Editor-in-Chief: Mary Fran Tracy, RN, PhD, CCNS, FAAN
ISSN: 1559-7768
Online ISSN: 1559-7776
Frequency: 4 issues / year
From the Editor


I recently had a friend whose colleague made a comment about how hard it can be to practice in the current healthcare environment:  “ I’ve never worked so hard to feel so mediocre.”  I immediately resonated with the statement – do you?  That one simple statement seemed to express what I feel like at the end of too many days.  Patients are extremely complex, health care resources are increasingly limited, and benchmarks for patient outcomes are increasingly harder to achieve.


So how do we get the energy to continue in our health care roles every day?  There are several key things I believe we need to focus on to recognize that we ARE doing better than “mediocre” work:

1.      Practice good self-care. We all know that we need to care for ourselves in order to be optimal care providers at work.  Unfortunately, it is easy to feel too exhausted at the end of the day to even contemplate what we need to do for ourselves.  But it is imperative that we don’t just know we need to practice good self-care, but that we actually prioritize doing it.

2.      Make time to take a “thought pause” throughout the day.  Are we so focused on getting tasks done during the day that we forget to pause to evaluate if we are actually making progress to meet the patient’s goals?  Are we taking even a few minutes each day to be creative and innovative?  These short breaks can ensure we maintain the focus to care safely for our critically ill patients or ensure we are making headway on complex projects.

3.      Take time for reflection.  Reflect on the good work you have accomplished over time- whether it’s over a 12-hour shift with a critically ill patient or over a 3-month project where you have made great improvements in patient outcomes such as decreasing CAUTI or BSI rates. 

4.      Provide meaningful recognition to a colleague.  Recognizing the stellar work of your colleagues will help all of us know that we are doing so much better than “mediocre” work. 


We all wish we could do more every day to optimize care for our patients.  But don’t let those wishes cloud the reality of the great work you do every day!


Mary Fran Tracy, RN, PhD, CCNS




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2014 Reviewer Recognition

We would like to acknowledge our appreciation to the following 2014 manuscript reviewers. These experts provided an invaluable service to the journal and to the profession of nursing by allowing us to ensure quality manuscripts are published. We thank you for your time and expertise to Advanced Critical Care.


Advanced Critical Care Journal Peer Reviewers for 2014


Upcoming Conferences

44th Society of Critical Care Medicine Critical Care Congress
January 17-21, 2015
Phoenix, Arizona

3rd AAHFN Advanced Heart Failure Symposium
February 20-21, 2015
Tampa, FL

National Association of Clinical Nurse Specialists 20th Annual Conference
March 5-7, 2015
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National Association of Pediatric Nurse Practitioners 36th Annual Conference on Pediatric Health Care 
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American Thoracic Society International Conference
May 15-20, 2015
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2015 AACN National Teaching Institute and Critical Care Exposition
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American Association of Heart Failure Nurses 11th Annual Conference
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