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Peer-Reviewed Critical Care Nursing Journal

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,

Virtual reality as an adjunctive comfort measure in the intensive care and coronary care unit: A nurse-led quality improvement project

Abstract

Background:  Pain, discomfort, and anxiety in critical care units are complex, multifaceted experiences. Nurse-led implementations of adjunctive comfort measures in critical care settings are essential components in the holistic management of these experiences. Virtual reality is gaining popularity as an adjunctive comfort measure across acute care settings to promote patient comfort, though there is limited evidence examining the utility of virtual reality in critical care.

Purpose: Firstly,

Organ donation: A cross-Canada perspective of critical care nursing practice

Abstract

Aim: Our aim in this study was to describe the experiences of critical care nurses in the organ donation process in selected units across Canada. Interviews and focus groups were conducted to elicit perceptions of critical care nurses regarding their experiences with potential organ donors and their families.

Methods: Two adult critical care units (one with an active transplant program and one with no transplant program) in each of eight Canadian cities were studied.

A call for standardized national guidelines on QT/QTc monitoring in Canada

Background: With QT-prolonging drugs being trialed for the treatment of COVID-19, national health associations allude to the importance of proficient QT interval assessment, however in Canada, there is no policy in place that clearly identifies a single method for routine QT monitoring.

Aim: To demonstrate the need for a clear Canadian guideline for the measurement of the QT/QTc interval and to advocate for a standardized approach to education.

Methods: This paper uses a medical anthropological approach to scale this practice gap from the individual provider to the institutions which govern practice and education.Nurses and emergency medical personnel from hospitals across Canada were polled with questionnaires on their confidence and knowledge of assessing the QT/QTc interval.

Rôle de l’infirmière lors de la prise en charge d’une personne ventilée aux soins intensifs : une revue narrative

Résumé : En pratique clinique, l’infirmière joue un rôle essentiel dans la prise en charge de la personne ventilée aux soins intensifs. Afin de mieux comprendre ce rôle, une revue narrative de la littérature a été effectuée en sciences infirmières et plus précisément, la littérature qui porte sur la prise en charge des personnes ventilées aux soins intensifs. Une recherche des bases de données MEDLINE, Nursing & Allied Health Database, CINAHL et PsycINFO a généré 1107 écrits.

CJCCN, Volume 32, Number 1, Spring 2021

Explicit recall related to mechanical ventilation: An evolutionary concept analysis

By Mylène Suzie Michaud, PHD(C), MScN, RN, and Marilou Gagnon, PHD, RN

Mechanical ventilation combined with sedation is widely used in the intensive care unit (ICU). However, this intervention is not without consequence on the patient. ICU patients can, in fact, remember perceptions that occurred during their mechanical ventilation—a phenomenon known as explicit recall. This phenomenon is not well defined, and no common terminology exists in the medical and nursing literature,

CJCCN, Volume 31, Number 3, Winter 2020

Editorial
To our Canadian Association of Critical Care Nurses Members and Canadian Journal of Critical Care Nursing™ Readership,

Over the past year, the editorial team in collaboration with the editorial review board and the national board of directors of the Canadian Association of Critical Care Nurses (CACCN), have had many conversations regarding the Canadian Journal of Critical Care Nursing™ (CJCCN). Our aim has been to ensure that the CJCCN continues to be a major vehicle for critical care nursing scholarship and knowledge dissemination in Canada and internationally.

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