AACN Advanced Critical Care

Journal Information
ISSN / EISSN : 1559-7768 / 1559-7776
Current Publisher: AACN Publishing (10.4037)
Former Publisher: Ovid Technologies (Wolters Kluwer Health) (10.1097)
Total articles ≅ 1,469
Current Coverage
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Latest articles in this journal

, Misty M. Richmond, Nancy Munro
AACN Advanced Critical Care; doi:10.4037/aacnacc2021492

As COVID-19 continues to spread, with the United States surpassing 29 million cases, health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for its longer-term physical and mental effects. The term long-haulers is used to identify patients who have not fully recovered from the illness after weeks or months. Although the acute symptoms of COVID-19 have been widely described, the longer-term effects are less well known because of the relatively short history of the pandemic. Symptoms may be due to persistent chronic inflammation (eg, fatigue), sequelae of organ damage (eg, pulmonary fibrosis, chronic kidney disease), and hospitalization and social isolation (eg, muscle wasting, malnutrition). Health care providers are instrumental in developing a comprehensive plan for identifying and managing post–COVID-19 complications. This article addresses the possible etiology of postviral syndromes and describes reported symptoms and suggested management of post-COVID syndrome.
Published: 26 April 2021
AACN Advanced Critical Care; doi:10.4037/aacnacc2021454

Nursing is a physically and emotionally demanding profession. Grueling job roles and challenging work environments, specifically in acute or critical care settings, place health care professionals at risk of burnout. Burnout in health care professionals results from a chronic negative work experience, leading to job dissatisfaction and, ultimately, poor patient outcomes. Symptoms and prevalence of burnout can be alleviated by implementing individual-focused strategies and minor modifications in work environments, job demands, and responsibilities. Currently, risk for burnout is increasing as COVID-19 challenges health care systems in which advanced practice nurses and other health care professionals struggle continuously to deliver high-quality patient care. In this article, the circumstances surrounding COVID-19 are considered and an overview is provided of burnout phenomenon, its causal factors, and its consequences. With consideration of current evidence in literature, I discuss some suggested strategies to improve resilience and facilitate well-being among health care professionals at individual and organizational levels.
, Colleen Snydeman, Virginia Capasso, Mary Ann Walsh, John Murphy, Xianghong Sean Wang
Published: 22 April 2021
AACN Advanced Critical Care; doi:10.4037/aacnacc2021848

Objective: As intensive care unit bed capacity doubled due to COVID-19 cases, nursing leaders created a prone team to support labor-intensive prone positioning of patients with COVID-related acute respiratory distress syndrome. The goal of the prone team was to reduce workload on intensive care teams, standardize the proning process, mitigate pressure injuries and turning-related adverse events, and ensure prone team safety. Methods: Staff were trained using a hybrid learning model focused on prone-positioning techniques, pressure injury prevention, and turning-related adverse events. Results: No adverse events occurred to patients or members of the prone ream. The prone team mitigated pressure injuries using prevention strategies. The prone team and intensive care unit staff were highly satisfied with their experience. Conclusion: The prone team provided support for critically ill patients, and team members reported feeling supported and empowered. Intensive care unit staff were highly satisfied with the prone team.
Published: 15 April 2021
AACN Advanced Critical Care; doi:10.4037/aacnacc2021302

COVID-19 has emerged as one of the most devastating and clinically significant infectious diseases of the last decade. It has reached global pandemic status at an unprecedented pace and has placed significant demands on health care systems worldwide. Although COVID-19 primarily affects the lungs, epidemiologic reports have shown that the disease affects other vital organs of the body, including the heart, vasculature, kidneys, brain, and the hematopoietic system. Of importance is the emerging awareness of the effects of COVID-19 on the cardiovascular system. The current state of knowledge regarding cardiac involvement in COVID-19 is presented in this article, with particular focus on the cardiovascular manifestations and complications of COVID-19 infection. The mechanistic insights of disease causation and the relevant pathophysiology involved in COVID-19 as they affect the heart are explored and described. Relevant practice essentials and clinical management implications for patients with COVID-19 with a cardiac pathology are presented in light of recent evidence.
Ms Jeannine W.C. Blake, Bsee Robert Butterfield, PhD Karen K. Giuliano
Published: 25 March 2021
AACN Advanced Critical Care; doi:10.4037/aacnacc2021149

Daniel Puebla Neira, Justin Seashore
Published: 25 March 2021
AACN Advanced Critical Care; doi:10.4037/aacnacc2021801

Dnp John J. Gallagher, Dnp Jennifer Adamski
Published: 15 March 2021
AACN Advanced Critical Care, Volume 32, pp 76-88; doi:10.4037/aacnacc2021235

The publisher has not yet granted permission to display this abstract.
, MS Karen A. McQuillan
Published: 15 March 2021
AACN Advanced Critical Care, Volume 32, pp 29-50; doi:10.4037/aacnacc2021331

The publisher has not yet granted permission to display this abstract.
, Bsn Carmela Leone, Ms Tonie Owens
Published: 15 March 2021
AACN Advanced Critical Care, Volume 32, pp 105-109; doi:10.4037/aacnacc2021122

Dnp Shanna Fortune,
Published: 15 March 2021
AACN Advanced Critical Care, Volume 32, pp 89-104; doi:10.4037/aacnacc2021519

The publisher has not yet granted permission to display this abstract.
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