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A Scoping Review of the Experiences of Adolescents and Young Adults in the ICU, Their Family Members, and Their Health Care Team
Adolescents and young adults (AYAs) may be cared for in a pediatric or adult ICU. Specific needs of AYAs differ from those of populations typically found in either ICU. This review identifies research focused on experiences of AYAs in ICUs, their family members, and the health care professionals who care for them, revealing limited research about AYAs in ICUs: 10 articles met inclusion criteria and findings revealed that AYAs want to be treated as individuals and need health care professionals to partner with them. Further research is needed to inform developmentally appropriate care and improve serious illness communicati...
Source: Critical Care Nursing Clinics of North America - January 21, 2022 Category: Nursing Authors: Natalie S. McAndrew, Jeanne M. Erickson, Jill Guttormson, Alexandria Bear, Sean Marks, Jayshil Patel, Eric S. Harding Source Type: research

Palliative Care and Population Management Compassionate Extubation of the ICU Patient and the Use of the Respiratory Distress Observation Scale
This article will explain EOL care guidelines for critical care nurses using the Respiratory Distress Observation Scale to ensure patient comfort during compassionate extubation. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - January 21, 2022 Category: Nursing Authors: Karin Cooney-Newton, Erin C. Hare Source Type: research

Serious Illness Discussion in Palliative Care —A Case Study Approach in an African American Patient with Cancer
This article will address barriers to, cultural influences on, framing of, and documentation of serious illness discu ssions using a case study approach. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - January 21, 2022 Category: Nursing Authors: Deborah Russell, Jo Clarke, Lynne Brophy, Michele L. Weber Source Type: research

Enlisting Parents to Decrease Hospital-Acquired Central Line –Associated Infections in the Pediatric Intensive Care Unit
Hospital-acquired central line –associated bloodstream infections (CLABSIs) are the leading cause of infections in the pediatric intensive care unit. Bacteria responsible for CLABSIs are spread by health care workers, parents, and families and mitigated by scrupulous attention to hand hygiene and safety prevention strategies. M aintenance bundles are grouped elements, such as hand hygiene, standardized dressing and tubing changes, and aseptic technique for entering a central line, effective in preventing CLABSIs. Nurses can decrease the incidence of CLABSIs by using maintenance bundles and including parents and families ...
Source: Critical Care Nursing Clinics of North America - November 4, 2021 Category: Nursing Authors: Ariel Gilbert, Cathy C. Cartwright Source Type: research

Evidence-Based Communication with Critically Ill Older Adults
Communication is a critical component of patient-centered care. Critically ill, mechanically ventilated patients are unable to speak and this condition is frightening, frustrating, and stressful. Impaired communication in the intensive care unit (ICU) contributes to poor symptom identification and restricts effective patient engagement. Older adults are at higher risk for communication impairments in the ICU because of pre-illness communication disorders and cognitive dysfunction that often accompanies or precedes critical illness. Assessing communication disorders and developing patient-centered strategies to enhance comm...
Source: Critical Care Nursing Clinics of North America - November 4, 2021 Category: Nursing Authors: JiYeon Choi, Judith A. Tate Source Type: research

TeleICU Interdisciplinary Care Teams
This article examines the optimal TeleICU team composition, which is one that incorporates the use of an interdisciplinary approach, leverages technology, and is cognizant of varying geographic locations. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 4, 2021 Category: Nursing Authors: Cindy Welsh, Teresa Rincon, Iris Berman, Tom Bobich, Theresa Brindise, Theresa Davis Source Type: research

Infection Challenges in the Critical Care Unit
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 4, 2021 Category: Nursing Authors: May Mei-Sheng Riley Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 4, 2021 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 - November 4, 2021 Category: Nursing Source Type: research

Contents
May Mei-Sheng Riley (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 4, 2021 Category: Nursing Source Type: research

Forthcoming Issues
Palliative Care (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 4, 2021 Category: Nursing Source Type: research

Pulmonary Infections, Including Ventilator-Associated Pneumonia
Pneumonia is a leading cause of morbidity and mortality and a primary cause of hospitalizations. Guidelines have been established through the American Thoracic Society and Infectious Diseases Society of America in 2016 focusing on the causative pathogen for antibiotic selection. In 2017 an International European task force provided guidelines of specific antibiotic selections based on drug resistance and mortality risk. Improving patient outcomes is based not only on the appropriate treatment, which should not be delayed, but also on implementation and adherence to evidence-based strategies to reduce the increased risk of ...
Source: Critical Care Nursing Clinics of North America - October 13, 2021 Category: Nursing Authors: Lora Jenkins-Lonidier Source Type: research

Implementing an Antimicrobial Stewardship Program in the Intensive Care Unit by Engaging Critical Care Nurses
The continuing rise in the incidence of multidrug-resistant organism infections has made combating this grave threat a national imperative. One of the most potent weapons in our arsenal against such organisms is the prudent use of antibiotics. Antimicrobial stewardship (AMS) programs aim to slow the development of antimicrobial resistance through judicious, monitored use of antibiotics. Traditionally, AMS programs have included pharmacists and physicians with training in AWS, infectious disease physicians, hospital leadership, microbiologists, and infection prevention professionals. Nurses are missing from AMS programs, es...
Source: Critical Care Nursing Clinics of North America - October 9, 2021 Category: Nursing Authors: May Mei-Sheng Riley, Rita Olans Source Type: research

Invasive Fungal Infections Among Immunocompromised Patients in Critical Care Settings
This article focuses on environmental fungi such as Aspergillus species and mucormycetes because the mode of transmission is different. The purpose of this article is to discuss invasive fungal infections (IFIs) caused by environmental fungi and to educate critical care nurses about infection control and risk mitigation to prevent IFIs. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 9, 2021 Category: Nursing Authors: May Mei-Sheng Riley Source Type: research

Preventing Central Line Blood Stream Infections in Critical Care Patients
This article reviews these best practices and provides a framework for consistent implementation. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 9, 2021 Category: Nursing Authors: Annemarie Flood Source Type: research