Clinical nurse specialist CNS
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The objective of this article is to address the role of the clinical nurse specialist (CNS) as a change agent in the implementation of a quality improvement program designed to prevent and assess delirium in ventilated patients at a community hospital. ⋯ The CNS's involvement as the change agent to implement the ABCDE Bundle is effective in the prevention and assessment of delirium in ventilated patients. The goal of the ABCDE Bundle is to extubate patients sooner and transfer them out of the ICU faster.
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The purpose of this project was to assess the feasibility of an evidence-based therapeutic hypothermia protocol in adult post-cardiac arrest (CA) patients in a university hospital in Pakistan. ⋯ The process used in the project can serve as a road map to other hospitals in resource-limited countries such as Pakistan that are motivated to improve post-CA outcomes. This experience reveals that advanced practice nurses can be instrumental in translation of evidence into practice in a healthcare system in Pakistan.