Judy E. Davidson

Judy E. Davidson
University of California, San Diego | UCSD · Department of Nursing

37.91
 · 
DNP RN FCCM FAAN

About

139
Publications
48,799
Reads
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6,043
Citations
Introduction
Dr. Judy E. Davidson currently works at the Department of Nursing, University of California, San Diego Health. Though known for her work with family-centered care and biomedical ethics, her current research is focused on workplace wellness and nurse suicide.
Research Experience
July 2013 - present
University of California, San Diego
Position
  • EBP Research Nurse Liaison

Publications

Publications (139)
Article
Full-text available
Background: Delirium is very common in critically ill patients admitted to the intensive care unit (ICU) and results in negative long-term outcomes. Family members are also at risk of long-term complications, including depression and anxiety. Family members are frequently at the bedside and want to be engaged; they know the patient best and may no...
Article
Full-text available
Background: delirium is an acute state of confusion that affects >20% of hospitalised patients. Recent literature indicates that more severe delirium may lead to worse patient outcomes and health system outcomes, such as increased mortality, cognitive impairment and length of stay (LOS). Methods: using systematic review methodology, we summarise...
Article
Purpose Patient and family engagement in the intensive care unit (ICU) is beneficial for patient recovery from critical illness. Yet limited information exists on facilitators and barriers from an international perspective. Materials and methods As part of ongoing work from a task force of the World Federation of Intensive and Critical Care (WFICC...
Article
Objectives: To evaluate the diagnostic accuracy of family-administered tools to detect delirium in critically ill patients. Design: Diagnostic accuracy study. Setting: Large, tertiary care academic hospital in a single-payer health system. Patients: Consecutive, eligible patients with at least one family member present (dyads) and a Richmond...
Article
Background: Previous studies have demonstrated nurses are at risk of suicide. This is the first national longitudinal study of U.S. nurse suicide. Aims: To identify the longitudinal incidence, method, and risks of nurse suicide in the United States. Methods: 2005 to 2016 Centers for Disease Control and Prevention National Violent Death Reporting Sy...
Article
Background: We now know that nurses are at greater risk for suicide than others in the general population. It is known that job stressors are prevalent in nurses who die by suicide. Yet, little is known about targeted suicide prevention for nurses. The first nurse-centric Healer Education Assessment and Referral (HEAR) suicide prevention program w...
Article
Full-text available
Background: Even though data suggest that palliative care (PC) improves patient quality of life, caregiver burden, cost, and intensive care unit (ICU) length of stay, integration of PC in the ICU is far from being universally accepted. Poor understanding of what PC provides is one of the barriers to the widespread implementation of their services...
Article
Family engagement in rounds has been recommended to improve communication, but its impact on patient outcomes is unknown. At the authors' institution, nurses encouraged family presence at rounds as part of a larger project to enhance communication during rounding. In the case reported here, family engagement resulted in a critical care patient's wi...
Article
Full-text available
Using the 2014 CDC NVDRS dataset, we have found that male and female nurses are at risk for suicide, confirming our previous San Diego pilot. • Opioids and benzodiazepenes were the most commonly used method of suicide, indicating a need to further support nurses with pain management and mental health issues. • Given these results, suicide preventi...
Article
Because extensive data from medical records are gathered by organ procurement teams, the process of data transfer between sites created a data security risk. This includes the use of fax machines, courier services, and employees’ vehicles. Even health records transmitted over public Wi-Fi become at risk for a data breach. The Plan-Do-Study-Act meth...
Article
Purpose: Provide yoga for coping and symptom management in a locked, adult inpatient psychiatric unit. Design: Hatha yoga was offered to inpatients with mood disorders and/or psychosis 3 times per week in this evidence-based practice change project. Impact on sleep was examined using recorded sleep hours. Anxiety symptoms were assessed using 6 o...
Article
Background In comparison with the general population, physicians, and physicians‐in‐training are at greater risk for suicide. Although key gender differences in suicide risk factors and behaviors have been identified in the general population, the extent to which these differences apply to physicians and physicians‐in‐training is unclear. Here, we...
Article
Objective: Determine whether dedicated family space changes family presence at night in the intensive care unit (ICU). Purpose: To measure family presence at night before and after moving to an ICU with in-room family space. Background: The safeguarding phenomenon families experience may lead to the desire to sit vigil at the bedside. Lack of...
Article
Full-text available
Background: Family-administered delirium detection tools may serve as valuable diagnostic adjuncts because family caregivers may be better able than providers to detect changes in patient cognition and behaviour from pre-illness levels of functioning. The aim of this pilot study was to assess the feasibility and acceptability of family-administere...
Article
Prevention of burnout is a national imperative, and blame-free investigations of clinical events are advocated. Reflective inquiry techniques are helpful in processing adverse events while minimizing blame. The purpose of this project was to develop an interprofessional peer review program (Case Study Investigation) to process emotions, improve tea...
Article
Full-text available
Background: Over the last decade, health care delivery has shifted to partnering with patients and their families to improve health and quality of care, and to lower costs. Partnering with family members (FMs) of critically ill patients who lack capacity is particularly important for improving experiences and outcomes for both patients and FMs. Ho...
Article
Full-text available
OBJECTIVES: Continue the dialogue presented in Ethics of Outbreaks Position Statement. Part 1, with a focus on strategies for provision of family-centered care in critical illness during Pubic Health Emergency of International Concern. DESIGN: Development of a Society of Critical Care Medicine position statement using literature review, expert con...
Article
Full-text available
Objectives: Outbreaks of disease, especially those that are declared a Public Health Emergency of International Concern, present substantial ethical challenges. Here we start a discourse (with a continuation of the dialogue in Ethics of Outbreaks Position Statement. Part 2: Family-Centered Care) concerning the ethics of the provision of medical ca...
Article
Intra-hospital transport (IHT) of intensive care unit (ICU) patients is associated with a 30% to 60% incidence of adverse events (AEs). This prospective observational study collected data from 200 patient transports from a 24-bed cardiovascular intensive care unit (ICU) between July 2017 and December 2017. Phase 1 of the study focused on identifyin...
Article
Purpose: Patient and family engagement plays an important role in the intensive care unit (ICU), however the degree to which practices are being implemented globally is not known. Materials: To provide insights, a task force of the World Federation of Societies of Intensive and Critical Care Medicine conducted a cross-sectional survey. Results:...
Article
Context: Healthcare clinicians often endure stress over long periods of time. The burden of witnessing death and disability, complex work duties, long and irregular hours, the threat of errors, and tensions between colleagues result in emotional strain, anxiety, depression, burnout and in the worst case: suicide. The Caregiver Support Team was desi...
Article
Full-text available
Burnout, depression and suicide are rampant amongst health care professionals. Current evidence shows the problem is worsening. In the aftermath of physician suicides, the Physician Wellbeing Committee created the UC San Diego Healer Education Assessment and Referral (HEAR) Program in 2009 in collaboration with the American Foundation for Suicide P...
Article
Objective: The aim of this study was to test a strategy for quantifying incidence of nurse suicide using San Diego County data as a pilot for national investigation. Background: Worldwide, 1 person dies by suicide every 40 seconds; more than 1 000 000 suicides occur yearly. Suicide rates for nurses in the United States have not been evaluated. T...
Article
Objectives To summarize the validity of caregiver‐centered delirium detection tools in hospitalized adults and assess associated patient and caregiver outcomes. Design Systematic review. Setting We searched MEDLINE, EMBASE, PsycINFO, CINAHL, and Scopus from inception to May 15, 2017. Participants Hospitalized adults. Intervention Caregiver‐cent...
Article
Objective: The aim of this study was to describe the pilot expansion of a proactive suicide risk-screening program, initially designed for physicians, to nurses. Background: The Healer Education, Assessment and Referral (HEAR) program detects at-risk physicians and facilitates referral to mental healthcare. Nothing similar has been available for...
Chapter
The purpose of this chapter is to outline family-centered care interventions to be deployed within the intensive care unit stay to optimize family health as recommended within guidelines published by the Society of Critical Care Medicine (SCCM) and endorsed by nine professional agencies worldwide. Facilitated Sensemaking, a midrange theory recommen...
Poster
Full-text available
This poster presents an unpublished systematic review conducted to summarize the validity and reliability of caregiver-centered delirium detection tools.
Article
The Society of Critical Care Medicine has released updated recommendations for care of the family in neonatal, pediatric, and adult intensive care units. Translation of the recommendations into practice may benefit from a supporting theoretical framework. Facilitated sensemaking is a mid-range theory built from the same literature that formed the b...
Article
During creation of the 2017 Society of Critical Care Medicine Guidelines for Family-Centered Care in the Intensive Care Unit, 2 implementation tools were developed to assist intensive care unit clinicians in incorporating the new recommendations into local practice: a gap analysis tool and a work tools document. The gap analysis tool helps intensiv...
Article
Family-centered care is an important component of holistic nursing practice, particularly in critical care, where the impact on families of admitted patients can be physiologically and psychologically burdensome. Family-centered care guidelines, developed by an international group of nursing, medical, and academic experts for the American College o...
Article
Objectives: To explore the importance, challenges, and opportunities using qualitative research to enhance development of clinical practice guidelines, using recent guidelines for family-centered care in the ICU as an example. Methods: In developing the Society of Critical Care Medicine guidelines for family-centered care in the neonatal ICU, PI...
Article
Full-text available
Context: Providing healthcare can be stressful. Gone unchecked, clinicians may experience decreased compassion, and increased burnout or secondary traumatic stress. Code Lavender is designed to increase acts of kindness after stressful workplace events occur. Objective/intervention: To test the feasibility of providing Code Lavender. Hypotheses...
Article
Objective: This study examined a 6-month follow-up of a regional evidence-based practice (EBP) fellowship program and the predictors of EBP adoption at hospital units. Background: The immediate beneficial effects of a regional EBP program are known, but the medium-term effects are not certain. Methods: A matched pretest/posttest study was cond...
Article
The Advancing Research and Clinical practice through close Collaboration (ARCC) model postulates that improvement in nurses’ evidence-based practice (EBP) beliefs results in improved EBP implementation, which in turn improves nurse-related outcomes, such as nurses’ job satisfaction and group cohesion. However, there is a dearth of interventional st...
Article
Objective: To provide clinicians with evidence-based strategies to optimize the support of the family of critically ill patients in the ICU. Methods: We used the Council of Medical Specialty Societies principles for the development of clinical guidelines as the framework for guideline development. We assembled an international multidisciplinary...
Article
Objective: This methodology column provides project leaders with helpful tools to organize the evidence analysis for healthcare design projects. Background: Searching the evidence to support a design change is encouraged both to guide the development of a project and to determine whether the project is performance improvement, evidence-based des...
Article
Background: A regional, collaborative evidence-based practice (EBP) fellowship program utilizing institution-matched mentors was offered to a targeted group of nurses from multiple local hospitals to implement unit-based EBP projects. The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model postulates that strong EBP b...
Article
Aim: To explore the emotion of feeling cared for in the workplace. Background: The emotion of feeling cared for drives health-promoting behaviours. Feeling cared for is the end-product of caring, affecting practice, environment and outcomes. Identifying behaviours that lead to feeling cared for is the first step in promoting caring practices in...
Article
Objective: The aim of this study was to explore blame-related distress (B-RD). Background: No research exists describing the incidence and characteristics of consequences of blame. Methods: Survey research was used to explore the incidence, characteristics, and consequences of the distress caused by blame in the workplace. Results: B-RD is p...
Article
Objectives: Shared decision making is endorsed by critical care organizations; however, there remains confusion about what shared decision making is, when it should be used, and approaches to promote partnerships in treatment decisions. The purpose of this statement is to define shared decision making, recommend when shared decision making should...
Article
Full-text available
Postoperative delirium is a major complication in hospitalized older adults. Implementation of a screening tool and evidence-based delirium-prevention protocol on a surgical unit increased nurses' knowledge regarding delirium, increased identification of delirium, and produced medical treatment alterations leading to positive patient outcomes.
Article
Having spent more than 15 years of our careers observing patient care and communication in the ICU setting, we recognize the important role family caregivers play at the bedside of acute and critically ill older adults. Over these years, like many of you, we have also experienced the privilege and pathos of serving as family caregivers for older ad...
Article
Nurses Improving Care for Healthsystem Elders provides evidence-based best practices for the care of the hospitalized older adult. Older adults are a vulnerable population at greater risk of functional decline during and after hospitalization, safety concerns related to polypharmacy, ineffective pain management, and population-specific physiologica...
Article
Full-text available
The 2013 American College of Critical Care Medicine/Society of Critical Care Medicine clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit serves as a living example of nurses' involvement in the development and implementation of professional guidelines. Nurses who served on t...
Article
Full-text available
Blame has been thought to affect quality by decreasing error reporting. Very little is known about the incidence, characteristics or consequences of the distress caused by being blamed. Blame-related distress (B-RD) may be related to moral distress, but may also be a factor in burnout, compassion fatigue, lateral violence and second victim syndrome...
Article
Family presence is advocated by many professional organizations and recommended in practice guidelines. However, firmly held beliefs often prevent full implementation of family presence on rounds and with visiting. This article will review the evidence surrounding common concerns that family presence will increase infection, have adverse effects on...
Article
Increasing numbers of survivors of critical illness are at risk for physical, cognitive, and/or mental health impairments that may persist for months or years after hospital discharge. The post-intensive care syndrome framework encompassing these multidimensional morbidities was developed at the 2010 Society of Critical Care Medicine conference on...
Article
Full-text available
The practice of allowing family members to be present during invasive procedures or cardiopulmonary resuscitation (CPR) of their relative has been debated for decades. With the rise of family-centered care (FFC), family input into health care decisions has increased and strict visitation policies in the intensive care unit (ICU) have relaxed, even...
Article
The purpose of this project was to explore nurses' willingness to question and change practice. Nurses were invited to report practice improvement opportunities, and participants were supported through the process of a practice change. The project leader engaged to the extent desired by the participant. Meetings proceeded until the participant no l...
Article
The purpose of this project was to explore nurses’ willingness to question and change practice. Nurses were invited to report practice improvement opportunities, and participants were supported through the process of a practice change. The project leader engaged to the extent desired by the participant. Meetings proceeded until the participant no l...
Article
Full-text available
Current guidelines from the U.S. Society for Critical Care Medicine state that training in "good communication skills...should become a standard component of medical education and ... available for all ICU caregivers". We sought to train multidisciplinary teams of ICU caregivers in communicating with the families of critically ill patients to impro...
Article
Background: Use of dexmedetomidine or propofol rather than a benzodiazepine sedation strategy may improve ICU outcomes. We reviewed randomized trials comparing a benzodiazepine and nonbenzodiazepine regimen in mechanically ventilated adult ICU patients to determine if differences exist between these sedation strategies with respect to ICU length o...
Article
Surviving critical illness is associated with persistent and severe physical, cognitive, and psychological morbidities. The Society of Critical Care Medicine has developed pain, agitation, and delirium guidelines and promoted mobility to improve care of critically ill patients. A task force has developed tools to facilitate and rapidly implement th...
Article
Full-text available
Family presence on bedside teaching rounds is advocated by professional organizations and endorsed in family-centered models of care delivery. Nevertheless, many physicians and staff members fear that family presence may prolong rounds and increase family anxiety or stress. Although understudied, these concerns have not been validated by the resear...
Article
Full-text available
It has been 10 years since the last publication of the clinical practice guidelines for pain, agitation/sedation, and delirium (PAD). The results of new studies have directed significant changes in critical care practice. Using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) methodology, the guidelines were revised, re...
Article
This article evaluates the methodology used to develop the updated American College of Critical Care Medicine/Society of Critical Care Medicine Pain Agitation and Delirium (PAD) Guidelines in terms of (1) evaluating the role of a medical librarian in the guidelines development process; (2) summarizing the impressions of the guideline task force mem...
Article
Full-text available
Objective: To revise the "Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult" published in Critical Care Medicine in 2002. Methods: The American College of Critical Care Medicine assembled a 20-person, multidisciplinary, multi-institutional task force with expertise in guideline development...
Article
Objective: To revise the "Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult" published in Critical Care Medicine in 2002. Methods: The American College of Critical Care Medicine assembled a 20-person, multidisciplinary, multi-institutional task force with expertise in guideline development...
Article
The purpose of this project was to translate safety concerns extracted from written survey comments into actionable items. This project then served as the catalyst for resolving a number of significant safety issues in a performance improvement model and helped to create a reliable and efficient process for future thematic reviews.
Article
Background: The American Heart Association/American College of Cardiology Foundation recommends monitoring for corrected QT (QTc) prolongation. The incidence of QTc prolongation in the general public is unknown. Episodic measurements may miss patients at risk. Objective: The purpose of this study was to determine the incidence of QTc prolongatio...
Article
Full-text available
This quasi-experimental, pre- and posttest study evaluated the impact of a 9-month collaborative regional evidence-based practice (EBP) fellowship program on practice, attitude, knowledge, and perceived barriers associated with implementation of EBP. Three annual cohorts (N = 142) of nurses attending a fellowship program from 2008 to 2010 participa...
Article
Aims: To explore Sister Simone Roach’s caring model using poetry to illustrate real life nursingexemplars. These poems also served as a means of recognizing and teaching nurses about caring practicestypical to their workplace.Background: The organization had recently adopted Sr. Simone Roach’s caring model. This project wasdone in an attempt to tra...
Article
The family response to critical illness includes development of adverse psychological outcomes such as anxiety, acute stress disorder, posttraumatic stress, depression, and complicated grief. This cluster of complications from exposure to critical care is now entitled postintensive care syndrome-family. Adverse psychological outcomes occur in paren...