Family member experiences with adult ICU multidisciplinary rounds: Transition from Observers to Participants

By Tannis Sidloski, MN, RN, CNCC(C), Marie Edwards, PhD, RN, Donna Martin, PhD, RN, and Kendiss Olafson, MD, FRCPC, MPH

Abstract

Background & Purpose: Family members’ participation in multidisciplinary rounds (MDR) is an accepted practice in neonatal and pediatric intensive care units (ICUs) with evidence this practice is occurring in adult ICUs. The purpose of this study was to explore family members’ experiences with participating in MDR in one Canadian adult ICU.

Intensive care nurse perspectives on family centred rounds in adult critical care units

By Felicia Varacalli, NP, MScN, RN, Gina Pittman, NP, PhD, and Jody Ralph, PhD, RN

Abstract

Background: Family-centred rounds (FCR) are a component of family involvement in critical care settings. Nurses’ active participation is vital in implementing FCR. However, there is currently

a lack of rigorous literature exploring nursing perspectives of FCR in adult critical care areas.

Purpose: This study explored nursing perspectives of FCR in six adult critical care units across four Southwestern Ontario hospitals.

CJCCN Volume 36, Number 1, Spring 2025

Optimizing the role of nurses in critical care in weaning patients from the ventilator : a multiple-case study

Abstract:

Background:

Prolonged mechanical ventilation is harmful for patients requiring prompt weaning approaches from an interprofessional team with different and overlapping scopes of practice. Nurses play a key role in interprofessional teams, and optimization of their role can reduce the duration of mechanical ventilation.

Purpose: To understand the role of nurses in critical care in healthcare teams when weaning patients from mechanical ventilation.

Methods: Multiple-case study with concurrent mixed methods data collection was conducted in two critical care units following a pilot study in Québec,

Properties of moral distress experienced by Canadian intensive care unit nurses during the COVID-19 pandemic: An interpretive descriptive study

Abstract

Background & Purpose: In response to the multitude of ethical issues that arise in the delivery of care provided in intensive care units (ICUs), nurses working in this setting frequently experience moral distress. The properties of moral distress have been well defined. However, within the context of the coronavirus-disease 2019 (COVID-19) pandemic, less is known about the properties of moral distress experienced by ICU nurses. This subsequently affects the advancement of our knowledge,

CJCCN Volume 35, Number 3, Winter 2024

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

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.

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

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.

CJCCN Volume 35, Number 2, Fall 2024

Assessing the impact of creating virtual windows on the incidence of delirium in a surgical intensive care unit: a before and after study

Abstract

Introduction: Delirium is a frequent and important problem in the intensive care unit (ICU), and non-pharmacological means of prevention are limited. The importance of the physical environment in the occurrence of delirium in intensive care has been reported, particularly the presence of windows and daylight. We organized a trial to evaluate if the installation of virtual windows in the form of paintings in rooms without an actual window can limit the occurrence of delirium in ICU patients.