Call for Manuscripts
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 4, 2021 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts Source Type: research

Factors Associated With Increased Laboratory Use in the Pediatric Cardiac Intensive Care Unit
Background Laboratory testing is frequently used to guide postoperative management and contributes to hospital resource utilization; however, there is little evidence identifying patient or clinical factors to inform the appropriate frequency of laboratory testing in the pediatric cardiac intensive care unit. Objectives To examine the factors associated with increased laboratory utilization following pediatric congenital heart surgery. Methods For each patient, the total number of tests and types of laboratory tests were recorded. Patients whose number of tests was greater than the 90th percentile were ca...
Source: Dimensions of Critical Care Nursing - August 4, 2021 Category: Nursing Tags: Leadership DIMENSION Source Type: research

Asking “Meaning Questions” in Evidence-Based Reviews and the Utility of Qualitative Findings in Practice
Evidence-based practice (EBP) systematic reviews are mostly conducted using etiology, diagnosis, therapy, prevention, and prognosis question format. “Meaning” or qualitative questions are very rarely used. The purpose of this article is to discuss qualitative findings' contribution to EBP through asking “meaning questions” in conducting systematic reviews and the utilization of the results to practice. Two EBP systematic review exemplars using meaning questions including the relevance and utilization of qualitative findings in health care decision-making, practice, and policy are presented. There is a need to insti...
Source: Dimensions of Critical Care Nursing - August 4, 2021 Category: Nursing Tags: Research DIMENSION Source Type: research

Pediatric Critical Care Nurses' Practices Related to Sedation and Analgesia
This study describes nurses' beliefs, practices, and decision-making related to sedation and analgesia for mechanically ventilated children on a PICU and a pediatric cardiovascular ICU at a tertiary academic children's medical center in the United States. Methods A 35-item web-based survey tool was developed to more fully identify nurses' pain, sedation, comfort, and analgesia beliefs, decisions, planning, and procedures for children who were mechanically ventilated in the ICU. It was distributed to 102 nurses in the PICU, pediatric cardiovascular ICU, and pediatric critical care float pool. Results Twenty-si...
Source: Dimensions of Critical Care Nursing - August 4, 2021 Category: Nursing Tags: Research DIMENSION Source Type: research

The Effectiveness of a Simulation Program to Enhance Readiness to Engage in Difficult Conversations in Clinical Practice
Health care providers are often tasked with communicating difficult, emotionally charged news, including delivering an unwelcome diagnosis and planning end-of-life care. Patients and family members often cannot recall specifics of these conversations, although their perceptions of how information was communicated by health care providers impact not only their evaluation of the quality of care received, but also their abilities to cope with the communicated bad news. What can be done to better prepare novice clinicians to have these types of conversations? This quality improvement project used a simulation-based difficult c...
Source: Dimensions of Critical Care Nursing - August 4, 2021 Category: Nursing Tags: Educational DIMENSION Source Type: research

Opioids: Understanding How Acute Actions Impact Chronic Consequences
In the last decade, critical-care nurses have seen a surge in acute opioid overdose admissions to intensive care units; there have also been significant increases in intensive care unit admissions due to opioid-related illness such as dependence, tolerance, and hyperalgesia. Despite these issues, opioids continue to be the criterion standard of pain management, and the search for opioid alternatives has not produced a clear replacement. A contributor to this problem has been the prevailing opinion that once bound to a receptor, all opioids engaged in the same types of intracellular signaling, which resulted in the same typ...
Source: Dimensions of Critical Care Nursing - August 4, 2021 Category: Nursing Tags: Clinical DIMENSION Source Type: research

Thank You Beth Keely
No abstract available (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - August 4, 2021 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

Effectiveness of the Premature Infant Oral Motor Intervention on Feeding Performance, Duration of Hospital Stay, and Weight of Preterm Neonates in Neonatal Intensive Care Unit: Results From a Randomized Controlled Trial
Conclusion Premature infant oral motor intervention was effective in improving preterm neonates' feeding performance, reducing the duration of hospital stay, and increasing their weight. This study recommended that a training program for nurses in the NICU about PIOMI for preterm neonates be conducted, along with training of the parents to use PIOMI and the implementation of policies in the NICU to conduct PIOMI as a part of daily routine preterm neonatal care. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - June 4, 2021 Category: Nursing Tags: Leadership DIMENSION Source Type: research

Use of Intensive Care Unit Diary as an Integrated Tool in an Italian General Intensive Care Unit: A Mixed-Methods Pilot Study
Conclusions To our knowledge, this is the first Italian report about the introduction of an ICU diary. The diaries were easily implemented in our clinical practice as a “low-cost” initiative. In our study, nurses and participants' relatives and friends wrote a similar number of entries in each analyzed diary. This project could be effective in reducing survivors' delirium and post-traumatic stress disorder and in implementing mutual understanding between clinical staff and relatives during ICU stay. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - June 4, 2021 Category: Nursing Tags: Research DIMENSION Source Type: research

Critical Care Nurses' Qualitative Reports of Experiences With Physician Behaviors, Nursing Issues, and Other Obstacles in End-of-Life Care
Conclusion Poor physician communication was the main obstacle noted by CCNs during ICU EOL care, followed by physicians giving false hope. Heavy patient workloads with inadequate staffing were also a major barrier in CCNs providing EOL care. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - June 4, 2021 Category: Nursing Tags: Research DIMENSION Source Type: research

An Ethics Early Action Protocol to Promote Teamwork and Ethics Efficacy
This study indicates that routine, team-based ethics assessment and planning opens a space for sharing information, which could decrease nurses' moral distress and increase their ethics self-efficacy. This, in turn, can potentially promote teamwork and reduce burnout. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - June 4, 2021 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 - June 4, 2021 Category: Nursing Tags: DEPARTMENTS: DCCN on the Web Source Type: research

Using Simulation to Teach Transitions of Care for Hospitalized Patients
Conclusion Application of complex knowledge and skills, understanding the use of bundles of care, and an appreciation for transitions of care hospitalized patients were successfully achieved. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - June 4, 2021 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 - June 4, 2021 Category: Nursing Tags: DEPARTMENTS: Call for Manuscripts Source Type: research

The Impact of a Multidisciplinary Education Program for Intensive Care Unit Staff Regarding Ventilator Care Bundle on the Frequency of Ventilator-Associated Events
Conclusion The educational intervention performed in this study not only increased the adherence to the ventilator care bundle but also led to a significant reduction in the rate of the VAEs in patients receiving mechanical ventilator support in the ICU. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - June 4, 2021 Category: Nursing Tags: Educational DIMENSION Source Type: research