Critical care nurse最新文献_第2页

Best Practices in the Nursing Care of Patients With Injuries From Violence: An Integrative Review. 暴力致伤患者护理的最佳实践：综合评论》。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024639

Johannah Hickey, Mackenzie White, Sarah Gantz

{"title":"Best Practices in the Nursing Care of Patients With Injuries From Violence: An Integrative Review.","authors":"Johannah Hickey, Mackenzie White, Sarah Gantz","doi":"10.4037/ccn2024639","DOIUrl":"https://doi.org/10.4037/ccn2024639","url":null,"abstract":"Background: The number of patients who have experienced violence is increasing worldwide. These patients have specific psychosocial and forensic needs and can present unique challenges to the health care workers caring for them.Objective: To identify best practices for the care of patients with injuries from violence in the emergency department or inpatient setting.Methods: The framework for integrative reviews by Whittemore and Knafl was used to conduct a literature search in MEDLINE, CINAHL, and ProQuest Nursing and Allied Health databases. Fourteen qualitative, quantitative, and mixed-methods studies from peer-reviewed journals were included in the review.Results: Themes included identifying patients as survivors of intimate partner violence or child abuse, the need to collect forensic evidence, the need for emotional support of patients and their loved ones, support for health care workers caring for patients with injuries from violence, prevention of further violence, and the challenges of caring for patients with injuries from violence with concurrent substance use disorders. Best practices for these aspects of care are summarized on the basis of literature analysis.Conclusion: Screening procedures are needed to identify survivors of intimate partner violence and child abuse. Forensic evidence preservation policies should be in place. For survivors of sexual assault, a sexual assault nurse examiner should be available. Hospital systems should provide psychosocial resources for patients' and health care workers' mental health, implement violence reduction programs, and provide bias training. More research is needed to determine efficacy of care models and best practice.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"44 5","pages":"32-41"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strengthening the Psychological Health and Readiness of Military Critical Care Nurses for Disaster and Future Combat Environments. 加强军队重症监护护士的心理健康，使其做好应对灾难和未来战斗环境的准备。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024168

Kathleen Flarity, Ian Stanley, Michael D April

引用次数: 0

The John Sealy Hospital Fire Evacuation. 约翰-西利医院火灾疏散。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024469

Rachel Wheeler-McAnally

引用次数: 0

Acute and Critical Care Nurses' Roles in Mass Shootings: An Integrative Review. 急诊和重症监护护士在大规模枪击事件中的角色：综合评述。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024192

Dawn Carpenter, Alexander Menard, Johnny Isenberger, Gregg A Stevens, Lisa LaRock

{"title":"Acute and Critical Care Nurses' Roles in Mass Shootings: An Integrative Review.","authors":"Dawn Carpenter, Alexander Menard, Johnny Isenberger, Gregg A Stevens, Lisa LaRock","doi":"10.4037/ccn2024192","DOIUrl":"https://doi.org/10.4037/ccn2024192","url":null,"abstract":"Background: From 2018 to 2022, mass shooting incidents in the United States increased by 67.7%. Health care-associated shootings also increased. The role of acute and critical care nurses during shootings is not well defined in the literature.Objective: To identify roles of acute and critical care nurses during mass shooting incidents and provide best-practice recommendations for shooting incidents within a hospital.Methods: The methods of Whittemore, Knafl, and Torraco informed this integrative review. Ovid MEDLINE, CINAHL, and Scopus databases were searched for publications related to acute and critical care nurses, mass shooting incidents, and hospital setting.Results: Of 13 589 articles retrieved, 27 were included; 63% were narrative reviews. The highest level of evidence was an expert consensus panel; next highest was a quasi-experimental study that simulated experiences to test mass casualty incident response. Third highest was a qualitative study that analyzed nurses' experiences during a mass casualty experience.Discussion: The evidence revealed 3 themes: prevention and preparedness, response to incident, and recovery phase. Education and training for acute and critical care nurses about mass shooting incidents are central to defining nurses' roles and best practices for these incidents. Nurses must know Stop the Bleed techniques and run-hide-fight protocols. Additionally, acute and critical care nurses need representation on hospital committees to develop and implement policies and procedures.Conclusions: Hospitals are not immune to mass shooting incidents. Acute and critical care nurses require education including simulations and drills on mass shooting incidents to ensure safety of nurses and patients.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"44 5","pages":"20-31"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Critical Care Nursing and Mass Casualty Response During Operation Allies Refuge. 盟军救援行动期间的重症护理和大规模伤亡响应。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024819

Elizabeth A M Bhatta, Nathaniel J DeCarli, Julie R Duffy, Brandie McAdams

引用次数: 0

Using a Military-Civilian Partnership to Enhance Clinical Readiness and Sustainment for Air Force Critical Care Nurses. 利用军民合作关系加强空军重症监护护士的临床准备和维持能力。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024428

Jennifer L Armon, Yvette Lucca, Roman Aguon Salas

{"title":"Using a Military-Civilian Partnership to Enhance Clinical Readiness and Sustainment for Air Force Critical Care Nurses.","authors":"Jennifer L Armon, Yvette Lucca, Roman Aguon Salas","doi":"10.4037/ccn2024428","DOIUrl":"https://doi.org/10.4037/ccn2024428","url":null,"abstract":"Background: Decreases in size, capability, clinical volumes, case mixes, and complex care opportunities in military treatment facilities contribute to the atrophy of clinical skills among medical professionals in these facilities.Local problem: The COVID-19 pandemic resulted in a 39% decline in admissions to a military critical care unit. The decrease in patient census contributed to skill sustainment challenges.Methods: To identify methods to combat skill atrophy, the CINAHL and PubMed databases were searched using the terms peacetime effect, military-civilian partnership, and skill sustainment. Active-duty critical care nurses stationed at a military treatment facility implemented a military-civilian partnership with a civilian medical facility for clinical skill sustainment.Results: One year after implementation, 39 critical care nurses had completed 511 shifts, gaining clinical experiences seldom achieved at the military facility. A survey of these nurses demonstrated that 8 of 17 (47%) gained experience treating patients requiring intra-aortic balloon pumps or continuous renal replacement therapy, 6 of 17 (36%) gained experience with patients requiring a ventricular assist device, 12 of 17 (71%) acquired hands-on experience with intracranial pressure monitoring, and 14 of 17 (82%) reported vasoactive intravenous infusion manipulation.Conclusions: This article highlights the importance of evaluating clinical practice within the military health system, developing military-civilian partnerships, and removing military-civilian partnership barriers for nurses and other health care professionals. Failure to implement military-civilian partnerships may adversely affect the clinical competency of the military nurse force.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"44 5","pages":"13-19"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Daily Toothbrushing Reduces Risk of Pneumonia. 每天刷牙可降低肺炎风险。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024658

Muhammad Rayan Syed, Muhammad Momin Khan, Maisam Ali Rajput

引用次数: 0

Corrections. 更正。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024115

引用次数: 0

International Burn Disaster Nursing: Care, Commitment, Compassion, and Cost. 国际烧伤灾难护理：护理、承诺、同情和成本。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024991

Gideon Agyenim-Boateng, Natalia Ridkodim, Elizabeth Leitch, Kati Hafer, Nina Ng, Richard Arbour

{"title":"International Burn Disaster Nursing: Care, Commitment, Compassion, and Cost.","authors":"Gideon Agyenim-Boateng, Natalia Ridkodim, Elizabeth Leitch, Kati Hafer, Nina Ng, Richard Arbour","doi":"10.4037/ccn2024991","DOIUrl":"https://doi.org/10.4037/ccn2024991","url":null,"abstract":"Background: Burn mass casualty incidents can overwhelm local resources, challenging effective communication, triage, and provision of care. International responders can help by providing education and direct patient care.Local problem: On November 5, 2021, a fuel tanker truck exploded in Freetown, Sierra Leone, killing or injuring hundreds of people. The needs of the severely burned survivors overwhelmed local resources, requiring an international response. Burn specialist teams from several countries, including the United States, were deployed to provide assistance.Methods: Members of the US burn care team educated local health care practitioners about wound care, physical therapy, and fluid and pain management. Educational content was delivered through lecture and discussion, case studies, clinical application, and bedside teaching. Demonstration of cultural competence and humility, as well as attentiveness to nuances of local communication, helped avoid ethnocentrism and other barriers to collaboration. Public congratulations and formal completion certificates were used to provide meaningful recognition of successful class participation.Results: Before the lecture and discussion intervention, 57 students participating in a pretest assessment had an average score of 53.9% (high, 80%; low, 27.5%). After the intervention, 38 students participating in a posttest assessment had an average score of 79.3% (high, 95%; low, 55%), and local health care providers delivered care with more attention to patient comfort and shared new knowledge with colleagues.Conclusions: Providing optimal burn care and education under austere conditions requires cultural humility and a spirit of inquiry. Attentiveness to communication and cultural nuances promotes collaboration, improves educational effectiveness, and builds local burn care capacity.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"44 5","pages":"58-63"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Low-Titer O-Positive Whole Blood: Lessons From the Battlefield for Civilian Rural Hospitals. 低滴度 O 型阳性全血：从战场上吸取的教训：农村平民医院。

IF 2 4区医学

Critical care nurse Pub Date : 2024-10-01 DOI: 10.4037/ccn2024734

Sean O'Hollearn, Randall Schaefer, Cassandra DuBose, Darin Smith, Carl Goforth

引用次数: 0