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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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Cardiac Catheterization IV: Nursing Management01:26

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Methods of Documentation III: PIE01:21

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Endocarditis IV: Nursing Management01:29

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Related Experiment Video

Updated: Jan 13, 2026

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Structured Nurse-Led PICU Liberation Bundle (ABCDEF) Discussion During Rounds: A Single-Center, Secondary Analysis of

Oluwatomini A Fashina1, Robert J Kahoud2, Gina M Rohlik3

  • 1Department of Pediatrics, Mayo Clinic Children's, Rochester, MN.

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 8, 2026
PubMed
Summary
This summary is machine-generated.

Implementing the ABCDEF bundle in the Pediatric Intensive Care Unit (PICU) improved team communication and satisfaction. This liberation-focused rounding process increased discussions on key care elements without extending patient round times.

Keywords:
ABCDEF bundledeliriumintensive care unit Liberationpediatric critical carerounding

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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Area of Science:

  • Critical Care Medicine
  • Pediatric Intensive Care
  • Quality Improvement Initiatives

Background:

  • The Society of Critical Care Medicine's PICU Liberation ABCDEF (A-F) Campaign Collaborative promotes best practices for patient care.
  • Established rounding processes may not fully integrate these liberation bundle elements.
  • A novel rounding process emphasizing the A-F bundle was developed to improve care.

Purpose of the Study:

  • To compare a pre-implementation nursing script rounding process with a post-implementation liberation-focused rounding process.
  • To evaluate the impact of the liberation-focused rounding on team communication, satisfaction, and discussion of bundle elements.

Main Methods:

  • A post hoc analysis of data from a quaternary-care, academic medical center's medical/surgical PICU.
  • Pre- and post-implementation surveys collected by independent observers during multidisciplinary team rounds.
  • Analysis of observed rounds involving physicians, nurses, respiratory therapists, pharmacists, and dietitians.

Main Results:

  • Post-implementation surveys (n=67) showed significantly improved team satisfaction, communication, and understanding of daily plans compared to pre-implementation (n=145) (p < 0.05).
  • Respondents reported increased frequency of discussions on bundle components A-E (p < 0.01).
  • Observed rounds (41 pre-, 46 post-implementation) demonstrated increased discussion frequency of all A-F bundle components (p < 0.01) without increasing duration per patient (p = 0.20).

Conclusions:

  • Implementation of a nurse-led PICU Liberation rounding process in 2017 was associated with increased discussions of bundle elements.
  • The new rounding process led to improved team communication and satisfaction among PICU staff.
  • This initiative highlights the effectiveness of structured, liberation-focused rounding in enhancing pediatric critical care delivery.