Bold Voices - May 2014 - (Page 24)

AT THE BEDSIDE In Our Journals Hot topics from this month's AACN journal Rapid response systems (RRSs) seek to identify and rescue patients whose condition is deteriorating, before respiratory or cardiac arrest occurs. Previous studies of RRS use reported variable effectiveness, in part because of barriers preventing staff from activating the system. A tertiary-care children's hospital implemented a comprehensive RRS and identified three major barriers to calling for urgent assistance: (1) lack of self-efficacy in recognizing deterioration and activating the medical emergency team, (2) perceptions of intraand interprofessional hierarchies, and (3) negative expectations of the outcomes from medical emergency team calls. Proactively addressing these barriers may improve the RRS safety culture. (Roberts et al, AJCC, May 2014) Alarm fatigue has received considerable attention as a patient safety issue. However, false alarms continue to contribute to a noisy hospital environment, and sentinel events related to alarm fatigue persist. A comparison of two Healthcare Technology Foundation surveys - one done in 2005-2006, one in 2011 - showed clinical alarm safety has received substantial attention with little measurable progress. Alarm hazards remain a significant patient safety issue. (Funk et al, AJCC, May 2014) The perceptions of patients who are restrained and sedated during mechanical ventilation, and the effectiveness of sedation to aid with recovery and comfort 24 during intubation, are not well understood. Three major themes arose when ICU patients were later interviewed at the bedside: lack of memory of being restrained, a perception of being intubated as horrific, and nurses' caring interventions helped decrease anxiety. An unexpected discovery was that sedation might mask intubated patients' uncontrolled pain and prevent them from communicating this to a nurse. (Clukey et al, AJCC, May 2014) DON'T WAIT FOR THE FALL... BE PART OF THE SPRING CLASS AT THE ! The First BSN - DNP Nurse Anesthesia Program in Florida SPRING ENROLLMENT NOW OPEN! * * * * * * * * * Superior clinical & didactic learning 36-months of full-time study (9 semesters) Challenging academics World-class campus facilities Small class sizes & low faculty - to - student ratio Includes clinical and simulation experiences Affiliation with University of Miami Hospitals and Jackson Health System 13 advanced clinical sites; all clinical sites within South Florida, most within a short commute from campus Accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) SPRING SEMESTER Admission Deadline: September 1, 2014 To learn more, please visit us online at, contact us at or call (305) 284-4325. SETTING THE STANDARD OF EXCELLENCE IN HEALTH CARE EDUCATION The University of Miami Nursing Department, including the Graduate Nursing Division, is fully accredited by the Commission on Collegiate Nursing Education (CCNE).

Table of Contents for the Digital Edition of Bold Voices - May 2014

Another Angle
Pres Note Teaser: What Were We Thinking
Come for the Day. Learn for a Lifetime.
How AACN CSI Academy Changed My Practice
Healthcare Professionals Smoke Less Than General Population
Sleep-Deprived Nurses May Regret Clinical Decisions
Detecting Abuse When Kids Have Fractures
Effective Screening and Counseling for Alcohol Use
Most People Who Need Palliative Care Don’t Receive It
Interruptions Are Dangerous
AACN Community Steps Forward on Early Mobility
Satisfied and Engaged Staff Improve Patient Satisfaction
Involve Nurses When Developing Healthcare Technology
Nurses Concerned About Nursing’s Future
How Does This Year’s Flu Compare to Previous Trends?
Fewer Hospital Opportunities for Nursing Graduates
Excessive Crying as a Preemie, Behavioral Problems Later
Hand Amputees Can Feel Objects With New Prostheses
In Our Journals
Certification Capsules
New Editions of ‘AACN Essentials’ Textbooks
New at NTI 2014: Editorial Consults
Call for Nominations: AACN Board, Nominating Committee
Experience a Wasatch Mountain High This Summer at REACH
Thrive at NTI: 10 Tips for the Best Experience
President’s Note

Bold Voices - May 2014