American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Multicenter Study
Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses.
High levels of stress and the challenges of meeting the complex needs of critically ill children and their families can threaten job satisfaction and cause turnover in nurses. ⋯ Job stress and nursing leadership are the most influential variables in the explanation of job satisfaction. Retention efforts targeted toward management strategies that empower staff to provide quality care along with focal interventions related to the diminishment of stress caused by nurse-family interactions are warranted.
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Comparative Study
Early versus late tracheostomy in patients who require prolonged mechanical ventilation.
To compare the clinical outcomes of early versus late tracheostomy in patients who require prolonged mechanical ventilation. ⋯ Early tracheostomy is associated with shorter lengths of stay and lower hospital costs than is late tracheostomy among patients in the medical intensive care unit. Prospective clinical trials are necessary to determine the optimal timing of tracheostomy in that setting.