This issue of Critical Care Nursing Quarterly is a collection of important works about pharmacological therapy, nurse decision-making, and innovations. The opening work by Martin and colleagues tackles the tough decisions about therapy for Clostridium difficile infections. Foertsch and associates outline the pharmacotherapeutic approach to alcohol withdrawal syndrome. Nursing considerations regarding the use of neuromuscular blocking agents are discussed by Blauvelt while Fowler explains delirium screening and why nurses may be reluctant to incorporate this element into their planning and care routines. Malek and Chen share their interesting perspectives on spurious laboratory values in patients with leukocytosis.

Hamilton is an architectural expert in intensive care unit (ICU) design and is dedicated to improving nurse efficiency. In his contribution, he explores repetitive nurse movement patterns in patient rooms with headwalls. Warren and Spiegel share their views on the value of online education for critical care nurses and include how to plan and implement a successful curriculum.

Commisso and Lim suggest lifestyle modifications of value to older patients with chronic gastrointestinal reflux. Younis, Hayajneh, and Batiha have contributed an important literature review on the subject on nonpharmacological management of sleep disturbances in the ICU. Sousa and Santos, Portuguese nurses, share their experience in managing symptoms of heart failure and preventing readmissions. Okhovati, Esmaeili, and Shariati offer a report of their work aimed at empowering nurses to determine pressure ulcer classifications. Hellyar and colleagues provide helpful insights for decreasing burnout and improving teamwork, nurse satisfaction, and patient safety. Valiee and other nurses from Iran outline practices related to physical restraint uses in their ICUs. Finally, Lee et al contribute their study findings on pressure ulcer prevention by the use of silicone dressings.

This diverse range of topics has something to offer each of our readers. The inclusion of several works by nurse authors from the international community helps us to appreciate the similarities and differences in ICU care in various areas of the world.

-Carmen Warner, MSN, RN, MDiv, FAAN

Issue Editor