COVID-19: Update on Health Care Workers' Mental Health and Coping During the Pandemic
During the COVID-19 pandemic, health care workers experienced much higher symptoms of anxiety or depression than during the prepandemic period. As coping mechanisms, high resilience, spirituality, and satisfaction with family functioning were associated with 2- to 3-fold lower odds of anxiety or depression. Health care organizations may consider implementing evidence-based and practical supportive measures to help health care workers maintain good mental health during and after the pandemic. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - November 29, 2021 Category: Nursing Tags: Original Articles Source Type: research
Nursing Strategies to Safeguard COVID-19 Patients From Harm in the Intensive Care Unit
This article incorporates a literature review on the experiences of nurses working at a large urban teaching hospital in the areas of critical care, quality, safety, and regulatory. As leaders in the delivery of health care, nurses have always pioneered innovative ways to deliver care despite difficult circumstances. COVID-19 is a novel viral disease with many unknowns, and it required nurses to integrate innovative approaches with evidence-based practice in order to meet the needs of the patient and to ensure patient safety. While in the critical care setting, COVID-19 patients are at an increased risk for various hospita...
Source: Critical Care Nursing Quarterly - November 29, 2021 Category: Nursing Tags: Original Articles Source Type: research
A Tale of Two Pulmonary Artery Catheters
Innovative catheter-based therapies are increasingly being used for the treatment of patients with submassive pulmonary embolism. These patients may be monitored in the intensive care unit following insertion of specialized pulmonary artery catheters. However, the infusion catheters utilized in catheter-based therapies differ greatly from traditional pulmonary artery catheters designed for hemodynamic monitoring. As such, the critical care team will have to be familiar with the monitoring and management of these novel catheters. Important distinctions between the catheters are illustrated using a clinical case report. (Sou...
Source: Critical Care Nursing Quarterly - November 29, 2021 Category: Nursing Tags: Original Articles Source Type: research
Heparin-Induced Thrombocytopenia: A Management Review for Nurses
Heparin-induced thrombocytopenia (HIT) is a life-threatening adverse drug reaction that relies on quick assessment and treatment by the health care team to prevent poor outcomes. Nurses can play a critical role in recognizing disease, advocating for patients, and facilitating treatment by being familiar with current guideline recommendations and risk stratification approaches. The purpose of this article is to review management of HIT including pathogenesis, clinical presentation, current guideline recommendations for risk assessment, laboratory testing, and treatment, as well as discuss nonheparin anticoagulation options ...
Source: Critical Care Nursing Quarterly - November 29, 2021 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - November 29, 2021 Category: Nursing Tags: Foreword Source Type: research
Rapid Response System Restructure: Focus on Prevention and Early Intervention
This article describes the staged restructure of the rapid response program into a dedicated 24/7 proactive rapid response system in a quaternary academic medical center in the southern United States. Rapid response nurses (RRNs) completed clinical leadership training on artificial intelligence, electronic risk stratification alerts, expert nurse rounding, emergency response, teamwork, closed-loop communication, and outcome measurement. The program goal was to reduce preventable deaths and resuscitation events outside the intensive care unit (ICU). Program outcomes between 2017 and 2019 included a 65% decrease in cardiac a...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
Nurses Knowledge, Attitude, and Practices Toward Pain Assessment and Management of Patients Unable to Communicate Verbally
Critically ill patients usually experience a significant level of pain during rest or during routine care such as turning, wound care, and endotracheal suctioning. Pain assessment is the cornerstone of pain management. Adequate pain assessment and management are major responsibilities of critical care nurses. The purpose of this study was to evaluate the nurses' knowledge, attitudes, and practices toward pain assessment and management of the intensive care unit (ICU) patients who are unable to communicate verbally. A descriptive cross-sectional design was used in this study. The study was conducted at ICUs in 5 hospitals f...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
The Use of Personal Protective Equipment in a Biosafety Level 2 Prospective Observational Study
Adequate safety precautions and proper use of personal protective equipment (PPE) in hospitalized patients with health care–associated infections (HAIs) are the most effective preventions in their spread. Observational study was conducted in one inpatient facility in the Czech Republic before the COVID-19 pandemic (April 2019 to February 2020). Data were analyzed using Minitab at a significance level of .05. The execution of preventative measures in patients hospitalized with a HAI (n = 44) and the use of PPE by health care workers (n = 514) have been observed. The presence of defined PPE items usage differs on the basis...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
Delirium in Intensive Care Units: Perceptions of Physicians and Nurses
Delirium is an indicator of morbidity and mortality in intensive care unit (ICU) patients. It can lead to negative outcomes and longer hospital stays, thus increasing hospital costs. Despite national recommendations for daily assessment of delirium, it remains underdiagnosed. Many studies point to a lack of knowledge among health care professionals to accurately detect and manage ICU delirium. The aim of our study was to assess the knowledge, attitudes, and practices of Palestinian health care professionals regarding ICU delirium. The results of a cross-section observational study revealed that delirium appears to be often...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
Health Care at the End of Life: Experience of Nurses at the Adult Intensive Care Unit
The objective of this study was to determine the experience of the nurses who provide health care in the final stages of life in the intensive care unit for adults. The authors report the results of their study, which used a qualitative design with a phenomenological approach. Eighteen adults participated by being interviewed using semistructured questions. The nurses expressed that health care at the end of life represents an emotional and psychological burden for them. They also recognized that health care was given based on the empiricism achieved through clinical experience. In this regard, they emphasize the importanc...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
When Technology Enters at Home: The Challenges of Home Health Care Providers in a Developing Country
This study was conducted to determine the challenges faced by home health care providers. Three themes emerged from the data analysis: (1) hospital-based challenges with 2 subthemes: the family unpreparedness for home care and the lack of continuous education; (2) home health care agency challenges with 2 subthemes: home health care workers and the deficiency in organizational policies; and (3) economic challenges. Three themes of hospital-related challenges, home health care agency challenges, and economic challenges that emerged in the study showed that support from the insurance system, improvement of home care agency p...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
Alphabetical Mnemonic to Assist in the Treatment of an Acute Ischemic Stroke
Determining the treatment plan and how to successfully manage a patient suffering from an acute ischemic stroke can be challenging for a registered nurse (RN) in the emergency department. Using a mnemonic in the treatment process assists in reducing medical errors and increases the likelihood of making positive clinical outcomes. Mnemonics sum up complex strategies into relevant information that can be comprehensible for users. The authors have created a mnemonic strategy to provide RNs in the emergency department with a structured approach to the pharmacotherapeutic strategies used in treating patients with an acute ische...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
Pharmacy-Based Nursing Education Utilizing a Social Media Platform
Social media has changed the way individuals communicate and recently multiple articles have been published highlighting the utilization of social media for education. To our knowledge, cross-discipline education utilizing these platforms has not been evaluated. The purpose of this study was to implement a pharmacist-led, social media-based nursing education program and evaluate the perceived value. A curriculum of pharmacy-related issues was developed and topics were posted to the neurocritical care unit (NCCU) Facebook group or emailed to non-Facebook users weekly. A pre- and posteducation survey was sent out evaluating ...
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 28, 2021 Category: Nursing Tags: Foreword Source Type: research
Letter to the Editor
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Letter to the Editor Source Type: research
