Critical care nurse最新文献_第9页

Critical Care Nurses' Attitudes About Family Presence During Resuscitation: An Integrative Review. 危重护理护士对复苏期间家庭存在的态度：一项综合综述。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-10-01 DOI: 10.4037/ccn2023850

Khaled W Bader, Carolyn R Smith, Gordon L Gillespie

{"title":"Critical Care Nurses' Attitudes About Family Presence During Resuscitation: An Integrative Review.","authors":"Khaled W Bader, Carolyn R Smith, Gordon L Gillespie","doi":"10.4037/ccn2023850","DOIUrl":"https://doi.org/10.4037/ccn2023850","url":null,"abstract":"Background: Family presence during resuscitation was introduced into clinical practice 30 years ago. Despite adoption of family-centered care by several health organizations and support for family presence during resuscitation by professional organizations such as the American Heart Association, critical care nurses' attitudes about family presence during resuscitation vary widely.Objective: To examine current evidence on critical care nurses' attitudes about, perceptions of, and behaviors related to practicing family presence during resuscitation.Methods: The method of Whittemore and Knafl guided the integrative review. Databases searched were CINAHL, PubMed, and Scopus. Articles included were English-language studies published from 2008 to 2022 that examined the perceptions of critical and emergency care nurses from adult units regarding family presence during resuscitation.Results: Twenty-two articles were included. Levels and strength of evidence were assessed with the Johns Hopkins nursing evidence-based model. The articles in this integrative review included a total sample size of 4780 health care professionals; 3808 were critical and acute care nurses.Discussion: Themes synthesized from current evidence included attitudes, benefits, barriers, demographic influence, cultural influence, and facilitators. Barriers and facilitators were associated with nursing practice in rural versus urban settings, age-related factors, years of experience, and unit-based differences in practice. Developing interventions to address identified factors can increase the practice of family presence during resuscitation in critical care settings.Conclusions: Several factors influence the practice of family presence during resuscitation in critical care settings. Nurse leaders should consider these factors to enhance the practice of family presence during resuscitation.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"43 5","pages":"17-31"},"PeriodicalIF":1.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113466","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

Implementing Brief Mindfulness-Based Interventions to Reduce Compassion Fatigue. 实施基于正念的简短干预以减少同情疲劳。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-10-01 DOI: 10.4037/ccn2023745

Sharada K Tripathi, David C Mulkey

{"title":"Implementing Brief Mindfulness-Based Interventions to Reduce Compassion Fatigue.","authors":"Sharada K Tripathi, David C Mulkey","doi":"10.4037/ccn2023745","DOIUrl":"https://doi.org/10.4037/ccn2023745","url":null,"abstract":"Background: Nurses in surgical-trauma units are susceptible to compassion fatigue due to work-related stressors. Mitigating and preventing compassion fatigue are critical to supporting the health and well-being of surgical-trauma nurses.Local problem: During the COVID-19 pandemic, a surgical-trauma unit was converted to a designated COVID-19 unit. Nurses verbalized feelings of burnout and stress during the pandemic and did not have a mechanism to cope with work-related stress. This project evaluated the impact of brief mindfulness-based interventions on compassion fatigue.Methods: From February 2021 to March 2022, mindfulness champions led 5 minutes of mindfulness-based interventions, including meditation, deep breathing, and self-compassion exercises, during shift huddles. The Professional Quality of Life, version 5, questionnaire was used to evaluate preintervention and postintervention burnout, secondary traumatic stress, and compassion satisfaction. Paired-sample t tests were used to evaluate the results.Results: Twenty-nine of 34 nurses responded (85% response rate) with matched preintervention and postintervention questionnaires. All subscale scores showed significant improvement after intervention. The mean burnout subscale score decreased by 9.35% (P = .003), mean secondary traumatic stress subscale score decreased by 11.89% (P = .005), and mean compassion satisfaction subscale score increased by 6.44% (P = .03) after intervention.Discussion: After implementing brief mindfulness-based interventions in shift huddles, nurses reported reductions in elements of compassion fatigue (burnout and secondary traumatic stress). Nurses reported that adding brief mindfulness-based interventions to shift huddles helped them cope with work-related stress.Conclusions: Brief mindfulness-based interventions can improve nurses' compassion satisfaction while reducing compassion fatigue measurements.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"43 5","pages":"32-40"},"PeriodicalIF":1.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41114187","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

Education Directory. 教育目录。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-10-01

引用次数: 0

Artificial Intelligence and the Critical Care Nurse. 人工智能与重症监护护士。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-10-01 DOI: 10.4037/ccn2023755

Jenny G Alderden, Jace D Johnny

引用次数: 0

Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety. 通过智能技术在重症监护中实现镇痛和镇静:提高患者安全。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-08-01 DOI: 10.4037/ccn2023271

Isabel Muñoz Ojeda, Marina Sánchez-Cuervo, Ángel Candela-Toha, Dolores R Serrano-López, Teresa Bermejo-Vicedo, Juan Miguel Alcaide-López-de-Lerma

{"title":"Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety.","authors":"Isabel Muñoz Ojeda, Marina Sánchez-Cuervo, Ángel Candela-Toha, Dolores R Serrano-López, Teresa Bermejo-Vicedo, Juan Miguel Alcaide-López-de-Lerma","doi":"10.4037/ccn2023271","DOIUrl":"https://doi.org/10.4037/ccn2023271","url":null,"abstract":"Background: The risk of medication errors in intensive care units is high, primarily in the drug administration phase.Local problem: Management of high-alert medications within intensive care units in the study institution varied widely. The aim of this quality improvement project was to protocolize and centralize the management of high-alert medications in acute care settings and to implement smart intravenous infusion pump technology in intensive care units.Methods: The project was conducted in 4 phases: (1) protocolization and standardization of intravenous mixtures, (2) centralization of intravenous mixture preparation in the Pharmacy Department, (3) programming of the smart pumps, and (4) dissemination and staged implementation of intravenous mixture protocols. Smart pumps (Alaris, CareFusion) were used to deliver the medicines, and the manufacturer's software (Alaris Guardrails, CareFusion) was used to analyze data regarding adherence to the drug library and the number of programming errors detected.Results: Morphine, remifentanil, fentanyl, midazolam, dexmedetomidine, and propofol were included. After implementation of the smart pumps, 3283 infusions were started; of these, 2198 were programmed through the drug library, indicating 67% compliance with the safety software. The pumps intercepted 398 infusion-related programming errors that led to cancellation or reprogramming of drug infusions.Conclusions: Protocolization and centralization of the preparation of high-alert sedative and analgesic medications for critically ill patients and the administration of these drugs using smart pump technology decrease variability of clinical practice and intercept potentially serious medication errors.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"43 4","pages":"30-38"},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919735","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

Evidence-Based Protocol for Cardiac Surgical Arrest. 心脏手术骤停的循证方案。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-08-01 DOI: 10.4037/ccn2023786

S Jill Ley

引用次数: 0

Bedside Clinician's Guide to Pulmonary Artery Catheters. 床边临床医生肺动脉导管指南。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-08-01 DOI: 10.4037/ccn2023133

W Everett Fox, Michael Marshall, Susan M Walters, Venkat R Mangunta, Michael Ragosta, Amanda M Kleiman, John S McNeil

{"title":"Bedside Clinician's Guide to Pulmonary Artery Catheters.","authors":"W Everett Fox, Michael Marshall, Susan M Walters, Venkat R Mangunta, Michael Ragosta, Amanda M Kleiman, John S McNeil","doi":"10.4037/ccn2023133","DOIUrl":"https://doi.org/10.4037/ccn2023133","url":null,"abstract":"Background: Pulmonary artery catheters provide important information about cardiac function, mixed venous oxygenation, and right-sided pressures and potentially provide temporary pacing ability.Objective: To provide bedside clinicians with guidance for techniques to insert right heart monitors and devices, describe risk factors for difficult insertion and contraindications to placement, and provide updates on new technologies that may be encountered in the intensive care unit.Methods: An extensive literature review was performed. Experienced clinicians were asked to identify topics not addressed in the literature.Results: Advanced imaging techniques such as transesophageal echocardiography or fluoroscopy can supplement traditional pressure waveform-guided insertion when needed, and several other techniques can be used to facilitate passage into the pulmonary artery. Caution is warranted when attempting insertion in patients with right-sided masses or preexisting conduction abnormalities. New technologies include a pacing catheter that anchors to the right ventricle and a remote monitoring device that is implanted in the pulmonary artery.Discussion: Bedside clinicians should be aware of risk factors such as atrial fibrillation with dilated atria, decreased ventricular function, pulmonary hypertension, and right-sided structural abnormalities that can make pulmonary artery catheter insertion challenging. Clinicians should be familiar with advanced techniques and imaging options to facilitate placement.Conclusion: The overall risk of serious complications with right heart catheter placement and manipulation is low and often outweighed by its benefits, specifically pressure monitoring and pacing.","PeriodicalId":10738,"journal":{"name":"Critical care nurse","volume":"43 4","pages":"9-18"},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9908276","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

Clinical Practice Guidelines Can Be Valuable Sources of Evidence. 临床实践指南可以是有价值的证据来源。

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-08-01 DOI: 10.4037/ccn2023533

Annette M Bourgault

引用次数: 0

Defeat Delirium: Yes We CAM! 击败谵妄:是的，我们可以!

IF 1.6 4区医学

Critical care nurse Pub Date : 2023-08-01 DOI: 10.4037/ccn2023602

引用次数: 0

Preparing for a Successful Examination 准备一个成功的考试

IF 1.6 4区医学