Patricia G Lobos, Emerson B Nairon, Maria Denbow, DaiWai M Olson, Jennifer E Wilson
{"title":"Critical Care Clinicians' Knowledge of Post-Intensive Care Syndrome.","authors":"Patricia G Lobos, Emerson B Nairon, Maria Denbow, DaiWai M Olson, Jennifer E Wilson","doi":"10.4037/aacnacc2024672","DOIUrl":"10.4037/aacnacc2024672","url":null,"abstract":"<p><strong>Background: </strong>The term post-intensive care syndrome refers to a group of symptoms that commonly occur after intensive care unit discharge, leading to worsening physical or mental health. The incidence of this syndrome is increasing. Critical care clinicians can play a pivotal role in improving patient outcomes through knowledge of post-intensive care syndrome risk factors and symptoms.</p><p><strong>Objective: </strong>To explore critical care clinicians' current knowledge of post-intensive care syndrome as a basis for developing critical care educational interventions.</p><p><strong>Methods: </strong>This quantitative, cross-sectional, observational pilot study was conducted to survey critical care physicians, nurses, nurse practitioners, and physician assistants at a university hospital on their knowledge of post-intensive care syndrome symptoms and risk factors and their confidence in their ability to recognize the condition.</p><p><strong>Results: </strong>A total of 51 clinicians completed the survey. The overall levels of knowledge and confidence regarding post-intensive care syndrome risk factors and symptoms were low, with no significant differences found by clinician role.</p><p><strong>Conclusions: </strong>These findings support the need for interprofessional education on post-intensive care syndrome risk factors and early identification of symptoms in the critical care setting.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 4","pages":"300-306"},"PeriodicalIF":2.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789723","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":"Stopping Delirium Using the Awake-and-Walking Intensive Care Unit Approach: True Mastery of Critical Thinking and the ABCDEF Bundle.","authors":"Kali Dayton, Mark Hudson, Heidi Lindroth","doi":"10.4037/aacnacc2023159","DOIUrl":"10.4037/aacnacc2023159","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 4","pages":"359-366"},"PeriodicalIF":2.2,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measurement Strategies for The Joint Commission Health Care Disparities Standard: Implementing Hospital-Based Requirements in Heart Failure-Part 2.","authors":"Stephanie Barnes, Jill Engel, Bradi B Granger","doi":"10.4037/aacnacc2023852","DOIUrl":"https://doi.org/10.4037/aacnacc2023852","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"246-254"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117750","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":"Ultrasonography for Skin and Soft Tissue Infections, Noninfectious Cysts, Foreign Bodies, and Burns in the Critical Care Setting.","authors":"Kelli A Craven, Kyle Luckey-Smith, Susanna Rudy","doi":"10.4037/aacnacc2023182","DOIUrl":"https://doi.org/10.4037/aacnacc2023182","url":null,"abstract":"<p><p>There are multiple opportunities for the use of ultrasonography in the diagnosis of skin and soft tissue differentials. Ultrasonography is inexpensive, easily reproducible, and able to provide real-time data in situations where condition changes and progression are common. Not only does bedside ultrasonography provide the clinician an in-depth look beyond epidermal structures into body cavities, it remains a safe, nonionizing radiating, effective, cost-efficient, reliable, and accessible tool for the emergency management of life- and limb-threatening integumentary infections. Unnecessary invasive procedures are minimized, providing improved patient outcomes. Integumentary abnormalities secondary to trauma, surgery, and hospitalization are common among critical care patients. This article provides a brief overview and evidence-based recommendations for the use of ultrasonography in the critical care setting for integumentary system conditions, including common skin and soft tissue differentials, foreign bodies, and burn depth assessment.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"228-239"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117759","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":"Resuscitation Quality Improvement: Improving Clinicians' Performance.","authors":"Sergio Mota","doi":"10.4037/aacnacc2023833","DOIUrl":"https://doi.org/10.4037/aacnacc2023833","url":null,"abstract":"<p><strong>Background: </strong>Although cardiopulmonary resuscitation (CPR) renewal occurs every 2 years, quality of performed CPR at the study site was below American Heart Association (AHA) standards. Resuscitation Quality Improvement (RQI) is a new AHA program with the premise that practicing CPR more frequently using audiovisual feedback can improve performance.</p><p><strong>Objective: </strong>To identify whether performance of chest compressions during training reassessments improves with RQI.</p><p><strong>Methods: </strong>This study used a preintervention-postintervention design. Critical care nurses from 2 intensive care units performed a baseline round of chest compressions. These baseline data reflected CPR performance with traditional training. The next week, participants completed RQI training. Two weeks after RQI training, participants performed chest compressions. Five weeks after RQI training, participants performed a third round of chest compressions. The compressions performed 2 and 5 weeks after RQI used audiovisual feedback.</p><p><strong>Results: </strong>Thirty nurses participated. Before intervention, the mean (SD) for overall compression compliance was 32.68% (26.96%), depth was 67.76% (30.15%), and rate was 39.95% (27.41%). The first postintervention (RQI plus 2 weeks) mean (SD) increased to 75.33% (33.70%) for overall compression compliance, 97.43% (12.04%) for depth, and 80.89% (29.35%) for rate. The second postintervention (RQI plus 5 weeks) mean (SD) decreased slightly to 73.16% (36.36%) for overall compression compliance, 96.57% (13.04%) for depth, and 78.75% (31.83%) for rate.</p><p><strong>Conclusion: </strong>Frequent CPR using RQI technology, with its immediate audiovisual feedback, helps maintain skills, which may improve patient outcomes.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"182-188"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111000","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}