DNP Alumni Jenko and Chinnadurai Publish Articles in Dimensions of Critical Care Nursing

DNP Alumni Jenko and Chinnadurai Publish Articles in Dimensions of Critical Care Nursing

DNP alumna Mary "Mimi" Jenko published an article entitled "A systems approach to improving care for all bereaved families" in the Dimensions of Critical Care Nursing. The article was co-authored with Nancy Short.

Abstract: Bereavement services for families are an established part of hospice and palliative care. However, patients also die in the acute care and long-term care environments. Often, hospice is not involved, creating a potential gap in care. This article recounts a journey to improve care for all families of deceased patients, despite the presence or absence of hospice. A palliative care clinical nurse specialist led a quality improvement team, which used a systems thinking approach to develop and implement a downloadable bereavement booklet for families. Expected and unexpected outcomes are discussed for this replicable project.

DNP alumna Kelsey Chinnadurai published an article entitled "Implementation of a sustainable ventilator-associated pneumonia protocol in a pediatric intensive care unit in Managua, Nicaragua" in the November/December issue of the Dimensions of Critical Care Nursing. Co-authors include Drs. Lindy Fenlason, Brian Bridges, Sivkumar Chinnadurai and Mana Espahbodi from Vanderbilt, and Jane Blood-Siegfried.

Abstract: Ventilator-associated pneumonia (VAP) is a common nosocomial infection in pediatric intensive care units (ICUs). Ventilator-associated pneumonia protocols decrease the incidence of VAP; however, many components of these protocols are not feasible in all settings. This study was done in a large pediatric hospital in Nicaragua. The aim of this study is to implement a sustainable evidence-based VAP protocol, in a different culture, for the purpose of decreasing VAP rates. Implementation of a sustainable VAP protocol in a pediatric ICU in Nicaragua can reduce the incidence of VAP. Multiple barriers and challenges associated with implementation in a resource-constrained environment are discussed.

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