{"title":"Do we need more empathy?","authors":"S. Lee","doi":"10.1097/01.ccn.0000544404.11139.b5","DOIUrl":"https://doi.org/10.1097/01.ccn.0000544404.11139.b5","url":null,"abstract":"","PeriodicalId":19344,"journal":{"name":"Nursing Critical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.ccn.0000544404.11139.b5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42899950","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}
{"title":"Learning to lead","authors":"Anna Dermenchyan, A. Jeffery","doi":"10.1097/01.ccn.0000544400.76592.f2","DOIUrl":"https://doi.org/10.1097/01.ccn.0000544400.76592.f2","url":null,"abstract":"What does it take to lead? Contrary to the common belief that leadership stems only from innate abilities or advanced training, a leader can be anyone who inspires and motivates others to action. From making effective decisions in a code situation, to communicating skillfully during interdisciplinary rounds, to coordinating care for safe patient discharge, acute and critical care nurses inspire and motivate others daily. Unfortunately, nurses do not always recognize their clinical skills as leadership skills, and many do not spend enough time evaluating and planning their leadership journey. Leadership, like any skill or competency, takes time and focus to cultivate expertise—especially in emerging nurse leaders. Successful leaders achieve their goals and influence others through self-assessment, feedback, and continued growth. This process takes time, intentional practice, and skill development. This article includes definitions and examples of each competency identified in the American Association of Critical-Care Nurses (AACN) Framework for Governance Leadership Positions: self-leadership, global thinking, visioning, consensus building, delivering effective messages, and knowing and committing to your cause.1 These competencies comprise AACN’s adopted standards for all members holding a governance leadership position in the organization. A leadership self-assessment tool created by the authors, which can be used to perform a self-inventory of each competency, is also provided.","PeriodicalId":19344,"journal":{"name":"Nursing Critical Care","volume":"13 1","pages":"37–40"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.ccn.0000544400.76592.f2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43258056","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}
{"title":"Acquired autoimmune thrombotic thrombocytopenic purpura.","authors":"Vincent M. Vacca","doi":"10.1097/01.CCN.0000544398.82429.bf","DOIUrl":"https://doi.org/10.1097/01.CCN.0000544398.82429.bf","url":null,"abstract":"Acquired autoimmune thrombotic thrombocytopenic purpura (TTP)-the most common form of TTP-is a life-threatening hematologic disease characterized by hemolytic anemia and thrombocytopenia. Acquired autoimmune TTP can cause signs and symptoms of neurologic and other organ involvement, with mortality approaching 90% if the disease is not promptly recognized and treated. Since the introduction of plasma exchange in 1991, the acquired autoimmune TTP survival rate has increased to 78%.","PeriodicalId":19344,"journal":{"name":"Nursing Critical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.CCN.0000544398.82429.bf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46135651","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}
{"title":"Patient wearable technology in the ICU","authors":"Lindsay Coffman","doi":"10.1097/01.CCN.0000534929.31666.37","DOIUrl":"https://doi.org/10.1097/01.CCN.0000534929.31666.37","url":null,"abstract":"Advances in technology have led to the use of wearable patientmonitoring equipment in a variety of healthcare settings. Patient wearable technology encompasses devices with sensors that can detect glucose levels, body position, and activity, among other things. This type of technology allows for noninvasive frequent measurements, or continuous monitoring, and may be parti cularly useful in the intensive care setting. Patients in the ICU often require extensive monitoring, which can be time-consuming for staff. Patient wearable technology can save time, prevent medical errors, and prevent or minimize potential adverse events.1 Commonly used invasive monitoring techniques, such as intra-arterial continuous glucose monitoring (IA-CGM) and finger–stick glucose monitoring, may cause the patient discomfort or result in adverse events. Patient wearable technology spares the patient from commonly used invasive monitoring techniques, leading to increased patient satisfaction and mobility while reducing pain and adverse events associated with invasive types of monitoring. Patient wearable devices, such as subcutaneous continuous glucose monitors, sensors designed to track patient turning, and noninvasive mobility sensors, are especially helpful tools for use in the ICU, while other types of patient wearables can help keep patients safe at home after discharge from the ICU.","PeriodicalId":19344,"journal":{"name":"Nursing Critical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.CCN.0000534929.31666.37","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44309398","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}
{"title":"Fever suppression in patients with infection: State of the evidence","authors":"Hildy M. Schell-Chaple","doi":"10.1097/01.CCN.0000534921.93547.1a","DOIUrl":"https://doi.org/10.1097/01.CCN.0000534921.93547.1a","url":null,"abstract":"Abstract: Fever management interventions are commonly administered to patients with infection and sepsis by ICU clinicians. The risks and benefits of fever suppression in this subpopulation of critically ill patients are topics of recent clinical discourse. Recent evidence related to the impact of fever suppression interventions warrants review by critical care nurses.","PeriodicalId":19344,"journal":{"name":"Nursing Critical Care","volume":"13 1","pages":"6–13"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.CCN.0000534921.93547.1a","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44045502","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}
{"title":"Pharmacotherapy management in critically ill older adults","authors":"R. Kaplow, Carrie L. Griffiths","doi":"10.1097/01.CCN.0000529941.71638.72","DOIUrl":"https://doi.org/10.1097/01.CCN.0000529941.71638.72","url":null,"abstract":"Caring for critically ill older adults presents many challenges for critical care nurses. One challenge is the management of complex pharmacotherapy in the presence of the normal physiologic changes associated with aging.","PeriodicalId":19344,"journal":{"name":"Nursing Critical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.CCN.0000529941.71638.72","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44875424","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}
{"title":"Delivering LGBTQ-sensitive care","authors":"Fidelindo Lim, Medel Paguirigan, Daniel Cernivani","doi":"10.1097/01.CCN.0000534918.70677.9c","DOIUrl":"https://doi.org/10.1097/01.CCN.0000534918.70677.9c","url":null,"abstract":"Members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community have historically faced prejudices, often resulting in significant health disparities. Critical care nurses have a duty to provide all patients, regardless of their sexual orientation or gender identity, with the best possible care. This article examines a framework for LGBTQ-sensitive care as well as best practices and additional resources.","PeriodicalId":19344,"journal":{"name":"Nursing Critical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.CCN.0000534918.70677.9c","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41976484","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}