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Organ Donation Support Team: The Nurse Practitioner's Role. 器官捐赠支持小组：执业护士的角色。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-09-15 DOI: 10.4037/aacnacc2026239
Dawn Carpenter, Matthew Smith, Ryan Buzzerd, Adam W Breslin
{"title":"Organ Donation Support Team: The Nurse Practitioner's Role.","authors":"Dawn Carpenter, Matthew Smith, Ryan Buzzerd, Adam W Breslin","doi":"10.4037/aacnacc2026239","DOIUrl":"10.4037/aacnacc2026239","url":null,"abstract":"<p><p>The number of organs being recovered for transplantation is increasing. Potential organ donors require a team of clinicians who possess expertise and skills to optimize organ function, coordinate care, and minimize potential conflicts of interest. Organ donation support teams are a unique way to provide these services, and nurse practitioners are well poised to provide this specialized care as part of these teams. This article reviews the emerging role nurse practitioners play as members of the organ donation support team. Nurse practitioners support potential organ donors by optimizing organs before donation. They apply their specialized clinical knowledge and skills to support patient care, coordinate care, and perform documentation. As organ donation continues to expand, nurse practitioners who are willing to participate on the organ donation support team need specific knowledge to support organs for transplant.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 3","pages":"332-339"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882209","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
Challenges of Using Fitness Trackers in Critical Care. 在重症监护中使用健身追踪器的挑战。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-09-15 DOI: 10.4037/aacnacc2026416
Stephanie Kazerouni, Xiaoyu Liu, Tao Shen, Michael Nurok, Abirami Kumaresan, Anahat Dhillon, Jill Yaung
{"title":"Challenges of Using Fitness Trackers in Critical Care.","authors":"Stephanie Kazerouni, Xiaoyu Liu, Tao Shen, Michael Nurok, Abirami Kumaresan, Anahat Dhillon, Jill Yaung","doi":"10.4037/aacnacc2026416","DOIUrl":"10.4037/aacnacc2026416","url":null,"abstract":"<p><strong>Background: </strong>With advancing technology, interest is growing in the use of wearable activity trackers to promote physical activity in the inpatient and critical care settings.</p><p><strong>Objective: </strong>To quantify mobility in the post-operative period using wearable fitness trackers (Fitbit).</p><p><strong>Methods: </strong>This was a prospective observational study involving 22 patients. Daily postoperative step counts were recorded, and subjective mobility scores were documented.</p><p><strong>Results: </strong>The fitness trackers proved unreliable and inaccurate owing to challenges with device placement, physical limitations, and patient compliance, leading to premature termination of the study. Secondary outcomes using overall patient mobility and Braden scores were used as correlational markers of disposition.</p><p><strong>Conclusions: </strong>The utility of wristband activity trackers in critical care appears to be limited. Further studies examining the outpatient use of wearable devices for rehabilitation to improve accuracy in the hospital setting would be beneficial.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 3","pages":"287-291"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882249","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
Letters to the Editor. 给编辑的信。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-06-15 DOI: 10.4037/aacnacc2026317
Rachel Knight
{"title":"Letters to the Editor.","authors":"Rachel Knight","doi":"10.4037/aacnacc2026317","DOIUrl":"10.4037/aacnacc2026317","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":" ","pages":"179-180"},"PeriodicalIF":1.5,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150962","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
Infection in Solid Organ Transplant: Prevention, Risk, and Treatment Strategies. 实体器官移植中的感染：预防、风险和治疗策略。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-06-15 DOI: 10.4037/aacnacc2026271
Sabrina D Kopf, Josh Banbury, Robert S Kopf
{"title":"Infection in Solid Organ Transplant: Prevention, Risk, and Treatment Strategies.","authors":"Sabrina D Kopf, Josh Banbury, Robert S Kopf","doi":"10.4037/aacnacc2026271","DOIUrl":"10.4037/aacnacc2026271","url":null,"abstract":"<p><p>Solid organ transplantation is a life-saving procedure for patients with end-stage organ disease. After transplant, recipients receive immunosuppressive therapy to preserve allograft function and prevent rejection. However, this therapy increases the risk of infections, which can cause increased morbidity and mortality. The transplant care team plays a crucial role in preventing, assessing, diagnosing, and managing infections in patients with solid organ transplantation. Preventive strategies include comprehensive infectious disease screening before transplant, vaccinations, and educating patients on infection risk mitigation in the pretransplant and posttransplant phase. After solid organ transplantation, transplant teams must closely monitor for a wide range of infections, from common pathogens to opportunistic infections. Early diagnosis and appropriate treatment are vital for reducing infection-related morbidity and mortality. Collaboration between infectious disease specialists and transplant teams is key to guiding appropriate monitoring and treatment strategies for recipients of solid organ transplantation.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 2","pages":"204-215"},"PeriodicalIF":1.5,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151788","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
Editor's Comment. 编者评论。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-06-15 DOI: 10.4037/aacnacc2026545
Mary Fran Tracy
{"title":"Editor's Comment.","authors":"Mary Fran Tracy","doi":"10.4037/aacnacc2026545","DOIUrl":"10.4037/aacnacc2026545","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":" ","pages":"180"},"PeriodicalIF":1.5,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150973","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
Implementation of Proactive Psychiatric Consultation With Cardiology Inpatients. 心内科住院患者主动精神病学会诊的实施。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026437
Melissa Otte, Laura Suarez Pardo, Daniel Kinstler, Jeffrey P Staab
{"title":"Implementation of Proactive Psychiatric Consultation With Cardiology Inpatients.","authors":"Melissa Otte, Laura Suarez Pardo, Daniel Kinstler, Jeffrey P Staab","doi":"10.4037/aacnacc2026437","DOIUrl":"10.4037/aacnacc2026437","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease is linked to mental health conditions. Patients with cardiovascular disease and comorbid psychiatric illnesses such as major depressive disorder or generalized anxiety disorder often experience greater physical limitations and decreased overall health.</p><p><strong>Objective: </strong>To determine if proactive psychiatric interventions improve staff satisfaction and patient outcomes, such as reducing length of stay and decreasing the 30-day readmission rate, for patients hospitalized on cardiac units with psychiatric comorbidities.</p><p><strong>Methods: </strong>The implementation of a proactive psychiatric consultation-liaison service, which included proactive screening of psychiatric needs among patients hospitalized on cardiac units, targeted support for cardiovascular staff, and supportive interactions for patients.</p><p><strong>Results: </strong>Comparison between preintervention and postintervention periods indicated a 21% reduction in the 30-day readmission rate for patients hospitalized on cardiac inpatient units with psychiatric comorbidities without adversely affecting hospital length of stay. Staff satisfaction significantly increased with the availability of psychiatric resources.</p><p><strong>Conclusion: </strong>The implementation of a multi-disciplinary proactive psychiatric consultation-liaison service on inpatient cardiac units was associated with an increase in cardiovascular staff satisfaction with psychiatric services and a decrease in the 30-day readmission rate of patients with psychiatric comorbidities who were hospitalized for cardiovascular services without significantly affecting length of stay.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"70-75"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318530","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
Exploring the Role of Nature Within Critical Care to Humanize the Intensive Care Unit Experience: Why Is Nature Not for Everyone? 探索自然在重症监护中的作用，使重症监护病房体验人性化：为什么自然不适合每个人？
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026731
Kate Tantam, Bridie Kent
{"title":"Exploring the Role of Nature Within Critical Care to Humanize the Intensive Care Unit Experience: Why Is Nature Not for Everyone?","authors":"Kate Tantam, Bridie Kent","doi":"10.4037/aacnacc2026731","DOIUrl":"10.4037/aacnacc2026731","url":null,"abstract":"<p><p>For many populations, access to nature stimulates positive physical and psychological health benefits. However, there is minimal evidence exploring these benefits for patients, visitors, and staff in intensive care units (ICUs). It is the proposition of this article that the health benefits seen from access to nature are a product of a temperamental trait, according to the biophilia reactivity hypothesis. For some individuals, this hypothesis may support humanization and optimization of the ICU environment. A clinically adapted model is proposed in which nature and access to natural spaces fits within the humanization work in the ICU. In addition, clinical guidance is offered to support clinical teams in integrating nature into their departments using the 4Ps approach: population engagement, planning and maintenance, patient safety, and postoccupancy evaluation.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"76-86"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318463","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
Delirium and Physical Restraints in Critically Ill Patients: Addressing Their Relationship From the Perspective of Patient Comfort. 危重病人谵妄与身体约束：从病人舒适的角度探讨两者的关系。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026411
María Teresa González-Gil, María Acevedo-Nuevo
{"title":"Delirium and Physical Restraints in Critically Ill Patients: Addressing Their Relationship From the Perspective of Patient Comfort.","authors":"María Teresa González-Gil, María Acevedo-Nuevo","doi":"10.4037/aacnacc2026411","DOIUrl":"10.4037/aacnacc2026411","url":null,"abstract":"<p><p>Acute confusional syndrome (delirium) is a condition that is observed with notable frequency in intensive care units, particularly in patients receiving mechanical ventilation. It has significant short-, medium-, and long-term consequences for the individual and is a critical issue that must be addressed from a preventive perspective, with early identification and intervention. The use of physical restraints is an intervention linked to delirium. On the one hand, their use constitutes a modifiable risk factor for the development of delirium. On the other hand, their use, always judicious, individualized, and monitored, may be indicated in some episodes of delirium that involve agitation (always with a commitment to promoting therapeutic spaces free of physical restraints). This article addresses the relationship between delirium and physical restraints from the perspective of Kolcaba's Comfort Theory and with an applied vision to guide the practice of person- and family-centered excellence in care.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"98-106"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318503","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
Diagnostic Updates for Polyuria-Polydipsia Syndromes. 多尿-烦渴综合征的最新诊断。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026418
Al-Zada Al Aguilar, Wen Liu, Deanna Bilotti
{"title":"Diagnostic Updates for Polyuria-Polydipsia Syndromes.","authors":"Al-Zada Al Aguilar, Wen Liu, Deanna Bilotti","doi":"10.4037/aacnacc2026418","DOIUrl":"10.4037/aacnacc2026418","url":null,"abstract":"<p><p>Polyuria-polydipsia syndromes are rare disorders characterized by hypotonic polyuria and polydipsia. They may result from complete or partial arginine vasopressin deficiency or resistance or may take the secondary form of primary polydipsia. Traditional diagnostic tests have limitations, making differentiation from other polyuric disorders challenging. New assays and updated algorithms have enhanced diagnostic accuracy and efficiency. This article reviews the pathophysiology, diagnostic challenges, and latest advancements associated with polyuria-polydipsia syndromes. As patients' conditions become more complex, staying up to date with evolving diagnostic algorithms is essential to safe, high-quality, and evidence-supported care.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"15-27"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318469","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
Robotic Pets in Hospitals: Fostering Connection. 医院里的机器人宠物：培养联系。
IF 1.5
AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026718
Lillian Hung, Jing Yuan Victoria Huang, Darwin Lai
{"title":"Robotic Pets in Hospitals: Fostering Connection.","authors":"Lillian Hung, Jing Yuan Victoria Huang, Darwin Lai","doi":"10.4037/aacnacc2026718","DOIUrl":"10.4037/aacnacc2026718","url":null,"abstract":"<p><p>Acute care hospitals often fail to meet the relational needs of older adults with dementia, for whom many environmental stressors can exacerbate behavioral symptoms. Using clinical reflection, we analyzed 2 case studies of robotic pet use in acute care hospitals: individual use of PARO robots (Intelligent System Co) and a communal LOVOT robot (GROOVE X, Inc) café. Both fostered meaningful micromoments of attention and connection, countering patient invisibility and supporting relational and person-centered care. Identified risks, such as infantilization and inequitable access, are addressable through additional staff training and family engagement. Future implementation requires codesigned protocols and sustainable models to ensure robotic pets foster dignity and social connection through thoughtful, ethical integration into routine care.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"87-97"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318479","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
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