Moral Resilience: A Capacity for Navigating Moral Distress in Critical Care
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Rushton, C. H. Tags: Healthy Work Environment Ethics in Critical Care Source Type: research

Blending Quality Improvement and Research Methods for Implementation Science, Part III: Analysis of the Effectiveness of Implementation
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Granger, B. B., Pokorney, S. D., Taft, C. Tags: Clinical Inquiry Source Type: research

Transcending Competency Testing in Hospital-Based Simulation
Simulation is a frequently used method for training students in health care professions and has recently gained acceptance in acute care hospital settings for use in educational programs and competency testing. Although hospital-based simulation is currently limited primarily to use in skills acquisition, expansion of the use of simulation via a modified Quality Health Outcomes Model to address systems factors such as the physical environment and human factors such as fatigue, reliance on memory, and reliance on vigilance could drive system-wide changes. Simulation is an expensive resource and should not be limited to use ...
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Lassche, M., Wilson, B. Tags: Symposium Simulation in the Acute Care Setting Source Type: research

Use of Simulation in Undergraduate and Graduate Education
This article provides readers with an overview of simulation use in undergraduate and graduate nursing education. (Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Gore, T., Thomson, W. Tags: Symposium Simulation in the Acute Care Setting Source Type: research

Structured Debriefing in Simulation-Based Education
Debriefing following a simulation event is a conversational period for reflection and feedback aimed at sustaining or improving future performance. It is considered by many simulation educators to be a critical activity for learning in simulation-based education. Deep learning can be achieved during debriefing and often depends on the facilitation skills of the debriefer as well as the learner’s perceptions of a safe and supportive learning environment as created by the debriefer. On the other hand, poorly facilitated debriefings may create adverse learning, generate bad feelings, and may lead to a degradation of cli...
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Palaganas, J. C., Fey, M., Simon, R. Tags: Symposium Simulation in the Acute Care Setting Source Type: research

Simulation Basics: How to Conduct a High-Fidelity Simulation
Well-planned and conducted health care simulation scenarios provide opportunities for staff development in areas such as communication, patient care, and teamwork. Consideration of resources, the location for the training, preparation of learners, and use of either a high-fidelity mannequin or a trained actor (eg, a standardized patient) are all part of the operational attentions needed to conduct a simulation training scenario. In order for participants to meet training objectives, the execution of the simulation session must be both planned and purposeful. (Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Willhaus, J. Tags: Symposium Simulation in the Acute Care Setting Source Type: research

Writing a Simulation Scenario: A Step-By-Step Guide
Simulation is becoming a widely used method of helping nurses learn and maintain competency in the clinical area for both staff educators in clinical settings and nursing faculty in academic settings. Designing an effective simulation experience requires thoughtful planning, knowledge of educational principles, and knowledge of best practices in both simulation and clinical practice. An evidence-based strategy for writing a simulation scenario for nurses and other health care providers in any setting is described. A step-by-step process is outlined that incorporates best practices. Examples and suggestions are provided to ...
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Bambini, D. Tags: Symposium Simulation in the Acute Care Setting Source Type: research

The History of Simulation and Its Impact on the Future
Simulation has had a long and varied history in many different fields, including aviation and the military. A look into the past to briefly touch on some of the major historical aspects of simulation in aviation, military, and health care will give readers a broader understanding of simulation’s historical roots and the relationship to patient safety. This review may also help predict what the future may hold for simulation in nursing. Health care, like aviation, is driven by safety, more specifically patient safety. As the link between simulation and patient safety becomes increasingly apparent, simulation will be a...
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Aebersold, M. Tags: Symposium Simulation in the Acute Care Setting Source Type: research

Simulation in the Acute Care Setting
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Bowler, F., Tracy, M. F. Tags: Symposium Introduction Source Type: research

Implementation of an Integrated Neuroscience Unit
Many challenges exist in today’s health care delivery system, and much focus and research are invested into ways to improve care with cost-effective measures. Specialty-specific dedicated care units are one solution for inpatient hospital care because they improve outcomes and decrease mortality. The neuroscience population encompasses a wide variety of diagnoses of spinal to cranial issues with a wide spectrum of needs varying from one patient to the next. Neuroscience care must be patient-specific during the course of frequent acuity changes, and one way to achieve this is through a neuroscience-focused unit. Few r...
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Breslin, R. P., Franker, L., Sterchi, S., Sani, S. Tags: Features Source Type: research

Risk Factors and Outcomes Associated With Readmission to the Intensive Care Unit After Cardiac Surgery
Unplanned readmission to the intensive care unit (ICU) is associated with poor prognosis, longer hospital stay, increased costs, and higher mortality rate. In this retrospective study, involving 1368 patients, the risk factors for and outcomes of ICU readmission after cardiac surgery were analyzed. The readmission rate was 5.9%, and the most common reason for readmission was cardiac issues. Preoperative risk factors were comorbid conditions, mechanical ventilation, and admission route. Perioperative risk factors were nonelective surgery, duration of cardiopulmonary bypass, and longer operation time. Postoperative risk fact...
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Kang, Y. A. Tags: Features Source Type: research

Using Technology in the Transition of Children From Hospital to Home
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Williams, L. Tags: Certification Pediatric Perspectives Source Type: research

Barriers to Implementing and Sustaining Healthy Work Environments
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Blake, N. Tags: Ethics Creating a Healthy Workplace Source Type: research

Diagnosing Sleep Apnea in Patients Hospitalized With Heart Failure: A Role for Advanced Practice Nurses
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Sabol, V., Trupp, R. J. Tags: Issues in Advanced Practice Source Type: research

Cognitive Technology
(Source: AACN Advanced Critical Care)
Source: AACN Advanced Critical Care - February 8, 2016 Category: Nursing Authors: Harrington, L. Tags: Technology Technology Today Source Type: research