SCCM Pod-520: Implementation Science: From Evidence to Practice

SCCM Podcast

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محتوای ارائه شده توسط Society of Critical Care Medicine (SCCM). تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Society of Critical Care Medicine (SCCM) یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal

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You Can Visit All Seven Continents. But Should You? 26:46

17 روز پیش26:46

پخش در آینده

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پسندیدن

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26:46

For many travelers, Antarctica is a bucket-list destination, a once-in-a-lifetime opportunity to touch all seven continents. In 2023, a record-breaking 100,000 tourists made the trip. But the journey begs a fundamental question: What do we risk by traveling to a place that is supposed to be uninhabited by humans? And as the climate warms, should we really be going to Antarctica in the first place? SHOW NOTES: Kara Weller: The Impossible Dilemma of a Polar Guide Marilyn Raphael: A twenty-first century structural change in Antarctica’s sea ice system Karl Watson: First Time in Antarctica Jeb Brooks : 7 Days in Antarctica (Journey to the South Pole) Metallica - Freeze 'Em All: Live in Antarctica Learn about your ad choices: dovetail.prx.org/ad-choices…

حدود یک سال پیش 30:34

MP3•خانه قسمت

Delve into the realm of implementation science and its significance in bridging the gap between research-based evidence and critical care practice. Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Anne E. Sales, PhD, RN, to discuss the complexity of implementation science, which involves understanding human behavior change within organizational constraints. They explore examples such as hypertension treatment to illustrate the challenges and opportunities of implementing evidence-based practices. They discuss the importance of context, resources, and stakeholder engagement in successful implementation efforts in the critical care setting where complex interventions and rapid changes are common. Dr. Sales is a nurse and professor at the Sinclair School of Nursing and the Department of Family and Community Medicine in the School of Medicine at the University of Missouri, and associate dean for implementation research and health delivery effectiveness in the School of Medicine. She is a research scientist at the Center for Clinical Management Research at the VA Ann Arbor Health System in Ann Arbor, Michigan, USA.

637 قسمت

SCCM Pod-520: Implementation Science: From Evidence to Practice

SCCM Podcast

216 subscribers

published حدود یک سال پیش

اشتراک گذاری

MP3•خانه قسمت

637 قسمت

همه قسمت ها

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SCCM Pod-538: Leading With Purpose: Career Growth and Well-Being 31:15

۷ روز پیش31:15

31:15

Traditional career development frameworks often overlook the importance of well-being. This podcast episode emphasizes why wellness is essential to building a sustainable and fulfilling career. Host Kyle Enfield, MD, FCCM, is joined by Jennifer Duncan, MD, and Raquel Cabral, PhD, CPH, to explore how team members and leaders can integrate personal values, connection, and purpose into career decision-making. Dr. Duncan, director of wellness for graduate medical education (GME), and Dr. Cabral, a staff psychologist for GME, both at Washington University School of Medicine, share insights from their work supporting trainees’ personal and professional growth. Together, they explore the nuanced meaning of well-being—not as constant happiness, but as a sense of satisfaction and alignment with a person’s values, even amid challenges. The conversation highlights the importance of helping team members identify and live by their personal values as a foundation for career satisfaction. Dr. Cabral distinguishes between goals and values, underscoring that, while goals can be achieved or not, values guide how a person shows up in all aspects of life. She outlines how residents and other early-career professionals can uncover values by reflecting on meaningful or difficult work experiences. These reflections can then guide decisions about clinical rotations, job searches, and leadership opportunities. Dr. Duncan emphasizes how small but intentional adjustments—such as carving out just 20% of one’s time for personally meaningful work—can protect against burnout. Both guests discuss the critical role leaders play in supporting well-being, from understanding each team members’ values to fostering a strong sense of community. They refer to The Burnout Challenge (Maslach C, Leiter MP. Harvard University Press. 2024), which outlines six workplace drivers of burnout, including mismatches in values. Finally, the episode highlights the work of the Mayo Clinic’s Colleagues Meeting to Promote and Sustain Satisfaction (COMPASS) Groups. The COMPASS randomized clinical trial ( West CP, et al. Mayo Clin Proc . 2021;96:2606-2614 ) evaluated a small group established to promote well-being. The group was provided discussion topics without trained facilitators. Protected time was not provided but meal expenses were compensated. This model showed positive outcomes in reducing burnout and strengthening collegial connections. This episode is part of SCCM’s Leadership, Empowerment, and Development (LEAD) series and offers actionable insights for anyone invested in building healthier, value-aligned medical careers.…

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SCCM Pod-537 PCCM: Gender Gaps in Pediatric Critical Care Medicine Careers 24:36

15 روز پیش24:36

24:36

Host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, welcomes Kitman Wai, MD, and Sonali Basu, MD, to discuss the article, “Evolution of Pediatric Critical Care Medicine Physicians Clinical and Academic Profile by Gender,” published in the October 2024 issue of Pediatric Critical Care Medicine ( Wai K, et al. Pediatr Crit Care Med . 2024;25:e376-e386 ). This is the first analysis of career and academic characteristics of practicing pediatric critical care medicine physicians. The authors also studied the association of gender and career trajectory. They will discuss the gender gap between male and female pediatric critical care physicians in academic metrics and rank, career trajectory factors such as burnout and academic versus nonacademic careers, and the study limitations. Dr. Wai is a critical care specialist and director of critical care medicine fellowship at Children’s National Hospital in Washington, DC. Dr. Basu is a critical care specialist, associate chief of critical care medicine, and associate director of critical care fellowship at Children’s National Hospital in Washington, DC. Find more expert-developed articles from Pediatric Critical Care Medicine at pccmjournal.org .…

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SCCM Pod-536 CCM: Healing Sleep Patterns Post-ICU 17:54

16 روز پیش17:54

17:54

Host Kyle Enfield, MD, FCCM, welcomes Adriano Targa, PhD, to discuss the article, “Sleep and Circadian Health of Critical Survivors: A 12-Month Follow-Up Study,” published open access in the August 2024 issue of Critical Care Medicine ( Henríquez-Beltrán M, et al. Crit Care Med . 2024;52:1206-1217 ). They will discuss the prevalence of sleep disturbances and circadian rhythm fragmentation in critical survivors, the impact of factors such as invasive mechanical ventilation and hospitalization duration, and associations among sleep quality, mental health, and respiratory function one year post-discharge. Dr. Targa is a researcher at the Center for Biomedical Research Network - CIBER in Madrid, Spain. Find more expert-developed articles from Critical Care Medicine at ccmjournal.org .…

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SCCM Pod-535: Professional Development for Early-Career Healthcare Workers 25:26

17 روز پیش25:26

25:26

In this episode of the SCCM Podcast, host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Heather Meissen, DNP, FCCM, to discuss the importance to nurses of publication and navigating the academic publishing process. They discuss how nurses at the bedside are uniquely positioned to identify trends and gaps in patient care that can be addressed through research and publication. This podcast aims to raise awareness for nurses and other critical care practitioners wanting to enter the research and publishing fields. This unique professional development topic is designed for healthcare workers at the beginning of their research and publishing journeys. Dr. Meissen stresses that publishing is vital for advancing nursing practice and improving patient care, urging clinicians to “just get started” on their research and writing journeys. She emphasizes the importance of finding a mentor to help refine research questions, structure projects, and navigate challenges. She provides practical advice on identifying a research topic, conducting a literature review, and selecting the appropriate journal for submission. The discussion also highlights imposter syndrome among new writers and how overcoming self-doubt is crucial to getting published. The conversation touches on the peer review process, including how to handle feedback constructively and spot predatory journals that seek publication fees without legitimate editorial oversight. Dr. Meissen also discusses the role of AI in writing and research, cautioning against its misuse while acknowledging its potential benefits. Finally, she encourages nurses to participate in the Society of Critical Care Medicine (SCCM) Reviewer Academy, which aims to train a community of trusted, skilled, and diverse peer reviewers to perform high-quality reviews for the SCCM journals ( Alexander P, et al. Crit Care Med . 2023;51:1111-1123 ). Learn more about the SCCM Reviewer Academy at sccm.org/journals . Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is a neurocritical care nurse practitioner at University of Florida Health Jacksonville. She is active within SCCM, serving on both the APP Resource and Ultrasound committees, and is a social media ambassador for SCCM. Heather Meissen, DNP, FCCM, is a nurse practitioner and associate clinical professor at Emory Healthcare in Atlanta, Georgia.…

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SCCM Pod-534: AKI: Clinical Evidence to Optimize Patient Outcomes 26:33

۵ weeks پیش26:33

26:33

What form of renal replacement therapy should clinicians use for patients in the intensive care unit (ICU)? New research has connected the renal replacement therapy choice with mortality end points and renal replacement therapy dependency in patients with acute kidney injury. In this podcast episode, experts discuss their research in this area. Ron Wald, MDCM, MHP, professor of medicine at the University of Toronto, discusses his article, “Initiation of Continuous Renal Replacement Therapy Versus Intermittent Hemodialysis in Critically Ill Patients With Severe Acute Kidney Injury: A Secondary Analysis of STARRT-AKI Trial,” published in the November 2023 issue of Intensive Care Medicine. Jay Koyner, MD, professor of medicine and director of the nephrology intensive care unit at the University of Chicago, discuss his article, “Initial Renal Replacement Therapy (RRT) Modality Associates With 90-Day Postdischarge RRT Dependence in Critically Ill AKI Survivors,” published in the August 2024 issue of Journal of Critical Care. This podcast is sponsored by Vantive U.S. Healthcare . Vantive supports true patient-focused treatments with industry-leading CRRT technology and is a partner dedicated to optimizing your clinical success in treating patients with acute kidney injury. Our commitment to you starts with education and provides complete support every step of the way. Visit us at vantive.com .…

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SCCM Pod-533 CCM: Updated Brain Death Guidance: What Critical Care Teams Need to Know 29:45

15 weeks پیش29:45

29:45

Host Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, welcomes Matthew Kirschen, MD, PhD, FAAN, FNCS, to discuss what critical care professionals need to know about determining brain death/death by neurologic criteria (BD/DNC). In October 2023, a revised consensus practice guideline for the determination of brain death in both children and adults was published in Neurology (Greer DM, et al. Neurology . 2023;101;1112-1132 ). The guideline integrated guidance for adults and children to provide a comprehensive, practical way to evaluate patients with catastrophic brain injuries to determine whether they meet the criteria for brain death. The Society of Critical Care Medicine (SCCM) offers several additional resources to support critical care clinicians’ understanding of the updated guidelines, including an article published in the March 2024 issue of Critical Care Medicine addressing what the critical care team needs to know about the guidelines (Kirschen MP, et al. Crit Care Med . 2024;52:376-386) . Dr. Kirchen was the lead author of that article and shares key points in this podcast episode. Other resources include: Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guidelines 2024 Critical Care Congress presentation Free AAN evaluation tool that walks clinicians through the process of brain death evaluation. Special article in Neurology: Clinical Practice that provides a detailed narrative about what has changed in the 2023 guidelines compared to prior guidelines . The article also includes tables outlining comparisons, bolding new recommendations, and italicizing age-specific guidance to easily identify the differences between determining brain death in children versus adults.…

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SCCM Pod-532 PCCM: Understanding Quality-of-Life Risks in PARDS Survivors 25:00

16 weeks پیش25:00

25:00

Host Elizabeth H. Mack, MD, MS, FCCM, welcomes Elizabeth Y. Killien, MD, MPH, to discuss pediatric acute respiratory distress syndrome (PARDS). Dr. Killien explains the findings from her retrospective study on PARDS severity, emphasizing how factors such as severe hypoxemia can impact health-related quality of life (HRQL) after discharge. ( Killien EY, et al. Pediatr Crit Care Med. 2024;25:816-827 ). Dr. Killien is an attending physician in the pediatric ICU and an assistant professor at Seattle Children’s Hospital, University of Washington School of Medicine, in Seattle, Washington.…

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SCCM Pod-531: CRRT Fluid Strategies: What Clinicians Need to Know 27:32

17 weeks پیش27:32

27:32

Host Ludwig Lin, MD, welcomes Raghavan Murugan, MD, MS, FRCP, FCCM, a professor and leading expert in critical care nephrology. They discuss the latest insights on fluid management strategies during continuous renal replacement therapy (CRRT), drawing from recent research and white papers. Dr. Murugan emphasizes the importance of updated education on CRRT fluid removal practices to enhance clinical outcomes and patient care in critical settings. This podcast is sponsored by Baxter Health.…

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SCCM Pod-530 PCCM: Essential Communication in Pediatric Critical Care Transfers 26:30

18 weeks پیش26:30

26:30

Host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, sits down with Christina L. Cifra, MD, MS, to discuss communication strategies for interfacility transfers to the pediatric intensive care unit (PICU). Dr. Cifra shares insights from her recent study on verbal handoffs during transfers, examining the challenges and vital elements of communication during these high-stakes situations (Thirnbeck CK, et al. Pediatr Crit Care Med. 2024;52:162-171). Dr. Cifra is an attending physician in the Division of Medical Critical Care at Boston Children's Hospital and assistant professor of pediatrics at Harvard Medical School in Boston, Massachusetts.…

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SCCM Pod-529: Bridging the Gap: Communication During Sepsis Transfers 17:42

20 weeks پیش17:42

17:42

Patients with sepsis are regularly transferred to intensive care units, but there is a dearth of literature that describes the type of communication occurring between the receiving and referring clinicians after these transfers take place. The Society of Critical Care Medicine's (SCCM) Diagnostic Excellence Program sought to gain a better understanding of these communications through an in-depth survey. In this podcast, host Kyle B. Enfield, MD, discusses the survey results with grant principal investigator Greg S. Martin, MD, MSc, FCCM. Dr. Martin also discusses a new toolkit created by SCCM to facilitate better transfer communication. Learn more about the toolkit and the Diagnosis Excellence Program at sccm.org/diagnosticexcellence. This podcast offers 0.25 hours of accredited continuing education (ACE) credit. Learn more at https://sccm.org/diagnosticexcellence The Diagnostic Excellence Program is funded by the Gordon and Betty Moore Foundation through a grant program administered by the Council of Medical Specialty Societies to support the development and dissemination of resources and programs to improve the timeliness, accuracy, safety, efficiency, patient-centeredness, and equity of diagnostic outcomes for patients in the United States. Dr. Martin, a past SCCM president, is the James Paullin Distinguished Professor and division director of pulmonary, allergy, critical care and sleep medicine at Emory University. He is an international authority on critical care medicine and an expert on sepsis, COVID-19, and ARDS, having conducted groundbreaking clinical trials on these conditions, coauthored the Sepsis-3 definition, and published seminal papers for diagnosing and treating critically ill patients.…

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SCCM Pod-528: The Impact of Advanced Practice Provider Retention on Quality 26:52

28 weeks پیش26:52

26:52

Retaining highly skilled advanced practice nurses and physician assistants in intensive care units is vital for maintaining excellent quality and safety in critical care. In the third episode of SCCM's podcast series on quality and safety in critical care, Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Roy H. Constantine, MPH, PA-C, PhD, FCCM, and Jose Chavez, DNP, CNS, RN, CCRN, FCCM, to discuss best practices for retention and how retention impacts patient outcomes in critical care settings.…

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SCCM Pod-527 The Impact of Clinician Retention on ICU Care Quality 18:05

29 weeks پیش18:05

18:05

The importance of retaining seasoned physicians in the ICU is crucial for maintaining high standards of patient care. In the second episode of SCCM’s podcast series on quality and safety in critical care, Elizabeth H. Mack, MD, MS, FCCM, is joined by Alexander O. Sy, MBA, MD, MSL, FCCM, to discuss effective retention strategies, their direct impact on patient outcomes, and the broader effects on healthcare teams and organizational efficiency.…

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SCCM Pod-526 CCM: Alteplase Dosing in Pulmonary Embolism 23:36

30 weeks پیش23:36

23:36

Host Samantha Gambles Farr, MSN, AG-ACNP, FNP-C, RNFA, is joined by Roman Melamed, MD, to discuss the comparative effectiveness of reduced-dose versus full-dose alteplase for acute pulmonary embolism, focusing on patient outcomes and complications. They will highlight study findings on significant improvements in hemodynamic and respiratory parameters in both groups, with a lower rate of hemorrhagic complications in the reduced-dose group (Melamed R, et al. Crit Care Med. 2024;52:729-742). Dr. Melamed is a critical care intensivist and director of the Pulmonary Embolism Program at Abbott Northwestern Hospital in Minneapolis, Minnesota, USA, and an adjunct associate professor at the University of Minnesota.…

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SCCM Pod-525 PCCM: Extracorporeal Cardiopulmonary Resuscitation Outcomes in Pediatric Patients 21:18

31 weeks پیش21:18

21:18

Host Marilyn N. Bulloch, PharmD, BCPS, FCCM, is joined by Catherine Beni, MD, PhD, to discuss a study aimed at determining outcomes of extracorporeal CPR (ECPR) in pediatric patients without congenital cardiac disease and identifying associations with in-hospital mortality of factors such as initial arrest rhythm and patient demographics (Beni CE, et al. Pediatr Crit Care Med. 2023 Nov;24:927-935). Catherine Beni, MD, PhD, is a resident physician in the department of surgery at the University of Washington in Seattle, Washington.…

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SCCM Pod-524 PCCM: Impact of Neighborhood on Pediatric ICU Outcomes 28:01

36 weeks پیش28:01

28:01

Host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, is joined by Michael C. McCrory, MD, MS, FCCM, to discuss a multicenter retrospective study evaluating the impact of neighborhood, as categorized by the Child Opportunity Index, on pediatric intensive care unit (PICU) outcomes such as mortality, illness severity, and PICU length of stay. The study highlights the disparities in PICU admissions based on socioeconomic factors (McCrory MC, et al. Pediatr Crit Care Med. 2024 Apr;25:323-334). Michael C. McCrory, MD, MS, FCCM, is an associate professor in the departments of Anesthesiology and Pediatrics at Wake Forest University School of Medicine in Winston-Salem, North Carolina.…

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