In order to meet the needs of the high acuity population in today's critical care environment, the role of the Acute Care Nurse practitioner (ACNP) has been adopted by many intensive care units (ICU's) across the country, including specialized neurocritical care units. In this chapter we will provide a brief historical review of the ACNP as well as their function in various ICU settings. Lastly...

Care of critically injured patients has evolved over the 50 years since Shoemaker established one of the first trauma units at Cook County Hospital in 1962. Modern trauma intensive care units offer a high nurse-to-patient ratio, physicians and midlevel providers who manage the patients, and technologically advanced monitors and therapeutic devices designed to optimize the care of patients. This...

abstract ba ckground: high level of stress in intensive care unit nurses affects the quality of their nursing care. therefore, this study aimed to determine the effects of a stress management program on the quality of nursing care of intensive care unit nurses. materials and methods: this study is a randomized clinical trial that was conducted on 65 nurses. the samples were selected by stratifi...

background: we presumed that the surgeon himself has an impact on the results after coronary artery bypass grafting (cabg) as there is no unique protocol for the discharge of post-operative cardiac patients at our institution. therefore, we examined whether the surgeon himself has an impact on the intensive care unit (icu) stay of isolated cabg patients. methods: we prospectively studied a tota...

the aim of present study was to determine the impact of two different icu management model, open and semi closed, on resources utilization in intensive care unit.retrospective cohort analysis using data from hospital database was applied to compare the effect of icu management model on icu length of stay and bed disposition of 1064 patients admitted to the general icu of imam khomeini hospital ...

abstract background: sleep is one of the basic human needs and sleep deprivation causes numerous undesirable effects on the human body and mind, especially in the intensive care unit (icu) patients. it seems that noise and light are important environmental factors interrupting sleep in these patients. this study was carried out to determine the effect of earplugs and eye mask on iranian patient...

conclusions the nursing workload is influenced by many factors. the clear responsibilities and authorities of nurses, patients' admission according to the capacity of wards, use of the new technologies and equipment, and providing basic training for new nurses can decrease the workload of nurses. results twenty-five factors were divided into three major categories through efa, including structu...

background ventilator-associated pneumonia (vap) develops in mechanically ventilated patients 48 hours after putting the patients on the ventilator. vap is the second most common nosocomial infection in neonatal intensive care units (nicu). objectives the current study was conducted to determine the rate, microbiological characteristics and outcome of vap in neonates admitted in the nicu of sho...

background: the newborn’s first bath, performed in neonatal intensive care units (nicu), is believed to be a stressful situation, especially for the premature infants. as a developmental care approach, swaddle bathing is a low-stress bathing method for vulnerable preterm neonates. given the limited number of the studies examining this bathing method, the present study was conducted with the aim...

SOCCA members are well aware of the opportunities and challenges associated with the practice of critical care medicine – as well as the value of combined anesthesiology and critical care medicine training to critically ill patients. At the same time, some anesthesia colleagues have suggested there are limited roles for critical care anesthesiologists. Critical care physicians, with their speci...