American journal of critical care : an official publication, American Association of Critical-Care Nurses
-
HIV infection is associated with increased infections. ⋯ HIV infection was not associated with increased mortality in patients with sepsis.
-
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.
-
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.