Bold Voices - May 2012 - (Page 24)

AT THE BEDSIDE In Our Journals Hot topics from this month’s AACN journal How do you feel when a patient’s family writes everything down? Nervous? Consider a new twist on this kind of documentation: Collaborate with the family. A study from Sweden, where family diaries are not uncommon, shows this approach decreases post-traumatic stress disorder in families. The technique offers a new opportunity for nurses at the bedside to help families process all their experiences in the complex environment of high acuity and critical care. Suggestions for implementation include: (1) Talk to your unit’s practice council; (2) standardize the diaries to protect the patients’ and the institutions’ rights; and (3) evaluate the results according to measurable goals set at the outset. (Jones et al, AJCC, May 2012) Critical care nurses’ potential role in nutritional support receives little attention even though studies show wide variation in nutritional practices among ICUs and point to suboptimal nutrition for patients. Lack of guidelines and conflicting evidence-based recommendations about nurses’ practice influence nurses’ involvement in nutritional support, as do implementation strategies not tailored to the barriers nurses face and strategies to communicate best evidence that ignore how nurses prefer to obtain information through social interaction. Knowledge about nutrition has a low priority in entry and continuing nursing education, which further interferes with nurses’ participation in nutritional support, as does a lack of interdisciplinary team collaboration when nutrition decisions are made. Using nurses as agents of change will help standardize nutritional practices and ensure that critically ill patients are optimally nourished. (Marshall et al, AJCC, May 2012) Where is the colonization heaviest on intravascular catheters? Frequently, the distal tip is used to diagnose central line-associated bloodstream infection. A study of various catheters found the greatest microbial colonization on all catheters at the proximal segment (nearest the skin). The distal tip may not be colonized even when the proximal end shows positive for growth. Arterial catheters have higher rates of microbial colonization than peripherally inserted central lines. Colonization increases directly as the number of lumens increases. (Koh et al, AJCC, May 2012) Feel the Difference Faith Makes Provena Saint Joseph Hospital, located in Elgin, IL, is well-respected for delivering the highest level of faith-based, compassionate care to the communities of the Fox River Valley for over 100 years. We provide inpatient care, outpatient services, surgical care, emergency and urgent care, and wound & non-healing wound care using the Elgin area’s only hyperbaric oxygen chamber. Clinical Nurse Specialist/APN – Critical Care Clinical Educator – Perioperative Stroke Coordinator – Quality Management Staff RN – ICU (Flex) We are proud of our Stroke Care Program that is nationally recognized by HealthGrades, earning the highly-respected HealthGrades Award of Excellence for Stroke Care, which ranks Provena Saint Joseph Hospital in the top 10% of programs in the country. Our Stroke Care program also earned the Gold Seal of Approval from The Joint Commission for Primary Stroke Centers. Join us in delivering exceptional care to our community! Please visit our website to view our available positions and apply with us. We celebrate diversity in our workforce. We are inspired by the knowledge and level of care each individual brings to the communities we’re privileged to serve. 24 MAY 2012!/ajccme

Table of Contents for the Digital Edition of Bold Voices - May 2012

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Your NTI Checklist
AACN, Case Western Reserve University Announce Innovative DNP, PhD Collaboration
Patients at End of ICU Rounds Receive Less Face Time
Medical Panel Members Have Conflicts of Interest
Adverse Events Unreported
Penn Nursing Study: Nurse Burnout a Worldwide Problem
Low-Cost Changes to Nurses' Work Environment Also Benefit Patients
Hospital Workers Reluctant to Report Medical Errors
Flame of Excellence Awards
Circle of Excellence Awards
UTI Prevention Lower Priority Than Other HAIs
Children at Higher Risk for Infection in Intensive Care
Cameras, Feedback: Effective Tools to Enforce Hand Washing
In Our Journals
More Coronary Events Associated With Dabigatran
Certification Capsules
Publishing-related Events at NTI
Stay Connected at NTI
From the President

Bold Voices - May 2012