scholarly journals Increasing Critical Care Nurse Engagement of Palliative Care During the COVID-19 Pandemic

2020 ◽  
Vol 40 (6) ◽  
pp. e28-e36 ◽  
Author(s):  
William E. Rosa ◽  
Betty R. Ferrell ◽  
Clareen Wiencek
Keyword(s):  
Palliative Care ◽  
Critical Care ◽  
Care Delivery ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Strategic Integration ◽  
Care Integration ◽  
Specialist Services ◽  
Healthy Work Environments ◽  
Care Nursing

Background The coronavirus disease 2019 pandemic has led to escalating infection rates and associated deaths worldwide. Amid this public health emergency, the urgent need for palliative care integration throughout critical care settings has never been more crucial. Objective To promote palliative care engagement in critical care; share palliative care resources to support critical care nurses in alleviating suffering during the coronavirus disease 2019 pandemic; and make recommendations to strengthen nursing capacity to deliver high-quality, person-centered critical care. Methods Palliative and critical care literature and practice guidelines were reviewed, synthesized, and translated into recommendations for critical care nursing practice. Results Nurses are ideally positioned to drive full integration of palliative care into the critical care delivery for all patients, including those with coronavirus disease 2019, given their relationship-based approach to care, as well as their leadership and advocacy roles. Recommendations include the promotion of healthy work environments and prioritizing nurse self-care in alignment with critical care nursing standards. Conclusions Nurses should focus on a strategic integration of palliative care, critical care, and ethically based care during times of normalcy and of crisis. Primary palliative care should be provided for each patient and family, and specialist services sought, as appropriate. Nurse educators are encouraged to use these recommendations and resources in their curricula and training. Palliative care is critical care. Critical care nurses are the frontline responders capable of translating this holistic, person-centered approach into pragmatic services and relationships throughout the critical care continuum.

Determining AACN's research priorities for the 90s

1993 ◽  
Vol 2 (2) ◽  
pp. 110-117 ◽  
Author(s):  
R Lindquist ◽  
J Banasik ◽  
J Barnsteiner ◽  
PC Beecroft ◽  
S Prevost ◽  
...  
Keyword(s):  
Critical Care ◽  
Phase 1 ◽  
Research Priorities ◽  
Consensus Conference ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Research Topics ◽  
Research Committee ◽  
Priority Ranking ◽  
Care Nursing

The American Association of Critical-Care Nurses completed a three-phased process of priority identification for critical care nursing research. In phase 1, a 78-item survey was generated following a comprehensive review of potential research topics. In phase 2, approximately 1000 critical care nurses rated each item on the survey for importance to critical care nursing. Based on these results, the AACN Research Committee formulated a clinical and a nonclinical (contextual) list of research topics. Each list contained 25 topics. In phase 3, topics were given final rankings at a 1-day Consensus Conference on Research Priorities. Both Likert-type and magnitude estimation scaling were used to determine priority ranking of items on each list. As a result, both clinical and contextual research priorities were established for AACN.

Critical Care Nursing in Sri Lanka: Brief History and Recent Advances

2019 ◽  
Vol 13 (3) ◽  
pp. 110-117
Author(s):  
Gerald Williams ◽  
P. N. Sajeewani
Keyword(s):  
Critical Care ◽  
Sri Lanka ◽  
Critical Care Nurses ◽  
Policy Support ◽  
Critical Care Nursing ◽  
Nurse Training ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Career Development Plan ◽  
Care Nursing

This article summarizes the development of critical care nursing in Sri Lanka. After years of development, Sri Lanka steadily progresses to establish critical care medicine as a separate specialty with fully trained Intensivists and nurses playing pivotal roles. However, courses of critical care nurse training are still lacking. Other barriers in developing critical care nursing in Sri Lanka include lacking career development plan, financial and policy support. The formulation of the Sri Lanka Society of Critical Care Nurses is helpful to fill this gap and to build up a local critical care nursing community in Sri Lanka.

Palliative Care Communication in the ICU: Implications for an Oncology-Critical Care Nursing Partnership

2017 ◽  
Vol 33 (5) ◽  
pp. 544-554 ◽  
Author(s):  
Deborah A. Boyle ◽  
Susan Barbour ◽  
Wendy Anderson ◽  
Janice Noort ◽  
Michelle Grywalski ◽  
...  
Keyword(s):  
Palliative Care ◽  
Critical Care ◽  
Critical Care Nursing ◽  
Care Nursing

scholarly journals Effect of an educational programme on critical care nurses’ competence at two tertiary hospitals in Malawi

2021 ◽  
Vol 33 (4) ◽  
pp. 236-241
Author(s):  
Rodwell Gundo ◽  
Beatrice Gundo ◽  
Ellen Chirwa ◽  
Annette Dickinson ◽  
Gael Janine Mearns
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Educational Programme ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Nursing Competence ◽  
Competence Scale ◽  
Tertiary Hospitals ◽  
Care Nursing

BackgroundCritical care specialty deals with the complex needs of critically ill patients. Nurses who provide critical care are expected to possess the appropriate knowledge and skills required for the care of critically ill patients. The aim of this study was to assess the effect of an educational programme on the competence of critical care nurses at two tertiary hospitals in Lilongwe and Blantyre, Malawi.MethodsA quantitative pre- and post-test design was applied. The training programme was delivered to nurses (n = 41) who worked in intensive care and adult high dependency units at two tertiary hospitals. The effect of the training was assessed through participants’ self-assessment of competence on the Intensive and Critical Care Nursing Competence Scale and a list of 10 additional competencies before and after the training.ResultsThe participants’ scores on the Intensive and Critical Care Nursing Competence Scale before the training, M = 608.2, SD = 59.6 increased significantly after the training, M = 684.7, SD = 29.7, p <.0001 (two-tailed). Similarly, there was a significant increase in the participants’ scores on the additional competencies after the training, p <.0001 (two-tailed). ConclusionThe programme could be used for upskilling nurses in critical care settings in Malawi and other developing countries with a similar context.

Evolving trends in critical care nursing practice: results of a certification role delineation study

1999 ◽  
Vol 8 (5) ◽  
pp. 285-290 ◽  
Author(s):  
M Biel ◽  
JA Eastwood ◽  
P Muenzen ◽  
S Greenberg
Keyword(s):  
Critical Care ◽  
Focus Groups ◽  
Large Scale ◽  
Nursing Practice ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Role Delineation ◽  
Practice Methods ◽  
The Impact ◽  
Care Nursing

BACKGROUND: In 1997, the AACN Certification Corporation, in conjunction with Professional Examination Service, undertook a role delineation study as 1 component of a large-scale, comprehensive, and systematic study of practice to update previous data. Focus groups made up of practicing critical care nurses were used to determine trends and changes in adult, pediatric, and neonatal critical care nursing practice. METHODS: Sixteen focus groups (6 adult, 5 pediatric, and 5 neonatal) used specially prepared protocols to guide discussions. Questions were designed to elicit descriptions of changes in critical care nursing practice in the preceding 5 years. Qualitative comments of the participants were analyzed across all the focus groups, rather than separately for the adult, pediatric, and neonatal focus groups. Then data for the focus groups for each patient-age range were aggregated and reviewed to abstract themes. RESULTS: Trends and changes in practice for adult, pediatric, and neonatal critical care nurses were determined. Common themes include ethical and legal issues, changes in the population of patients, psychosocial factors, and the impact of managed care. CONCLUSIONS: The results of these focus groups can be used to update the test blueprints that underlie the CCRN certification examination programs for adult, pediatric, and neonatal critical care nurses. Critical care nursing practice is changing. Specific knowledge of the changes is important for educators, managers, and clinicians. The results of this role delineation study can be used to teach, adapt systems, and validate practice.

Changing the Work Environment in Intensive Care Units to Achieve Patient-Focused Care: The Time Has Come

2006 ◽  
Vol 15 (6) ◽  
pp. 541-548 ◽  
Author(s):  
Kathleen McCauley ◽  
Richard S. Irwin
Keyword(s):  
Critical Care ◽  
Work Environment ◽  
American Association ◽  
Care Delivery ◽  
Professional Community ◽  
Critical Care Nurses ◽  
Work Environments ◽  
Care Practice ◽  
Healthy Work ◽  
Healthy Work Environments

The American Association of Critical-Care Nurses Standards for Establishing and Sustaining Healthy Work Environments and the American College of Chest Physicians Patient-Focused Care project are complementary initiatives that provide a road map for creating practice environments where interdisciplinary, patient-focused care can thrive. Healthy work environments are so influential that failure to address the issue would result in deleterious effects for every aspect of acute and critical care practice. Skilled communication and true collaboration are crucial for transforming work environments. The American College of Chest Physicians project on patient-focused care was born out of a realization that medicine as currently practiced is too fragmented, too focused on turf battles that hinder communication, and too divorced from a real understanding of what patients expect and need from their healthcare providers. Communication as well as continuity and concordance with the patients’ wishes are foundational premises of care that is patient-focused and safe. Some individuals may achieve some level of genuine patient-focused care even when they practice in a toxic work environment because they are gifted communicators who embrace true collaboration. At best, most likely those efforts will be hit-or-miss and such heroism will be impossible to sustain if the environment is not transformed into a model that reflects standards and initiatives set out by the American Association of Critical-Care Nurses and the American College of Chest Physicians. Other innovative models of care delivery remain unreported. The successes and failures of these models should be shared with the professional community.

Critical care nursing in the 21st century

1990 ◽  
Vol 10 (9) ◽  
pp. 8-16 ◽  
Author(s):  
JG Alspach
Keyword(s):  
Critical Care ◽  
21St Century ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Care Nursing

This paper has explored some of the major trends that we can anticipate encountering as we enter the 21st century. Critical care nurses who wish to participate proactively in shaping their professional destiny will listen closely to what futurists have to say about life in the decades ahead. The more we know about what to anticipate, the more informed our decisions will be, and the more likely we will make our desired future a reality.

Grief and Critical Care Nursing: Occurrence and Resolution

2005 ◽  
Vol 59 (3) ◽  
pp. 237-246 ◽  
Author(s):  
Silas M. Weir
Keyword(s):  
Critical Care ◽  
Management Education ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Patient Death ◽  
Critical Care Units ◽  
University Of Colorado ◽  
The University ◽  
Grief Ministry ◽  
Care Nursing

This article reports on research designed to assess the level of grief and the mechanisms of resolution experienced by critical care nurses as they relate to patient death. This prospective exploratory, descriptive study surveyed Registered Nurses (N=92) assigned to Critical Care Units at the University of Colorado Hospital in Denver, Colorado. Based on the findings, the author offers suggestions for ways to provide grief management education to staff as well as timely grief ministry by chaplains.

Prolonged Paralysis and Apnea After Receiving a Neuromuscular Blocking Agent: What Nurses Should Know

2009 ◽  
Vol 18 (6) ◽  
pp. 592-588 ◽  
Author(s):  
Kathryn S. Jaramillo ◽  
Elizabeth Scruth ◽  
Eugene Cheng
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Blocking Agent ◽  
Neuromuscular Blocking ◽  
Neuromuscular Blocking Agent ◽  
Critical Care Nurses ◽  
Critical Care Nursing ◽  
Ventilator Support ◽  
Prolonged Apnea ◽  
Care Nursing

After receiving mivacurium, a short-acting neuromuscular blocking agent used for intubation before surgery, a patient experienced prolonged paralysis and prolonged apnea that required ventilator support. Although this complication is rare, all critical care nurses should be aware of it so they can be competent in managing and providing holistic and comprehensive nursing care to the patient and the patient’s family. Although this complication has been documented in the anesthesia literature, it has received little mention in critical care nursing journals.

scholarly journals Alternative Approaches to Mentoring

2021 ◽  
Vol 41 (1) ◽  
pp. e9-e16
Author(s):  
Joni L. Dirks
Keyword(s):  
Critical Care ◽  
Critical Care Nurses ◽  
Mentoring Programs ◽  
Critical Care Nursing ◽  
Careful Planning ◽  
Poor Access ◽  
Effective Program ◽  
Alternative Approaches ◽  
Common Barriers ◽  
Care Nursing

Topic Various approaches facilitate mentoring for critical care nurses. Clinical Relevance Mentoring is an important strategy to help recruit, retain, and develop nurses with critical care expertise. Mentoring benefits nurses at all career stages, from novice to expert. Effective mentoring programs benefit not only mentors and mentees but also organizations and patients by ensuring adequate numbers of nurses with critical care knowledge and skills. Purpose Mentoring programs require careful planning to ensure that the objectives of the program align with the needs of the target audience, and that adequate resources are available to support the mentor-mentee relationship. This article identifies opportunities for mentoring in critical care nursing and provides recommendations from the literature for developing an effective program. Content Covered Various objectives for mentoring programs are described, including supporting retention, providing clinical development, and planning succession. Program logistics are explored, such as selecting mentors, matching mentors with mentees, setting goals and expectations, and evaluating the program. In addition, the article identifies strategies for overcoming common barriers to mentoring, which include a lack of time and poor access to qualified mentors.

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