Critical care nurse
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Critical care nurse · Dec 2020
Increasing Critical Care Nurse Engagement of Palliative Care During the COVID-19 Pandemic.
The coronavirus disease 2019 pandemic has led to escalating infection rates and associated deaths worldwide. Amid this public health emergency, the urgent need for palliative care integration throughout critical care settings has never been more crucial. ⋯ Nurses should focus on a strategic integration of palliative care, critical care, and ethically based care during times of normalcy and of crisis. Primary palliative care should be provided for each patient and family, and specialist services sought, as appropriate. Nurse educators are encouraged to use these recommendations and resources in their curricula and training. Palliative care is critical care. Critical care nurses are the frontline responders capable of translating this holistic, person-centered approach into pragmatic services and relationships throughout the critical care continuum.
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Critical care nurse · Dec 2020
Timely Family Feedback to Guide Family Engagement in the Intensive Care Unit.
Organizations motivated to provide high-quality care in the intensive care unit are exploring strategies to engage families in patient care. Such initiatives are based on emerging evidence that family engagement improves quality and safety of care. ⋯ This quality improvement project provided foundational information to guide family engagement efforts in the intensive care unit. Real-time solicitation of feedback is essential to improving the family experience and guiding family-centered care delivery in this practice environment.
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Critical care nurse · Dec 2020
Resilience as an Incomplete Strategy for Coping With Moral Distress in Critical Care Nurses.
Moral distress is receiving increasing attention in health care. The theoretical value of resilience as a strategy for coping with moral distress is prominent in the literature. ⋯ The complexity of both moral distress and resilience suggests that resilience by itself is an incomplete strategy for coping with and addressing moral distress.
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Critical care nurse · Dec 2020
Enhancing Communication With Family Members in the Intensive Care Unit: A Mixed-Methods Study.
Nurses in the intensive care unit are central to clinical care delivery and are often the staff members most accessible to family members for communication. Family members' ratings of satisfaction with the intensive care unit admission are affected more by communication quality than by the level of care for the patient. Family members may feel that communication in the intensive care unit is inconsistent. ⋯ Environmental factors can negatively affect communication with family members in the intensive care unit.