The aim of this study was to determine relationships between moral injury (MI), well-being, and resilience among staff nurses nurse leaders practicing during the COVID-19 (coronavirus disease 2019) pandemic.Attention MI health professionals, including nurses, increased in 2021, particularly related pandemic. Few studies examined MI, resilience; even fewer provided implications for leadership/management.The sample included 676 RNs Ohio. electronic survey assessments distributed via Ohio...

With mortality rates that exceed 50%, in-hospital cardiac arrest remains a significant challenge in the pediatric intensive care unit (PICU). High-quality cardiopulmonary resuscitation (CPR) is crucial for improving survival and neurologic outcomes among survivors. Achieving maintaining high-quality CPR limited, though, because quality mostly evaluated via visual assessment methods, which often yield inaccurate inconsistent estimates. Incorporating real-time feedback devices along with coach...

Burnout results from ineffectively managed chronic workplace stress and is characterized by emotional exhaustion, depersonalization (eg, cynicism or disengagement), a diminished sense of personal accomplishment inefficacy) in one's occupation. partially induced supposed imbalance between worker's job demands workload) resources support colleagues supervisors) that disproportionately affects clinicians acute care settings. Before the COVID-19 pandemic, prevalence burnout among was about 40%,...

Intense emotional distress and impaired information processing have been implicated in reducing a surrogate decision maker’s ability to formulate informed health care decisions for critically ill patient. The heightened intensity of negative emotions, mental effort, judgment is consistent with the manifestation fatigue. aim this article describe validity reliability Decision Fatigue Scale (DFS) among makers ill. A convenience sample 101 were administered DFS battery psychosocial instruments...

The coronavirus disease 2019 (COVID-19) has had a rapid and sustained negative impact on sleep mental health in the United States with disproportionate morbidity mortality among socioeconomically deprived populations. We used multivariable logistic regression to evaluate associations duration, health, socioeconomic deprivation (social index) 14,676 Ohio residents from 1101 zip code tabulation areas 2020 Behavioral Risk Factor Surveillance System (BRFSS) survey. Higher was associated shorter...

Most Americans will acquire a chronic disease during their lifetime. One of the most prevalent diseases that affect is hypertension (HTN). Despite known comorbidities and increased mortality rate associated with uncontrolled HTN, community dwelling adults HTN do not have sufficient blood pressure control. Therefore, aim this article to report preliminary efficacy serious game for health enhance control among HTN. A nonprobability sample 116 participated in nonblinded, randomized controlled...

Summary We investigated whether sleep health (each individual dimension and a composite measure) was associated with better glycaemia among cohort of young adults type 1 diabetes (mean age 21.5 years, mean body mass index 24.55 kg m −2 ). Multiple validated self‐report questionnaires were completed, raw continuous glucose monitor data shared. One self‐reported characteristic for each the five dimensions selected. A score calculated by summing number “good” dimensions. evaluated associations...

Purpose: We examined the acceptability and initial efficacy of a multimedia decision support (MDS) intervention to improve intention complete an advanced directive (AD) among hospitalized adults following episode critical illness. Data sources: used comparative quasi-experimental posttest only design. Forty-nine adults, recovering from illness, received either MDS or AD educational brochure. Demographic characteristics self-report measures knowledge were captured at baseline as covariates....

The purpose of this study was to report the psychometric properties, including validity and reliability, decision fatigue scale (DFS).

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.This pilot study examined associations among symptoms of distress (anxiety depression), health (sleep disturbance), fatigue sample family members patients ICU.The used repeated-measures, correlational design. Participants were 32 surrogate makers cognitively impaired adults who had at least 72 consecutive hours...

Background The COVID-19 pandemic has imposed pervasive stress and significant disruptions in sleep health young adults. purpose of this study was to describe the perceived facilitators barriers among adults with type 1 diabetes during pandemic.Participants Thirty-two T1D (87.5% female; mean age = 21.5, SD 2.0) participated an online survey between January July 2021. Young ages 18–25 years for at least 6 months were eligible participate, while those who had a previous OSA diagnosis, currently...

Background Building nursing research data repositories with the goal of comparing and synthesizing results across numerous studies public sharing is still in early stages development. Objectives We describe process using common elements (CDEs) to build a repository for addressing self-management chronic conditions. Issues development CDEs, lessons learned creation combined set seven different condition populations, recommendations creating harmonized sets are provided. Methods In 2014, at...

Surrogate decision makers (SDMs) of the critically ill experience intense emotions and transient states fatigue. These factors may increase cognitive load experienced by electronic aids. This cross-sectional study explored associations emotion regulation (expressive suppression reappraisal) fatigue with (intrinsic extraneous) among a sample 97 SDMs ill. After completing subjective measures fatigue, participants were exposed to an aid completed measurement load. Multiple regression analyses...

Abstract Objectives The purpose of this study was to report the psychometric properties, in terms validity and reliability, Unconscious Version Family Decision-Making Self-Efficacy Scale (FDMSE). Methods A convenience sample 215 surrogate decision-makers for critically ill patients undergoing mechanical ventilation recruited from four intensive care units at a tertiary hospital. Cross-sectional data were collected participants between days 3 7 decisionally impaired patient's exposure acute...

Background The Hospital Anxiety and Depression Scale (HADS) is commonly used clinically scientifically among surrogate decision makers for critically ill patients. validity of the HADS has been scrutinized, but its use not examined. Objective To examine structural HADS. Methods This study was a secondary analysis data obtained from 3-arm randomized controlled trial support intervention. Participants were recruited 6 intensive care units at tertiary medical center in Northeast Ohio. adult...

Patients scheduled for coronary artery catheterization are traditionally instructed to take nothing by mouth after midnight before their procedure, often enduring 6 hours or more without food drink. This practice is associated with several adverse effects, including discomfort, irritability, dehydration, thirst, hunger, and a heightened risk of hypoglycemia. Remarkably, the existing guidelines fasting cardiac lack solid empirical backing, especially low- medium-risk patients. The purported...

Oxygen, a mainstay treatment for hypoxemia, is one of the most frequently used therapies hospitalized patients. Overuse oxygen may contribute to hyperoxemia, which clinicians commonly disregard. However, hyperoxemia can cause pulmonary toxicity, disrupt antioxidant function, and strain cardiovascular system. Similarly, excessive administration (EAO) impair mucociliary transport if not adequately humidified heated, high fractions inspired absorption atelectasis, tracheobronchitis,...

Abstract Introduction Short sleep duration and inconsistent timing have been linked to poor glycemic target achievement greater comorbidities in individuals with type 1 diabetes (T1D), particularly adults aged 18-26 years who achieve targets at the lowest rates (only 14%). Preliminary evidence supports cognitive behavioral interventions (sleep extension + consistency) improving of targets. The purpose this pilot randomized controlled trial (RCT) was determine preliminary effects a health...

With the greater focus on patient- and family-centered health care, family caregivers have emerged as essential members of care team. Family report positive experiences, but demands role can harm their health. For example, symptoms caregiver burden, anxiety, depression, fatigue, posttraumatic stress disorder are alarmingly prevalent among critical illness survivors. This cluster is included under post– intensive syndrome–family (PICS-F) associated with mortality recipients. Yet interventions...