American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Ethical challenges in clinical practice significantly affect frontline nurses, leading to moral distress, burnout, and job dissatisfaction, which can undermine safety, quality, and compassionate care. ⋯ Use of experiential discovery learning practices and high-fidelity simulation seems feasible and effective for enhancing nurses' skills in addressing moral adversity in clinical practice by cultivating the components of moral resilience, which contributes to a healthy work environment, improved retention, and enhanced patient care.
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Communication is key to understanding the emotional state of critical care patients. ⋯ The communicative intervention CONECTEM was effective in improving psychoemotional state among critical care patients during medical transport.
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Randomized Controlled Trial Multicenter Study
Nurses' Perceptions of Workload Burden in Pediatric Critical Care.
Quantifying nurses' perceptions of workload burden when managing critically ill patients is essential for designing interventions to ease nurses' workday. ⋯ This study describes the workload burden perceived by PICU nurses when managing critically ill patients in general and when managing protocolized therapies.
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Despite advances in treatment strategies, acute respiratory distress syndrome (ARDS) after cardiac surgery remains associated with high morbidity and mortality. A method of screening patients for risk of ARDS after cardiac surgery is needed. ⋯ The ARDS prediction score can be used to identify high-risk patients from the first day after cardiac or aortic surgery. Patients with a score of 3 or greater should be closely monitored. The score requires external validation before clinical use.
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Elderly patients frequently experience deteriorating health after critical illness, which may threaten their independence and predispose them to unplanned hospital readmissions and premature death. ⋯ A comprehensive home-based palliative care intervention is operationally feasible in elderly multi-morbid survivors of critical illness and may result in improved physical functioning and quality of life and fewer unplanned emergency department visits.