Chapter 1 Flashcards
isn’t just confined to
the ICU. It’s the holistic care an
interprofessional team gives tailored for
patients in varied settings.
Critical care nursing
The Interprofessional Team Members (10)
• Direct care provider nurses
• Clinical nurse specialists
• Adult and gerontology acute care nurse
practitioners
• Nurse managers and administrators
• Physician intensivists
• Specialty physicians
• Respiratory therapists
• Pharmacists, dieticians
• Therapists, social workers
• Ethicists, clergy
Core Principles of Critical Care Nursing (7)
• Manage Human Responses
• Skills & Abilities
• Patient & Family Advocacy
• Healthy Work Environment
• Financial Contribution & Stewardship
• Self-care & Coworker Care
• Safety and Quality
Objective of Core Principles of Critical Care Nursing
Restore, support, promote,
rehabilitate, or palliate patients,
ensuring physiological and
psychosocial stability across all age
groups.
Core Principles of Critical Care Nursing
- Tackle both
actual or potentially life-threatening
problems.
Manage Human Responses
Core Principles of Critical Care Nursing
- Synthesize and prioritize critical
information swiftly.
Skills & Abilities
Core Principles of Critical Care Nursing
- Implement evidence-based,
patient-centric decisions through
strong clinical judgment and inquiry.
Skills & Abilities
Core Principles of Critical Care Nursing
- Adapt and respond confidently to
swiftly changing patient scenarios.
Skills & Abilities
Core Principles of Critical Care Nursing
- Cater to the specific needs of
patients/families undergoing
unexpected illnesses/injuries.
Patient & Family Advocacy
Core Principles of Critical Care Nursing
- Uphold patients’/families’ choices in
quality-of-life and end-of life
decisions.
Patient & Family Advocacy
Core Principles of Critical Care Nursing
- Ensure a work atmosphere that’s
safe, respectful, healing, and
nurturing for nurses, peers,
patients, families, and the whole
team.
Healthy Work Environment
Core Principles of Critical Care Nursing
- Showcase nursing’s fiscal input
through proper resource use,
innovation, and efficiency, ensuring
top-notch safety and quality results.
Financial Contribution & Stewardship
Core Principles of Critical Care Nursing
- Emphasize nursing’s role in the
fiscal sustainability of facilities
through effective resource
management.
Financial Contribution & Stewardship
Core Principles of Critical Care Nursing
- Advocate for the mental and
physical well-being of oneself and
colleagues, fostering resilience.
Self-care & Coworker Care
Core Principles of Critical Care Nursing
- Prioritize the provision of safe,
compassionate, and high-quality
patient care.
Safety and Quality
Value of Certification in Critical Care Nursing (2)
• Value to the patient and family
• Value to employers and nurses
Value of Certification in Critical Care Nursing Purpose and Importance (5)
• Demonstrates a nurse’s knowledge
and commitment to patient safety.
▪ Reflects adherence to national
standards.
▪ Promotes ongoing excellence in
critical care nursing.
▪ Ensures nurses have current
knowledge vital for critical care
practice.
▪ Validates a nurse’s expertise to
patients, families, employers, and
the nurse themselves.
Value of Certification in Critical Care Nursing
- Validation of experience and
knowledge.
Value to the patient and family
Value of Certification in Critical Care Nursing
- Make decisions with greater
confidence.
Value to the patient and family
Value of Certification in Critical Care Nursing
- Demonstrates commitment to
continual learning.
Value to the patient and family
Value of Certification in Critical Care Nursing
- Knowledge and expertise to
promote optimal patient outcomes.
Value to employers and nurses
Value of Certification in Critical Care Nursing
• Commitment to quality
▪ Workplace empowerment
Value to employers and nurses
Value of Certification in Critical Care Nursing
- Enhanced communication and
coordination of care
Value to employers and nurses
Value of Certification in Critical Care Nursing
- Remain employed in an area where
they can apply the knowledge.
Value to employers and nurses
Value of Certification in Critical Care Nursing
- Sense of professional pride and
achievement
Value to employers and nurses
Integrating the best scientific
knowledge with clinical expertise for
optimal care.
EBP
Central for enhancing patient outcomes in
dynamic health environments.
EBP
EBP was Recognized by the _, the _, and _ as vital for healthcare quality
improvement.
• National Academy of
Medicine
• American Nurses
Credentialing Center
• The Joint
Commission
aims to generate new
knowledge.
Research
utilizes existing knowledge to
guide patient care for the best
outcomes
EBP
Levels of Evidence (5)
• Experimental studies
• Quasi-experimental studies
• Nonexperimental studies
• Clinical practice guidelines
• Literature reviews
Levels of Evidence
- randomized controlled
trials, systematic reviews of randomized controlled
trials (with or without meta-analysis)
Experimental studies
Levels of Evidence
- systematic
reviews of randomized controlled trials and quasiexperimental studies
Quasi-experimental studies
Levels of Evidence
- systematic
reviews, quasi-experimental and nonexperimental
studies, nonexperimental studies with or without
meta-analysis
Nonexperimental studies
Levels of Evidence
- consensus panel
reports
Clinical practice guidelines
Levels of Evidence
- quality improvement
studies, program and financial evaluations, case
reports, opinions of experts based on experiential
evidence
Literature reviews
Barriers to EBP Implementation (2)
• Average 17-year gap between research
findings and clinical practice integration
• Organizational culture affects nurse
autonomy and adaptability.
Barriers to EBP Implementation
- Hurdles (4)
• Knowledge gap of the research
process.
▪ Attitude towards EBP.
▪ Limited resources, training,
motivation, and staffing.
▪ Time mismanagement, costs, lack
of teamwork, and organizational
support.
Facilitators for EBP Implementation (4)
• Leadership and champions.
• Efficient strategies, protocols, and
resources.
• Services, resources, and time allocation.
• Need for nurses to locate, evaluate, and
translate evidence into practice.
Strategies to Promote Implementation of EBP (8)
• Protocols
• Clinical pathways
• Algorithms
• Educational interventions
• Increasing awareness of available
resources
• Education and mentoring
• Databases
• Professional nursing organization’s
research-based practice recommendations
Demand for more nurses necessitates
workplace changes.
Healthy Work Environments (HWE)
Healthy Work Environments (HWE)
- HWEs lead to _ patient outcomes.
positive
Nurses are attracted to facilities with
optimal work conditions.
Healthy Work Environments (HWE)
Healthy Work Environments (HWE)
- Unhealthy environments cause _ (5)
healthcare
errors, ineffective care, wasted resources,
increased costs, and moral distress.
Healthy Work Environments (HWE)
-AACN sees HWEs as the solution to the
nursing _
shortage
Healthy Work Environments (HWE)
- Harmful healthcare environments exist
nationwide, leading to _ (3)
errors, poor care,
and provider dissatisfaction.
Healthy Work Environments (HWE)
- HWE initiative focuses on employee and
patient safety and lists _
six essential
standards.
Six Standards of Healthy Work Environments
• Skilled communication
• True collaboration
• Effective decision-making
• Appropriate staffing
• Meaningful recognition
• Authentic leadership
Future Challenges in Critical Care Nursing
- Deliver evidence-based care that is
culturally _ and _.
congruent
relevant
Future Challenges in Critical Care Nursing
- _ and _ diverse professionals.
Recruit
retain
Future Challenges in Critical Care Nursing
- Expand the _ of experienced critical
care nurses.
skill set
Future Challenges in Critical Care Nursing
- Identify, manage, and treat _ (3)
unknown
threats, natural disasters, and manmade
crises
Future Challenges in Critical Care Nursing
- Address _ (4) needs of patients and
families.
psychosocial, spiritual, ethical,
and advocacy
Future Challenges in Critical Care Nursing
- Foster _, navigate _ and _ and
facilitate patient and family learning.
collaboration
complex
delivery
reimbursement systems
