American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Comparative Study Clinical Trial
Outcomes of care managed by an acute care nurse practitioner/attending physician team in a subacute medical intensive care unit.
Many academic medical centers employ nurse practitioners as substitutes to provide care normally supplied by house staff. ⋯ In a subacute intensive care unit, management by the 2 teams produced equivalent outcomes.
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Comparative Study
Comparison of cardiac output determined by bioimpedance, thermodilution, and the Fick method.
Cardiac output can be determined by using a variety of methods. ⋯ Bioimpedance, thermodilution, and Fick determinations of cardiac outputs are not interchangeable in a heterogeneous population of critically ill patients.
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Review Case Reports
Cardiopulmonary resuscitation review: critical role of chest compressions.
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Although nurses are ideally situated to facilitate communication about prognosis and hospice referral among patients, patients' family members, and hospital staff, nurses do not always assume this task. ⋯ The reasons for noncommunication of prognosis and referral to hospice care by nurses are complex. Because limited discussion between clinicians and patients about prognosis and treatment options can reduce the likelihood of referral to hospice care, improved communication skills may result in more referrals and a smoother transition to hospice.
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Improving communication and collaboration among doctors and nurses can improve satisfaction among participants and improve patients' satisfaction and quality of care. ⋯ The multidisciplinary intervention resulted in better communication and collaboration among the participants.