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CRITICAL CARE NURSE
Current Resources. Access free ahead of print articles about caring for patients with COVID-19 and other current topics here.. For free articles in Critical Care Nurse, AACN Advanced Critical Care, and the American Journal of Critical Care related to the care of patients with COVID-19, click here. AMERICAN JOURNAL OF CRITICAL CARE A bimonthly scientific journal, AJCC offers the latest advances in clinical research, with features that highlight bedside applicationsof select research
INSTRUCTIONS FOR AUTHORS FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. INCOMPETENCE AMONG CRITICAL CARE NURSES: A SURVEY REPORT The August 2008 editorial in Critical Care Nurse (CCN) examined the pivotal role that staff competency serves for both ensuring the provision of optimal and safe patient care as well as in determining whether nurses judge their work environment to be satisfying. 1 Regardless of whether the context of discussion is how the nursing profession meets its obligations for public safety, how the JOY IN WORK AND REDUCING NURSE BURNOUT: FROM TRIPLE AIM TO The primary focus of the Triple Aim is patient care. Patient care is widely accepted in the United States as an important agenda, but the Triple Aim also has 2 secondary goals: improving the patient experience and reducing costs. 2 This article addresses the health care provider’s work environment, the Triple Aim, and the evolution of what is known as the “Quadruple Aim.” WRITING FOR PUBLICATION 101: WHY THE ABSTRACT IS SO For all biomedical journals, an abstract is a succinct yet comprehensive synopsis of the contents of a prospective or published paper. 1 Despite their crucial importance, abstracts may be prepared hastily at the time a paper is submitted without clear regard for the potential consequences. This editorial will examine the abstract from many dimensions to highlight its intended purposes EVIDENCE-BASED NURSING PRACTICE: WHY IS IT IMPORTANT Evidence-based practice has gained momentum in nursing, and definitions vary widely. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered “evidence”; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership THE IMPORTANCE OF SPIRITUALITY IN PATIENT-CENTERED CARE The condition of our patients can be so critical that we remain singularly focused on issues related to the body: making sure the airway is properly secured, that a central line has been quickly and properly placed, that antibiotics and cultures have been obtained, and that we are compliant with national guidelines regarding prevention of iatrogenic complications of being critically ill.CRITICAL CARE NURSE
Current Resources. Access free ahead of print articles about caring for patients with COVID-19 and other current topics here.. For free articles in Critical Care Nurse, AACN Advanced Critical Care, and the American Journal of Critical Care related to the care of patients with COVID-19, click here. AMERICAN JOURNAL OF CRITICAL CARE A bimonthly scientific journal, AJCC offers the latest advances in clinical research, with features that highlight bedside applicationsof select research
INSTRUCTIONS FOR AUTHORS FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. INCOMPETENCE AMONG CRITICAL CARE NURSES: A SURVEY REPORT The August 2008 editorial in Critical Care Nurse (CCN) examined the pivotal role that staff competency serves for both ensuring the provision of optimal and safe patient care as well as in determining whether nurses judge their work environment to be satisfying. 1 Regardless of whether the context of discussion is how the nursing profession meets its obligations for public safety, how the JOY IN WORK AND REDUCING NURSE BURNOUT: FROM TRIPLE AIM TO The primary focus of the Triple Aim is patient care. Patient care is widely accepted in the United States as an important agenda, but the Triple Aim also has 2 secondary goals: improving the patient experience and reducing costs. 2 This article addresses the health care provider’s work environment, the Triple Aim, and the evolution of what is known as the “Quadruple Aim.” WRITING FOR PUBLICATION 101: WHY THE ABSTRACT IS SO For all biomedical journals, an abstract is a succinct yet comprehensive synopsis of the contents of a prospective or published paper. 1 Despite their crucial importance, abstracts may be prepared hastily at the time a paper is submitted without clear regard for the potential consequences. This editorial will examine the abstract from many dimensions to highlight its intended purposes EVIDENCE-BASED NURSING PRACTICE: WHY IS IT IMPORTANT Evidence-based practice has gained momentum in nursing, and definitions vary widely. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered “evidence”; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership THE IMPORTANCE OF SPIRITUALITY IN PATIENT-CENTERED CARE The condition of our patients can be so critical that we remain singularly focused on issues related to the body: making sure the airway is properly secured, that a central line has been quickly and properly placed, that antibiotics and cultures have been obtained, and that we are compliant with national guidelines regarding prevention of iatrogenic complications of being critically ill. AMERICAN JOURNAL OF CRITICAL CARE A bimonthly scientific journal, AJCC offers the latest advances in clinical research, with features that highlight bedside applicationsof select research
POST–COVID-19 SYNDROME: THEORETICAL BASIS, IDENTIFICATION As COVID-19 continues to spread, with the United States surpassing 29 million cases, 1 health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for the physical and mental effects of the virus. The term long-haulers is applied to patients who have not fully recovered from the disease after weeks or months. 2 Although the acute NURSING MANAGEMENT OF A PATIENT WITH COVID-19 RECEIVING On March 11, 2020, the World Health Organization declared COVID-19 a pandemic. 1 As of August 2020, more than 5.5 million cases had been confirmed in the United States, and more than 175 000 COVID-19–related deaths had occurred. 2 COVID-19 is caused by SARS-CoV-2, and an individual with COVID-19 may become critically ill with acute respiratory distress syndrome (ARDS), an acute lung AWAKE SELF–PRONE POSITIONING: IMPLEMENTATION DURING THE A main complication of COVID-19 is the development of acute hypoxemic respiratory failure, 3 which is characterized by significant hypoxemia (PaO 2 /fraction of inspired oxygen ≤ 300 mm Hg) and an increased respiratory rate and other signs of respiratory distress without related causes such as chronic obstructive pulmonary disease or immediate postoperative or postextubation status ESTABLISHING A PEER SUPPORT PROGRAM FOR SURVIVORS OF COVID Estimates from the coronavirus disease 2019 (COVID-19) pandemic suggest that about 20% of adults with COVID-19 are hospitalized, and in approximately 20% of those, severe acute respiratory failure develops that requires life-support treatments such as invasive mechanical ventilation. 1,2 Results of research from before the COVID-19 pandemic suggest that most of these adults with critical KEY ELEMENTS OF THE CRITICAL CARE WORK ENVIRONMENT Among nurses in the sample, 61% experience moderate burnout. In models controlling for key nurse characteristics including age, level of education, and professional recognition, 3 key elements of the work environment emerged as significant predictors of burnout: staffing, meaningful recognition, and effective decision-making. PHARMACOLOGICAL TREATMENT FOR PAROXYSMAL SYMPATHETIC Monotherapy is usually not effective in the management of paroxysmal sympathetic hyperactivity and multiple agents with different mechanisms of action should be considered. α 2-Agonists such as dexmedetomidine may hold some slight clinical efficacy over agents like propofol, and with respect to oral medications, propranolol might convey some slight advantage compared to others. WHAT MATTERS TO PATIENTS AND THEIR FAMILIES DURING AND Admission to an intensive care unit (ICU) portends high risks for death, reduced physical and cognitive functioning among survivors, and substantial burdens for family members, including increased rates of depression, posttraumatic stress disorder, and complicated grief. 1 As the population of ICU survivors has increased, research has shifted to understanding and improving outcomes of IMPLICIT BIAS IN PATIENT CARE: AN ENDEMIC BLIGHT ON The most frequently used device for assessing implicit bias is the IAT, a product of Project Implicit, a collaborative research effort shared by Harvard University, University of Washington, and University of Virginia to examine attitudes and feelings outside of conscious awareness and control. 35 The test involves a computerized, timed, dual-categorization that measures implicit preferences NURSING MANAGEMENT OF PATIENTS REQUIRING ACUTE MECHANICAL The IABP is recommended for short-term use in the management of cardiogenic shock, refractory unstable angina, or refractory or intractable ventricular tachycardia; supporting preoperative or postoperative cardiac surgery; or as a bridge to advanced therapies (ventricular assist device or transplant). 7 Additional indications include acute mitral regurgitation due to papillaryrupture
AMERICAN JOURNAL OF CRITICAL CARE COVID-19 Resources . For free access articles in the American Journal of Critical Care, Critical Care Nurse, and AACN Advanced Critical Care related to the care of INTEGRATING CLINICAL REASONING AND EVIDENCE-BASED PRACTICE81 Reprint requests to Joy Higgs, PhD, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe 1825, Australia (e-mail: j.higgs@cchs.usyd.edu.au). ENDOTRACHEAL SALINE AND SUCTION CATHETERS: SOURCES OF American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 GENERATIONAL DIFFERENCES AND MULTIGENERATIONAL TEAMWORK Many current work environments are composed of 5 generations (Table 1). 1–4 This multigenerational workforce contains a diversity of attitudes, beliefs, and work habits that need to be taken into consideration when building relationships with colleagues. Along with characteristics such as gender, race, ethnicity, and religion, the generation we are born into contributes to our unique identity. INCOMPETENCE AMONG CRITICAL CARE NURSES: A SURVEY REPORT The August 2008 editorial in Critical Care Nurse (CCN) examined the pivotal role that staff competency serves for both ensuring the provision of optimal and safe patient care as well as in determining whether nurses judge their work environment to be satisfying. 1 Regardless of whether the context of discussion is how the nursing profession meets its obligations for public safety, how the FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA IN ADULTS Critically ill patients who are intubated are at risk for development of ventilator-associated pneumonia (VAP), a subset of ventilator-associated events.
DIARRHEA | AACN ADVANCED CRITICAL CARE | AMERICAN Diarrhea is one of many symptoms that may complicate the hospitalization of a critically ill patient. Diarrhea is caused by a variety of etiologies; identifying the etiology aids in the appropriate selection of interventions. MEDICATION ERRORS: A CASE-BASED REVIEW Marianne Pop is Clinical Assistant Professor/Emergency Medicine Clinical Pharmacist, Department of Pharmacy Practice, University of Illinois-Rockford, 1601 Parkview Ave, Room A301, Rockford, IL 61107 (marip2010@gmail.com).Mary Finocchi is Emergency Department/Operating Room Pharmacy Satellite Operations Supervisor, Department of Pharmacy Services, Tampa General Hospital, AMERICAN JOURNAL OF CRITICAL CARE COVID-19 Resources . For free access articles in the American Journal of Critical Care, Critical Care Nurse, and AACN Advanced Critical Care related to the care of INTEGRATING CLINICAL REASONING AND EVIDENCE-BASED PRACTICE81 Reprint requests to Joy Higgs, PhD, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe 1825, Australia (e-mail: j.higgs@cchs.usyd.edu.au). ENDOTRACHEAL SALINE AND SUCTION CATHETERS: SOURCES OF American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 GENERATIONAL DIFFERENCES AND MULTIGENERATIONAL TEAMWORK Many current work environments are composed of 5 generations (Table 1). 1–4 This multigenerational workforce contains a diversity of attitudes, beliefs, and work habits that need to be taken into consideration when building relationships with colleagues. Along with characteristics such as gender, race, ethnicity, and religion, the generation we are born into contributes to our unique identity. INCOMPETENCE AMONG CRITICAL CARE NURSES: A SURVEY REPORT The August 2008 editorial in Critical Care Nurse (CCN) examined the pivotal role that staff competency serves for both ensuring the provision of optimal and safe patient care as well as in determining whether nurses judge their work environment to be satisfying. 1 Regardless of whether the context of discussion is how the nursing profession meets its obligations for public safety, how the FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA IN ADULTS Critically ill patients who are intubated are at risk for development of ventilator-associated pneumonia (VAP), a subset of ventilator-associated events.
DIARRHEA | AACN ADVANCED CRITICAL CARE | AMERICAN Diarrhea is one of many symptoms that may complicate the hospitalization of a critically ill patient. Diarrhea is caused by a variety of etiologies; identifying the etiology aids in the appropriate selection of interventions. MEDICATION ERRORS: A CASE-BASED REVIEW Marianne Pop is Clinical Assistant Professor/Emergency Medicine Clinical Pharmacist, Department of Pharmacy Practice, University of Illinois-Rockford, 1601 Parkview Ave, Room A301, Rockford, IL 61107 (marip2010@gmail.com).Mary Finocchi is Emergency Department/Operating Room Pharmacy Satellite Operations Supervisor, Department of Pharmacy Services, Tampa General Hospital,CRITICAL CARE NURSE
Current Resources. Access free ahead of print articles about caring for patients with COVID-19 and other current topics here.. For free articles in Critical Care Nurse, AACN Advanced Critical Care, and the American Journal of Critical Care related to the care of patients with COVID-19, click here. AMERICAN JOURNAL OF CRITICAL CARE COVID-19 Resources . For free access articles in the American Journal of Critical Care, Critical Care Nurse, and AACN Advanced Critical Care related to the care of POST–COVID-19 SYNDROME: THEORETICAL BASIS, IDENTIFICATION As COVID-19 continues to spread, with the United States surpassing 29 million cases, 1 health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for the physical and mental effects of the virus. The term long-haulers is applied to patients who have not fully recovered from the disease after weeks or months. 2 Although the acute AACN ADVANCED CRITICAL CARE VIDEOS American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 EMPOWERING NURSES IN 2020, THE YEAR OF THE NURSE The World Health Organization (WHO) has declared 2020 as the International Year of the Nurse and Midwife. 1 In 2020, Nursing Now will conclude its 3-year global campaign to improve health by raising the profile and status of nursing worldwide. 2 This year also marks the bicentennial of Florence Nightingale’s birthday on May 12. 3 Accompanying these celebrations of nurses’ contributions to WRITING FOR PUBLICATION 101: WHY THE ABSTRACT IS SO For all biomedical journals, an abstract is a succinct yet comprehensive synopsis of the contents of a prospective or published paper. 1 Despite their crucial importance, abstracts may be prepared hastily at the time a paper is submitted without clear regard for the potential consequences. This editorial will examine the abstract from many dimensions to highlight its intended purposes ETHICAL ISSUES IN THE CARE OF EMERGING ADULTS IN PEDIATRIC Sydney, an 18-year-old woman with congenital heart disease (CHD), had infective endocarditis and was admitted in critical condition to the cardiac intensive care unit (CICU) at a pediatric medical center, where she has been followed since birth because of the CHD. EVIDENCE-BASED NURSING PRACTICE: WHY IS IT IMPORTANT Evidence-based practice has gained momentum in nursing, and definitions vary widely. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered “evidence”; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. THE IMPORTANCE OF SPIRITUALITY IN PATIENT-CENTERED CARE The condition of our patients can be so critical that we remain singularly focused on issues related to the body: making sure the airway is properly secured, that a central line has been quickly and properly placed, that antibiotics and cultures have been obtained, and that we are compliant with national guidelines regarding prevention of iatrogenic complications of being critically ill. KETAMINE USE IN THE INTENSIVE CARE UNIT Ketamine was approved for use as an anesthetic agent by the US Food and Drug Administration (FDA) in 1970 1 and is an analog of the hallucinogen phencyclidine, commonly known as PCP. Ketamine’s development was driven by the observation that phencyclidine was a useful anesthetic agent but caused serious neuropsychiatric adverse events (eg, delirium, psychosis, dissociative AMERICAN JOURNAL OF CRITICAL CARE COVID-19 Resources . For free access articles in the American Journal of Critical Care, Critical Care Nurse, and AACN Advanced Critical Care related to the care of INTEGRATING CLINICAL REASONING AND EVIDENCE-BASED PRACTICE81 Reprint requests to Joy Higgs, PhD, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe 1825, Australia (e-mail: j.higgs@cchs.usyd.edu.au). ENDOTRACHEAL SALINE AND SUCTION CATHETERS: SOURCES OF American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 GENERATIONAL DIFFERENCES AND MULTIGENERATIONAL TEAMWORK Many current work environments are composed of 5 generations (Table 1). 1–4 This multigenerational workforce contains a diversity of attitudes, beliefs, and work habits that need to be taken into consideration when building relationships with colleagues. Along with characteristics such as gender, race, ethnicity, and religion, the generation we are born into contributes to our unique identity. INCOMPETENCE AMONG CRITICAL CARE NURSES: A SURVEY REPORT The August 2008 editorial in Critical Care Nurse (CCN) examined the pivotal role that staff competency serves for both ensuring the provision of optimal and safe patient care as well as in determining whether nurses judge their work environment to be satisfying. 1 Regardless of whether the context of discussion is how the nursing profession meets its obligations for public safety, how the FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA IN ADULTS Critically ill patients who are intubated are at risk for development of ventilator-associated pneumonia (VAP), a subset of ventilator-associated events.
DIARRHEA | AACN ADVANCED CRITICAL CARE | AMERICAN Diarrhea is one of many symptoms that may complicate the hospitalization of a critically ill patient. Diarrhea is caused by a variety of etiologies; identifying the etiology aids in the appropriate selection of interventions. MEDICATION ERRORS: A CASE-BASED REVIEW Marianne Pop is Clinical Assistant Professor/Emergency Medicine Clinical Pharmacist, Department of Pharmacy Practice, University of Illinois-Rockford, 1601 Parkview Ave, Room A301, Rockford, IL 61107 (marip2010@gmail.com).Mary Finocchi is Emergency Department/Operating Room Pharmacy Satellite Operations Supervisor, Department of Pharmacy Services, Tampa General Hospital, AMERICAN JOURNAL OF CRITICAL CARE COVID-19 Resources . For free access articles in the American Journal of Critical Care, Critical Care Nurse, and AACN Advanced Critical Care related to the care of INTEGRATING CLINICAL REASONING AND EVIDENCE-BASED PRACTICE81 Reprint requests to Joy Higgs, PhD, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe 1825, Australia (e-mail: j.higgs@cchs.usyd.edu.au). ENDOTRACHEAL SALINE AND SUCTION CATHETERS: SOURCES OF American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 GENERATIONAL DIFFERENCES AND MULTIGENERATIONAL TEAMWORK Many current work environments are composed of 5 generations (Table 1). 1–4 This multigenerational workforce contains a diversity of attitudes, beliefs, and work habits that need to be taken into consideration when building relationships with colleagues. Along with characteristics such as gender, race, ethnicity, and religion, the generation we are born into contributes to our unique identity. INCOMPETENCE AMONG CRITICAL CARE NURSES: A SURVEY REPORT The August 2008 editorial in Critical Care Nurse (CCN) examined the pivotal role that staff competency serves for both ensuring the provision of optimal and safe patient care as well as in determining whether nurses judge their work environment to be satisfying. 1 Regardless of whether the context of discussion is how the nursing profession meets its obligations for public safety, how the FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA IN ADULTS Critically ill patients who are intubated are at risk for development of ventilator-associated pneumonia (VAP), a subset of ventilator-associated events.
DIARRHEA | AACN ADVANCED CRITICAL CARE | AMERICAN Diarrhea is one of many symptoms that may complicate the hospitalization of a critically ill patient. Diarrhea is caused by a variety of etiologies; identifying the etiology aids in the appropriate selection of interventions. MEDICATION ERRORS: A CASE-BASED REVIEW Marianne Pop is Clinical Assistant Professor/Emergency Medicine Clinical Pharmacist, Department of Pharmacy Practice, University of Illinois-Rockford, 1601 Parkview Ave, Room A301, Rockford, IL 61107 (marip2010@gmail.com).Mary Finocchi is Emergency Department/Operating Room Pharmacy Satellite Operations Supervisor, Department of Pharmacy Services, Tampa General Hospital,CRITICAL CARE NURSE
Current Resources. Access free ahead of print articles about caring for patients with COVID-19 and other current topics here.. For free articles in Critical Care Nurse, AACN Advanced Critical Care, and the American Journal of Critical Care related to the care of patients with COVID-19, click here. AMERICAN JOURNAL OF CRITICAL CARE COVID-19 Resources . For free access articles in the American Journal of Critical Care, Critical Care Nurse, and AACN Advanced Critical Care related to the care of POST–COVID-19 SYNDROME: THEORETICAL BASIS, IDENTIFICATION As COVID-19 continues to spread, with the United States surpassing 29 million cases, 1 health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for the physical and mental effects of the virus. The term long-haulers is applied to patients who have not fully recovered from the disease after weeks or months. 2 Although the acute AACN ADVANCED CRITICAL CARE VIDEOS American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 EMPOWERING NURSES IN 2020, THE YEAR OF THE NURSE The World Health Organization (WHO) has declared 2020 as the International Year of the Nurse and Midwife. 1 In 2020, Nursing Now will conclude its 3-year global campaign to improve health by raising the profile and status of nursing worldwide. 2 This year also marks the bicentennial of Florence Nightingale’s birthday on May 12. 3 Accompanying these celebrations of nurses’ contributions to WRITING FOR PUBLICATION 101: WHY THE ABSTRACT IS SO For all biomedical journals, an abstract is a succinct yet comprehensive synopsis of the contents of a prospective or published paper. 1 Despite their crucial importance, abstracts may be prepared hastily at the time a paper is submitted without clear regard for the potential consequences. This editorial will examine the abstract from many dimensions to highlight its intended purposes ETHICAL ISSUES IN THE CARE OF EMERGING ADULTS IN PEDIATRIC Sydney, an 18-year-old woman with congenital heart disease (CHD), had infective endocarditis and was admitted in critical condition to the cardiac intensive care unit (CICU) at a pediatric medical center, where she has been followed since birth because of the CHD. EVIDENCE-BASED NURSING PRACTICE: WHY IS IT IMPORTANT Evidence-based practice has gained momentum in nursing, and definitions vary widely. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered “evidence”; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. THE IMPORTANCE OF SPIRITUALITY IN PATIENT-CENTERED CARE The condition of our patients can be so critical that we remain singularly focused on issues related to the body: making sure the airway is properly secured, that a central line has been quickly and properly placed, that antibiotics and cultures have been obtained, and that we are compliant with national guidelines regarding prevention of iatrogenic complications of being critically ill. KETAMINE USE IN THE INTENSIVE CARE UNIT Ketamine was approved for use as an anesthetic agent by the US Food and Drug Administration (FDA) in 1970 1 and is an analog of the hallucinogen phencyclidine, commonly known as PCP. Ketamine’s development was driven by the observation that phencyclidine was a useful anesthetic agent but caused serious neuropsychiatric adverse events (eg, delirium, psychosis, dissociative AMERICAN JOURNAL OF CRITICAL CARE A bimonthly scientific journal, AJCC offers the latest advances in clinical research, with features that highlight bedside applicationsof select research
EMPOWERING NURSES IN 2020, THE YEAR OF THE NURSE1 The World Health Organization (WHO) has declared 2020 as the International Year of the Nurse and Midwife. 1 In 2020, Nursing Now will conclude its 3-year global campaign to improve health by raising the profile and status of nursing worldwide. 2 This year also marks the bicentennial of Florence Nightingale’s birthday on May 12. 3 Accompanying these celebrations of nurses’ contributions to GENERATIONAL DIFFERENCES AND MULTIGENERATIONAL TEAMWORK Many current work environments are composed of 5 generations (Table 1). 1–4 This multigenerational workforce contains a diversity of attitudes, beliefs, and work habits that need to be taken into consideration when building relationships with colleagues. Along with characteristics such as gender, race, ethnicity, and religion, the generation we are born into contributes to our unique identity. INTEGRATING CLINICAL REASONING AND EVIDENCE-BASED PRACTICE Reprint requests to Joy Higgs, PhD, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe 1825, Australia (e-mail: j.higgs@cchs.usyd.edu.au). FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. ENDOTRACHEAL SALINE AND SUCTION CATHETERS: SOURCES OF American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 EVIDENCE-BASED NURSING PRACTICE: WHY IS IT IMPORTANT Evidence-based practice has gained momentum in nursing, and definitions vary widely. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered “evidence”; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership DIARRHEA | AACN ADVANCED CRITICAL CARE | AMERICAN Diarrhea. : Applying Research to Bedside Practice. Valerie K. Sabol is Director, Trauma, Critical Care, and Emergency ACNP/CNS Program, University of Maryland School of Nursing, 655 W Lombard St, 3rd Floor, Baltimore, MD 21201 (e-mail: sabol@son.umaryland.edu ). Karen K. Carlson is Critical Care Clinical Specialist, Carlson Consulting Group MEDICATION ERRORS: A CASE-BASED REVIEW Marianne Pop is Clinical Assistant Professor/Emergency Medicine Clinical Pharmacist, Department of Pharmacy Practice, University of Illinois-Rockford, 1601 Parkview Ave, Room A301, Rockford, IL 61107 (marip2010@gmail.com).Mary Finocchi is Emergency Department/Operating Room Pharmacy Satellite Operations Supervisor, Department of Pharmacy Services, Tampa General Hospital, AMERICAN JOURNAL OF CRITICAL CARE A bimonthly scientific journal, AJCC offers the latest advances in clinical research, with features that highlight bedside applicationsof select research
EMPOWERING NURSES IN 2020, THE YEAR OF THE NURSE1 The World Health Organization (WHO) has declared 2020 as the International Year of the Nurse and Midwife. 1 In 2020, Nursing Now will conclude its 3-year global campaign to improve health by raising the profile and status of nursing worldwide. 2 This year also marks the bicentennial of Florence Nightingale’s birthday on May 12. 3 Accompanying these celebrations of nurses’ contributions to GENERATIONAL DIFFERENCES AND MULTIGENERATIONAL TEAMWORK Many current work environments are composed of 5 generations (Table 1). 1–4 This multigenerational workforce contains a diversity of attitudes, beliefs, and work habits that need to be taken into consideration when building relationships with colleagues. Along with characteristics such as gender, race, ethnicity, and religion, the generation we are born into contributes to our unique identity. INTEGRATING CLINICAL REASONING AND EVIDENCE-BASED PRACTICE Reprint requests to Joy Higgs, PhD, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe 1825, Australia (e-mail: j.higgs@cchs.usyd.edu.au). FEASIBILITY OF A HOME-BASED PALLIATIVE CARE INTERVENTION Florian B. Mayr is a staff physician, Critical Care Service Line, VA Pittsburgh Healthcare System, and an assistant professor, Clinical Research, Investigation, and Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. ENDOTRACHEAL SALINE AND SUCTION CATHETERS: SOURCES OF American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 EVIDENCE-BASED NURSING PRACTICE: WHY IS IT IMPORTANT Evidence-based practice has gained momentum in nursing, and definitions vary widely. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered “evidence”; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. SERVANT LEADERSHIP: THE PRIMACY OF SERVICE What do we mean by servant leadership? To understand the concept, perhaps it’s best to divide the construct into premodern and modern. Premodern concepts of servant leadership stretch all the way back to ancient Chinese writings and early Christianity, during which time it was believed that “to be a leader, one must be a servant first.” 1–3 The modern concept of servant leadership DIARRHEA | AACN ADVANCED CRITICAL CARE | AMERICAN Diarrhea. : Applying Research to Bedside Practice. Valerie K. Sabol is Director, Trauma, Critical Care, and Emergency ACNP/CNS Program, University of Maryland School of Nursing, 655 W Lombard St, 3rd Floor, Baltimore, MD 21201 (e-mail: sabol@son.umaryland.edu ). Karen K. Carlson is Critical Care Clinical Specialist, Carlson Consulting Group MEDICATION ERRORS: A CASE-BASED REVIEW Marianne Pop is Clinical Assistant Professor/Emergency Medicine Clinical Pharmacist, Department of Pharmacy Practice, University of Illinois-Rockford, 1601 Parkview Ave, Room A301, Rockford, IL 61107 (marip2010@gmail.com).Mary Finocchi is Emergency Department/Operating Room Pharmacy Satellite Operations Supervisor, Department of Pharmacy Services, Tampa General Hospital,CRITICAL CARE NURSE
Current Resources. Access free ahead of print articles about caring for patients with COVID-19 and other current topics here.. For free articles in Critical Care Nurse, AACN Advanced Critical Care, and the American Journal of Critical Care related to the care of patients with COVID-19, click here. AMERICAN JOURNAL OF CRITICAL CARE A bimonthly scientific journal, AJCC offers the latest advances in clinical research, with features that highlight bedside applicationsof select research
POST–COVID-19 SYNDROME: THEORETICAL BASIS, IDENTIFICATION As COVID-19 continues to spread, with the United States surpassing 29 million cases, 1 health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for the physical and mental effects of the virus. The term long-haulers is applied to patients who have not fully recovered from the disease after weeks or months. 2 Although the acute AACN ADVANCED CRITICAL CARE VIDEOS American Association of Critical-Care Nurses 27071 Aliso Creek Road Aliso Viejo, CA 92656. Tel: (800) 899-1712 Tel: (949) 362-2000 KEY ELEMENTS OF THE CRITICAL CARE WORK ENVIRONMENT Among nurses in the sample, 61% experience moderate burnout. In models controlling for key nurse characteristics including age, level of education, and professional recognition, 3 key elements of the work environment emerged as significant predictors of burnout: staffing, meaningful recognition, and effective decision-making. ETHICAL ISSUES IN THE CARE OF EMERGING ADULTS IN PEDIATRIC Sydney, an 18-year-old woman with congenital heart disease (CHD), had infective endocarditis and was admitted in critical condition to the cardiac intensive care unit (CICU) at a pediatric medical center, where she has been followed since birth because of the CHD. WRITING FOR PUBLICATION 101: WHY THE ABSTRACT IS SO For all biomedical journals, an abstract is a succinct yet comprehensive synopsis of the contents of a prospective or published paper. 1 Despite their crucial importance, abstracts may be prepared hastily at the time a paper is submitted without clear regard for the potential consequences. This editorial will examine the abstract from many dimensions to highlight its intended purposes FACILITATING FACTORS IN THE PROPER IDENTIFICATION OF ACUTE Michael Mileski is an associate professor and program director at School of Health Administration, Texas State University, San Marcos,Texas
KETAMINE USE IN THE INTENSIVE CARE UNIT Ketamine was approved for use as an anesthetic agent by the US Food and Drug Administration (FDA) in 1970 1 and is an analog of the hallucinogen phencyclidine, commonly known as PCP. Ketamine’s development was driven by the observation that phencyclidine was a useful anesthetic agent but caused serious neuropsychiatric adverse events (eg, delirium, psychosis, dissociative EFFECT OF A MULTIDISCIPLINARY INTERVENTION ON The Schools of Medicine (SV, RDH, MFS) and Nursing (MC), University of California, Los Angeles, and the Department of Medicine, Veterans Affairs Greater Los Angeles Healthcare System (SV), Los Angeles,Calif.
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