AACN Advanced Critical Care最新文献_第2页

Sleep Health in Critically Ill Children With Acute Respiratory Failure. 重症急性呼吸衰竭患儿的睡眠健康

IF 1.5

AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026606

Laura Beth Kalvas, Onella S Dawkins-Henry, Monica R Ordway, Sapna R Kudchadkar, Lisa A Asaro, David Wypij, Martha A Q Curley

{"title":"Sleep Health in Critically Ill Children With Acute Respiratory Failure.","authors":"Laura Beth Kalvas, Onella S Dawkins-Henry, Monica R Ordway, Sapna R Kudchadkar, Lisa A Asaro, David Wypij, Martha A Q Curley","doi":"10.4037/aacnacc2026606","DOIUrl":"10.4037/aacnacc2026606","url":null,"abstract":"Background: Sleep health is an overlooked but important part of children's health and development. The health consequences associated with poor sleep health may impact recovery during critical illness.Objective: Explore sleep health among children in the pediatric intensive care unit (PICU) receiving usual care or a nurse-led chronotherapeutic care bundle.Methods: Secondary analysis of the RESTORE Resilience (R2) trial. Parent-reported baseline sleep health was compared with PICU sleep health, including compliance with baseline sleep behaviors, alertness levels, and actigraphy-based measures of sleep timing, efficiency, and duration.Results: In 52 R2 participants (6 months to 17 years), 49 provided prehospital sleep data and 22/49 (45%) had atypical baseline sleep health. Participants had irregular PICU sleep behaviors and spent ≥ 25% of PICU days sedated. Children experienced little daytime activity consolidation and short, fragmented sleep episodes. Total sleep time was within 1 hour of baseline on 23 (11%) study days. There were few associations between baseline and PICU sleep health or between R2 bundle implementation and PICU sleep health.Conclusions: Critically ill children demonstrated disrupted sleep health. Results will inform nurse-led interventions to promote sleep in the PICU.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"107-121"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318461","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 : 2026-03-15 DOI: 10.4037/aacnacc2026870

Christina Colvin, Myra King, Kylene Mesaros, Kathy Tripepi-Bova

引用次数: 0

Neurocognitive Changes Associated With Heart Failure: A Narrative Review. 与心力衰竭相关的神经认知改变：叙述性回顾。

IF 1.5

AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026660

Tao Zheng, Kristoffer Rhoads, Cynthia M Dougherty

{"title":"Neurocognitive Changes Associated With Heart Failure: A Narrative Review.","authors":"Tao Zheng, Kristoffer Rhoads, Cynthia M Dougherty","doi":"10.4037/aacnacc2026660","DOIUrl":"10.4037/aacnacc2026660","url":null,"abstract":"Background: Up to 80% of people with heart failure experience cognitive impairment, which is linked to reduced cardiac function and cerebral hypoperfusion, causing neuropsychological changes related to brain injury.Objectives: To identify prevalent causes of heart failure-related cognitive impairment, synthesize literature on its indicators and mechanisms, discuss affected cognitive domains, and explore research and clinical implications.Methods: This narrative review included empirical studies of cognitive performance in individuals with heart failure. Included studies were written in English and used original data.Results: Cognitive impairment in individuals with heart failure is associated with disease severity, reduced ejection fraction, and lower systolic blood pressure. Cerebral hypoperfusion, microembolic events, and brain abnormalities contribute to deficits in attention, memory, and executive function.Conclusions: Further research is needed to understand the relationship between cerebral hemodynamics and cognitive function, identify early decline markers, and optimize screening and management strategies. Integrating cognitive screening into routine care may improve outcomes for individuals with heart failure-related cognitive impairment.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"35-46"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318520","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

Leadership Support for Health Care Staff Managing Challenging Behavior of Patients. 领导支持卫生保健人员管理具有挑战性的患者行为。

IF 1.5

AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026547

Della J Derscheid, Ann McKay

引用次数: 0

Feasibility and Acceptability of Virtual Reality Intensive Care Unit Orientations. 虚拟现实重症监护病房定位的可行性与可接受性。

IF 1.5

AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026930

Amanda Berney, Maxine Adegbola, Ty Johnson, Abdulkadir Kamal, Shripal Gunna, Donald Stout, DaiWai M Olson

{"title":"Feasibility and Acceptability of Virtual Reality Intensive Care Unit Orientations.","authors":"Amanda Berney, Maxine Adegbola, Ty Johnson, Abdulkadir Kamal, Shripal Gunna, Donald Stout, DaiWai M Olson","doi":"10.4037/aacnacc2026930","DOIUrl":"10.4037/aacnacc2026930","url":null,"abstract":"Background: Visitors to the intensive care unit may be intimidated by the unfamiliar equipment and complex treatment interventions. Virtual reality orientation could be used to acquaint them with the intensive care unit environment.Purpose: To examine the acceptability and feasibility of virtual reality orientation compared with standard orientation for visitors to an intensive care unit.Methods: In this prospective, within-subject experimental design study, visitors underwent a 3-minute virtual reality orientation and completed a survey about the feasibility (feasibility of intervention measure) and acceptability (acceptability of intervention measure) of the virtual reality intensive care unit orientation.Results: No significant difference was found between the mean (SD) total feasibility of intervention measure scores for the standard orientation versus the virtual reality orientation (13.0 [2.57] vs 13.3 [2.19], P = .44). In addition, no significant difference was found between the mean (SD) total acceptability of intervention measure scores for the standard orientation versus the virtual reality orientation (12.0 [3.07] vs 11.9 [4.06], P = .90). Eleven of the 30 participants (37%) experienced dizziness while undergoing the virtual reality orientation, with 9 rating it as mild, 1 as moderate, and 1 as severe.Conclusion: In this pilot study, virtual reality was found to be an acceptable and feasible orientation tool for visitors to the intensive care unit. Future research should explore virtual reality orientations in different hospital areas.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"28-34"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318492","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

Five Topics Overlooked in Workplace Violence Discussions in Health Care Settings. 在卫生保健机构的工作场所暴力讨论中被忽视的五个主题。

IF 1.5

AACN Advanced Critical Care Pub Date : 2026-03-15 DOI: 10.4037/aacnacc2026559

Kathleen R Delaney, Kelley Peters, Paul Thomas Clements, Kim R Warma, Cally McKinney

{"title":"Five Topics Overlooked in Workplace Violence Discussions in Health Care Settings.","authors":"Kathleen R Delaney, Kelley Peters, Paul Thomas Clements, Kim R Warma, Cally McKinney","doi":"10.4037/aacnacc2026559","DOIUrl":"10.4037/aacnacc2026559","url":null,"abstract":"Workplace violence against health care professionals, especially nurses, is increasingly prevalent and complex. This article examines nuanced dimensions of workplace violence prevention particularly relevant to nurses practicing in nonpsychiatric settings. Although de-escalation is an essential skill, this article sought to explore additional factors that should be included in workplace violence prevention discourse, considering professional, ethical, clinical, and organizational contexts. The additional factors-derived from psychiatric nursing models, current literature, and clinical insights from trainers and nurses with workplace violence prevention expertise-include professional responsibilities, ethical tensions and competing priorities, underemphasis on engagement as a proactive practice, organizational constraints that limit effective workplace violence prevention, and unintended consequences of developing a risk-averse environment. Integrating interpersonal approaches and organizational culture change into workplace violence prevention efforts will enhance nurse and patient safety. Nurses are well positioned to lead this paradigm shift and drive systemic transformation in health care settings.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"37 1","pages":"52-62"},"PeriodicalIF":1.5,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318453","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

Noninvasive Oxygenation Strategies in Critical Care: Applications and Challenges. 无创氧合策略在重症监护中的应用和挑战。

IF 1.5

AACN Advanced Critical Care Pub Date : 2025-12-15 DOI: 10.4037/aacnacc2025174

Amy Stafford, Scott Stilphen

{"title":"Noninvasive Oxygenation Strategies in Critical Care: Applications and Challenges.","authors":"Amy Stafford, Scott Stilphen","doi":"10.4037/aacnacc2025174","DOIUrl":"10.4037/aacnacc2025174","url":null,"abstract":"Noninvasive oxygen delivery methods, including high-flow nasal cannula therapy and noninvasive positive pressure ventilation, are essential tools in managing acute respiratory failure. These strategies offer effective oxygenation and ventilatory support while avoiding complications associated with invasive mechanical ventilation. This review explores the physiological principles, clinical indications, weaning, and comparative effectiveness of high-flow nasal cannula therapy and noninvasive positive pressure ventilation in patients with hypoxemic or hypercapnic respiratory failure. The article explores patient self-inflicted lung injury, which is associated with excessive respiratory muscle effort during noninvasive respiratory support. Early recognition, appropriate modality selection, and continuous monitoring are needed to prevent patient self-inflicted lung injury and improve patient outcomes. The use of predictive tools such as the respiratory oxygen index for evaluating high-flow nasal cannula therapy success is discussed. Through case-based analysis and evidence-based insights, the article highlights the importance of interdisciplinary collaboration and individualized care in optimizing noninvasive oxygen therapy.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"36 4","pages":"336-345"},"PeriodicalIF":1.5,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716313","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

Telehealth to Expedite Cardiogenic Shock Diagnosis and Treatment: A Case Report. 远程医疗加快心源性休克的诊断和治疗：1例报告。

IF 1.5

AACN Advanced Critical Care Pub Date : 2025-12-15 DOI: 10.4037/aacnacc2025527

Rebecca L Boni, Tiffany-Janelle C Calderon

引用次数: 0

Airway Management. 气道管理。

IF 1.5

AACN Advanced Critical Care Pub Date : 2025-12-15 DOI: 10.4037/aacnacc2025429

Thomas Levins

引用次数: 0

Diagnosis and Management of Acute Exacerbation of Interstitial Lung Disease in the Intensive Care Unit. 重症监护室间质性肺疾病急性加重的诊断和处理。