product device pharmaceutical 2018 critical care media …/media/slack-design/media_kits/... ·...

AACN: THE LARGEST AUDIENCE IN CRITICAL CARE

2018 CRITICAL CARE MEDIA PLANNERPRODUCT | DEVICE | PHARMACEUTICAL

The official publications of the

Print Online Custom Publishing

2

Advertise in the American Journal of Critical Care, Critical Care Nurse, AACN Bold Voices and AACN Advanced Critical Care. Delivered to the members of AACN or paid subscribers each month, they are the top publications to reach critical care nurses. AACN journals are carried by more than 800 academic and healthcare institutional libraries in the U.S. and abroad. With multiple publications, websites and an e-newsletter, it’s never been easier to reach critical care nurses and track your success – creating ideal environments for your advertising message.

Nurses rely on AACN for expert knowledge and influence. When you advertise with AACN, your message will be surrounded by high-quality, peer-reviewed content you know will be seen by high-interest readers – both AACN members and non-member subscribers. These influential decision-makers are your best prospects in the field of critical care nursing, and the dynamic power of AACN ensures your message greater reach and continuous sales exposure.

About AACNThe American Association of Critical-Care Nurses (AACN) is the world’s largest specialty nursing organization. AACN joins the interests of more than 500,000 critical care and acute care nurses who care for critically ill patients and their families, and serves more than 210,000 members, certificants and nurse constituents. AACN, established in 1969, has grown along with the significance of critical care and acute care nurses.

MissionPatients and their families rely on nurses at the most vulnerable times of their lives. Acute and critical care nurses turn to AACN for expert knowledge and the influence to fulfill their promise to patients and their families. AACN drives excellence because nothing less is acceptable.

PurposeThe purpose of AACN is to promote the health and welfare of patients experiencing acute and critical illness or injury by advancing the art and science of acute and critical care nursing and promoting environments that facilitate comprehensive professional nursing practice.

Reach the members of the world’s largest specialty nursing organization.114,000 high acuity and critical care nurse members

THE POWER OF AACN• TheAmericanAssociation

of Critical-Care Nurses (AACN) is the world’s largest specialty nursing organization.

• AACNjoinstheinterestsofmore than 500,000 critical care and acute care nurses.

• AACNservesmorethan 210,000 members, certificants and nurse constituents.

3

Value of the AACN Audience Education + Experience = Influence

Based on 2017 survey respondents and membership analysis.

About the readers of AACN publications

68%

51%

find the advertisements to be valuable sources of product information

purchase and influence products used in the ICU

53% save for future reference

EXPERIENCE IN CRITICAL CARE

36%

24%

18%

22%

36% 1-5 years

24% 21+ years

22% 11-20 years

18% 6-10 years

MARKET INFORMATION

78%

20% 2%

78% Direct patient care

20% Unit managers, advanced practice nurses

2% Educators

SLACK Incorporated, American Association of Critical-Care Nurses Readership Survey, 2017.

Critical Care Nurse is a peer-reviewed clinical journal for nurses involved in the direct care of acute and critically ill patients. Published six times a year, it is an official publication of the American Association of Critical-Care Nurses. Because of its editorial excellence, Critical Care Nurse is the evidence-based clinical journal trusted by staff nurses, nurse educators and nurse managers. The circulation of Critical Care Nurse is more than 114,000 readers, offering the greatest reach of any critical care nursing publication in the market.

Editorial LeadershipJoAnn Grif Alspach, RN, MSN, EdD

Features and Advantages• Official evidence-based clinical journal of the

American Association of Critical-Care Nurses• Largest paid circulation of critical care

nurses available• The highest readership among all critical

care publications• Interspersed advertising• Practical, clinically relevant peer-reviewed articles• Indexed in MEDLINE®/PubMed, Cumulative

Index to Nursing and Allied Health Literature, Medscape, and Scopus

• Included in ISI Web of Knowledge database

The official evidence-based clinical journal of AACN where practical application at the point-of-care is the focus

4

The American Journal of Critical Care (AJCC) is AACN’s preeminent peer-reviewed publication for communicating important advances in clinical science research and evidence-based practices in critical care. With particular emphasis on promoting interprofessional practice and research, the American Journal of Critical Care is the most comprehensive scientific publication in the critical care field. Published bimonthly, the American Journal of Critical Care reaches more than 114,000 acute, critical and progressive care nurses — the largest multidisciplinary audience of any critical care science and evidence-based research publication.

Editorial LeadershipCindy Munro, RN, PhD, ANP, FAAN, Coeditor in Chief Richard H. Savel, MD, FCCM, Coeditor in Chief

Features and Advantages• Official evidence-based science and research

journal of the American Association of Critical-Care Nurses

• Peer-reviewed, high-quality editorial environment• More than 114,000 readers: the largest circulation

of critical care professionals of any clinical science and research journal

• Editorial direction from an interprofessional board of leaders in critical care

• Interspersed advertising• Indexed in MEDLINE®/PubMed, Cumulative

Index to Nursing and Allied Health Literature, Medscape, PsycINFO, and Scopus

• Included in ISI Web of Knowledge database

The official evidence-based scientific journal of AACN where innovation is first communicated

Publication 2018 Issue Ad Closing Material Due Bonus Distribution

AJCC Jan 11/27/17 12/4/17 Society of Critical Care Medicine February 25-28, San Antonio, TX

CCN Feb 12/21/17 1/2/18 Society of Critical Care Medicine February 25-28, San Antonio, TX

AJCC Mar 1/23/18 1/30/18

CCN Apr 2/20/18 2/27/18 National Teaching Institute & Critical Care Exposition - NTI May 21-24, Boston, MA

AJCC May 3/20/18 3/27/18 National Teaching Institute & Critical Care Exposition - NTI May 21-24, Boston, MA

CCN June 4/24/18 5/1/18

AJCC July 5/22/18 5/29/18

CCN Aug 6/26/18 7/2/18 Emergency Nurses Association (ENA) September 26-29, Pittsburgh, PA

AJCC Sept 7/24/18 7/31/18

Emergency Nurses Association (ENA) September 26-29, Pittsburgh, PA Trends in Critical Care Nursing Dates TBD, Valley Forge, PA

CCN Oct 8/22/18 8/28/18

Trends in Critical Care Nursing Dates TBD, Valley Forge, PA **Ad Test Study Issue

AJCC Nov 9/25/18 10/2/18

CCN Dec 10/19/18 10/26/18

Frequency One Page 2/3 Pg* 1/2 Page 1/3 Page* 1/4 Page Color Rates

1x $7,610 $6,310 $4,615 $3,985 $3,675 Per page or fraction Page

Standard Color

Matched Color

Metallic Color

Four Color

Four Color + PMS

Four Color + Metallic

925

1,155

1,230

1,840

2,995

3,065

3x 7,480 6,185 4,535 3,930 3,615

6x 7,440 6,120 4,475 3,880 3,585

12x 7,320 6,055 4,420 3,830 3,525

18x 7,270 5,945 4,365 3,790 3,475

24x 7,200 5,860 4,300 3,750 3,430

36x 7,115 5,795 4,240 3,740 3,385

48x 7,040 5,750 4,200 3,685 3,345

*These sizes are available for CCN only.

5

ADDED VALUE

New Advertiser Discount

Take 10% off our regular rates.For advertisers that have not run in the prior year of AJCC or CCN. Minimum half-page ad (cannot be combined with Efficiency Discount).

Efficiency Discount

Buy 4 ad units, receive 10% discount




Combined Frequency Discount Program:

Insertions in the American Journal of Critical Care or Critical Care Nurse can be combined with each other or with insertions in AACN Bold Voices to help you reach the highest possible frequency rate. The result is a direct savings in your advertising expenditures.

Premium Positions (Color Additional)

Cover 2: earned b/w rate plus 25%



Opposite Table of Contents: b/w rate plus 15%

Opposite Masthead: b/w rate plus 15%

Contact

Product/Device/ Pharmaceutical Nicole Rutter [email protected] (800) 257-8290, ext. 305

Administrator Joann Campisi [email protected] (800) 257-8290, ext. 585

Product 2018 Advertising Rates and Dates

6

Reach more than 2,700 subscribers

composed of high-level experienced critical care nurses.

About the readers of AACN Advanced Critical Care

53% save the issue for future reference

47% share with a colleague

Content attribute ratings

69% of respondents felt the journal’s overall content was of value at work

AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. “Select articles feature opportunities to earn CE contact hours. Select “Drug Update” columns feature pharmacology-based CE contact hours.”

Editorial LeadershipMary Fran Tracy, RN, PhD, CCNS

Features and Advantages• An official publication of the American

Association of Critical-Care Nurses

• Contains concisely written, practical information for immediate use and future reference

• Continuing nursing education units are available for selected articles in each issue

• Indexed in Nursing Abstracts, Cumulative Index to Nursing & Allied Health Literature, International Nursing Index, MEDLINE®/PubMed, Nursing Citation Index, and Scopus

Reach key audiences• Staff Nurse/Clinicians

• Clinical Nurse Specialists

• Nurse Practitioners

• Clinical Educators

• Academic Faculty

• Admin/Nursing Directors

• Nurse Managers

AACN Advanced Critical Care Readership Study, 2017

AACN’s quarterly evidence-based journal for advanced practice caregivers where bedside nurses and clinical educators read the latest critical care information

7

Ad Position Rate

Cover 2 $3,570

Cover 3 $3,060

Cover 4 $4,590

Issue Ad Closing Material Due Bonus Distribution

Spring 1/30/18 2/6/18 National Teaching Institute & Critical Care Exposition - NTI May 21-24, Boston, MA

Summer 5/1/18 5/8/18

Fall 7/30/18 8/6/18 Emergency Nursing Association (ENA) September 25-29, Pittsburgh, PA Trends in Critical Care Nursing Dates TBD, Valley Forge, PA

Winter 10/30/18 11/6/18

ADDED VALUE

Efficiency Discount






Must advertise in a corresponding issue of American Journal of Critical Care or Critical Care Nurse.

Contact




Mechanical Requirements

Ad sizes available for AACN Advanced Critical CareFull Page Non Bleed: 5.5" x 8.75"

Full Page Bleed: 6.875" x 10.125" Hold live matter 1/2" from trim Trim size of Journal is 6.625" x 9.875"

Ad RequirementsAll ads should be submitted as font-embedded PDFs, minimum 300 dpi. Four-color ads must be constructed in CMYK with no use of spot colors and no PMS colors. Black and white ads must be constructed using grayscale, bitmap, or line art accordingly, not using CMYK, spot colors, “rich black” or “Registration” in place of black. Ad files must be converted within the native layout application or flattened in Acrobat using the High Resolution Flattener Presets.

8

AACN Bold Voices is AACN’s monthly source of news and current events about critical care, progressive care and high acuity care nursing. Concise and easy-to-read articles present the information readers need at their fingertips. Timely articles ensure high readership and visibility for your recruitment ads. More than 140,000 acute and critical care nurses receive AACN Bold Voices, including members of AACN and nonmembers with CCRN, CCRN-K, CCRN-E, PCCN, and PCCN-K specialty certification; ACNPC, ACNPC-AG, CCNS, ACCNS-AG, ACCNS-P, and ACCNS-N advanced practice certification; and CMC and CSC subspecialty certification.

Product Advertising AACN Bold Voices accepts product advertising. Device and pharmaceutical advertisers can gain a unique market presence and increase ad exposure when they purchase an ad in the official monthly member magazine of AACN. Be seen by a target audience of more than 140,000 critical, acute and progressive care nurses. For more information on how to maximize your visibility by advertising in AACN Bold Voices, please contact Nicole Rutter by phone (800) 257-8290, ext. 305 or email [email protected].

Reach more than 140,000critical care, acute care and progressive care nurses

with the only monthly source of news and current events about critical, progressive and high acuity care nursing.

Only with placement of an ad in American Journal of Critical Care or Critical Care Nurse

50% OFF AACN Bold Voices Published Rates

The official monthly member magazine of AACNwhere clinical information and association news are delivered

9

Color Rates

Per page or fraction Page

Standard Color

Matched Color

Four Color

700

1,020

1,690

Issue Ad Closing Material Due Bonus Distribution

Jan 11/29/17 12/6/17

Feb 1/4/18 1/10/18 Society of Critical Care Medicine February 25-28, San Antonio, TX

Mar 2/1/18 2/9/18

Apr 3/1/18 3/8/18

May 4/5/18 4/12/18 National Teaching Institute & Critical Care Exposition - NTI May 21-24, Boston, MA

June 5/3/18 5/8/18

July 5/31/18 6/7/18

Aug 7/5/18 7/12/18

Sept 8/2/18 8/9/18 Emergency Nurses Association (ENA) September 26-29, Pittsburgh, PA

Oct 8/29/18 9/6/18 Trends in Critical Care Nursing Dates TBD, Valley Forge, PA

Nov 10/4/18 10/11/18

Dec 11/1/18 11/8/18

ADDED VALUE

Efficiency Discount






Insertions in AACN Bold Voices can be combined with insertions in the American Journal of Critical Care or Critical Care Nurse to help you reach the highest possible frequency rate. The result is a direct savings in your advertising expenditures.

Premium Positions (Color Additional)




Opposite Table of Contents: b/w rate plus 15%

Opposite Masthead: b/w rate plus 15%

Contact




The official monthly member magazine of AACNwhere clinical information and association news are delivered Frequency One Page 2/3 Pg 1/2 Page 1/3 Page 1/4 Page 1/8 Page

1x $6,680 $5,890 $5,035 $4,400 $3,775 $2,055

3x 6,540 5,745 4,875 4,255 3,625 1,915

6x 6,380 5,600 4,730 4,095 3,475 1,790

12x 6,225 5,440 4,585 3,955 3,325 1,665

18x 6,080 5,295 4,430 3,795 3,170 1,535

24x 5,920 5,145 4,275 3,645 3,015 1,425

36x 5,780 5,000 4,130 3,495 2,855 1,275

10

Mechanical Requirements

Ad RequirementsElectronic submissions only.

Electronic ads must be submitted as high-resolution PDF, EPS or TIFF. Minimum 300 dpi. Quark XPress EPS files are not acceptable.

ALL fonts (both screen and printer versions) and graphics must be included on the disk or embedded in PDFs.

Ads must be submitted in the correct size (full page, half page, etc., allowing for bleed if ad is to bleed; see “Ad sizes”) and orientation (vertical or horizontal per insertion order).

All ad files must be constructed properly. For example: 4-color ads must be constructed in CMYK with no use of spot colors. (If any PMS colors are in the ad the creator of the ad must convert those colors to CMYK.) Any ads intentionally printing with spot colors must be constructed with the proper PMS colors; PMS colors must be indicated and called out on the color proof. Ads to print in black and white must be constructed using grayscale, bitmap, or line art accordingly, rather than CMYK or spot colors, or “rich black” or “Registration” in place of black. Ad files must be converted within the native layout application or flattened in Acrobat using the High Resolution Flattener Presets. Any ads not following these guidelines will be returned to the advertiser for correction if time permits; otherwise, they will be corrected at the printer and printer charges will be billed to the advertiser accordingly. AACN, the printer, and SLACK Incorporated take no responsibility for color shifts or other quality problems that occur when ad files must be corrected at the printer because of poor construction or improper submissions from advertisers or their agencies. Late ads are subject to additional fees.

All ads must include a proof. Color ads must include color copy that can be matched on press (examples: tearsheets; digital proof such as an iris, chromalins, matchprints).Color photocopies or color laser printouts are not acceptable. AACN will not supply a proof for Advertiser-supplied files.

Insert Requirements

Insert requirements for the American Journal of Critical Care and Critical Care Nurse:

Two to 8-page inserts; gatefolds are acceptable.

Paper and copy sample must be submitted for approval before running.a) Size: 8 7/16" x 11 1/8" to trim to 8 1/8" x 10 7/8"; supplied folded.

b) Paper Stock: 2-page (one leaf ), minimum 70# coated, maximum 80# coated. 4–8 page, minimum 60# coated, maximum 70# coated.

c) Trimming: Supply folded. Bleed: outside and foot trim bleed 1/8". Binding edge bleed 1/8". Head bleed 1/8". BRCs need 1/2" margin from edge of grind to vertical perf. Journals jog to the head.

d) Rates:

Two-page inserts: 3x earned black-and-white rate.

Four-page inserts: 5x earned black-and-white rate, by special request only. Consult advertising office. Perforations are subject to approval and/or additional cost.

Contact advertising department for insert tip-in charge.

e) Ship: printed, folded, untrimmed. Label with publication name, date of issue, and insert quantity. American Journal of Critical Care and Critical Care Nurse: Call for quantities as insert quantities vary by issue.

Ship to: Sheridan NH 69 Lyme Road Hanover, NH 03755 Attn: Tim Gates (issue and month)

Ad sizes available for the American Journal of Critical Care (AJCC), Critical Care Nurse (CCN) and AACN Bold Voices (non-bleed)

Quarter Page: 33/8" x 47/8"Spread: 14" x 10" (151/4" x 10" includes gutter spread)Full Page: 7" x 10"Half Page (Horizontal): 7" x 47/8"Half Page (Vertical): 33/8" x 10"

Ad sizes available for Critical Care Nurse and AACN Bold Voices only (non-bleed)

One-Third Page (Vertical): 21/8" x 10"Two-Third Page (Vertical): 43/8" x 10"

Ad sizes available for AACN Bold Voices only (non-bleed)

One-Eighth Page: 33/8" x 23/8"

Spread

14"

10"

Full Page

7"

10"

1/2 Page (Vertical)

33/8"

10"

1/4 Page

33/8"

47/8"

1/8 Page

33/8"

23/8"

2/3 Page (Vertical)

43/8"

10"

1/3 Page (Vertical)

21/8"

10"

1/2 Page (Horizontal)

47/8"

7"

Bleed sizes (available in AJCC and CCN only)

Spread: 161/2" x 111/8" Full Page: 83/8" x 111/8" Two-thirds: 51/4" x 111/8" Half Vertical: 41/4" x 111/8" Half Horizontal: 83/8" x 51/2" Third Vertical: 215/16" x 111/8" Hold live matter 1/2" from all sides.

Trim size of journals is 81/8" x 107/8"

AACN Advanced Critical Care specs: See page 7.

For digital ad specifications, please contact Joann Campisi at [email protected] or (800) 257-8290 x585

11

1. Commission and Cash Discounta) Agency commission: 15% gross billings on space,

color, cover and preferred position charges.b) Cash discounts: 2%, within 10 days of invoice date.

No discount allowed after this period.

2. General Rate Policya) Effective Rates and Discounts: Beginning January 2018 for

all advertisers.b) Earned Rates: Full run: Earned rates are given to advertisers

based on advertising frequency within a 12-month period. The earned rate is determined by the number of insertions. A spread counts as two insertions. Full-page and fractional pages count as single insertions. Each page of an insert counts as one insertion.

c) Combined Earned Frequency: Advertisers may combine advertising space units run in Critical Care Nurse, AACN Advanced Critical Care, the American Journal of Critical Care and AACN Bold Voices to achieve maximum rate frequency.

3. ExtensionsIf an extension date for material is agreed upon and ad material is not received by the Publisher on the agreed upon date, the advertiser will be charged for the space reserved.

4. CancellationsIf, for any reason, an advertisement is cancelled after the closing date, the Publisher reserves the right to repeat a former ad at full rates. If the advertiser has not previously run an ad, the advertiser will be charged for the cost of space reserved. Neither the advertiser nor its agency may cancel advertising after the closing date.

5. Advertising Acceptance PolicyAll advertising is subject to approval by AACN. Publisher reserves the right to refuse any advertising at any time.

6. Disposition of MaterialAd material will be held one year from the date of last insertion and then destroyed.

7. Publisher’s and Representative’s LiabilityThe Publisher and Advertising Sales Representative will not be liable for any failure to print, publish, or circulate all or any portion of any issue in which an advertisement accepted by the Publisher is contained if such failure is due to acts of God, strikes, war, accident or any circumstances beyond the Publisher’s control.

8. Indemnification of PublisherIn consideration of publication of an advertisement, the advertiser and the agency, jointly and separately, will indemnify, defend and hold harmless the magazine, its officers, agents and employees against expenses (including legal fees) and losses resulting from the publication of the contents of the advertisement, including, without limitation, claims or suits for libel, violation of right of privacy, copyright infringements or plagiarism.

9. Billing PolicyBilling to the advertising agency is based on acceptance by the advertiser of “dual responsibility” for payment if the agency does not remit within 90 days. The Publisher will not be bound by any conditions, printed or otherwise, appearing on any insertion order or contract when they conflict with the terms and conditions of this rate card.

10. Contracts, Insertion Orders and Ad Materials:Contracts and Insertion Orders: Nicole Rutter, x305 Association Sales Manager [email protected]

Ad Materials: Joann Campisi, x585 Sales Administrator [email protected]

SLACK Incorporated 6900 Grove Road Thorofare, NJ 08086-9447 (800) 257-8290 or (856) 848-1000 (in New Jersey or outside the U.S.) Fax: (856) 848-6091

Insertion Information

JOURNAL WEBSITE OPPORTUNITIES

Banner Ad Specifications:

• Acceptable file formats: GIF, JPG

• Maximum size on banners: 50K

• All artwork is subject to review/acceptance by publisher prior to placement

• Expandable banners will not be accepted

2018 Rates: $50/CPM Net rates, non-commissionable.

Banner Type Location Size

Leaderboard728 x 90 Top of home page & interior pages 728 x 90

Skyscraper160 x 600 Side of home page & interior pages 160 x 600

Vertical Banner160 x 400 Side of home page & interior pages 160 x 400

12

Extend your exposure online

Whether you’re looking to brand or promote your product, banner advertising on the websites of the official evidence-based scientific and clinical journals of AACN will increase your exposure to the largest audience in critical care.

Average monthly impressions: 229,001Average monthly unique visitors: 47,418Average monthly impressions: 221,491Average monthly unique visitors: 63,118

Leaderboard

Skys

crap

erVe

rtic

al

Bann

er

www.ajcconline.org

www.ccnonline.org

Average monthly impressions: 45,614Average monthly unique visitors: 13,591www.aacnacconline.org

13

EMAIL OPPORTUNITIES

Increase your exposure online

Banner Ad Specifications:

• Acceptable file formats: GIF, JPG • Maximum size on banners: 40K

• All artwork is subject to review/acceptance by publisher prior to placement

• Expandable banners will not be accepted

• All ads should be static (non-animated); no Flash (SWF) or rich media.

Exclusive ad placementOne ad per email is sent to the full list of AACN opt-in recipients with 100% share of voice.

Personalized content Now your message appears within unique content that aligns with the interests of 4 targeted audiences: Nurse Managers and Educators, New Nurse, Experienced Staff Nurse and Advanced Practice to heighten engagement.

Delivered bi-weekly Now you can connect with more relevant personalized content — every other week!

2018 Rates:

Medium Rectangle300 x 250

1 email $2,850 net per email

4 or more emails $2,350 net per email

Average delivered:

195,000Average open rate:

15%•Atleast2emailsreachthefullmembershipeachmonth

•Buyonebanneradandappearinall4targetaudienceemails

AACN CriticalCare Newsline bi-weekly emailReach more than 195,000 critical care nurses at least twice per month — in an effective and cost efficient way. Advertise in the official bi-weekly electronic newsletter of AACN. AACN CriticalCare Newsline provides AACN members and nurse constituents news and current events about critical, progressive and high acuity care. Articles include the latest news, calls to action, CNE articles, studies, AACN member resources and career opportunities.

Reach 210,000 members, certificants and nurse constituents

Consider the many benefits of a custom editorial supplement bearing the AACN name

Value to nurses• CNE credits• Concise, in-depth,

focused information• Education• Confidence in patient care

• Improved outcome for patients

• Resource for personal and patient education

• Relationship with Industry

More value to advertisers• Image building• Brand recognition• Optimal product utilization• Recognition as a key provider

of valuable education and quality products

• Relationship building with nurses, educators and patients

• Market saturation• Competitive edge• Product success• Measurable reader impact

from CNE returns, web exposure

14

When you partner with AACN, you reach our specialized audience of high acuity and critical care nurses while you help educate and advance patient care. Custom opportunities offer you direct access, visibility and the trust that comes with the AACN name. Ask us about the possibilities with or without CNE.

Single-supported activity format ideas:• Enduring materials/monographs/supplements

(print, digital, or both)• Enduring materials from your NTI Sunrise Session

in an NTI Morning Report• Expert panels/roundtables• Satellite sessions at NTI• Cover tips• Bellybands

Your influence• Morethan210,000AACNmembersandsubscribers• Healtheducators,impressionablestudents• Patientsandfamilies

CUSTOM OPPORTUNITIES

15

Digital Opportunities

Print Opportunities

CREATE A MULTI-CHANNEL MEDIA STRATEGY

The bi-monthly clinical science research journalThe American Journal of Critical Care reaches the largest interprofessional audience of any critical care science and evidence-based research publication.

The clinical practice journal of AACNCritical Care Nurse is the evidence-based clinical journal trusted by staff nurses, nurse educators, and nurse managers.

Quarterly advanced practice publication AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference.

AACN’s monthly member news magazine AACN Bold Voices updates members with late-breaking clinical information and association news.

AACN CriticalCare NewslineReach more than 195,000 critical care nurses with this bi-weekly email offering banner advertising.

AACN journal websites Expand your reach online by advertising on the official journal websites of AACN: www.aacnacconline.org, www.ajcconline.org, and www.ccnonline.org.

VER.02

CE ArtiClE

CLASS CODE: ART104

THURSDAY

May 25, 2017

Each year, thousands of critic

al

care nurses in the United States

and worldwide perform cardio-

pulmonary resuscitation.1-4 It is esti-

mated that between 40% and 84% of

all resuscitation attempts within criti-

cal care units result in immediate or

imminent death of the patient within

24 hours.1-3,5,6 Because critica

l care

nurses have frequent and cumulative

exposures to unsuccessful cardiopul-

monary resuscitations, psychological

trauma often ensues.7 The literature

in this area is nascent. Despite a grow-

ing workforce demand for registered

nurses in critical care, turnover and

vacancy rates are high.7,8 Investiga-

tion of the cumulative psychological

injuries associated with unsuccessful

cardiopulmonary resuscitation is war-

ranted and may offer new insights on

strategies to attenuate the psychologi-

cal morbidity associated with provid-

ing life-sustaining care and highlight

a need for psychological support pro-

cesses that may aid in the retention of

critical care nurses in the workforce.

The influence of postcode stress

and coping behaviors on the psycho-

logical health of critical care nurses is

unclear. However, it is hypothesized

that critical care nurses who are

exposed to the psychological trauma

of cardiopulmonary resuscitation ef-

forts that fail to prolong the patient’s

life will perceive heightened states

of postcode stress, coping behaviors,

and lower states of psychological

health. Therefore the aims of this

article are to examine the relation-

ships among postcode stress, coping

behaviors, and the severity of symp-

toms of posttraumatic stress disorder

(PTSD), to evaluate the influential

demographic characteristics associ-

ated with postcode stress and PTSD

symptom severity, and to describe

the association between access to

institutional psychological support

(availability of postcode debriefing)

and magnitude of postcode stress

and PTSD symptom severity in a na-

tional sample of critical care nurses.

BACkgROUnD

Critical care nurses are prone to

observe or take part in life-sustaining

procedures (eg, cardiopulmonary

resuscitation) that can alter their

ability to manage negative emotion

effectively and can precipitate signifi-

cant decrements in their psychologi-

cal health. Repeated participation in

unsuccessful resuscitation attempts

creates a unique form of psychologi-

cal stress known as postcode stress,

which has significant effects on the

psychological health of registered

nurses across practice settings.9-11

Lazarus and Folkman’s Transac-

tional Model of Stress and Coping12

provides the theoretical framework

for this study. When presented with

a stressor, it is the appraisal of the

potential psychological harm and the

coping behaviors used that become

the integral components influencing

psychological well-being. Postcode

stress is posited to initiate processes

for regulating emotions, such as cop-

ing behaviors, that aim to maintain

an individual’s psychological health

and prevent manifestation of stress-

associated symptoms.10,12-14 The

difference in coping behaviors used

may offer an explanation of why

individuals have different psycho-

logical outcomes (PTSD symptom

severity) after similar events.15-17

Distinct from moral distress,

which occurs when critical care

nurses are unable to act on moral

decisions or judgments in practice,

postcode stress is the acute psycho-

logical response to unsuccessful

At the end of this learning activity, the participant will be able to:

1. Examine the relationship among postcode stress, coping behaviors, and post-

traumatic stress disorder (PTSD) symptom severity after unsuccessful cardio-

pulmonary resuscitation (CPR).

2. Identify ineffective coping behaviors that may put critical care nurses at risk for

PTSD symptom severity following unsuccessful CPR.

3. Discuss the implications of the study findings to the American Association of

Critical-Care Nurses’ Healthy Work Environments initiative.

Stress and Coping of Critical

Care Nurses After Unsuccessful

Cardiopulmonary Resuscitation

Dawn E. McMeekin, RN, DNP, CNE, Ronald L. Hickman, Jr, RN, PhD, ACNP-BC, Sara L. Douglas, RN, PhD, and Carol G. Kelley, RN, PhD, AGNP-BC

Reprinted from American Journal of Critical Care, March 2017, pp 128-135

1.0 CE, 1.0 CERP, Cat. C

CE/CERP Evaluations

Due June 16

Follow the online prompts at www.

aacn.org/myntisessions to enter your

program and session evaluations

and print your certificate. Copies

of CE/CERP certificates issued are

maintained at AACN in a secure,

password-protected file for a 6-year

period. You may enter evaluation

information online during NTI or at

home until midnight PT, June 16,

2017. After this date, you may only

print your certificate.

Background Participation by a critical care nurse in an unsuccessful resuscitation can

create a unique heightened level of psychological stress referred to as postcode stress,

activation of coping behaviors, and symptoms of posttraumatic stress disorder (PTSD).

Objectives To explore the relationships among postcode stress, coping behaviors, and

PTSD symptom severity in critical care nurses after experiencing unsuccessful cardio-

pulmonary resuscitations and to see whether institutional support attenuates these

repeated psychological traumas.

Methods A national sample of 490 critical care nurses was recruited from the American

Association of Critical-Care Nurses’ eNewsline and social media. Participants completed

the Post-Code Stress Scale, the Brief COPE (abbreviated), and the Impact of Event Scale–

Revised, which were administered through an online survey.

Results Postcode stress and PTSD symptom severity were weakly associated (r = 0.20, P

= .01). No significant associations between coping behaviors and postcode stress were

found. Four coping behaviors (denial, self-distraction, self-blame, and behavioral disen-

gagement) were significant predictors of PTSD symptom severity. Severity of postcode

stress and PTSD symptoms varied with the availability of institutional support.

Conclusions Critical care nurses show moderate levels of postcode stress and PTSD symp-

toms when asked to recall an unsuccessful resuscitation and the coping behaviors used.

Identifying the critical care nurses most at risk for PTSD will inform the development of in-

terventional research to promote critical care nurses’ psychological well-being and reduce

their attrition from the profession. (American Journal of Critical Care. 2017; 26:128-135)

CE ArtiClE

CLASS CODE: ART103

WEDNESDAY

May 24, 2017

New technologies have al-

lowed patients with heart

failure to live longer after

diagnosis. These life-prolonging

technologies may eventually become

incongruent with a patient’s goals

and preferences at the end of life.1,2

An implantable cardioverter defibril-

lator (ICD) is one technology that

may conflict with these goals and

preferences. At the end of life, ICD

therapy can become burdensome

for both the patient and the patient’s

family by causing pain and anxiety

and preventing a sudden death.3-6

Patients have the right to be

informed of all options that might

decrease pain and suffering at the

end of life, including the option to

deactivate ICD therapy. Critical care

nurses often provide care for patients

with heart failure at the end of life

and play an important role in assess-

ing patients’ goals and preferences.

Deactivation of an ICD is ethically

acceptable and should be discussed

with all patients when goals and

preferences are likely to change. This

literature review explores the issues

surrounding ICD therapy at the end

of life; based on this author’s find-

ings, recommendations for discussing

and implementing device deactiva-

tion are provided.

ICD ThERApY IN END-STAgE

hEART FAILuRE

An ICD reduces the risk of death

from potentially lethal arrhythmias.

In patients with heart failure, ICD

implantation is often recommended

for individuals with a reduced ejec-

tion fraction and a life expectancy

greater than 1 year.7 Unfortunately,

providing an accurate prognosis in

heart failure is difficult. Prognosti-

cation tools predict life expectancy

in populations of patients, but can-

not accurately predict how long an

individual patient will live.3 Heart

failure has a changeable course,

characterized by acute exacerba-

tions followed by periods of rela-

tive stability.1,3,6,8-13 It has been

estimated that between 300,000 to

600,000 individuals in the United

States have end-stage refractory

heart failure.6

The first ICDs became available

in the 1980s,14 and the prevalence

of these devices continues to in-

crease,15 with most implanted in pa-

tients more than 65 years of age.16

These devices may prolong life in

some stages of heart failure, but giv-

en the increased prevalence of these

devices at the end of life, it is crucial

that health care professionals discuss

device management when the goals

of care change. Patients may not

desire prolongation of life as heart

failure advances and are not always

aware of their progression into

end-stage disease. The difficulty in

prognostication and the changeable

course of heart failure contribute

to uncertainty about how close the

patient is to death for both health

care professionals and patients.11

This uncertainty may delay end-of-

life discussions and place patients at

risk for increased pain and anxiety

in the final hours of life because of

ICD shocks. Published reports sug-

gest that 21% to 27% of patients

receive a shock in the last 30 days of

their life14,17 and that these shocks

were distressing when witnessed by

the patient’s family.17 In a Swedish

study18 of 130 ICD devices explant-

ed postmortem, 31% of patients

with active ICDs experienced a

shock in the last 24 hours of life.

Approximately half of the patients

with a do-not-resuscitate (DNR)

order still had active shock therapy

at 1 hour before death, and 24% of

these patients received shocks in the

last hour of life.18 In cases where

the device was discharged, 55% of

patients received at least 3 shocks,

and 32% received more than 10

shocks.18 Two-thirds of these shocks

were not documented in the medi-

cal records and may not have been

noticed by family or nursing staff;

however, 19% did have a nota-

tion of pain or stress accompanying

the shocks.18 These statistics are in

stark contrast to the estimated 14%

of patients who receive a shock in

the first year after implantation.19

Patients are more likely to receive

shocks at the end of life if their ICD

has fired previously, but predicting

which patients will receive a shock

at the end of life is impossible.2

Learning Objectives


1. Discuss strategies for reducing unwanted implantable cardioverter.

2. Identify key triggers for when the discussion of device deactivation should

be addressed.

3. Describe barriers to the discussion of device deactivation with patients

with heart failure.

Planning for Deactivation of Implantable

Cardioverter Defibrillators at the End of Life in

Patients With Heart Failure

Destiny R. Brady, RN, MSN, CCRN

Reprinted from Critical Care Nurse, December 2016, pp 24-31

1.0 CE, 1.0 CERP, Cat. B

CE/CERP Evaluations

Due June 16

Follow the online prompts at www.











print your certificate.Implantable cardioverter defibrillators (ICDs) may be burdensome in end-stage heart

failure. At the end of life, as many as one-fifth to one-third of patients experience an ICD

shock. Critical care nurses should be aware of the potential burden of these shocks at

the end of life as well as the ethics and organizational policies surrounding ICD deacti-

vation. This literature review examines the issues surrounding ICD therapy at the end of

life. Based on this author’s findings, recommendations for discussing and implementing

ICD deactivation are offered. Health care organizations should have clear policies ad-

dressing ICD deactivation to provide for seamless integration of palliative care services

throughout the course of heart failure. These policies should empower nurses to acti-

vate resources in a timely manner and should clearly outline processes for ICD deactiva-

tion. (Critical Care Nurse. 2016;36[6]:24-32)

CE ArtiClECLASS CODE: ART102

TUESDAY

May 23, 2017

Children are at increased risk

for inadequate pain manage-

ment, with age-related fac-

tors typically determining pain man-

agement regimens.1 The challenge

in pain management can include,

but is not limited to, insufficient

knowledge of pediatric pain and

pain pathway development, uncer-

tainty about appropriate dosages of

analgesics in children, and difficulty

assessing both pain and adequacy

of analgesia in children, as well as

adults.2,3 Currently, few published

reports describe investigation of pain

management strategies to improve

pain-related outcomes in children

and adults following cardiothoracic

surgery. The purpose of this study

was to further clarify these existing

knowledge gaps by discussing the

use of patient-controlled analgesia

(PCA) for the management of pain

in poststernotomy cardiac patients

10 years of age through adulthood

in an intensive care unit (ICU) at

a medical university and teaching

hospital in a southeastern city of the

United States.

According to data collected by

Naguib and colleagues,4 PCA is

more effective than traditional

intravenous as-needed dosing

regimens in both older children

and adults. Researchers deter-

mined that if acute postopera-

tive pain is not well managed, a

patient is at risk of forming a “pain

memory” along with experienc-

ing chronic pain, both of which

have long-term physical, psycho-

logical, social, and developmental

consequences.2 The smaller, more

frequent dosing regimen of PCA

leads to fewer adverse effects and

greater consistency in pain con-

trol.4 Staff education is integral to

the implementation of such a pro-

tocol for minimizing patient safety

concerns and optimizing patient

outcomes. Therefore, with appro-

priate preoperative teaching and

encouragement as well as postop-

erative application, PCA can be an

effective means of postoperative

pain relief in the pediatric cardiac

ICU (PCICU) for patients 10 years

of age through adulthood.

A general assessment of cur-

rent practice shows many options

Learning Objectives


1. Identify potential barriers to postoperative pain management in patients 10

years of age through adulthood.

2. Compare the use of as-needed pain medication for postoperative pain to the

use of patient-controlled analgesia.

3. Evaluate the importance of accurate reporting and documenting of pain

scores.

Postoperative Patient-Controlled Analgesia

in the Pediatric Cardiac Intensive Care Unit

Hanna M. Epstein, RN, DNP, CPNP-PC, CHPPN

Reprinted from Critical Care Nurse, February 2017, pp 55-61

1.0 CE, 1.0 CERP, Cat. A

CE/CERP Evaluations

Due June 16Follow the online prompts at www.











print your certificate.

Background High rates of uncontrolled pain in critically ill patients remain

common. Patient-controlled analgesia is more effective than traditional

intravenous as-needed dosing regimens for managing postoperative pain

in older children and adults.

Objective To determine whether pain-related clinical outcomes in patients

from age 10 years to adult following cardiac surgery are improved by using

patient-controlled analgesia as a pain management strategy.

Methods Using the plan-do-study-act method of quality improvement, a

process was instituted to have both staff and patients’ families support the

use of patient-controlled analgesia postoperatively as opposed to tradi-

tional pain control with as-needed analgesics. Use of as-needed medica-

tions and pain scores were retrospectively compared from before to after

initiation of patient-controlled analgesia.

Results The cumulative mean pain score from the time of extubation

through the following 24 hours decreased from 4.14 (on a scale from 0 to

10) when strictly as-needed medications were used to 2.8 with patient-

controlled analgesia. Further, the mean amount of opioid consumed

decreased from 14.98 mg of morphine and 22.27 mg of oxycodone to

13.58 mg of morphine and 3.33 mg of oxycodone after implementation of

patient-controlled analgesia.

Conclusions Standardized use of patient-controlled analgesia for postop-

erative pain management in patients 10 years of age through adulthood is

efficient and effective, as evidenced by less medication being consumed by

patients and lower mean pain scores. (Critical Care Nurse. 2017; 37[1]: 55-61)

WITH INDUSTRY

STANDARDS CHANGING,

DO YOU HAVE THE

RIGHT CONNECTIONS?

Protect Your Patients and Institution with the Dale® ACE (Access Controller for Enteral) Connector®. Original or new ENFit compliant. Only from Dale.

Learn more at dalemed.com or call 800-343-3980.

Dale is a registered trademark of

Dale Medical Products, Inc.

©2017 Dale Medical Products, Inc. All rights reserved.

VISIT DALE AT BOOTH 3141 AND HELP US CONTINUE OUR TRADITION OF SUPPORTING BREAST CANCER RESEARCH.

It Matters that AACN is a com-

munity of exceptional nurses.

And there is no better way of

showing just how much It Mat-

ters than by connecting with our

AACN community at our 2017 Na-

tional Teaching Institute & Critical

Care Exposition.

I’m so happy to be in Houston,

a Texas-sized city with Southern

charm. In addition to being a hub

for healthcare innovation, Houston

is home to a vital food scene, dy-

namic music and arts, vibrant street

culture and colorful attractions.

With 12 acres of parks adjacent to

the convention center and

18 world-class museums

within walking distance of

each other, I think you’ll

agree that Houston is the

perfect backdrop for NTI

2017.

And with education,

excellence and inspiration

aligned with your needs,

I guarantee there will be plenty

to love about this NTI. As always,

you’ll find the best educational

opportunities for you,

your co-workers and

colleagues. But you’ll

also find something

more: a chance to take

part in a week of con-

nection with the AACN

community that will

renew, recharge and

restore you.

So enjoy yourself this week and

show the world that NTI Matters,

because YOU Matter!

NTI attendees love the rich

combination of inspiration,

entertainment and motiva-

tion at SuperSessions. And this year,

a new element has been added to the

mix — magic!

On Monday, AACN President

Clareen Wiencek will inform and

inspire us as she kicks off the week’s

festivities with a look at what she

has learned related to the theme,

“It Matters,” during her presidential

year. As associate professor of nurs-

ing at University of Virginia School

of Nursing and coordinator of the

ACNP program, Wiencek has almost

40 years of experience as a bedside

nurse in critical care, nurse man-

ager, educator and researcher.

Businessman and entrepreneur

Vinh Giang will then take the stage

for a magical keynote about opening

our minds. Giang will lead us on an

unforgettable voyage of new pos-

sibilities through the use of dynamic

storytelling, reflections on the world

of business, remarkable insights into

human psychology, and the wonder-

ful and wondrous art of magic.

The magic will continue when

Jennifer Arnold joins us for Tues-

day’s keynote to share how she

gained a new appreciation for life

after some difficult times, discovering

the importance of being quality-of-

life driven. Board-certified in pediat-

ric and neonatal medicine, Arnold is

medical director of a state-of-the-art

simulation center at Texas Children’s

Hospital. She is featured on TLC’s

docudrama “The Little Couple” and

has appeared on numerous televi-

sion programs, including “Oprah,”

“The Today Show,” “Good Morning

America” and “Dr. Oz.”

The unveiling of the new theme

for the coming year is a

magical moment, and

AACN President-elect

Christine Schulman

will share that magic

with us during her

speech Wednesday

morning. Schulman

is a critical care and

trauma clinical nurse specialist at

Legacy Health in Portland, Oregon.

She will be followed onstage by

graffiti artist, best-selling author,

entrepreneur and philanthropist Erik

Wahl, who will explore innovative

thinking and superior performance

during his keynote. Wahl certainly

knows what he’s talking about: Forbes

magazine calls his book “UNTHINK” a

blueprint for “actionable creativity.”

So plan to attend each magical

moment and all the actionable cre-

ativity at this year’s SuperSessions!

A decade of research and the experience of thousands of nurses all add up to one thing—Healthy Work Environments matter. Have the conversation at your workplace, and share the no-cost AACN Healthy Work Environment Assessment Tool. It matters.

www.aacn.org/sharehwe

InsIdeCE Article 4

Start Your Week With These Monday Sessions 8

Three Ways to Learn, More Ways to Earn CE 9

Sunday7 a.m.-6 p.m.Registration

Sunday/Monday8 a.m.-6 p.m.Resource CenterBookstore Certification Oasis

Monday10-11:30 a.m.Opening supersession

sunday/mOndayat a glanCe

NTI Matters!

The Magic of NTI Unfolds at This Week’s SuperSessions

Clareen WiencekaaCn President

Program and Exhibit UpdatesOr visit www.aacn.org/nti

Canceled, C60M299 Physiology of Wound Repair and Wound Management Choices May 24, 7:30-8:30 a.m.

Time change, EXED274B Bloodstream Infections: Preventing CLABSIs, Tales From the Frontline May 24, 3:15 p.m. Booth 4300

Vinh giang

sunday/mOnday May 21/22, 2017

#NTI2017

17-2428

6900GroveRoad•Thorofare,NJ08086-9447(800)257-8290•(856)848-1000(inNewJerseyoroutsidetheU.S.) Fax: (856) 848-6091

Association Sales ManagerNicole Rutter, [email protected]

Sales AdministratorJoann Campisi, x585 [email protected]

Expand your reach to the show floor and beyond when you advertise in

• The Official NTI Program & ExpoGuide

• NTI Learning Action Journal

• The NTI Welcome Bag

• NTI Voices Conference Daily

• NTI Voices Website

• NTI Voices eNewswires

• The NTI Schedule

• NTI Participant Map

• NTI Exhibit Floorplan & Locators

• Morning Report from NTI

NEWSWIRE

Reducing Hospital-Acquired Pressure Injuries in the OR and ICU

Morning report

from NTI 2016

This Morning Report from NTI 2016 is produced by SLACK Incorporated and is sponsored by Smith & Nephew.

CNE/CERP credits NOT included.

Page 5 a look at pressure injury research

Page 7 Implementing a protocol

Page 9 a five-layered dressing

Page 12 Discussion

INSIDE:

WEBSITE

Gain immediate ACCESS to more than 7,000 nurses at AACN’s NTI 2018

product device pharmaceutical 2018 critical care media …/media/slack-design/media_kits/... ·...

Documents