American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Comparative Study
Harris-Benedict Equation and Resting Energy Expenditure Estimates in Critically Ill Ventilator Patients.
In routine practice, assessment of the nutritional status of critically ill patients still relies on traditional methods such as anthropometric measurements, biochemical markers, and predictive equations. ⋯ For measuring REE in critically ill patients undergoing mechanical ventilation, calculation via the Harris-Benedict equation, regardless of the source of body weight, cannot be substituted for indirect calorimetry.
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Information on the impact of tele-intensive care on nursing and priority areas of nursing care is limited. ⋯ The findings can be used to further inform the development of competencies for tele-intensive care nursing, match the tele-intensive care nursing practice guidelines of the American Association of Critical-Care Nurses, and highlight concepts related to the association's standards for establishing and sustaining healthy work environments.
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Variability in disposition of children according to the time of rapid response calls is unknown. ⋯ Only 25% of transfers from acute care units to the intensive care unit occurred after activation of a rapid response team. Most rapid responses were called during daytime hours. Mortality was significantly higher among unplanned transfers from acute care than among other intensive care admissions.
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Satisfaction With Elimination of all Visitation Restrictions in a Mixed-Profile Intensive Care Unit.
Open and patient-tailored guidelines have been recommended as the preferred visitation model in critical care settings; however, many critical care units continue to restrict visitation. ⋯ Elimination of even minimal restrictions on visitation hours improved family satisfaction and improved nurses' perceptions of family satisfaction with the visitation policy. Nurses' satisfaction did not change. These findings support open and patient-centered visitation guidelines in critical care settings.
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Among nurses, skill retention after an electrocardiography blended-learning course is unknown. ⋯ Skill retention and competence in electrocardiographic interpretation were intermediate and correlated with baseline self-assessment. Electrocardiographic interpretation, measurement, and interventions should be reinforced at the bedside.