Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Ethical Dilemmas II01:30

Ethical Dilemmas II

921
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
921
Psychosurgery01:30

Psychosurgery

44
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
44
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
4.3K
Barriers to Effective Communication II01:21

Barriers to Effective Communication II

3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Ethical Issues01:27

Ethical Issues

846
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
846

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Identifying a Refractory Shock Phenotype in Pediatric Sepsis Using a Vasoactive-Adjusted Shock Index.

Shock (Augusta, Ga.)·2026
Same author

Association of Albumin Infusion With Differential Response in Pediatric Sepsis and Septic Shock: Retrospective Analysis Using a U.S. Multicenter 2012-2018 Dataset.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same author

A weakly supervised transformer for rare disease diagnosis and subphenotyping from EHRs with pulmonary case studies.

NPJ digital medicine·2026
Same author

Optimizing PICU Resource Management: A Data-Driven Discrete Event Simulation Approach for Capacity and Flow Modeling.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same author

Protocol for a multicentre randomised controlled trial of the Pharmacy Homeless Outreach Engagement Non-medical and Independent Prescriber (PHOENIx) intervention for people facing severe and multiple disadvantages.

BMJ open·2025
Same author

"We are the flowers that go underwater and still blossom:" Defining and facilitating wellbeing during youth participatory action research.

Journal of prevention & intervention in the community·2025
Same journal

Individualized Treatment Effects of Therapeutic Hypothermia in Children Postcardiac Arrest: A Reanalysis of Two Randomized Clinical Trials.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same journal

Lung Recruitment Maneuvers During Invasive Mechanical Ventilation: Single-Center Retrospective PICU Cohort Study, 2016-2023.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same journal

Multisite Cannulation for Venovenous Extracorporeal Membrane Oxygenation Support in Neonates and Infants: Extracorporeal Life Support Database Study, 2013-2023.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same journal

A Randomized Controlled Trial of No Routine Gastric Residual Monitoring to Guide Enteral Feeding in PICUs: Statistical Analysis Plan for the GASTRIC-PICU Trial.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same journal

Prevalence of Acute Kidney Injury and Its Association With Outcomes in Children With Severe Traumatic Brain Injury: A Secondary Exploratory Analysis of the 2014-2017 "Approaches and Decisions for Acute Pediatric Traumatic Brain Injury" Study.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same journal

Lung Superimposed Pressure in Pediatric Acute Respiratory Distress Syndrome: Single-Center Study, 2014-2024.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
See all related articles

Related Experiment Video

Updated: Jun 3, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

19.7K

Using Implementation Science to Assess Barriers to Agreement on Sedation Goal Setting and Assessment.

Youyang Yang1,2,3, Kate Becla4, Heather Kennedy4

  • 1Perioperative & Critical Care-Center for Outcomes Research and Evaluation (PC-CORE), Boston Children's Hospital, Boston, MA.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|January 9, 2025
PubMed
Summary
This summary is machine-generated.

Barriers to setting sedation goals in the pediatric ICU (PICU) are not just knowledge gaps. Provider beliefs and attitudes, not lack of understanding, hinder effective sedation management and implementation of guidelines.

More Related Videos

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

3.7K
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

11.7K

Related Experiment Videos

Last Updated: Jun 3, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

19.7K
Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

3.7K
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

11.7K

Area of Science:

  • Critical Care Medicine
  • Pediatric Intensive Care
  • Nursing Practice

Background:

  • Sedation assessment and goal setting are vital for the ICU Liberation bundle.
  • Integrating these elements into daily practice presents challenges.
  • Understanding barriers is crucial for implementing best practices.

Purpose of the Study:

  • To identify barriers to setting and managing daily patient sedation goals in a pediatric intensive care unit (PICU).
  • To investigate discrepancies between providers' stated and descriptive sedation goals.
  • To explore the impact of an educational intervention on sedation goal alignment.

Main Methods:

  • A two-phased explanatory mixed-methods study conducted in a 40-bed quaternary PICU (2022-2023).
  • Phase 1 involved pre-education surveys with bedside nurses and prescribers (n=73).
  • Phase 2 included an educational activity followed by repeat surveys and qualitative interviews (n=50).

Main Results:

  • Initial assessments revealed poor correlation between providers' numerical and descriptive sedation goals.
  • An educational intervention improved goal correlation but it remained poor.
  • Qualitative interviews indicated that provider beliefs and attitudes, rather than knowledge gaps, were primary reasons for persistent disagreement.

Conclusions:

  • Barriers to effective sedation goal setting in the PICU are multifaceted, extending beyond provider knowledge.
  • Individual provider beliefs and attitudes significantly influence sedation management.
  • Addressing these underlying barriers is essential for successful implementation of evidence-based sedation guidelines.