Critical care nurse最新文献_第4页

Resilience in Intensive Care Unit Nurses: An Integrative Review. 重症监护室护士的恢复力：一项综合综述。

IF 2 4区医学

Critical care nurse Pub Date : 2024-12-01 DOI: 10.4037/ccn2024753

Teenu Xavier, Beverly M Hittle, Liliana Rojas-Guyler, Rebecca C Lee

{"title":"Resilience in Intensive Care Unit Nurses: An Integrative Review.","authors":"Teenu Xavier, Beverly M Hittle, Liliana Rojas-Guyler, Rebecca C Lee","doi":"10.4037/ccn2024753","DOIUrl":"https://doi.org/10.4037/ccn2024753","url":null,"abstract":"Background: The intensive care unit environment exposes nurses to high-stress situations that potentially affect their mental and physical health. Resilience is a protective factor that can enhance the well-being of intensive care unit nurses.Objective: To investigate the current evidence regarding resilience in intensive care unit nurses and identify factors that promote resilience.Methods: A comprehensive literature search was undertaken for primary research conducted between January 1990 and December 2022. The updated framework of Whittemore and Knafl was used as a guide. Studies were critically appraised for methodological quality by using the Johns Hopkins Nursing evidence-based practice appraisal tool.Results: Twelve studies were included; most used quantitative methods to measure resilience. The findings indicate that intensive care unit nurses exhibit various levels of resilience, the literature contains inconsistencies about factors affecting resilience, and resilience protects nurses against negative psychological outcomes.Discussion: Nurses' resilience levels should be regularly assessed to identify areas for improvement and gauge the impact of resilience interventions. By continuously monitoring and adapting support strategies on the basis of resilience changes over time, organizations can meet the needs of intensive care unit nurses.Conclusion: More research is needed to comprehend the factors that impact resilience and devise interventions to boost resilience in intensive care nurses.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"44 6","pages":"52-63"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766983","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

Medication Transitions of Care in Trauma and Acute Care Surgery Patients. 创伤和外科急症患者的药物治疗转变。

IF 2 4区医学

Critical care nurse Pub Date : 2024-12-01 DOI: 10.4037/ccn2024401

Bethany R Shoulders, Kelly L Maguigan, Dironada K Strange, Stephen J Lemon

{"title":"Medication Transitions of Care in Trauma and Acute Care Surgery Patients.","authors":"Bethany R Shoulders, Kelly L Maguigan, Dironada K Strange, Stephen J Lemon","doi":"10.4037/ccn2024401","DOIUrl":"https://doi.org/10.4037/ccn2024401","url":null,"abstract":"Background: Although the benefits of improved transitions of care regarding medications are widely known, implementation is variable among inpatient settings and populations and requires an interprofessional effort. This article reviews the body of published research on challenges with medication history taking and reconciliation for inpatients requiring treatment of traumatic injuries or surgical intervention.Review of evidence: A comprehensive search of PubMed and MEDLINE databases from inception to February 2021, the reference lists of qualifying articles, and PubMed's \"similar article\" suggestions were used to identify publications based on the following key terms: patient transfer, transitional care, medication reconciliation, general surgery, and surgical procedures. Publications relevant to trauma and surgical patient populations were selected. Only 11 articles met the full criteria.Implementation: The general challenges of accurate medication reconciliation at admission are also often barriers in the trauma and general surgery population. Discerning trends in the literature and evidence-based practice may be helpful.Evaluation: The publications revealed many barriers to medication reconciliation at admission, in the intensive care unit, and at intensive care unit and hospital discharge.Sustainability: Practices that can overcome these challenges include persistence in obtaining accurate information, paying close attention to changes in dosage or dosage forms and resumption of home medications at intensive care unit discharge, and having a follow-up plan for prescribing and deprescribing at hospital discharge.Conclusion: Clear guidelines are needed for performing medication assessments at the bedside, including the role of each health care professional who conducts them and how the process is coordinated.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"44 6","pages":"41-51"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766967","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

Workplace Violence: An Uncomfortable, Yet Important Topic. 工作场所暴力：一个令人不安但重要的话题。

IF 2 4区医学

Critical care nurse Pub Date : 2024-12-01 DOI: 10.4037/ccn2024502

Annette M Bourgault

引用次数: 0

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