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Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 21 for “"Pediatric Intensive Care Unit"”.
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Pediatric Intensive Care Unit Skin-Care Team
<p>In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric …
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Off-Hours Admission and Mortality in the Pediatric Intensive Care Unit
… Critically ill patients may be admitted to the pediatric intensive care unit (ICU) at any time, while staffing and other factors may vary by day of the week or time of day.
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Factors which influence pediatric intensive care unit nurses to leave their jobs
The United States (U.S.) is in the midst of a nursing shortage that is expected to increase as ‘baby boomers’ age and the need for health care grows. Job burnout and dissatisfaction are driving forces that prompt nurses to leave the profession and their jobs. High nurse turnover and vacancy rates …
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Supporting Nurse Education in the Implementation of a Pediatric Delirium Assessment Protocol in the Pediatric Intensive Care Unit
… historically been under studied, more so in the pediatric population, despite its long term effects on patients’ health. The deficit in knowledge of delirium leads to an increase in hospital stays and unnecessary unit expenses. My intention with this change project is to increase the awareness of …
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Outcomes Of A Pediatric Acute Care Nurse Practitioner Driven Front-Line Care Delivery Model In An Academic Pediatric Intensive Care Unit
… nurse practitioners (NPs) to deliver front-line care to acute and critically ill patients.</p> <p>Objective: To describe the outcomes of a front-line care model that uses certified pediatric acute care NPs, limits work hours and night time and weekend patient-to-provider ratio, on the outcomes of …
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Doctor of nursing practice (DNP) quality improvement (QI) project : implementation of a nurse-driven bedside swallow screening protocol in a pediatric intensive care unit (PICU)
Problem: Pediatric dysphagia is associated with delayed oral intake, prolonged length of stay, and increased risk of complications. In pediatric intensive care units (PICUs), reliance on speech-language pathology (SLP) consultation may delay timely evaluation and intervention. Standardized …
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Parental State Anxiety as a Function of The Visitation Schedule of Pediatric Intensive Care Units
… the parent whose child had been admitted to the Pediatric Intensive Care Unit (PICU) with restricted visiting hours and the state anxiety level of the parent whose child had been admitted to the Pediatric Intensive Care unit with unrestricted visiting hours. The 15 parents in each of the two …
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Nutritional Support of the Critically Ill Pediatric Patient : Foundations and Controversies
… improved nutritional status, thus optimizing the pediatric intensive care unit (PICU) stay and decreasing morbidity and mortality. Critical illness is associated with significant metabolic stress. It is crucial to understand the physiological response to stress to create nutritional …
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Education Model for Pediatric Tracheostomy Management: Improving Nursing Knowledge and Confidence
… for nurses and nurse practitioners performing pediatric tracheostomy management in the pediatric intensive care unit, utilizing targeted tracheostomy education.Background: Pediatric tracheostomy prevalence continues to increase in our organization, along with adverse airway events and …
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Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment
… the nursing profession, and society as a whole. Caregiver appraisal, or the cognitive process individuals use to mediate emotional reactions to any situation, may be positive, negative, or neutral. Associations between nurses’ distress and caregiver appraisal when withdrawing life-sustaining …
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End Tidal Carbon Dioxide Monitoring in the Acute Post Extubation Period in the Pediatric Intensive Care Setting
<p>Extubation failures in the Pediatric Intensive Care Unit setting can be prevented by use of End Tidal C02 monitoring during the acute post extubation period. The primary goal of this project is to increase the use of ETC02 NC over regular NC after extubating patients by 5% quarterly. The …
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Functional Near-Infrared Spectroscopy (fNIRS) Based Functional Connectivity Alterations Associated with Delirium in Critically Ill Children: An Exploratory Study
… a prospective observational study in a tertiary pediatric intensive care unit (PICU) in London, Ontario, involving 28 children aged 1 month to 18 years. Delirium status was determined using the validated Cornell Assessment of Pediatric Delirium (CAPD) score or based on clinician diagnosis in …
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Providing Safe Gastric Feedings In Pediatric Patients On High Flow Nasal Cannula Respiratory Support
<p>Purpose: HFNC is used to manage pediatric respiratory distress, but concerns aboutgastric air insufflation and aspiration risk lead to delayed feedings. There is no standardized practice guiding gastric feedings in children on HFNC. This project developed and implemented a decision tree to guide …
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Real-time analysis of physiological data and development of alarm algorithms for patient monitoring in the Intensive Care Unit
… collected while using this system. In a standard pediatric intensive care unit, a working prototype of this system has helped collect a dataset of 196 hours of vital sign measurements at 1 Hz with 325 alarms generated by the bedside monitor and 2 instances of false negatives. About 89% of these …
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Pediatric Intensive Care Nurses : Post-Traumatic Stress Disorder-Like Symptoms
… just such a critical incident for pre-hospital care personnel (Linton, Webb, & Kommor, 1988). Nurses, as well as emergency physicians and support staff have also been found to experience similar stressors for extended lengths of times (Whitley, 1989; Whitley, Allison, & Gallery, 1991). Horowitz, …
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Clinical features and outcome of patients with severe lower respiratory tract infection admitted to a Paediatric Intensive Care Unit in the Western Cape, South Africa
… the clinical features of children admitted to a Pediatric Intensive Care Unit (PICU) with severe ALRTI and to investigate risk factors, clinical course and in-hospital outcome. Design: Retrospective cohort study Setting: Red Cross War Memorial Children's Hospital, Cape Town, South Africa …
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Improving Health Outcomes in Children and Adolescents with Asthma
… most prevalent chronic illnesses found in the United States, affecting millions of people under the age of 18 each year. The disease burden for affected children, adolescents, their families, and the healthcare system is immense. Finding ways to mitigate its impact is critical to improving the …
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The Association of Severe Pain Experienced in the PICU and Health-Related Quality of Life Post-Discharge
… quality of life (HRQL) is common after pediatric intensive care unit (PICU) admission. There are few known modifiable risk factors during PICU admission for a clinically significant decline in HRQL. Chronic pain is known to be associated with low HRQL. We hypothesized that the duration …
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Desenlaces en pacientes sépticos de una unidad de cuidado intensivo pediátrico con Programa de Optimización de Antimicrobianos (PROA). Clínica Colsubsidio Infantil 2021 - 2023
Se realizó un estudio observacional descriptivo de cohorte retrospectiva que incluyó 395 pacientes de 0 a 18 años con diagnóstico de sepsis manejados en la UCIP entre 2021 y 2023. Se describieron características sociodemográficas y clínicas, patrones microbiológicos, mecanismos de resistencia, …
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FUTURE MODEL FOR PEDIATRIC ICU (PICU) PATIENT ROOM: OPTIMIZE CARE IN TERMS OF PATIENT SAFETY AND STAFF EFFICIENCY BY DESIGN
… and spaces in multi-beds patient room in Pediatric Intensive Care Units that could support safe and speedy care delivery. Study Design: This qualitative and quantitative case study is to 1) improve efficiency for care delivery by design (e.g., minimize steps Registered Nurses [RNs] take in …
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