American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Trust is essential in the workplace, yet no systematic studies of trust among pediatric critical care professionals have been done. ⋯ The Reina trust scales and open-ended questions are feasible and applicable to pediatric critical care units, and data collected with these instruments are useful in determining what behaviors build, break, and rebuild trust among staff.
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This study was based on the American Association of Critical-Care Nurses' (AACNs') interest in determining the value and influence of specialty certification. ⋯ The value of specialty certification and the importance of empowerment among critical care nurses are affirmed. The next step in the continued journey toward increasing retention of critical care nurses, and thereby improving patient care, is to evaluate existing programs focused on retention and identify needed enhancements.
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Randomized Controlled Trial
Decrease in frequency of liquid stool in enterally fed critically ill patients given the multispecies probiotic VSL#3: a pilot trial.
Diarrhea has adverse consequences for critically ill patients, health care staff, and health care costs. ⋯ VSL#3 was effective in reducing the frequency of liquid stool in critically ill patients receiving enteral nutrition. Probiotics possibly can minimize diarrhea in critically ill tube-fed patients, but more controlled clinical trials are needed.