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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.

“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.

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.

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,

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.

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