety (PS) scale developed by Rashid (2007) for evaluating nurses' perception of adult intensive care unit (ICU) design features related to patient safety. Data for the study were collected using a Web-based survey instrument. A link to the survey instrument was posted on the Web site of American Association of Critical-Care Nurses (AACN) for ICU nurses in different US states to participate. A sample of 587 valid responses was divided into 2 halves for cross-validation...
January 2018: Critical Care Nursing Quarterly
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