Critical Care Newsline — June 28, 2012

Critical Care Newsline, the electronic newsletter from the American Association of Critical-Care Nurses, contains information selected just for you by our clinical practice experts. Each issue includes links to resources, research abstracts (individual sites may require registration and a fee to access complete articles) and websites that will inform you on issues affecting nurses and the nursing profession.

June 28, 2012

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1. CALL TO ACTION Review and comment on AACN’s ACNP Scope and Standards by Sunday, July 8
2. EVIDENCE Article in CCN on simulation and pediatric critical care
3. CNE OF THE MONTH Article in CCN describes strategy for managing stress
4. EVIDENCE Study in JAMA finds increase in alcohol abuse after bariatric surgery
5. EVIDENCE Critical Care Medicine publishes new studies
6. PROFESSIONAL DEVELOPMENT Register for Nursing Alliance Leadership Academy by July 5 and save
7. EVIDENCE Telephone effective for neuropsychological function assessment in ARDS
8. EVIDENCE Organizational culture may have positive effect on family satisfaction with ICU care
9. EVIDENCE Study in Circulation says ACEI treatment beneficial after CABG
10. BOOKSTORE An innovative 12-lead ECG tool
11. CLINICAL PRACTICE RESOURCES
12. AACN RESOURCES Find jobs at NursePath.com
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1. CALL TO ACTION Review and comment on AACN’s ACNP Scope and Standards by Sunday, July 8
AACN invites comments from acute care nurse practitioners (ACNPs) on proposed updates to “AACN Scope and Standards of Practice for the Acute Care Nurse Practitioner,” published in 2006. First read the “Scope of Practice,” “Standards of Clinical Practice” and “Standards of Professional Performance.” Links to these documents are included in the survey. We need to hear from you, as these standards help define the evolving role of ACNPs.

2. EVIDENCE Article in CCN on simulation and pediatric critical care
Multidisciplinary Simulation in Pediatric Critical Care: The Death of a Child,” in June’s Critical Care Nurse (CCN), describes a multidisciplinary education project that uses high-fidelity simulation to enable healthcare practitioners to practice communicating with families about the death of their child.

3. CNE OF THE MONTH Article in CCN describes strategy for managing stress
Tend and Befriend in the Intensive Care Unit,” a continuing nursing education (CNE) article in June’s Critical Care Nurse (CCN), describes a strategy to help nurses increase their ability to grow from stressful situations, especially those related to moral distress.

4. EVIDENCE Study in JAMA finds increase in alcohol abuse after bariatric surgery
Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery,” a prospective cohort study published online June 18 by the Journal of the American Medical Association (JAMA), finds the prevalence of “alcohol use disorder” is higher in the second postoperative year than the year before surgery.

5. EVIDENCE Critical Care Medicine publishes new studies
July’s Critical Care Medicine contains three studies of interest to nurses: 1) “The Determinants of Hospital Mortality Among Patients With Septic Shock Receiving Appropriate Initial Antibiotic Treatment” found that infection acquired in the ICU and illness severity were the “most important determinants” of clinical outcome; 2) “Standardized Postoperative Handover Process Improves Outcomes in the Intensive Care Unit: A Model for Operational Sustainability and Improved Team Performance” found the handover tool was associated with better communication during postoperative transfers, decreased postoperative complications and improved 24-hour patient outcomes, including a “significant increase” in the number of early extubations; and 3) “Nutritional Practices and Their Relationship to Clinical Outcomes in Critically Ill Children – An International Multicenter Cohort Study” states, “Nutrition delivery is generally inadequate in mechanically ventilated children across the world.” Findings include: Pediatric ICUs that use protocols for enteral nutrition have a lower prevalence of acquired infections, parenteral nutrition is associated with higher mortality, and a higher percentage of goal energy intake delivered by the enteral route improved 60-day survival.

6. PROFESSIONAL DEVELOPMENT Register for Nursing Alliance Leadership Academy by July 5 and save
Register by July 5 and save on the Nursing Alliance Leadership Academy (NALA), Aug. 18-19 in Louisville, Ky. Enjoy the opportunity to network and build relationships with your counterparts from other organizations. Visit the NALA website for more information. AACN Continuing Professional Development Scholarships support this and other programs that help members enrich their career and acquire knowledge and skills beyond traditional academic nursing. Email scholarships@aacn.org with questions.

7. EVIDENCE Telephone effective for neuropsychological function assessment in ARDS
Neuropsychological function in patients with acute respiratory distress syndrome (ARDS) can be assessed by telephone in a multicenter trial, according to a study in June 15’s American Journal of Respiratory and Critical Care Medicine. “The Adult Respiratory Distress Syndrome Cognitive Outcomes Study: Long-Term Neuropsychological Function in Survivors of Acute Lung Injury” also finds that hypoxemia and a conservative fluid-management strategy are risk factors for long-term cognitive impairment.

8. EVIDENCE Organizational culture may have positive effect on family satisfaction with ICU care
May’s Critical Care Medicine contains “The Relationship Between Organizational Culture and Family Satisfaction in Critical Care,” which found “strong positive relationships between most domains of organizational and safety culture, and satisfaction with care or decision-making” for family members of ICU nonsurvivors who spent at least 14 days in the ICU.

9. EVIDENCE Study in Circulation says ACEI treatment beneficial after CABG
Stopping ACE inhibitor (ACEI) treatment after coronary artery bypass graft (CABG) surgery is “associated with non-fatal in-hospital ischemic events,” while starting or continuing ACEI early after CABG is “associated with improved in-hospital outcomes,” according to “Patterns of Use of Perioperative ACE Inhibitors in CABG Surgery With Cardiopulmonary Bypass: Effects on In-Hospital Morbidity and Mortality,” published online June 19 by Circulation.

10. BOOKSTORE An innovative 12-lead ECG tool
MI Rule Visions: The 3D 12-Lead ECG Infarction Template” is an innovative tool that makes recognition of myocardial infarction and ischemia rapid and simple. The color-coded template contains a wealth of references for ECG lead changes, reciprocal changes, culprit arteries, cardiac markers, lead placement and waveform normals. Access new titles in AACN’s Online Bookstore.

11. CLINICAL PRACTICE RESOURCES
Evidence

Centers for Disease Control and Prevention Initiatives to Prevent Hepatitis C Virus Infection: A Selective Update,” in the July 1 Clinical Infectious Diseases, describes several initiatives, including studies in settings where persons who inject drugs receive services and a national viral hepatitis education campaign.

Guidelines
Access the following summaries in the National Guideline Clearinghouse from the Agency for Healthcare Research and Quality, Rockville, Md.: “2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines,” “2011 ACCF/AHA Guideline for the Diagnosis and Treatment of Hypertrophic Cardiomyopathy. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines” and “2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Artery intervention. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions.”

12. AACN RESOURCES
Find jobs at NursePath.com
Are you a recent graduate? Or are you a mid- or senior-career acute or critical care nurse looking to change jobs or locations? Visit NursePath.com, AACN’s online career site, to find employment opportunities in high acuity and critical care across the U.S.

Notable Quote
“Above all, the manager expects that you actively listen to what she has to say and take the appropriate steps to correct the problem.” Michael Henry Cohen, “The Power of Self Management: Pride and Professionalism for a Successful Career.”

Together. Stronger. Bolder.
From June’s AACN Bold Voices
The Energy of Community” — Mary Stahl, AACN President 2011-2012
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