Critical Care Newsline — May 29, 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.


May 29, 2008

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1. Call to Action: Study on Work Environment, Moral Distress and Burnout in Adult Critical Care Nurses
2. Research: End-stage Dementia Patients Deserve the Same Access to Palliative Care as People With Cancer (Abstract)
3. Research: Study Suggests Sick Children Should Be Transferred to Specialty Hospitals Sooner (Abstract)
4. Research: Green Tea Compounds Beat OSA-related Brain Deficits (Abstract)
5. News: Associations Recommend Home Monitors for Blood Pressure
6. Research: No Additional Benefit in Intensive, High Dose Treatment for Acute Kidney Injury, Study Suggests (Free Full Text)
7. News: Nursing Shortage Still Looms, Despite Americans' High Regard for the Profession
8. Clinical Practice Resources
9. AACN Resources
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1. 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

2. Research: End-stage Dementia Patients Deserve the Same Access to Palliative Care as People With Cancer (Abstract)
There is an urgent need to improve end-of-life care for older people in the final stages of dementia, according to a recently published international review. The researchers identified a number of ways that colleagues across healthcare disciplines can work together to enhance the quality of care they provide older people in the end stages of dementia.
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2702.2007.02220.x?journalCode=jcn

3. Research: Study Suggests Sick Children Should Be Transferred to Specialty Hospitals Sooner (Abstract)
Critically ill children admitted to the pediatric intensive care units of regional medical centers from smaller hospitals are sicker than those admitted directly from those centers' own emergency rooms, a study by pediatric critical care physicians showed. The study suggests the need for better coordination between smaller hospitals and regional medical centers, including greater use of telemedicine to provide emergency and critical care consultation on when sick children should be transferred to larger hospitals.
http://pediatrics.aappublications.org/cgi/content/abstract/121/4/e906?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=UC+Davis+Children%27s+Hospital&searchid=1&FIRSTINDEX=0&volume=121&issue=4&resourcetype=HWCIT

4. Research: Green Tea Compounds Beat OSA-related Brain Deficits (Abstract)
Chemicals found in green tea may be able to stave off the cognitive deficits that occur with obstructive sleep apnea (OSA), according to a new study. Researchers examined the effects green tea polyphenols (GTPs) administered through drinking water on rats that were intermittently deprived of oxygen during 12-hour “night” cycles, mimicking the intermittent hypoxia (IH) that humans with OSA experience. People with OSA have been reported to have increased markers of oxidative stress and exhibit architectural changes in their brain tissue in areas involved in learning and memory. Chronic IH in rats produce similar neurological deficit patterns. GTPs possess anti-oxidant properties, acting as a free radical scavengers, and research has shown that the compounds may reduce the risk of a variety of different diseases.
http://ajrccm.atsjournals.org/cgi/content/abstract/177/10/1135?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=green+tea&searchid=1&FIRSTINDEX=0&volume=177&issue=10&resourcetype=HWCIT

5. News: Associations Recommend Home Monitors for Blood Pressure
The American Heart Association and other medical groups on Thursday endorsed the use of home monitors for patients with high blood pressure to help doctors fine-tune drugs used to control the condition. AHA President Daniel Jones said the organization believes that such devices will cut incidence of heart attacks and strokes.
http://news.yahoo.com/s/ap/20080522/ap_on_he_me/blood_pressure_monitors

6. Research: No Additional Benefit in Intensive, High Dose Treatment for Acute Kidney Injury, Study Suggests (Free Full Text)
In this large, multicenter, randomized, controlled trial of the intensity of renal-replacement therapy in critically ill patients with acute kidney injury, researchers found no added benefit from treating patients with an intensive, high-dose therapy than with more conventional, less-intensive treatment. There were no significant differences in mortality, rate of recovery of kidney function, duration of renal-replacement therapy or evolution of nonrenal organ failure.
http://content.nejm.org/cgi/content/full/NEJMoa0802639?query=TOC

7. News: Nursing Shortage Still Looms, Despite Americans' High Regard for the Profession
Despite a temporary lull in the country's nursing shortage, data point to a gathering storm that will be "like a Category Three hurricane, but one that hits the entire nation," according to a recent research study. The study’s authors predicted dire numbers for the shortage, however the research was more positive regarding the high public regard of the nursing profession. The current nursing shortage began in 1998, and according to the latest data, could spike to 500,000 by 2025. Colliding forces, including an aging nursing work force and a surge in demand for health care as 78 million baby boomers reach age 65, do not bode well for the future.
http://www.nursingeconomics.net/cgi-bin/WebObjects/NECJournal.woa/wa/viewSection?tName=newsArticle&od_id=805318366&s_id=1073744453

8. 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
Digitek (Digoxin Tablets)-Class I Recall Because Tablets May Contain Twice the Approved Level of Active Ingredient
http://www.fda.gov/medwatch/safety/2008/safety08.htm#Digitek

Enbrel (Etanercept)-Prescribing Information Revised to Include a Boxed Warning Regarding the Risk of Infection, Including Tuberculosis
http://www.fda.gov/medwatch/safety/2008/safety08.htm#Enbrel

Cardinal Health Alcohol-Free Mouth Product Recalled Because of the Presence of Burkholderia Cepacia
http://www.fda.gov/medwatch/safety/2008/safety08.htm#Cardinal

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
Use of Ultrasound for the Diagnosis of Deep Venous Thrombosis in Asymptomatic Inpatients: A Recommendation Statement From the University of Pennsylvania Health System Center for Evidence-based Practice
http://www.guideline.gov/summary/summary.aspx?view_id=1&doc_id=12014

EVIDENCE-BASED PRACTICE
Characteristics of the Diet Patterns Tested in the Optimal Macronutrient Intake Trial to Prevent Heart Disease (OmniHeart): Options for a Heart-healthy Diet (Abstract)
http://www.ncbi.nlm.nih.gov/pubmed/18237574

The Evidence for Dietary Prevention and Treatment of Cardiovascular Disease (Abstract)
http://www.ncbi.nlm.nih.gov/pubmed/18237578

Measurable Outcomes of Quality Improvement in the Trauma Intensive Care Unit: The Impact of a Daily Quality Rounding Checklist (Abstract)
http://www.jtrauma.com/pt/re/jtrauma/abstract.00005373-200801000-00004.htm;jsessionid=L22T19PvpZkSlQQCnPpFyPW3HM60wBFl16yvVGQ7LMQtNgWwChLY!939278529!181195628!8091!-1

Complications and Controversies Associated With Peripherally Inserted Central Catheters (Abstract)
http://www.journalofinfusionnursing.com/pt/re/jinfusionnurse/abstract.00129804-200805000-00006.htm;jsessionid=L2vV0pTlDjfwbYS1JLQngxCfF4J5TP5YlHt4N7TjJyJhTF5WqsJy!939278529!181195628!8091!-1
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