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JOURNAL ARTICLE
Carolyn Sun, Caroline Fu, Kenrick Cato
BACKGROUND: Compared to other providers, nurses spend more time with patients, but the exact quantity and nature of those interactions remain largely unknown. The purpose of this study was to characterize the interactions of nurses at the bedside using continuous surveillance over a year long period. METHODS: Nurses' time and activity at the bedside were characterized using a device that integrates the use of obfuscated computer vision in combination with a Bluetooth beacon on the nurses' identification badge to track nurses' activities at the bedside...
April 14, 2024: Journal of Nursing Scholarship
#2
JOURNAL ARTICLE
Oystein Tronstad, Sue Patterson, Barbara Zangerl, Dylan Flaws, Robert Holdsworth, Lacey Irvine, Stephanie Yerkovich, India Pearse, John F Fraser
BACKGROUND: ICU outcomes are continuing to improve. However, this has not been matched by similar improvements of the ICU bedspace environment, which can detrimentally impact on patient outcomes. Excessive sound and noise, especially, has been linked with adverse and potentially preventable patient outcomes and staff errors. There are many sources of sound in the ICU, with alarms from bedside equipment frequently listed as a main source. The number of alarms is increasing in parallel with the introduction of new and more sophisticated technologies to monitor and support patients...
April 10, 2024: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
#3
JOURNAL ARTICLE
Nathan Chang, Lauren Louderback, Heather Hammett, Kara Hildebrandt, Erica Prendergast, Amelia Sperber, May Casazza, Megan Landess, Aubree Little, Lindsey Rasmussen
BACKGROUND: Nurses are vital partners in the development of pediatric neurocritical care (PNCC) programs. Nursing expertise is acknowledged to be an integral component of high-quality specialty patient care in the field, but little guidance exists regarding educational requirements to build that expertise. We sought to obtain expert consensus from nursing professionals and physicians on curricular priorities for specialized PNCC nursing education in pediatric centers across the United States...
April 3, 2024: Neurocritical Care
#4
JOURNAL ARTICLE
Cong-Hui Fu, Yan Li, Yu-Cai Zhang, Xiao-Ya Yang, Ji Liu, Min-Jie Ju, Ting-Ting Xu
INTRODUCTION: Children receiving extracorporeal membrane oxygenation are prone to delirium. This case report describes the nursing care of a child with delirium who received venoarterial extracorporeal membrane oxygenation. Relevant interventions and precautions are also discussed. CLINICAL FINDINGS: A 6-year-old girl was admitted to the pediatric intensive care unit with a 2-day history of vomiting and fever. The child underwent cannulation for venoarterial extracorporeal membrane oxygenation...
April 1, 2024: Critical Care Nurse
#5
JOURNAL ARTICLE
Murielle Madi, Svenja Nielsen, Mona Schweitzer, Maximilian Siebert, Daniel Körner, Sina Langensiepen, Astrid Stephan, Gabriele Meyer
BACKGROUND: The end-users' acceptance is a core concept in the development, implementation and evaluation of new systems like robotic systems in daily nursing practice. So far, studies have shown various findings concerning the acceptance of systems that are intended to assist people with support or care needs. Not much has been reported on the acceptance of robots that provide direct physical assistance to nurses in bedside care. Therefore, this study aimed to investigate the acceptance along with ethical implications of the prototype of an assistive robotic arm aiming to support nurses in bedside care, from the perspective of nurses, care recipients and their relatives...
March 14, 2024: BMC Nursing
#6
JOURNAL ARTICLE
Vivienne Nguyen, Melissa Richard-Lalonde, Céline Gélinas
This study aimed to examine the interrater agreement of Critical-Care Pain Observation Tool-Neuro (CPOT-Neuro) scores as a newly developed tool for pain assessment in patients with critical illness and brain injury between raters using two methods of rating (bedside versus video) during standard care procedures (i.e., non-invasive blood pressure and turning). The bedside raters were research staff, and the two video raters had different backgrounds (health and non-health disciplines). Raters received standardized 45 min training by the principal investigator...
January 19, 2024: Nursing Reports
#7
JOURNAL ARTICLE
Ling Wang, Fang Qin, Li Zhen, Ruihua Li, Siqi Tao, Guoxin Li
AIMS: To develop a nomogram to provide a screening tool for recognising patients at risk of post-operative pain undergoing abdominal operations. BACKGROUND: Risk prediction models for acute post-operative pain can allow initiating prevention strategies, which are valuable for post-operative pain management and recovery. Despite the increasing number of studies on risk factors, there were inconsistent findings across different studies. In addition, few studies have comprehensively explored predictors of post-operative acute pain and built prediction models...
February 20, 2024: Journal of Clinical Nursing
#8
JOURNAL ARTICLE
Anthony Batterbury, Clint Douglas, Fiona Coyer
AIM: To develop and internally validate risk prediction models for subsequent clinical deterioration, unplanned ICU admission and death among ward patients following medical emergency team (MET) review. DESIGN: A retrospective cohort study of 1500 patients who remained on a general ward following MET review at an Australian quaternary hospital. METHOD: Logistic regression was used to model (1) subsequent MET review within 48 h, (2) unplanned ICU admission within 48 h and (3) hospital mortality...
February 14, 2024: Journal of Clinical Nursing
#9
JOURNAL ARTICLE
Anna Swall, Lena Marmstål Hammar, Anne-Marie Boström
BACKGROUND: During the pandemic in Sweden, the aim was to protect older people, especially those among them who were sick, frail and vulnerable in residential care facilities. A ban was put on visits at all residential care facilities in March 2020 to prevent the spread of infection among the older people. This study aims to describe the experiences of Community Chief Nurses and Registered Nurses who provided medical and nursing care for older people in residential care facilities and home care during the first wave of the COVID-19 pandemic, and to examine factors associated with the quality of care...
February 2, 2024: BMC Geriatrics
#10
JOURNAL ARTICLE
Jiamin Wang, Meihua Ji, Yuan Han, Ying Wu
BACKGROUND: The 3-Minute Diagnostic Interview for Confusion Assessment Method-Defined Delirium (3D-CAM) is an instrument specially developed for the assessment of delirium in general wards, with high reported sensitivity and specificity. However, the use of the 3D-CAM by bedside nurses in routine practice showed relatively poor usability, with multiple human errors during assessment. OBJECTIVE: This study aimed to develop a mobile app-based delirium assessment tool based on the 3D-CAM and evaluate its usability among older patients by bedside nurses...
January 24, 2024: JMIR aging
#11
JOURNAL ARTICLE
Lindy King, Stanislav Minyaev, Hugh Grantham, Robyn A Clark
BACKGROUND: Early detection of deterioration of hospitalized patients with timely intervention improves outcomes in the hospital. Patients, family members, and visitors (consumers) at the patient's bedside who are familiar with the patient's condition may play a critical role in detecting early patient deterioration. The authors sought to understand clinicians' views on consumer reporting of patient deterioration through an established hospital consumer-initiated escalation-of-care system...
January 7, 2024: Joint Commission Journal on Quality and Patient Safety
#12
JOURNAL ARTICLE
Karen O'Grady, Gabriella Flores
This article reports the results from an anonymous survey sent to working graduate nursing students. The survey asked about nurses' awareness of medical librarians at the healthcare institutions where they work. Less than half of the survey respondents were aware that medical librarians were available to them at work. Less than half of the survey respondents claimed they consulted with a medical librarian at work or witnessed another nurse consulting with a medical librarian. The disconnect between academia and patient care is part of the 15-year research-to-bedside gap that exists in nursing...
2024: Medical Reference Services Quarterly
#13
JOURNAL ARTICLE
Marijana Zubrinic, Lauren Vrbanic, Shaf Keshavjee
OBJECTIVE: There is significant interest in exploring new technologies to improve efficiency and work-life quality for nurses. We aimed to evaluate the impact of a remote video monitoring (RVM) solution that provides continuous in-hospital patient audio-video (AV) monitoring by technicians. METHODS: The RVM system that we developed, consisting of 2-way AV communication and a continuous O2 saturation monitoring device, has been deployed in all inpatient units within our hospital network, including 3 acute care hospitals and 2 rehabilitation facilities...
December 2023: JTCVS open
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REVIEW
Cathleen Aspinall, Julia Slark, Jenny Parr, Bobbie-Jo Pene, Merryn Gott
AIM: To identify and synthesize empirical evidence on the role of healthcare leaders in the development of equitable clinical academic pathways for nurses. DESIGN: Integrative literature review. DATA SOURCES: Literature was searched using CINAHL, PubMed, ProQuest and Google Scholar databases. REVIEW METHODS: A total of 114 eligible articles published between 2010 and2022 were screened, 16 papers were selected. RESULTS: Results highlighted the need for consistent national, regional, and organizational policy approaches to developing clinical academic careers for nurses...
January 7, 2024: Journal of Advanced Nursing
#15
JOURNAL ARTICLE
Shiming Yang, Samuel Galvagno, Neeraj Badjatia, Deborah Stein, William Teeter, Thomas Scalea, Stacy Shackelford, Raymond Fang, Catriona Miller, Peter Hu
BACKGROUND: Clinicians working in intensive care units (ICUs) are immersed in a cacophony of alarms and a relentless onslaught of data. Within this frenetic environment, clinicians make high-stakes decisions using many data sources and are often oversaturated with information of varying quality. Traditional bedside monitors only depict static vital signs data, and these data are not easily viewable remotely. Clinicians must rely on separate nursing charts-handwritten or electric-to review physiological patterns, including signs of potential clinical deterioration...
January 5, 2024: JMIR Human Factors
#16
JOURNAL ARTICLE
Lena Nyholm, Lena Gunningberg, Eva Jangland
UNLABELLED: It is well-known that the implementation of evidence into clinical practice is complex and challenging. The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework conceptualizes successful implementation of evidence into practice. As the implementation of the mentoring programme proved to be a challenge, it seemed valuable to retrospectively study the implementation process using a framework like the i-PARIHS. AIM: The aim of this study was to evaluate implementation of a multifaceted mentoring programme for bedside nurses using the i-PARIHS framework, to identify factors that influenced the implementation...
January 4, 2024: Journal of Advanced Nursing
#17
JOURNAL ARTICLE
Alisa Khan, Shilpa J Patel, Michele Anderson, Jennifer D Baird, Tyler M Johnson, Isabella Liss, Dionne A Graham, Sharon Calaman, April E Fegley, Jenna Goldstein, Jennifer K O'Toole, Glenn Rosenbluth, Claire Alminde, Ellen J Bass, Zia Bismilla, Monique Caruth, Sally Coghlan-McDonald, Sharon Cray, Lauren A Destino, Benard P Dreyer, Jennifer L Everhart, Brian P Good, Amy B Guiot, Helen Haskell, Jennifer H Hepps, Andrew J Knighton, Irene Kocolas, Nicholas C Kuzma, Kheyandra Lewis, Katherine P Litterer, Elizabeth Kruvand, Peggy Markle, Dale A Micalizzi, Aarti Patel, Jayne E Rogers, Anupama Subramony, Tiffany Vara, H Shonna Yin, Theodore C Sectish, Rajendu Srivastava, Amy J Starmer, Daniel C West, Nancy D Spector, Christopher P Landrigan
BACKGROUND AND OBJECTIVES: Patient and Family Centered I-PASS (PFC I-PASS) emphasizes family and nurse engagement, health literacy, and structured communication on family-centered rounds organized around the I-PASS framework (Illness severity-Patient summary-Action items-Situational awareness-Synthesis by receiver). We assessed adherence, safety, and experience after implementing PFC I-PASS using a novel "Mentor-Trio" implementation approach with multidisciplinary parent-nurse-physician teams coaching sites...
January 2, 2024: Pediatrics
#18
REVIEW
Mandy El Ali, Sharon Licqurish, Jenny O'Neill, Lynn Gillam
BACKGROUND: Nurses play an integral role in the care of children hospitalised with a serious illness. Although information about diagnostics, treatments, and prognosis are generally conveyed to parents and caregivers of seriously ill children by physicians, nurses spend a significant amount of time at the child's bedside and have an acknowledged role in helping patients and families understand the information that they have been given by a doctor. Hence, the ethical role of the nurse in truth disclosure to children is worth exploring...
December 21, 2023: Nursing Ethics
#19
JOURNAL ARTICLE
Ko Sato, Mika Baba, Tatsuya Morita, Kento Masukawa, Yasuo Shima, Satoru Tsuneto, Yoshiyuki Kizawa, Mitsunori Miyashita
BACKGROUND: Purposeless physiological monitoring at the end-of-life is not recommended. However, studies on how families feel regarding the death of patients with terminal cancer without continuous electrocardiographic monitoring (CEM) are lacking. OBJECTIVES: To explore the impact on the quality of care and the feelings and psychological distress experienced by families when CEM is not used during the 24 hours preceding a patient's death. METHODS: In this multicenter cross-sectional, self-report questionnaires were distributed to 1087 bereaved families at Japanese specialized palliative care units in 2018...
December 13, 2023: American Journal of Hospice & Palliative Care
#20
JOURNAL ARTICLE
Wendy A Bach, Mishka Terplan
Low-income women and, disproportionately low-income women of color seeking reproductive and pregnancy care are increasingly subject to what this article terms carceral care - care compromised by its' proximity to punishment systems. This article identifies the legal and health care practice mechanisms leading to carceral care and proposes solutions designed to stop criminalization at the bedside.
2023: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
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