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The Impact of Critical Care Nursing Certification on Pediatric Patient Outcomes*
Conclusions: Bachelor of Science in Nursing education and Critical Care Registered Nurse certification significantly impact pediatric patient outcomes. Recognition of nursing and organizational characteristics that are associated with improved pediatric patient outcomes is important to patients, their families, and society. Clinical leaders must commit to facilitating pathways for hiring candidates with Bachelor of Science in Nursing as a minimum to practice in PICUs and supporting a culture of professional certification.
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the May Issue The May issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include: Role Modeling and Regional Health Care Intensity: U.S. Medical Student Attitudes Toward and Experiences With Cost-Conscious Care Leep Hunderfund and colleagues found that medical students endorsed barriers to cost-conscious care and reported encountering conflicting physician role-modeling behaviors. Students in higher-health-care-intensity regions reported observing significantly few...
Source: Academic Medicine Blog - May 2, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview assessment cost-conscious care global health medical education medical students residents Source Type: blogs

Mitigating Moral Distress: Pediatric Critical Care Nurses ’ Recommendations
AbstractIn pediatric critical care, nurses are the primary caregivers for critically ill children and are particularly vulnerable to moral distress. There is limited evidence on what approaches are effective to minimize moral distress among these nurses. To identify intervention attributes that critical care nurses with moral distress histories deem important to develop a moral distress intervention. We used a qualitative description approach. Participants were recruited using purposive sampling between October 2020 to May 2021 from pediatric critical care units in a western Canadian province. We conducted individual semi-...
Source: HEC Forum - May 4, 2023 Category: Medical Ethics Source Type: research

Introducing Critical Care Horizons
An exiting new free open-access journal has been born. Here’s what Editor-in-Chief Rob MacSweeney, of Critical Care Reviews, has to say about it: Announcing a new development in critical care publishing. It is with great delight we announce the launch of a new open access critical care journal. Critical Care Horizons is a fresh, original voice in the critical care literature, offering thought-provoking, cutting-edge commentary and opinion papers, plus state-of-the-art review articles. As a Journal, we see discussion, commentary, and the sharing of insight, experience and ideas, as central to progress in our specia...
Source: Life in the Fast Lane - June 11, 2014 Category: Emergency Medicine Authors: Chris Nickson Tags: Emergency Medicine Featured FOAM FOAMed Intensive Care Shout Out CCH critical care Critical Care Horizons free open access journal Source Type: blogs

Ethics of Drug Research in the Pediatric Intensive Care Unit
This article addresses the main ethical issues specific to drug research in these critically ill children and proposes several solutions. The extraordinary environment of the PICU raises specific challenges to the design and conduct of research. The need for proxy consent of parents (or legal guardians) and the stress-inducing physical environment may threaten informed consent. The informed consent process is challenging because emergency research reduces or even eliminates the time to seek consent. Moreover, parental anxiety may impede adequate understanding and generate misconceptions. Alternative forms of consent have b...
Source: Pediatric Drugs - October 30, 2014 Category: Pediatrics Source Type: research

Parent eReferral to Tobacco Quitline: A Pragmatic Randomized Trial in Pediatric Primary Care
ConclusionsSmoking parent eReferral from pediatric primary care may increase quitline enrollment and could be adopted by practices interested in increasing rates of parent treatment.Trial registrationThis study is registered at www.clinicaltrials.gov NCT02997735.
Source: American Journal of Preventive Medicine - May 22, 2019 Category: International Medicine & Public Health Source Type: research

Effectiveness of Motivational Interviewing to Reduce Head Start Children's Secondhand Smoke Exposure: A Randomized Clinical Trial.
Conclusions: MI may be effective in community settings to reduce child SHSe. More research is needed to identify ways to tailor interventions to directly impact child SHSe and to engage more families to make behavior change. PMID: 24821270 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - May 12, 2014 Category: Respiratory Medicine Authors: Eakin MN, Rand CS, Borrelli B, Bilderback A, Hovell M, Riekert KA Tags: Am J Respir Crit Care Med Source Type: research

Smoking-induced Skeletal Muscle Dysfunction: From Evidence to Mechanisms.
Abstract Smoking is the most important risk factor for the development of chronic obstructive pulmonary disease (COPD). Patients with COPD commonly suffer from skeletal muscle dysfunction and it has been suggested that cigarette smoke exposure contributes to the development of skeletal muscle dysfunction even before overt pulmonary pathology. This review summarizes the evidence that muscles of non-symptomatic smokers are weaker and less fatigue resistant than those of non-smokers. Although physical inactivity of many smokers contributes to some alterations observed in skeletal muscle, exposure to cigarette smoke p...
Source: American Journal of Respiratory and Critical Care Medicine - January 12, 2015 Category: Respiratory Medicine Authors: Degens H, Gayan-Ramirez G, van Hees HW Tags: Am J Respir Crit Care Med Source Type: research

Efficacy and Safety of Nintedanib in Idiopathic Pulmonary Fibrosis, Cytisine versus Nicotine for Smoking Cessation, and FACED Score for Non-Cystic Fibrosis Bronchiectasis.
PMID: 26177172 [PubMed - in process]
Source: American Journal of Respiratory and Critical Care Medicine - July 15, 2015 Category: Respiratory Medicine Authors: Mulhall A, Cole A, Patel S Tags: Am J Respir Crit Care Med Source Type: research

An Official American Thoracic Society Research Statement: Current Understanding and Future Research Needs in Tobacco Control and Treatment.
This report identifies a number of investigative opportunities for significantly reducing the toll of tobacco use, including: (1) the need for novel, nonlinear models of population-based disease control; (2) refinement of "real-world" models of clinical intervention in trial design; and (3) understanding of mechanisms by which intrauterine smoke exposure may lead to persistent, tobacco-related chronic disease. DISCUSSION: In the coming era of tobacco research, pooled talent from multiple disciplines will be required to further illuminate the complex social, environmental and biological codeterminants of tobacco depend...
Source: American Journal of Respiratory and Critical Care Medicine - August 1, 2015 Category: Respiratory Medicine Authors: Leone FT, Carlsen KH, Folan P, Latzka K, Munzer A, Neptune E, Pakhale S, Sachs DP, Samet J, Upson D, White A, ATS Tobacco Action Committee Tags: Am J Respir Crit Care Med Source Type: research

An Official American Thoracic Society/European Respiratory Society Policy Statement: Enhancing Implementation, Use, and Delivery of Pulmonary Rehabilitation.
CONCLUSIONS: The ATS and ERS commit to undertake actions that will improve access to and delivery of PR services for suitable patients. They call on their members and other health professional societies, payers, patients, and patient advocacy groups to join in this commitment. PMID: 26623686 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - December 1, 2015 Category: Respiratory Medicine Authors: Rochester CL, Vogiatzis I, Holland AE, Lareau SC, Marciniuk DD, Puhan MA, Spruit MA, Masefield S, Casaburi R, Clini EM, Crouch R, Garcia-Aymerich J, Garvey C, Goldstein RS, Hill K, Morgan M, Nici L, Pitta F, Ries AL, Singh SJ, Troosters T, Wijkstra PJ, Ya Tags: Am J Respir Crit Care Med Source Type: research

Exome Array Analysis Identifies A Common Variant in IL27 Associated with Chronic Obstructive Pulmonary Disease.
CONCLUSIONS: In an exome array analysis of COPD, we identified non-synonymous variants at previously described loci, and a novel exome-wide significant variant in IL27. This variant is at a locus previously described in genome-wide associations with diabetes, inflammatory bowel disease, and obesity, and appears to affect genes potentially related to COPD pathogenesis. PMID: 26771213 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - January 15, 2016 Category: Respiratory Medicine Authors: Hobbs BD, Parker MM, Chen H, Lao T, Hardin M, Qiao D, Hawrylkiewicz I, Sliwinski P, Yim JJ, Kim WJ, Kim DK, Castaldi PJ, Hersh CP, Morrow J, Celli BR, Pinto-Plata VM, Criner GJ, Marchetti N, Bueno R, Agusti A, Make BJ, Crapo JD, Calverley PM, Donner CF, L Tags: Am J Respir Crit Care Med Source Type: research

The Role of Nicotine in the Effects of Maternal Smoking During Pregnancy on Lung Development and Childhood Respiratory Disease: Implications for Dangers of E-Cigarettes.
Abstract Use of e-cigarettes, especially among the young is increasing at near exponential rates. This is coupled with a perception that e-cigarettes are safe and with unlimited advertising geared towards vulnerable populations, the groups most likely to smoke or vape during pregnancy. There is now wide appreciation of the dangers of maternal smoking during pregnancy and the life-long consequences this has on offspring lung function, including the increased risk of childhood wheezing and subsequent asthma. Recent evidence strongly supports that much of the effects of smoking during pregnancy on offspring lung func...
Source: American Journal of Respiratory and Critical Care Medicine - January 12, 2016 Category: Respiratory Medicine Authors: Spindel ER, McEvoy CT Tags: Am J Respir Crit Care Med Source Type: research

Reply: Why Pregnant Women Should Avoid Any Form of Nicotine during Pregnancy: An Elastin-based Perspective.
PMID: 27420365 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - July 14, 2016 Category: Respiratory Medicine Authors: Spindel ER, McEvoy CT Tags: Am J Respir Crit Care Med Source Type: research

Why Pregnant Women Should Avoid Any Form of Nicotine during Pregnancy: An Elastin-based Perspective.
PMID: 27420363 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - July 14, 2016 Category: Respiratory Medicine Authors: Janssen R Tags: Am J Respir Crit Care Med Source Type: research