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Developing a Green Nursing Practice in a Profession That Contributes to Climate Change: One Nurse's Journey. 在促进气候变化的职业中发展绿色护理实践：一位护士的旅程。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-12-15 DOI: 10.4037/aacnacc2024804
Louisa A Shelby
{"title":"Developing a Green Nursing Practice in a Profession That Contributes to Climate Change: One Nurse's Journey.","authors":"Louisa A Shelby","doi":"10.4037/aacnacc2024804","DOIUrl":"10.4037/aacnacc2024804","url":null,"abstract":"<p><p>The health care industry accounts for 5% of global greenhouse gas emissions, with hospitals being the largest contributor. Critical care units create 3 times the greenhouse emissions of other hospital patient care units. Health care contributions to environmental harm include medical waste disposal, toxicant exposure, and pollutants. Integrating green practices into hospitals, especially in intensive care units, can seem overwhelming, with barriers including time constraints, lack of leadership and organizational support, and ignorance of green practices. Nursing is a socially responsible discipline committed to improving the health of individuals and communities; values of environmental stewardship and the desire to minimize poor health outcomes caused by climate change do not always align with hospital policies or clinician practices. This article addresses how nurses can confront the complex environmental problems in the workplace, apply sustainability principles to develop a green nursing practice, and collectively influence the future of national and global health.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 4","pages":"310-319"},"PeriodicalIF":1.5,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789727","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
Climate-Related Emergencies in Pregnancy. 妊娠期与气候有关的紧急情况。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-12-15 DOI: 10.4037/aacnacc2024688
Kathryn Atkin, Katherine Simmonds
{"title":"Climate-Related Emergencies in Pregnancy.","authors":"Kathryn Atkin, Katherine Simmonds","doi":"10.4037/aacnacc2024688","DOIUrl":"10.4037/aacnacc2024688","url":null,"abstract":"<p><p>Climate change affects human health broadly and is leading to poor population health outcomes in a number of areas. Among pregnant people specifically, it can contribute to greater risk of health complications. Certain populations are more likely to be exposed to the adverse environmental impacts of climate change, which further amplifies existing health inequities in the United States, including in maternal health. Nurses who work in emergent, acute, and critical care settings must be prepared to care for individuals who are pregnant and experiencing medical emergencies as a result of exposure to extreme heat, air pollution, natural disasters, and infectious diseases that are direct consequences of climate change. To this end, nurses must be ready to recognize, treat, and manage pregnancy complications arising from climate-related conditions, as well as provide patient education on future mitigation strategies and advocacy to reduce its harms.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 4","pages":"343-352"},"PeriodicalIF":1.5,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789721","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
Climate Change and Emerging Infectious Diseases: A Precarious Relationship. 气候变化与新发传染病：一种不稳定的关系。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-12-15 DOI: 10.4037/aacnacc2024290
Nancy Munro
{"title":"Climate Change and Emerging Infectious Diseases: A Precarious Relationship.","authors":"Nancy Munro","doi":"10.4037/aacnacc2024290","DOIUrl":"10.4037/aacnacc2024290","url":null,"abstract":"<p><p>Climate change is apparent. Temperatures are rising. Floods are more frequent and devastating. Climate changes can favor the development of emerging infectious diseases. The number of animal reservoirs and vector hosts can increase, further spreading pathogens. Many emerging infectious diseases were not historically considered major threats in US but have become a major concern in US territories and various states. In June 2024, the Centers for Disease Control and Prevention issued a Health Alert Network advisory about an increase in local transmission of dengue fever. Preventing the transmission of emerging infectious diseases has become a focus of regulatory agencies. Nurse education at all levels should include infectious diseases and be coordinated with local, state, and regional institutions. Emerging infectious diseases are now formidable challenges to health care.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 4","pages":"325-333"},"PeriodicalIF":1.5,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789717","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
Critical Care Nursing Response to the Maui Wildfire Disaster: Narrative Review and Case Study. 毛伊岛野火灾害的重症护理反应：叙述回顾和案例研究。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-12-15 DOI: 10.4037/aacnacc2024456
Christin Quarry, Margaret Slota
{"title":"Critical Care Nursing Response to the Maui Wildfire Disaster: Narrative Review and Case Study.","authors":"Christin Quarry, Margaret Slota","doi":"10.4037/aacnacc2024456","DOIUrl":"10.4037/aacnacc2024456","url":null,"abstract":"<p><p>Climate change has increased the frequency and severity of natural disasters, including the 2023 wildfires in Maui, Hawai'i. The no-notice disaster affected hospital operations at the sole acute care hospital that serves the community, requiring immediate interventions and reallocation of resources. The purpose of this article is to explore the role that critical care nurses play in responding to wildfires. Literature related to the nursing role in managing wildfire injuries and the events on Maui are explored and a case study presented. Results are organized into themes: environmental limitations, disaster response and code triage activation, no-notice preparation for critical care nurses, preparation to increase patient capacity and maintain patient safety standards, hospital staffing and staff affected by the disaster, management of patient care and hospital system operations, and disaster medical tent. Preparation for no-notice events requires critical care nurse involvement to effectively facilitate care for patients affected by disasters.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 4","pages":"334-342"},"PeriodicalIF":1.5,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789725","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
Critical Care Clinicians' Knowledge of Post-Intensive Care Syndrome. 重症监护临床医生对重症监护后综合征的认识。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-12-15 DOI: 10.4037/aacnacc2024672
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":1.5,"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}
引用次数: 0
Nutrition Considerations in the Intensive Care Unit. 重症监护病房的营养注意事项。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024643
Austin Burnette, Christopher Allen
{"title":"Nutrition Considerations in the Intensive Care Unit.","authors":"Austin Burnette, Christopher Allen","doi":"10.4037/aacnacc2024643","DOIUrl":"10.4037/aacnacc2024643","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"209-214"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113305","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
Advancing a Nursing Culture of Inquiry: Strategies for the Community. 推进护理探究文化：社区战略。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024444
Elizabeth J Bridges, JoAnne D Whitney, Elaine Walsh, Pamela Christiansen, Frances Chu, Mary Jo Kelly, Terry Lynch, Rebekah Marsh, Mary McCarthy, Margaret Orn, Anne Poppe, Joy Selchow, Nancy Unger, Suzanne White, Cathy Wolkow
{"title":"Advancing a Nursing Culture of Inquiry: Strategies for the Community.","authors":"Elizabeth J Bridges, JoAnne D Whitney, Elaine Walsh, Pamela Christiansen, Frances Chu, Mary Jo Kelly, Terry Lynch, Rebekah Marsh, Mary McCarthy, Margaret Orn, Anne Poppe, Joy Selchow, Nancy Unger, Suzanne White, Cathy Wolkow","doi":"10.4037/aacnacc2024444","DOIUrl":"10.4037/aacnacc2024444","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"265-271"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113298","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
Acute Streptococcus pneumoniae Meningitis: A Case Report. 急性肺炎链球菌脑膜炎：病例报告。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024820
Sarah McCarthy, Nicholas Villarreal, Mandy Sailor
{"title":"Acute Streptococcus pneumoniae Meningitis: A Case Report.","authors":"Sarah McCarthy, Nicholas Villarreal, Mandy Sailor","doi":"10.4037/aacnacc2024820","DOIUrl":"10.4037/aacnacc2024820","url":null,"abstract":"<p><p>A 69-year-old woman without significant medical history presented to an emergency department for evaluation and management of altered mental status and a 10-day history of worsening symptoms of upper respiratory infection. Two days previously, she had been evaluated at an urgent care center, where she reported productive cough and neck pain. Evaluation in the emergency department aroused suspicions of sepsis and meningitis, and computed tomography of the head revealed nontraumatic pneumocephalus with evidence of bony erosion of the sinus into the brain. Culture results revealed disseminated Streptococcus pneumoniae. Cerebral vasculopathy secondary to the meningitis caused bilateral acute ischemic strokes in areas of the brain, with the potential to lead to significant disability.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"244-250"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113297","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
Ethical Decision-making Using Trauma-Informed Principles: A Case Example. 使用创伤知情原则进行伦理决策：一个案例。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024114
Pamela J Grace, Kelly Kathleen Everhart, Evie G Marcolini
{"title":"Ethical Decision-making Using Trauma-Informed Principles: A Case Example.","authors":"Pamela J Grace, Kelly Kathleen Everhart, Evie G Marcolini","doi":"10.4037/aacnacc2024114","DOIUrl":"10.4037/aacnacc2024114","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"272-279"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113302","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
Pediatric Suicide: Supporting Nurses on the Front Lines. 儿科自杀：支持前线护士。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024854
Elena Camacho, Fatimah A Masood
{"title":"Pediatric Suicide: Supporting Nurses on the Front Lines.","authors":"Elena Camacho, Fatimah A Masood","doi":"10.4037/aacnacc2024854","DOIUrl":"10.4037/aacnacc2024854","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"258-264"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113306","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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