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Sleep is a basic human need that is required for good health and overall well-being. Adequate sleep is critical for cognitive functioning, memory consolidation, and emotional regulation by rejuvenating the body. Sleep may not be of significant concern unless it becomes lacking or disturbed as it alters the immune function, neurological processes, and intellectual and decision making of individuals. Hospitalized older adults are particularly vulnerable for the negative impact of poor sleep due to reduced physiological reserve and comorbidities. The purpose of this review is to appraise current evidence on nonpharmacological sleep interventions to promote better sleep quality and overall health outcomes among the general adult and older patients in the intensive care unit compared with no intervention at all. The findings of this integrative review will be useful in designing and implementing interdisciplinary plans of care that promote the use of nonpharmacological sleep protocols within the hospital setting.This article discusses skill proficiency of providers related to emergency cricothyroidotomies. Various techniques to improve procedural skills were studied. Accurate identification of the cricothyroid membrane via palpation remained consistently inadequate. High-fidelity simulation including the use of human cadavers may be the preferred method of skill training for crisis management. The authors emphasize that additional research is needed regarding a method for rapid cricothyroid membrane identification as well as needle cricothyroidotomy versus surgical airway on cadavers. More consistent training will enable emergency care providers to perform this rare but lifesaving skill.Violence against health care providers is one of the most pressing problems faced by health care systems around the world. selleck kinase inhibitor Because of unpredictability and acuity of emergency cases, emergency nurses are more vulnerable to workplace violence. Violence against emergency nurses is a complex and multidimensional problem that has a devastating impact on the physical, psychological, and social well-being of nurse victims. The purpose of this review is to integrate evidence on manifestations, contributing factors, and consequences of workplace violence perpetrated by patients and/or their relatives against emergency nurses, in addition to behavioral responses of emergency nurse victims toward workplace violence. An integrative review was conducted by searching 3 main electronic databases Web of Sciences, MEDLINE, and ScienceDirect. Eighteen studies met the inclusion criteria and were included in the final review process. The review identified the most common forms, contributing factors, unpleasant consequences of workplace violence, and behavioral reaction of nurse victims toward violence acts. Reporting rates of workplace violence among emergency nurses were found to be low. It is recommended to develop more effective workplace violence prevention and reporting programs.Sepsis is both common and costly. Successful implementation of guidelines in the acute care setting has decreased mortality and increased the number of sepsis survivors. However, patients returning to the community continue to experience complications related to sepsis and many are poorly prepared to manage these long-term complications. These long-term complications are collectively referred to as post-sepsis syndrome. The purpose of this review is to increase knowledge about post-sepsis syndrome and to compare post-sepsis syndrome with post-intensive care unit syndrome.Sepsis is a life-threatening and debilitating sickness in the elderly. This case study explores the importance of adequate assessment of patients on their initial presentation to the emergency department, during hospitalization, and before discharge. The clinical evaluation, recognition, and management of sepsis continue to be essential for patient survival to prevent and decrease the mortality rate. Some changes go on in the elderly organ systems and can lead to delay in identifying and treatment implementation. The use of the Third International Consensus Definition for Sepsis and Septic Shock (Sepsis-3) to anticipate outcomes in septic patients and the use of the Survival Sepsis Campaign for treatment guidelines promptly to improve outcomes are crucial. This article aims to inform clinicians and nurses of the importance of early recognition of subtle signs and symptoms and the management of sepsis in the elderly.Sickle cell disease (SCD) is a common genetic blood disorder predominantly affecting African Americans in the United States. The objective of this study was to use a multimethods approach to describe how patients with SCD in North Carolina perceive the care they receive in emergency departments (EDs). Fourteen participants completed an interview (n = 10) or 2 focus groups (n = 2 per focus group) and 51 completed surveys. Sixty percent of participants with pain attack "very much" or "quite a bit" avoided going to the ED for care because of prior bad experiences and 50% of participants reported waiting 120 minutes or more in the ED for treatment of their sickle cell pain. Participants reported that stigma associated with provider perception of drug-seeking behavior is a persistent problem in the ED. Participant recommendations warrant further investigation to address persistent SCD quality-of-care concerns in the ED.Traditional feeding protocols withhold oral intake until the return of bowel function for concern of postoperative complications following elective colorectal surgery. Implementation of early feeding into clinical practice challenges this conventional approach. The purpose of this literature review is to analyze the current evidence and compare the impact of traditional versus early oral feeding protocols on postoperative outcomes following elective colorectal resection. A literature search of PubMed, EMBASE, CINAHL, and Scopus was conducted. Outcomes of interest include the resolution of postoperative ileus, the incidence of anastomotic leakage, and length of hospital stay. Patients assigned to early oral feeding began oral caloric intake within 24 hours of surgery, whereas oral intake was withheld until the resolution of postoperative ileus for patients in the traditional oral feeding group. Five trials met the inclusion criteria for this review. All studies reported on the primary outcomes of interest. A P value less than .