Virtual Reality Simulation Improves PICU Nurses’ Recognition of Impending Respiratory Failure

Cincinnati Children’s Hospital Medical Center used virtual reality training to teach clinical assessment skills and improve novice nurses’ recognition of pediatric respiratory distress. Months later, nurses in the VR group were significantly more likely to correctly recognize impending respiratory failure, identify respiratory distress without impending respiratory failure, and recognize altered mental status.

New Assessment Tool Supports Onboarding ICU Nurses

AACN Knowledge Assessment Tool helps hospitals better identify knowledge gaps and educational needs of critical care and progressive care nurses during orientation and onboarding. The online assessment randomly generates validated questions in over 10 areas and aligns with AACN’s Essentials of Critical Care Orientation course used by 1,000+ healthcare facilities.

Registration Opens for NTI 2024, AACN’s 50th Conference

Next year, the American Association of Critical-Care Nurses will celebrate its 50th National Teaching Institute & Critical Care Exposition, May 20-22, in Denver. NTI has become the premier conference for critical and progressive care nursing education. Registration is open, and media credentials are available.

Anxiety Sensitivity ‘What If’ Fears Impact Care for ICU Patients, During and After Hospitalization

Clinicians need to have a better understanding of the potential impact of patients’ anxiety sensitivity, or “fear of fear,” falsely believing that symptoms are the early signs of something bad, such as a heart attack, cognitive decline or social isolation.

Thorough and Ongoing Neurological Assessments Crucial to Care of Patients With Altered Level of Consciousness

Nurses who care for neurologically impaired patients must have the knowledge, skill and time to confidently perform comprehensive neurological assessments to identify changes and evaluate trends that require quick diagnosis and intervention by the multidisciplinary team. Article in Critical Care Nurse provides an overview of methods to assess patients with altered level of consciousness.

Patients With Alzheimer Disease, Dementia Face 2x Risk of Dying After ICU Discharge

Older adults with Alzheimer disease and related dementia who were admitted to an ICU were much less likely to be discharged home and faced almost twice the risk of dying soon after discharge and within the 12 months afterward.

Debriefing After Critical Events Combines Review, Reflection

The PICU bereavement/wellness committee at Lurie Children’s Hospital of Chicago developed a tailored debriefing process to allow time for reflection and communication after critical patient events. The process was designed as a hot debriefing to be completed during the current shift, with all staff members who were involved in the event invited to participate.

AACN Critical Care Conference Brings Together Thousands of Nurses for Education, Inspiration

The American Association of Critical-Care Nurses brings together thousands of nurses and other healthcare professionals who care for acutely and critically ill patients and their families during its National Teaching Institute & Critical Care Exposition (NTI, #NTI2023).
AACN presents NTI this year in-person May 22-24

AACN Practice Alert Offers Guidance on Manual Prone Positioning for Patients With ARDS

A newly released practice alert from the American Association of Critical-Care Nurses aims to standardize how nurses care for patients undergoing prone positioning therapy for extended periods of time. It summarizes expected nursing practice to reduce the risk of complications related to manual prone positioning.

Program Leads to Sustained Improvements in Nurses’ Moral Resilience

An experiential educational program led to sustained improvements in nurses’ skills in mindfulness, resilience and competence in confronting ethical challenges. In the study, more than 95% of the 245 participating nurses reported confronting ethical challenges in their workplace, but only 15% had previously received formal ethics training.

Hackensack Meridian Old Bridge Medical Center Intensive Care Unit Receives the Critical Care Nurses Silver Beacon Award for Excellence

“We are honored to achieve this recognition from the American Association of Critical Care Nurses,” said Jane O’Rourke, chief nursing officer, Old Bridge Medical Center and Raritan Bay Medical Center. “This award is a true testament to the dedication and hard work our nurses put in every day.”

Checklist Prompters Support ICU Rounds

New research from UPMC points to the potential for patient-specific checklists as a valid way to effectively translate the latest evidence into clinical practice. The study published in American Journal of Critical Care measured performance on the ABCDEF bundle during rounds.

Initiative Prevents Tracheostomy-Related Pressure Injuries

A New York hospital ICU was able to reduce the incidence of medical device-related pressure injuries following a tracheostomy to zero for four years, according to a study published in AACN Advanced Critical Care. A key part of the new clinical process was a revised procedural kit and documentation, with a foam dressing placed under the tracheostomy flange during insertion.

American Association of Critical-Care Nurses Recognizes 185 Hospital Units With Beacon Award for Excellence in 2022

A total of 185 units from 134 hospitals earned the AACN Beacon Award for Excellence in 2022. Of note, Arnold Palmer Hospital for Children in Orlando, had five units recognized with gold-level awards, the program’s highest distinction. A hospital in Colombia was the only international hospital recognized last year, with four units earning Beacon awards.

American Assn of Critical-Care Nurses (AACN) President Comments on Nurses Topping Gallup Poll as Most Trusted Profession for 21st Year

For 21 consecutive years, the American public has ranked nurses as the number one profession with the highest honesty and ethics values, according to the latest Gallup poll released Jan. 10, 2023. Amanda Bettencourt, PhD, APRN, CCRN-K, ACCNS-P, president of the American Association…

Early Mobility Improved Survival Rates for COVID-19 Patients Receiving ECMO

Baylor Scott & White The Heart Hospital, Plano, Texas, changed its treatment paradigm for its COVID-19 patients receiving ECMO during the pandemic, finding that progressive mobility and a more aggressive application of rehabilitation therapies contributed to significantly higher survival rates.

Registration Opens for Premier Critical Care Nursing Conference

Registration is now open for AACN’s National Teaching Institute & Critical Care Exposition (NTI), to be held in Philadelphia, May 22-24, 2023. The NTI experience will address nearly 50 clinical and professional development topics and include the largest and most comprehensive trade show expressly for progressive and critical care nurses.

In Their Own Words: Patients, Families Describe Major Medical Treatments

Researchers with University of Wisconsin–Madison School of Nursing analyzed the comments in open-ended responses from a survey about making decisions on major medical treatments to gain insight into the words used by patients and families and how they conceptualize the various treatments.

AACN Research Grants Influence Nursing Practice

The American Association of Critical-Care Nurses announces the newest recipients of its annual research grants and invites clinicians and researchers to submit projects online by Oct. 28, 2022, for the next application cycle. AACN will award up to three $50,000 Impact Research Grants in 2023, as well as co-sponsoring the AACN-Sigma Critical Care Grant, with up to $10,000 in funding.

Preventing Pressure Injuries Among ICU Patients With COVID-19 Requires Extra Vigilance

Patients who are critically ill with COVID-19 are at exceptionally high risk for developing healthcare-associated pressure injuries, especially those related to medical devices, and clinicians must consider additional factors beyond those assessed with common classification tools.

Nurse-led Initiatives Improve Cardiac Care in Underserved Communities

Nurses at nine hospitals developed initiatives to address diverse healthcare challenges in their cardiac surgery critical care or progressive care units, with noteworthy clinical and operational results.

AACN Study Underscores Pandemic Damage and the Benefits of Healthy Work Environments

Results from the American Association of Critical-Care Nurses’ national survey of 9,000-plus nurses underscore the ongoing impact of the COVID-19 pandemic on nurses and the benefits of creating healthy work environments to support nurse staffing, retention and optimal patient care.

Assessing Cognitive Function at Hospital Discharge Helps Identify Post-ICU Needs

Researchers at Montefiore Medical Center found that about 30% of ICU survivors could not complete a simple screening assessment for cognitive impairment at hospital discharge. About 47% of those who were able to complete the assessment scored at a level consistent with severe cognitive impairment.

SBAR Tool Adds Structure to ICU Communication

Duke University Medical Center improved communication and collaboration between nurses and advanced practice providers in an ICU, with a standardized template to guide conversations. The effort also contributed to an improved sense of teamwork and other unexpected positive outcomes.

Transition to ENFit Connectors Presents Opportunity to Review Feeding Tube Protocols

Variations in practice and outdated protocols related to nasogastric feeding tubes can impact patient safety and lead to complications. U.S. healthcare organizations are currently transitioning to a new type of connectors, which provides an opportune time to review feeding tube insertion and care processes.

AACN Critical Care Conference Brings Together Thousands of Nurses for Education, Inspiration

The American Association of Critical-Care Nurses (AACN) brings together thousands of progressive and critical care nurses and other healthcare professionals who care for acutely and critically ill patients and their families during its National Teaching Institute & Critical Care Exposition (NTI, #NTI2022), with the theme “Rooted in Strength.”

Nurse, Heal Thyself – Spiritual Practices in the Midst of a Pandemic

For nurses on the frontline, the COVID-19 pandemic has been especially disparaging, challenging and even life altering. Nurses have worked extremely long hours faced not only with the excessive, increased number of deaths of their patients, who were dying alone, but also grieved the loss of coworkers. Researchers explored the use of spirituality and religion in nurses on the frontline as a way to find purpose and meaning in life, especially during times of heightened stress and uncertainty.

COVID-19 Pulmonary, ARDS and Ventilator Resources Now Available in Spanish

A joint effort between the American Association of Critical-Care Nurses and projects funded by the U.S. Agency for International Development has made AACN’s free “COVID-19 Pulmonary, ARDS and Ventilator Resources” online course available in Spanish.

Recursos sobre COVID-19, SDRA y Ventilación Ahora disponible en español

Un esfuerzo conjunto entre la Asociación Americana de Enfermeras de Cuidados Críticos (AACN) y los proyectos financiados por la Agencia de los Estados Unidos para el Desarrollo Internacional (USAID) ha hecho posible que el curso en línea gratuito de la AACN “Recursos sobre COVID-19, SDRA y Ventilación” esté disponible en español.

AACN Offers Scholarships for CCRN, PCCN Certification Applicants

Contributions from PBATS and MLBTPA fund special scholarships for nurses ready to pursue CCRN or PCCN certification. This is the first time AACN professional development scholarships have been available to support its nursing certification programs.

Growing Use of Mechanical Circulatory Support Affects Clinician Well-Being, Moral Distress

The growing use of mechanical circulatory support may contribute to high levels of moral distress for clinicians who regularly care for ICU patients receiving the aggressive but life-sustaining therapy, according to a study by researchers at Columbia University Irving Medical Center.