American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Observational Study
Family Presence During Trauma Resuscitation: Family Members' Attitudes, Behaviors, and Experiences.
The paradigm is shifting from separating family members from their children during resuscitation to one of patient- and family-centered care. However, widespread acceptance is still lacking. ⋯ Study findings demonstrated compelling family benefits for presence during pediatric trauma care. This study is one of the first to report on family members who were not present. The practice of family presence should be made a priority at pediatric trauma centers.
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Comparative Study
Nurses' Perceptions of In-Hospital Versus Telephone Availability of an Intensivist at Night in an Intensive Care Unit.
Evidence suggests that in-person management by nighttime intensivists does not change patients' mortality rates in high-intensity intensive care units. ⋯ Nurses perceive improvements with nighttime intensivists in several domains. Future work is needed to determine whether such perceptions translate into improved outcomes for staff or patients.
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Job stress and cumulative exposure to traumatic events experienced by critical care nurses can lead to psychological distress and the development of burnout syndrome and posttraumatic stress disorder. Resilience can mitigate symptoms associated with these conditions. ⋯ Because of their effects on resilience, working in a medical intensive care unit and having a graduate degree may influence the development of posttraumatic stress disorder. Future research is needed to better understand the impact of resilience on health care organizations, development of preventive therapies and treatment of posttraumatic stress disorder for critical care nurses, and the most appropriate mechanism to disseminate and implement strategies to address posttraumatic stress disorder.