Dear hospital administrators: Please value your amazing nurses

Dear hospital administrators: Please value your amazing nurses

Anyone who has worked in health care for any length of time, has seen situations erupt where nurses and administrations clash. I have seen this happen myself in many health care institutions, and almost every doctor I've... read more

Perceptions of Risk and Safety in the ICU

Perceptions of Risk and Safety in the ICU

This study drew on cognitive research, specifically theories of cognitive dissonance, psychological safety, and situational awareness to explain how professionals' cognitive processes impacted on ICU behaviors. Our results... read more

Prevalence of Anxiety and Depression Symptomatology in Adolescents Faced With the Hospitalization of a Loved One in the ICU

Prevalence of Anxiety and Depression Symptomatology in Adolescents Faced With the Hospitalization of a Loved One in the ICU

ICU experience is linked to anxiety and depression symptomatology in family members of patients. Minors may be forbidden from visiting. To bring practices in line with evidence, we determined the prevalence of anxiety and... read more

Quality Improvement Initiative to Reduce PICU Noise Pollution

Quality Improvement Initiative to Reduce PICU Noise Pollution

Substantial noise pollution exists in our PICU, and utilizing the pediatric delirium bundle led to a significant noise reduction that can be perceived as half the loudness with hourly nighttime average dB meeting the EPA... read more

New study finds stress levels skyrocket for family members of ICU patients

New study finds stress levels skyrocket for family members of ICU patients

New research by Intermountain Healthcare finds family members of patients in ICU have anxiety, depression and post-traumatic stress lasting months. It's the first study of its kind to investigate the link between cortisol... read more

A New Awareness of Mental Health in ICU Patients

A New Awareness of Mental Health in ICU Patients

During the last decade, the field of critical care medicine has been undergoing a sea change, says Dale Needham, medical director of the Johns Hopkins Critical Care Physical Medicine and Rehabilitation Program. It wasn't... read more

Fatigue and Sleep Deprivation

Fatigue and Sleep Deprivation

Being a doctor typically involves high-intensity, time-pressured working patterns. These can lead to sleep deprivation and fatigue, effecting doctors' health, well-being and performance, their safety and that of their patients.... read more

The Way We Think About Nurse Burnout is Broken

The Way We Think About Nurse Burnout is Broken

There are several things wrong with the way we think about nurse burnout. This is troubling for several reasons. If we do not have a clear understanding about burnout, then we cannot help nurses who may be suffering from... read more

Potentially Modifiable Risk Factors for Long-Term Cognitive Impairment After Critical Illness

Potentially Modifiable Risk Factors for Long-Term Cognitive Impairment After Critical Illness

Long-term cognitive impairment is common in survivors of critical illness. Little is known about the etiology of this serious complication. We sought to summarize current scientific knowledge about potentially modifiable... read more

Burnout and Stress Among US Surgery Residents

Burnout and Stress Among US Surgery Residents

Burnout among physicians affects mental health, performance, and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that can contribute to burnout... read more

Investing in Physicians’ Well-being is Just Good Business

Investing in Physicians’ Well-being is Just Good Business

The moral and ethical reason for physician practices, hospitals and academic centers to address physician burnout should be obvious, but a new medical journal article makes the case for why addressing doctors' well-being... read more

What Can Psychologists Do in Intensive Care?

As awareness has grown of the great distress intensive care patients may suffer, units have begun recruiting psychologists to their teams. Intensive care unit psychologists aim to assess and reduce distress for patients,... read more

High Morning Cortisol Tied to Long-term Anxiety in Family Members of ICU Patients

High Morning Cortisol Tied to Long-term Anxiety in Family Members of ICU Patients

A new study published in the journal Critical Care Medicine finds that a biomarker may help identify which family members will be most emotionally impacted by their loved one's ICU stay. In particular, family members who... read more

Why Nursing Burnout is A Priority

Nursing burnout is still seen as a "soft" topic. How do we know that? Well, it is still a dilemma that organizations do not know what to do with. That and it is often bumped from the agenda. Think about it- what comes first?... read more

Mountain Ultra-Marathon Finishers Exhibit Marked Immune Alterations Similar to Those of Severe Trauma Patients

Mountain Ultra-Marathon Finishers Exhibit Marked Immune Alterations Similar to Those of Severe Trauma Patients

Runners competing in mountain ultra-marathons (MUMs) are known to display features of marked inflammation due to muscle micro-trauma, oxidative stress, gastrointestinal dysfunction, or endotoxin translocation. Furthermore,... read more

Efficacy and Safety of Stress Ulcer Prophylaxis in Critically Ill Patients

Efficacy and Safety of Stress Ulcer Prophylaxis in Critically Ill Patients

Our results provide moderate quality evidence that PPIs are the most effective agents in preventing CIB, but they may increase the risk of pneumonia. The balance of benefits and harms leaves the routine use of SUP open to... read more

Burnout and Resilience in Anaesthesia and Intensive Care Medicine

Burnout and Resilience in Anaesthesia and Intensive Care Medicine

The term 'burnout' describes the collection of symptoms and signs, both physical and psychological, experienced by individuals due to their work. It is defined as the condition where professionals 'lose all concerns, all... read more