Entires with the tag 'Health' in the Journal of Nursing

Building Trusting Work Relationships in Healthcare and Beyond

Building Trusting Work Relationships in Healthcare and Beyond

In an effort to help leaders in various types of healthcare organizations learn how to build trust and strong work relationships within their organizations, eight chief nursing officers (CNOs) from healthcare organizations throughout California were interviewed. All the CNOs were asked the same structured questions. A review and analysis of those interviews revealed the following five dimensions as key ingredients: authenticity, work ethics, communicating and sharing news, history and reputation, and creating a supportive and empowering environment. Our results include the definitions of trust by the eight CNOs, the Four R’s of building trustworthy relationships and an acronym of SHARE. We discuss what CNOs describe as “trust blockers,” actions a CNO can take that would break the employee’s trust. The results of this research can be used in a variety of ways including incorporating them into leadership development training aiming at strengthening their personal leadership styles and improving workplace environments by creating and role modeling a more open communication culture.

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Health and Wellbeing: A Student Nurse's Perspective

Health and Wellbeing: A Student Nurse's Perspective

This essay discusses health and well-being as multifaceted concepts and explores how my health and wellbeing has been affected since becoming a student nurse. This essay also discusses the importance of maintaining good health and wellbeing in relation to self-care and patient care.

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Young and Healthy in the PACU

Young and Healthy in the PACU

Some patients in the post anesthesia care unit (PACU) are young and or very healthy. These qualities sometimes give the impression that there will not be complications from surgery or anesthesia. This is not always the case. These patients may be overlooked for experiencing complications because they are healthy. I have seen a number of patients who have no health problems experience side effects from anesthesia and surgery.

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Six Sigma and Healthcare Finances

Six Sigma and Healthcare Finances

This article is a brief primer on Six Sigma methodology and its impact on healthcare finance and nursing.

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Bedside Reporting: Embracing the Need for Clinical Change

Bedside Reporting: Embracing the Need for Clinical Change

Communication is an integral part of nursing care. The implementation of bedside reporting practices provides an avenue for best practices and improved outcomes.

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Disparities in Healthcare: Night Shift Nurses

Disparities in Healthcare: Night Shift Nurses

Night shift nurses have been shown more likely to developing health issues than their day shift counterparts. Research over the past twenty years has led to the increasing conclusion that working night shifts for as little as eight shifts a month is associated with an increased likelihood to develop metabolic syndrome, a four-fold increase in the incidence of vascular events, and an increased chanceofdeveloping certain cancers.

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Quiet Servant

Quiet Servant

A poem dedicated to the service of community health nurses.

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Mental Health Need Assessment Tool

Mental Health Need Assessment Tool

Patient assessment is the first step in the nursing process. Assessing for mental illness is necessary in order to provide safe and competent care. Using a tool that incorporates Maslow's hierarchy of needs to assess if a patient feels that their needs are being met or not met is a good first step to begin assessing the mental health status of our patients.

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It Is Time to Openly Assess & Discuss Mental Illness

With the prevalence of mental illness on the rise, nurses in all healthcare settings are going to be tasked with providing care for patients with a mental disorder. Thus, it is necessary to provide nurses with the skills necessary to care for patients with mental illness.

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Effectiveness of Sexual Health Promotion in Adolescents

Effectiveness of Sexual Health Promotion in Adolescents

The authors illustrate the importance of sexual health promotion in the adolescent population through school-wide and community based efforts through a literature review composed of peer-reviewed, primary sources.

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Health and Law

This legal case study involves a young woman who presented ambulatory to the emergency room with a gunshot wound to the head

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National Nursing Licensure

National nursing licensure promotes more effective licensing than does state licensure by alleviating the ever-present nursing shortage and promoting mobility among the nursing workforce.

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Elective Induction of Labor and Early Term Delivery

The rate of elective induction of labor without medical indication is on the rise. Elective inductions carry long-term consequences for the maternal and infant dyad. Maternal risk of induction includes hemorrhage, uterine dystocia, uterine rupture, and cesarean section related to failed induction of labor. Neonatal risks include respiratory distress, feeding difficulty, and long-term psychological and behavioral tendencies such as attention deficit and hyperactivity disorder (ADHD). In reviewing a variety of studies, researchers have seen a decrease in morbidities and health care costs for both mother and infant when spontaneous labor occurs. However, the risks of liability and malpractice suits tempt physicians to schedule elective inductions. By creating and implementing policies on elective induction of labor, nurses have the ability to educate patients on the importance of letting labor occur naturally.

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Managing Type II Diabetes within the Hispanic Community

Diabetes is termed the life style disease for good reason. It is a progressive and chronic illness largely caused by obesity and lack of exercise. If left untreated or poorly controlled, this disease can lead to debilitating complications and premature death.

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Professional Nursing: Is A Doctorate Degree Necessary

Obtaining a higher education has transitioned from being a privilege to a prerequisite for professional success. However, success is not always correlated with the level of education the individual possesses. This is especially true in the field of nursing.

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Effects of Music Therapy in Pediatric Mental Health

Effects of Music Therapy in Pediatric Mental Health

Whether it is the simple melody of a lullaby to the crashing drums of rock and roll, music evokes an emotion in all of its listeners. Music has been around for centuries creating an environment of healing. When working with pediatric mental health patients, pharmacological interventions are often the solution to manage symptoms and negative feelings.

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Do nurses really understand Advanced Health Care Directives?

As a Nursing Supervisor, I have witnessed many problems associated with patients Advanced Health Care Directives (AHCD). On many occasions, patients are asked about AHCD when their medical condition worsens, leaving education of AHCD lacking and often put to the family to make end-of-life decisions. Both nurses and patients have verbalized not understanding AHCD. At the local hospital not only have many nurses acknowledged not understanding their role and responsibility about AHCD, but they also do not really have a good understanding themselves of what AHCD are; therefore, they do not feel comfortable educating patients and families about this vital healthcare issue. Research shows that providing AHCD education is effective in changing not only the treatment preferences of patients, but their attitudes toward end-of-life health care (AHRQ, 2003). There was an eminent need to look into this problem at the local community hospital.

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Funding Health Care as a Basic Human Right

The United States of America is a nation known and heralded worldwide for its democracy, freedom, and wealth. Through our commerce, we have become a prosperous nation. Through our commonalities we stand united. Through our shared citizenship, we establish our community. Through our voices, we are heard. So why is it, our nation has been divided against the idea of health care being funded as a basic human right? U.S. Senator, Ted Kennedy, once said,

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Literature Review: Safe Nurse Staffing

The purpose of this literature review is to exam nurse staffing and staffing related issue and its impact on the healthcare world. Safe nurse staffing poses substantial issues at the clinical level including its tremendous impact on patient mortality, patient satisfaction, increased incidence of medical errors, and nurse dissatisfaction and burnout.

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Doing More with Less: Are We Compromising Patient Care?

I came bustling into the Medical-Surgical unit at the hospital where I work as scheduled. It was the third 12-hour shift I was working, so I was really looking forward to getting the shift over with and enjoying the upcoming four days off. I was expecting to come onto the floor to find the usual nurses on the unit.

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Moral Distress in Nursing and Available Support Systems

Moral distress is a key issue facing nursing today; it affects the way nurses care for their patients and the number of nurses who stay in the profession (Gutierrez, 2005; Hamric & Blackhall, 2007).

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“What is it with you?”

“I’ve got a fainter here!” I call over my sister’s head to the flight attendant. My sister is sitting in the aisle seat, I am in the middle, and my new patient is sitting by the window. He has just announced to me that he doesn’t feel well and thinks he may faint

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Basics on Inpatient Blood Sugar Control

Controlling inpatient blood sugars is challenging and complex. Inpatient blood sugars can be affected by a multitude a variables. Some of the variables are nutritional intake, inflammation, stress and steroids. Research indicates more than 50% of Americans could have diabetes or pre-diabetes by the year 2020. Healthcare costs for this population both inpatient and outpatient is enormous and growing. Many of these patients will require hospitalization. Inpatient diabetes treatment can be complex but the outcome enhancement is great. Improving inpatient blood sugar control decreases both complications and mortality. Controlling the blood sugars of this growing patient population is well worth the investment of time and resources.

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Health Promotion and Disease Prevention

The United States falls behind in healthy outcomes when compared to other countries.

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Promoting the Sexual Health of Older People

This paper examines the issue of sexual health and older people. It identifies sexual health in this population group as a component of health that is often overlooked. As a practitioner of Gerontological Nursing, the author seeks to determine why this is and what can be done about promoting sexual health for this population group. Initially health promotion and sexuality are defined before outlining the rationale for the choice of this topic. Incorporated into the discussion is the acknowledgement that this is an area requiring significant development for all older people, regardless of sexual orientation, that in fact the need for health promotion for older gay and lesbian people may be a more pressing issue overall. Having outlined the need for health promotion, a number of strategies are introduced. Relatively little research into this specific issue has been conducted thus health promotion strategies in more broad terms are discussed.

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Healthy Cooking for the Soul

The purpose of this pilot study was to use motivation and coaching strategies to encourage Detroit African-American adults who are at high risk for hypertension and diabetes to change their dietary patterns. Oakland University Accelerated BSN (ABSN) student nurses designed and implemented the project to bring health coaching to the urban Indian Village community. Interventions included nutrition presentations and healthy soul-food cooking demonstrations. Information about program effectiveness was obtained through surveys. Survey scores increased for ninety percent of the participants from pre to posttest, indicating a corresponding increase in nutrition awareness. Future research is needed to determine the long-term effectiveness of the intervention strategies. The Healthy Cooking pilot project has the potential to facilitate research that will educate nursing students as well as citizens of Detroit's Indian Village.

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The Importance of Communication and Education toward Patient Literacy: 

The aging populations in the U.S. with ‘Essential’ Hypertension are showing inadequate health literacy, plus its impact on patients with idiopathic chronic diseases such as type II, adult onset Diabetes Mellitus are makeable. To identify among patients with hypertension and/or with diabetes the relationship between their functional health literacy levels, and the role of the registered nurse as communicator and educator.

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Smoking Cessation Education in the Elderly 

The role of the professional nurse as direct care provider and educator is pivitol in providing clients with the information and support necessary to facilitate smoking cessation and improve client health outcomes.

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Sisters of Mercy in Prisons 

Evolution of prisons in European countries has mainly been highlighted by the specialists on law and social studies, while participation of nurses in developing the up-to-date system of treating people sentenced by the societies to spend a part of their lives in jails still remains in a shadow. This survey is an attempt to take a brief glimpse of the contribution of sisters of mercy, members of the first European communes of nurses, to creating adequate conditions for prisoners and changing public's attitude towards rehabilitation of criminals and their possible return to normal life in the society.

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Russian Nurses after the Crimean War 

As it is well known, the Crimean War (1854-1856) marked the turning point in the history of nursing. The outstandingly self-sacrificing work of Florence Nightingale and 38 British nurses, who worked day and night in Turkish hospitals, providing help and necessary care to the sick and wounded soldiers, was highly praised and acknowledged in Britain. Their hard labor and efficient management in improving sanitary conditions in the army hospitals brought about a new approach to women’s participation in hospital care.

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Relationships among the Elderly: The Effects on One’s Health and Psychosocial Well Being 

Advances in medicine are allowing many adults to live longer lives than previous generations. In fact, the elderly population is becoming one of the largest growing sectors of the present population. Recently, researchers have begun studying what factors contribute to successful aging. These studies are showing that the impact of family and social relationships plays an important part in one’s health and psychosocial well being.

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Providing Appropriate Nursing Care for the Developmentally Disabled Child 

Developmental disabilities are birth defects related to a problem with how body parts and/or body systems work. These defects may affect multiple body parts and/or systems. There are four types of disability discussed in this article including nervous system disability, sensory-related disability, metabolic disorders and degenerative disorders.

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Preventing Falls in the Elderly Long Term Care Facilities 

The elderly long-term care population is at increase risk for falls and fall related injuries. The implementation of a fall prevention program is important for ensuring resident safety. Systematically assessing residents’ risk for falls and implementing appropriate fall prevention interventions can reduce the number of falls in the elderly long-term care residents.

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Pressure Ulcers Management 

Pressure ulcers are a major complication associated with the loss of mobility, activity, increased moisture, poor nutrition, friction, shear, and altered sensory perception. They are caused by unrelieved compression of the blood vessels and tissues resulting in the lymphatic system not filtering waste products.

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Pharmaceutical Counseling 

1.5 million Americans are sickened, injured or killed by medication errors each year; seniors most at risk due to the polypharmacy risk factor. Adding pharmaceutical counseling to patients on four or more medications decreases the risk of medication errors

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Pathogen Transmission from Blood Pressure Cuffs 

Pathogen Transmission from Blood Pressure Cuffs 

Decades of research has been conducted regarding the transmission of pathogens in hospitals from patient to patient, patient to staff, and staff into the community.

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Nursing Students Readying to Save Lives 

Recognizing the findings in a patient with an impending myocardial infarction (MI) and intervening appropriately is essential for healthcare providers in improving patient outcomes.

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Mythology 

Article pertaining to mythology as related to nursing and the RN student.

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My Father the Medicine Man 

My father continues to avoid western medicine as much as he can and there is no convincing him any different. I only hope that the next key given to me will open a door where Eastern and Western medicine will compliment each other. Health care would have the best of both worlds if this would happen.

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Missionary to Haiti 

On January 28th I started out on the treck to head to Haiti. Living in Honduras I found myself traveling through Miami, to get to Chicago, to head out to Haiti. But, as there were few choices of air transportation to Haiti, we took whatever we could get. Upon arrival into Haiti, the first thing that hit me was the sea of humanity. This little town held 4 million people. Keeping things in perspective, I am living in a country of 7 million people – so over half of the population of Honduras resides in the city of Port-au-Prince. We drove to our camp site, Quisqueya Christian School (QCS). We immediately found a “spot” on the grass, set up our tents, and got to the business of preparing ourselves for the tasks ahead of us.

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Maximizing Pain Relief in Pediatric Patients 

Pain management is a complex issue that has become increasingly significant in the nursing profession; so much so that the assessment of pain has become known as the fifth vital sign. This issue becomes even more crucial when attempting to manage pain in pediatric patients.

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Managing Diabetic Patients on Dialysis: The Nurse and Practitioners Role in Multidisciplinary Team Essentials 

The chronic state of diabetes mellitus (DM) mainly type II, is an increasingly common cause of end stage renal disease (ESRD) in all countries, accounting for 51% of dialysis patients in the U.S. and 39% in Europe. Patient survival is much worse than for non-diabetic patients, with a large proportion of patients dying within the first 3 months of dialysis (excluded from USRDS data). In North America, chronic diabetes (e.g., poorly controlled), has shown as a major cause of death associated with cardiovascular diseases. Usually the outcome is better for transplanted patients.

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Making a Difference: Recognizing the Risk of Alcohol and Benzodiazepine Use by Older Women 

Substance abuse in the elderly, specifically abuse of alcohol and benzodiazepines, is much higher than most people may think. According to a recent article published by CNN, of the 25.6 million women over the age of 59, seven percent abuse alcohol and eleven percent abuse psychoactive drugs such as benzodiazepines (CNN, 1998).

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Looks Can Be Deceiving 

I asked his family to step out for a moment so I could empty his JP drains. I emptied them into a basin and I noticed that they were very dark. I inspected them a little closer and I noticed it had a greenish tinge to it. Remembering what the surgeon had said about the possibility of a bowel perforation I got concerned and called the surgeon.

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Keeping a Positive Outlook: My Clinical Experience as a Student Nurse 

Keeping a Positive Outlook: My Clinical Experience as a Student Nurse 

My experience in my senior year clinical preceptorship was without a doubt unique but I feel its uniqueness was in what I made of it, something every nursing student can do for themselves. If there is one lesson to gain from reading about my experiences it should be that the success of a clinical, whether a preceptorship or group experience, is entirely what the student makes of it.

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IS THERE CARE IN HEALTH CARE 

I wrote this poem after going out one day to assist a mother with her 22 year old son who had a traumatic brain injury in a 4-wheeler accident. He had a trach, feeding tube, foley cath and skin breakdown from being in a long term care facility for 2 months. The insurance company allowed me three visits to teach the mother how to care for her son.

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I Quit My RN Job Yesterday 

I Quit My RN Job Yesterday 

Time and time again changes were thrust on us and made to sound as if they were the answers to all our problems, when, in reality, they created more problems and basically cured nothing.

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I AM DEDICATING THIS POEM TO ALL THE NURSES 

I WAS MERELY TWENTY SOMETHING, WHEN I STARTED MY CAREER. NURSING WAS MY DREAM AND NOW IT IS MY FEAR

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How Personal Digital Assistants Can Increase the Quality of Nursing Care Provided in the Hospital Setting 

Personal Digital Assistants (PDAs), tools that have the potential to help nurses increase the quality of care that they provide in the hospital setting.

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Exploring Communication Technology In the Family Birthing Center

Technology is being used increasingly in the health care field in order to improve patient outcomes. An e-health nursing initiative has been set forth by the Canadian Nurses Association to direct the development of information and communication initiatives. Registered Nurses’ Association of Ontario (2009) defines e-health as, "The leveraging of information and communication technology to enhance professional practice in order to promote and facilitate the health and well-being of individuals and families.” The purpose of the article is to explore ways in which communication technology in particular can aid nurses in providing more effective care, and allow for an enhanced health outcome.

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End-Of-Life-Care: Are Nurses Educationally Prepared? 

End Of Life Care study in the RN Journal. Are nurses prepared to offer quality end-of-life care to patients and families?

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DETOUR OFF THE SEPSIS ROAD EARLY RECOGNITION IS KEY 

At present, the US reports approximately 750,000 cases of sepsis a year and estimates 1 million cases by 2020 With a mortality rate of 30%, an estimated 250,000 annual deaths, and hospital costs exceeding $16 billion, sepsis has become a burden. It is imperative to increase the awareness and early recognition of sepsis

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Culturally Competent Nursing in Homecare 

Culturally Competent Nursing in Homecare 

Homecare nurses must be culturally aware in order to appropriately care for homecare patients. Culture plays a part in the care of all types of patients but it plays a more important role in homecare.

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Clinical Profiling: Natural History of Essential Hypertension 

Hypertension is a major cardiovascular risk factor that directly contributes to myocardial episodes such as abnormal wall motion, hypertrophies, and subsequently an infarction (MI). Also noted, are cerebrovascular accidents (CVA), congestive heart failure (CHF), peripheral arterial insufficiency (PAI), and premature mortality. Optimal and cost-effective management of the condition depends on careful diagnosis, treatment minimization, and optimized adherence to the selections of tests and treatment plans.

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Clinical Nursing: Keeping Your Skills In-Tune 

The primary duty of every nurse is the assessment of a patient’s physical and emotional well-being. This basic-skill learned in the very first nursing class is the one skill and primary duty the nurse will use every day with his and/or her patients.

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Change for the Best 

There have been many changes in nursing in the almost thirty years since I graduated.

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Challenges in Nursing Informatics

Challenges in Nursing Informatics

As the use of technology explodes into the health care industry, its effects have the potential to become destructive elements to the nursing profession. This paper will discuss the evolution of nursing documentation, the immergence of health information technology, and the challenges it creates for the nursing profession.

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Can I Depend On You? 

an LPN Instructor at East Central Technical College in Douglas, Georgia requires an experience for her nursing students.

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Are New Graduate Nurses Being Taught About the Importance of Nursing Rounds? 

This study helps to determine if new graduate nurses have any knowledge about nursing rounds and if they are using nursing rounds as a way to organize their practice.

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ACUTE RENAL FAILURE 

Acute renal failure (ARF) has become increasingly common in patients with critical illnesses. Up to two-thirds of intensive care unit (ICU) patients develop ARF with the leading cause being sepsis. Treatment of ARF has been associated with higher costs and the following adverse outcomes: increased length of stay, excess mortality of 30-71%, need for chronic dialysis in the patients who survive, and the requirement of discharge to short-term or long-term care facilities.

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