Structured family meetings with an interdisciplinary team are an important part of family centered care. However, barriers to successful nurse involvement have hindered effective nurse participation and contribution. Ahluwalia and colleagues conducted focus groups with 30 intensive care unit (ICU) nurses to explore their experiences and perceptions related to nursing roles and challenges regarding family meetings. They identified the following 3 major themes:

The authors recommend multidisciplinary skills training and relationship building, premeeting huddles to align communication, and creation of a designated time and space for nurse contributions during family meetings.

See Article, pp 33–38

The Surviving Sepsis Campaign International Guidelines recommend norepinephrine (NE) as the first choice vasopressor in patients with fluid refractory shock. However, differing drug information sources and research studies comparing dosing type have lead to provider and institution inconsistency. In addition, patient weights can frequently change during an ICU stay; thus applying weight-based dosing can lead...

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