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Peer-Reviewed Critical Care Nursing Journal

Article Listings - 1984 to Present

Coping Strategies Used by Registered Nurses in Acute and Critical Care Settings: A scoping review protocol


Background & Purpose: Acute and Critical Care (ACC) settings are a highly demanding and specific environment for registered nurses (RNs) to provide care in, and the use of coping strategies is key to supporting their work-related well-being. However, currently, there is a lack of comprehensive evidence on how RNs in ACC settings, specifically, cope with work-related stressors. Therefore, this review will summarize the international literature on coping strategies RNs use in ACC settings to deal with work-related stressors.

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


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.

Best Practice in Prolonged Mechanical Ventilation: A Qualitative Study of Healthcare Provider Perspectives


Background & Purpose: Patients who require Prolonged Mechanical Ventilation (PMV) are a relatively small but complex and vulnerable subset of patients treated in the intensive care unit (ICU). Significant heterogeneity in practice patterns exists and best practice is largely unknown. The goal of this study is to engage healthcare providers (HCPs) to identify and describe best care practices for patients requiring PMV.

Methods: A qualitative descriptive method was used. Using purposeful sampling,

Revising the Canadian Association of Critical Care Nurses Standards for Critical Care Nursing Practice: A Modified Delphi Protocol


Background: Since 1992, the Canadian Association of Critical Care Nurses (CACCN) has set the Standards of Practice for Canadian critical care nurses. The current Standards were revised in 2017, after undergoing the fifth review since inception. The Association’s practice has been to review the Standards approximately every five years.

Aim: The aim of this protocol is to provide a transparent and replicable process for Standards revision.

Identifying Opportunities for Antimicrobial Stewardship in a Tertiary Intensive Care Unit: A Qualitative Study


Background: Antimicrobial stewardship (AMS) encompasses numerous interventions that seek to improve antimicrobial usage, as inappropriate use of antimicrobials may result in the promotion of antimicrobial resistance, patient harm, and increased costs. AMS is of particular interest in intensive care units (ICUs) where antimicrobial use is extensive. Few qualitative studies have sought to identify the perceived attitudes and beliefs of intensive care clinicians around AMS.

Objectives: To understand ICU nursing and physician priorities and preferences around AMS and possible AMS interventions for implementation in the ICU.

Unsettling the “I do not see colour” Ideology in Nursing

As a woman of colour, I have often heard the phrase “I do not see colour because we are all the same” from nursing professors, colleagues, and students. While I used to agree with this statement, I now realize how subtle biases impact patient care when nurses are socialized into thinking we are neutral caregivers. My colour-blind perspectives were well-intentioned at the time. However, as a nurse educator, I see how neutrality in nursing education obscures how racism contributes to health disparities,

Debriefing and Reflective Interventions to Address Moral Distress: A Narrative Review


Moral distress is a common phenomenon found in all areas of nursing practice with a high prevalence in specialties such as critical care nursing. The under management of moral distress is associated with the development of burnout, issues with nursing turnover, and patient safety concerns. Identification of effective interventions to address moral distress remains a novel topic of investigation. The aim of this project was to explore the use of debriefings and reflective practices to address and alleviate moral distress.

Improving Family Communication in Critical Care


Communication with family members in critical care is challenged by socioeconomic, environmental, and organizational factors. Ineffective communication between health care providers and family members results in psychological distress and anxiety among family members and can lead to misunderstanding of the patient’s condition and ineffective decision-making. This manuscript aims to explore barriers to effective communication, understand standardized communication tools, and support their implementation in critical care. An extensive search of various databases provided a variety of articles meeting the criteria of communication barriers in critical care,

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


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.

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