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And the People Stayed Home…
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 28, 2020 Category: Nursing Tags: DEPARTMENTS: A Closing Word: And the People Stayed Home… Source Type: research

Evaluating the Outcomes of an Organizational Initiative to Expand End-of-Life Resources in Intensive Care Units With Palliative Support Tools and Floating Hospice
Conclusion This study provided the organization with vital information about their initiative to expand end-of-life resources. Utilization and timing of palliative consults and floating hospice referrals were lower and later than expected, highlighting the importance of developing purposeful strategies beyond education to address ICU cultural and structural barriers. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 28, 2020 Category: Nursing Tags: Leadership DIMENSION Source Type: research

Patient Deterioration in the Adult Progressive Care Unit: A Scoping Review
Discussion Patient deterioration in the progressive care unit may benefit from team-based training methods involving checklists or protocols. Nurses can use surveillance, including physical assessment and technology, to recognize early warning signs. Lastly, the use of systems that identify patterns in vital signs can be useful to reduce patient harm. Further research in this area care is warranted and could potentially improve patient outcomes and nursing practice. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 28, 2020 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 28, 2020 Category: Nursing Tags: DEPARTMENTS: DCCN on the Web Source Type: research

Sleep Deprivation Etiologies Among Patients in the Intensive Care Unit: Literature Review
Discussion Sleep deprivation etiologies are multifactorial and have several effects on ICU patients. Sleep protocol and staff training should be introduced to reduce unnecessary interventions by ICU staff. Tele-ICU monitoring can also be introduced to reduce unnecessary interventions where clinicians can monitor patients remotely and therefore enhance sleep in the ICU. During their stay in the ICU, patients can be instructed to wear earplugs and also have aromatherapy massage to reduce stress and enhance sleep quality. More research on the physical pain and the psychological factors using objective methods should be cond...
Source: Dimensions of Critical Care Nursing - May 28, 2020 Category: Nursing Tags: Research DIMENSION Source Type: research

Noise Level and Comfort in Healthy Subjects Undergoing High-Flow Helmet Continuous Positive Airway Pressure
Aim The aim of this study was to assess the noisiness levels produced by different gas source systems, breathing circuits setup, and gas flow rates during continuous positive airway pressure (CPAP) delivered through helmet. Methods This was a crossover design study. Ten healthy subjects received helmet CPAP at 5 cm H2O in random order with different gas flow rates (60 and 80 L/min), 3 diverse gas source systems (A: Venturi system, B: oxygen and air flowmeters, C: electronic Venturi system), and 3 different breathing circuit configurations. During every step of this study, a heat and moisture exchanger (HME) was placed...
Source: Dimensions of Critical Care Nursing - May 28, 2020 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 - May 28, 2020 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts Source Type: research

Implementing Cardiac Surgical Unit—Advanced Life Support Through Simulation-Based Learning: A Quality Improvement Project
Background The European Association for Cardio Thoracic Surgery and the Society of Thoracic Surgeons endorse Cardiac Surgical Unit–Advanced Life Support, a protocol designed specifically for cardiothoracic surgical patients who suffer postoperative cardiac arrests. To enhance patient outcomes and to reduce death rates, cardiothoracic intensive care unit nurses must be able to perform the protocol with confidence, proficiency, and without delays. To this end, simulation-based learning (SBL) is a pedagogical method ideal for optimized learning. Objectives This quality improvement project was designed to implement a po...
Source: Dimensions of Critical Care Nursing - May 28, 2020 Category: Nursing Tags: Educational DIMENSION Source Type: research

Intensive Care Unit Delirium, Clinical Observations, and Patients' Statements: A Case Study
Conclusion A continuity of skilled observations and listening to patients' statements are vital for detection of ongoing ICU delirium or experiences of delirium. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 28, 2020 Category: Nursing Tags: Clinical DIMENSION Source Type: research

Protecting Our Covenant in Pandemic Care
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - May 28, 2020 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 - April 8, 2020 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 - April 8, 2020 Category: Nursing Tags: DEPARTMENTS: Pediatric Research Abstracts Source Type: research

The End-of-Life Nursing Education Consortium (ELNEC) Project
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - April 8, 2020 Category: Nursing Tags: DEPARTMENTS: A Closing Word: The End-of-Life Nursing Education Consortium (ELNEC) Project Source Type: research

DCCN on the Web
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - April 8, 2020 Category: Nursing Tags: DEPARTMENTS: DCCN on the Web Source Type: research

Evaluation of an Educational Intervention Utilizing Nurse “Champions” and Nurses' Documentation of Intensive Care Unit Delirium
Background Delirium is a common, underdetected problem that has short- and long-term negative sequelae for critically ill patients. Prompt and accurate delirium identification by nurses can ensure early intervention and treatment to help minimize adverse outcomes. Objectives To evaluate the relationship between an educational program and the accuracy of registered nurses' (RNs') documentation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), a delirium screening tool. Methods In a medical ICU at a tertiary academic medical center from September 2015 to March 2016, RNs were reinstructed on us...
Source: Dimensions of Critical Care Nursing - April 8, 2020 Category: Nursing Tags: Leadership DIMENSION Source Type: research