Research in Review: Driving Critical Care Practice Change

Abstract

During the past year, studies were published that will lead to practice change, address challenges at the bedside, and introduce new care strategies. This article summarizes some of this important work and considers it in the context of previous research and practice. Examples of research-based practice changes include the performance and assessment of septic shock resuscitation, and the integration of tourniquets and massive transfusions in civilian trauma. Care challenges addressed include ethical considerations in light of the Ebola epidemic, infection prevention associated with chlorhexidine bathing, bedside alarm management, evidence to enhance moral courage, and interventions to mitigate thirst in critically ill patients. Research that portends future care includes a discussion of fecal microbiota transplant for patients with refractory infection with Clostridium difficile.

Stimulating Intrinsic Motivation in Millennial Students: A New Generation, a New Approach

“…Hence, a formal protocol for the specific assessment of the mental health of students should be established, as stresses in the early part of the program have been identified as powerful predictors of burnouts later in the program (Archer, 2010;Mohr et al, 2011;DeWitt et al, 2016;Fond et al, 2018). While numerous methods exist for detection of stress (reviewed by Bridges et al, 2016), the World Health Organization-Five Well-Being Index (WHO-5) questionnaire is particularly convenient (reviewed by Topp et al, 2015). It is a short, self-administered questionnaire that has been validated as a reliable tool for detecting stress and depression (Chow et al, 2018;Mirza et al, 2018).…”