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 = 0...
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 from ...
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