American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Self-administered instruments are used to measure components of work environments that cannot be measured directly. The Healthy Work Environment Assessment Tool (HWEAT) of the American Association of Critical-Care Nurses is a promising instrument. However, it is available only in English and Japanese, precluding its use in other populations and cross-national comparisons. ⋯ The results support the use of the F-HWEAT in French-speaking populations. Using the F-HWEAT will help elucidate areas needing improvement and expand global dialogues about healthy critical care work environments. With this information, nurse leaders and researchers can develop and implement modern strategies to improve the work conditions of intensive care unit nurses.
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Meta Analysis
Prevention of Tracheostomy-Related Pressure Injury: A Systematic Review and Meta-analysis.
In the critical care environment, individuals who undergo tracheostomy are highly susceptible to tracheostomy-related pressure injuries. ⋯ Use of hydrophilic dressings and foam collars decreases the incidence of tracheostomy-related pressure injury in critically ill patients. Evidence regarding individual interventions is limited by lack of sensitive measurement tools and by use of bundled interventions. Further research is necessary to delineate optimal interventions for preventing tracheostomy-related pressure injury.
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Safe, reliable, high-quality critical care delivery depends upon interprofessional teamwork. ⋯ Teamwork and work environment health were rated by ICU team members as good but not excellent. Care coordination and meaningful recognition can be improved.