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Browsing by Author "Hough, Catherine L."
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Item A Multisite Study of Nurse-Reported Perceptions and Practice of ABCDEF Bundle Components(Elsevier, 2020-10) Boehm, Leanne M.; Pun, Brenda T.; Stollings, Joanna L.; Girard, Timothy D.; Rock, Peter; Hough, Catherine L.; Hsieh, S. Jean; Khan, Babar A.; Owens, Robert L.; Schmidt, Gregory A.; Smith, Susan; Ely, E. Wesley; Medicine, School of MedicineObjectives: ABCDEF bundle implementation in the Intensive Care Unit (ICU) is associated with dose dependent improvements in patient outcomes. The objective was to compare nurse attitudes about the ABCDEF bundle to self-reported adherence to bundle components. Research methodology/design: Cross-sectional study. Setting: Nurses providing direct patient care in 28 ICUs within 18 hospitals across the United States. Main outcome measures: 53-item survey of attitudes and practice of the ABCDEF bundle components was administered between November 2011 and August 2015 (n = 1661). Results: We did not find clinically significant correlations between nurse attitudes and adherence to Awakening trials, Breathing trials, and sedation protocol adherence (rs = 0.05-0.28) or sedation plan discussion during rounds and Awakening and Breathing trial Coordination (rs = 0.19). Delirium is more likely to be discussed during rounds when ICU physicians and nurse managers facilitate delirium reduction (rs = 0.27-0.36). Early mobilization is more likely to occur when ICU physicians, nurse managers, staffing, equipment, and the ICU environment facilitate early mobility (rs = 0.36-0.47). Physician leadership had the strongest correlation with reporting an ICU environment that facilitates ABCDEF bundle implementation (rs = 0.63-0.74). Conclusions: Nurse attitudes about bundle implementation did not predict bundle adherence. Nurse manager and physician leadership played a large role in creating a supportive ICU environment.Item Tackling Brain and Muscle Dysfunction in Acute Respiratory Distress Syndrome Survivors: NHLBI Workshop Report(American Thoracic Society, 2024) Palakshappa, Jessica A.; Batt, Jane A. E.; Bodine, Sue C.; Connolly, Bronwen A.; Doles, Jason; Falvey, Jason R.; Ferrante, Lauren E.; Files, D. Clark; Harhay, Michael O.; Harrell, Kirsten; Hippensteel, Joseph A.; Iwashyna, Theodore J.; Jackson, James C.; Lane-Fall, Meghan B.; Monje, Michelle; Moss, Marc; Needham, Dale M.; Semler, Matthew W.; Lahiri, Shouri; Larsson, Lars; Sevin, Carla M.; Sharshar, Tarek; Singer, Benjamin; Stevens, Troy; Taylor, Stephanie P.; Gomez, Christian R.; Zhou, Guofei; Girard, Timothy D.; Hough, Catherine L.; Anatomy, Cell Biology and Physiology, School of MedicineAcute respiratory distress syndrome (ARDS) is associated with long-term impairments in brain and muscle function that significantly impact the quality of life of those who survive the acute illness. The mechanisms underlying these impairments are not yet well understood, and evidence-based interventions to minimize the burden on patients remain unproved. The NHLBI of the NIH assembled a workshop in April 2023 to review the state of the science regarding ARDS-associated brain and muscle dysfunction, to identify gaps in current knowledge, and to determine priorities for future investigation. The workshop included presentations by scientific leaders across the translational science spectrum and was open to the public as well as the scientific community. This report describes the themes discussed at the workshop as well as recommendations to advance the field toward the goal of improving the health and well-being of ARDS survivors.