Critical Care Newsline — June 19, 2008

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Critical Care Newsline, the electronic newsletter from the American Association of Critical-Care Nurses, contains information selected just for you by AACN. Every week, our advanced practice staff reviews hundreds of journals and Web sites, choosing only the most pertinent information for Critical Care Newsline. In each issue, you’ll find links to resources, research abstracts (individual sites may require registration and a fee to access complete articles) and Web sites on a variety of topics to keep you informed on issues that affect nurses and the nursing profession.


June 19, 2008

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1. News: Work Environment Advocacy Earns AACN Prestigious Center for Nurses Award
2. Call to Action: Apply Now for AACN Research Grants
3. Call to Action: Study on Work Environment, Moral Distress and Burnout in Adult Critical Care Nurses
4. News: Nurses Who Work Overnight Shifts Benefit From a Nap
5. News: Adverse Work Schedules, Poor Sleep May Impact Nurses’ Work Performance
6. News: Circle of Excellence Awards Deadline Extended to Aug. 1, 2008
7. Resource: Seminal Report Offers Roadmap for Patient and Family Partnership in Care
8. News: AMA Should Reject Resolutions That Diminish DNP Role
9. Clinical Practice Resources
10. AACN Resources
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1. News: Work Environment Advocacy Earns AACN Prestigious Center for Nurses Award
AACN’s work to promote healthy work environments will be recognized next week by the Center for American Nurses, a national professional nursing organization that helps nurses to advocate for themselves, their profession and their patients. The Center will present AACN its 2008 Workforce Advocacy Champion Award on June 24 in Washington, D.C., in recognition of AACN’s contributions to strengthening the nursing workforce and workplace. AACN published the Healthy Work Environment Standards in response to the urgent need for hospitals to implement initiatives to ensure that healthcare professionals deliver safe, high-quality care to their patients. Find out more about AACN’s Healthy Work Environment Standards online.
http://www.aacn.org/hwe
Read the full news release.
http://www.aacn.org/WD/PressRoom/Content/pressRelease.pcms?menu=AboutUs

2. Call to Action: Apply Now for AACN Research Grants
Apply now for the AACN Clinical Inquiry Grant, End-of-Life Palliative Care Small Projects Grant or AACN-Physio-Control Small Projects Grant. The deadline is July 1, 2008.
http://new.aacn.org/WD/Practice/Docs/08-09_Grants_BrochureDC.doc

3. Call to Action: Study on Work Environment, Moral Distress and Burnout in Adult Critical Care Nurses
Critical care nurses are invited to take part in a research study on the impact of the critical care work environment. Participants will complete online questionnaires about their feelings and stressors as an adult critical care nurse and answer general questions about their background (age, gender, education, etc.) The study takes about 25 minutes.
https://www.surveymonkey.com/s.aspx?sm=KTPFH7Mw7iVYRPv_2b8Pw1SQ_3d_3d

4. News: Nurses Who Work Overnight Shifts Benefit From a Nap
A research abstract from the 22nd Annual Meeting of the Associated Professional Sleep Societies identifies a number of personal health, safety and patient care issues that support the need for a restorative nap during the night shift among nurses. Night shift work can lead to sleep deprivation, which in turn can threaten the health and safety of both patients and nurses. Napping has been suggested as a strategy to improve performance, reduce fatigue and increase vigilance in other shift work environments. Surprisingly, little has been done to support effective napping strategies for critical care nurses.
http://www.aasmnet.org/Articles.aspx?id=876

5. News: Adverse Work Schedules, Poor Sleep May Impact Nurses’ Work Performance
Sleep quality and quantity among nurses is negatively influenced by adverse work schedules and additional home demands. These results have implications for both worker and patient safety because sleep adequacy affects job performance, according to a research abstract presented at the 22nd Annual Meeting of the Associated Professional Sleep Societies. According to the results, inadequate sleep has both short-term (needle stick injuries and musculoskeletal disorders) and long-term (cardiovascular and metabolic diseases) health consequences for nurses and possibly for the patients they serve.
http://www.aasmnet.org/Articles.aspx?id=875

6. News: Circle of Excellence Awards Deadline Extended to Aug. 1, 2008
The nominations deadline for the 2009 Circle of Excellence Awards has been extended to Aug. 1, 2008. For more information about these recognition awards click on the following link.
http://www.aacn.org/awards

7. Resource: Seminal Report Offers Roadmap for Patient and Family Partnership in Care
Making health care delivery patient- and family-centered is a bedrock principle of quality improvement. A new report on this subject, “Partnering with Patients and Families,” evolved from a unique convening of more than 70 experts, led by the Institute for Family-Centered Care (IFCC) and the Institute for Healthcare Improvement. The report is filled with examples from the field and key recommendations for all stakeholders: hospitals, payers, foundations, corporations, government agencies, groups of people with specific chronic illnesses and others. Click on the following link to download a copy.
http://www.ihi.org/NR/rdonlyres/C810CCBB-2DEB-4678-994A-57D9B703F98D/0/PartneringwithPatientsandFamiliesRecommendationsApr08.pdf

8. News: AMA Should Reject Resolutions That Diminish DNP Role
AACN supports the position of the American Nurses Association, Emergency Nurses Association and American Association of Nurse Anesthetists in opposing two American Medical Association resolutions that would undermine recognition of doctorally prepared advanced practice nurses. Resolution 214 states that doctors of nursing practice (DNPs) should be allowed to practice only under the supervision of a licensed physician, which would seriously restrict access to care for thousands of Americans. Resolution 303 seeks to protect the titles of doctor and resident for exclusive use by physicians, ignoring the advanced educational preparation DNPs bring to the healthcare team. AACN wants to add the voices of our 73,000 members in asking the AMA House of Delegates to vote against these resolutions.

9. Clinical Practice Resources

AACN HEALTHY WORK ENVIRONMENT STANDARDS
http://www.aacn.org/hwe

AHRQ WebM&M
http://webmm.ahrq.gov/

Quality Improvement Online
http://www.jcrinc.com/publications.asp?durki=9649

AACN PRACTICE ALERTS
http://www.aacn.org/WD/Practice/Content/practicealerts.pcms?menu=Practice

AACN’s LISTSERV FOR NURSE MANAGERS
http://health.groups.yahoo.com/group/NIHMBL/

PATIENT SAFETY ISSUES
Remicade, Enbrel, Humira and Cimzia: FDA Investigating Tumor Necrosis Factor Blockers and Cancer Risk in Children and Young Adults
http://www.fda.gov/medwatch/safety/2008/safety08.htm#TNF

Morphine Sulfate 60 mg Extended Release Tablets: Recall of a Single Lot Due to a Report of a Tablet With Twice the Appropriate Thickness
http://www.fda.gov/medwatch/safety/2008/safety08.htm#Morphine

Patient Safety Links:
Joint Commission
http://jcrinc.co.mansellgroup.net/UM/T.asp?A2557.25634.1623.1.63602
Medline Plus
http://jcrinc.co.mansellgroup.net/UM/T.asp?A2557.25634.1623.2.63602
National Patient Safety Foundation
http://jcrinc.co.mansellgroup.net/UM/T.asp?A2557.25634.1623.3.63602

Institute for Safe Medication Practices Newsletter
http://www.ismp.org/Newsletters/nursing/default.asp

AHRQ Patient Safety Network
http://psnet.ahrq.gov

GUIDELINES
Diagnosis and Treatment of Gastroesophageal Reflux Disease (GERD)
http://www.guideline.gov/Compare/comparison.aspx?file=GERD1.inc

EVIDENCE-BASED PRACTICE
Pathophysiology of Delirium in the Intensive Care Unit (Abstract)
http://www.ncbi.nlm.nih.gov/pubmed/18241778

Pediatric Illness Severity Measures Predict Delirium in a Pediatric Intensive Care Unit (Abstract)
http://www.ccmjournal.com/pt/re/ccm/abstract.00003246-200806000-00034.htm;jsessionid=LZZRQvDPJSGpLp1l2VQTbMYxQnhP41shvqFXNT0NJszysvGndGbZ!-74786611!181195628!8091!-1

Prevalence of and Risk Factors for Community-acquired Methicillin-resistant and Methicillin-sensitive Staphylococcus Aureus Colonization in Children Seen in a Practice-based Research Network (Abstract)
http://www.ncbi.nlm.nih.gov/pubmed/18519477
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