ABSTRACT
The Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016 provides updated recommendations, rationales, and evidence tables for best care of patients with sepsis. "Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. Septic shock (sepsis-3) is a subset of sepsis with circulatory and cellular/metabolic dysfunction associated with a higher risk of mortality than with sepsis alone." Sepsis and septic shock are major health care problems, affecting millions of people around the world each year. Early identification and management of sepsis and septic shock in the initial hours after sepsis develops, improves outcomes.
Subject(s)
Critical Care/standards , Practice Guidelines as Topic , Sepsis/diagnosis , Sepsis/therapy , Early Diagnosis , Humans , Sepsis/etiologyABSTRACT
Patients admitted to critical care units are at high risk for increased morbidity and mortality from skin and deep wound infections. Despite considerable progress, wound healing remains a challenge to many clinicians. Nurses working in critical care environments need to understand the anatomic and physiologic basis for wound healing, distinguish wound inflammation from wound infection, recognize the presence of biofilms, and implement evidence-based wound care in order to promote successful outcomes in this patient population.
Subject(s)
Bacteria/isolation & purification , Critical Care Nursing , Evidence-Based Medicine , Intensive Care Units , Wound Infection/microbiology , Biofilms , Humans , Wound Healing/physiology , Wound Infection/diagnosis , Wound Infection/nursing , Wound Infection/therapyABSTRACT
AIM: The purpose of this study was to evaluate the efficacy of using crisis resource management (CRM) principles and high-fidelity human patient simulation (HFHPS) for interprofessional (IP) team training of students from undergraduate nursing, nurse anesthesia, medical, and respiratory therapy. BACKGROUND: IP education using simulation-based training has the potential to transform education by improving teamwork and communication and breaking down silos in education. METHOD: This one-year study used a quasi-experimental design to evaluate students' acquisition and retention of teamwork and communication skills. A convenience sample consisted of 52 students in the fall semester, with 40 students returning in the spring. RESULTS: Mean scores increased after training, and skills were retained fairly well. Any loss was regained with repeat training in the spring. CONCLUSION: The results suggest that using CRM and HFHPS is an effective pedagogy for teaching communication and teamwork skills to IP student teams.
