Creating an ethical practice environment: a focus on advocacy.

Abstract:

:In order for nurses to be effective advocates, they must practice in an environment that fosters competency, collaboration, communication, and ethical values. This article addresses the meaning of advocacy, explores whether nurses can be effective advocates in complex practice environments, identifies barriers to advocacy, and suggests individual and systems approaches to support advocacy in critical care.

authors

Rushton CH

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

387-97

issue

2

eissn

0899-5885

issn

1558-3481

journal_volume

7

pub_type

杂志文章
  • Conscious sedation in the ambulatory setting.

    abstract::Conscious sedation has become an important component of practice for many ambulatory procedures. Important factors to maintain the safety of this technique are proper patient selection, slow titration of the medication, continuous patient monitoring, proper education of the individuals administering the medication and...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Odom J

    更新日期:1997-09-01 00:00:00

  • Nutrition in acute spinal cord injury.

    abstract::Nutrition in acute spinal cord injury is complicated. Not every aspect of nutrition as it relates to the acutely injured spinal cord patient is known. The stress response to injury, fever, infection, sepsis, and surgery alter nutritional needs, as does the spinal cord injury itself. The sequelae of spinal cord injury,...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Blissitt PA

    更新日期:1990-09-01 00:00:00

  • Survivors of intimate partner violence: implications for nursing care.

    abstract::As IPV increases in our society, hospitals need to prepare to best meet the needs of these individuals. Hospitals should have policies that encourage critical care nurses to consider abuse with the patients they serve. These policies need to ensure private, confidential interviewing of all patients and standardize the...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccell.2011.12.003

    authors: Hawley DA,Hawley Barker AC

    更新日期:2012-03-01 00:00:00

  • Correlation of balloon pressure waveforms to troubleshooting gas leakage and restriction alarms.

    abstract::The balloon pressure waveform provides the clinician with a valuable tool for assessing the operating environment within the balloon and the catheter. The use of a calibrated balloon pressure waveform allows the clinician to assess gas leakage and catheter restriction alarms and implement corrective action. By combini...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Beaver K

    更新日期:1996-12-01 00:00:00

  • Differential diagnosis of chest pain.

    abstract::The differential diagnosis of chest pain is a challenging clinical experience requiring a perceptive and observant clinician. The patient is dependent on the clinician's skill in eliciting a meaningful and relevant history. The clinician must consider reasonable alternative diagnoses while providing immediate therapie...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Fruth RM

    更新日期:1991-03-01 00:00:00

  • Pulmonary arterial hypertension.

    abstract::PAH is a chronic disease requiring lifelong therapy, regardless of chosen treatment options. Nurses and other providers must allow for open, honest discussion on the risks and benefits of each therapy. Determining the best treatment option for patients requires consideration of the patient's overall function and socia...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccell.2011.08.010

    authors: Centeno MM

    更新日期:2011-12-01 00:00:00

  • Chronic hypoxemia in children with cyanotic heart disease.

    abstract::Hypoxemia, visible as cyanosis, is present in infants and children with congenital cardiac defects that result in arterial desaturation. Although many of these defects can be surgically repaired, some children remain cyanotic. Chronic cyanosis causes adaptive changes such as polycythemia and potentially damaging chang...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: O'Brien P,Smith PA

    更新日期:1994-03-01 00:00:00

  • Cryptogenic Stroke: Anatomy of the Stroke Work-Up.

    abstract::Despite advances in understanding the cause of ischemic stroke, cryptogenic stroke remains a diagnostic and therapeutic challenge for clinicians. Approximately 15% to 40% of all ischemic strokes have no identifiable cause. CS is a diagnosis of exclusion after completing the standard stroke work-up. Further investigati...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.cnc.2019.11.008

    authors: Amatangelo MP

    更新日期:2020-03-01 00:00:00

  • Needs of children during the critical illness of a parent or sibling.

    abstract::The needs and significance of well children in the family typically have not been considered when addressing family-centered care. Health care providers and overstressed parents may have little awareness of or insight into the needs and concerns of these children. Without informed and sensitive interventions, however,...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Lewandowski LA

    更新日期:1992-12-01 00:00:00

  • Subcutaneous tissue oximetry: implications for wound healing and monitoring critically ill patients.

    abstract::Availability of oxygen and adequate blood flow to wounded tissues are important factors for the prevention of impaired wound healing. Oxygen is essential for the growth of new blood vessels, formation of collagen, and the prevention of infection. Subcutaneous tissue oximetry, an experimental technology for evaluating ...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Wipke-Tevis DD

    更新日期:1995-06-01 00:00:00

  • Provision of pharmaceutical care in the intensive care unit.

    abstract::The highly specialized knowledge and skills necessary to care for critically ill patients requires a team approach involving physicians, nurses, pharmacists, and other health care providers. The role of the pharmacist in the intensive care unit is evolving rapidly to a new responsibility for ensuring definite drug the...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Kilroy RA,Iafrate RP

    更新日期:1993-06-01 00:00:00

  • Adult respiratory distress syndrome following thoracic trauma.

    abstract::Thoracic trauma is frequently complicated by the development of Adult Respiratory Distress Syndrome (ARDS). Over the past 20 years numerous articles and book chapter have explored the causes and clinical course of the syndrome. There still remains debate, however, concerning the pathophysiology and most effective trea...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Kearney ML

    更新日期:1993-12-01 00:00:00

  • Outcomes-based education in a critical care nursing course.

    abstract::Educational institutions are being asked to develop more meaningful ways to measure student learning. The critical care nursing faculty at this baccalaureate institution have delineated a process of outcomes-based education that they use as evidence of successful learning in their course. The faculty regard this as an...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Myer SA

    更新日期:1999-06-01 00:00:00

  • Moral Resilience for Critical Care Nurses.

    abstract::Ethically challenging situations are an increasing phenomenon in the nurse's environment, and literature on the subject is growing. Morally challenging experiences common in the critical care environment include end-of-life situations, barriers to providing the best care possible, and lack of organizational resources....

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.cnc.2020.05.002

    authors: Stutzer K,Rodriguez AM

    更新日期:2020-09-01 00:00:00

  • Amniotic fluid embolism.

    abstract::Pulmonary embolism is the leading cause of maternal death in the United States. Amniotic fluid embolism (AFE) represents the least preventable and most lethal of complications with a reported mortality of 86% and an associated fetal demise of 50%. Although it is widely accepted as a clinical entity, AFE is incompletel...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Sisson MC

    更新日期:1992-12-01 00:00:00

  • Pain management. An organizational perspective.

    abstract::To sustain optimal pain-relieving care for acutely and critically ill patients, organizations must have systems in place to support evidence-based interventions, facilitate expert practice in the area of pain management, and encourage ongoing communication among patients, families, and providers. The key to success ma...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Wild LR

    更新日期:2001-06-01 00:00:00

  • Heart transplantation. Long-term management related to immunosuppression, complications, and psychosocial adjustments.

    abstract::Commendable long-term care of cardiac transplant recipients begins with excellent discharge preparation. Routine follow-up allows for prompt detection of myriad problems commonly associated with long-term survival after transplantation. Long-term complications, including rejection, infection, hypertension, nephrotoxic...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Augustine SM

    更新日期:2000-03-01 00:00:00

  • Hemodynamic monitoring modalities in pediatric cardiac surgical patients.

    abstract::Transthoracic monitoring lines yield vital information in the care of the pediatric postoperative cardiovascular surgical patient. It is the critical care nurse, in the holistic care of the patient, who integrates this data into the daily plan of care. Invasive monitoring carries risks; therefore, guidelines for care ...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Elixson EM

    更新日期:1989-06-01 00:00:00

  • Management of the hospitalized diabetes patient with an insulin pump.

    abstract::More than 375,000 Americans manage their diabetes with an insulin pump, and this number continues to increase. Many of these patients will want to remain on their insulin pump while hospitalized, so the nurse needs to know about how to care for the hospitalized patient wearing an insulin pump. This article discusses t...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccell.2012.11.010

    authors: McCrea D

    更新日期:2013-03-01 00:00:00

  • Ventricular Tachycardias: Characteristics and Management.

    abstract::Ventricular tachycardias include ventricular tachycardia, ventricular fibrillation, and torsades de pointes; although these rhythms may be benign and asymptomatic, others may be life threatening and lead to increased morbidity and mortality. To optimize patient outcomes, ventricular tachycardias need to be rapidly dia...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.cnc.2016.04.004

    authors: Baldzizhar A,Manuylova E,Marchenko R,Kryvalap Y,Carey MG

    更新日期:2016-09-01 00:00:00

  • Antiendotoxin therapy in sepsis.

    abstract::Septic shock is the leading cause of death in critical care units. New research in the management of septic shock is focused on the use of immune-based therapy such as antiendotoxin monoclonal antibodies. The object of this therapy is to neutralize endotoxin and prevent the progression of the pathophysiologic events o...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Colletti RC,Dew RB 3rd,Goulart AE

    更新日期:1993-06-01 00:00:00

  • Toxic epidermal necrolysis.

    abstract::To improve the past statistics of high mortality and morbidity in patients with TEN, definitive measures are required. Early referral and transfer to a burn center and withholding or withdrawing steroid therapy are two crucial factors. Therapeutic goals must be directed toward promotion of wound healing; correction of...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:

    authors: DePew CL

    更新日期:1991-06-01 00:00:00

  • Disaster aftermath: a first-person perspective as a responder and caregiver.

    abstract::The patient reception team remains in existence, although its services have not been called upon since Hurricane Katrina. Drills are held, largely for ancillary personnel, with providers brought in on an as-needed basis. The team stands ready for the next challenge, knowing that the most important lesson is to expect ...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.ccell.2010.09.004

    authors: Mistric ML,Sparling TA

    更新日期:2010-12-01 00:00:00

  • Transitional care models: preventing readmissions for high-risk patient populations.

    abstract::Transition from hospital to home is a vulnerable period for older adults with multiple chronic conditions. A pilot of the Transitional Care Model at a community hospital reduced readmission rates for patients with heart failure by 48%. This article shares the experience of a large metropolitan health care system in ex...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccell.2014.08.009

    authors: Centeno MM,Kahveci KL

    更新日期:2014-12-01 00:00:00

  • Surgical Approaches in Heart Failure.

    abstract::Heart failure is a progressive condition that continues to increase in both incidence and prevalence despite pharmacologic treatment. The high rate of morbidity and mortality associated with advanced heart failure has led to exploration of additional treatments, which include surgical interventions to improve outcomes...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.cnc.2019.04.003

    authors: Falls C,Kolodziej AR

    更新日期:2019-09-01 00:00:00

  • Evidence-based Strategies for Advanced Heart Failure.

    abstract::Heart failure is a complex disease that interacts with other organ systems, such as the lungs, kidneys, and the liver, in a complex manner. The stages of heart failure often define the acuity and onset of disease symptoms and progression as well as treatment measures, in addition to the patient's functional class. As ...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.cnc.2018.11.006

    authors: White SM

    更新日期:2019-03-01 00:00:00

  • Intimate partner violence: implications for critical care nursing.

    abstract::IPV presents a serious health risk to many women. Emergency and critical care nurses are in a prime position for identification of and intervention with these women. Careful assessment and recognition of symptoms and conditions associated with IPV helps nurses to identify victims and potential victims. Building a trus...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccell.2006.05.013

    authors: Amar AF,Cox CW

    更新日期:2006-09-01 00:00:00

  • Burn epidemiology: the patient, the nation, the statistics, and the data resources.

    abstract::Throughout the years, bum care treatment in the United States has made major strides in the ability to save the lives of those once rendered helpless as a result of an extensive bum injury. Bum care professionals are able to assist these individuals to live as normal a life as possible as they heal from one of the mos...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccell.2003.10.003

    authors: LaBorde P

    更新日期:2004-03-01 00:00:00

  • Management of Chronic Stable Angina.

    abstract::Chronic stable angina (CSA) is a symptomatic problem that is precipitated by ischemic heart disease. CSA is diagnosed when symptoms are present for at least 2 months without changes in severity, character, or triggering circumstances. This article is a summary of current treatment strategies aimed to prevent progressi...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.cnc.2017.08.008

    authors: Walters MA

    更新日期:2017-12-01 00:00:00

  • Working in an eICU unit: life in the box.

    abstract::This ethnographic study of the VISICU eICU (VSISCU, Inc., Baltimore, MD) work environment in a large midwestern health care system describes everyday life working in a telemedicine intensive care. Data were gathered through 60 hours of observation and formal interviews of eICU clinician team members. Working in the re...

    journal_title:Critical care nursing clinics of North America

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ccell.2008.08.013

    authors: Stafford TB,Myers MA,Young A,Foster JG,Huber JT

    更新日期:2008-12-01 00:00:00