发布求助
文献互助 智能选刊 最新文献

Critical Care Nursing Quarterly最新文献

筛选
英文 中文
A Nursing Approach to Improving Critical Care Compliance With Vital Signs and Neurological Assessments in Post-IV-Alteplase Stroke Patients. 提高iv期阿替普酶脑卒中患者生命体征和神经学评估的重症监护依从性的护理方法。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-10-01 DOI: 10.1097/CNQ.0000000000000427
Vicki L Cohen, Amanda Anderson, Patty Noah, Jamie Super
{"title":"A Nursing Approach to Improving Critical Care Compliance With Vital Signs and Neurological Assessments in Post-IV-Alteplase Stroke Patients.","authors":"Vicki L Cohen,&nbsp;Amanda Anderson,&nbsp;Patty Noah,&nbsp;Jamie Super","doi":"10.1097/CNQ.0000000000000427","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000427","url":null,"abstract":"<p><p>Ischemic stroke represents 87% of all strokes. As global initiatives move forward with stroke care, health care providers and institutions will be called on to deliver the most current evidence-based care. The American Heart Association/American Stroke Association (AHA/ASA) estimates that 795 000 strokes occur each year; 610 000 are new strokes, and 185 000 are recurrent strokes. Eighty-seven percent are ischemic strokes; the overall mortality rate from stroke was 273 000, which makes stroke the fifth leading cause of death and the leading cause of disability in the United States. Stroke costs the United States an estimated $34 billion each year. This article outlines a nursing intervention regarding the use of intravenous thrombolytic therapy for treating acute ischemic stroke, the risk factors related to IV-alteplase, best-practice protocols, and the nursing role in efforts to deliver safe care. The conclusion reveals the need for health care organizations to explore opportunities, continually inspire innovation at the bedside, highlight nursing's essential contribution to acute stroke care, and encourage publishing improvements in patient care and the nurse practice environment.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40706162","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
Foreword. 前言。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-10-01 DOI: 10.1097/CNQ.0000000000000431
Margaret Hardt-DiCuccio, Michelle McGonigal
{"title":"Foreword.","authors":"Margaret Hardt-DiCuccio,&nbsp;Michelle McGonigal","doi":"10.1097/CNQ.0000000000000431","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000431","url":null,"abstract":"","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10843764","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
The Challenges of Managing Pain in the Intensive Care Unit. 在重症监护室管理疼痛的挑战。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-10-01 DOI: 10.1097/CNQ.0000000000000424
Susan Leininger
{"title":"The Challenges of Managing Pain in the Intensive Care Unit.","authors":"Susan Leininger","doi":"10.1097/CNQ.0000000000000424","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000424","url":null,"abstract":"<p><p>Pain management in the intensive care unit can be challenging. It is important to assess and reassess the patient for pain using the appropriate pain assessment tool for the patient's condition. It is critical to use these tools for compliance to best practice recommendations by The Joint Commission, the Society of Critical Care Management, and the American Association of Critical Care Nurses. Critical care nurses need to know the types of pain and how everyday nursing care and procedures affect the patient's pain level. This article reviews the types and characteristics of pain, the best practice guidelines, and shares a pathway for the best management of a patient's pain.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123826","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
Air-Assisted Technology: A Quality Endeavor to Reduce Employee Injury and Hospital-Acquired Pressure Injuries. 空气辅助技术:减少员工伤害和医院获得性压力伤害的质量努力。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-10-01 DOI: 10.1097/CNQ.0000000000000426
Cathy Stoddart
{"title":"Air-Assisted Technology: A Quality Endeavor to Reduce Employee Injury and Hospital-Acquired Pressure Injuries.","authors":"Cathy Stoddart","doi":"10.1097/CNQ.0000000000000426","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000426","url":null,"abstract":"<p><p>Continuous quality improvement using Lean methodology engages and values the expertise of the staff close to the patient and the everyday work of caring for them. The patients are not safe if the staff is not safe. Finding the appropriate methodology, where the problem is deeply investigated, respect is visible in the process, and evidence-based decision-making takes place to find safe patient handling solutions for moving lifting and transferring patients was a key objective in this Lean process improvement effort. This article describes the journey taken, the collaboration of 2-unit based councils, and the successful implementation of an air-assisted moving, lifting, and transferring system at a large level 1 quaternary tertiary intercity hospital.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123830","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
Reduction of Catheter-Associated Urinary Tract Infections: A Multidisciplinary Approach to Driving Change. 减少导尿管相关性尿路感染:一种多学科的方法来推动改变。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-10-01 DOI: 10.1097/CNQ.0000000000000429
Susan Baker, Darcy Shiner, Judy Stupak, Vicki Cohen, Alexis Stoner
{"title":"Reduction of Catheter-Associated Urinary Tract Infections: A Multidisciplinary Approach to Driving Change.","authors":"Susan Baker,&nbsp;Darcy Shiner,&nbsp;Judy Stupak,&nbsp;Vicki Cohen,&nbsp;Alexis Stoner","doi":"10.1097/CNQ.0000000000000429","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000429","url":null,"abstract":"<p><p>Despite the many advancements in infection prevention, catheter-associated urinary tract infections (CAUTI) continue to be problematic for many hospitals. The large urban teaching hospital featured in this article developed a team that consisted of a registered nurse quality Lean coach, bedside nurses from each inpatient nursing unit, physicians, an infection prevention specialist nurse, an education specialist nurse, and members of the quality department to study this matter. The team focused on understanding current practice related to the use and duration of indwelling urinary catheters. It was discovered that while some indwelling urinary catheters were justified, others could have been avoided altogether or removed earlier. Multifaceted measures were instituted at this hospital to decrease indwelling urinary catheter days and reduce CAUTI rates. The team's journey to successfully decreasing indwelling urinary catheter days by 19.79% and CAUTI rates by 38% is highlighted.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10130368","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
Acute Renal Failure and Its Complications, Indications for Emergent Dialysis, and Dialysis Modalities. 急性肾功能衰竭及其并发症，紧急透析的适应症和透析方式。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-07-01 DOI: 10.1097/CNQ.0000000000000410
Luba Muaddi, Chelsea Ledgerwood, Robyn Sheridan, Tiffany Dumont, Khaled Nashar
{"title":"Acute Renal Failure and Its Complications, Indications for Emergent Dialysis, and Dialysis Modalities.","authors":"Luba Muaddi,&nbsp;Chelsea Ledgerwood,&nbsp;Robyn Sheridan,&nbsp;Tiffany Dumont,&nbsp;Khaled Nashar","doi":"10.1097/CNQ.0000000000000410","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000410","url":null,"abstract":"<p><p>Acute kidney injury or acute renal failure is commonly observed in the critically ill patient with hemodynamic compromise. Dialysis is frequently used in the intensive care units as part of the critical care management of metabolic derangements fluid status and electrolyte issues. It is imperative that the bedside critical care nurse is able to identify acute kidney injury and is familiar with the modalities used to manage the metabolic consequences of renal failure, particularly important as the bedside nurse is operating the continuous renal replacement machine at the bedside. This article will review the common risks and causes of acute kidney injury in the critically ill patient, indications for conservative management versus initiation of renal replacement therapy, prevention of acute kidney injury, and important consequences of renal failure such as electrolyte disturbances and uremia. We will also briefly touch on specific conditions where acute kidney injury is common such as hepatorenal syndrome, cardiorenal syndrome, rhabdomyolysis, and tumor lysis syndrome.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132643","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
Intracardiac Thrombus in Transit Detected by Point-of-Care Ultrasound. 即时超声检测转运中的心内血栓。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-07-01 DOI: 10.1097/CNQ.0000000000000412
Leon L Chen, Z. Salah, N. Halpern
{"title":"Intracardiac Thrombus in Transit Detected by Point-of-Care Ultrasound.","authors":"Leon L Chen, Z. Salah, N. Halpern","doi":"10.1097/CNQ.0000000000000412","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000412","url":null,"abstract":"Pulmonary embolism (PE) is a condition with a high rate of morbidity and mortality if it is not recognized and treated in a timely fashion. Point-of-care ultrasound (POCUS) is a useful tool that can help clinicians make prompt diagnosis. We present a case where we diagnosed massive PE through visualizing an intracardiac thrombus in transit, and we highlight some important ultrasonographic features.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43419939","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
Acute Liver Failure. 急性肝衰竭。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-07-01 DOI: 10.1097/CNQ.0000000000000409
Chelsea Ledgerwood, Vipin Villgran, Nicholas Mardirossian, Tiffany Dumont, Briana DiSilvio
{"title":"Acute Liver Failure.","authors":"Chelsea Ledgerwood,&nbsp;Vipin Villgran,&nbsp;Nicholas Mardirossian,&nbsp;Tiffany Dumont,&nbsp;Briana DiSilvio","doi":"10.1097/CNQ.0000000000000409","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000409","url":null,"abstract":"<p><p>Acute liver failure (ALF) is a rare but life-threatening disease process that can result in rapidly progressive encephalopathy, elevated intracranial pressure, and multiorgan failure. In the United States, the 2 most common causes of ALF in the intensive care unit (ICU) are acetaminophen overdose and hypoxic-ischemic hepatopathy. Less common causes of ALF include alcoholic hepatitis, nonacetaminophen drug-induced liver injury, acute viral hepatitis, Wilson's disease, autoimmune hepatitis, and acute fatty liver of pregnancy. Unfortunately, there are many cases in which the cause of liver failure is indeterminate. ALF is an ICU emergency that requires close monitoring, extensive workup to determine etiology, frequent support of hemodynamic, respiratory, and renal function, administration of targeted therapies depending on the cause, utilization of N-acetylcysteine if appropriate, and consideration for liver transplant in select cases. The primary objective of this article is to define, diagnose, and detail the management of ALF in an ICU setting.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10134733","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: 10
Acute Respiratory Failure. 急性呼吸衰竭。
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-07-01 DOI: 10.1097/CNQ.0000000000000408
Vipin Das Villgran, Caitlan Lyons, Adeel Nasrullah, Charmaine Clarisse Abalos, Eric Bihler, Ahmad Alhajhusain
{"title":"Acute Respiratory Failure.","authors":"Vipin Das Villgran,&nbsp;Caitlan Lyons,&nbsp;Adeel Nasrullah,&nbsp;Charmaine Clarisse Abalos,&nbsp;Eric Bihler,&nbsp;Ahmad Alhajhusain","doi":"10.1097/CNQ.0000000000000408","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000408","url":null,"abstract":"<p><p>Respiratory failure is one of the most common reasons for hospitalization and intensive care unit (ICU) admissions, and a diverse range of etiologies can precipitate it. Respiratory failure can result from various mechanisms such as hypoventilation, diffusion impairment, shunting, ventilation-perfusion mismatch, or a combination of those mentioned earlier. Hence, an accurate understanding of different pathophysiologic mechanisms is required for appropriate patient care. Prompt identification and treatment of various respiratory emergencies such as tension pneumothorax, massive hemoptysis, and high-risk pulmonary embolism lead to fewer complications, shorter ICU and hospital stay, and improved survival. This review article entails common respiratory failure pathologies encountered in the ICU and addresses their epidemiology, pathophysiology, clinical presentation, and management.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10134735","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: 4
Cardiogenic Shock and Temporary Mechanical Circulatory Support 心源性休克与临时机械循环支持
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2022-07-01 DOI: 10.1097/CNQ.0000000000000406
A. Khalif, T. Dumont, K. Ranganathan
{"title":"Cardiogenic Shock and Temporary Mechanical Circulatory Support","authors":"A. Khalif, T. Dumont, K. Ranganathan","doi":"10.1097/CNQ.0000000000000406","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000406","url":null,"abstract":"Cardiogenic shock is a state of circulatory collapse due to low cardiac output resulting from heart failure. Heart failure in this setting may be due to left, right, or biventricular dysfunction. Acute myocardial infarctions remain the most common cause of cardiogenic shock, although in contemporary patient populations, the increasing prevalence of end-stage heart failure has resulted in a growing population of heart failure cardiogenic shock presentations. Clinicians practicing in the cardiac intensive care unit are challenged with these increasingly complex patients. Such patients often require hemodynamic support to improve end-organ perfusion and reduce mortality. Mechanical devices, collectively known as temporary mechanical circulatory support, provide clinicians with additional tools in our armamentarium to combat the increased mortality associated with cardiogenic shock. In this article, we provide an overview of cardiogenic shock and its phenotypic clinical presentations, in addition to providing a description of temporary mechanical circulatory support devices that are currently utilized in the management of cardiogenic shock.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829103","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信