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Journal articles on the topic 'Critical care environment'

Author: Grafiati
Published: 4 June 2021
Last updated: 18 February 2022

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1

Gambacorta, Cathy, and Lisa Charrin. "Equipping the Critical Care Environment." Critical Care Nursing Quarterly 34, no. 4 (2011): 306–16. http://dx.doi.org/10.1097/cnq.0b013e31822b9025.

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2

Felver, Linda. "Patient-Environment Interactions in Critical Care." Critical Care Nursing Clinics of North America 7, no. 2 (June 1995): 327–35. http://dx.doi.org/10.1016/s0899-5885(18)30407-6.

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3

Haskins, N., and J. Soldan. "Noise in the critical care environment." Critical Care 14, Suppl 1 (2010): P450. http://dx.doi.org/10.1186/cc8682.

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4

Gregory, Mary M. "On humanizing the critical care environment." Critical Care Nursing Quarterly 16, no. 3 (November 1993): 1–6. http://dx.doi.org/10.1097/00002727-199311000-00002.

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5

Fink, Anne M. "Sleep Neurobiology and the Critical Care Environment." Critical Care Nurse 40, no. 4 (August 1, 2020): e1-e6. http://dx.doi.org/10.4037/ccn2020432.

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Topic Sleep in the intensive care unit can be poorly consolidated and highly fragmented. This review examines the neurobiology of normal and abnormal sleep, with a focus on the changes that occur in the intensive care unit environment. Clinical Relevance Patients in the intensive care unit demonstrate a lack of rapid-eye-movement sleep and an inability to effectively transition from light to deep stages of sleep. These abnormalities can adversely affect hemodynamic parameters and physiological and psychological outcomes. Purpose To describe the brain mechanisms and electroencephalographic characteristics of wakefulness and the different stages of sleep. This review also describes how sleep can be altered by hospitalization in the intensive care unit and how nurses can design interventions that improve sleep and outcomes. Content Covered The review examines sleep mechanisms, including brain electrical activity, regulatory centers in the brain, and circadian and diurnal patterns of sleep and hemodynamic function. Nursing interventions for specific patient risk factors in the intensive care unit are proposed.
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Tracy, Mary Fran. "Supporting Nurses in the Critical Care Environment." AACN Advanced Critical Care 28, no. 4 (December 15, 2017): 343–44. http://dx.doi.org/10.4037/aacnacc2017226.

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7

Busse, Laurence, Danielle L. Davison, Christopher Junker, and Lakhmir S. Chawla. "Hemodynamic Monitoring in the Critical Care Environment." Advances in Chronic Kidney Disease 20, no. 1 (January 2013): 21–29. http://dx.doi.org/10.1053/j.ackd.2012.10.006.

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8

Smith, Kimberly K. "Critical care nursing in an austere environment." Critical Care Medicine 36, Suppl (July 2008): S297—S303. http://dx.doi.org/10.1097/ccm.0b013e31817daa01.

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9

Rung, George W., and Wayne K. Marshall. "Nerve Blocks in the Critical Care Environment." Critical Care Clinics 6, no. 2 (April 1990): 343–67. http://dx.doi.org/10.1016/s0749-0704(18)30379-8.

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10

Rossi, Peter J., and Charles E. Edmiston. "Patient Safety in the Critical Care Environment." Surgical Clinics of North America 92, no. 6 (December 2012): 1369–86. http://dx.doi.org/10.1016/j.suc.2012.08.007.

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Molter, Nancy C. "Creating a healing environment for critical care." Critical Care Nursing Clinics of North America 15, no. 3 (September 2003): 295–304. http://dx.doi.org/10.1016/s0899-5885(02)00049-7.

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12

BERRY, DONALD A. "Clinical research in the critical care environment." Critical Care Medicine 21, Supplement (September 1993): S400—S401. http://dx.doi.org/10.1097/00003246-199309001-00069.

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13

Benedict, Lara. "Surviving Sepsis in the Critical Care Environment." Critical Care Nursing Quarterly 38, no. 2 (2015): 137–42. http://dx.doi.org/10.1097/cnq.0000000000000054.

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14

Spicer, J. G., M. Robinson, Baltimore, Williams, and Wilkins. "Managing the Environment in Critical Care Nursing." Dimensions of Critical Care Nursing 10, no. 3 (May 1991): 168. http://dx.doi.org/10.1097/00003465-199105000-00007.

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15

Revell, Maria A., Marcia Pugh, Tasha L. Smith, and Leigh Ann McInnis. "Radiographic Studies in the Critical Care Environment." Critical Care Nursing Clinics of North America 22, no. 1 (March 2010): 41–50. http://dx.doi.org/10.1016/j.ccell.2009.10.013.

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16

South, Tabitha, and Brigette Adair. "Open Access in the Critical Care Environment." Critical Care Nursing Clinics of North America 26, no. 4 (December 2014): 525–32. http://dx.doi.org/10.1016/j.ccell.2014.08.008.

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17

Ulrich, Beth T., Ramón Lavandero, Dana Woods, and Sean Early. "Critical Care Nurse Work Environments 2013: A Status Report." Critical Care Nurse 34, no. 4 (August 1, 2014): 64–79. http://dx.doi.org/10.4037/ccn2014731.

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Background The health of critical care nurse work environments has been shown to affect patient care outcomes as well as the job satisfaction and retention of registered nurses. The American Association of Critical-Care Nurses (AACN) Critical Care Nurse Work Environment Survey was first conducted in 2006 following the release of the AACN Standards for Establishing and Sustaining a Healthy Work Environment and was conducted again in 2008. This article reports the results of the third AACN Critical Care Nurse Work Environment Survey conducted in 2013. Objective To evaluate the current state of critical care nurse work environments. Methods A total of 8444 AACN members and constituents responded to an online survey. Results The overall health of critical care nurses’ work environments has declined since 2008, as have nurses’ perceptions of the quality of care. Respondents rated their overall work environment and factors associated with healthy work environments including quality of patient care, staffing, communication and collaboration, respect, physical and mental safety, moral distress, nursing leadership, support for certification and continuing education, meaningful recognition, job satisfaction, and career plans. Although some factors improved, declines in any factors are a concern. Conclusions An increasing body of evidence has shown relationships between healthy nurse work environments and patient outcomes. The results of this 2013 survey identified areas in which the health of critical care nurse work environments needs attention and care, requiring the relentless true collaboration of everyone involved.
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18

Ulrich, Beth, Connie Barden, Linda Cassidy, and Natasha Varn-Davis. "Critical Care Nurse Work Environments 2018: Findings and Implications." Critical Care Nurse 39, no. 2 (April 1, 2019): 67–84. http://dx.doi.org/10.4037/ccn2019605.

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BACKGROUNDThe health of critical care nurse work environments affects patient and nurse outcomes. The results of the 2018 Critical Care Nurse Work Environment Study are reported here with comparisons to previous studies and recommendations for continued improvement.OBJECTIVETo evaluate the current state of critical care nurse work environments.METHODSAn online survey was used to collect quantitative and qualitative data for this mixed-methods study. A total of 8080 American Association of Critical-Care Nurses (AACN) members and constituents responded to the survey.RESULTSThe health of critical care nurse work environments has improved since the previous study in 2013; however, there are still areas of concern and opportunities for improvement. Key findings include documented absence of appropriate staffing by more than 60% of participants; an alarming number of physical and mental well-being issues (198 340 incidents reported by 6017 participants); one-third of the participants expressed intent to leave their current positions in the next 12 months; and evidence of the positive outcomes of implementing the AACN Healthy Work Environment standards.CONCLUSIONEvidence of the relationship between healthy nurse work environments and patient and nurse outcomes continues to increase. The results of this study provide evidence of the positive relationship between implementation of the AACN Healthy Work Environment standards and the health of critical care nurse work environments, between the health of critical care nurse work environments and job satisfaction, and between job satisfaction and the intent of critical care nurses to leave their current positions or stay.
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19

Kornienko, Anna. "Intensive Care Unit Environment and Sleep." Critical Care Nursing Clinics of North America 33, no. 2 (June 2021): 121–29. http://dx.doi.org/10.1016/j.cnc.2021.01.002.

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20

Boltz, Marie. "A System-Level Approach to Improving the Care of the Older Critical Care Patient." AACN Advanced Critical Care 22, no. 2 (April 1, 2011): 142–49. http://dx.doi.org/10.4037/nci.0b013e31821455c9.

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As the population continues to age, the specialized needs of older adult patients warrant the close attention of the critical care nurse. The combination of critical illness, age-related changes, multiple comorbidities, and the hospital environment can make the diagnosis and management of the older adult’s critical illness challenging. The NICHE (Nurses Improving Care for Healthsystem Elders) program provides a framework to create an aging-sensitive care environment in the critical care setting. The Geriatric Resource Nurse model is the foundation of the program. The goals of NICHE are to support nursing departments to (1) bring evidence- based geriatric practice to the bedside; (2) build patient- and family-centered environments; (3) cultivate healthy and productive practice environments aligned with meeting the specialized needs of older adults and their families (“geriatric nursing practice environments”); and (4) conduct comprehensive measurement of geriatric initiatives.
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21

Kritek, Phyllis Beck. "Rethinking the Critical Care Environment: Luxury or Necessity?" AACN Clinical Issues: Advanced Practice in Acute and Critical Care 12, no. 3 (August 2001): 336–44. http://dx.doi.org/10.1097/00044067-200108000-00002.

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22

Choi, Jeungok, Suzanne Bakken, Elaine Larson, Yunling Du, and Patricia W. Stone. "Perceived Nursing Work Environment of Critical Care Nurses." Nursing Research 53, no. 6 (November 2004): 370–78. http://dx.doi.org/10.1097/00006199-200411000-00005.

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23

Mellott, Karen G., Pamela B. Sharp, and Lynn M. Anderson. "Biobehavioral Measures in a Critical-Care Healing Environment." Journal of Holistic Nursing 26, no. 2 (June 2008): 128–35. http://dx.doi.org/10.1177/0898010107306690.

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24

Stroupe, Jocelyn M. "Design for Safety in the Critical Care Environment." Critical Care Nursing Quarterly 37, no. 1 (2014): 103–14. http://dx.doi.org/10.1097/cnq.0000000000000009.

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25

Smith, Maureen K., and Virginia Lohmann Nodhturft. "Recognition of Triangles in the Critical Care Environment." Clinical Nurse Specialist 2, no. 2 (1988): 66–68. http://dx.doi.org/10.1097/00002800-198800220-00003.

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26

Jacobson, L., N. Shelley, and D. Tupy. "192 Advanced Directives in the Critical Care Environment." Annals of Emergency Medicine 60, no. 4 (October 2012): S69. http://dx.doi.org/10.1016/j.annemergmed.2012.06.169.

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27

Morton, PG. "Academic education. Creating a laboratory that simulates the critical care environment." Critical Care Nurse 16, no. 6 (December 30, 1996): 76–81. http://dx.doi.org/10.4037/ccn1996.16.6.76.

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Educating students and practicing nurses for the complexities and demands of critical care is a challenge. Training in a laboratory that simulates the critical care setting is an excellent teaching method that can be used to supplement lectures and clinical experiences. Developing such a laboratory is an exciting and rewarding process that will promote learning and ultimately benefit the care of critically ill patients.
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28

Patricia, Lickman, Lillian Simms, and Connie Greene. "Learning Environment." Dimensions of Critical Care Nursing 13, no. 4 (July 1994): 200. http://dx.doi.org/10.1097/00003465-199407000-00005.

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29

Gohery, Patricia, and Teresa Meaney. "Nurses’ role transition from the clinical ward environment to the critical care environment." Intensive and Critical Care Nursing 29, no. 6 (December 2013): 321–28. http://dx.doi.org/10.1016/j.iccn.2013.06.002.

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30

McNeill, Margaret M. "Critical Care Performance in a Simulated Military Aircraft Cabin Environment." Critical Care Nurse 38, no. 2 (April 1, 2018): 18–29. http://dx.doi.org/10.4037/ccn2018700.

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BACKGROUND Critical Care Air Transport Teams care for 5% to 10% of injured patients who are transported on military aircraft to definitive treatment facilities. Little is known about how the aeromedical evacuation environment affects care. OBJECTIVES To determine the effects of 2 stressors of flight, altitude-induced hypoxia and aircraft noise, and to examine the contributions of fatigue and clinical experience on cognitive and physiological performance of the Critical Care Air Transport Team. METHODS This repeated measures 2 × 2 × 4 factorial study included 60 military nurses. The participants completed a simulated patient care scenario under aircraft cabin noise and altitude conditions. Differences in cognitive and physiological performance were analyzed using repeated measures analysis of variance. A multiple regression model was developed to determine the independent contributions of fatigue and clinical experience. RESULTS Critical care scores (P = .02) and errors and omissions (P = .047) were negatively affected by noise. Noise was associated with increased respiratory rate (P = .02). Critical care scores (P < .001) and errors and omissions (P = .002) worsened with altitude-induced hypoxemia. Heart rate and respiratory rate increased with altitude-induced hypoxemia; oxygen saturation decreased (P < .001 for all 3 variables). CONCLUSION In a simulated military aircraft environment, the care of critically ill patients was significantly affected by noise and altitude-induced hypoxemia. The participants did not report much fatigue and experience did not play a role, contrary to most findings in the literature.
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31

Maiden, Jeanne M. "Is your work environment healthy?" Nursing Critical Care 5, no. 2 (March 2010): 32–35. http://dx.doi.org/10.1097/01.ccn.0000369216.61745.24.

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32

Jawa, MD, Randeep S., Jagtar S. Heir, DO, David Cancelada, MD, David H. Young, MD, and David W. Mercer, MD. "A quick primer for setting up and maintaining surgical intensive care in an austere environment: Practical tips from volunteers in a mass disaster." American Journal of Disaster Medicine 7, no. 3 (July 1, 2012): 223–29. http://dx.doi.org/10.5055/ajdm.2012.0097.

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The provision of critical care in any environment is resource intensive. However, the provision of critical care in an austere environment/mass disaster zone is particularly challenging.While providers are well trained for care in a modern intensive care unit, they may be underprepared for resource-poor environments where there are limited or unfamiliar equipment and fewer support personnel. Based primarily on our experiences at a field hospital in Haiti, we created a short guide to critical care in a mass disaster in an austere environment. This guide will be useful to the team of physicians, nurses, respiratory care, logistics, and other support personnel who volunteer in future critical care relief efforts in limited resource settings.
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Fakhry, Samir M. "BILLING, CODING, AND DOCUMENTATION IN THE CRITICAL CARE ENVIRONMENT." Surgical Clinics of North America 80, no. 3 (June 2000): 1067–83. http://dx.doi.org/10.1016/s0039-6109(05)70114-6.

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34

Robinson, Carol A. "Magnet Nursing Services Recognition: Transforming the Critical Care Environment." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 12, no. 3 (August 2001): 411–23. http://dx.doi.org/10.1097/00044067-200108000-00009.

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35

Kleinpell-Nowell, Ruth. "Magnet Nursing Services Recognition: Transforming the Critical Care Environment." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 12, no. 3 (August 2001): 455–57. http://dx.doi.org/10.1097/00044067-200108000-00013.

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36

Daggett, Luann M. "A Stressor Identification Exercise for the Critical Care Environment." Nurse Educator 24, no. 2 (March 1999): 6–7. http://dx.doi.org/10.1097/00006223-199903000-00004.

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37

Freeman, Bradley D., and Howard L. McLeod. "Challenges of implementing pharmacogenetics in the critical care environment." Nature Reviews Drug Discovery 3, no. 1 (January 2004): 88–93. http://dx.doi.org/10.1038/nrd1285.

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38

Kelly, D., A. Kutney-Lee, E. T. Lake, and L. H. Aiken. "The Critical Care Work Environment and Nurse-Reported Health Care-Associated Infections." American Journal of Critical Care 22, no. 6 (November 1, 2013): 482–88. http://dx.doi.org/10.4037/ajcc2013298.

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39

Venticinque, Steven G., and Kurt W. Grathwohl. "Critical care in the austere environment: Providing exceptional care in unusual places." Critical Care Medicine 36, Suppl (July 2008): S284—S292. http://dx.doi.org/10.1097/ccm.0b013e31817da8ec.

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40

Tunlind, Adam, John Granström, and Åsa Engström. "Nursing care in a high-technological environment: Experiences of critical care nurses." Intensive and Critical Care Nursing 31, no. 2 (April 2015): 116–23. http://dx.doi.org/10.1016/j.iccn.2014.07.005.

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41

Donahue, Lisa, Sandra Rader, and Pamela Klauer Triolo. "Nurturing Innovation in the Critical Care Environment: Transforming Care at the Bedside." Critical Care Nursing Clinics of North America 20, no. 4 (December 2008): 465–69. http://dx.doi.org/10.1016/j.ccell.2008.08.009.

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42

Bitan, Yuval, Roy Ilan, Steven D. Harris, and Keith S. Karn. "Multidisciplinary Approach to Critical Care Design." Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 5, no. 1 (June 2016): 31–37. http://dx.doi.org/10.1177/2327857916051008.

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The goal of this project is to improve clinical decision-making in the intensive care unit (ICU) environment. Making the optimal decisions depends on the quality and timeliness of the information available to the clinician. We believe that healthcare professionals will make better clinical decisions when the relevant information is collected and organized in a manner appropriate to support in situ decision-making. This is especially important in complex situations such those commonly encountered in the ICU environment. Currently there is no single integrated source of information that presents relevant information to clinicians. This project is developing methods to identify the core information required to engineer the information exchange among medical devices, and the information presentation layer, to support clinical decision-making in the ICU.
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43

Kelly, Lesly, and Michael Todd. "Compassion Fatigue and the Healthy Work Environment." AACN Advanced Critical Care 28, no. 4 (December 15, 2017): 351–58. http://dx.doi.org/10.4037/aacnacc2017283.

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Background:Burnout is a concern for critical care nurses in high-intensity environments. Studies have highlighted the importance of a healthy work environment in promoting optimal nurse and patient outcomes, but research examining the relationship between a healthy work environment and burnout is limited.Objective:To examine how healthy work environment components relate to compassion fatigue (eg, burnout, secondary trauma) and compassion satisfaction.Methods:Nurses (n = 105) in 3 intensive care units at an academic medical center completed a survey including the Professional Quality of Life and the American Association of Critical-Care Nurses’ Healthy Work Environment standards.Results:Regression models using each Healthy Work Environment component to predict each outcome, adjusting for background variables, showed that the 5 Healthy Work Environment components predicted burnout and that meaningful recognition and authentic leadership predicted compassion satisfaction.Conclusions:Findings on associations between healthy work environment standards and burnout suggest the potential importance of implementing the American Association of Critical-Care Nurses’ Healthy Work Environment standards as a mechanism for decreasing burnout.
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44

Richards, Kathy Culpepper. "Sleep Promotion in the Critical Care Unit." AACN Advanced Critical Care 5, no. 2 (May 1, 1994): 152–58. http://dx.doi.org/10.4037/15597768-1994-2007.

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Promoting the quiet and relaxation necessary for sleep in a busy, noisy critical care environment is a problem critical care nurses face daily. Descriptive studies have defined and increased understanding of this problem, but few interventional studies have been accomplished. Interventions that have demonstrated significant improvements in sleep quality in the critical care environment are an audiotape of the sounds of the ocean or rain, a masking signal, and a back massage
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45

Johnson, Nancy Drew. "Collaboration—An environment for optimal outcome." Critical Care Nursing Quarterly 15, no. 3 (November 1992): 37–43. http://dx.doi.org/10.1097/00002727-199211000-00007.

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46

Cox, Jill, and Marilyn Schallom. "Pressure Injuries in Critical Care: A Survey of Critical Care Nurses." Critical Care Nurse 37, no. 5 (October 1, 2017): 46–55. http://dx.doi.org/10.4037/ccn2017928.

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BACKGROUND Critical care nurses must be able to skillfully balance the prevention of adverse events such as pressure injuries in an environment with multiple competing and lifesaving technologies that often take precedent. Despite strategies to prevent them, pressure injuries do occur in intensive care unit patients, and consensus is building that some pressure injuries are unavoidable. OBJECTIVES To determine critical care nurses’ attitudes toward prevention of pressure injury and the perceptions of frontline critical care nurses of specific risk factors associated with unavoidable pressure injuries. METHODS A descriptive cross-sectional survey design was used. An online survey was posted on the newsletter website of the American Association of Critical-Care Nurses in January 2016. RESULTS An invitation to participate in the study was emailed to more than 3000 members of the association; 333 nurses responded, for a response rate of approximately 11%. Among the responders, 73% were employed as bedside critical care nurses. More than half (67%) thought that pressure injuries are avoidable, and 66% disagreed that pressure injury prevention was of less interest than other aspects of critical care. The top 2 risk factors for unavoidable pressure injuries were impaired tissue perfusion and impaired tissue oxygenation. CONCLUSION Critical care nurses are steadfast stewards of safe patient care and think that pressure injury prevention is a crucial aspect of the care they deliver every day. The findings on risk factors for unavoidable pressure injuries mirrored those of experts and provide a layer of support for these factors.
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Miracle, Vickie A. "A Healthy Work Environment." Dimensions of Critical Care Nursing 27, no. 1 (January 2008): 42–43. http://dx.doi.org/10.1097/01.dcc.0000304677.60111.8a.

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48

Hiler, Catherine A., Ronald L. Hickman, Andrew P. Reimer, and Kimberly Wilson. "Predictors of Moral Distress in a US Sample of Critical Care Nurses." American Journal of Critical Care 27, no. 1 (January 1, 2018): 59–66. http://dx.doi.org/10.4037/ajcc2018968.

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BackgroundMoral distress in registered nurses causes decreased job satisfaction, turnover in staffing, burnout, and heightened states of psychological distress. To date, investigation of modifiable factors, such as perceptions of the practice environment and patient safety, among a diverse sample of critical care nurses has been limited.ObjectiveTo explore the relationships among the severity of moral distress, the practice environment, and patient safety in a national sample of critical care nurses.MethodsCritical care nurses experienced in working with adults (> 1 year of intensive care unit experience) and who were subscribers to the American Association of Critical-Care Nurses’ e-mail listserv and social media sites anonymously participated in this descriptive study. Participants completed a demographic questionnaire, the Moral Distress Scale–Revised, and the Practice Environment Scale of the Nursing Work Index. Descriptive statistics, bivariate correlation coefficients, and a hierarchical regression analysis were used to describe the sample characteristics and to assess relationships among the study variables.ResultsOf a national sample of 328 critical care nurses, 56% had less than 20 years of experience as a registered nurse. Moral distress was modestly associated with negative perceptions of the practice environment and patient safety. Job satisfaction, practice environment, and the participant’s age were statistically significant predictors of moral distress in this sample.ConclusionsModifications of organizational factors such as the development of healthy work environments that promote collegial relationships could reduce moral distress among critical care nurses.
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Pill, MW. "Ibutilide: a new antiarrhythmic agent for the critical care environment." Critical Care Nurse 17, no. 3 (June 1, 1997): 19–22. http://dx.doi.org/10.4037/ccn1997.17.3.19.

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50

Hammond, Fiona. "Considering the needs of families in the critical care environment." Australian Critical Care 15, no. 1 (February 2002): 42–43. http://dx.doi.org/10.1016/s1036-7314(02)80043-1.

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