Bold Voices - April 2011 - (Page 11)

AT THE BEDSIDE How to Improve EOL Care To promote quality care at the end-of-life (EOL), critical care nurses must strengthen their role as liaisons between AACN Resources for Palliative patients and other health professionals, a recent study and End-of-Life Care notes. AACN offers a variety of palliative and EOL care “Critical Care Nurses’ Perceptions of Obstacles, resources ranging from a self-assessment to an awardSupports, and Knowledge Needed in Providing Quality winning E-Learning course at www.aacn.org/eol. End-of-Life Care” appears in the November/December 2010 Dimensions of Critical Care Nursing. It states that nurses, physicians and organizational leaders must collaborate with patients and families to provide quality EOL care, concluding that: Collaboration among ... Families and patients need clear, direct and consistent information to make EOL decisions. patients, families and ... Physician-related issues affect nurses’ ability to provide quality EOL care. health professionals is ... Critical care nurses need more knowledge, skill and a sense of cultural competency to provide quality care. necessary to provide ... Properly completed advance directives can reduce confusion about the quality EOL care. goals of care. The study notes that “nurses perceive a good death as one that includes freedom from pain, provision of comfort, respect for the dignity of the patient, meeting family needs of EOL rituals and enough time for family members to say goodbye.” Practice Caution With IDSA Guidelines Until more data from well-designed controlled clinical trials become available, clinicians should not use current Infectious Diseases Society of America (IDSA) guidelines as the sole source for patient care decisions. That, according to “Analysis of Overall Level of Evidence Behind Infectious Diseases Society of America Practice Guidelines” in the Jan. 10 Archives of Internal Medicine. More than half of the current 4,218 A cookie-cutter IDSA recommendations made between 1994 and 2000 come approach can from level III evidence only, the be dangerous. study states. In a related Reuters article, Ole Vielemeyer, study author and expert in infectious diseases, Drexel University College of Medicine, Philadelphia, says, “Despite tremendous research efforts, there is still a lot of uncertainty as to what is the best patient care. A cookiecutter approach — where you just have a set of guidelines that you apply no matter what — can be dangerous.” We call our RNs Respected Nurses. The University of Texas Medical Branch (UTMB Health) located in Galveston, Texas, has been one of Texas’ leading teaching, patient care and research centers, as well as an advanced health sciences resource center for the nation for 119 years. UTMB Health’s complex includes campus hospitals with approximately 400 beds, community clinics, a comprehensive emergency room, a Trauma Center and four schools of advanced learning offering a variety of specialization options. Our mission is to ensure our patients are the number one priority. As a key part of an interprofessional healthcare team, our nurses deliver excellent care in a culture that fosters true autonomy, accountability and growth, from the bedside to the research lab. UTMB Health offers one of the most pleasant, rewarding work/ life balances. Our rich, vibrant history offers a forward-thinking position in our future because we know where we’ve been and we know where we’re going. So, if you’re interested in joining us and becoming part of one of healthcare’s most vibrant and resilient teams, head over to UTMBNursing.com. In Other Words A nurse’s everyday work is the work of AACN because our mission is lived at the point of care. UTMB Health is an equal opportunity, affirmative action institution proudly valuing diversity. Candidates of all backgrounds are encouraged to apply. AACN BOLD VOICES APRIL 2011 11 http://journals.lww.com/dccnjournal/Fulltext/2010/11000/Critical_Care_Nurses__Perceptions_of_Obstacles,.12.aspx http://journals.lww.com/dccnjournal/Fulltext/2010/11000/Critical_Care_Nurses__Perceptions_of_Obstacles,.12.aspx http://journals.lww.com/dccnjournal/Fulltext/2010/11000/Critical_Care_Nurses__Perceptions_of_Obstacles,.12.aspx http://www.aacn.org/eol http://www.nhdd.org/ http://archinte.ama-assn.org/cgi/content/abstract/171/1/18 http://archinte.ama-assn.org/cgi/content/abstract/171/1/18 http://archinte.ama-assn.org/cgi/content/abstract/171/1/18 http://www.reuters.com/article/idUSTRE70A06J20110111 http://www.UTMBNursing.com http://www.UTMBNursing.com

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

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
NTI Checklist: Things to Do in April
API: An Advanced Practice Conference Within the NTI
Healthcare Technology Solutions
Pazopanib Provides Promise for Patients with Advanced Thyroid Cancer
Snuff Out Burnout to Retain Nurses
How to Improve EOL Care
Closely Spaced Pregnancies Pose Autism Risk
Late-Preterm Infants Risk Hospitalization
Lower Serotonin, TPH2 Linked to SIDS
Early Abuse, a Type 2 Diabetes Predictor in Women
In Our Journals
CCRN-E Initial Certification Validates Tele-ICU Knowledge
National Volunteer Week
Critical Care Exposition
Navigate NTI, Digital Style
Letters
From the President
Back

Bold Voices - April 2011

Bold Voices - April 2011 - Front/Digital Edition Viewing Guide (Page Cover1)
Bold Voices - April 2011 - Front/Digital Edition Viewing Guide (Page Cover2)
Bold Voices - April 2011 - Another Angle (Page 3)
Bold Voices - April 2011 - AACN Boards and Contact Information (Page 4)
Bold Voices - April 2011 - NTI Checklist: Things to Do in April (Page 5)
Bold Voices - April 2011 - NTI Checklist: Things to Do in April (Page 6)
Bold Voices - April 2011 - API: An Advanced Practice Conference Within the NTI (Page 7)
Bold Voices - April 2011 - Healthcare Technology Solutions (Page 8)
Bold Voices - April 2011 - Healthcare Technology Solutions (Page 8a)
Bold Voices - April 2011 - Healthcare Technology Solutions (Page 8b)
Bold Voices - April 2011 - Pazopanib Provides Promise for Patients with Advanced Thyroid Cancer (Page 9)
Bold Voices - April 2011 - Snuff Out Burnout to Retain Nurses (Page 10)
Bold Voices - April 2011 - How to Improve EOL Care (Page 11)
Bold Voices - April 2011 - Closely Spaced Pregnancies Pose Autism Risk (Page 12)
Bold Voices - April 2011 - Late-Preterm Infants Risk Hospitalization (Page 13)
Bold Voices - April 2011 - Lower Serotonin, TPH2 Linked to SIDS (Page 14)
Bold Voices - April 2011 - Early Abuse, a Type 2 Diabetes Predictor in Women (Page 15)
Bold Voices - April 2011 - In Our Journals (Page 16)
Bold Voices - April 2011 - CCRN-E Initial Certification Validates Tele-ICU Knowledge (Page 17)
Bold Voices - April 2011 - National Volunteer Week (Page 18)
Bold Voices - April 2011 - Critical Care Exposition (Page 19)
Bold Voices - April 2011 - Navigate NTI, Digital Style (Page 20)
Bold Voices - April 2011 - Letters (Page 21)
Bold Voices - April 2011 - From the President (Page 22)
Bold Voices - April 2011 - From the President (Page Cover3)
Bold Voices - April 2011 - Back (Page Cover4)
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