Book and Media Review
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: DEPARTMENTS: Book and Media Review Source Type: research

Pediatric Research Abstracts
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: DEPARTMENTS: Pediatric Research Abstracts Source Type: research

A Guide for Dosage Reduction and Discontinuation of Opioids
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: DEPARTMENTS: A Closing Word: A Guide for Dosage Reduction and Discontinuation of Opioids Source Type: research

Call for Manuscripts
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: Leadership DIMENSION Source Type: research

DCCN on the Web
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: DEPARTMENTS: DCCN on the Web 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 perce...
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: Research DIMENSION 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: Research DIMENSION 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 nur...
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: Educational DIMENSION 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 adm...
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: Educational DIMENSION 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: Clinical DIMENSION 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: Clinical DIMENSION Source Type: research

Influenza: 100 Years of Knowledge
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - November 28, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

Book and Media Review
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: DEPARTMENTS: Book and Media Review Source Type: research

Pediatric Research Abstract
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: DEPARTMENTS: Pediatric Research Abstracts Source Type: research

Thank You 2018-2019 Peer Reviewers
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: DEPARTMENTS: A Closing Word: Thank You 2018-2019 Peer Reviewers Source Type: research

DCCN on the Web
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: DEPARTMENTS: DCCN on the Web 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: Leadership DIMENSION 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 rig...
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: Research DIMENSION 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 frequenc...
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: Research DIMENSION Source Type: research

Call for Manuscripts
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts Source Type: research

Utilizing an Integrated Learning Experience in a Senior Undergraduate Nursing Program
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 foster an effort to learn and meet the complex needs of pati...
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: Educational DIMENSION Source Type: research

Fluid Overload and Risk of Mortality in Critically Ill Patients
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 analyzed to verify the risk factors for mortality. A logistic regression model was elaborate...
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: Clinical DIMENSION 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: Clinical DIMENSION Source Type: research

Responding to Mass Casualties. Are We Ready?
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - October 9, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

Book and Media Review
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: DEPARTMENTS: Book and Media Review Source Type: research

Pediatric Research Abstract
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: DEPARTMENTS: Pediatric Research Abstracts Source Type: research

The Future of Nursing 2020-2030: A Continued Vision
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: DEPARTMENTS: A Closing Word 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 ...
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: Leadership DIMENSION Source Type: research

DCCN on the Web
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: DEPARTMENTS: DCCN on the Web 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: Research DIMENSION 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: Research DIMENSION 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% (χ2 = 7.757, P = .005). There was no statistically significant decrease in cardiovascular intensive care unit length of stay (17.15 to 15.99, t ...
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: Educational DIMENSION Source Type: research

Call for Manuscripts
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts Source Type: research

Detecting Delirium Using a Physiologic Monitor
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 significance, health care teams fail to accurately identify approximately 80% of d...
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: Clinical DIMENSION Source Type: research

Navel to Knees With Chlorhexidine Gluconate: Preventing Catheter-Associated Urinary Tract Infections
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-month average catheter-associated urinary infection rate decreased f...
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: Clinical DIMENSION Source Type: research

Writing for Publication: Expanding Professional Practice
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 5, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

Book and Media Review
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: DEPARTMENTS: Book and Media Review Source Type: research

Pediatric Research Abstract
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: DEPARTMENTS: Pediatric Research Abstracts Source Type: research

Reply
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: DEPARTMENTS: Letter to the Editor Source Type: research

Letter to the Editor
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: DEPARTMENTS: Letter to the Editor 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: Leadership DIMENSION 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 of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: Research DIMENSION 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 quan...
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: Research DIMENSION Source Type: research

DCCN on the Web
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: DEPARTMENTS: DCCN on the Web 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 sh...
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: Educational DIMENSION 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: Clinical DIMENSION Source Type: research

Call for Manuscripts
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts Source Type: research

Summer: A Time for Growth and Restoring Joy
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 31, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

Pediatric Research Abstract
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - April 5, 2019 Category: Nursing Tags: DEPARTMENTS: Pediatric Research Abstracts Source Type: research