American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Family intensive care unit (ICU) syndrome, a comorbid response to another person's stay in the ICU, is characterized by emotional distress, poor sleep health, and decision fatigue. ⋯ Understanding the temporal dynamics and mechanisms of the symptoms of family ICU syndrome can inform clinical, research, and policy initiatives that enhance the provision of family-centered critical care.
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Observational Study
Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia.
Intensive care unit (ICU) utilization has increased among patients with Alzheimer disease and related dementia (ADRD), although outcomes are poor. ⋯ Patients with ADRD have lower home discharge rates and greater mortality after an ICU stay than patients without ADRD.
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HIV infection is associated with increased infections. ⋯ HIV infection was not associated with increased mortality in patients with sepsis.
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Ethical challenges are inherent in nursing practice. They affect patients, families, teams, organizations, and nurses themselves. These challenges arise when there are competing core values or commitments and diverse views on how to balance or reconcile them. ⋯ Throughout this journey, the interplay of moral resilience and a culture of ethical practice were highlighted and examined. Moral resilience is continuing to evolve in its application and relevance. Many vital lessons have been learned that can inform future research and guide interventions to harness the inherent capabilities of clinicians to restore or preserve their integrity and to engage in large-scale system transformation.