Humanizing Intensive Care
The International Research Project for the Humanization of Intensive Care Units (Proyecto HU-CI) was initiated in 2014. The aim of this project is to change the current paradigm toward a human-centered care model. Patients, families, and professionals (everyday stakeholders) were asked to describe their ideal intensive care unit (ICU). Using their opinions, 8 fields of research to improve the management of ICUs and change the reality of care throughout the world were designed. This replicable tested model to humanize the ICU care delivery model is presented. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Authors: Jos é Manuel Velasco Bueno, Gabriel Heras La Calle Source Type: research

Enhancing Family-Centered Care in Cardiothoracic Surgery
This article discusses FCC models an d why they are beneficial to the needs of families of postoperative cardiothoracic surgery patients. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Authors: Kelly A. Thompson-Brazill, Catherine C. Tierney, Lori Brien, Jeremy W. Wininger, Judson B. Williams Source Type: research

Intensive Care Unit Patient Diaries
Post –intensive care syndrome is a detrimental cluster of symptoms that can have a negative impact on life after discharge from the intensive care unit (ICU). The use of patient diaries while hospitalized in the ICU has been reported to help survivors and families create memories and fill in gaps from their hospitalization. A review of the literature revealed that patient selection, diary content, family involvement, and staff perceptions are essential to the implementation of a diary program. Understanding the importance and impact diaries can have on survivors increases compliance and sustainab ility of this progra...
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Authors: Erica McCartney Source Type: research

Family-Centered Care: A Reflection
Best practices based upon evidence from inspirational leaders around the globe have shaped family-centered care recommendations in national guidelines.1 However, operationalizing these recommendations is not without challenge. We can learn as much from the challenges as successes; so, in this issue of Critical Care Nursing Clinics of North America, both successful and disappointing attempts at optimizing family-centered care are shared for our collective learning. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Authors: Judy E. Davidson, Carrie Anne Hudson Tags: Preface Source Type: research

Patient and Family Experience in the ICU
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Authors: Judy E. Davidson Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Source Type: research

Contributors
CYNTHIA BAUTISTA, PhD, APRN, FNCS, FCNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Source Type: research

Contents
Judy E. Davidson and Carrie Anne Hudson (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Source Type: research

Forthcoming Issues
Promoting the   Well-Being of the Critical Care Nurse (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - May 11, 2020 Category: Nursing Source Type: research

The Best Medicine
Companion animals can have a positive impact on people ’s health and well-being. Personal pet visitation and animal-assisted interventions (AAIs) can benefit patients’ pain, blood pressure, stress, depression, and anxiety, as well as increasing mobility and socialization with staff and families. Implementing personal pet visitation and/or AAI progra ms requires the involvement of stakeholders from multiple disciplines. AAI is generally well received by staff. Animal presence in the intensive care unit carries few risks for humans and animals but is not risk free. Programs should be designed to minimize these ri...
Source: Critical Care Nursing Clinics of North America - April 8, 2020 Category: Nursing Authors: Denise Barchas, Melissa Melaragni, Heather Abrahim, Eric Barchas Source Type: research

Impact of Patient and Family Involvement in Long-Term Outcomes
Surviving a critical illness can have long-term effects on both patients and families. These effects can be physical, emotional, cognitive, and social, and they affect both the patient and the family. Family members play a key role in helping their loved one recover, and this recovery process can take considerable time. Transferring out of an intensive care unit, and discharging home from a hospital, are important milestones, but they represent only the beginning of recovery and healing after a critical illness. Recognizing that these challenges exist both for patients and families is important to improve critical illness ...
Source: Critical Care Nursing Clinics of North America - April 8, 2020 Category: Nursing Authors: Christopher J. Grant, Lauren F. Doig, Joanna Everson, Nadine Foster, Christopher James Doig Source Type: research

The Critical Care Nurse Communicator Program
Twenty percent of Americans die in an intensive care unit (ICU), often incapacitated or requiring assisted decision making. Surrogates are often required to make urgent, complex, high-stakes decisions. Communication among patients, families, and clinicians is often delayed and inefficient with frequent missed opportunities to support the emotional and psychological needs of surrogates, particularly at the end of life. The Critical Care Nurse Communicator program is a nurse-led, primary palliative care intervention designed to improve the quality and consistency of communication in the ICU and address the informational, psy...
Source: Critical Care Nursing Clinics of North America - April 8, 2020 Category: Nursing Authors: Andrew O ’Donnell, April Buffo, Toby C. Campbell, William J. Ehlenbach Source Type: research

Family Integrated Care for Preterm Infants
Parent-infant separation is a major source of stress for parents of hospitalized preterm infants and has negative consequences for infant health and development. Family Integrated Care (FICare) uses a strengths-based approach, based on family-centered care principles to promote parental empowerment, learning, shared decision making, and positive parent-infant caregiving experiences. Outcomes of FICare include increased self-efficacy upon discharge and improved parent-infant relationships and infant developmental outcomes. In this article, the authors describe the FICare model and emerging evidence regarding outcomes of FIC...
Source: Critical Care Nursing Clinics of North America - March 31, 2020 Category: Nursing Authors: Linda S. Franck, Chandra Waddington, Karel O ’Brien Source Type: research

Sleep in the Intensive Care Unit
There is a clear relationship between lack of sleep, poor health outcomes, and delayed recovery from illness in the intensive care unit. Several factors can contribute to poor quality sleep in the intensive care unit, including (1) environmental disruptions such as light and sound, (2) physiologic disruptions such as discomfort, nausea, and pain, (3) psychological disruptions such as anxiety and a lack of privacy, and (4) health care provider-related disruptions, such as medication administration and nursing care. Nursing implications include increased attention to the role of sleep to promote intensive care unit patient &...
Source: Critical Care Nursing Clinics of North America - March 31, 2020 Category: Nursing Authors: Karin Reuter-Rice, Mary Grace McMurray, Elise Christoferson, Haley Yeager, Brooke Wiggins Source Type: research

Implementation of a Patient and Family-Centered Intensive Care Unit Peer Support Program at a Veterans Affairs Hospital
Peer support is a novel strategy to mitigate postintensive care syndrome and postintensive care syndrome –family. This project implemented a peer support program to address postintensive care syndrome for patients and family members. Using a free-flow, unstructured format, a chaplain, social worker, nurse, and intensive care unit survivor led veterans and loved ones in discussion of intensive care un it experiences, fears, and the challenges of recovery. Evaluations indicated group participation is beneficial for emotional support, coping, and understanding common situations related to prolonged intensive care unit s...
Source: Critical Care Nursing Clinics of North America - March 31, 2020 Category: Nursing Authors: Leanne M. Boehm, Kelly Drumright, Ralph Gervasio, Christopher Hill, Nancy Reed Source Type: research

The Facilitated Sensemaking Model As a Framework for Family-Patient Communication During Mechanical Ventilation in the Intensive Care Unit
Family caregivers of intensive care unit (ICU) patients are at high risk for adverse psychological outcomes. Communication difficulty due to mechanical ventilation may induce or worsen adverse psychological outcomes. The Facilitated Sensemaking Model (FSM) is the first model to guide nursing interventions to help ICU family caregivers overcome and prevent adverse psychological outcomes. We address an understudied phenomenon, communication between patients and family caregivers during mechanical ventilation. The FSM guides supportive interventions for critical care nurses to improve patient-family communication in the ICU. ...
Source: Critical Care Nursing Clinics of North America - March 31, 2020 Category: Nursing Authors: Ji Won Shin, Judith A. Tate, Mary Beth Happ Source Type: research

Implementation of a Standardized Patient/Family Communication Bundle
During critical illness, active discussions about a person's preferences are linked with better patient outcomes. Our intensive care unit implemented an evidence-based standardized communication bundle that included education to providers on effective family communication, focused patient/family discussions to identify Durable Power of Attorney/surrogate decision maker and obtaining advanced directive documents, and documenting conversations in the electronic medical record and appropriately updating the patient's code status. The aim of the bundle was to increase compliance with conducting and documenting family discussio...
Source: Critical Care Nursing Clinics of North America - March 29, 2020 Category: Nursing Authors: Carrie Sona, Kathryn A. Pollard, Marilyn Schallom, Anne Schrupp, Brian T. Wessman Source Type: research

Engaging Patients and Families to Help Research Inform and Advance Patient and Family –Centered Care in Critical Care Medicine
Intensive care unit (ICU) patient, and family member engagement is evolving in both critical care medicine practice and research. The results of two qualitative critical care research projects led by ICU survivors and family members show how patient-partner research training can inform the critical care community of meaningful priorities in the traumatic ICU context. The resulting creation of a prioritized list of critical care research topics builds further on the construct of patient-centered care. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - March 27, 2020 Category: Nursing Authors: Peter Oxland, Nadine Foster, Kirsten M. Fiest, Yoanna Skrobik Source Type: research

One Team ’s Experience with Integrating Flexible Visitation in the Medical Intensive Care Unit
This article details these efforts, outcomes, and important gaps for future work evaluating integration of flexible visitation in critical care. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - March 27, 2020 Category: Nursing Authors: Chris Winkelman, Kathleen Kerber, Jessica Zangmeister, Molly McNett Source Type: research

Bereavement Care in the Adult Intensive Care Unit
Bereavement support is recommended as part of family-centered care in critical care settings. This literature review describes the impact on a family after the death of a loved one in the intensive care unit (ICU) and how bereavement services could help. Potential components of a bereavement program are explored, including tangible contents (eg, bereavement brochure, sympathy card, memory making), family preferences, and optimal timing. A bereavement risk assessment tool is also described to more optimally meet families ’ needs. Finally, the goal of this review is to guide ICUs in planning and developing of a success...
Source: Critical Care Nursing Clinics of North America - March 24, 2020 Category: Nursing Authors: Alyssa Erikson, Jennifer McAdam Source Type: research

Nurses ’ Influence on Patient Wellbeing
This article describes 2 nurse-driven programs that aimed to improve patient wellbeing and decrease ICU stressors to improve the ICU experience. One program addressed noise reduction and the other describes Sunshine Therapy. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - March 23, 2020 Category: Nursing Authors: Fiona A. Winterbottom, Karla LeBlanc-Lucas, Alexandra Boylan Source Type: research

Clinical Localization of Stroke
This article explores the process of clinical localization in relation to the physiology affected by stroke vascular insufficiency. Elements of the neurologic examination are described as they relate to discreet areas in the brain and the National Institutes of Health Stroke Scale. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Wendy Dusenbury, Anne W. Alexandrov Source Type: research

Cryptogenic Stroke
Despite advances in understanding the cause of ischemic stroke, cryptogenic stroke remains a diagnostic and therapeutic challenge for clinicians. Approximately 15% to 40% of all ischemic strokes have no identifiable cause. CS is a diagnosis of exclusion after completing the standard stroke work-up. Further investigation needs to be tailored individually according to results of the clinical evaluation so appropriate secondary prevention strategies can be applied. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Mary P. Amatangelo Source Type: research

ICU Nursing Care of the Stroke Patient
Almost 25 years ago, in June 1996, the Food and Drug Administration (FDA) approved intravenous (IV) Alteplase as the only acute drug therapy for ischemic stroke. It remains the mainstay drug to date and revolutionized Neurology, Stroke, and Neurocritcal Care. In 2013, the success of several mechanical thrombectomy studies proved the efficacy of endovascular thrombectomy for large vessel occlusions (LVO), both alone and in combination with IV Alteplase. The expanded time window opened this treatment option to a greater number of patients, who are now surviving with fewer deficits. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Mary P. Amatangelo Tags: Preface Source Type: research

ICU Nursing Priorities for Stroke Patients
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Mary P. Amatangelo Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Source Type: research

Contributors
CYNTHIA BAUTISTA, PhD, APRN, FNCS, FCNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Source Type: research

Contents
Mary P. Amatangelo (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Source Type: research

Critical Care Nursing Clinics of North America
Patient and Family Experience in the ICU (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Source Type: research

Monitoring for Poststroke Seizures
It is unpredictable which stroke survivors will experience a seizure following a stroke. Stroke is a major cause of seizures. Critical care nurses need to know the risk factors, type of stroke at risk, stroke location, and severity for the poststroke patient who is at risk for an early or late seizure. Poststroke seizures require appropriate nursing assessments, management, and support. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 24, 2019 Category: Nursing Authors: Cynthia Bautista Source Type: research

Large Vessel Occlusion in the Acute Stroke Patient
Acute ischemic stroke is a major cause of death and disability in the United States. Historically, acute stroke patients were treated with intravenous (IV) thrombolysis. Patients with large vessel occlusions (LVOs) should be offered mechanical thrombectomy, with or without IV thrombolysis, in an extended window up to 24  hours of last known well. Both treatment options are the standard of care for a patient with an LVO. It is critical that the intensive care unit nurse understand new treatment indications for LVO strokes, and the priorities of nursing care with medical and endovascular intervention. (Source: Critical ...
Source: Critical Care Nursing Clinics of North America - December 24, 2019 Category: Nursing Authors: Kiffon M. Keigher Source Type: research

Stroke Rehabilitation
Acute stroke care is completed, and it is time for discharge. Depending on patient needs, they may continue care with outpatient therapies, home health, long-term acute care, or an acute inpatient rehabilitation facility. This is an overview of the rehabilitation process, nursing care, an interdisciplinary team approach, and psychosocial aspects of acute inpatient rehabilitation. Rehabilitation nursing focuses on goals, outcomes, the attainment or maintenance of functional capacity, understanding long-range patient needs, and wellness. From the moment care delivery is initiated we should all be a part of the rehabilitation...
Source: Critical Care Nursing Clinics of North America - December 23, 2019 Category: Nursing Authors: Maureen Le Danseur Source Type: research

Management of the Patient with Malignant Hemispheric Stroke
This article discusses malignant middle cerebral artery stroke pathophysiology, techniques to predict patients at risk for herniation, collaborative care strategies, and nursing care. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 21, 2019 Category: Nursing Authors: Mary McKenna Guanci Source Type: research

What Is Stroke Certification and Does It Matter?
Many academic and community hospitals have obtained, or are considering obtaining, stroke center certification. Participation in structured quality improvement programs that also incorporate an objective assessment has been shown to improve outcomes and foster team building. Although obtaining certification can be challenging and costly, it can provide a framework to ensure hospitals deliver high- level, evidence-based stroke care. For the intensive care unit nurse, awareness and participation in the certification programs process is an important part of professional nursing practice. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 19, 2019 Category: Nursing Authors: Linda M. Bresette Source Type: research

Priority Nursing Interventions Caring for the Stroke Patient
Nearly 20% of all patients with ischemic stroke will require care in an intensive care unit (ICU), particularly those who have received intravenous alteplase or endovascular therapy. Prioritizing nursing intervention and intensive care monitoring can improve patient outcomes and reduce disability. A collaborative interdisciplinary team approach best facilitates the ICU care of an acute stroke patient. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 19, 2019 Category: Nursing Authors: Sarah Beth Thomas, Mary P. Amatangelo Source Type: research

Ethical Concerns Caring for the Stroke Patient
Stroke is a sudden, unexpected illness with an uncertain prognosis for functional recovery. Ethical issues in the care of patients with stroke include assessment of decision-making capacity when cognition or communication is impaired, prognostication, evaluation of quality of life, withdrawal or withholding of life-sustaining treatment, and how to optimize surrogate decision making. Skilled communication between clinicians and patients or their surrogates promotes shared decision making and may prevent ethical conflict. Nurses with an understanding of the ethics of stroke care play an important role in the care of patients...
Source: Critical Care Nursing Clinics of North America - December 12, 2019 Category: Nursing Authors: Dea Mahanes Source Type: research

Psychological Issues in the ICU
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 2, 2019 Category: Nursing Authors: Deborah W. Chapa Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 2, 2019 Category: Nursing Source Type: research

Contributors
JAN FOSTER, PhD, APRN, CNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 2, 2019 Category: Nursing Source Type: research

Contents
Deborah W. Chapa (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 2, 2019 Category: Nursing Source Type: research

Forthcoming Issues
ICU Nursing Priorities for Stroke Patients (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 2, 2019 Category: Nursing Source Type: research

Impact of Early Mobilization in the Intensive Care Unit on Psychological Issues
Early mobilization is an intervention protocol that can be employed in the critically ill population to effectively reduce the risks and consequences normally associated with immobility in high-acuity patients. In turn, rate and quality of recovery are improved as well as overall patient outcomes. Although there are many challenges inherent to the implementation of an early mobilization program, success of such a program is achievable through structured education of staff and diligence in its application. As a result, staff and patient experience the benefits of medical treatment that addresses a patient ’s immediate...
Source: Critical Care Nursing Clinics of North America - September 27, 2019 Category: Nursing Authors: Islande Joseph, Renee McCauley Source Type: research

Psychological Issues of Patient Transition from Intensive Care to Palliative Care
End-of-life care in the intensive care unit is fraught with complicated psychological responses by patients, families, and staff. Empathic and mindful communication, inclusion of all integral staff in decision-making meetings, and multidimensional support of patients and families can ease the transition away from aggressive life-prolonging to comfort-oriented end of life care. Primary palliative care communication strategies can help clarify goals of care and facilitate transitions. Early integration of specialist palliative care is recommended. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 25, 2019 Category: Nursing Authors: Dorothy Wholihan Source Type: research

Improvement of Psychosocial Outcomes in Patients with Critical Care Illness Positively Impacts Outcomes for Patients and Caregivers
Psychosocial issues in patients and families impact outcomes for patients who have critical illness. In the United States, it has been estimated that $3500 per day is spent on critical care admissions and may account for 13% of hospital costs. Half of all people in the United States may spend time in critical care during their final year of life. There is a new condition arising termed chronic critical illness. Children who spend time in critical care may be at risk for long-term psychosocial disadvantage. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 25, 2019 Category: Nursing Authors: Deborah W. Chapa Tags: Preface Source Type: research

Burnout in Critical Care Nurses
Burnout syndrome is a contested diagnosis with wide ranging effects on critical care nurses, patients and families, and health care organizations. Multiple evaluation tools exist, and the core components of the theoretic burnout tools are vague and ambiguous and overlap legitimate mental health diseases, such as depression. Applied therapeutic interventions support decreased perceived burnout and staff turnover and improved overall well-being of nurses. Research postulates that decreased levels of burnout are associated with improved quality of patient care, communication, and trust, combined with decreases in patient morb...
Source: Critical Care Nursing Clinics of North America - September 23, 2019 Category: Nursing Authors: Stacey G. Browning Source Type: research

Creating a Care for the Caregiver Program in a Ten-Hospital Health System
Critical care clinicians involved serious adverse events may experience a constellation of distressing emotions that may interfere with home and work life. Offering support after a serious adverse event may restore a clinician ’s ability to cope with the event, reestablish emotional balance and assist a clinician to function capably in the workplace and at home. A description of a care for the caregiver program implementation at a 10-hospital health system provides a roadmap to implement this program in other hospitals and health systems. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 21, 2019 Category: Nursing Authors: Crystal L. Morales, Mary-Michael Brown Source Type: research

Postintensive Care Syndrome
Patients admitted to the intensive care unit (ICU) are at an extremely high risk for developing intensive care syndrome. Increased illness severity often result in prolonged immobility, altered cognition, and the development of psychotic manifestations. Any constellation of these problems can result in prolonged patient impairment long after transfer from the ICU. Quick recognition of these symptoms leads to the development of a targeted rehabilitation to minimize long-term sequelae and optimize functional recovery. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 21, 2019 Category: Nursing Authors: Sharon E. Bryant, Kathryn McNabb Source Type: research

Management Strategies in the Intensive Care Unit to Improve Psychosocial Outcomes
Critical care nurses work in challenging environments that are often sterile, impersonal, noisy, and frightening to patients and their families. Nurses act as liaisons between medical professionals and patients and their families in multiple specialty intensive care units. Critical care nursing practice, guided by the American Nurses Association Code of Ethics, respects patients ’ religious, spiritual, and cultural beliefs, contributing to holistic care delivery. Therapeutic psychosocial outcomes of holistic care delivery and patient advocacy are explored. Personalized psychosocial care through treating patients holi...
Source: Critical Care Nursing Clinics of North America - September 21, 2019 Category: Nursing Authors: Lynn C. Parsons, Michele A. Walters Source Type: research

Implementation of the Confusion Assessment Method for Noncritically Ill Adult Patients
Several hospital interventions increase patient risk for developing delirium, including mechanical ventilation, monitoring devices, medication interactions, urinary catheters, interrupted sleep cycles, and use of physical restraints. Developing delirium leads to increased length of hospital stay, likelihood of requiring long-term care services after discharge, and risk of mortality following hospitalization. Longer periods of delirium worsen cognition, executive functioning, ability to complete activities of daily living, and sensorimotor functioning. Routine screening and early recognition prevent or reduce the long-term ...
Source: Critical Care Nursing Clinics of North America - September 18, 2019 Category: Nursing Authors: Katharine Outen, Bimbola Fola Akintade Source Type: research

Assessing Nursing and Pediatric Resident Understanding of Delirium in the Pediatric Intensive Care Unit
Delirium is a common disease process in the pediatric critical care unit, yet practices for screening and prevention vary drastically between institutions. The authors hypothesized that surveying pediatric residents and nurses who care for patients in the intensive care setting would expose misunderstandings about delirium. They brought to light common incorrect beliefs that benzodiazepines are appropriate therapy for delirium and that children who are delirious will not have memories of the experience. Many nurses and residents listed that they were not comfortable or were extremely uncomfortable identifying delirious pat...
Source: Critical Care Nursing Clinics of North America - September 18, 2019 Category: Nursing Authors: Molly E. McGetrick, Caitlin Lach, Jodi E. Mullen, Jennifer C. Munoz-Pareja Source Type: research