Academic literature on the topic 'Critical care nurses'

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Journal articles on the topic "Critical care nurses"

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Franjić, Siniša. "Critical Care Nursing." Iberoamerican Journal of Medicine 2, no. 3 (2020): 183–87. http://dx.doi.org/10.53986/ibjm.2020.0033.

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Everyday routine jobs, as well as suddenly specific situations, as well as severe medical conditions of a nurse, can be considerably psychophysically exhausted. It is therefore important for nurses to find a model to deal effectively with stress and the severity of working conditions. Higher levels of education and lifelong learning contribute to finding new strategies that facilitate work in the intensive care unit. Qualities that give importance to nurse's are communication skills, emotional stability, empathy, flexibility, interpersonal skills, physical endurance, respect, knowledge and man
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House-Kokan, Michelle, and Simmie Kalan. "Precepting in critical care: Building the future of critical care nursing." Canadian Journal of Critical Care Nursing 34, no. 3 (2023): 6–8. http://dx.doi.org/10.5737/23688653-3437.

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Precepting new graduate nurses and experienced nurses new to the critical care specialty is vital to supporting the growth and development of the critical care nursing profession. However, in today’s healthcare and social climates, together with the ongoing global shortage of nurses, preceptors often have little preparation or support for this crucial role. This article is the first in a series that aims to support new and experienced critical care nurse preceptors as they guide those who will be the future of critical care nursing. Keywords: clinical education, preceptor, precepting, teaching
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Oja, Kenneth John. "Incivility and Professional Comportment in Critical Care Nurses." AACN Advanced Critical Care 28, no. 4 (2017): 345–50. http://dx.doi.org/10.4037/aacnacc2017106.

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Background: Civility among critical care nurses is important for achieving positive patient outcomes. Professional comportment refers to nurse behaviors that are respectful, knowledgeable, deliberate, and compassionate. Objective: To examine the relationship between perceptions of nurse-to-nurse incivility and professional comportment among critical care nurses, and the extent to which nurse characteristics influence their perceptions. Methods: Data were collected from nurses in 14 critical care units. Correlational analysis examined the relationship between nurses’ perceptions of nurse-to-nur
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Williams, Lisa-Mae, Dawn Carpenter, Marie Mercier, Erin Reynolds, and Theresa Davis. "Healthy Work Environment Standards in Tele–Critical Care Nursing." AACN Advanced Critical Care 34, no. 4 (2023): 350–58. http://dx.doi.org/10.4037/aacnacc2023407.

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The COVID-19 pandemic exacerbated staffing challenges in intensive care units, with increased burnout and moral distress cited as major problems. A healthy work environment is critical to nurses’ success and wellbeing. During the pandemic, a survey by the American Association of Critical-Care Nurses revealed decreased composite scores in each of the 6 critical elements of a healthy work environment. Hospital units that improved even 1 critical element reported higher job satisfaction. The use of telehealth tools by expert nurses expanded care delivery during the pandemic by improving response
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Mohamad, Norfidah, Zamzaliza Abdul Mulud, Siti Faziratul Hanim Abd Rahman, and Aries Abiyoga. "Differences in Critical Thinking and Decision Making among Critical Care and Non-Critical Care Nurses." Environment-Behaviour Proceedings Journal 7, no. 21 (2022): 181–86. http://dx.doi.org/10.21834/ebpj.v7i21.3733.

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Critical thinking and decision-making are essential for nurses to identify and analyze judgments for nursing care. Hence, this study aims to determine critical thinking and clinical decision-making among critical and non-critical care nurses. A cross-sectional study was conducted among 237 nurses using a self-administered questionnaire. This study discovered that critical and non-critical care nurses had a modest level of critical thinking and clinical decision-making. The findings of this study can serve as a guide for nursing administration employees in implementing effective techniques to e
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Hull, Stacy, Benson Yeung, Janet Sohal, Jim D'Alfonso, and Luis Perez. "Reinvigorating Critical Care Nurses Post-Pandemic Through a Critical Care Certification Pilot Program." International Journal of Critical Care 17, no. 1 (2023): 47–54. http://dx.doi.org/10.29173/ijcc61.

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Background In 2022, after two and a half long years of caring for COVID-19 patients on the frontlines, critical care nurses were burnt out and leaving the bedside. Aim To reinvigorate critical care nurses, a large multisystem healthcare organization’s Nurse Scholars Academy partnered with Springer Publishing to offer a dynamic self-paced online review course for the critical care certification exam. Methods Recruitment strategies for all regional critical care departments were implemented through education departments at each facility. Springer Publishing would provide participating nurses wit
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Simon, SK, K. Phillips, S. Badalamenti, J. Ohlert, and J. Krumberger. "Current practices regarding visitation policies in critical care units." American Journal of Critical Care 6, no. 3 (1997): 210–17. http://dx.doi.org/10.4037/ajcc1997.6.3.210.

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BACKGROUND: Previous research has emphasized the importance of visitation in critical care units and its beneficial effects on patients and their families. However, nurses' attitudes and beliefs about visitation did not correlate with those of patients and their families, nor did actual visitation practices correlate with written policy. OBJECTIVE: To investigate nurses' perceptions about open vs restricted visiting hours and the effects on the patient, the patient's family, and the nurse. METHODS: Quantitative and qualitative data were collected from 201 nurses who completed a survey instrume
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Becker, Deborah, Roberta Kaplow, Patricia M. Muenzen, and Carol Hartigan. "Activities Performed by Acute and Critical Care Advanced Practice Nurses: American Association of Critical-Care Nurses Study of Practice." American Journal of Critical Care 15, no. 2 (2006): 130–48. http://dx.doi.org/10.4037/ajcc2006.15.2.130.

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• Background Accreditation standards for certification programs require use of a testing mechanism that is job-related and based on the knowledge and skills needed to function in the discipline. • Objectives To describe critical care advanced practice by revising descriptors to encompass the work of both acute care nurse practitioners and clinical nurse specialists and to explore differences in the practice of clinical nurse specialists and acute care nurse practitioners. • Methods A national task force of subject matter experts was appointed to create a comprehensive delineation of the work o
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Reynolds, A., SG Wood, and ML Gamero. "Critical care concepts in baccalaureate nursing education." Critical Care Nurse 11, no. 7 (1991): 12–14. http://dx.doi.org/10.4037/ccn1991.11.7.12.

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The high response rate of 65.1 percent to this survey suggests nurse educators across the country are interested and involved with the incorporation of critical care concepts in baccalaureate nursing education. Nurse educators are conscientiously working to provide an educational basis for graduate nurses to adequately address the complex healthcare needs of our society. Cooperative efforts between nurse educators and practicing critical care nurses can make a difference in the future delivery of healthcare.
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Siniša, Franjić. "Critical Care Nursing." Iberoamerican Journal of Medicine 2, no. 3 (2020): 183–87. https://doi.org/10.5281/zenodo.3713334.

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Everyday routine jobs, as well as suddenly specific situations, as well as severe medical conditions of a nurse, can be considerably psychophysically exhausted. It is therefore important for nurses to find a model to deal effectively with stress and the severity of working conditions. Higher levels of education and lifelong learning contribute to finding new strategies that facilitate work in the intensive care unit. Qualities that give importance to nurse's are communication skills, emotional stability, empathy, flexibility, interpersonal skills, physical endurance, respect, knowledge and
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Dissertations / Theses on the topic "Critical care nurses"

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Fisher, Joyce Ann. "Critical thinking in critical care nurses." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1036181.

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Critical care nurses need finely honed critical thinking skills in order to be safe, competent, and skillful practitioners of their profession. If clinical nurses do not learn how to reason effectively, they may make inappropriate decisions about their patients' care, ultimately resulting in increased patient mortality (Fonteyn, 1991). In addition, increasing nurses' decision-making and autonomy has been shown to improve job satisfaction and retention (Prescott, 1986).There are many authors who write about the need for developing critical thinking skills among practicing professional nurses (C
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Currey, Judy A., and mikewood@deakin edu au. "Critical care nurses' haemodynamic decision making." Deakin University. School of Nursing, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050728.094123.

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For cardiac surgical patients, the immediate 2-hour recovery period is distinguished by potentially life-threatening haemodynamic instability. To ensure optimum patient outcomes, nurses of varying levels of experience must make rapid and accurate decisions in response to episodes of haemodynamic instability. Decision complexity, nurses’ characteristics, and environmental characteristics, have each been found to influence nurses' decision making in some form. However, the effect of the interplay between these influences on decision outcomes has not been investigated. The aim of the research rep
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Akinwolere, Oladele Augustine Odunayo. "Psychological Stress in Critical Care Nurses." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3134.

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Increased levels of stress in the workplace have led the American Psychological Association to predict a looming public health crisis. Critical care nurses (CCNs) are highly exposed to stressors in the workplace, more than other nurses. Tens of billion dollars were reported lost in productive work time yearly due to ill health from depression alone. An important gap remains in understanding the relationships of stressors with the amount of stress. Supported by the biopsychosocial stress theory, the purpose of this study was to determine the relationship between frequencies of perceived stresso
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Callender, Debra. "Compassion Fatigue Among Critical Care Nurses." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7464.

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Compassion fatigue (CF), also known as secondary traumatic stress (STS), impacts critical care nurses (CCN) through exposure to pain, suffering, and loss of those for whom they provide care and results in a reduction of compassion satisfaction (CS). High incidence of CF and turnover (TO) rates at the project site were identified among CCNs. The institution's CCN TO rate was at 81% in comparison to peers in other areas at 29%–35%. The practice-focused question asked whether leadership education on CF might ameliorate CF at the project site. The purpose of the Doctor of Nursing Practice projec
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Alasad, Jafer A. "A phenomenology of critical care: The lived experience of critical care nurses." Thesis, University of Manchester, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487878.

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This study investigates the experiences of twenty-two critical care nurses in an attempt to uncover the essential elements in the practice of critical care nursing. The study is grounded in the phenomenological hermeneutics of Martin Heidegger and argues that this methodology is compatible with the humanistic values of nursing. Data were generated from in-depth interviews and overt participant observation. The process of data analysis was guided by Heidegger's notions of phenomenological reflection and hermeneutic circle, Van Manen's (1990) process of thematic analysis and Draper's (1997) anal
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Hendricks, Lucia Elizabeth. "Critical thinking : perspectives and experiences of critical care nurses." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71821.

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Thesis (MCurr)--Stellenbosch University, 2012.<br>ENGLISH ABSTRACT: The increasingly complex role of the critical care nurse in an intensive care environment demands a much higher level of critical thinking and clinical judgment skill than ever before. Critical thinking in nursing practice may be defined as the cognitive ability to analyse, predict and transform knowledge, ensuring quality nursing care. To reason from a nurse’s perspective requires that we learn the content of nursing; this includes the concepts, ideas and theories of nursing. The aim and objectives of the study were to explor
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Thibault-Pervost, Jocelyne Lucie Marie. "Critical care nurses' perceptions of DNR status." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq22749.pdf.

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Allen, Rose. "Addressing moral distress in critical care nurses." NSUWorks, 2015. https://nsuworks.nova.edu/hpd_con_stuetd/17.

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Ferrel, Cynthia Lynn. "The experience of critical care nurses in initiating hospice care." abstract and full text PDF (free order & download UNR users only), 2008. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1453534.

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Krinsky, Robin S. "Fatigue and Alarm Fatigue in Critical Care Nurses." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1428102757.

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Books on the topic "Critical care nurses"

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Calvert, Candace. Critical care. Center Point Pub., 2009.

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Calvert, Candace. Critical care. Tyndale House Publishers, 2009.

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Bucher, Linda. Critical care nursing. Saunders, 1999.

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Varga, Lynn M. Exploring critical-care nurses' perceptions about critical thinking. Brock University, Faculty of Education, 2007.

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International, Sigma Theta Tau, ed. A daybook for critical care nurses. Sigma Theta Tau International, 2010.

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Bademan, Eileen Gallen. A daybook for critical care nurses. Sigma Theta Tau International, 2010.

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M, Clochesy John, ed. Critical care nursing. 2nd ed. Saunders, 1996.

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Thomas, Ahrens, and Prentice Donna, eds. Critical care certification: Certification practice exams. 3rd ed. Appleton & Lange, 1993.

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Rodgers, Kinney Marguerite, and American Association of Critical-Care Nurses., eds. AACN's clinical reference for critical care nursing. 4th ed. Mosby, 1998.

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Sheree, Comer, ed. Delmar's critical care nursing care plans. 2nd ed. Thomson/Delmar Learning, 2005.

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Book chapters on the topic "Critical care nurses"

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Liss, David. "Critical Care Case Studies." In Pain Management for Veterinary Technicians and Nurses. John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119421436.app3.

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Spelts, Kim, and David Liss. "Analgesia for Emergency and Critical Care Patients." In Pain Management for Veterinary Technicians and Nurses. John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119421436.ch8.

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Hattab, Shayma’a Abu, Mohammad Alsadi, Ghada Musleh, Nidal Eshah, Manar Bani Hani, and Mohammed Albashtawy. "The Impact of Nurse-Physician Collaboration on Critical Care Nurses’ Autonomy." In Advances in Health Sciences Research. Atlantis Press International BV, 2023. http://dx.doi.org/10.2991/978-94-6463-248-4_22.

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Abuerwak, Feras Mohammad, Mohammad Alsadi, Mohammad R. Alosta, Najlaa Mohammed Alnayef, Abdul-Monim Batiha, and Mohammed Albashtawy. "Critical Care Nurses’ Research Utilization and Competence Levels." In Advances in Health Sciences Research. Atlantis Press International BV, 2023. http://dx.doi.org/10.2991/978-94-6463-248-4_2.

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Wiklund, Michael E. "Medical Device Usability: A Survey of Critical-Care Nurses." In Medical Device and Equipment Design. CRC Press, 2024. http://dx.doi.org/10.1201/9781003575948-6.

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van der Linden, S. J., M. E. G. Harinck, H. T. Speksnijder, et al. "Supportive Care." In The European Blood and Marrow Transplantation Textbook for Nurses. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-23394-4_11.

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AbstractHematopoietic stem cell transplantation (HSCT) care is highly complex. This chapter focuses on the aspects of supportive care required following HSCT.Assessment tools are key component of nursing practice and are necessary for planning and providing patient-centered care. HSCT care must be planned, implemented, and evaluated and is underpinned by collaboration with the entire multidisciplinary healthcare team.With supportive care following HSCT, we ultimately aim to improve the quality of life of our patients in the posttransplant period.Supportive care extends beyond symptom managemen
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Fernandes, Filipe, Almeida Dias, Isabel Araújo, Jorge Ribeiro, Henrique Vicente, and José Neves. "Evaluation of Employment Contentment Among Nurses in Critical Care Settings." In Lecture Notes in Networks and Systems. Springer Nature Switzerland, 2025. https://doi.org/10.1007/978-3-031-83117-1_15.

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Kenyon, Michelle, John Murray, Rose Ellard, and Daphna Hutt. "Education Needs for Nurses in Adult and Paediatric Units." In The EBMT/EHA CAR-T Cell Handbook. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94353-0_40.

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AbstractComplex nursing care for patients on the CAR-T cell therapy pathway involves many different nursing roles that have important functions at different stages in the pathway. Within the multiprofessional team, nurse education is critical to safe and competent care and to the patient’s treatment experience. As we consider the education needs of the nursing workforce throughout the entire patient pathway, including the supply chain, chain of custody, and clinical care delivery, we recognize the important roles of expert nurses, practice educators, and the wider multiprofessional team in sha
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Rosenal, Thomas W., Margaret White, and Kathryn J. Hannah. "Information management for decision making by critical care physicians and nurses." In Developments in Cardiovascular Medicine. Springer Netherlands, 1991. http://dx.doi.org/10.1007/978-94-011-3720-1_21.

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Coventry, Lynne, Elizabeth Sillence, Richard Brown, et al. "Situation Critical: Intensive Cybersecurity Care Needed." In Lecture Notes in Computer Science. Springer Nature Switzerland, 2025. https://doi.org/10.1007/978-3-031-83072-3_6.

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Abstract Healthcare organisations are increasingly targeted by cybercriminals. Such attacks are not just an attack on data but on this critical infrastructure – putting lives at risk. They face multiple challenges in maintaining their cybersecurity, including the technology infrastructure in use, the heterogeneity of healthcare and admin staff and the IT and cybersecurity skills within the organization. This paper focuses on healthcare and admin staff within a single hospital in Italy. The study sought to understand the differences in perceptions of culture between different staff groups and t
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Conference papers on the topic "Critical care nurses"

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Bouzeghrane, Yasmine, Isabel Tran Vuu, Viviane Hélène Tchinda Matong, and Marie-France Deschênes. "THE DESIGN OF AN ONLINE AND SYNCHRONOUS LEARNING-BY-CONCORDANCE TOOL TO SUPPORT THE INTEGRATION OF NEWLY GRADUATED NURSES IN CRITICAL CARE." In 17th annual International Conference of Education, Research and Innovation. IATED, 2024. https://doi.org/10.21125/iceri.2024.1020.

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Teng, Chia-Chi, Brady Redfearn, Craig Nuttall, et al. "Mixed Reality Patients Monitoring Application for Critical Care Nurses." In the third International Conference. ACM Press, 2019. http://dx.doi.org/10.1145/3340037.3340050.

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Kim, YoungHee. "A study of Clinical Nurses’ knowledge about Critical Practice Guideline for Diabetes Mellitus." In Health Care and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.88.27.

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Baharudin, Ayuni Asma’, and Mohd Said Nurumal. "“It Is Food for The Soul...”: An Investigation on The Malaysian Intensive Care Nurses’ Perceptions of Spiritual Care." In 4th International Conference on Public Health and Well-being. iConferences (Pvt) Ltd, 2023. http://dx.doi.org/10.32789/publichealth.2022.1006.

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Evidence shows that critically ill patients and their family members have spiritual needs in the intensive care unit. Spirituality is an abstract concept in the clinical field. Its subjective nature makes the aspects of care that are provided by the clinicians suboptimal. This article is a preliminary report of a qualitative study that was conducted to explore the perceptions of the intensive care nurses on spirituality and the care that they gave to the patients and their family members. Interviews were conducted with nurses who worked in a 25-bed intensive care unit of a tertiary government
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Wright, Isabella Frances. "48 Optimising the training and development of paediatric critical care transport nurses." In GOSH Conference 2022 – Towards inclusion. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2023. http://dx.doi.org/10.1136/archdischild-2023-gosh.48.

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Calkins, K., J. L. Guttormson, N. S. Mcandrew, J. Fitzgerald, H. Losurdo, and D. Loonsfoot. "COVID-19 Pandemic: Experiences of Nurses Working in Critical Care in the United States." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3193.

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Guttormson, J. L., K. Calkins, N. S. Mcandrew, J. Fitzgerald, H. Losurdo, and D. Loonsfoot. "COVID-19 Pandemic: Impact on Nurses Working in Critical Care in the United States." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1087.

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Weerasinghe, I. G. T. J., U. H. I. Srimali, H. M. A. N. Herath, M. R. B. S. S. Andarawewa, E. Shopijen, and W. N. Priyanthi. "Assessment of ICU Nurses’ Knowledge and Identifying Barriers in Preventing Ventilator-Associated Pneumonia in Adult ICUs: A Study at the National Hospital, Kandy." In SLIIT INTERNATIONAL CONFERENCE ON ADVANCEMENTS IN SCIENCES AND HUMANITIES. Faculty of Humanities & Sciences, SLIIT, 2024. https://doi.org/10.54389/pscp5714.

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Critical care services are costly, and the patients with indications for prolonged intubation are highly vulnerable to Ventilator Associated Pneumonia (VAP), which prolongs their hospital stay and raises the cost of treatment. In Southeast Asia, the prevalence of VAP ranges between 16.2% to 74.2%, with the mortality rate of 30 %. This study aimed to assess Intensive Care Unit (ICU) nurses’ knowledge of VAP and identify the barriers in VAP prevention at the settings of adult ICUs in National Hospital Kandy. A descriptive crossctional approach was used, and data were collected from 132 nurses wo
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Shaqsi, Muna Al, Dawood Al Sulimani, Farhana Al Othmani, and Safiya Al Habsi. "49 Enhancing the efficiency of novice nurses through the integration of modified simulation training and a rotation program for paediatric critical care nurses." In 2025 HMC/IHI Middle East Forum Abstracts. British Medical Journal Publishing Group, 2025. https://doi.org/10.1136/bmjoq-2025-ihi.49.

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Hara, N., and K. F. Hew. "A Case Study of a Longstanding Online Community of Practice Involving Critical Care and Advanced Practice Nurses." In Proceedings of the 39th Annual Hawaii International Conference on System Sciences (HICSS'06). IEEE, 2006. http://dx.doi.org/10.1109/hicss.2006.5.

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Reports on the topic "Critical care nurses"

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Lees-Deutsch, Liz, Rosie Kneafsey, Amanda Rodrigues Amorim Adegboye, et al. National Evaluation of the Professional Nurse Advocate Programme in England: SUSTAIN – Supervision, Support, Advocacy for Improvement in Nursing, Mixed Methods study. Coventry University, 2023. http://dx.doi.org/10.18552/rihw/2023/0001.

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The Professional Nurse Advocate (PNA) programme is a clinical and professional leadership programme delivered by Higher Education Institutions (HEI) which equips nurses with the skills to deliver restorative clinical supervision to colleagues in England. The programme has been gradually rolled out across England during 2021/22 with the aim of ensuring there will be PNAs in place to support colleagues in the following specialties: Critical care, Mental Health (Adult Acute &amp; Children and Young Peoples inpatient settings) Community, Learning Disabilities (Adult), Children and Young People, Sa
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Hummel, Garland. Evaluation of a yoga-based intervention for ICU nurse burnout. University of Missouri - Columbia, 2024. https://doi.org/10.32469/10355/106161.

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Background Burnout is endemic to nursing and carries high personal, institutional, and social costs. Methods Previous studies have demonstrated that yoga may alleviate burnout in healthcare workers. A yoga-based intervention was created specifically for ICU nurses. The program was offered to all nurses working in critical care environments through recruitment emails and fliers. 28 nurses participated, but a high attrition rate led to only 9 people completing both the pre-and-posttest survey. Power analysis of 30 participants was not met and statistical significance could not be established, ho
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Lees-Deutsch, Liz, Rosie Kneafsey, and Laura Wilde. A TOOLKIT: For Professional Nurse Advocates: Undertaking Quality Improvement Work. Coventry University, 2025. https://doi.org/10.18552/chc/2025/0004.

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At the second national Professional Nurse Advocate Conference (PNA) (November, 2024) a co-creation Workshop was organised with delegates with the ambition of creating a set of Principles for PNAs who are leading Quality Improvement (QI) work. We heard that the role of PNAs undertaking QI, typically involves learning about systems and processes, which are unfamiliar to them when they first commence QI work. Sometimes QI work is based inter-departmentally or may have been a legacy of work generated across a wider organization – e.g., beyond their clinical area. We also learnt that in some commun
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A nurse-led intervention did not reduce post-traumatic stress disorder symptoms in critical care patients. National Institute for Health Research, 2019. http://dx.doi.org/10.3310/signal-000844.

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