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In this issue of Critical Care Nursing Clinics, guest editor Deborah Garbee brings her considerable expertise to the topic of Older Adults in Critical Care. Top experts in the field provide readers with the latest on Delirium in Older Adults, Sepsis Across the Continuum, Progressive Supranuclear Palsy, and more. Contains 14 relevant, practice-oriented topics, including Improving Outcomes in Cardiovascular Geriatric Patients Related to Polypharmacy; Biofilm and Hospital-Acquired Infections in Older Adults; Implementation of Acute Care for Elders (ACE) and Nurses Improving Care for Healthsystem Elders (NICHE) in Critical Care; and more. Provides in-depth clinical reviews on older adults in critical care, offering actionable insights for critical care nurses. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Focuses on New Developments in Nursing Education: A Focus on Contemporary Content, Pedagogies, Deans, Trends, with article topics including: Game-based E-Learning; Incorporating Evidence-Based Care of Individuals with Developmental/Cognitive Disabilities into the Curriculum; and Doctor of Nursing Practice Graduate as Faculty Members.

This issue contains a series of articles focused on various initiatives aimed at improving the quality of patient care delivery and promoting safe passage across the continuum of care. Exemplary, evidence-based nursing practice is the cornerstone of quality care, and this issue highlights many ways in which nurses have led changes to optimize patient outcomes. In addition, quality care enhances cost-effectiveness by reducing avoidable complications and diminishing avoidable hospital readmissions, a concept more important than ever due to value-based purchasing and the Affordable Care Act. Articles are specifically devoted to prevention of delirium in critical care patients, palliative care in the intensive care unit, prevention of pressure ulcers, fall prevention in high-risk patients, prevention readmissions, preventing sepsis mortality, and nursing interventions in the elderly critical care patient, to name a few.

Evidence synthesis is the evaluation or analysis of research evidence and opinion on a specific topic to aid in decision-making in health care. Although the science of evidence synthesis has developed most rapidly in relation to the meta-analysis of numerical data linked to theories of cause and effect, the further development of theoretical understandings and propositions of the nature of evidence, its role in health care delivery, and the facilitation of improved global health have increased rapidly since 2000. The articles appearing in this issue examine the role of evidence synthesis in nursing and health care and are written by expert translational scientists from across the world. Three introductory articles overview evidence synthesis and its role in evidence-based health care; methods, issues, and trends in the systematic review of health care evidence; and the development of a robust evidence base for nursing. Subsequent articles explore the impact of systematic reviews on policy and practice in a variety of settings, including perioperative care, pediatrics, rehabilitation and long-term/continuing care, mental health, and public health. The final articles discuss the impact of evidence on health policy and practice and the complexities of translating evidence into policy and practice. These articles show the importance of synthesizing evidence and translating policy and practice into action in our quest to improve health care and health outcomes.

Nurses are faced with unprecedented challenges and opportunities. Healthcare delivery models are transforming that require adaptive and flexible nurses.  The primary role of the frontline nurse is providing patient care. To be successful in this role it requires numerous competencies supported by evidence-based data. Frontline bedside nurses are fundamental to the success of value-based care delivery models. These transformational models rely on robust nursing contributions for success. Most frontline nurses don't understand value-based care models and their role in promoting positive outcomes for reimbursement. This issue is a tool kit to empower our frontline nurses for challenges they are facing with transformations occurring at their bedside practice site. The articles will be a best practice handbook for frontline nurses by providing resources to develop clinical skills to provide safe, quality, and accountable patient care needed for new healthcare delivery models.

Features subject topics such as: Interventions for Anxiety in the Critically Ill: A Guide for Nurses and Families; Psychiatric Co-Morbidities Across the Lifespan; Prevention Approaches in Childhood Mental Health Disorders; Adolescent Substance Use Conditions; Traumatic Brain Injury; Screening and Treatment of Depression in Primary Care; and, more.

Together with Consulting Editor Dr. Stephen Krau, Tandy Gabbert has put together a comprehensive issue that discusses important clinical topics for orthopedic nurses.  Expert authors have contributed clinical review articles on the following topics: Proactive wellness care for the patient with osteoarthritis; Innovations in care of the elderly hip fracture patient; A Day in the Life of Advanced Practice Nurses providing care to patients with musculoskeletal conditions; Emerging spine care trends and innovations; Fighting the epidemic: Bone health and osteoporosis; An update on total joint arthroplasty: Current models of care, strategies and innovations providing the best patient outcomes, and the big changes in the patient experience; Legal implications in the care of orthopedic patients: Serious complications and how to prevent them; New on the scene: Orthopedic Nurse Navigator; Pain management for the orthopedic patient, closing the gap; Advances in sports medicine and care of the adolescent athlete; The ever changing world of limb salvage surgery for malignant bone tumors;  and Excellence in patient education: Evidence-based education that improves patient outcomes. Readers will come away with the information they need to improve outcomes in orthopedic patients.

In collaboration with Consulting Editor, Dr. Cynthia Bautista, Dr. Judy Davidson has put together a comprehensive issue on family and patient experience in the ICU. Expert authors have contributed clinical review articles on the following topics:  Humanizing Intensive Care: From Theory to Practice; FiCare; Patient''s Own Pets in the ICU; Sleep in the ICU; Implementation of a Patient and Family-Centered ICU Peer Support Program at a Veterans Affairs Hospital; Understanding the Experiences of Patients and Families in the ICU: More than Engagement; Implementing a Patient and Family Communication Bundle in the ICU; Integrating Primary Palliative Care into the ICU: The Critical Care Nurse Communicator Program; Bereavement Care in the Adult ICU: Directions for Practice; A review on the Use of Diaries; Supporting Families of Patients with Rare or Unusual Critical Illnesses; and Meeting the Special Needs of Families of CTICU patients. Readers will come away with the information they need to improve family and patients experiences in the ICU.

In consultaton with Consulting Editor, Dr. Cynthia Bautista, Dr. Bartos has put together a comprehensive and succint look at strategies to improve wellness for the critical care nurse. Expert authors have submitted clinical review articles on the following topics: Self-Assessments for Mental Wellness in Critical Care; Developing a Wellness Company for Critical Care Nurses; Self-Care Tips and Tricks for the Critical Care Nurse; Building Resilience in the Critical Care Nurse; The Impact of Rotating Shift Work on Self-Care Behaviors of the Critical Care Nurse; Mitigating the Stress of the Critical Care Nurse; Building a Program of Wellness for Critical Care Nurses; Evaluating the Secondary Stress of Critical Care Providers; Compassion Fatigue in the Intensive Care Unit; Creativity as a Means of Self-Care for Trauma ICU Nurses; and Supporting Self-Care Behaviors throughout the Critical Care Bereavement Process. Readers will come away with the information they need to improve self-care behaviors and mental wellness.

In collaboration with Consulting Editor, Dr. Stephen Krau, Guest Editor Dr. Courtney J. Pitts has put together a comprehensive update on sexually transmitted infections. Expert authors have contributed clinical review articles on the following topics: STI Prevalence in the United States and the relationship to the social determinants of health; Psychosocial aspects and ethical concerns of STIs treatment and management; Update on guidelines for STI treatment and management - adults and adolescents; STIs and HIV; Proctitis in MSM; Herpes simplex Virus; Pharmacological updates on Hepatitis C treatment; The Reemergence of Syphilis: Clinical Pearls for consideration; The use of technology in the screening and management of STIs; Decreasing barriers to sexual health in the LGBTQI community; STIs and pregnancy; Update on pharmacology of HIV; An update on HPV guidelines; and Pre-exposure (PrEP) prophylaxis versus Post exposure prophylaxis (PEP). Readers will come away with the updates and information they need to improve patient care and outcomes in patients with sexually transmitted infections.

In this unique issue, Dr. Stephen Krau, Consulting Editor, is serving as Guest Editor to present a topic not easily found in the nursing literature: complementary and alternative medicine. This issue serves as Part I and is devoted to therapies. Part II publishes in March 2021 and is devoted to herbal supplements and vitamins. This information is invaluable to nurses who care for patients taking complementary and alternative supplements and therapies, which often have an impact on care and healing. Specific articles are devoted to the following topics of Part I: Overview and History of Alternative and Complementary Interventions; Presence and Therapeutic Listening; Impact of Music Therapy on Mind-Body-Spirit; Impact of Music Therapy on Intensive Care Unit Patients: A Pilot Study; Guided Imagery; Meditation Journaling; Aroma Therapy; The Differences Between Healing and Therapeutic Touch; Therapeutic Effects of Reiki; Acupressure and Acupuncture; Therapeutic Effects of Tai Chi; and Exercise as a Therapeutic Intervention. Readers will come away with hard-to-find information on complementary and alternative therapies, which will have an impact on patient outcomes.

Focuses on Responses to Catastrophic Disasters. This title covers topics such as cultural and spiritual competencies of the healthcare provider in a disaster, psychological responses, disaster planning and aftermath, considerations for elderly and vulnerable populations, and, forensic nursing.

Focuses on Addictions. This title includes article topics such as Office-Based Opioid Treatment, Addictions and Pregnancy, Peer Assistance, Relapse Prevention for Addictions, Adolescents and Addiction, Use of Photo Voice in Addictions, Health Promotion and Prevention Strategies, and Maintaining Sobriety and Recovery.

Focuses on Second Generation Work with QSEN, with article topics including: Second Victim; Interprofessional education for QSEN; The Quality Burden; New technologies for teaching quality and safety; Creating Academic/Clinical Partnerships; Incorporating QSEN into Pre-Licensure Programs; and Innovative Strategies for Embedding QSEN.

The articles appearing in this geriatrics-focused issue are consistent with the collaborative and translational concepts held by a life course perspective. Each supports interprofessional collaboration and some are either authored or coauthored by interdisciplinary colleagues. Three goals are reflected in these articles: keeping community-dwelling older adults safe, sensible, and secure with solutions that will enable them to stay healthy, wise, and aware. Topics include maintaining physical functions, benefits and consequences of weight-bearing exercise on foot health; cancer prevention; managing nocturiäs effect on sleep quality and safety; protection from financial exploitation; and providing safe and affordable living environments. Several articles address physical or cognitive challenges that include monitoring medication adherence, threat of anxiety and stigma in dementia, and approaches to managing self-care in the home for persons with dementia. These evidence-based articles address emerging and best practices to support targeted interventions for persons in community-dwelling home settings. They provide a frame-work of person-centered approaches that foster good health in older age, a central tenet of aging in place and the global response to population aging.

Focuses on Nurse Advocacy, with article topics including: the Nurse advocate; Patient right to safety; Advocacy through public policy; Advocating for patient families; Advocating for Laryngectomy Patients; Advocating for cancer patients; and Advocating for the patient in industry.

Features subject topics such as: OR Attire's Potential for Infection Transmission; Strategies for Preventing Sharps Injuries; Managing Patients with MDROs - Implementing Isolation Procedures in the Perioperative Setting; and, Anesthesia Care Providers - Identifying/Mitigating Potential for Infection Transmission.

Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC).  Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses.  Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family''s physical, psychosocial and spiritual concerns, and aligning treatments with each patient''s goals, values, and preferences.  PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.

This issue will address health care issues and clinical implications of rural and other medically underserved priority populations. The Agency for Health Care Research and Quality identified priority populations to include rural residents, racial and ethnic minorities, low income groups, women, children, older adults, and other individuals who may require chronic care.  The editors identified a need for articles focusing on priority populations to help further understand health implications of health disparities among specific populations. A main focus is on identifying useful clinically focused strategies to address racial, ethnic, and socioeconomic differences that are relevant and influence overall healthcare, access, and quality of life. The articles will provide clinicians and other consumers of Nursing Clinics of North America with a diverse and unique perspective on an array of clinically relevant and population focused topics.  Some example topics included are:  Tailoring interactive multimedia to improve diabetes self- management; Addressing mental and physical health among older adults; Using mobile devices to access evidence- based information in a rural setting; Identifying family history and development of risk factors for diabetes among underserved preschool children; Addressing smoking cessation, Cancer screening issues, Cardiovascular health, and Obesity.

Neuromonitoring is a broad term that essentially accounts for the essence of neuroscience nursing. Nurses working with critically ill, neurologically impaired patients should have a foundation in not only in invasive neuromonitoring, but the more subtle aspects of care. Nurses must understand that they are the most important tool in monitoring patients and interpreting the data. This issue of Critical Care Nursing Clinics will bring together the critical aspects of neuromonitoring in the intensive care units that can be used as a resource for nurses. Some articles included are devoted to Temperature Targeted Management; Refractory Intracranial Pressure Management; Blood pressure monitoring controversies; Invasive Neuromonitoring; Neuroradiology Review; Nursing Monitoring of Critically Ill Neurological Patients; Case Studies in EEG monitoring; and Neuromonitoring in the Operating Room.

Dr. Goldsworthy has created a state-of-the-art issue that emphasizes the nurse''s role in mechanical ventilation. Pertinent clinical topics include the following: basics of mechanical ventilation for nurses; current modes for mechanical ventilation; best practices for managing pain, sedation, and delirium in the mechanically ventilated patient; mobilization of and optimal oxygenation for the mechanicaly ventilated patient; managing complications; and effective weaning strategies.  Authors also address mechanical ventilation in both children and neonates. The current content in this issue will leave nurses with the clinical information they need to effectively manage mechanically ventilated patients.

Focuses on use of acute care Nurse Practitioners in neuroscience critical care; Post-graduate advances practice neurovascular fellowship education and training; NET SMART; management of Traumatic Brain Injury; management of Subarachnoid Hemorrhage; and management of Hyperacute Ischemic Stroke.

Describes modern critical care techniques in a historical context. This book includes such topics as 'Shock and Organ failure', 'Battlefield trauma, traumatic shock and consequences: War-related advances in critical care', and Lessons from Modern Disasters and Wars: Bhopal, Chernobyl, Oklahoma City Bombing, 9/11, Hurricane Katrina, Tsunami, Iraq'.

Covers such topics as: Historical Perspective on Women's Health as a nursing Specialty; Integrative Health Care for Women - Acupuncture and Mindful Meditation and Yoga; Wellness in Women Across the Lifespan; Adolescent Health - HPV Vaccine as an Exemplar; Genetics - Breast Cancer as an Exemplar; and, Women's Global Health.

Focuses on: Moral Accountability and Integrity in Nursing Practice; Care and Meaning in War Zone Nursing; Reflections on Delegation; Transcultural Nursing Practices; Information Technology; Science, Art or Both; Health Care Equity; Trust, Power and Vulnerability; Moral Certitude; and, Nursing Responsibilities in Clinical Research.

Presents an evolving alternative to blood transfusion. This issue explores its potential with topics such as 'HBOCs from Human or Bovine Hemoglobin', 'Comparison of HBOCs to Stored Human Red Blood Cells', 'HBOCs and Tissue Oxygenation', and, 'HBOCs: Role in surgery, resuscitation or hemorrhagic shock?'

Explores the field of long-term care. This title covers such topics as: Clinical Issues in Long Term Care, Settings at End of Life, and Leadership for the Future.

Nutrition is an important aspect of care for any patient entering the hospital, but the patient admitted to the intensive care unit (ICU) is at an even higher risk for nutritional compromise. Nutrition affects all ages, from the neonate to the geriatric patient, and all patient populations. Evidence-based practice guidelines regarding appropriate nutritional support within the critical care setting are published. Yet, researchers continue to identify that despite published evidence, countless ICU patients continue to lack adequate and timely nutritional support on admission. Each of the authors in this issue promotes nutrition in their careers and individual practice areas, which brings knowledge from many different arenas throughout the nation. This issue discusses nutrition throughout the lifespan, special patient populations, implementation of guidelines, and how nutrition is being utilized as medical therapy.