Influenza: 100 Years of Knowledge.
Authors: Gould KA PMID: 31789979 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Bridging the Communication Gap: A Quality Improvement Project of a Ventricular Assist Device Program.
CONCLUSION: Implementation of the LVAD Emergency Line has improved communication between patients in the outpatient setting. This increased patient safety by allowing patients to speak to LVAD-trained first responders and VAD coordinator personnel immediately without ever being put on hold. This communication process can be applied to other clinical programs. PMID: 31789980 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Therapeutic Hypothermia: Comparing Surface vs Intravascular Cooling.
DISCUSSION: This review found no difference between intravascular and surface cooling and effects on survival and neurological outcome. More research needs to be performed on the best type of cooling method as well as the best product within each category. PMID: 31789981 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Senior Nursing Students' Perceptions of Their Readiness for Oral Medication Administration Prior to Final Year Internship: A Quantitative Descriptive Pilot Study.
CONCLUSION: This pilot study revealed that students did not feel adequately prepared for their role in oral medication administration. Key contributors to this were pharmacology knowledge acquisition and application, along with lack of opportunities in practice to undertake oral medication administration roles and responsibilities. A streamlined approach to address these challenges involving nurse educators, clinical preceptors, and, most importantly students, is paramount. Despite the small scale of this single-site study, it did provide useful insight into students' perceptions of their readiness for oral medication admi...
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

An Initiative Using Simulation to Aid in Retention of Advanced Cardiac Life Support Knowledge and Skills in an Emergency Department Nurse Residency Program.
The objective of this quality improvement project was to explore the retention of knowledge and skills of 20 graduate nurses who participated in a nurse residency program using an ACLS simulation-based learning experience (SBLE) at 2 and 8 weeks post completion of an ACLS provider course. METHODS: A pretest-posttest design was used with 2 emergency department graduate nurse cohorts who participated in an SBLE focused on ACLS components at 2 and 8 weeks after attending the ACLS provider course. Simulation-based learning experiences were videotaped, and outcome measures (ie, time to shock) were measured in seconds. The n...
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Prone Position in Acute Respiratory Distress Syndrome Patients: A Retrospective Analysis of Complications.
CONCLUSIONS: The onset rate of complications given by the use of prone position in ARDS patients is similar to data reported by previous literature. The implementation of a dedicated protocol in specialized centers and the involvement of 5 trained and skilled professionals while moving the patient in the prone position are recommended to prevent the occurrence of similar adverse events. PMID: 31789984 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Generating Evidence of Critical Care Nurses' Perceptions, Knowledge, Beliefs, and Use of Music Therapy, Aromatherapy, and Guided Imagery.
This study sought to determine critical care nurses' perspectives of music therapy, aromatherapy, and guided imagery (GI) including perceptions of legitimacy, self-reported knowledge, interest in gaining knowledge, beliefs of harm/benefits, professional use, personal use, recommendations for use in critical care practice, and requests for these therapies by critical care patients or families. METHODS: A descriptive cross-sectional design with repeated measures was conducted with critical care nurses (N = 53) practicing in 3 intensive care units at a Midwestern academic-affiliated medical center. The nurses' current per...
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Improving Compliance With Protocol-Driven Care in Adult Traumatic Brain Injury Patients by Implementing an Electronic Clinical Compliance Monitoring Tool.
CONCLUSIONS: Traumatic brain injury-specific education and frequent assessments improved compliance between TBI-2012 and TBI-2017, resulting in a higher percentage in overall survivors in the latter group. PMID: 31789987 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

A Guide for Dosage Reduction and Discontinuation of Opioids.
Authors: Gould KA PMID: 31789989 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - December 4, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Responding to Mass Casualties. Are We Ready?
Authors: Gould KA PMID: 31593065 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Impacts of Treatment Modalities on Physical Activity After First Acute Myocardial Infarction in Jordan.
CONCLUSION: The study showed that patients treated with primary percutaneous coronary intervention had better mean steps count and mean stepping time per day between weeks 2 and 6 after hospitalization in comparison with other treatment modalities. These findings could be used for development of effective intervention in the future. Further research using different research methods such as longitudinal studies among different cultures to confirm the finding of this study is recommended. PMID: 31593066 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Fluid Overload and Risk of Mortality in Critically Ill Patients.
Authors: Gomes J, Pesavento ML, de Freitas FFM, de Andrade Coelho FU Abstract BACKGROUND: Fluid overload (FO) is a condition present in critical care units, and it is associated with clinical complications and worse outcomes for severe patients. OBJECTIVE: The aim of this study was to verify if FO is a risk factor for mortality in critically ill patients. METHODS: Retrospective study performed in a Brazilian intensive care unit, from January to March 2016, with patients older than 18 years and hospitalized for more than 24 hours. Demographic and clinical data, as well as fluid balance and overload, were ana...
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Utilizing an Integrated Learning Experience in a Senior Undergraduate Nursing Program.
Authors: Foley JA, Mason VM, Manning K Abstract Integration of nursing classroom didactics with clinical and simulation experiences is crucial to obtaining improved student learning outcomes and successful academic achievement. According to the Institute of Medicine (2010), to ensure the delivery of safe, patient-centered care across settings, the nursing education system must be improved. Patient needs have become more complicated, and nurses need to attain requisite competencies to deliver high-quality care. An important aim is to increase active learning behaviors and maintain student engagement, which will fost...
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Nasal High Flow Versus Conventional Oxygen Therapy for Postoperative Cardiothoracic Surgery Patients.
The objective of this study was to understand whether NHF therapy would reduce the need for reintubation and improve clinical outcomes after surgery. METHOD: All consecutive postoperative patients who had same-day elective cardiothoracic surgery in a tertiary hospital were included. The 2013 data were from patients' charts who received COT, and the 2014 data were from patients' charts after the implementation of NHF therapy post extubation as a standard of care. RESULTS: A total of 400 patient charts were analyzed: 221 and 179 patients in the COT and NHF, respectively. No significant difference was seen in the freq...
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Survivor But Not Fully Recovered: The Lived Experience After 1 Year of Surviving Sepsis.
This study explores the experiences of sepsis survivors after 1 year of their index intensive care unit (ICU) stay. METHODS: This phenomenological study was guided by Merleau-Ponty's philosophy. Participants were adult patients admitted directly to the medical ICU with sepsis who had an ICU stay of at least 48 hours and had been discharged from their index ICU stay for at least 1 year. Participants were invited by letter to participate in face-to-face or telephone interviews and a brief survey. Interviews were audio recorded, transcribed verbatim, and verified. An interpretive group read transcripts aloud to increase r...
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The Impact of HeartMath Resiliency Training on Health Care Providers.
CONCLUSIONS: This study supports existing evidence that HeartMath techniques are effective in managing stress and increasing resiliency. These techniques are also valuable tools for health care providers to use with patients and their families in the management of symptoms such as pain, anxiety, and sleeplessness related to hospitalization and illness. PMID: 31593072 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Thank You 2018-2019 Peer Reviewers.
Authors: PMID: 31593074 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - October 10, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Writing for Publication: Expanding Professional Practice.
Authors: Gould KA PMID: 31369440 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Navel to Knees With Chlorhexidine Gluconate: Preventing Catheter-Associated Urinary Tract Infections.
Authors: Schmudde Y, Olson-Sitki K, Bond J, Chamberlain J Abstract Urinary tract infections are the most common type of health care-associated infection, and greater than 75% of them are attributed to an indwelling urinary catheter. A catheter-associated urinary infection may lead to a longer hospital length of stay by as many as 4 days. A new patient care standard requiring twice-daily chlorhexidine cleansing from umbilicus to knees was implemented on all patients of the pilot unit with a urinary catheter. This same technique was used after a patient with a urinary catheter had an incontinent bowel movement. The 9...
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Detecting Delirium Using a Physiologic Monitor.
Authors: Mulkey MA, Everhart DE, Kim S, Olson DM, Hardin SR Abstract For the past 2500 years, delirium has been described based on the presence of behavioral symptoms. Each year, as many as 1 in 5 acute care and 80% of critically ill patients develop delirium. The United States spends approximately $164 million annually to combat the associated consequences of delirium. There are no laboratory tools available to assist with diagnosis and ongoing monitoring of delirium; therefore, current national guidelines for psychiatry, geriatrics, and critical care strongly recommend routine bedside screening. Despite the signi...
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Implementing a Weaning Protocol for Cardiac Surgery Patients Using Simulation: A Quality Improvement Project.
The objectives of this project were to decrease cardiac surgery patients' ventilation hours and intensive care unit length of stay using a ventilator weaning protocol. METHODS: An evidence-based ventilator weaning protocol was developed, and nurses were prepared for its implementation using a simulation education program. RESULTS: Ventilator hours were reduced from 7.74 to 6.27 (t = 2.5, P = .012). The percentage of patients extubated in 6 hours increased from 40% to 63.5% (χ = 7.757, P = .005). There was no statistically significant decrease in cardiovascular intensive care unit length of stay (17.15 to 15.99,...
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

An Evaluation of Risk Factors for Extubation Failure in Surgical Patients in Intensive Care.
DISCUSSION: Elevated respiratory rates during the 24 hours preceding extubation are an underappreciated risk factor for extubation failure. This has direct implications for nurses who are assessing intensive care unit patients' readiness for extubation. Opportunity exists for nurses to better integrate respiratory rate data into extubation planning to improve unplanned reintubation rates in SICU patients. PMID: 31369445 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Qualitative Research: Challenges and Dilemmas.
This article aims to illuminate the quandaries of a naturalistic inquiry and to teach and recommend approaches to better address them. Providing researchers with the necessary and appropriate skills may help provide applicable and trustworthy study findings and outcomes. Hence, these recommendations need to be well defined and presented. PMID: 31369446 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Impact of an Educational Program on the Knowledge and Attitude About Pain Assessment and Management Among Critical Care Nurses.
CONCLUSION: The results showed significant improvement in knowledge and attitudes about pain assessment and management among ICU nurses; it was evident after delivering pain management education program. At baseline, 204 ICU nurses gave consent and completed the questionnaire and thus included in baseline measurement before implementing the intervention. In the postintervention measurement, the questionnaire was distributed to the same participants included in the baseline phase from which 181 participants completed the questionnaire for the second time, with a response rate of 89%; the deficits and preconception in pain a...
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The Future of Nursing 2020-2030: A Continued Vision.
Authors: Gould KA PMID: 31369449 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - August 2, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Summer: A Time for Growth and Restoring Joy.
Authors: Gould KA PMID: 31145162 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Daily Electrocardiogram Electrode Change and the Effect on Frequency of Nuisance Alarms.
DISCUSSION: Daily electrocardiogram electrode changes may be an effective strategy for reducing nuisance alarms on telemetry units. Outcomes can be used in conjunction with existing evidence to drive current practice. PMID: 31145164 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Interventions for the Management of Respiratory Distress in Late Preterm and Term Infants Experiencing Delayed Respiratory Transition: A Systematic Review.
CONCLUSION: The lack of safety and efficacy data for either adrenaline injections or prophylactic CPAP precludes either method for current use in the prevention of respiratory distress for the late preterm or term infant transitioning to extrauterine life. Two randomized trials, both using prophylactic CPAP, had a significant decrease in NICU admissions. Both studies were conducted at a single center and exclusive to infants born by cesarean delivery. A single study using sustained lung inflation showed no significant difference in the need for respiratory support or NICU admission. A single study using adrenaline also sho...
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The Experience of Acute Mechanical Ventilation From the Patient's Perspective.
The objective was to determine the pervasive patient experience components and how the experience may have been influenced by targeted, light sedation practices. METHODS: A prospective observational study using mixed methodology and a convenience sample was conducted after institutional review board approval was obtained. Inclusion criteria were the following: acute mechanical ventilation of less than 14 days, 18 years or older and able to provide consent, English speaking, and delirium-free. Exclusion criteria were the presence of delirium or intravenous opioids/sedatives within 24 hours prior to the interview. The qu...
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Data Analysis Software in Qualitative Research: Preconceptions, Expectations, and Adoption.
This article examines the role of computer-assisted qualitative data analysis software focusing on the methodological issues surrounding program use and identifies the factors that result to unrealistic expectations of the innovation as a methodology in itself. The secondary aim is to help guide both the expert and novice qualitative critical care researchers on their decision making whether to use or not to use computer-assisted qualitative data analysis software in their studies. A brief review of 2 very common and widely used qualitative data analysis software packages will be presented. A section on making good use of ...
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The PEST Model: A Quality Improvement Project to Reduce Self-extubation in the Intensive Care Unit.
CONCLUSIONS: Formalizing practice standards into an easy-to-remember mnemonics or framework can improve patient outcomes. Policy makers must be aware that initiatives to facilitate decision making can improve patient safety. PMID: 31145169 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Letter to the Editor.
Authors: PMID: 31145170 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Reply.
Authors: PMID: 31145171 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - June 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The Gift of Time.
Authors: Gould KA PMID: 30946117 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Extracorporeal Life Support in Adult Patients: A Global Perspective of the Last Decade.
The objectives of this study are to outline and provide a general overview of the use of ECLS especially for adult patients for the past 10 years and to elaborate on the challenges encountered by each stakeholder involved in ECLS. The data used for this study were extracted from the ELSO Registry Report of January 2018. Results of this study revealed that the number of ECLS centers and the use of ECLS are increasing over the year for the past decade. There was also a shift of the patient's age category from neonatal to adult patients. However, the survival rates for adult patients are relatively low especially for cardiac ...
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Nurse Preceptor Role in New Graduate Nurses' Transition to Practice.
Authors: Powers K, Herron EK, Pagel J Abstract The transition to practice period is a challenging and demanding time for new graduate nurses. Leaving the structured environment of nursing school and entering professional practice can cause reality and transition shock for the new nurse resulting in unsafe patient care, as well as intention to leave their position or the profession. Successful transition to practice depends on the new nurse building confidence and gaining essential clinical reasoning abilities while orienting to their role. In critical care settings, patient care is more complex and fast-paced, whic...
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The Effect of Infection Control Course on Nursing Students' Knowledge of and Compliance With Universal Precautions: A Quasi-experimental Study.
CONCLUSION: Knowledge of and compliance with universal precautions were relatively low among nursing students. The application of an infection control teaching course helps improve both knowledge of and compliance with universal precautions among university nursing students. PMID: 30946121 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Scaling the Measurement of Pediatric Acuity Using the Complexity Assessment and Monitoring to Ensure Optimal Outcomes (CAMEO II) Tool.
This study used a modified Delphi technique. RESULTS: Through a series of 3 Delphi rounds, the expert panel identified care items not characterized in the original CAMEO and assigned each of these items a cognitive workload scale of 1 to 5. The expert panel identified 4 additional Domains of Care while confirming the original 14 Domains of Care in the first CAMEO version. The panel agreed that a number of care items could be classified as "Standard of Care," reducing items in the CAMEO and generating a baseline score. The panel, serving as ambassadors and unit-based experts, then implemented the refined CAMEO...
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Validation of the Complexity Assessment and Monitoring to Ensure Optimal Outcomes (CAMEO II) Acuity Tool for Pediatric Critical Care Nursing.
Authors: Connor JA, LaGrasta C, Gauvreau K, Porter C, Hickey PA Abstract BACKGROUND: The Complexity Assessment and Monitoring to Ensure Optimal Outcomes (CAMEO II) acuity tool was developed to quantify patient acuity in terms of nursing cognitive workload complexity in a large, freestanding children's hospital in the United States. OBJECTIVES: To describe the acuity and complexity of pediatric critical care nursing at a large children's hospital and correlate the CAMEO II with pediatric physiologic measures. METHODS: Construct validation was conducted correlating the CAMEO II to a pediatric classification s...
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Research Outcomes of Implementing CEASE: An Innovative, Nurse-Driven, Evidence-Based, Patient-Customized Monitoring Bundle to Decrease Alarm Fatigue in the Intensive Care Unit/Step-down Unit.
Authors: Lewis CL, Oster CA Abstract INTRODUCTION: The research literature is replete with evidence that alarm fatigue is a real phenomenon in the clinical practice environment and can lead to desensitization of the need to respond among nursing staff. A few studies attest to the effectiveness of incorporating parts of the American Association of Critical-Care Nurses recommended nursing practices for alarm management. No studies could be found measuring the effectiveness of the American Association of Critical-Care Nurses recommendations in their entirety or the effectiveness of a nursing-driven, evidence-based, pa...
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

A Quality Improvement Project to Increase Adherence to a Pain, Agitation, and Delirium Protocol in the Intensive Care Unit.
The objective of this project is to determine whether a quality improvement project can increase adherence to an existing pain, agitation, and delirium (PAD) protocol for enhanced patient outcomes. METHODS: Chart audits were conducted to determine baseline compliance, use of the PAD protocol was measured, and the type of medications administered to each mechanically ventilated patient was assessed. Using the Knowledge-to-Action framework, a multidisciplinary, multidimensional educational module was then developed and implemented that included an online tutorial, point-of-care reminders, written materials, and verbal co...
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

The Opioid Crisis: The Provider's Role.
Authors: Gould KA PMID: 30946127 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

DCCN Appoints Stefano Bambi, RN, CCRN, MSN, PhD, to the Editorial Board.
Authors: Gould KA PMID: 30702473 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Management of Intracranial Pressure Part II: Nonpharmacologic Interventions.
Authors: Sacco TL, Davis JG Abstract 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. Interventions include neurologic monitoring (bedside assessment and mu...
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Nurse Influence in Meeting Compliance With the Centers for Medicare and Medicaid Services Quality Measure: Early Management Bundle, Severe Sepsis/Septic Shock (SEP-1).
This article discusses the nurse's role in meeting the specific elements of each bundle and strategies to improve bundle compliance. PMID: 30702476 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Gap Analysis to Identify Clinical Education Needs of Aeromedical Evacuation Clinicians.
CONCLUSIONS: Results of the gap analysis can be used to select and develop educational and simulation training scenarios designed to foster clinical competence. PMID: 30702477 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Ramsay Sedation Scale and Richmond Agitation Sedation Scale: A Cross-sectional Study.
Authors: Rasheed AM, Amirah MF, Abdallah M, P J P, Issa M, Alharthy A Abstract 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. Informed consent had been obtained from each patient guardian/relative. However, on...
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Increasing Light Exposure for the Prevention of Delirium: A Systematic Review.
DISCUSSION: It is recommended that the study by Potharajaroen et al, which demonstrated significant findings for bright light therapy preventing delirium, be replicated as well as new pilot studies to enrich the growing body of research. Bright light therapy is a low-cost and easy-to-institute intervention that should be utilized on a case-to-case basis. PMID: 30702479 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Certified and Advanced Degree Critical Care Nurses Improve Patient Outcomes.
Authors: Conley P Abstract 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 a...
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

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?
Authors: Niemczyk E, Ozga D PMID: 30702482 [PubMed - in process] (Source: Dimensions in Critical Care Nursing)
Source: Dimensions in Critical Care Nursing - February 1, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research