Abstract：
:Critical care nurses are constantly challenged to provide safe, high-quality patient care at a low cost with increasingly scarce resources while implementing the latest evidence-based practices into their own clinical practice. This article is the first in a 4-part series to provide a practical quality improvement guide for critical care nurses interested in implementing system process or performance improvement projects within their own units. Part 1 is designed to answer the question "What method is better for measuring real-world patient outcomes-quality improvement or clinical research?" A broad overview of the differences between quality improvement and clinical research is provided. A newly published checklist to differentiate between attributes of each process is introduced, and readers can test their own knowledge between quality improvement and research with a quick quiz of studies recently published in Critical Care Nurse.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Stausmire JMdoi
10.4037/ccn2014177subject
Has Abstractpub_date
2014-12-01 00:00:00pages
58-63issue
6eissn
0279-5442issn
1940-8250pii
34/6/58journal_volume
34pub_type
杂志文章abstract：:Background Vanderbilt University Hospital's original rapid response team included a critical care charge nurse and a respiratory therapist. A frequently identified barrier to care was the time delay between arrival of the rapid response team and arrival of the primary health care team. Objective To assess the impact o...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2014847
更新日期：2014-02-01 00:00:00
abstract：:Status epilepticus is a medical emergency that requires rapid diagnosis and treatment. Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity associated with st...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2016892
更新日期：2016-04-01 00:00:00
abstract：:Hereditary hemorrhagic telangiectasia is a rare, autosomal dominant genetic disease that causes abnormal growth of blood vessels and, subsequently, life-threatening arteriovenous malformations in vital organs. Epistaxis may be one of the initial clues that a patient has more serious, generalized arteriovenous malforma...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2016270
更新日期：2016-06-01 00:00:00
abstract：:Sjo2 monitoring has several important limitations, such as catheter reliability, sampling error, and lack of regional specificity. However, combining Sjo2 monitoring with other available technologies can facilitate optimization of treatment and improve outcomes in patients with severe brain injuries. ...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVE:Preparation of drug solutions used with electronic syringe infusion pumps plays a crucial role in the delivery of an accurate drug concentration. Is there a correlation between drug concentrations during syringe pump infusion and preparation protocols? METHOD:Norepinephrine, insulin, and sufentanil were prep...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2016756
更新日期：2016-08-01 00:00:00
abstract：:Clostridia are organisms which, in the right environment, can cause a rapidly spreading, fulminant myonecrosis. Early diagnosis and a combined management program are clearly paramount to a successful outcome. Knowledge of this disease and ongoing meticulous assessment are the tools that a nurse must use when dealing w...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：TOPIC:The growing use of acute mechanical circulatory support devices to provide hemodynamic support that has accompanied the increasing prevalence of heart failure and cardiogenic shock, despite significant improvement in the treatment of acute myocardial infarction. CLINICAL RELEVANCE:The critical care nurse plays a...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020764
更新日期：2020-02-01 00:00:00
abstract：:As the field of surgery advances and the conservative use of banked blood transfusion increases the need for postoperative autotransfusion has increased. By using the CATR, the patient's demands for blood can be more adequately met without causing further complications for the patient. This article presents one method...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：:In patients with chronic heart failure, fluid retention (or hypervolemia) is often the stimulus for acute decompensated heart failure that requires hospitalization. The pathophysiology of fluid retention is complex and involves both hemodynamic and clinical congestion. Signs and symptoms of both hemodynamic and clinic...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2012877
更新日期：2012-04-01 00:00:00
abstract：:Scientists are only beginning to fully understand the purpose of sleep and its underlying mechanisms. Lack of sleep is associated with many diseases, including infection, and with increased mortality. Lack of proper sleep is an important problem in the intensive care unit, and interventions have been designed to impro...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2012689
更新日期：2012-04-01 00:00:00
abstract：:During the springs and summers of 2009 to 2012, military and nongovernment organization nurses served side by side on hospital ships USNS Comfort and USNS Mercy to offer free humanitarian clinical services to developing nations in Central and South America and Southeast Asia. Translators were engaged to facilitate com...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2013584
更新日期：2013-08-01 00:00:00
abstract：:Staff nurse preceptors are integral members of effective critical care orientation programs. Much of the success of the orientation experience and orientee satisfaction depends on them. A critical care preceptor workshop containing a review of the orientation program and the application of educational principles in cr...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:BACKGROUND Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele-intensive care unit (tele-ICU) nurses practicing remotely. OBJECTIVE To determine whether current tele-ICU programs have a formal competency assessment...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011552
更新日期：2011-10-01 00:00:00
abstract：:The end of the formal unit orientation program is a stressful time of adjustment for nurses hired into critical care without previous critical care experience. Although most units offer reassurance that experienced colleagues will provide the needed guidance, consistent support may not be available for many reasons. D...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2015368
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:The outbreak of coronavirus disease 2019 (COVID-19) rippled across the world from Wuhan, China, to the shores of the United States within a few months. Hospitals and intensive care units were suddenly faced with a "tsunami" warning requiring instantaneous implementation and escalation of disaster plans. EVI...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2020799
更新日期：2020-12-01 00:00:00
abstract：:Cardiac output and cardiac index values are traditionally used by critical care nurses as indicators of myocardial contractility. Due to the incidence of compensatory tachycardia in many critically ill patients, however, the value of LVSWI as an indicator of myocardial contractility is enhanced, because the formula fo...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1995-02-01 00:00:00
abstract：:Because of the potential severity of the associated complications, nurses have an essential role in the care of patients with HAT. Bedside nurses have the opportunity to report information that may indicate a change in a patient's condition after administration of heparin. This information could lead to diagnosis of h...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1998-12-01 00:00:00
abstract：:Family engagement in rounds has been recommended to improve communication, but its impact on patient outcomes is unknown. At the authors' institution, nurses encouraged family presence at rounds as part of a larger project to enhance communication during rounding. In the case reported here, family engagement resulted ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2019647
更新日期：2019-10-01 00:00:00
abstract：:This article discusses congenital heart defects that are marginal candidates for biventricular repair and highlights the anatomic considerations upon which the surgical decision is based. Specifically, the article reviews the importance of capacitance and compliance of the ventricles and their associated atrioventricu...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2018679
更新日期：2018-10-01 00:00:00
abstract：:Nurses in a full range of settings from acute to home care are increasingly exposed to the use and maintenance of central VADs. Although the advantages of central VADs are well recognized, the incidence and potential for complications associated with these devices should not be minimized. The major complication of cat...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:The most common measurements of pulmonary hypertension include systolic and mean pulmonary artery pressures, PVR, and transpulmonary gradient. Pulmonary artery pressures greater than 50 mm Hg, PVR greater than 6 Woods units, and transpulmonary gradient greater than 15 mm Hg that are unresponsive to optimal vasodilator...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2000-04-01 00:00:00
abstract：:Provision of nutritional support to critically ill patients can be challenging. Critical care nurses must be aware of which patients require specific nutritional support, when to initiate nutritional support, and by which route to provide nutritional support. Consultation with a dietitian or nutritional support servic...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2001-08-01 00:00:00
abstract：:Designed for independent study, this module explores some of the common, but often missed, pupillary abnormalities and eye movement irregularities. Part 3 concludes the module and provides the posttest and answer keys for the posttest and the three review exercises in Part 2. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：:A patient with a new tracheostomy will face threatening changes upon discharge from hospital support. Nurses, particularly in the critical care unit, frequently and closely support a patient and family through new and often difficult situations during hospitalization. The patient leaving the hospital with a new trache...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1990-07-01 00:00:00
abstract：:As surgery for complex congenital heart disease is becoming more advanced, an increasing number of patients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospital system. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have less experienc...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2016131
更新日期：2016-08-01 00:00:00
abstract：:The results of this evaluation indicate that specially trained critical care nurses can remove femoral sheaths with an acceptable margin of safety. As a result, these nurses can provide quality, cost-effective care to angioplasty patients. However, before this procedure is included as part of the RN's responsibility, ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：BACKGROUND:Hospitals are increasingly turning to clinical decision support systems for sepsis, a life-threatening illness, to provide patient-specific assessments and recommendations to aid in evidence-based clinical decision-making. Lack of guidelines on how to present alerts has impeded optimization of alerts, specif...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2018352
更新日期：2018-08-01 00:00:00
abstract：:To prepare a presentation, the critical care staff member must be willing to invest time and effort. Time and effort combined with an organized approach to the development process should result in a quality presentation. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:IABP timing challenges the nurse not only with a waveform analysis but also an understanding of complex physiologic concepts crucial to patient management. Optimizing timing through assessment of the five points of the IABP waveform permits the critical care nurse to increase the hemodynamic benefits of IABP therapy, ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-06-01 00:00:00
abstract：:A 9-member educational task force and a 4-member panel of experts was used to establish the validity of the PEDS-BKAT, which was modified from version 4 of the adult BKAT for critical care nursing. A sample of 105 pediatric ICU nurses from 6 settings took the PEDS-BKAT. Test results include a mean score of 78.9 points...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
