Introduction to Complementary, Alternative, and Traditional Therapies

2014 ◽  
Vol 34 (6) ◽  
pp. 50-56 ◽  
Author(s):  
Debra Kramlich
Keyword(s):  
United States ◽  
Critical Care ◽  
Acute Care ◽  
Care Setting ◽  
The United States ◽  
Critical Care Nurses ◽  
Acute Care Setting ◽  
Traditional Therapies

The use of complementary, alternative, and traditional therapies is increasing in the United States, and patients and their families are bringing these practices into the acute care setting. Acute and critical care nurses are in a unique and trusted position to advocate for their patients and to promote safe incorporation of complementary, alternative, and traditional therapies into the plan of care.

Strategies for Acute and Critical Care Nurses Implementing Complementary Therapies Requested by Patients and Their Families

2016 ◽  
Vol 36 (6) ◽  
pp. 52-58 ◽  
Author(s):  
Debra Kramlich
Keyword(s):  
Critical Care ◽  
Complementary Therapies ◽  
Care Setting ◽  
The United States ◽  
Critical Care Nurses ◽  
Critical Care Setting ◽  
Complementary And Alternative Therapies ◽  
Centered Care ◽  
Family Centered ◽  
Complementary And Alternative

As consumer use of complementary and alternative medicine or modalities continues to increase in the United States, requests for these therapies in the acute and critical care setting will probably continue to expand in scope and frequency. Incorporation of complementary therapies in the plan of care is consistent with principles of patient- and family-centered care and collaborative decision-making and may provide a measure of relief for the distress of admission to an acute or critical care setting. An earlier article provided an overview of complementary and alternative therapies that nurses may encounter in their practices, with specific attention to implications for acute and critical care nurses. This article provides key information on the legal, ethical, safety, quality, and financial challenges that acute and critical care nurses should consider when implementing patient and family requests for complementary therapies.

scholarly journals Critical Care Nurses’ Experiences During the COVID-19 Pandemic: A US National Survey

2021 ◽  
pp. e1-e7
Author(s):  
Jill L. Guttormson ◽  
Kelly Calkins ◽  
Natalie McAndrew ◽  
Jacklynn Fitzgerald ◽  
Holly Losurdo ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Moral Distress ◽  
Community Support ◽  
Well Being ◽  
The United States ◽  
Critical Care Nurses ◽  
Emotional Symptoms

Background Given critical care nurses’ high prepandemic levels of moral distress and burnout, the COVID-19 pandemic will most likely have a tremendous influence on intensive care unit (ICU) nurses’ mental health and continuation in the ICU workforce. Objective To describe the experiences of ICU nurses during the COVID-19 pandemic in the United States. Methods Nurses who worked in ICUs in the United States during the COVID-19 pandemic were recruited to complete a survey from October 2020 through early January 2021 through social media and the American Association of Critical-Care Nurses. Three open-ended questions focused on the experiences of ICU nurses during the pandemic. Results Of 498 nurses who completed the survey, 285 answered the open-ended questions. Nurses reported stress related to a lack of evidence-based treatment, poor patient prognosis, and lack of family presence in the ICU. Nurses perceived inadequate leadership support and inequity within the health care team. Lack of consistent community support to slow the spread of COVID-19 or recognition that COVID-19 was real increased nurses’ feelings of isolation. Nurses reported physical and emotional symptoms including exhaustion, anxiety, sleeplessness, and moral distress. Fear of contracting COVID-19 or of infecting family and friends was also prevalent. Conclusions Intensive care unit nurses in the United States experienced unprecedented and immense burden during the COVID-19 pandemic. Understanding these experiences provides insights into areas that must be addressed to build and sustain an ICU nurse workforce. Studies are needed to further describe nurses’ experiences during the COVID-19 pandemic and identify effective resources that support ICU nurse well-being.

Nurse/physician collaboration: solving the nursing shortage crisis

1992 ◽  
Vol 1 (1) ◽  
pp. 25-32 ◽  
Author(s):  
SA Evans ◽  
R Carlson
Keyword(s):  
United States ◽  
Critical Care ◽  
Nursing Shortage ◽  
American Association ◽  
The United States ◽  
Critical Care Nurses ◽  
Critical Care Medicine ◽  
The Status

This summary article discusses the status of the nursing shortage in the United States, with emphasis on successful strategies to address it. Liaisons between the American Association of Critical-Care Nurses (AACN) and the Society for Critical Care Medicine, as well as with the American College of Cardiology, are highlighted, with primary emphasis on the strategy of nurse-physician collaboration.

Caring for the Patient Undergoing Transsphenoidal Surgery in the Acute Care Setting: An Alternative to Critical Care

2003 ◽  
Vol 35 (5) ◽  
pp. 270-275 ◽  
Author(s):  
Susan H. Prather ◽  
Lisa W. Forsyth ◽  
Katherine Dale Russell ◽  
Virginia L. Wagner
Keyword(s):  
Critical Care ◽  
Acute Care ◽  
Transsphenoidal Surgery ◽  
Care Setting ◽  
Acute Care Setting

scholarly journals Tele-ICU: Efficacy and Cost-Effectiveness Approach of Remotely Managing the Critical Care

2013 ◽  
Vol 7 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Sajeesh Kumar ◽  
Shezana Merchant ◽  
Rebecca Reynolds
Keyword(s):  
United States ◽  
Critical Care ◽  
Cost Effectiveness ◽  
The United States ◽  
Review Literature ◽  
Critical Care Nurses ◽  
Actual Cost ◽  
Critical Care Team ◽  
Consistent Measurement ◽  
Command Center

Tele-ICU has an off-site command center in which a critical care team (intensivists and critical care nurses) is connected with patients in distance intensive care units (ICUs) through a real-time audio, visual and electronic means and health information is exchanged. The aim of this paper is to review literature to explore the available studies related to efficacy and cost effectiveness of Tele-ICU applications and to study the possible barriers to broader adoption. While studies draw conclusions on cost based on the mortality and Length of Stay (LOS), actual cost was not reported. Another problem in the studies was the lack of consistent measurement, reporting and adjustment for patient severity. From the data available, Tele-ICU seems to be a promising path, especially in the United States where there is a limited number of board-certified intensivists.

scholarly journals Nurses' Knowledge Related to Heart Failure Essentials

2014 ◽  
Author(s):  
Ann Garris
Keyword(s):  
Heart Failure ◽  
Acute Care ◽  
Care Setting ◽  
Hospital Admissions ◽  
Educational Interventions ◽  
The United States ◽  
Experimental Program ◽  
Acute Care Setting ◽  
Post Test ◽  
Nurses Knowledge

<p>Heart Failure is a complex syndrome which continues to be a major health issue in the United States and worldwide. Strategies and educational interventions implemented by hospitals to reduce hospital admissions and readmissions for this costly chronic disease have not been consistently successful. Patient education is an important strategy for the management of HF to improve quality of life, optimize patient outcomes, and reduce the use of healthcare resources by reducing readmissions. The purpose of this program development was to increase nurses’ knowledge regarding HF education to be provided to HF patients prior to discharge from the acute care setting. A quasi-experimental program design with a pre and post-test intervention was performed on a 38 bed medical telemetry unit at RI Hospital a Level 1 trauma center in Providence, RI. Registered nurses were asked to complete a pre and post-test survey, <em>Nurse Knowledge of Heart Failure </em>by Albert et al (2002). Nine RNs out of thirty two (28.8%) agreed to participate and completed the pre-test, attended one of the HF education classes followed by completion of the post-test. Pre-tests scores ranged from 60-90 out of possible 100, with a mean score of 73.3%. Post-test scores ranged from 70-95 out of possible 100, with a mean score of 86.1%, an increase of almost 13%. These findings suggest that providing HF education can be successful in increasing nurses’ knowledge regarding HF education provided to HF patients prior to discharge from the acute care setting.</p>

Perceptions and Attitudes of Critical Care Training and Careers among United States Surgical Residents: Who Wants to be a Surgical Intensivist?

2007 ◽  
Vol 73 (5) ◽  
pp. 433-437 ◽  
Author(s):  
Stephen M. Cohn ◽  
Michelle A. Price ◽  
Ronald M. Stewart ◽  
Basil A. Pruitt ◽  
Daniel L. Dent
Keyword(s):  
United States ◽  
Critical Care ◽  
Acute Care ◽  
Trauma Surgery ◽  
The United States ◽  
Acute Care Surgery ◽  
Surgical Residents ◽  
Perceptions And Attitudes ◽  
Surgical Critical Care ◽  
Care Surgery

Less than 50 per cent of surgical critical care (SCC) fellowship positions are filled each year. We surveyed senior surgical residents to determine their opinions regarding a career in SCC and acute care surgery. A survey was sent to 1348 postgraduate year 3, 4, and 5 residents in the United States. Two hundred fifty-one surveys were returned (19% response rate). Whereas 78 per cent were planning to complete a fellowship, 21 per cent expressed interest in SCC. Fifty-six per cent plan to handle SCC problems only for their own patients, whereas 39 per cent plan to turn this management over to a critical care provider. SCC fellowships were considered to be potentially more appealing if the following changes could be made to the existing structure: adding more general surgery (70% of respondents); adding more trauma experience (50%); adding emergency neurosurgery (44%); adding more emergency orthopedics (42%); or decreasing months of critical care (36%). Increasing salary enhanced appeal for 82 per cent. SCC has limited appeal for most senior surgical residents. Theoretical expansion of surgical critical fellowships to include more general or trauma surgery (acute care surgery) increased the level of interest among senior surgical residents.

Comparing Basic Knowledge in Critical Care Nursing Between Nurses From the United States and Nurses From Other Countries

2003 ◽  
Vol 12 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Jean C. Toth
Keyword(s):  
United States ◽  
Critical Care ◽  
Assessment Tool ◽  
The United States ◽  
Critical Care Nurses ◽  
Knowledge Assessment ◽  
Basic Knowledge ◽  
Critical Care Nursing ◽  
English Speaking ◽  
Care Nursing

• Background No previous research was found that compared basic knowledge in critical care nursing among nurses from different nations. Nurses from outside the United States were invited to participate during reliability testing of the Basic Knowledge Assessment Tool, Version 5.• Purpose To compare basic knowledge in critical care between nurses from the United States and nurses from other countries and to measure the reliability of the Basic Knowledge Assessment Tool, Version 5.• Sample Data were collected for 16 months from 682 critical care nurses: 528 from the United States and 154 from other countries.• Results The Basic Knowledge Assessment Tool, Version 5, was a reliable test for all nurses studied, regardless of country of origin. The level of knowledge of nurses from English-speaking countries other than the United States did not differ from that of nurses from the United States. Scores for nurses from non–English-speaking nations were lower than scores for nurses from the United States. The largest source of variance in scores among all subjects was the length of experience in critical care nursing.• Conclusions The Basic Knowledge Assessment Tool, Version 5, is a valid and reliable tool for assessing critical care nurses from the United States and the other countries studied. Critical care nurses from English-speaking countries scored higher than nurses from countries where the primary language is not English.

scholarly journals Evaluation of Unit Equivalency of Insulin Glargine to Insulin Detemir in an Acute Care Setting

2018 ◽  
Vol 34 (6) ◽  
pp. 239-243
Author(s):  
Elizabeth A. Cook ◽  
Taylor Gill ◽  
Scott Taylor
Keyword(s):  
Blood Glucose ◽  
Insulin Glargine ◽  
Acute Care ◽  
Insulin Detemir ◽  
Care Setting ◽  
Fasting Blood Glucose ◽  
The United States ◽  
Acute Care Setting ◽  
Glucose Lowering ◽  
Significant Difference

Background: Insulin glargine and insulin detemir are the most commonly prescribed basal insulins in the United States. While these analogs chemically differ, clinical trials have established no significant difference in efficacy. However, controversy remains as to whether the 2 agents are comparable with regard to unit equivalency. Objectives: To determine the ratio of glucose lowering between insulin detemir and insulin glargine. Methods: This institutional review board-approved, single-center, retrospective, case-crossover study was conducted in patients with diabetes mellitus with inpatient admissions between June 30, 2014, to July 1, 2015. Patients must have received both insulin detemir and insulin glargine on either the same or separate hospital visits. A blood glucose–lowering ratio for both insulin glargine and insulin detemir was calculated for each patient based off of up to 5 days of fasting blood glucose values and the total number of units of insulin administered. Results: Fifty-two patients were included in this study. No significant difference was found in the blood glucose–lowering ratio between insulin glargine (0.23 mg/dL/unit) as compared with insulin detemir (0.16 mg/dL/unit; P = .08). Conclusion: No difference was found in the blood glucose–lowering ratio between insulin glargine and insulin detemir. The results of this study suggest that conversion between insulin glargine and insulin detemir using a 1:1 ratio in an acute care setting may be appropriate.

Two Simple Glucose Tests Flag Diabetes in Acute Care Setting

2008 ◽  
Vol 1 (8) ◽  
pp. 8
Author(s):  
LEANNE SULLIVAN
Keyword(s):  
Acute Care ◽  
Care Setting ◽  
Acute Care Setting
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