首页 > 最新文献

AACN Advanced Critical Care最新文献

英文 中文
Pressure Injury Risk Assessment and Prevention in Patients With COVID-19 in the Intensive Care Unit. 重症监护室新冠肺炎患者压力损伤风险评估和预防。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022335
J. Alderden, S. Kennerly, Jill N. Cox, T. Yap
BACKGROUNDPatients critically ill with COVID-19 are at risk for hospital-acquired pressure injury, including device-related pressure injury.METHODSBraden Scale predictive validity was compared between patients with and without COVID-19, and a logistic regression model was developed to identify risk factors for device-related pressure injury.RESULTSA total of 1920 patients were included in the study sample, including 407 with COVID-19. Among the latter group, at least 1 hospital-acquired pressure injury developed in each of 120 patients (29%); of those, device-related pressure injury developed in 55 patients (46%). The Braden Scale score area under the receiver operating characteristic curve was 0.72 in patients without COVID-19 and 0.71 in patients with COVID-19, indicating fair to poor discrimination.CONCLUSIONSFragile skin and prone positioning during mechanical ventilatory support were risk factors for device-related pressure injury. Clinicians may consider incorporating factors not included in the Braden Scale (eg, oxygenation and perfusion) in routine risk assessment and should maintain vigilance in their efforts to protect patients with COVID-19 from device-related pressure injury.
背景新冠肺炎危重患者有医院所需压力损伤的风险，包括与设备相关的压力损伤。方法比较新冠肺炎患者和未患患者的raden量表预测有效性，并建立逻辑回归模型以确定设备相关压力损伤的危险因素。结果共有1920名患者被纳入研究样本，其中包括407名新冠肺炎患者。在后一组中，120名患者中每名患者至少发生1例医院获得性压力损伤（29%）；其中，55名患者（46%）出现了与设备相关的压力损伤。受试者操作特征曲线下的Braden量表评分区域在无新冠肺炎患者中为0.72，在新冠肺炎患者中为0.7，表明存在公平到差的歧视。结论机械通气支持过程中皮肤粗糙和俯卧位是设备相关压力损伤的危险因素。临床医生可以考虑在常规风险评估中纳入布雷登量表中未包括的因素（如氧合和灌注），并应保持警惕，以保护新冠肺炎患者免受设备相关压力损伤。
{"title":"Pressure Injury Risk Assessment and Prevention in Patients With COVID-19 in the Intensive Care Unit.","authors":"J. Alderden, S. Kennerly, Jill N. Cox, T. Yap","doi":"10.4037/aacnacc2022335","DOIUrl":"https://doi.org/10.4037/aacnacc2022335","url":null,"abstract":"BACKGROUND\u0000Patients critically ill with COVID-19 are at risk for hospital-acquired pressure injury, including device-related pressure injury.\u0000\u0000\u0000METHODS\u0000Braden Scale predictive validity was compared between patients with and without COVID-19, and a logistic regression model was developed to identify risk factors for device-related pressure injury.\u0000\u0000\u0000RESULTS\u0000A total of 1920 patients were included in the study sample, including 407 with COVID-19. Among the latter group, at least 1 hospital-acquired pressure injury developed in each of 120 patients (29%); of those, device-related pressure injury developed in 55 patients (46%). The Braden Scale score area under the receiver operating characteristic curve was 0.72 in patients without COVID-19 and 0.71 in patients with COVID-19, indicating fair to poor discrimination.\u0000\u0000\u0000CONCLUSIONS\u0000Fragile skin and prone positioning during mechanical ventilatory support were risk factors for device-related pressure injury. Clinicians may consider incorporating factors not included in the Braden Scale (eg, oxygenation and perfusion) in routine risk assessment and should maintain vigilance in their efforts to protect patients with COVID-19 from device-related pressure injury.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"173-185"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44333021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Analgesia and Sedation in Critically Ill Patients With Burns. 危重烧伤患者的镇痛和镇静。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022588
P. Weaver, Rochelle Brual, David Blair
{"title":"Analgesia and Sedation in Critically Ill Patients With Burns.","authors":"P. Weaver, Rochelle Brual, David Blair","doi":"10.4037/aacnacc2022588","DOIUrl":"https://doi.org/10.4037/aacnacc2022588","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"125-129"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42447857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primer on Artificial Intelligence Used in Electronic Health Records. 电子健康记录中使用的人工智能入门。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022390
L. Harrington
{"title":"Primer on Artificial Intelligence Used in Electronic Health Records.","authors":"L. Harrington","doi":"10.4037/aacnacc2022390","DOIUrl":"https://doi.org/10.4037/aacnacc2022390","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"130-133"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44770112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Hospital's Roadmap for Improving Nursing Excellence Using AACN's Healthy Work Environment Standards. 使用AACN的健康工作环境标准提高护理质量的医院路线图。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022632
N. Blake, R. Sandoval, Ria Sangalang, Jamenica Reyes, Kelli Anderson, Debra Hunt
{"title":"A Hospital's Roadmap for Improving Nursing Excellence Using AACN's Healthy Work Environment Standards.","authors":"N. Blake, R. Sandoval, Ria Sangalang, Jamenica Reyes, Kelli Anderson, Debra Hunt","doi":"10.4037/aacnacc2022632","DOIUrl":"https://doi.org/10.4037/aacnacc2022632","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"208-211"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45026597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Beyond Burnout and Resilience: The Disillusionment Phase of COVID-19. 超越倦怠和恢复力:COVID-19的幻灭阶段。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022248
Perry M Gee, Marla J Weston, Tom Harshman, Lesly A Kelly

In caring for patients during the COVID-19 pandemic, nurses are experiencing a crisis of emotional highs and lows that will have lasting implications for their professional and personal well-being. As a result, much attention has been focused on nurse burnout, but the range of nurses' experiences is more nuanced, complicated, and profound. With the recognition that the nursing workforce was already experiencing burnout before the pandemic, this article explores how individuals respond to disasters and the detrimental effects of the repeated surges of critically ill patients, which have led nurses to experience an extended period of disillusionment that includes secondary traumatic stress, cumulative grief, and moral distress. This article describes the range of psychological responses to the COVID-19 pandemic so that nurse leaders can better identify resources and interventions to support nurses.

在2019冠状病毒病大流行期间照顾病人的过程中，护士正经历着情绪起伏的危机，这将对她们的职业和个人福祉产生持久影响。因此，很多注意力都集中在护士的职业倦怠上，但护士的经验范围更加微妙、复杂和深刻。认识到护理人员在大流行之前已经经历了倦怠，本文探讨了个人如何应对灾难和危重病人反复激增的有害影响，这导致护士经历了长时间的幻灭，包括继发性创伤压力、累积的悲伤和道德痛苦。本文描述了对COVID-19大流行的一系列心理反应，以便护士领导能够更好地确定资源和干预措施，以支持护士。
{"title":"Beyond Burnout and Resilience: The Disillusionment Phase of COVID-19.","authors":"Perry M Gee,&nbsp;Marla J Weston,&nbsp;Tom Harshman,&nbsp;Lesly A Kelly","doi":"10.4037/aacnacc2022248","DOIUrl":"https://doi.org/10.4037/aacnacc2022248","url":null,"abstract":"<p><p>In caring for patients during the COVID-19 pandemic, nurses are experiencing a crisis of emotional highs and lows that will have lasting implications for their professional and personal well-being. As a result, much attention has been focused on nurse burnout, but the range of nurses' experiences is more nuanced, complicated, and profound. With the recognition that the nursing workforce was already experiencing burnout before the pandemic, this article explores how individuals respond to disasters and the detrimental effects of the repeated surges of critically ill patients, which have led nurses to experience an extended period of disillusionment that includes secondary traumatic stress, cumulative grief, and moral distress. This article describes the range of psychological responses to the COVID-19 pandemic so that nurse leaders can better identify resources and interventions to support nurses.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2","pages":"134-142"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39642733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Threats to Skin Integrity in the Critically Ill Patient. 危重病人皮肤完整性的威胁。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022200
R. Bryant
{"title":"Threats to Skin Integrity in the Critically Ill Patient.","authors":"R. Bryant","doi":"10.4037/aacnacc2022200","DOIUrl":"https://doi.org/10.4037/aacnacc2022200","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"163-164"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47204957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differentiation of Lower Extremity Skin Changes in the Intensive Care Setting. 重症监护环境下下肢皮肤变化的鉴别。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022737
K. Bauer
Digital and lower extremity skin changes often signify critical underlying disorders. Patients in the intensive care unit also frequently have hemodynamic instability requiring the use of vasoactive medications, which may lead to various presentations of limb ischemia; preexisting conditions increase these patients' risk for arterial embolization. Most arterial emboli are clots that originate in the heart and travel to distant vascular beds, where they cause arterial occlusion, ischemia, and, potentially, infarction; the 2 most common sequelae are stroke and lower limb ischemia. Emboli also arise from atherosclerotic plaques. Other conditions can also cause skin color changes in this vulnerable population. Prompt recognition and differentiation of lower extremity skin changes can result in improved patient outcomes. A thorough literature search was conducted to differentiate the primary causes of lower extremity and digital skin changes in the critically ill patient and outline diagnostic and management techniques.
手指和下肢皮肤的变化通常意味着严重的潜在疾病。重症监护室的患者也经常出现血液动力学不稳定，需要使用血管活性药物，这可能导致各种肢体缺血表现；先前存在的疾病增加了这些患者动脉栓塞的风险。大多数动脉栓塞是起源于心脏并传播到远处血管床的血栓，在那里它们会导致动脉闭塞、局部缺血，并可能导致梗死；最常见的两种后遗症是中风和下肢缺血。栓塞也由动脉粥样硬化斑块引起。其他情况也会导致这一弱势群体的肤色变化。及时识别和区分下肢皮肤变化可以改善患者的预后。进行了彻底的文献检索，以区分危重患者下肢和指部皮肤变化的主要原因，并概述诊断和管理技术。
{"title":"Differentiation of Lower Extremity Skin Changes in the Intensive Care Setting.","authors":"K. Bauer","doi":"10.4037/aacnacc2022737","DOIUrl":"https://doi.org/10.4037/aacnacc2022737","url":null,"abstract":"Digital and lower extremity skin changes often signify critical underlying disorders. Patients in the intensive care unit also frequently have hemodynamic instability requiring the use of vasoactive medications, which may lead to various presentations of limb ischemia; preexisting conditions increase these patients' risk for arterial embolization. Most arterial emboli are clots that originate in the heart and travel to distant vascular beds, where they cause arterial occlusion, ischemia, and, potentially, infarction; the 2 most common sequelae are stroke and lower limb ischemia. Emboli also arise from atherosclerotic plaques. Other conditions can also cause skin color changes in this vulnerable population. Prompt recognition and differentiation of lower extremity skin changes can result in improved patient outcomes. A thorough literature search was conducted to differentiate the primary causes of lower extremity and digital skin changes in the critically ill patient and outline diagnostic and management techniques.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"196-207"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44648545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Time to Hemostasis After Trauma and Transfusion by Patient Blood Type. 创伤后止血时间和按患者血型输血。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022432
Justin L Miller, Hallie Harper, Hannah Jane McCarty, Peng Li, Allison R. Jones
BACKGROUNDAlthough evidence supports an increased risk of mortality after major trauma among patients with type O blood, the relationship between patient blood type and clinical outcomes aside from mortality has not been fully elucidated.OBJECTIVETo examine the relationship between patient blood type and time to hemostasis after trauma and massive transfusion.METHODSA secondary analysis of the Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) trial was performed (N = 544). Blood type was dichotomized into type O versus non-type O. It was hypothesized that patients with non-type O blood would achieve hemostasis more quickly owing to the theoretical presence of increased clotting factors. Bivariate analysis and multiple Cox regression were conducted to test this assumption.RESULTSNo significant difference was found in time to hemostasis between patients with type O blood and those with non-type O blood. However, mechanism of injury, diastolic blood pressure, and international normalized ratio affected the time to hemostasis in these trauma patients.CONCLUSIONThis study showed no significant difference in time to hemostasis by blood type.
背景:尽管有证据支持O型血患者在重大创伤后死亡风险增加，但患者血型与除死亡率外的临床结果之间的关系尚未完全阐明。目的探讨创伤及大量输血后患者血型与止血时间的关系。方法对实用随机最佳血小板与血浆比率(PROPPR)试验(N = 544)进行二次分析。血型被分为O型血和非O型血。假设非O型血的患者会更快地止血，因为理论上存在更多的凝血因子。采用双变量分析和多重Cox回归对这一假设进行检验。结果O型血患者与非O型血患者止血时间差异无统计学意义。然而，损伤机制、舒张压、国际标准化比值对这些创伤患者的止血时间有影响。结论不同血型在止血时间上差异无统计学意义。
{"title":"Time to Hemostasis After Trauma and Transfusion by Patient Blood Type.","authors":"Justin L Miller, Hallie Harper, Hannah Jane McCarty, Peng Li, Allison R. Jones","doi":"10.4037/aacnacc2022432","DOIUrl":"https://doi.org/10.4037/aacnacc2022432","url":null,"abstract":"BACKGROUND\u0000Although evidence supports an increased risk of mortality after major trauma among patients with type O blood, the relationship between patient blood type and clinical outcomes aside from mortality has not been fully elucidated.\u0000\u0000\u0000OBJECTIVE\u0000To examine the relationship between patient blood type and time to hemostasis after trauma and massive transfusion.\u0000\u0000\u0000METHODS\u0000A secondary analysis of the Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) trial was performed (N = 544). Blood type was dichotomized into type O versus non-type O. It was hypothesized that patients with non-type O blood would achieve hemostasis more quickly owing to the theoretical presence of increased clotting factors. Bivariate analysis and multiple Cox regression were conducted to test this assumption.\u0000\u0000\u0000RESULTS\u0000No significant difference was found in time to hemostasis between patients with type O blood and those with non-type O blood. However, mechanism of injury, diastolic blood pressure, and international normalized ratio affected the time to hemostasis in these trauma patients.\u0000\u0000\u0000CONCLUSION\u0000This study showed no significant difference in time to hemostasis by blood type.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"154-161"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43112172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Silent Hypoxia in COVID-19 Pneumonia: State of Knowledge, Pathophysiology, Mechanisms, and Management. COVID-19肺炎的无症状性缺氧:知识状况、病理生理学、机制和管理。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022448
Ruff Joseph Macale Cajanding

Patients with COVID-19 often present with life-threatening hypoxemia without dyspnea or signs of respiratory distress. Termed silent or happy hypoxia, it has puzzled clinicians and challenged and defied our understanding of normal respiratory physiology. A range of host- and pathogen-related factors appears to contribute to its development, including SARS-CoV-2's ability to produce different COVID-19 phenotypes; induce endothelial damage and elicit a vascular distress response; invade cells of the central nervous system and disrupt normal interoception and response; and modulate transcription factors involved in hypoxic responses. Because hypoxemia in COVID-19 is associated with increased mortality risk and poorer survival, early detection and prompt treatment is essential to prevent potential complications. Interventions to prevent hypoxemia and improve oxygen delivery to the blood and the tissues include home pulse-oximetry monitoring, optimization of patient positioning, judicious use of supplemental oxygen, breathing control exercises, and timely and appropriate use of ventilatory modalities and adjuncts.

COVID-19患者通常出现危及生命的低氧血症，无呼吸困难或呼吸窘迫迹象。它被称为无声缺氧或快乐缺氧，一直困扰着临床医生，并挑战和挑战我们对正常呼吸生理学的理解。一系列宿主和病原体相关因素似乎有助于其发展，包括SARS-CoV-2产生不同COVID-19表型的能力;诱导内皮损伤并引起血管窘迫反应;侵袭中枢神经系统细胞，破坏正常的内感受和反应;并调节参与缺氧反应的转录因子。由于COVID-19患者低氧血症与死亡风险增加和生存率降低有关，因此早期发现和及时治疗对于预防潜在并发症至关重要。预防低氧血症和改善血液和组织供氧的干预措施包括家庭脉搏血氧仪监测，优化患者体位，明智地使用补充氧气，呼吸控制练习，及时和适当地使用通气方式和辅助设备。
{"title":"Silent Hypoxia in COVID-19 Pneumonia: State of Knowledge, Pathophysiology, Mechanisms, and Management.","authors":"Ruff Joseph Macale Cajanding","doi":"10.4037/aacnacc2022448","DOIUrl":"https://doi.org/10.4037/aacnacc2022448","url":null,"abstract":"<p><p>Patients with COVID-19 often present with life-threatening hypoxemia without dyspnea or signs of respiratory distress. Termed silent or happy hypoxia, it has puzzled clinicians and challenged and defied our understanding of normal respiratory physiology. A range of host- and pathogen-related factors appears to contribute to its development, including SARS-CoV-2's ability to produce different COVID-19 phenotypes; induce endothelial damage and elicit a vascular distress response; invade cells of the central nervous system and disrupt normal interoception and response; and modulate transcription factors involved in hypoxic responses. Because hypoxemia in COVID-19 is associated with increased mortality risk and poorer survival, early detection and prompt treatment is essential to prevent potential complications. Interventions to prevent hypoxemia and improve oxygen delivery to the blood and the tissues include home pulse-oximetry monitoring, optimization of patient positioning, judicious use of supplemental oxygen, breathing control exercises, and timely and appropriate use of ventilatory modalities and adjuncts.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2","pages":"143-153"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39746485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Advancing Nursing Science Through Site-Based Clinical Inquiry: Designing Problem Pyramids. 通过现场临床调查推进护理科学：设计问题金字塔。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022750
B. Granger, Anna Mall, Staci S. Reynolds
{"title":"Advancing Nursing Science Through Site-Based Clinical Inquiry: Designing Problem Pyramids.","authors":"B. Granger, Anna Mall, Staci S. Reynolds","doi":"10.4037/aacnacc2022750","DOIUrl":"https://doi.org/10.4037/aacnacc2022750","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"212-219"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44020034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
类型
全部 化学•材料 生命科学 医学 物理 工程技术 环境•农林 材料科学 地球科学 法学 管理学 化学 环境科学与生态学 计算机科学 教育学 经济学 农林科学 人文科学 生物学 数学 物理与天体物理 心理学 综合性期刊 其他 工业工程 理学 历史学 农学 文学 信息工程
数据库
全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley
期刊
AACN Advanced Critical Care
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
﹀
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们：info@booksci.cn
Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1