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Pediatric Cardiac Intensive Care: Nursing Education and Leadership

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Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

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Abstract

Nurses, nurse educators, and advanced practice nurses (APNs) are in an excellent position to provide leadership in the pediatric cardiac intensive care unit (PCICU). Nursing leadership roles include quality improvement, consultation, education, development, and implementation of evidence-based practices and research. This is especially true as more and more APNs are pursuing doctoral education. Many centers have shared nursing leadership with unit-based councils. Also included in this section is a summary of recommendations for orientation and education for the bedside nurse working in the pediatric cardiac intensive care unit. These recommendations provide a structured professional development program for newly hired nurses that maximize critical thinking abilities and acquiring complex skills. Ongoing education after onboarding is essential to the success of bedside nursing professional development. APNs and nurse leaders are essential to the development of a strong nursing team.

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References

  1. Keeling A (2009) A brief history of advanced practice nursing in the United States. In: Hamric AB, Spross JA, Hanson CM (eds) Advanced practice nursing: an integrative approach, 4th edn. W.B. Saunders, New York

    Google Scholar 

  2. Hravnak M, Kleinpell RM, Magdic KS et al (2009) The acute care nurse practitioner. In: Hamric AB, Spross JA, Hanson CM (eds) Advanced practice nursing: an integrative approach, 4th edn. W.B. Saunders, New York

    Google Scholar 

  3. Schoenberg L, Gross BP (1998) The role of the advanced practice nurse. In: Chang AC, Hanley FL, Wernovsky G, Wessel DL (eds) Pediatric cardiac intensive care, 1st edn. Williams and Wilkins, Philadelphia

    Google Scholar 

  4. Verger JT, Marcoux KK et al (2005) Nurse practitioners in pediatric critical care: results of a national survey. AACN Clin Issues 16:396–408

    Article  PubMed  Google Scholar 

  5. Kleinpell RM, Ely EW, Grabenkort R (2008) Nurse practitioners and physician assistants in the intensive care unit: an evidence-based review. Crit Care Med 36(10):2888–2897

    Article  PubMed  Google Scholar 

  6. Foster CB, Simone S, Bagdure D et al (2016) Optimizing team dynamics: an assessment of physician trainees and advanced practice providers collaborative practice. Pediatr Crit Care Med 17(9):e430–e436

    Article  PubMed  Google Scholar 

  7. David D, Britting L, Dalton J (2014) Cardiac acute care nurse practitioner and 30-day readmission. J Trauma Acute Care Surg 76:353–357

    Article  Google Scholar 

  8. Grabenkort WR, Meissen HH, Gregg SR et al (2017) Acute care nurse practitioners and physician assistants in critical care: transforming education and practice. Crit Care Med 45(7):1111–1114

    Article  PubMed  Google Scholar 

  9. Hamrick A, Spross J, Hansen C (2009) Advanced practice nursing: an integrative approach, 4th edn. Saunders Elsevier, St. Louis

    Google Scholar 

  10. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (2011) The future of nursing: leading change, advancing health. The National Academy of Sciences, Washington, DC

    Book  Google Scholar 

  11. Committee on Quality of Health Care in America (2001) Crossing the quality chasm: a new health system for the 21st century. The National Academy of Sciences, Washington, DC

    Google Scholar 

  12. Deming W (2000) The new economics, 2nd edn. The MIT Press, Cambridge, MA

    Google Scholar 

  13. Nelson E, Batalden P, Godfrey M (2007) Quality by design: a clinical microsystems approach. Jossey-Bass, San Francisco

    Google Scholar 

  14. Nelson E, Batalden P, Godfrey M et al (2011) Value by design: develo** clinical microsystems to achieve organizational excellence. Jossey-Bass, San Francisco

    Google Scholar 

  15. Klein J (2011) Francis Bacon. In: Zalta E (ed) The Stanford encyclopedia of philosophy, summer 2011 edn. http://plato.stanford.edu/archives/sum2011/entries/francis-bacon/

  16. Liker J, Franz J (2011) The Toyota way to continuous improvement. McGraw-Hill, New York

    Google Scholar 

  17. Shook J (2008) Managing to learn: using the A3 management process to solve problems, gain agreement, mentor and lead. The Lean Enterprise Institute, Cambridge, MA

    Google Scholar 

  18. Shingo S (2007) Kaizen and the art of creative thinking (English translation). Enna Products, Bellingham

    Google Scholar 

  19. Liker J (2004) The Toyota way. McGraw-Hill, New York, p 40

    Google Scholar 

  20. Berwick D (2005) Some is not a number, soon is not a time. In: Institute for Healthcare Improvement AHQA annual meeting and technical conference, San Francisco, 23 February 2005. www.ahqa.org/pub/uploads/BerwickKeynotePresentation.ppt

  21. Associates in Process Improvement (2010) Model for improvement. http://www.apiweb.org/API_home_page.htm

  22. Greenhalgh T, Robert G, MacFarlane F et al (2004) Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 82(4):581–629

    Article  PubMed  PubMed Central  Google Scholar 

  23. Pink D (2009) Drive: the surprising truth about what motivates us. Riverhead Books, New York

    Google Scholar 

  24. Gawande A (2009) The checklist manifesto. Metropolitan Books, New York

    Google Scholar 

  25. Costello JM, Graham D, Forbes Morrow D et al (2009) Risk factors for central line-associated bloodstream infection in a pediatric cardiac intensive care unit. Pediatr Crit Care Med 10(4):453–459

    Article  PubMed  Google Scholar 

  26. Levy I, Ovadia B, Erez E et al (2003) Nosocomial infections after cardiac surgery in infants and children: incidence and risk factors. J Hosp Infect 53:111–116

    Article  CAS  PubMed  Google Scholar 

  27. Costello JM, Graham D, Forbes Morrow D et al (2010) Risk factors for surgical site infection after cardiac surgery in children. Ann Thorac Surg 89:1833–1842

    Article  PubMed  Google Scholar 

  28. Grohskopf L, Sinkowicz-Cochrane R, Garrett D et al (2002) A national point-prevalence survey of pediatric intensive care unit-acquired infections in the United States. J Pediatr 140(4):432–438

    Article  PubMed  Google Scholar 

  29. Institute for Healthcare Improvement. http://www.ihi.org/

  30. Jeffries H, Mason W, Brewer M et al (2009) Prevention of central venous catheter-associated bloodstream infections in pediatric intensive care units: a performance improvement collaborative. Infect Control Hosp Epidemiol 30(7):645

    Article  PubMed  Google Scholar 

  31. Miller MR, Griswold M, Harris JR et al (2010) Decreasing PICU catheter-associated bloodstream infections: NACHRI’s quality transformation efforts. Pediatrics 125:206–213

    Article  PubMed  Google Scholar 

  32. O’Grady N, Alexander M, Burns L et al (2011) Guidelines for the prevention of intravascular catheter-related infections. http://www.cdc.gov

  33. Maki DG, Stolz SS, Wheeler S et al (1991) Prospective randomized trial of povidone-iodine, alcohol and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet 338:339–343

    Article  CAS  PubMed  Google Scholar 

  34. A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates. Infection control and hospital epidemiology, August 2017, vol 35, no 8

    Google Scholar 

  35. Tamma P, Aucott S, Milstone A (2010) Chlorhexidine use in the neonatal intensive care unit: results from a national survey. Infect Control Hosp Epidemiol 31(8): 846–849

    Article  PubMed  PubMed Central  Google Scholar 

  36. Kaler W, Chinn R (2007) Successful disinfection of needleless access ports: a matter of time and friction. J Assoc Vasc Access 12(3):140–142

    Article  Google Scholar 

  37. Soothill J, Bravery K, Ho A (2009) A fall in bloodstream infections followed by a change to 2% chlorhexidine in 70% isopropanol for catheter connection antisepsis. Am J Infect Control 37(8):626–630

    Article  PubMed  Google Scholar 

  38. Darouiche R, Wall M, Itani K et al (2010) Chlorhexidine-alcohol versus povidone-iodine for surgical site antisepsis. NEJM 362:18–26

    Article  CAS  PubMed  Google Scholar 

  39. Braudis N, Curley M, Beaupre K et al (2010) Enteral feeding algorithm for infants with hypoplastic left heart syndrome post stage 1 palliation. Pediatr Crit Care Med 10(4):460–466

    Article  Google Scholar 

  40. Costello JM, Forbes Morrow D, Graham D et al (2008) Systematic intervention to reduce central line associated bloodstream rates in a pediatric cardiac intensive care unit. Pediatrics 121:915–923

    Article  PubMed  Google Scholar 

  41. Rickbiel P, Simones J (2012) Overcoming barriers to implementing evidenced-based practice: a collaboration between academics and practice. J Nurs Staff Dev 28(2):53–56

    Article  Google Scholar 

  42. Brown SJ (2009) Evidenced-based nursing: the research-practice connection. Jones and Bartlett, Boston

    Google Scholar 

  43. Sackett DL, Richardson WS, Rosenberg W, Haynes RB (1997) Evidence-based medicine: how to practice and teach EBM. Churchill Livingston, New York

    Google Scholar 

  44. Schotfedt RM (1977) Nursing research: reflection of values. Nurs Res 26(1):4–8

    Article  Google Scholar 

  45. Kanaskie M (2006) Mentoring – a staff retention tool. Crit Care Nurs Q 29(3):248–252

    Article  PubMed  Google Scholar 

  46. Square ND (2010) Modeling clinical applications in intensive care settings for nursing orientation. Adv Neonatal Care 10(6):325–329

    Article  PubMed  Google Scholar 

  47. McKane CL (1997) Professional advancement model for critical care orientation. J Nurs Staff Dev 13(2): 88–92

    CAS  PubMed  Google Scholar 

  48. Coffman S (1996) Applying adult education principles to computer education. J Nurs Staff Dev 12(5): 260–263

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. University of California San Francisco, San Francisco, CA, USA

    Sandra Staveski

  2. Cardiac Intensive Care Unit, Boston Children’s Hospital, Boston, MA, USA

    Patricia Lincoln, Angela Sorensen & Debra Morrow

  3. Cardiac Intensive Care Unit, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Lindsey Justice

  4. El Camino Health, Mountain View, CA, USA

    Heather Freeman

  5. Cardiac Intensive Care Unit, Children’s Hospital Colorado, Aurora, CO, USA

    Christine Peyton

Authors
  1. Sandra Staveski
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  2. Patricia Lincoln
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  3. Lindsey Justice
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  4. Angela Sorensen
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  5. Heather Freeman
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  6. Debra Morrow
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  7. Christine Peyton
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Corresponding author

Correspondence to Sandra Staveski .

Editor information

Editors and Affiliations

  1. Children’s Hospital Colorado University of Colorado Denver, School of, Aurora, CO, USA

    Eduardo M. da Cruz

  2. Children's Hospital Colorado University of Colorado School of Medicin, Aurora, CO, USA

    Dunbar Ivy

  3. Department of Cardiac Surgery, German Pediatric Heart Center, Sankt Augustin, Germany

    Viktor Hraska

  4. Pediatric Cardiac Surgery, Children's Hospital Colorado University of Colorado, Aurora, CO, USA

    James Jaggers

Section Editor information

  1. Cardiac Intensive Care Unit, Boston Children’s Hospital, Boston, MA, USA

    Patricia Lincoln

  2. University of California, San Francisco, CA, USA

    Sandra Staveski

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Staveski, S. et al. (2021). Pediatric Cardiac Intensive Care: Nursing Education and Leadership. In: da Cruz, E.M., Ivy, D., Hraska, V., Jaggers, J. (eds) Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-4999-6_109-2

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  • DOI: https://doi.org/10.1007/978-1-4471-4999-6_109-2

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4999-6

  • Online ISBN: 978-1-4471-4999-6

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