Bold Voices - December 2011 - (Page 17)

AT THE BEDSIDE ICU Staff Composition May Decrease Burnout A Swiss study associates a high proportion of female nurses on an ICU team with decreased individual risk of burnout, highlighting the importance of team composition. “Burnout in ICU Caregivers: A Multicenter Study of Factors Associated to Centers,” published in the American Journal of Respiratory and Critical Care Medicine, lists “being a nurseassistant, being a male, having no children and being under 40 years old” as caregiver-related factors that pose a high risk of burnout. It says that More female nurses on the results should be confirmed in a “prospective study.” the team is associated multicenter, multinationalarticle, Paolo Merlani, In a related with a lower risk of attending physician at the University Hospital of Geneva, says, “Avoiding and understanding individual burnout. burnout is especially important now, given the projected shortage of ICU caregivers, in addition to the intensity and costliness of training these specialized professionals.” He calls whether the study “can be exported to other medical settings where team-working is pivotal” an “interesting question to be investigated.” He recommends that in the meantime, ICU leaders ensure that personnel at high risk are “especially taken care of” and there are resources that help provide “psychological support and promote a team culture. This could finally also increase the number of women staying in ICUs, thereby reducing the overall risk of burnout.” Weigh in. How do you and your staff reduce or prevent burnout? Tell us at, or post a comment on our wall at New FENO Guidelines Help Patients With Airway Disease The American Thoracic Society (ATS) issued the first-ever guidelines on the use of fractional exhaled nitric oxide (FENO) in September’s American Journal of Respiratory and Critical Care Medicine. “An Official ATS Clinical Practice Guideline: Interpretation of Exhaled Nitric Oxide Levels (FENO) for Clinical Applications” notes some of FENO’s “added advantages for patient care,” including: • Detecting eosinophilic airway inflammation • Determining likelihood of corticosteroid responsiveness • Monitoring airway inflammation to determine possible need for corticosteroid • Unmasking otherwise unsuspected nonadherence to corticosteroid therapy According to ATS, the guidelines may not “contain any surprises to those already using FENO in clinical practice.” However, “they emphasize the importance of the clinical context for the correct interpretation of FENO and highlight the utility of clinically significant cut points instead of normal values.” be warm. this fall/winter, show your AACN and certification pride with ultra-soft, durable fleece jackets and pullovers. shop today ... AACN BOLD VOICES DECEMBER 2011 17

Table of Contents for the Digital Edition of Bold Voices - December 2011

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Dec. 19 Deadline: National Awards Recognize Excellence, Leadership in HAI Prevention
Box Office Hit 'Contagion' Raises Questions About Virus
New Privacy Recommendations for Storing Newborn Screening Specimens
Motor Training Can Advance Social Development in Infants With Autism
In-Hospital Mobility Benefits Older Patients
NSAIDs May Harm Patients with Heart Disease, Hypertension
Pain Code' Encourages Use of Maximum Dosage
FDA's Treatment Recommendations for Simvastatin 80
Study Identifies Predictors of Sudden Cardiac Death Versus Surviving Heart Attack
Study Seeks Initiator of Post-Trauma Intestinal Cell Damage
Australian Study: 'How Dangerous is a Day in Hospital'
In Our Journals
ICU Staff Composition May Decrease Burnout
Use of Manikins May Improve Emergency Care
Celebrate Certification
AACN Financials
From the President

Bold Voices - December 2011