American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Comparative Study
Nurses' Perceptions of In-Hospital Versus Telephone Availability of an Intensivist at Night in an Intensive Care Unit.
Evidence suggests that in-person management by nighttime intensivists does not change patients' mortality rates in high-intensity intensive care units. ⋯ Nurses perceive improvements with nighttime intensivists in several domains. Future work is needed to determine whether such perceptions translate into improved outcomes for staff or patients.
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The association of family-witnessed cardiopulmonary resuscitation (CPR) and subsequent advance directives in the medical intensive care unit is unknown. ⋯ For unclear reasons, family-witnessed CPR in the medical intensive care unit is associated with a similar rate of subsequent CPR efforts and lower rates of return of spontaneous circulation and survival to hospital discharge.
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Multicenter Study
Organizational Domains and Variation in Attitudes of Intensive Care Providers Toward the ABCDE Bundle.
The ABCDE interprofessional bundle (Awakening and Breathing Coordination, Delirium monitoring and management, and Early mobility) reduces delirium and weakness in critically ill patients. ⋯ Focusing interventions on policy and protocol factors, unit milieu, and task autonomy, which have the strongest associations with providers' attitudes, may facilitate ABCDE bundle uptake.
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Randomized Controlled Trial
Predictive Associations of Music, Anxiety, and Sedative Exposure on Mechanical Ventilation Weaning Trials.
Weaning from mechanical ventilation requires increased respiratory effort, which can heighten anxiety and later prolong the need for mechanical ventilation. ⋯ Prospective studies of music intervention and other psychophysiological factors during weaning from mechanical ventilation are needed to better understand factors that promote successful weaning.