Critical Care Nursing Quarterly最新文献_第10页

Use of Prothrombin Complex Concentrate in Oral Anticoagulant-Associated Major Bleeding. 凝血酶原复合浓缩物在口服抗凝相关大出血中的应用。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-04-01 DOI: 10.1097/CNQ.0000000000000399

Jack G Lukas, Michael J Reichert, G Morgan Jones

引用次数: 0

SGLT-2 Inhibitor Use in Heart Failure: A Review for Nurses. SGLT-2抑制剂在心衰护理中的应用综述

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-04-01 DOI: 10.1097/CNQ.0000000000000401

Katherine L March, Jack G Lukas, Theodore J Berei, Samarth P Shah, Brandon E Cave

{"title":"SGLT-2 Inhibitor Use in Heart Failure: A Review for Nurses.","authors":"Katherine L March, Jack G Lukas, Theodore J Berei, Samarth P Shah, Brandon E Cave","doi":"10.1097/CNQ.0000000000000401","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000401","url":null,"abstract":"Sodium-glucose cotransporter-2 (SGLT-2) inhibitors (empagliflozin, canagliflozin, dapagliflozin, and ertugliflozin) are a new class of heart failure medications that have previously been exclusively utilized in the management of type 2 diabetes mellitus (T2DM). The rationale for using SGLT-2 inhibitors in patients with heart failure has stemmed from recent landmark clinical trials in T2DM in which reductions in mortality and hospitalization for heart failure were first observed. On the basis of these robust outcomes, empagliflozin has further been evaluated in heart failure with reduced ejection fraction (HFrEF) and preserved ejection fraction and dapagliflozin solely in the management of HFrEF. While cardiovascular outcomes among each agent vary depending on the patient population, updates among both the American and European guidelines have included SGLT-2 inhibitors as pillars of therapy. The exact mechanisms for how SGLT-2 inhibitors are beneficial in heart failure are unknown, but current hypotheses include multiple metabolic and hemodynamic mechanisms. The purpose of this review is to summarize available literature focusing on the use of the SGLT-2 inhibitors as adjunctive therapy in heart failure, as well as evaluate mechanisms for heart failure benefit, adverse effects, and practical considerations for using these agents in the clinical setting.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Foreword. 前言。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000380

Carmen G Warner

引用次数: 0

COVID-19: Update on Health Care Workers' Mental Health and Coping During the Pandemic. COVID-19:大流行期间卫生保健工作者心理健康和应对的最新情况。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000384

Son Chae Kim, Larry Rankin

引用次数: 3

The Attitude of Iranian Critical Care Nurses Toward Euthanasia: A Multicenter Cross-sectional Study. 伊朗重症护士对安乐死的态度:一项多中心横断面研究。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000389

Amir Emami Zeydi, Mohammad Javad Ghazanfari, Olive Fast, Saman Maroufizadeh, Keyvan Heydari, Mohammad Hashem Gholampour, Samad Karkhah

{"title":"The Attitude of Iranian Critical Care Nurses Toward Euthanasia: A Multicenter Cross-sectional Study.","authors":"Amir Emami Zeydi, Mohammad Javad Ghazanfari, Olive Fast, Saman Maroufizadeh, Keyvan Heydari, Mohammad Hashem Gholampour, Samad Karkhah","doi":"10.1097/CNQ.0000000000000389","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000389","url":null,"abstract":"Today, one of the major ethical challenges facing the world's health care system, and in particular nurses in the intensive care unit, is euthanasia or death out of pity. The aim of this study was to investigate the attitude of Iranian nurses in the intensive care unit toward euthanasia. This was an analytical cross-sectional study using census sampling. The data collection tool was the Euthanasia Attitude Scale. A total of 206 nurses working in the intensive care unit in 4 hospitals in the Mazandaran province of Iran were included in this study. The mean of total Euthanasia Attitude Scale score in intensive care unit nurses was 2.96. The mean euthanasia dimensions were ethical consideration, practical considerations, treasuring life, and naturalistic beliefs, 3.03, 2.92, 2.98, and 2.99, respectively. There was significant but low negative correlation between age and total Euthanasia Attitude Scale score, ethical considerations, and practical considerations. Male nurses exhibited significantly higher Euthanasia Attitude Scale scores, specifically in regard to ethical and practical considerations compared with female nurses. The most Iranian nurses in the intensive care unit had a negative attitude toward euthanasia for patients in the later stages of the disease. However, this opposition was less than similar studies in Iran in the past.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39654839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A New Patient Acuity Tool to Support Equitable Patient Assignments in a Progressive Care Unit. 一个新的病人敏锐度工具，以支持公平的病人分配在一个渐进的护理单位。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000388

Debra Eastman, Kristine Kernan

{"title":"A New Patient Acuity Tool to Support Equitable Patient Assignments in a Progressive Care Unit.","authors":"Debra Eastman, Kristine Kernan","doi":"10.1097/CNQ.0000000000000388","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000388","url":null,"abstract":"Making fair and equitable staffing decisions and patient assignments created complexities and undue nursing dissatisfaction on a 20-bed progressive care unit. Common themes shared by the nursing staff included inadequate staffing ratios, increased workload, and unease for patient safety. On the basis of these concerns, a unit-based needs assessment provided insight into what perceived and actual barriers exist preventing nurses from providing excellent care. Information gathered helped determine what could be done to overcome some barriers, and performing a comprehensive unit profile assessment allowed for better insight into how the unit was currently functioning. A comprehensive review of literature was undertaken to examine articles related to patient acuity utilizing the electronic databases CINAHL, PubMed, and MEDLINE. Key words and phrases included the following: acuity, patient acuity, acuity tools, progressive care acuity, nurse-patient assignment, workload, nursing assignments, and equitable staffing. Utilizing the results of the nurse survey, and information gained from articles gathered during the literature review, a patient acuity tool was created. The tool was believed to be an accurate representation of the patients' acuity, and the majority of charge nurses reported that they utilized the patient acuity tool score when making nurse-patient assignments. Overall staff satisfaction and perceptions of nurse-patient assignment equity were improved.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39654838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A Tale of Two Pulmonary Artery Catheters. 两个肺动脉导管的故事。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000382

Jeremy C Durack, Leon L Chen, Saira Imran, Neil A Halpern

引用次数: 0

Heparin-Induced Thrombocytopenia: A Management Review for Nurses. 肝素性血小板减少症:护士管理综述。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000381

Raymond Smith, Zackery Bullard

引用次数: 1

Nursing Strategies to Safeguard COVID-19 Patients From Harm in the Intensive Care Unit. 保护重症监护室COVID-19患者免受伤害的护理策略。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000383

Darcy Shiner, Bethany Bock, Crystal Simpson, Timothy Skorupski

{"title":"Nursing Strategies to Safeguard COVID-19 Patients From Harm in the Intensive Care Unit.","authors":"Darcy Shiner, Bethany Bock, Crystal Simpson, Timothy Skorupski","doi":"10.1097/CNQ.0000000000000383","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000383","url":null,"abstract":"The aim of this article is to identify quality improvement nursing strategies that have been implemented to safeguard COVID-19 patients from harm while being cared for in the intensive care unit (ICU). This article incorporates a literature review on the experiences of nurses working at a large urban teaching hospital in the areas of critical care, quality, safety, and regulatory. As leaders in the delivery of health care, nurses have always pioneered innovative ways to deliver care despite difficult circumstances. COVID-19 is a novel viral disease with many unknowns, and it required nurses to integrate innovative approaches with evidence-based practice in order to meet the needs of the patient and to ensure patient safety. While in the critical care setting, COVID-19 patients are at an increased risk for various hospital-acquired injuries, threats to personal safety, and decline in mental health. Through ingenuity and adaptability, successful nursing strategies have been identified in the delivery of quality, evidence-based nursing care to safeguard the vulnerable COVID-19 patient population from harm while in the ICU.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10130748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development, Implementation, and Evaluation of an Early Mobility Protocol in a Regional Level II Trauma Center. 区域二级创伤中心早期活动能力方案的制定、实施和评估。

IF 1.4

Critical Care Nursing Quarterly Pub Date : 2022-01-01 DOI: 10.1097/CNQ.0000000000000391

Catherine A McCarty, Colleen M Renier, Pat G Conway, Linda Vogel, Theo A Woehrle, Leslie A Anderson, Eric J Hanson, Lisa M Benrud, Mary Gerchman-Smith

{"title":"Development, Implementation, and Evaluation of an Early Mobility Protocol in a Regional Level II Trauma Center.","authors":"Catherine A McCarty, Colleen M Renier, Pat G Conway, Linda Vogel, Theo A Woehrle, Leslie A Anderson, Eric J Hanson, Lisa M Benrud, Mary Gerchman-Smith","doi":"10.1097/CNQ.0000000000000391","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000391","url":null,"abstract":"The purpose of this project was to develop and evaluate a collaborative nursing/therapist protocol for early mobility in a medical-surgical intensive care unit (MICU) in a regional level II trauma center. Data for patients in the MICU were compared for the periods August 3, 2015-August 2, 2016, and August 3, 2014-August 2, 2015. Semistructured interviews were conducted with 10 nurses and 1 therapist. Average MICU length of stay decreased from 3.81 to 3.50 days (P = .057). Mean time in mobility chairs did not change (0.12 days vs 0.11 days, P = .389). Mean number of days to first documented level 2-5 activity decreased significantly, from 1.81 to 1.51 days (P = .036). The percentage of hospitalizations with any documented level 3 or 4 activity increased significantly (from 3.8% to 7.4% and from 61.5% to 66.7%, P = .003 and P = .031, respectively). Barriers/challenges to implementation included having enough people to assist, space, documentation, having to coax the physician to place order for upright mobility, availability of therapists for later stages of protocol, patient variability, fear of patient falls, availability of therapy chairs, staff changes, time, and patient refusal. A multidisciplinary approach to protocol development for early mobility in an intensive care unit was successfully implemented at a regional level II trauma center.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39655265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0