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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

The Opioid Crisis: The Provider's Role
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - April 5, 2019 Category: Nursing Tags: DEPARTMENTS: A Closing Word: The Opioid Crisis: The Provider’s Role 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 coac...
Source: Dimensions of Critical Care Nursing - April 5, 2019 Category: Nursing Tags: Leadership DIMENSION 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
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, patient-customized monitoring bundle. Purpose...
Source: Dimensions of Critical Care Nursing - April 5, 2019 Category: Nursing Tags: Research DIMENSION Source Type: research

Validation of the Complexity Assessment and Monitoring to Ensure Optimal Outcomes (CAMEO II) Acuity Tool for Pediatric Critical Care Nursing
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 system and 2 physiologic acuity tools. Descriptive statistics summarized patient char...
Source: Dimensions of Critical Care Nursing - April 5, 2019 Category: Nursing Tags: Research DIMENSION 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 II in ea...
Source: Dimensions of Critical Care Nursing - April 5, 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 - April 5, 2019 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts 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. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - April 5, 2019 Category: Nursing Tags: Educational DIMENSION Source Type: research

Nurse Preceptor Role in New Graduate Nurses' Transition to Practice
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, which adds another dimension of overall stress to the new g...
Source: Dimensions of Critical Care Nursing - April 5, 2019 Category: Nursing Tags: Educational DIMENSION Source Type: research