VAP prevention. The latest guidelines.
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Cross Infection↗
Biomedical subjects
Marianne Chulay
Publications and source records attributed to Marianne Chulay.
Development of the American association of critical-care nurses' sedation assessment scale for critically ill patients.
Clinicians commonly sedate critically ill patients. Sedatives should be administered to achieve predetermined end points. Most currently available scales used to assess sedation are inadequate because they focus on a single domain, such as consciousness. The development of the American Association of Critical-Care Nurses' Sedation Assessment Scale is described. This new scale consists of 5 domains: consciousness, agitation, anxiety, sleep, and patient-ventilator synchrony. A major advantage of the scale is that its domains parallel common goals of sedation therapy for critically ill patients. The proposed measurements for each domain are based on a comprehensive evaluation of the science and expert recommendations. Before the scale is widely used, clinical testing is required to determine its validity and reliability in a variety of critically ill patients and care situations.
Anxiety↗
Sedation assessment: easier said than done!
Sedation assessment commonly is performed in critically ill patients to evaluate their need for, and response to, sedation therapy. Although many sedation assessment scales have been published, few have been tested properly to assure their appropriateness for use in critically ill patients. This article highlights the published sedation assessment scales that have the strongest scientific basis, identifies limitations of the current scales, and suggests characteristics for future sedation assessment scales that would overcome many of the current problems.
Adult↗
Chulay commentary.
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Equipment Failure Analysis↗
Good research ideas for clinicians.
While the conduct of nursing research is an important professional value, it is an activity rarely performed by nurses employed in the service setting. Whether the reason is a lack of commitment to a scientific basis for nursing practice or an inability to operationalize the research process in the clinical setting, the outcome is a dearth of clinically relevant studies to guide patient care. Clinicians must be involved in asking and answering clinically relevant questions to maximize patient outcomes. This article provides suggestions to assist clinicians to identify the types of clinical questions that are most likely to result in successful completion of research projects by busy, service-setting clinicians. Strategies are described that will assist clinicians to identify research questions of relevance to their practice areas.
Clinical Nursing Research↗