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AACN Advanced Critical Care最新文献

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Comparison of Generative Artificial Intelligence and Predictive Artificial Intelligence. 生成式人工智能与预测式人工智能的比较。
IF 2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2024-06-15 DOI: 10.4037/aacnacc2024225
Linda Harrington
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引用次数: 0
Correction. 更正。
IF 2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2024-06-15
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引用次数: 0
Political Engagement to Support, Advocate, and Advance APRN Practice. 参与政治活动，以支持、倡导和推动全科护士实践。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2024-03-15 DOI: 10.4037/aacnacc2024900
Laura D Rosenthal
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引用次数: 0
Stopping Delirium Using the Awake-and-Walking Intensive Care Unit Approach: True Mastery of Critical Thinking and the ABCDEF Bundle. 使用清醒和行走重症监护病房方法停止谵妄:真正掌握批判性思维和ABCDEF束。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-12-15 DOI: 10.4037/aacnacc2023159
Kali Dayton, Mark Hudson, Heidi Lindroth
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引用次数: 0
Measurement Strategies for The Joint Commission Health Care Disparities Standard: Implementing Hospital-Based Requirements in Heart Failure-Part 2. 联合委员会医疗保健差异标准的测量策略:在心力衰竭中实施基于医院的要求-第2部分。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023852
Stephanie Barnes, Jill Engel, Bradi B Granger
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引用次数: 0
Ultrasonography for Skin and Soft Tissue Infections, Noninfectious Cysts, Foreign Bodies, and Burns in the Critical Care Setting. 超声检查皮肤和软组织感染，非感染性囊肿，异物，和烧伤在重症监护设置。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023182
Kelli A Craven, Kyle Luckey-Smith, Susanna Rudy

There are multiple opportunities for the use of ultrasonography in the diagnosis of skin and soft tissue differentials. Ultrasonography is inexpensive, easily reproducible, and able to provide real-time data in situations where condition changes and progression are common. Not only does bedside ultrasonography provide the clinician an in-depth look beyond epidermal structures into body cavities, it remains a safe, nonionizing radiating, effective, cost-efficient, reliable, and accessible tool for the emergency management of life- and limb-threatening integumentary infections. Unnecessary invasive procedures are minimized, providing improved patient outcomes. Integumentary abnormalities secondary to trauma, surgery, and hospitalization are common among critical care patients. This article provides a brief overview and evidence-based recommendations for the use of ultrasonography in the critical care setting for integumentary system conditions, including common skin and soft tissue differentials, foreign bodies, and burn depth assessment.

超声检查在皮肤和软组织鉴别诊断中有多种应用机会。超声检查价格低廉，易于重复，并且能够在情况变化和进展常见的情况下提供实时数据。床边超声检查不仅为临床医生提供了深入观察表皮结构以外的体腔，而且它仍然是一种安全、非电离辐射、有效、经济、可靠和易于获得的工具，可用于紧急管理危及生命和肢体的肠膜感染。不必要的侵入性手术被最小化，提供了更好的患者预后。外伤、手术和住院后继发的肠膜异常在重症监护患者中很常见。本文提供了一个简要的概述和基于证据的超声检查在肠系统疾病的重症监护环境中的应用建议，包括常见的皮肤和软组织鉴别、异物和烧伤深度评估。
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引用次数: 0
Is Your EHR Nudging You? 你的电子病历是否在影响你?
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023463
Linda Harrington
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引用次数: 0
Resuscitation Quality Improvement: Improving Clinicians' Performance. 提高复苏质量:提高临床医生的表现。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023833
Sergio Mota

Background: Although cardiopulmonary resuscitation (CPR) renewal occurs every 2 years, quality of performed CPR at the study site was below American Heart Association (AHA) standards. Resuscitation Quality Improvement (RQI) is a new AHA program with the premise that practicing CPR more frequently using audiovisual feedback can improve performance.

Objective: To identify whether performance of chest compressions during training reassessments improves with RQI.

Methods: This study used a preintervention-postintervention design. Critical care nurses from 2 intensive care units performed a baseline round of chest compressions. These baseline data reflected CPR performance with traditional training. The next week, participants completed RQI training. Two weeks after RQI training, participants performed chest compressions. Five weeks after RQI training, participants performed a third round of chest compressions. The compressions performed 2 and 5 weeks after RQI used audiovisual feedback.

Results: Thirty nurses participated. Before intervention, the mean (SD) for overall compression compliance was 32.68% (26.96%), depth was 67.76% (30.15%), and rate was 39.95% (27.41%). The first postintervention (RQI plus 2 weeks) mean (SD) increased to 75.33% (33.70%) for overall compression compliance, 97.43% (12.04%) for depth, and 80.89% (29.35%) for rate. The second postintervention (RQI plus 5 weeks) mean (SD) decreased slightly to 73.16% (36.36%) for overall compression compliance, 96.57% (13.04%) for depth, and 78.75% (31.83%) for rate.

Conclusion: Frequent CPR using RQI technology, with its immediate audiovisual feedback, helps maintain skills, which may improve patient outcomes.

背景:虽然心肺复苏(CPR)每2年更新一次，但在研究地点进行的CPR质量低于美国心脏协会(AHA)的标准。复苏质量改善(RQI)是一项新的AHA项目，其前提是更频繁地使用视听反馈进行心肺复苏术可以提高心肺复苏术的表现。目的:探讨RQI对训练再评估时胸外按压的改善作用。方法:本研究采用干预前-干预后设计。来自2个重症监护室的重症监护护士进行了一轮基线胸外按压。这些基线数据反映了传统训练下CPR的表现。接下来的一周，参与者完成了RQI培训。RQI训练两周后，参与者进行胸外按压。RQI训练五周后，参与者进行第三轮胸外按压。RQI术后2周和5周采用视听反馈进行压缩。结果:30名护士参与。干预前，总体压迫依从性均值(SD)为32.68%(26.96%)，深度为67.76%(30.15%)，率为39.95%(27.41%)。第一次干预后(RQI + 2周)平均(SD)总体压迫依从性增加到75.33%(33.70%)，深度增加到97.43%(12.04%)，率增加到80.89%(29.35%)。第二次干预后(RQI + 5周)的平均(SD)略有下降，总体压迫依从性为73.16%(36.36%)，深度为96.57%(13.04%)，率为78.75%(31.83%)。结论:频繁使用RQI技术进行心肺复苏术，具有即时的视听反馈，有助于保持技能，可能改善患者的预后。
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引用次数: 0
Are Premature Atrial Contractions Benign? 心房过早收缩是良性的吗?
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023145
Barbara Bobbi Leeper
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引用次数: 0
Traumatic Brain Injury, Dysphagia, and the Ethics of Oral Intake. 外伤性脑损伤，吞咽困难，和口服摄入的伦理。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023789
Michael Martin, Sarah Kendall, Melissa Kurtz Uveges
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引用次数: 0
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