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Dimensions of Critical Care Nursing: DCCN

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https://read.qxmd.com/read/30702483/reply-to-letter-to-editor
#1
Kelly A Powers
No abstract text is available yet for this article.
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30702482/attitudes-of-intensive-care-unit-nurses-to-family-involvement-and-their-presence-during-cardiopulmonary-resuscitation-what-should-be-done-to-make-family-presence-during-cardiopulmonary-resuscitation-a-common-practice-in-hospitals
#2
https://read.qxmd.com/read/30702481/certified-and-advanced-degree-critical-care-nurses-improve-patient-outcomes
#3
Patricia Conley
The need for highly skilled and knowledgeable critical care nurses continues to evolve today and will in the future. Demands in critical care medicine for nurses with advanced degrees (master's in nursing: clinical nurse specialist; or doctorate in nursing: doctorate of philosophy in nursing or doctor of nursing practice) working in intensive care units or progressive care units can help meet these challenges. Nurses with certification and advanced degrees in nursing can be employed to work in 1 or combined roles such as nurse leaders and nurse researcher or intermittently fulfill roles as bedside nurses...
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30702479/increasing-light-exposure-for-the-prevention-of-delirium-a-systematic-review
#4
Rachel L Groves
BACKGROUND: Delirium is a neurological disorder with correlations to increased hospital length of stays and higher morbidity and mortality rates, particularly in the growing elderly population, making prevention strategies key in improving patient outcomes and health care systems. OBJECTIVES: Does increased exposure to light, by artificial or natural means, decrease the incidence of delirium? METHODS: A systematic review was conducted of 4 revered databases, CINAHL, PubMed, PsycINFO, and Scopus, for articles related to key words "delirium" and "lighting" or "daylight" or "natural light" or "bright light" or "sunlight...
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30702478/ramsay-sedation-scale-and-richmond-agitation-sedation-scale-a-cross-sectional-study
#5
Akram M Rasheed, Mohammad F Amirah, Mohammad Abdallah, Parameaswari P J, Marwan Issa, Abdulrhman Alharthy
BACKGROUND: Many sedation scales and tools have been developed and compared for validity in critically ill patients. However, selection and use of sedation scales vary among intensive care units. OBJECTIVE: The aim of this study is to compare the reliability of 2 sedation scales-Ramsay Sedation Scale and Richmond Agitation-Sedation Scale (RASS)-in the adult intensive care unit. METHOD: Four hundred twenty-five patients were recruited in the study...
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30702477/gap-analysis-to-identify-clinical-education-needs-of-aeromedical-evacuation-clinicians
#6
Marla J De Jong, Susan F Dukes, Tiffany Losekamp
BACKGROUND: The Air Force has unique challenges in ensuring clinical proficiency for en route care clinicians. These challenges pertain to existing care environments, training opportunities, and the spectrum of training needed to care for patients with polytrauma and complicated medical conditions while being transported between medical treatment facilities. OBJECTIVE: The purpose of this study was to identify the clinical education needs of students entering the United States Air Force School of Aerospace Medicine Flight Nurse (FN) or Aeromedical Evacuation Technician (AET) course and Air Force FNs and AETs assigned to active duty aeromedical evacuation units...
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30702476/nurse-influence-in-meeting-compliance-with-the-centers-for-medicare-and-medicaid-services-quality-measure-early-management-bundle-severe-sepsis-septic-shock-sep-1
#7
Ann L Jorgensen
Increased mortality has been identified as the sepsis cascade progresses from sepsis to severe sepsis to septic shock. Estimates reflect sepsis death rates ranging from 10% to 20%, severe sepsis death rates of 20% to 50%, and septic shock fatality rates of 40% to 80%. The high rates of morbidity, mortality, and Medicare costs prompted the Centers for Medicare and Medicaid Services to implement bundled care and public reporting of the Early Management Bundle, Severe Sepsis/Septic Shock (SEP-1) quality measure in 2015...
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30702474/management-of-intracranial-pressure-part-ii-nonpharmacologic-interventions
#8
Tara L Sacco, Jenna Gonillo Davis
Pharmacologic and nonpharmacologic interventions are available to treat patients who experience serious elevations in intracranial pressure (ICP). In some cases, patients may experience ICP that is refractory to treatment. Significant negative effects on cerebral blood flow, tissue oxygenation, and cerebral metabolism occur as a result of intracranial hypertension, leading to secondary brain injury. In part 2 of this series, nonpharmacologic interventions for ICP and ICP refractory to treatment are discussed...
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30702473/dccn-appoints-stefano-bambi-rn-ccrn-msn-phd-to-the-editorial-board
#9
Kathleen Ahern Gould
No abstract text is available yet for this article.
March 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499793/wolters-kluwer-author-services-and-educational-resources
#10
Kathleen Ahern Gould
No abstract text is available yet for this article.
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499792/creating-a-culture-of-promoting-from-within
#11
Brian W Jones
Although it is common to promote direct care nurses to management positions in nursing, it is important to have a well-defined process. Excelling in clinical skills at the bedside does not always translate into management and leadership abilities. Having a way to internally identify and develop frontline leaders for future management positions is important in succession planning, creating organizational culture, decreasing costs, and increasing employee engagement.
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499791/nurses-competence-caring-for-hospitalized-patients-with-ventricular-assist-devices
#12
Jesus M Casida, Martha Abshire, Brian Widmar, Pamela Combs, Regi Freeman, Linda Baas
BACKGROUND: Nursing care is an essential component of the delivery of high-quality patient care for advanced heart failure patients with ventricular assist devices (VADs). However, there is little information about how VAD patient care competence is formed, and there are no empirical data regarding the bed nurses' competence. OBJECTIVES: The aim of this study was to explain how nurses perceived their competence related to VAD technology and how they utilized resources to equip themselves for the management of patients with implantable VADs...
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499790/an-educational-and-skill-building-intervention-to-improve-symptom-recognition-and-interpretation-in-women-with-acute-coronary-syndrome-a-pilot-study
#13
Leslie L Davis, Thomas P McCoy
BACKGROUND: The type of symptoms that a woman experiences during an acute coronary syndrome (ACS) event influences symptom recognition and interpretation. Women who experience intense, abrupt symptoms are more likely to correctly attribute symptoms to a cardiac etiology and seek care faster than women with less intense, intermittent symptoms. OBJECTIVE: A single-group pretest-posttest design was used to evaluate the feasibility and acceptability of a nurse-delivered education and skill-building intervention designed to improve symptom recognition and interpretation in women with recurrent ACS symptoms...
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499789/sleep-and-intensive-care-unit-acquired-weakness-in-critically-ill-older-adults
#14
Maya N ElĂ­as, Cindy L Munro, Zhan Liang, Karel Calero, Ming Ji
BACKGROUND: Older adults in the intensive care unit (ICU) often experience sleep disturbances, which may stem from life-threatening illness, the ICU environment, medications/sedation, or psychological stress. Two complementary endocrinological responses occur as a result of compromised sleep and consequently could exacerbate ICU-acquired weakness: a decrease in anabolic hormones leading to decreased protein synthesis and an increase in catabolic hormones leading to increased protein degradation...
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499788/impact-of-nursing-education-on-phlebotomy-blood-loss-and-hospital-acquired-anemia-a-quality-improvement-project
#15
Stacy Jones, Paris Spangler, Megan Keiser, Carman Turkelson
BACKGROUND: Phlebotomy blood loss resulting in hospital-acquired anemia remains a significant problem in the critically ill population. A quality improvement project focused on decreasing phlebotomy blood loss and increasing nursing knowledge regarding blood conservation strategies was undertaken in the intensive care unit of a community hospital. METHODS: The project followed a quasi-experimental design. Data were gathered using electronic chart review and surveys before and after educational sessions...
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499786/the-effects-of-oral-care-protocol-on-the-incidence-of-ventilation-associated-pneumonia-in-selected-intensive-care-units-in-jordan
#16
Mahmoud A Alja'afreh, Sultan M Mosleh, Sakhaa S Habashneh
PURPOSE: This study aims to evaluate the effects of oral care protocol on the incidence of ventilator-associated pneumonia (VAP) at selected intensive care units (ICUs) in Jordan using clinical pulmonary infection score. METHODS: A quasi-experimental design was used, and 1 large teaching hospital from the Jordanian capital, along with 2 hospitals from the southern region, was selected. A total of 218 patients participated, among which VAP risk in 2 independent groups was evaluated through the Clinical Pulmonary Infection Score sheet...
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30499785/got-narcan
#17
Kathleen Ahern Gould
No abstract text is available yet for this article.
January 2019: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30273220/celebrating-what-matters-for-the-holidays
#18
Kathleen Ahern Gould
No abstract text is available yet for this article.
November 2018: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30273219/thank-you-dccn-peer-reviewers-2017-2018
#19
Kathleen Ahem Gould
No abstract text is available yet for this article.
November 2018: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/30273218/nurse-initiated-mobilization-practices-in-2-community-intensive-care-units-a-pilot-study
#20
Deonni P Stolldorf, Mary S Dietrich, Tiffani Chidume, Marie McIntosh, Cathy A Maxwell
BACKGROUND: Critical-care nurses play a vital role in promoting safe early mobilization in intensive care unit (ICU) settings to reduce the risks associated with immobility in ICUs, including the risk of delirium, ICU-acquired weakness, and functional decline. OBJECTIVE: The purposes of this study were to describe nurse-led mobilization practices in 2 community hospital ICUs and to report differences and similarities between the 2 settings. METHODS: This was a cross-sectional exploratory study of 18 nurses (ICU A: n = 12, ICU B: n = 6) and 124 patients (ICU A: n = 50, ICU B: n = 74)...
November 2018: Dimensions of Critical Care Nursing: DCCN
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