AACN Advanced Critical Care最新文献_第6页

Using Project-Based Learning to Teach Advanced Practice Nurses About Quality Improvement. 运用项目式学习对高级执业护士进行质量改进教学。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-12-15 DOI: 10.4037/aacnacc2022419

Jaime McDermott

引用次数: 1

Chimeric Antigen Receptor T Cells: Toxicity and Management Considerations. 嵌合抗原受体T细胞:毒性和管理考虑。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-12-15 DOI: 10.4037/aacnacc2022936

Kent A Owusu, Molly Schiffer, Sarah Perreault

引用次数: 1

Correction. 修正。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-12-15 DOI: 10.4037/aacnacc2022644

引用次数: 0

Nursing During a Disaster Starts With Education. 灾难中的护理从教育开始。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-12-15 DOI: 10.4037/aacnacc2022966

Maighdlin Anderson, Michael Beach

引用次数: 0

Crisis Management. 危机管理。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-12-15 DOI: 10.4037/aacnacc2022653

Jennifer L Adamski, John Gallagher

引用次数: 0

Starting Now: Implementing the Healthy Work Environment Standards Is More Important Than Ever. 从现在开始:实施健康工作环境标准比以往任何时候都更重要。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-12-15 DOI: 10.4037/aacnacc2022958

Nancy Blake

引用次数: 0

Use of Topical Lavender Essential Oils to Reduce Perceptions of Burnout in Critical Care. 使用局部薰衣草精油，以减少倦怠的观念在重症监护。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-12-15 DOI: 10.4037/aacnacc2022289

Rachel T DiGalbo, Staci S Reynolds

{"title":"Use of Topical Lavender Essential Oils to Reduce Perceptions of Burnout in Critical Care.","authors":"Rachel T DiGalbo, Staci S Reynolds","doi":"10.4037/aacnacc2022289","DOIUrl":"https://doi.org/10.4037/aacnacc2022289","url":null,"abstract":"Background: Intensive care unit (ICU) health care workers face increased burnout. The purpose of this project was to evaluate burnout after implementing lavender essential oils.Objective: To assess the effectiveness of topical lavender essential oils in decreasing the instance of burnout in frontline ICU health care workers during the COVID-19 pandemic.Methods: A predesign and postdesign evidence-based practice project was conducted to evaluate the implications of an 8-week topical lavender oil intervention on health care worker burnout. The Maslach Burnout Inventory, including subscales of emotional exhaustion, depersonalization, and personal accomplishment, was administered before and after the intervention. Health care workers' compliance and satisfaction with the intervention were also measured.Results: Thirty-four ICU health care workers participated. Results showed significant improvements in the personal accomplishment subscale (mean [SD], 3.86 [0.81] before vs 4.14 [1.01] after intervention; P = .04). Improvements in depersonalization were not significant. Most participants were satisfied (n = 23 [67.6%]) and compliant (n = 23 [67.6%]) with the intervention.Conclusion: The use of topical lavender essential oils is a cost-effective intervention that can be used to decrease components of burnout in frontline ICU workers.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 4","pages":"312-318"},"PeriodicalIF":2.2,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10694008","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

Bundled Bispectral Index Monitoring and Sedation During Paralysis in Acute Respiratory Distress Syndrome. 急性呼吸窘迫综合征瘫痪期间捆绑双谱指数监测与镇静。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-09-15 DOI: 10.4037/aacnacc2022240

Sunitha Abraham, Bethany L Lussier

{"title":"Bundled Bispectral Index Monitoring and Sedation During Paralysis in Acute Respiratory Distress Syndrome.","authors":"Sunitha Abraham, Bethany L Lussier","doi":"10.4037/aacnacc2022240","DOIUrl":"https://doi.org/10.4037/aacnacc2022240","url":null,"abstract":"Background: Clinical assessments of depth of sedation are insufficient for patients undergoing neuromuscular blockade during treatment of acute respiratory distress syndrome (ARDS). This quality initiative was aimed to augment objective assessment and improve sedation during therapeutic paralysis using the bispectral index (BIS).Methods: This quality improvement intervention provided education and subsequent implementation of a BIS monitoring and sedation/analgesia bundle in a large, urban, safety-net intensive care unit. After the intervention, a retrospective review of the first 70 admissions with ARDS assessed use and documented sedation changes in response to BIS.Results: Therapeutic neuromuscular blockade was initiated for 58 of 70 patients (82.8%) with ARDS, of whom 43 (74%) had BIS monitoring and 29.3% had bundled BIS sedation-titration orders. Explicit documentation of sedation titration in response to BIS values occurred in 27 (62.8%) of those with BIS recordings.Conclusions: BIS sedation/analgesia bundled order sets are underused, but education and access to BIS monitoring led to high use of monitoring alone and subsequent sedation changes.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 3","pages":"253-261"},"PeriodicalIF":2.2,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10371754","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

Cutaneous Anomalies of the Critically Ill Patient. 危重病人的皮肤异常。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022402

Melania Howell, Salomé Loera, H. Kirkland-Kyhn

引用次数: 0

Pressure Injury Risk Assessment and Prevention in Patients With COVID-19 in the Intensive Care Unit. 重症监护室新冠肺炎患者压力损伤风险评估和预防。

IF 2.2

AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022335

J. Alderden, S. Kennerly, Jill N. Cox, T. Yap

{"title":"Pressure Injury Risk Assessment and Prevention in Patients With COVID-19 in the Intensive Care Unit.","authors":"J. Alderden, S. Kennerly, Jill N. Cox, T. Yap","doi":"10.4037/aacnacc2022335","DOIUrl":"https://doi.org/10.4037/aacnacc2022335","url":null,"abstract":"BACKGROUND\u0000Patients critically ill with COVID-19 are at risk for hospital-acquired pressure injury, including device-related pressure injury.\u0000\u0000\u0000METHODS\u0000Braden Scale predictive validity was compared between patients with and without COVID-19, and a logistic regression model was developed to identify risk factors for device-related pressure injury.\u0000\u0000\u0000RESULTS\u0000A total of 1920 patients were included in the study sample, including 407 with COVID-19. Among the latter group, at least 1 hospital-acquired pressure injury developed in each of 120 patients (29%); of those, device-related pressure injury developed in 55 patients (46%). The Braden Scale score area under the receiver operating characteristic curve was 0.72 in patients without COVID-19 and 0.71 in patients with COVID-19, indicating fair to poor discrimination.\u0000\u0000\u0000CONCLUSIONS\u0000Fragile skin and prone positioning during mechanical ventilatory support were risk factors for device-related pressure injury. Clinicians may consider incorporating factors not included in the Braden Scale (eg, oxygenation and perfusion) in routine risk assessment and should maintain vigilance in their efforts to protect patients with COVID-19 from device-related pressure injury.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"173-185"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44333021","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: 3