SCCM Resource Library-Year in Review: Nursing

Video Transcription

Video Summary

In this presentation for the Critical Care Congress, Jose Chavez, a Clinical Nurse Specialist at Cedars-Sinai Medical Center, presented the Innovations in Nursing Research for the year 2021. The Nursing Research Committee searched for articles published between 2020 and 2021 that had nurses as first or primary authors and focused on critical care. They reviewed 55 articles related to the impact of COVID-19 on patients and nursing, innovations in nursing research, and the titration of IV medications.<br /><br />One article they focused on was titled "The Effect of Emergency Critical Care Nurses and Emergency Department (ED) Boarding Time on In-Hospital Mortality in Critically Ill Patients." The authors of the study hypothesized that having specialized emergency care nurses in the ED would improve the mortality of ICU patients. The study found that while there was no significant change in mortality for prolonged boarding time, there was less mortality in the non-prolonged boarding group with the intervention of an emergency critical care nurse.<br /><br />Another article discussed the occurrence of acute kidney injury in adult patients hospitalized with COVID-19. A systematic review and meta-analysis were conducted to analyze the incidence and mortality rates associated with acute kidney injury in these patients. The study found that the incidence of acute kidney injury was 9.2% overall and 32.6% in the ICU. The mortality rate for patients with acute kidney injury was 50.4%.<br /><br />The presentation also discussed the Joint Commission's medication management titration standards and two studies conducted on nurses' experiences with these standards. The studies found that nurses perceived the standards to adversely impact patient care and contribute to moral distress. The studies called for further changes in accreditation standards related to titration of continuous medication infusions and advocated for strategies to optimize nurse autonomy while maintaining patient safety.<br /><br />Overall, the presentation highlighted the importance of nursing research and its impact on patient outcomes and nursing practice.

Asset Subtitle

Professional Development and Education, Administration, Quality and Patient Safety, 2022

Asset Caption

This session will highlight the latest research, lessons learned, and changes taking place in critical care nursing practice, research, and/or education during the past year. Below are links to articles and additional information that will be discussed in Year in Review: Nursing.

Learning Objectives:
-Critique and synthesize information from selected evidence on critical care nursing practice
-Identify relevant topics in critical care nursing from the past year
-Cite evidence learned during the session applicable to nursing practice, research, and/or education

Meta Tag

Content Type Presentation

Knowledge Area Professional Development and Education

Knowledge Area Administration

Knowledge Area Quality and Patient Safety

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Professional Development

Tag Nursing

Tag Evidence Based Medicine

Year 2022

Keywords

Critical Care Congress

Nursing Research

COVID-19 impact

Emergency critical care nurses

In-hospital mortality

Acute kidney injury

Medication management

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