keyword
https://read.qxmd.com/read/38164122/implementing-a-family-centered-rounds-intervention-using-novel-mentor-trios
#21
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
https://read.qxmd.com/read/38128903/truth-telling-to-the-seriously-ill-child-nurses-experiences-attitudes-and-beliefs
#22
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
https://read.qxmd.com/read/38091554/continuous-electrocardiographic-monitoring-for-24-hours-before-death-in-patients-with-terminal-cancer
#23
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
https://read.qxmd.com/read/38088628/stopping-criminalization-at-the-bedside
#24
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
https://read.qxmd.com/read/38082396/incidence-associated-factors-and-outcomes-of-delirium-in-critically-ill-children-in-china-a-prospective-cohort-study
#25
JOURNAL ARTICLE
Lei Lei, Yi Li, Huilin Xu, Qin Zhang, Jiacai Wu, Shoujv Zhao, Xiaochao Zhang, Min Xu, Shuai Zhang
BACKGROUND: Delirium occurs frequently in critically ill children and has been reported in many countries, but delirium is not well-characterized in China. The aim of this study was to represent the incidence of delirium in critically ill children in China, its associated factors, and the influence of delirium on in-hospital outcomes. METHODS: This observational prospective cohort study was set up in a large academic medical center with a 57-bed PICU in southwestern China...
December 11, 2023: BMC Psychiatry
https://read.qxmd.com/read/38073667/knowledge-and-practice-gaps-in-pediatric-neurocritical-care-nursing-lessons-learned-from-a-specialized-educational-boot-camp
#26
JOURNAL ARTICLE
Nathan Chang, Amelia Sperber, May Casazza, Leslie Ciraulo, Prathyusha Teeyagura, Lindsey Rasmussen
OBJECTIVES: Pediatric neurocritical care (PNCC) is a quickly growing subspecialty within pediatric critical care medicine. Standards for care, education, and application of neuromonitoring technologies in PNCC are still being developed. We sought to identify and improve knowledge deficits in neurocritical care with an educational boot camp for nurses. SETTING: Quaternary children's hospital with 36 PICU beds. DESIGN: Preinterventional and postinterventional study...
December 2023: Critical care explorations
https://read.qxmd.com/read/38069664/pharmacy-driven-performance-improvement-initiative-to-increase-compliance-with-intravenous-smart-pump-drug-error-reduction-systems-at-a-large-urban-academic-medical-center
#27
JOURNAL ARTICLE
Eliana Abboudi, Sarah W Baron, Pavel Goriacko, Emily Messing, Mark Sinnett, Uzoamaka Uwechia
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: Smart pump dose error reduction systems (DERS) reduce errors for intravenous (IV) administration medications by warning users of order, calculation, and programming errors...
December 9, 2023: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/38045443/impact-of-covid-19-visitation-policies-and-hospital-capacity-on-discharge-readiness-in-medicine-patients
#28
JOURNAL ARTICLE
Andrea S Wallace, Sonja E Raaum, Erin Phinney Johnson, Angela P Presson, Chelsea M Allen, Mackenzie Elliott, Alycia A Bristol, Catherine E Elmore
BACKGROUND: COVID-19 impacted the experience of being hospitalized with the widespread adoption of strict visitation policies to ensure healthcare worker safety. One result was decreased time of caregivers at the bedside of hospitalized patients. OBJECTIVE: To understand the impact of pandemic-related system effects on patient-reported discharge preparation. DESIGN: This mixed methods study included interviews with a sample of discharged patients during April 2020, and quantitative hospital data from April 2020 to February 2021...
2023: Discov Health Syst
https://read.qxmd.com/read/38035616/nursing-management-of-a-patient-with-fulminant-myocarditis-and-electrical-storm-receiving-ecmo-a-case-report
#29
JOURNAL ARTICLE
Xiaoxiao Wu, Xiaoyan Wang, Jinmei Luo, Fang Tian, Jin Bian
INTRODUCTION: Fulminant myocarditis is a devastating disease with significant mortality and complications. The care of patients with fulminant myocarditis is rarely reported. CLINICAL FINDINGS: A 17-year-old female patient was admitted to the emergency department with dizziness, amaurosis fugax, and chest tightness. Initial assessment revealed elevated levels of troponin T (4.753 ng/mL), troponin I (49.540 ng/mL), creatine kinase (1306 U/L), creatine kinase-MB isoenzymes (75...
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38031306/nurses-versus-physicians-perceptions-of-the-bedside-handover-practice-in-the-intensive-care-unit-an-egyptian-prospective-comparative-study
#30
JOURNAL ARTICLE
Ghada Shalaby Khalaf Mahran, Mostafa Ali, Magdy Mohamed Mahdy Sayed, Mahmoud Ahmed Mohamed Hussien, Omar Sherif Ahmed AbdelWahab, Sherif Ahmed AbdelWahab Mohamed, Amal Ismael Abdelhafez
This article reports a prospective, comparative study using a semistructured interview technique, to compare the perceptions of nursing professionals and physicians about the bedside handover practice, in intensive care units (ICUs). Clinical handovers are practiced every day, in many ways, in all institutional health care settings. Despite increasing demand for structured processes to guide clinical handovers, the perception may differ between nurses and physicians, particularly in the ICU. The results of the current study showed that the quality of the information provided during handovers was perceived by both the nurses and physicians as satisfactory and relevant to the patient's care...
January 2024: Critical Care Nursing Quarterly
https://read.qxmd.com/read/38026273/chain-mediations-of-perceived-social-support-and-emotional-regulation-efficacy-between-role-stress-and-compassion-fatigue-insights-from-the-covid-19-pandemic
#31
JOURNAL ARTICLE
Yuan Zhang, Huijuan He, Chongming Yang, Xiangrong Wang, Jiang'an Luo, Jie Xiao, Bei Fu, Yiwen Chen, Chenjuan Ma
BACKGROUND: Nurses at the frontline faced high risks of the COVID-19 infection, undertook heavy workloads of patient care, and experienced tremendous stress that often led to compassion fatigue. AIM: This study was to explore the role of positive psychosocial resources (i.e., perceived social support and emotional regulation efficacy) in the relationship between role stress and compassion fatigue. METHODS: A cross-sectional design was conducted in Hubei Province, China between May and September 2021...
2023: Frontiers in Public Health
https://read.qxmd.com/read/37948632/feasibility-of-stress-research-in-premature-infant-maternal-dyads-during-and-after-neonatal-intensive-care-unit-hospitalization
#32
JOURNAL ARTICLE
Kathryn J Malin, Kristin Kruschel, Kaboni Gondwe, Joanne Lagatta, C Sue Carter, Hossein P Nazarloo, Yvette Conley, Rosemary White-Traut
BACKGROUND: Stress from preterm infant admission to the neonatal intensive care unit (NICU) is associated with infant and maternal physiologic changes, including endocrine and epigenetic alterations. Little is known about the mechanisms connecting NICU stress to biologic changes, and whether preterm infant and maternal stress are reciprocal. As a preliminary step, feasibility and acceptability of measuring indicators of stress are required. PURPOSE: This study evaluated the feasibility and acceptability of research examining perceptions and biologic markers of stress in premature infant-maternal dyads during and after NICU hospitalization...
December 1, 2023: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://read.qxmd.com/read/37946279/beyond-the-bedside-protocol-for-a-scoping-review-exploring-the-experiences-of-non-practicing-healthcare-professionals-within-health-professions-education
#33
JOURNAL ARTICLE
Helen R Church, Megan E L Brown, Lynelle Govender, Deborah Clark
BACKGROUND: The number of healthcare professionals leaving clinical practice and transitioning to alternative careers in health professions education is increasing. Among these non-practicing healthcare professionals, concerns have been reported regarding tensions in relation to identity, role, and credibility in their new field. There are suggestions that this is a particularly pressing issue for minoritised professionals who make this transition. Support is critical to attract and retain diverse talent within health professions education teaching and research...
November 9, 2023: Systematic Reviews
https://read.qxmd.com/read/37920105/incorporating-near-infrared-light-vein-visualization-technology-into-peripheral-intravenous-access-protocols
#34
JOURNAL ARTICLE
Anna Fraifeld, Julie A Thompson
Placement of peripheral intravenous catheters (PIVCs) is a frequent occurrence. Yet, PIVCs consistently require multiple attempts for successful cannulation, leading to an increased use of resources and risk of complications. Even though hospitals have established vascular access teams to improve outcomes and increase longevity of PIVCs, not every facility has one, and some struggle to meet demand. In these cases, PIVC placement depends on the confidence and skills of bedside nurses. Difficult access risk identification tools, as well as vein visualization technologies, like near infrared (nIR), have been developed to assist nurses with cannulation...
November 2023: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://read.qxmd.com/read/37910448/use-of-a-data-repository-to-identify-delirium-as-a-presenting-symptom-of-covid-19-infection-in-hospitalized-adults-a-pilot-study
#35
JOURNAL ARTICLE
Laurence Michael Solberg, Laurie J Duckworth, Elizabeth M Dunn, Theresa Dickinson, Tanja Magoc, Urszula A Sniguska, Sarah E Ser, Brian Celso, Meghan Bailey, Courtney Bowen, Nila Radhakrishnan, Chirag R Patel, Robert Lucero, Ragnhildur I Bjarnadottir
BACKGROUND: Delirium, an acute confusional state highlighted by inattention, has been reported to occur in 10 to 50% of COVID-19 patients. People hospitalized with COVID-19 have been noted to present with or develop delirium and neurocognitive disorders. Caring for patients with delirium is associated with more burden for nurses, clinicians, and caregivers. Using information in Electronic Health Record (EHR) data to recognize delirium and possibly COVID-19 could lead to earlier treatment of the underlying viral infection and improve outcomes in clinical and healthcare systems cost per patient...
September 28, 2023: JMIR aging
https://read.qxmd.com/read/37897120/the-impact-of-visiting-restrictions-in-intensive-care-units-for-families-during-the-covid-19-pandemic-an-integrative-review
#36
REVIEW
Jackie Mailer, Kim Ward, Cathleen Aspinall
AIM: To synthesize current evidence about the impact visiting restrictions in adult intensive care units have on family members during the COVID-19 pandemic. DESIGN: Integrative literature review. METHODS: A total of 104 articles were retrieved. Screening yielded a total of 23 articles which were appraised for quality. Reflexive thematic analysis was applied to synthesize findings and extract themes. DATA SOURCES: CINAHL Plus, Ovid MEDLINE, PubMed and ProQuest databases were searched for articles between January 2020 and November 2022...
October 27, 2023: Journal of Advanced Nursing
https://read.qxmd.com/read/37897101/parents-and-nurses-perceptions-and-behaviours-of-family-centred-care-during-periods-of-busyness
#37
JOURNAL ARTICLE
Melinda Simpson-Collins, Margaret Fry, Suzanne Sheppard-Law, Claire Harris
PURPOSE: Busyness as a construct within modern healthcare is complex and multidimensional. To date, few studies have sought to explore how busyness influences family-centred care. This study explored the influence of busyness on the delivery of family-centred care for nurses and parents. DESIGN AND METHOD: Ethnography was selected as the research design. The study site was a metropolitan tertiary hospital inpatient paediatric unit in Sydney, Australia. Semi-structured interview and non-participant observation techniques were used for data collection...
October 27, 2023: Journal of Clinical Nursing
https://read.qxmd.com/read/37886901/bedside-ultrasound-in-post-anaesthetic-care-unit-for-the-diagnosis-of-post-extubation-negative-pressure-pulmonary-oedema-a-paediatric-case
#38
JOURNAL ARTICLE
Dulce Pereira, Sofia Pereira, Clarinda Neves, Elena Segura, José Pedro Assunção
BACKGROUND: Post-extubation negative pressure pulmonary oedema is a rare, potentially life-threatening complication associated with general anaesthesia. Chest radiography is used as a diagnostic tool, but it implies a non-negligible radiation exposure, a very important consideration, especially for the paediatric population. However, lung ultrasound can overcome this problem and can be used to detect postoperative pulmonary complications. CASE REPORT: A 16-year-old male was scheduled for tympanoplasty...
October 27, 2023: Journal of Perioperative Practice
https://read.qxmd.com/read/37882401/ce-recognizing-transfusion-associated-circulatory-overload
#39
JOURNAL ARTICLE
Christy M Smith
Transfusion-associated circulatory overload (TACO) is the leading cause of transfusion-related deaths in the United States, accounting for more than 30% of fatalities reported to the Food and Drug Administration between 2016 and 2020. However, TACO is widely considered to be an underdiagnosed and underreported complication of blood transfusions, and its exact incidence is unknown. One of the reasons for this is a lack of recognition of TACO and its signs and symptoms, especially as the definition of TACO has been updated twice since 2018 without full dissemination to nurses, who are responsible for bedside care of patients during and following blood transfusions...
November 1, 2023: American Journal of Nursing
https://read.qxmd.com/read/37867543/continuous-blood-purification-in-patients-with-pheochromocytoma-crisis-a-case-report
#40
Meinong Zhong, Yuanqiang Zhu, Shaofang Wang, Hengying Fang, Guili Chen
KEY CLINICAL MESSAGE: Pheochromocytoma crisis accompanied by multi-organ failure necessitates prompt and comprehensive interventions, including VA-ECMO, CRRT, and others. Successful laparoscopic tumor resection promotes favorable outcomes and recovery. ABSTRACT: Pheochromocytoma crisis is commonly associated with high mortality, high surgical risk, and rapidly fatal complications. This article presented successful treatments and nursing experiences in a patient with pheochromocytoma who developed cardiogenic shock and multiple organ failure...
October 2023: Clinical Case Reports
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