Patient Room Design: A Qualitative Evaluation of Attributes Impacting Health Care Professionals
This study identified 8 additional categories. Outcomes illustrate perceptions from a myriad of health care professionals, but the nurses, therapists, and interdisciplinary members of the care team station offered the greatest depth of information. As patient room designs continue to evolve, building on evidence gathered as new or established models are evaluated will become increasingly important. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Original Articles Source Type: research
A Practical Guide to the Implementation of Bedside Report in a Critical Care Setting
Blended bedside report increases peer-to-peer accountability among nurses, improves communication between nurses as well as patients, and promotes patient safety. Despite the literature that documents bedside report is best, a practical guide to initiating this process in a hospital setting is lacking. A unit-based council composed of staff nurses and 1 member of nursing management on a neurosurgical intensive care unit designed a unit-wide education initiative involving multiple modalities and peer-to-peer training. This combination led to a successful culture change from traditional report to blended bedside reporting pr...
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Original Articles Source Type: research
A Lean Approach to Patient Transfers
Recognizing delays in patient transfers from the intensive care unit (ICU) to its designated telemetry unit impeded patient flow, a group of nurses from both units came together to identify barriers for the transfer process and worked on a solution that benefited the patient, staff, and hospital. Nurses changed the process of patient handoff by means of telephone to bedside handoff, creating a culture change and eliminated approximately 60 minutes from the average time to transfer patient from the ICU to the telemetry unit. The bedside handoff included a neurological assessment, which helped facilitate continuity of care a...
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Original Articles Source Type: research
Benefits and Challenges of Social Media in Health Care
This article assists health care professionals to understand the overall uses of social media while providing descriptions of events that result in unplanned consequences. Simple tips are provided that all health care professionals should consider to ensure their privacy and that of their patients. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Original Articles Source Type: research
Utilization of Institute for Health Care Improvement Tools to Develop a Mortality Review Process
Mortality rates have emerged as one of the main metrics determining quality of care within a hospital. In an effort to evaluate cases, this article illustrates the use of the Institute of Healthcare Improvement Global Trigger Tool as well as the implementation of a 3-prong review process in a large, urban teaching facility. In addition, the findings of the evaluation process are shared. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Original Articles Source Type: research
Institute to Frontline ICU Quality
Organizational structures have been shifting in health care over the past decade. Although hierarchal structures exist in many hospitals and health care entities, matrix approaches have been implemented to complement the traditional reporting configuration. The institute model is a hybrid structure implemented within medical and surgical service lines to promote patient-centered care within a hospital network. Physician administrators lead the institutes with collaboration by key liaisons such as nursing and quality leaders. In order to be successful, the concepts must extend from the boardroom to the front line. Teams foc...
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Original Articles Source Type: research
A Unified Approach to Quality From the Bedside to C-Suite and Back Again: Thoughts From the C-Suite on How to Achieve Value in Health Care
The cost of a prolonged critical care admission is often the driver of the high cost of care. At a time when the health care system in the United States is absorbing an increasing percentage of the gross domestic product, an understanding of the value equation is essential. The pressure to provide high-quality care at a cost that the nation can shoulder unifies the bedside nurse and the C-suite to a common goal. The president, chief operating officer, and chief financial officer of a large urban teaching hospital were interviewed to provide some insight into how C-suite members view the value equation and the role of criti...
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - May 27, 2021 Category: Nursing Tags: Foreword Source Type: research
Nursing Insights on Delirium in the Intensive Care Unit: A Quality Improvement Study
This article reports a study of attitudes and knowledge about ICU delirium assessment at an urban academic medical center. Findings suggest a knowledge deficit regarding the spectrum of delirium. ICU nurses also identified that a lack of effective collaboration within the treatment team was the biggest barrier to effective care for the patient with hypoactive delirium. The study findings indicate that both educational and management initiatives are needed to improve clinical practices for patients with manifestations of hypoactive and hyperactive delirium. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
The Psychosocial Needs of Families During Critical Illness
Family members of critically ill patients experience significant psychosocial changes during and after exposure to the critical care environment. During the critical care period, providers focus on the patient's critical condition and pay little attention to the family's needs, so they required special care. A cross-sectional design was used to collect data by using an online survey that includes sociodemographic questionnaire and Critical Care Family Needs Inventory. A total of 177 family members participated. Results indicated that the most important psychosocial need was assurance followed by information, comfort, and s...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Awareness of Delirium by ICU Nurses
Delirium is a critical issue in the intensive care unit (ICU), and the correct diagnosis and treatment of this disorder by the ICU team are doubtful on many occasions due to a lack of information. This research is intended to test the awareness and control of ICU delirium by the ICU nurses. A nonexperimental, quantitative, descriptive, cross-sectional study was conducted using a previously adopted and translated to Arabic and validated questionnaire. The sample include nurses who work in ICUs of 10 Palestinian hospitals (private and public) located in the West Bank and Jerusalem participated in this study; each gave consen...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Palliative Care Consult Among Older Adult Patients in Intensive Care Units: An Integrative Review
A review of the literature indicates that there are many benefits of palliative care consultations for patients in the intensive care unit (ICU). Patients who received palliative care treatment were found to have a better emotional state, received less invasive procedures, and had a shorter ICU length of stay. It is noted that patients who could benefit from palliative care treatments may not be identified due to failures to meet the criteria for palliative care consultations. A culture change is needed to improve palliative services, and to standardize when and how it is used. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
End-of-Life Care: Improving Communication and Reducing Stress
This quality improvement initiative originated in the cardiac intensive care unit (CICU) at a 637-bed licensed Magnet teaching hospital with the rating of level 1 trauma center. The CICU has 12 beds, with a staff of 59 nurses (RNs). The nursing staff expressed increased stress and discomfort when communicating with patients and their families when providing end-of-life care. Selected evidence-based techniques for stress reduction and active listening skills were taught in 4- to 5-minute mini sessions during the morning huddle 3 days per week for 4 weeks. The program was evaluated using pretest, posttest, and 2 follow-up su...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
De-stressing From Distress: Preliminary Evaluation of a Nurse-Led Brief Debriefing Program
This study evaluated an innovative nurse-led program that was developed and piloted in one acute care unit of a large academic medical center. An evidence-based practice nurse-led debriefing process provided a sequential process for facilitation of an interdisciplinary group after the occurrence of a distressing event. Throughout a 2-year period, 104 real-time debriefings (>380 staff participation) took place. Emergent situations precipitated the most debriefings followed by disruptive patient/family behavior. Over 80% of the participants affirmed the debriefing process was beneficial, assisted them in coping with the trau...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
The Impact of Nonpharmacological Interventions on Sleep Quality Among Older Adult Patients in the Intensive Care Unit
Sleep is a basic human need that is required for good health and overall well-being. Adequate sleep is critical for cognitive functioning, memory consolidation, and emotional regulation by rejuvenating the body. Sleep may not be of significant concern unless it becomes lacking or disturbed as it alters the immune function, neurological processes, and intellectual and decision making of individuals. Hospitalized older adults are particularly vulnerable for the negative impact of poor sleep due to reduced physiological reserve and comorbidities. The purpose of this review is to appraise current evidence on nonpharmacological...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
