Publications by authors named "Barb Carr"

2 Publications

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Novice Nurses' Experiences With Palliative and End-of-Life Communication.

J Pediatr Oncol Nurs 2015 Jul-Aug;32(4):240-52. Epub 2015 Jan 2.

Indiana University, School of Nursing, Indianapolis, IN, USA.

Health care providers recognize that delivery of effective communication with family members of children with life-threatening illnesses is essential to palliative and end-of-life care (PC/EOL). Parents value the presence of nurses during PC/EOL of their dying child. It is vital that nurses, regardless of their years of work experience, are competent and feel comfortable engaging family members of dying children in PC/EOL discussions. This qualitative-descriptive study used focus groups to explore the PC/EOL communication perspectives of 14 novice pediatric oncology nurses (eg, with less than 1 year of experience). Audio-taped focus group discussions were reviewed to develop the following 6 theme categories: (a) Sacred Trust to Care for the Child and Family, (b) An Elephant in the Room, (c) Struggling with Emotional Unknowns, (d) Kaleidoscope of Death: Patterns and Complexity, (e) Training Wheels for Connectedness: Critical Mentors during PC/EOL of Children, and (f) Being Present with an Open Heart: Ways to Maintain Hope and Minimize Emotional Distress. To date, this is the first study to focus on PC/EOL communication perspectives of novice pediatric oncology nurses.
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September 2016

Cardiopulmonary resuscitation in the combat hospital and forward operating base: use of automated external defibrillators.

Mil Med 2009 Jun;174(6):584-7

Department of Clinical Investigation, William Beaumont Army Medical Center, 5005 North Piedras Street, El Paso, TX 79920-5001, USA.

Objective: Time to defibrillation (t(defib)) directly correlates with survival from cardiac arrest. We investigated whether automated external defibrillators (AED) in a combat setting would improve this crucial variable.

Methods: We performed a randomized simulation study to compare two systems of cardiac arrest response: public access AED vs. standard manual defibrillation. The study was conducted in two phases at two different settings: (1) in a contiguous United States (CONUS)-based training combat support hospital (CSH) and (2) at a deployed CSH within a combat forward operating base (FOB). The primary outcome was t(defib) and the secondary outcome was difficulty of use.

Results: For the training CSH setting, t(defib) the AED model was significantly faster than the conventional model (1.3 vs. 2.0 minutes, p <0.001, 95% CI of the mean difference = 0.39-1.1). In the combat environment, t(defib) was between 2.2 and 8.4 minutes faster for the AED system. The AED system was found to be significantly easier to use than the standard model.

Conclusion: In simulated cardiac arrest, the AED model demonstrated significantly improved t(defib) compared to the standard response for both training and combat settings.
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June 2009