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  1. Article ; Online: Creating an Escape Room for Continuous Renal Replacement Therapy Validation.

    Przybyl, Heather / Boyle, Emily

    Critical care nurse

    2023  Volume 43, Issue 3, Page(s) 68–71

    MeSH term(s) Humans ; Continuous Renal Replacement Therapy ; Retrospective Studies ; Acute Kidney Injury/therapy
    Language English
    Publishing date 2023-05-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632663-8
    ISSN 1940-8250 ; 0279-5442
    ISSN (online) 1940-8250
    ISSN 0279-5442
    DOI 10.4037/ccn2023243
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Unfreezing What's Hot in Liver Transplantation: A Review of Current Trends.

    Przybyl, Heather / Grindler, Jennifer / Lauer, Dana

    AACN advanced critical care

    2022  Volume 33, Issue 1, Page(s) 56–67

    Abstract: Liver transplantation has been underway for several decades, becoming a curative and life-prolonging treatment for individuals experiencing acute liver failure, end-stage liver disease, and/or hepatocellular carcinoma. Several trends have emerged to ... ...

    Abstract Liver transplantation has been underway for several decades, becoming a curative and life-prolonging treatment for individuals experiencing acute liver failure, end-stage liver disease, and/or hepatocellular carcinoma. Several trends have emerged to better select recipients and identify indicators for successful transplantation in light of the shortage of available organs relative to the number of people awaiting transplantation. In addition, different perfusion approaches have been studied to better understand how to achieve favorable outcomes during and after liver transplantation.
    MeSH term(s) Humans ; Liver Transplantation ; Perfusion ; Tissue Donors
    Language English
    Publishing date 2022-03-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2239949-5
    ISSN 1559-7776 ; 1559-7768
    ISSN (online) 1559-7776
    ISSN 1559-7768
    DOI 10.4037/aacnacc2022728
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Training and Maintaining: Developing a Successful and Dynamic Continuous Renal Replacement Therapy Program.

    Przybyl, Heather / Evans, Jill / Haley, Laurie / Bisek, Jodi / Beck, Emily

    AACN advanced critical care

    2017  Volume 28, Issue 1, Page(s) 41–50

    Abstract: Continuous renal replacement therapy (CRRT) is commonly used to support critically ill patients with acute kidney injury or chronic renal disease whose condition is too unstable for them to tolerate intermittent hemodialysis. Current publications related ...

    Abstract Continuous renal replacement therapy (CRRT) is commonly used to support critically ill patients with acute kidney injury or chronic renal disease whose condition is too unstable for them to tolerate intermittent hemodialysis. Current publications related to CRRT programs in the United States and Canada note key themes related to the development and maintenance of CRRT training programs. A successful CRRT training program should consider and incorporate adult learning principles whenever possible. A variety of teaching methods to deliver information to nurses, including online learning modules, didactic lecture, return demonstration, and high-fidelity patient simulation are key to training programs for this high-risk complex therapy. This article outlines the approach to training nurses to care for patients receiving CRRT at a health care system in Arizona.
    MeSH term(s) Adult ; Arizona ; Clinical Competence ; Critical Care/standards ; Critical Illness/therapy ; Curriculum ; Female ; Fluid Therapy/standards ; Humans ; Kidney Failure, Chronic/therapy ; Male ; Middle Aged ; Nursing Staff, Hospital/education ; Renal Replacement Therapy/standards
    Language English
    Publishing date 2017
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2239949-5
    ISSN 1559-7776 ; 1559-7768
    ISSN (online) 1559-7776
    ISSN 1559-7768
    DOI 10.4037/aacnacc2017122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Using High-Fidelity Simulation to Assess Knowledge, Skills, and Attitudes in Nurses Performing CRRT.

    Przybyl, Heather / Androwich, Ida / Evans, Jill

    Nephrology nursing journal : journal of the American Nephrology Nurses' Association

    2015  Volume 42, Issue 2, Page(s) 135–47; quiz 148

    Abstract: Continuous renal replacement therapy (CRRT) is an acute therapy for critically ill patients. There are many life-threatening complications that can occur; therefore, it is imperative that nurses are highly trained in the use and troubleshooting of CRRT. ... ...

    Abstract Continuous renal replacement therapy (CRRT) is an acute therapy for critically ill patients. There are many life-threatening complications that can occur; therefore, it is imperative that nurses are highly trained in the use and troubleshooting of CRRT. A structured simulation exercise was added to an existing CRRT education program by developing and implementing an annual assessment of knowledge, skills, and attitudes (KSAs) using high-fidelity simulation. The use of high-fidelity simulation as an intervention during annual evaluation of KSAs was shown to be effective in increasing nurse satisfaction, understanding of CRRT principles, and critical thinking skills with the operation of CRRT.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Attitude of Health Personnel ; Clinical Competence ; Education, Nursing, Continuing ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Middle Aged ; Nephrology Nursing/education ; Nursing Staff, Hospital/education ; Patient Simulation ; Renal Replacement Therapy/nursing
    Language English
    Publishing date 2015-03
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 2008177-7
    ISSN 1526-744X ; 8750-0779
    ISSN 1526-744X ; 8750-0779
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Validation of a Postextubation Dysphagia Screening Tool for Patients After Prolonged Endotracheal Intubation.

    Johnson, Karen L / Speirs, Lauri / Mitchell, Anne / Przybyl, Heather / Anderson, Diane / Manos, Brenda / Schaenzer, Amy T / Winchester, Keri

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2018  Volume 27, Issue 2, Page(s) 89–96

    Abstract: Background: Patients who receive prolonged endotracheal intubation (> 48 hours) are at risk for dysphagia. Nurses should conduct swallowing assessments after extubation because of the high likelihood of aspiration pneumonia developing. No valid and ... ...

    Abstract Background: Patients who receive prolonged endotracheal intubation (> 48 hours) are at risk for dysphagia. Nurses should conduct swallowing assessments after extubation because of the high likelihood of aspiration pneumonia developing. No valid and reliable postextubation dysphagia screening tools are available.
    Objectives: To establish content validity, analyze interrater reliability, and determine sensitivity and specificity of an evidence-based postextubation dysphagia screening tool developed by a multidisciplinary team.
    Methods: A prospective nonexperimental study was conducted in 4 medical-surgical intensive care units in 4 hospitals. The study was conducted in 3 phases: (1) establishing content validity with clinical experts who participated in a Delphi survey, (2) establishing inter-rater reliability by agreement with nurses who simultaneously and independently completed the tool, and (3) establishing sensitivity and specificity with speech language pathologists and nurses who independently and blindly completed the tool for eligible patients.
    Results: Individual item scores were > 0.82 and the overall content validity index was 0.93, indicating content validity. Interrater reliability was established (Cohen κ = 0.92). In 66 eligible patients, the prevalence of postextubation dysphagia was 56%, sensitivity of the postextubation dysphagia screening tool was 81%, and specificity was 69%.
    Conclusion: The reliability and validity of a postextubation dysphagia screening tool that can help nurses determine an extubated patient's ability to swallow after prolonged endotracheal intubation were established.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Airway Extubation/nursing ; Deglutition Disorders/diagnosis ; Deglutition Disorders/etiology ; Deglutition Disorders/nursing ; Delphi Technique ; Female ; Humans ; Intensive Care Units ; Intubation, Intratracheal/adverse effects ; Male ; Middle Aged ; Observer Variation ; Prospective Studies ; Reproducibility of Results ; Sensitivity and Specificity ; Time Factors
    Language English
    Publishing date 2018-03-01
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2018483
    Database MEDical Literature Analysis and Retrieval System OnLINE

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