1,899 results match your criteria AACN Advanced Critical Care[Journal]


Silence: A Never Event.

AACN Adv Crit Care 2018 ;29(4):449-451

Michael H. Ackerman is Director, Master in Healthcare Innovation Program, Professor, Clinical Nursing, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210

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January 2018

Application of Hotspotting in Acute Care Settings.

AACN Adv Crit Care 2018 ;29(4):444-448

Andrea N. Matsumoto is a Doctor of Nursing Practice student, Adult-Gerontology Acute Care, University of Michigan, Ann Arbor, Michigan. Michelle Pardee is Clinical Assistant Professor, University of Michigan, 426 North Ingalls Building, Ann Arbor, MI 48109-2003 Jesus Casida is Faculty Associate, Johns Hopkins University School of Nursing, Baltimore, Maryland.

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January 2018
4 Reads

Call For Papers.

Authors:
Mary Fran Tracy

AACN Adv Crit Care 2018 ;29(4):443

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January 2018

Peer Reviewers for 2018.

Authors:

AACN Adv Crit Care 2018 ;29(4):442

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January 2018

Tunneled Pleural Catheter: Treatment for Recurrent Pleural Effusion.

AACN Adv Crit Care 2018 ;29(4):432-441

Chelsea Miller is Advanced Practice Provider Clinical Resident, Emory Healthcare, 1364 Clifton Road, Atlanta, GA 30322 Elizabeth Bridges is Professor, University of Washington School of Nursing, Seattle, Washington. Balaji Laxmanan is Director, Interventional Pulmonology, Confluence Health, Wenatchee, Washington. Paula Cox-North is Lecturer, University of Washington School of Nursing, Department of Biobehavioral Nursing and Health Informatics, Seattle, Washington. Hilaire Thompson is Joanne Montgomery Endowed Professor and Lead, Adult/Gerontology Acute Care Nurse Practitioner Program, University of Washington School of Nursing, Seattle, Washington.

Recurrent pleural effusion is a symptom of several end-stage diseases and is associated with limited life expectancy. Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention. Read More

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January 2018

Reducing Tracheostomy-Related Pressure Injuries.

AACN Adv Crit Care 2018 ;29(4):426-431

Lois M. Dixon is Wound Ostomy Continence Clinical Leader, Christiana Care Health System, 4755 Ogletown-Stanton Road, Newark, DE 19718 Susan Mascioli is Director, Nursing Quality and Safety, Christiana Care Health System, Newark, Delaware. Jefferson H. Mixel is Clinical Manager, Department of Respiratory Care, Christiana Care Health System, Newark, Delaware. Tom Gillin is Critical Care Coordinator, Department of Respiratory Care, Christiana Care Health System, Newark, Delaware. Camille N. Upchurch is Physician, Christiana Care Hospitalist Partners, Christiana Care Health System, Newark, Delaware. Kevin M. Bradley is Medical Director of the Trauma Program, Christiana Care Health System, Newark, Delaware.

An interprofessional team was established to prevent tracheostomy-related acquired pressure injuries. The team performed an in-depth analysis of practice from tracheostomy insertion through postinsertion care. A literature evaluation identified best practices, and a root cause analysis for all tracheostomy-related pressure injury cases identified common causes. Read More

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January 2018

Acute Respiratory Distress Syndrome and Prone Positioning.

AACN Adv Crit Care 2018 ;29(4):415-425

Dannette A. Mitchell is Critical Care Clinical Nurse Specialist, Christiana Care Health Service, Wilmington Hospital, 501 W 14th Street, Intensive Care and Transitional Care Unit - 6S45, Wilmington, DE 19801 Maureen A. Seckel is Lead Critical Care Clinical Nurse Specialist and Sepsis Leader, Christiana Care Health Service, Christiana Hospital, Newark, Delaware.

Acute respiratory distress syndrome continues to have high morbidity and mortality despite more than 50 years of research. The Berlin definition in 2012 established risk stratification based on degree of hypoxemia and the use of positive end-expiratory pressure. The use of prone positioning as a treatment modality has been studied for more than 40 years, with recent studies showing an improvement in oxygenation and decreased mortality. Read More

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January 2018

Capnography Monitoring During Procedural Sedation and Analgesia.

Authors:
John J Gallagher

AACN Adv Crit Care 2018 ;29(4):405-414

John J. Gallagher is Trauma Program Manager/Clinical Nurse Specialist at Penn Presbyterian Medical Center, 51 N 39th Street, Medical Office Building, Suite 120, Philadelphia, PA 19104

Procedural sedation is used to alleviate pain and anxiety associated with diagnostic procedures in the acute care setting. Although commonly used, procedural sedation is not without risk. Key to reducing this risk is early identification of risk factors through presedation screening and monitoring during the procedure. Read More

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January 2018

Alternative Modes of Mechanical Ventilation.

Authors:
John J Gallagher

AACN Adv Crit Care 2018 ;29(4):396-404

John J. Gallagher is Trauma Program Manager/Clinical Nurse Specialist at Penn Presbyterian Medical Center, 51 N 39th Street, Medical Office Building, Suite 120, Philadelphia, PA 19104

Modern mechanical ventilators are more complex than those first developed in the 1950s. Newer ventilation modes can be difficult to understand and implement clinically, although they provide more treatment options than traditional modes. These newer modes, which can be considered alternative or nontraditional, generally are classified as either volume controlled or pressure controlled. Read More

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January 2018

Advances in Evidence-Based Pulmonary Care.

Authors:
Maureen A Seckel

AACN Adv Crit Care 2018 ;29(4):394-395

Maureen A. Seckel is Lead Critical Care Clinical Nurse Specialist and Sepsis Leader, Christiana Care Health Service, Christiana Hospital, 4755 Ogletown-Stanton Road, Medical Intensive Care Unit - 3E29, Newark, DE 19718

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January 2018

Boot Camp for Caregivers of Children With Medically Complex Conditions.

AACN Adv Crit Care 2018 ;29(4):382-392

Julie Van Orne is Clinical Nurse Leader, Cook Children's Medical Center, 801 Seventh Ave, Fort Worth, TX 76104 Kaylan Branson is Clinical Nurse Leader, Cook Children's Medical Center, Fort Worth, Texas. Mary Cazzell is Director of Nursing Research and Evidence Based Practice, Cook Children's Medical Center, Fort Worth, Texas.

Background: The safe transition of children with complex medical conditions who are dependent on technology from hospital to home requires that caregivers receive specialized training from qualified health care professionals. Inadequate caregiver training can lead to discharge delays and hospital readmissions, often resulting in caregiver distress.

Objective: To determine the effectiveness of a structured boot camp-style predischarge training program for caregivers of pediatric patients with complex medical conditions. Read More

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January 2018

Interoperability of Infusion Pumps With Electronic Health Records.

Authors:
Linda Harrington

AACN Adv Crit Care 2018 ;29(4):377-381

Linda Harrington is an Independent Consultant, Health Informatics and Digital Strategy, and Professor, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030

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January 2018

Acute Management of Upper Gastrointestinal Bleeding.

AACN Adv Crit Care 2018 ;29(4):369-376

Whitney Gibson is Critical Care Pharmacist, Department of Pharmacy Services, Tampa General Hospital, 1 Tampa General Circle, Tampa, FL 33606 Nicholas Scaturo is Emergency Medicine Clinical Pharmacist, Sarasota Memorial Hospital, Sarasota, Florida. Christopher Allen is Critical Care Clinical Pharmacist, Trauma Surgical Critical Care, Department of Pharmacy Services, Tampa General Hospital, Tampa, Florida.

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January 2018

Academic nursing scholarship redefined.

Authors:
Tonja M Hartjes

J Am Assoc Nurse Pract 2018 Dec;30(12):664-666

College of Nursing, University of Florida, Gainesville, Florida.

The American Association of Colleges of Nursing (AACN) last defined academic nursing scholarship in 1999. The AACN recognized faculty scholarship must align with the increasingly complex and dynamic health care environment to prepare nurses for an ever-changing future. The new, broader definition recognizes multiple ways of knowing and values all scholarly contributions, which affect nursing science and the health care system. Read More

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December 2018
1 Read

Promoting DNP-PhD collaboration in doctoral education: Forming a DNP project team.

J Prof Nurs 2018 Nov - Dec;34(6):433-436. Epub 2017 Dec 22.

Department of Adult Health and Gerontological Nursing, College of Nursing, 600 S. Paulina St. 1080 AAC, Rush University Medical Center, Chicago, IL 60612, United States.

As the Doctor of Nursing Practice (DNP) degree continues to evolve, challenges exist with the scholarly project. The American Association of Colleges of Nursing (AACN) has set forth guidelines for the DNP project (2015), however, at this point there is variation with respect to the structure of the DNP project team. This is particularly important given the: 1) growing number of DNP students; 2) need to foster scholarship; and 3) necessity for ensuring rigor of this degree (Waldrop, Caruso, Fuchs & Hypes, 2014). Read More

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December 2017
1 Read

Bridging Evidence-Based Practice and Research.

Crit Care Nurse 2018 Dec;38(6):10-12

Annette Bourgault is an assistant professor at the University of Central Florida, College of Nursing, and a nurse scientist at Orlando Health, Orlando, Florida. She recently joined Critical Care Nurse as the new Associate Editor.

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December 2018

Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients.

Innov Aging 2018 Jun 12;2(2):igy025. Epub 2018 Oct 12.

Golden Bioscience Communications.

In December 2017, the National Academy of Neuropsychology convened an interorganizational Summit on Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients in Denver, Colorado. The Summit brought together representatives of a broad range of stakeholders invested in the care of older adults to focus on the topic of cognitive health and aging. Summit participants specifically examined questions of who should be screened for cognitive impairment and how they should be screened in medical settings. Read More

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June 2018
6 Reads

Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients.

Clin Neuropsychol 2018 Aug - Oct;32(7):1193-1225

av Golden Bioscience Communications.

In December 2017, the National Academy of Neuropsychology convened an interorganizational Summit on Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients in Denver, Colorado. The Summit brought together representatives of a broad range of stakeholders invested in the care of older adults to focus on the topic of cognitive health and aging. Summit participants specifically examined questions of who should be screened for cognitive impairment and how they should be screened in medical settings. Read More

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November 2018
10 Reads

Identifying Nursing Diagnosis Patterns in Three Intensive Care Units Using Network Analysis.

Authors:
Mikyung Moon

Int J Nurs Knowl 2018 Oct 14. Epub 2018 Oct 14.

College of Nursing, The Research Institute of Nursing Science, Kyungpook National University, Daegu, South Korea.

Purpose: This study aimed to analyze the patterns of nursing diagnoses used in three different types of intensive care units (ICUs) using network analysis.

Methods: A secondary analysis was conducted using clinical datasets of 582 patients. Frequency, degree/betweenness centrality, and subgroup analysis were performed. Read More

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October 2018
5 Reads

The Simultaneous Experiences of Being a Nurse Faculty Member and PhD Student: A Phenomenological Inquiry.

Authors:
Lolita McCarthy

J Natl Black Nurses Assoc 2018 Jul;29(1):30-37

Travel RN, Critical Care, Cerebro Solutions, 800 Ocala Road, Suite 300-117 Tallahassee, FL 32304.

The demand for nursing faculty with doctoral degrees has prompted universities to devise strategies to hasten doctoral preparation. Insufficient preparation of nursing faculty negatively impacted the ability of colleges of nursing to enroll qualified applicants. In 2011, 75,000 applicants were turned away (AACN, 2012). Read More

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July 2018
1 Read

Have You Found Your Voice?

Crit Care Nurse 2018 Oct;38(5):11-13

Annette Bourgault is an assistant professor at the University of Central Florida, College of Nursing, and a nurse scientist at Orlando Health, Orlando, Florida. She recently joined Critical Care Nurse as the new Associate Editor.

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October 2018

TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review.

J Healthc Risk Manag 2018 Sep 13. Epub 2018 Sep 13.

Objective: The objective of this integrative review of literature was to investigate and evaluate feasibility and potential for success of TeamSTEPPS implementation, the influence of TeamSTEPPS for Office-Based Care on the clinical error rate in a private outpatient clinic, and influence of TeamSTEPPS for Office-Based Care on patient satisfaction.

Background: Patient safety remains a top priority for all health care providers in all clinical settings. Despite multiple varied efforts, clinical errors directly attributed to communication are consistently at the top of the list of root causes, although improvement strategies such as Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) have been implemented, there is insufficient data reported measuring the influence of this intervention on patient safety, clinical errors related to communication, and patient satisfaction. Read More

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September 2018
8 Reads

Health policy engagement among graduate nursing students in the United States.

Nurs Forum 2018 Sep 9. Epub 2018 Sep 9.

Maternal Child Division, Duke University School of Nursing, Durham, North Carolina.

Aim: The aim was to understand how health policy education is currently being delivered in the United States' graduate nursing programs.

Methods: This exploratory cross-sectional design used an anonymous online survey to target graduate nursing students attending American Association of College of Nursing (AACN) member institutions.

Results: Over 75% of the sample (n = 140) reported taking a dedicated health policy course and 71. Read More

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September 2018

Wellens Syndrome.

Authors:
Karen M Marzlin

AACN Adv Crit Care 2018 ;29(3):360-364

Karen M. Marzlin is an APRN, Aultman Hospital; Adjunct Faculty, Malone University; and Owner/Author/Educator/Consultant, Key Choice/Cardiovascular Nursing Education Associates, 4565 Venus Rd, Union-town, OH 44685

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January 2018
15 Reads

Applications of Grief and Bereavement Theory for Critical Care Nurses.

AACN Adv Crit Care Fall 2018;29(3):354-359

Elizabeth G. Broden is a Registered Nurse, Pediatric Intensive Care Unit, Children's Hospital of Philadelphia, and a doctoral student, University of Pennsylvania School of Nursing, 418 Curie Blvd #425, Philadelphia, PA 19104 Melissa Kurtz Uveges is a Post-Doctoral Fellow, Center for Bioethics, Harvard Medical School, Boston, Massachusetts.

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September 2018
6 Reads

Using Health System Data for Improvement Science: Getting Started.

AACN Adv Crit Care Fall 2018;29(3):348-353

Yanfang Zhao is Statistician, SAS Institute Inc, Cary, North Carolina. Bradi B. Granger is Professor, Duke University School of Nursing and Director, Duke Heart Center Nursing Research Program, 307 Trent Drive, Durham, NC 27710

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September 2018

Identifying Risk for Falls in Pediatric Patients.

Authors:
Lori Williams

AACN Adv Crit Care Fall 2018;29(3):343-347

Lori Williams is Clinical Nurse Specialist, Universal Care Unit and Float Team, American Family Children's Hospital, University of Wisconsin Hospitals and Clinics, 1675 Highland Avenue, Madison, WI 53792

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September 2018
3 Reads

Clinical Presentation and Treatment of Amniotic Fluid Embolism.

AACN Adv Crit Care 2018 ;29(3):336-342

Anne-Marie McBride is Clinical Nurse, Intensive Care, Calvary North Adelaide Hospital, 23 Strangways Terrace, North Adelaide, 5006 Australia

Obstetric emergencies often require intensive care intervention. Amniotic fluid embolism is a rare, unpredictable, and often catastrophic complication of pregnancy that is suspected in a woman who experiences cardiac arrest after a cesarean section. The condition occurs in approximately 1 in 40 000 births and has an average case-fatality rate of 16%. Read More

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January 2018
9 Reads

Pulmonary Edema in Obstetrics: Essential Facts for Critical Care Nurses.

Authors:
Rebecca L Cypher

AACN Adv Crit Care 2018 ;29(3):327-335

Rebecca L. Cypher is a Perinatal Nurse Practitioner and Consultant, 7814 108th St NW, Gig Harbor, WA 98332

Pulmonary edema is an acute pregnancy complication that, if uncorrected, can result in increased maternal and fetal morbidity and mortality. Although pulmonary edema is relatively rare in the general obstetrics population, pregnant patients are at increased risk for pulmonary edema because of the physiologic changes of pregnancy. The risk may be exacerbated by certain pregnancy-related diseases, such as preeclampsia. Read More

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January 2018

Preeclampsia: Acute Complications and Management Priorities.

AACN Adv Crit Care 2018 ;29(3):316-326

Patricia M. Witcher is Clinical Outcomes Manager, Women's Services, Northside Hospital, 1000 Johnson Ferry Road, Atlanta, GA 30342

Acute complications of preeclampsia contribute substantially to maternal and fetal morbidity and mortality. The considerable variation in onset, clinical presentation, and severity of this hypertensive disease that is unique to pregnancy creates challenges in identifying risk factors for clinical deterioration. Delivery of the fetus remains the only definitive treatment for preeclampsia. Read More

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January 2018
10 Reads

Recognition and Management of Sepsis in the Obstetric Patient.

AACN Adv Crit Care 2018 ;29(3):303-315

Sheryl E. Parfitt is Clinical Educator, HonorHealth Scottsdale Shea Medical Center, 9003 E. Shea Boulevard, Scottsdale, AZ 85260 Sandra L. Hering is Informatics Support Specialist, Honor-Health Scottsdale Shea Medical Center, Scottsdale, Arizona.

Sepsis is one of the principal causes of maternal mortality in obstetrics. Physiologic changes that occur during pregnancy create a vulnerable environment, predisposing pregnant patients to the development of sepsis. Furthermore, these changes can mask sepsis indicators normally seen in the nonobstetric population, making it difficult to recognize and treat sepsis in a timely manner. Read More

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January 2018
11 Reads

Cardiac Disease in Pregnancy.

AACN Adv Crit Care 2018 ;29(3):295-302

Stephanie Martin is Medical Director and Co-owner, Clinical Concepts in Obstetrics, LLC, 4422 N 75th St, Unit 4012, Scottsdale, AZ 85251 Julie Arafeh is Simulation Director and Co-owner, Clinical Concepts in Obstetrics, LLC, Hollister, California.

In the United States, cardiac disease is a leading contributor to maternal mortality and morbidity. This review addresses the impact of cardiac disease on management of pregnancy and how the physiological changes of pregnancy complicate patient treatment. Approaches to assessing risk in pregnant women with cardiac disease are reviewed. Read More

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January 2018
3 Reads

Evidence-Based Strategies for Maternal Stabilization and Rescue in Obstetric Hemorrhage.

Authors:
Carol J Harvey

AACN Adv Crit Care 2018 ;29(3):284-294

Carol J. Harvey is Clinical Specialist, Women's Services and Patient Care Administration, Northside Hospital, 1000 Johnson Ferry Rd, Atlanta, GA 30342

Obstetric hemorrhage is one of the most frequent causes of maternal death in the United States. More than 70% of maternal deaths from hemorrhage are preventable. State and professional quality care organizations have reduced severe maternal morbidity by more than 20% by implementing evidence-based guidelines. Read More

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January 2018
1 Read

Physiologic and Hemodynamic Changes During Pregnancy.

Authors:
Nan H Troiano

AACN Adv Crit Care 2018 ;29(3):273-283

Nan H. Troiano is a Consultant, Perinatal Nursing, High Risk and Critical Care Obstetrics, PO Box 465, Arley, AL 35541

Substantial physiologic changes accompany pregnancy, the most profound of which involve the cardiovascular system. These changes affect maternal hemodynamic and oxygen transport status. This article describes cardiovascular changes that occur during pregnancy including blood volume, heart rate, stroke volume, cardiac output, vascular resistance, and colloid osmotic pressure. Read More

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January 2018
12 Reads

Critical Care Obstetrics.

AACN Adv Crit Care Fall 2018;29(3):269-272

Margaret (Betsy) Babb Kennedy is Professor of Nursing, Assistant Dean for Nontenure Track Faculty Affairs and Advancement, Vanderbilt University School of Nursing, 462 21st Ave South, Nashville, TN 37240 Suzanne McMurtry Baird is Nursing Director, Clinical Concepts in Obstetrics LLC, 101 Creekside Crossing, Suite 1700-136, Brentwood, TN 37027

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September 2018
1 Read

Impact of Coaching on the Nurse-Physician Dynamic.

AACN Adv Crit Care 2018 ;29(3):259-267

Fayyadh R. Yusuf is Director of Physician Development, Department of Neurosurgery; Chief Culture Officer, Neuro-Science Institute; and Faculty, Clinical Affairs, University of South Florida, 1 Tampa General Circle, G441, Tampa, FL 33606 Ambuj Kumar is Professor, Internal Medicine, University of South Florida, Tampa, Florida. Wendi Goodson-Celerin is Director of Acute Surgical Inpatient, Tampa General Hospital, Tampa, Florida. Tracey Lund is Nurse Manager, Neuroscience Intensive Care Unit 2, Tampa General Hospital, Tampa, Florida. Janet Davis is Senior Vice President and Chief Nursing Officer, Tampa General Hospital, Tampa, Florida. Mary Kutash is a Nurse Specialist, Nurse Research, Tampa General Hospital, Tampa, Florida. Charles N. Paidas is Chief, General Surgery, Nemours, Alfred I. duPont Hospital for Children, Wilmington, Delaware.

Background: Limited resources and increased patient care demands have strained nurse-physician relationships in our hospital's neurosurgical intensive care unit, leading to low morale and adversarial dynamics. Studies exploring benefits of coaching interprofessional teamwork demonstrate performance improvements. Therefore, a coaching program designed to improve nurse-physician teamwork was initiated by the neurosurgery department of the hospital's affiliated university. Read More

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January 2018
17 Reads

Pharmacokinetics and Extracorporeal Membrane Oxygenation in Adults: A Literature Review.

Authors:
Monika Tukacs

AACN Adv Crit Care 2018 ;29(3):246-258

Monika Tukacs is Clinical Nurse III, Cardiothoracic Intensive Care Unit, Columbia University Irving Medical Center and New York-Presbyterian Hospital; and Academic Research Fellow at the Columbia University School of Nursing, 177 Fort Washington Ave, New York, NY 10032

Extracorporeal membrane oxygenation is a rapidly emerging treatment for respiratory or cardiac failure and is used as a bridge to recovery, transplant, or destination therapy. Adult patients receiving extracorporeal membrane oxygenation also receive significant amounts of pharmacotherapy. Although the body of literature on extra-corporeal membrane oxygenation in general is extensive, only a few publications focus on pharmacokinetic changes related to extracorporeal membrane oxygenation in adults. Read More

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January 2018
2 Reads

Building Healthier Workplaces by Giving Space for Work-Related Grief.

Authors:
Hui-Wen Sato

AACN Adv Crit Care Fall 2018;29(3):244-245

Hui-wen Sato is Staff Nurse, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027

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September 2018

From Apps to mHealth: Informing, Interacting, and Changing Behavior.

Authors:
Linda Harrington

AACN Adv Crit Care Fall 2018;29(3):240-243

Linda Harrington is an Independent Consultant, Health Informatics and Digital Strategy, and Professor, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030

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September 2018

Acute Decompensated Heart Failure: A Pharmacotherapy Approach.

AACN Adv Crit Care Fall 2018;29(3):233-239

Mark Priddy is a first-year pharmacy practice resident, Tampa General Hospital, PO Box 1289, Tampa, FL 33601-1289 Czarina Bock is Clinical Pharmacist, Coronary Care Unit, Tampa General Hospital, Tampa, Florida.

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September 2018

Interprofessional Use and Validation of the AACN Healthy Work Environment Assessment Tool.

Am J Crit Care 2018 Sep;27(5):363-371

Jean Anne Connor is director of nursing research, cardiovascular and critical care patient services, Boston Children's Hospital, and a clinical instructor of pediatrics, Harvard Medical School, Boston, Massachusetts. Sonja I. Ziniel is an assistant research professor, Section of Pediatric Hospital Medicine, Department of Pediatrics, University of Colorado School of Medicine, Aurora, and senior survey methodologist, quality and patient safety, Children's Hospital Colorado, Aurora. Courtney Porter is a program administration manager, cardiovascular and critical care patient services, Dennis Doherty is a professional development specialist, clinical education and informatics, Marilyn Moonan is a professional development specialist, nursing patient services, Patricia Dwyer is a nurse scientist, satellite services, and Laura Wood is senior vice president, patient care operations, and chief nursing officer, Boston Children's Hospital. Patricia A. Hickey is vice president and associate chief nursing officer, cardiovascular and critical care patient services, Boston Children's Hospital, and an assistant professor of pediatrics, Harvard Medical School.

Background: Health care work environments affect patient outcomes, staff satisfaction and retention, and organizational financial viability. The American Association of Critical-Care Nurses (AACN) Healthy Work Environment Assessment Tool (HWEAT) is a resource for patient care units and organizations to assess the work environment and track progress on their journey to excellence.

Objective: To validate interprofessional use of the AACN HWEAT across a large free-standing children's hospital. Read More

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September 2018
14 Reads

The AACN Drafts Proposal for BSN as the Entry Level for RNs, Gets Pushback.

Authors:
Carol Potera

Am J Nurs 2018 Sep;118(9):14

Carol Potera.

Comments show this issue is far from settled among nurses. Read More

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September 2018

Selecting US research-intensive doctoral programs in nursing: Pragmatic questions for potential applicants.

J Prof Nurs 2018 Jul - Aug;34(4):296-299. Epub 2017 Nov 10.

School of Nursing, Oregon Health & Science University. Portland, OR 97239, United States.

Nurses hoping to enter a research intensive doctoral program have a choice of program delivery modes, faculty expertise, and multiple points of entry in addition to the traditional post masters. The American Association of Colleges of Nursing (AACN) lists doctoral programs in nursing in over 300 universities in the United States (U.S. Read More

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October 2018

Takotsubo Syndrome: A Myocardial Mimic.

Authors:
Cynthia Webner

AACN Adv Crit Care Summer 2018;29(2):221-226

Cynthia Webner is Owner/Author/Educator/Consultant, Key Choice/Cardiovascular Nursing Education Associates, 4998 Searls Dr NW, North Canton, OH 44720

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June 2018
14 Reads

Distress Debriefings After Critical Incidents: A Pilot Project.

AACN Adv Crit Care Summer 2018;29(2):213-220

Kerry P. Appleton is Clinical Education Specialist, Children's Minnesota, 2525 Chicago Avenue South, Minneapolis, MN 55404 Suzanne Nelson is Simulation Specialist, Children's Minnesota, Minneapolis, Minnesota. Shawn Wedlund is Pediatric Nurse Practitioner, Neurosurgery Department, Gillette Children's Specialty Healthcare, Saint Paul, Minnesota.

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June 2018
22 Reads

Science of Improvement Versus Science of Implementation: Integrating Both Into Clinical Inquiry.

Authors:
Bradi B Granger

AACN Adv Crit Care Summer 2018;29(2):208-212

Bradi B. Granger is Professor, Duke University School of Nursing, and Director, Duke Heart Center Nursing Research Program, 307 Trent Drive, Durham, NC 27710

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June 2018
5 Reads

Minimizing Alarm Fatigue: Pediatric Perspective.

Authors:
Lori Williams

AACN Adv Crit Care Summer 2018;29(2):204-207

Lori Williams is Clinical Nurse Specialist, Universal Care Unit and Float Team, American Family Children's Hospital, University of Wisconsin Hospital and Clinics, 1675 Highland Avenue, Madison, WI 53792

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June 2018
7 Reads

Evidence-Based Review of Clinical Trials in Neurocritical Care.

AACN Adv Crit Care 2018 ;29(2):195-203

Molly McNett is Director, Nursing Research and Evidence-Based Practice, The MetroHealth System, Nursing Business Office, 2500 MetroHealth Dr, Cleveland, OH 44109 Cristina Moran is Clinical Nurse, Trauma Surgical Intensive Care Unit, MetroHealth Medical Center, Cleveland, Ohio. Halee Johnson is Advanced Practice Registered Nurse, Department of Neurosurgery, The MetroHealth System, Cleveland, Ohio.

Neurocritical care is a rapidly growing specialty of complex care for the critically ill patient with neurological injury. This rapid growth has led to an increase in the number of important clinical trials to guide clinical practice and evidence-based care of the critically ill patient with neurological injury. Specialty-trained critical care nurses and advanced practice providers are integral members of neurocritical care teams and must remain informed about pivotal trials shaping practice recommendations. Read More

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January 2018
3 Reads

Multimodal Neuromonitoring in Neurocritical Care.

AACN Adv Crit Care 2018 ;29(2):183-194

Sarah H. Peacock is Acute Care Nurse Practitioner, Department of Critical Care Medicine, Instructor of Medicine, College of Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224 Amanda D. Tomlinson is Acute Nurse Practitioner, Department of Critical Care Medicine, Instructor of Neurology, College of Medicine, Mayo Clinic, Jacksonville, Florida.

Neuromonitoring is important for patients with acute brain injury. The bedside neurologic examination is standard for neurologic monitoring; however, a clinical examination may not reliably detect subtle changes in intracranial physiology. Changes found during neurologic examinations are often late signs. Read More

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January 2018
7 Reads