Moral Distress and Pain Management: Implications for Critical Care Nurses.

Nurses have an ethical responsibility to manage pain and the suffering derived from it. Given the complexity of patients in the critical care setting and the high incidence of pain experienced by critically ill patients, critical care nurses may experience moral distress when pain is inadequately managed. To address moral distress associated with pain management, critical care nurses should be provided with education on evidence-based pain management practices and encouraged to evaluate their personal biases and beliefs regarding pain management.

Increasing the Volume of Delivered Enteral Feeds Using a Volume-Based Feeding Protocol in a Neuroscience Intensive Care Unit.

Background: Iatrogenic malnutrition is a significant burden to patients, clinicians, and health care systems. Compared with well-nourished patients, underfed patients (those who receive less than 80% of their daily energy requirement) have more adverse outcomes related to nutritional status. Volume-based protocols allow for catch-up titrations, are consistently superior to rate-based protocols, and can be implemented in most settings.

Critical care nurse leaders' moral distress: A qualitative descriptive study.

Background: Unit-based critical care nurse leaders (UBCCNL) play a role in exemplifying ethical leadership, addressing moral distress, and mitigating contributing factors to moral distress on their units. Despite several studies examining the experience of moral distress by bedside nurses, knowledge is limited regarding the UBCCNL's experience.

Research Aim: The aim of this study was to gain a deeper understanding of the lived experiences of Alabama UBCCNLs regarding how they experience, cope with, and address moral distress.

Critical care nurse leaders addressing moral distress: A qualitative study.

Background: Moral distress (MD) occurs when clinicians are constrained from taking what they believe to be ethically appropriate actions. When unattended, MD may result in moral injury and/or suffering. Literature surrounding how unit-based critical care nurse leaders address MD in practice is limited.

Promoting Competence in Nursing and Pharmacy Interprofessional Collaboration Through Telehealth Simulation.

Competence in interprofessional collaboration is essential for safe patient outcomes. This study examined the impact of an interprofessional telehealth pharmacology simulation on prelicensure nursing and pharmacy students' perceptions of interprofessional roles. A pretest-posttest design was used to compare participants' perceptions of interprofessional roles prior to and following the simulation.

Moral distress among nurse leaders: A qualitative systematic review.

Moral distress (MD) is well-documented within the nursing literature and occurs when constraints prevent a correct course of action from being implemented. The measured frequency of MD has increased among nurses over recent years, especially since the COVID-19 Pandemic. MD is less understood among nurse leaders than other populations of nurses.

Cancer Prevention Begins in Middle School: The Personal Advantages of HPV Immunization in Males.

The human papillomavirus (HPV) is the most common sexually transmitted infection in the United States despite most cases being preventable by vaccination. HPV vaccine efficacy varies in relationship to when the vaccine is administered, with greater efficacy obtained if administered prior to sexual debut. Historically, this vaccine was created to protect women from cervical cancer.

End-of-Semester Report-Out: A Curriculum Evaluation Strategy.

An end-of-semester course -reporting strategy serves as one component of an overall curriculum evaluation plan. A framework specifying reporting criteria is used to guide the process. Report elements include integration of concepts in clinical, descriptions of active classroom learning strategies, testing data on concept performance, and exam statistics.