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Journals and Conferences
PURPOSE/OBJECTIVES The aims of this study were to determine the feasibility of and test a multicomponent, nonpharmacologic, nurse-driven intervention for prevention of delirium. DESIGN This was a prospective, cohort pilot study. SETTING This study was carried out in a 12-bed medical intensive care unit in a Magnet-designated community hospital in a… (More)
In perioperative settings, medications are removed from manufacturers' identifying containers; therefore, scrub personnel should label medications placed on the sterile field. Compliance with medication labeling practices with the use of both blank and preprinted labels was tested in the OR at a Houston, Texas, hospital. Scrub personnel were more likely to… (More)
Critically ill patients require sedation to reduce anxiety, agitation, and achieve therapeutic goals. Over-sedation in combination with multiple causes for extreme muscle weakness, however, interferes with recovery from critical illness. This article describes contributing factors and explores methods of preventing over-sedation and related sequelae.
This ethnographic study of the VISICU eICU (VSISCU, Inc., Baltimore, MD) work environment in a large midwestern health care system describes everyday life working in a telemedicine intensive care. Data were gathered through 60 hours of observation and formal interviews of eICU clinician team members. Working in the remote telemedicine center, often referred… (More)
The Food and Drug Administration, drug manufacturers, and critical care experts recommend using peripheral nerve stimulators (PNSs) to monitor depth of blockade when administering neuromuscular blocking agents (NMBAs). This study evaluates critical care nurses' practices regarding use of PNSs, identifies problems associated with their use, and determines… (More)
BACKGROUND AND OBJECTIVE Few studies have tested the impact of motivational interviewing (MI) delivered by primary care providers on pediatric obesity. This study tested the efficacy of MI delivered by providers and registered dietitians (RDs) to parents of overweight children aged 2 through 8. METHODS Forty-two practices from the Pediatric Research in… (More)
Maximizing faculty resources using nonfaculty registered nurses to supervise high-fidelity human-patient simulation is an innovative strategy for addressing the nursing faculty shortage and preparing graduates to practice safely in hospitals. The authors describe their use of nonfaculty registered nurses and its outcomes.
Clinical nurse specialists (CNSs) are well-positioned to participate in the transformation of healthcare as outlined by the Institute of Medicine and called upon by the Patient Protection and Affordable Care Act of 2010. CNSs exercise their expertise through population-based care across three spheres of influence (patient/family, nurses/other professionals,… (More)
The views expressed in this report are those of the authors, not necessarily those of the Home Office (nor do they reflect Government policy). RDS is part of the Home Office. The Home Office's purpose is to build a safe, just and tolerant society in which the rights and responsibilities of individuals, families and communities are p roperly balanced and the… (More)
Great strides in reducing the incidence of ventilator-associated pneumonia (VAP) have occurred since prevention bundles were introduced with the “Save 100,000 Lives” campaign by the Institute for Healthcare Improvement (IHI). Critical care units everywhere have adopted and monitor compliance with the elements of the bundle. Through the use of these actions,… (More)