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Exp May 2, 2024

The Canadian Journal of Critical Care Nursing is the journal of the Canadian Association of Critical Care Nurses.

The Canadian Journal of Critical Care Nursing is the only peer-reviewed OPEN ACCESS critical care nursing journal in Canada.

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Includes all articles in the Canadian Journal of Critical Care Nursing (CJCCN).

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The CJCCN invites submissions on the following critical nursing topics: Clinical, Education, Management, Research and Professional Issues. Original articles on any aspect of critical care nursing are welcome.

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Implementation of a swallow screening protocol in a tertiary adult intensive care unit: A quality improvement project

September 5, 2024

Courtney Wedemire, MS, RD, Lara Sas, MA, RSLP, and Sarah Russell, BSc, RN.

Abstract

Background: Post-extubation dysphagia occurs in 3% to 62% of adults who have received invasive mechanical ventilation in an intensive care unit (ICU). A stepwise approach to identify dysphagia includes a routine swallow screening in patients who are recently extubated followed by a formal assessment by a Speech and Language Pathologist (SLP), in the event of a failed swallow screen, has been suggested. This quality improvement project aimed to implement and evaluate a new post-extubation swallow screening process.

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A rapid scoping review of barriers and facilitators of implementing delirium prevention practices in adult critical care

September 5, 2024

Sarah Crowe, MN, PMD-NP (F), NP, CNCC(C) and A Fuchsia Howard, PhD, RN

Abstract

Background: Delirium is a serious complication of critical care that can have lasting effects on the patient’s life. Much of the work to date about delirium has been focused on identifying delirium risk factors, developing tools for screening and recognizing delirium, and testing interventions to treat those diagnosed with delirium. Despite evidence, implementing known delirium prevention and management strategies remains abysmal. This review aimed to identify and summarize literature reporting on the barriers and facilitators of implementing delirium prevention and management practices in adult critical care.

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