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Gonzalez M, Williams LM, Yanello K, White J, Meyer S, Powell L, Benneche KA, Knoblach C, Jacobs L, Rincon TA. Innovations in Tele-Critical Care Nursing During the COVID-19 Pandemic. AACN Adv Crit Care 2023; 34:324-333. [PMID: 38033216 DOI: 10.4037/aacnacc2023152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Abstract
For decades, tele-critical care (TCC) programs have provided expert population surveillance with standardized clinical interventions for critically ill patients. The COVID-19 pandemic created massive strains on critical care resources. For this report, standard questions were used to solicit COVID-19 pandemic workflow and service modifications from a network of TCC leaders to describe the rapid expansion of TCC-supported services during the pandemic. In this article, leaders from 7 TCC programs report on the effective use of services to support changing hospital needs during the pandemic in areas such as clinical education, personal protective equipment stewardship, expansion of virtual care, and creative staffing models, among others.
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Affiliation(s)
- Miguel Gonzalez
- Miguel Gonzalez is Nurse Manager, Tele-Critical Care & Virtual Sepsis Unit, Baptist Health South Florida, 6855 Red Road, Coral Gables, FL 33143
| | - Lisa-Mae Williams
- Lisa-Mae Williams is Operations Director, Tele-Critical Care & Virtual Sepsis Unit, Baptist Health South Florida, Coral Gables, Florida
| | - Kim Yanello
- Kim Yanello is Telehealth Product Manager, Ascension Illinois, Boilingbrook, Illinois
| | - Jason White
- Jason White is Clinical Nurse Manager, Tele-ICU, St Louis, Missouri
| | - Shelley Meyer
- Shelley Meyer is Assistant Nurse Manager, Tele-ICU, St Louis, Missouri
| | - Lillian Powell
- Lillian Powell is Administrative Director, Connected Care, Dartmouth-Hitchcock, Lebanon, New Hampshire
| | - Kara A Benneche
- Kara A. Benneche is Assistant Vice President, Operations, Telehealth Services, Northwell Health, Syosset, New York
| | - Carol Knoblach
- Carol Knoblach is retired from Sutter Health Valley, Sacramento, California
| | - Lynn Jacobs
- Lynn Jacobs is retired from UW Health eICU, University of Wisconsin, Madison, Wisconsin
| | - Teresa A Rincon
- Teresa A. Rincon is Assistant Professor, UMass Chan Medical School, Tan Chingfen Graduate School of Nursing, Worcester, Massachusetts, and Senior Telehealth Consultant, Blue Cirrus Consulting, Greenville, South Carolina
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Tucci R, McClain B, Peyton L. Beyond a Clinical Ladder: A Career Pathway for Professional Development and Recognition of Oncology Nurses. J Nurs Adm 2022; 52:659-665. [PMID: 36409259 DOI: 10.1097/nna.0000000000001228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Nurses at this Magnet®-recognized, National Cancer Institute-designated comprehensive cancer center restructured an existing clinical ladder program based on Benner's model and implemented an evidence-based progressive career development program for staff nurses. The revised program defines structured performance expectations and requirements for promotion and role maintenance, which encourage individual engagement and accountability. This article describes the creation and implementation of the clinical advancement program as well as outcomes of the 1st 10 years of the program.
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Affiliation(s)
- Roseann Tucci
- Author Affiliations: Nurse Practitioner (Ms Tucci), Department of Pediatrics, and Clinical Nurse IV (Mss McClain and Peyton), Department of Nursing, Memorial Sloan Kettering Cancer Center, New York, New York
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Maienza J. Response to the Supplement to the October 2020 Issue of the Clinical Journal of Oncology Nursing. Clin J Oncol Nurs 2021; 25:13-14. [PMID: 33480878 DOI: 10.1188/21.cjon.13-14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The Clinical Journal of Oncology Nursing has always been and continues to be my textbook-even as a retired oncology nurse. It has always fed my passion. So, after reading the supplement to the October 2020 issue on prevention, I asked myself what could I do with this information? Having worked at the bedside for many years, how would I use this information? How could I incorporate prevention information in my daily interactions with patients and families?
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Abstract
The World Health Organization (WHO, 2020) has designated 2020 as the International Year of the Nurse and the Midwife to mark the 200th anniversary of Florence Nightingale's birth. This celebration honors her work and impact on the nursing profession-one of engagement and advocacy for public health. Nightingale's Notes on Nursing (1860) illustrated her observations of social determinants for health wellness and illness. She championed efforts for community access to clean water and public sanitization and emphasized the importance of nutrition and hygiene on healing and wellness. Her calls for action still resonate with enduring worldwide healthcare shortcomings, which contribute significantly to morbidity and mortality.
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