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Peer-Reviewed Critical Care Nursing Journal

A rapid realist review of practices for assigning remote telemetry responsibilities to new critical care nurses

Abstract

Background: Registered nurses in critical care units may have a variety of responsibilities in addition to direct patient care. Assuming roles over and above their patient assignment can be challenging for nurses new to critical care. Even though additional roles may include similar skill sets (e.g., electrocardiography), the demands of learning multiple new roles and responsibilities occur during a larger transition into specialty practice.

Aim: To identify and summarize literature that helps provide guidance and best-practice(s) regarding assigning telemetry to new critical care nurses.

Antecedents of burnout and turnover intentions during the COVID-19 pandemic in critical care nurses: A mediation study

Abstract

Background: Nurses working in critical care environments have experienced a great deal of psychological stress during the successive waves of the COVID-19 pandemic. Identifying factors which contribute to burnout and turnover intentions are important to retain intensive care unit (ICU) nurses.

Purpose: The purpose of this study is to identify factors that are directly and indirectly associated with burnout and turnover intentions in ICU nurses.

Methods: A cross-sectional design was used with survey data during the peak of the second wave of the COVID-19 pandemic.

Identifying Serotonin Syndrome in the ICU: Case Report

Abstract

An 18-year-old female who presented with altered level of consciousness, myoclonus, and hemodynamic instability was admitted to the intensive care unit with suspected serotonin syndrome. Serotonin syndrome is an under-recognized disorder that can cause altered levels of consciousness, neuromuscular and autonomic dysfunction, and even death. Increasing critical care nurses’ and multidisciplinary team members’ awareness of serotonin syndrome will lead to more timely identification, avoidance of the use of synergistic medications, intervention, and outcomes for critically ill patients.

“We were treading water.” Experiences of healthcare providers in Canadian ICUs during COVID-19 visitor restrictions: A qualitative descriptive study.

ABSTRACT

Purpose: To explore and describe the impact of COVID-19 restrictive visitation policies on healthcare providers (HCPs) and to identify ongoing challenges and pragmatic solutions that could inform recommendations for patient and family-centered care (PFCC) in the ICU during pandemic conditions. 

Methods: We conducted a qualitative descriptive study within a constructivist paradigm. We used two sources of data collected simultaneously: semi-structured interviews conducted remotely via video or phone and written comments gathered through open-ended response boxes in a questionnaire to explore the perspectives of HCPs working in Canadian ICUs during visitor restrictions resulting from the first wave of COVID-19.

Canadian intensive care nurses’ infection prevention and control adherence and institutional trust: An update 1-year into the pandemic

ABSTRACT

BACKGROUND: Nurses are key healthcare workers whose adherence to infection prevention and control (IPC) measures is integral to the prevention of nosocomial spread of SARS-COV-2. Institutional trust is an important correlate of adherence. After initially surveying nurses early in 2020, we sought to evaluate how perceptions of IPC measures and institutional trust changed one year into the pandemic.

METHODS: We adapted an internationally distributed cross-sectional questionnaire, incorporating validated scales for items including institutional trust,

The Experiences and Perceptions of Organ and Tissue Donation Coordinators Participating in a Team Cohesion and Communication Workshop: An Exploratory Descriptive Qualitative Study

ABSTRACT

Background/Purpose: Organ and tissue donation coordinators are usually registered nurses with intensive care background that work in highly specialized and complex environments that can lead them to experience work-related issues, such as burnout and compassion fatigue. To help tackle these issues, organ donation organizations need to take preventive measures to improve coordinators’ work-related well-being. Therefore, the purpose of this study was to explore the perceptions of coordinators following participation in a workshop aimed at improving team cohesion,

Barriers and facilitators in the provision of palliative care in critical care: A qualitative descriptive study of nurses’ perspectives

Intensive care units are providing increasing amounts of palliative care. Accordingly, integrating palliative care as a component of comprehensive critical care has been identified as a necessity. The purpose of this study was to explore what critical care nurses perceive as barriers and facilitators in the provision of palliative care in the critical care setting.

The development and implementation of an evidence-based risk reduction algorithm for post-extubation dysphagia in intensive care

Abstract

Intubation and mechanical ventilation are often required to support critically ill patients. These are life-sustaining measures and when they are no longer necessary, patients need to be carefully transitioned back to breathing, eating, and talking on their own. Post-extubation dysphagia is defined as swallowing difficulty following extubation. This condition can affect up to 87% of critically ill patients and can cause serious health complications such as aspiration pneumonia, which could require re-intubation,

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