Caring in Crisis: An Oral History of Critical Care Nursing

By Jacqueline Zalumas | Go to book overview

Index
Advance directives, 147
Advocacy, 108, 119-23, 145, 147-48, 208; as a nursing role with dying patients, 150- 51; rebuttal of nursing advocacy role, 145
Altruism, 8, and caretaking, 186
American Association of Critical Care Nurses (AACN), 1, 10, 22; incorporation and history, 46
American Nurses' Association, 46; bargaining and, 46
American Nurses' Association Code of Ethics, 145
Brain death criteria: evolution of, 155-61; Harvard Medical School brain death criteria, 159-60; Uniform Determination of Death Act, 160-61
Burnout, 7-8; nurse and physician burnout in ICU, 7-8, 30-31, 137
Cardiopulmonary resuscitation (CPR): history, 1; initiation in hospitals, 146
Characteristics of critical care patients, 2, 7, 27, 44, 49-50, 90, 119, 139, 142-43, 146, 181
Contemporary health care crises, 2-3
Coronary care unit, 2; changes in nursing roles, 44-45; definition, 2; early coronary care unit history, 44; evolution of coronary care unit, 44-45
Crisis nature of ICU illness, 7, 32-33; consequences of treatment, 115, 141-46; crisis of physical illness (Moos model), 32-33
Critical care environment, 7, 42-44; stress and, 7-8; technical nature of, 34; risks of ICU environment, 185-86
Critical care nursing: characteristics of critical care nursing, 51; commitment, 188; definition, 1; history, 1, 8, 10, 20-24, 38, 40, 184-85, 213; legal dimensions of critical care nursing practice, evolution of 37- 39; critical care nursing stressors, 30-32, 47, 122-23, 186, 211; roles with physicians, 191; conflict with physicians, 191; stress and satisfaction, 188
Critical care setting, 8, 11; characteristics, 9; humanizing factors, 8; sleep deprivation, 27-28; spousal and significant other stresses, 28-30; stresses of, 4-8, 27; stress symptoms, 29-30; work environment stresses and burnout, 30-31, 137, 190
Critical care units: history and development, 1, 20, 41-42; stress, 4-7
Cruzan, Nancy, 147
Death: evolution of, 146, 174-75; definition, 146, 157-61; death with dignity, 147, 179-82, 189; issues related to death with dignity, 148-54; nurse satisfaction with death with dignity, 153; right to die, 159
Defibrillation, 1, 40, 61-64, 167; history, 1
Direct care role of the nurse, 6-7
Domains and competencies of nursing practice ( Patricia Benner), 93-95
"Do not resuscitate" (DNR orders: ambiguities, variability of treatment, criteria, definition, 161-64, 189; DNR care, 79-80, 175, 175; treatment, 142-47, 161-64; 'no code'-no care, 171-72; nurses role with DNR decisions, 150-52
Downsizing, staffing cuts, 211
Ethics, definition, 143; nursing and health care and, 142-44, 190; Ethics committees in hospitals, 144; factors influencing ethical decision making, 144; roles of nurses with ethical decision making, 82-83, 145, 147-48
Harvard Medical School brain death criteria, 159-60

-233-

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Caring in Crisis: An Oral History of Critical Care Nursing
Table of contents

Table of contents

  • Title Page iii
  • Contents ix
  • Acknowledgments xi
  • Introduction 1
  • I. the Evolution of Critical Care Nursing 20
  • 2- "High-Tech" Nursing: The Contemporary Critical Care Unit 48
  • 3- the Art and the Science Of Nursing Care: the Nurse and The Critically Ill Patient 89
  • 4 - The Ethical Dimensions Of Critical Care Nursing 141
  • 5. Critical Care Nurses Speak 184
  • Appendix 213
  • References 221
  • Index 233
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