Journal of nursing care quality
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Proning intubated intensive care unit patients for the management of acute respiratory distress syndrome is an accepted standard of practice. We examined the nursing climate in 4 units and its impact on implementing a novel self-proning protocol to treat COVID-19 patients outside the intensive care unit. ⋯ Implementation of a new nursing protocol is possible with strong unit-based support, even during a pandemic.
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Intensive care unit (ICU) diaries are recommended to address psychological sequelae following critical illness. Diaries are correlated with reduced prevalence of posttraumatic stress disorder in survivors of critical illness and their families. ⋯ The ICU diary is a cost-effective and efficient intervention to help patients and family members cope with the burden of critical illness.
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The COVID-19 pandemic resulted in the need for hospitals to plan for a potential "surge" of COVID-19 patients. ⋯ This project highlighted the ability for stakeholders and innovators to work together in an interprofessional, multidisciplinary way to rapidly create an overflow unit. While this innovation was designed to address COVID-19, the lessons learned can be applied to any other emerging infectious disease or acute care capacity crisis.
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New graduate nurses transition with limited experience, and with anxiety and stress. They present an increased risk of contributing to preventable errors or adverse events. ⋯ Medical errors and time management persist during transition to the RN role. New graduates reported moderate knowledge of safety and quality issues; however, questioning their own abilities overshadowed growth in their involvement in patient safety.
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Hospitalized medical-surgical patients are at risk for adverse health outcomes due to immobility. Despite well-documented consequences, low mobility is prevalent. ⋯ A nurse-led mobility program was effective in increasing safe, early mobilization of patients and improving the culture of mobility.