By Patricia Gonce Morton, Dorrie K. Fontaine
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Additional info for Critical Care Nursing: A Holistic Approach
Research is conducted to generate new knowledge. 11 In the translation of knowledge into clinical practice, it is essential for the critical care nurse to consider the strength or level of the evidence. First, much of health care and nursing practice has little or no evidence or research to support it. Consequently, other sources of evidence must be considered. 12 Baumann13 argues that nurses and other health care professionals must critically examine the evidence that they utilize in their clinical reasoning but should not restrict their definition to what constitutes evidence to only what can be measured in a randomized controlled trial (RCT).
Skilled Communication As miscommunication is identified as a cause of many sentinel events in health care, skilled communication is essential to prevent these errors from occurring. A large BOX 1-1 Essential Elements of a Healthy Work Environment (HWE) • Skilled Communication. Nurses must be as proficient in communication skills as they are in clinical skills. • True Collaboration. Nurses must be relentless in pursuing and fostering true collaboration. • Effective Decision Making. Nurses must be valued and committed partners in making policy, directing and evaluating clinical care, and leading organizational operations.
Nurses who become certified have demonstrated their commitment to quality since they have taken the time to become certified in a specialty area of practice. 4 In a review of the literature examining the perceived effects of specialty nurse certification, Wade6 identified enhanced nurse communication and coordination of care with physicians and other health care team members, and nurse–physician collaboration was perceived to be more improved by certified nurses. Both communication and collaboration are essential to quality patient outcomes.