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AACN Advanced Critical Care最新文献

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The Whole Is More Than the Sum of Its Parts: Critical Care and Palliative Care. 整体大于部分之和：重症监护与姑息关怀。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-06-15 DOI: 10.4037/aacnacc2024385
Clareen Wiencek
{"title":"The Whole Is More Than the Sum of Its Parts: Critical Care and Palliative Care.","authors":"Clareen Wiencek","doi":"10.4037/aacnacc2024385","DOIUrl":"10.4037/aacnacc2024385","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 2","pages":"110-111"},"PeriodicalIF":1.5,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288769","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
Palliative Care in the Intensive Care Unit: The Standard of Care. 重症监护室的姑息关怀：护理标准。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-06-15 DOI: 10.4037/aacnacc2024525
Clareen Wiencek
{"title":"Palliative Care in the Intensive Care Unit: The Standard of Care.","authors":"Clareen Wiencek","doi":"10.4037/aacnacc2024525","DOIUrl":"10.4037/aacnacc2024525","url":null,"abstract":"<p><p>Intensive care unit-based palliative care has evolved over the past 30 years due to the efforts of clinicians, researchers, and advocates for patient-centered care. Although all critically ill patients inherently have palliative care needs, the path was not linear but rather filled with the challenges of blending the intensive care unit goals of aggressive treatment and cure with the palliative care goals of symptom management and quality of life. Today, palliative care is considered an essential component of high-quality critical care and a core competency of all critical care nurses, advanced practice nurses, and other intensive care unit clinicians. This article provides an overview of the current state of intensive care unit-based palliative care, examines how the barriers to such care have shifted, reviews primary and specialist palliative care, addresses the impact of COVID-19, and presents resources to help nurses and intensive care unit teams achieve optimal outcomes.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 2","pages":"112-124"},"PeriodicalIF":1.5,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288764","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
Palliative Care in the Pediatric Intensive Care Unit. 儿科重症监护室的姑息治疗。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-06-15 DOI: 10.4037/aacnacc2024104
Noreen Crain, Joy Miller
{"title":"Palliative Care in the Pediatric Intensive Care Unit.","authors":"Noreen Crain, Joy Miller","doi":"10.4037/aacnacc2024104","DOIUrl":"10.4037/aacnacc2024104","url":null,"abstract":"<p><p>The purposes of this review are to describe differences between palliative care for adult patients and palliative care for pediatric patients, both generally and in the intensive care unit; to highlight ethical considerations for pediatric intensive care unit patients by using illustrative cases; and to examine the impact of these ethical considerations on decision-making for children and their families.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 2","pages":"134-145"},"PeriodicalIF":1.5,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288765","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
Electronic Health Record Goes on Trial: Negligent Design That Resulted in Brain Damage. 电子健康记录受审：疏忽设计导致脑损伤。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-03-15 DOI: 10.4037/aacnacc2024480
Linda Harrington
{"title":"Electronic Health Record Goes on Trial: Negligent Design That Resulted in Brain Damage.","authors":"Linda Harrington","doi":"10.4037/aacnacc2024480","DOIUrl":"10.4037/aacnacc2024480","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 1","pages":"10-13"},"PeriodicalIF":1.5,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066051","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
Political Engagement to Support, Advocate, and Advance APRN Practice. 参与政治活动，以支持、倡导和推动全科护士实践。
IF 2.2
AACN Advanced Critical Care Pub Date : 2024-03-15 DOI: 10.4037/aacnacc2024900
Laura D Rosenthal
{"title":"Political Engagement to Support, Advocate, and Advance APRN Practice.","authors":"Laura D Rosenthal","doi":"10.4037/aacnacc2024900","DOIUrl":"10.4037/aacnacc2024900","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 1","pages":"18-19"},"PeriodicalIF":2.2,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066057","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
Stopping Delirium Using the Awake-and-Walking Intensive Care Unit Approach: True Mastery of Critical Thinking and the ABCDEF Bundle. 使用清醒和行走重症监护病房方法停止谵妄:真正掌握批判性思维和ABCDEF束。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-12-15 DOI: 10.4037/aacnacc2023159
Kali Dayton, Mark Hudson, Heidi Lindroth
{"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}
引用次数: 0
Measurement Strategies for The Joint Commission Health Care Disparities Standard: Implementing Hospital-Based Requirements in Heart Failure-Part 2. 联合委员会医疗保健差异标准的测量策略:在心力衰竭中实施基于医院的要求-第2部分。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023852
Stephanie Barnes, Jill Engel, Bradi B Granger
{"title":"Measurement Strategies for The Joint Commission Health Care Disparities Standard: Implementing Hospital-Based Requirements in Heart Failure-Part 2.","authors":"Stephanie Barnes,&nbsp;Jill Engel,&nbsp;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}
引用次数: 0
Ultrasonography for Skin and Soft Tissue Infections, Noninfectious Cysts, Foreign Bodies, and Burns in the Critical Care Setting. 超声检查皮肤和软组织感染，非感染性囊肿，异物，和烧伤在重症监护设置。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023182
Kelli A Craven, Kyle Luckey-Smith, Susanna Rudy
{"title":"Ultrasonography for Skin and Soft Tissue Infections, Noninfectious Cysts, Foreign Bodies, and Burns in the Critical Care Setting.","authors":"Kelli A Craven,&nbsp;Kyle Luckey-Smith,&nbsp;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}
引用次数: 0
Is Your EHR Nudging You? 你的电子病历是否在影响你?
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023463
Linda Harrington
{"title":"Is Your EHR Nudging You?","authors":"Linda Harrington","doi":"10.4037/aacnacc2023463","DOIUrl":"https://doi.org/10.4037/aacnacc2023463","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 3","pages":"179-181"},"PeriodicalIF":2.2,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10110998","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
Resuscitation Quality Improvement: Improving Clinicians' Performance. 提高复苏质量:提高临床医生的表现。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023833
Sergio Mota
{"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}
引用次数: 0
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