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Sponsored AI Networking Cookbook: Practical recipes for AI-assisted network automation and development AI Networking Cookbook: Practical recipes for AI-assisted network automation and development

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Brandi Vanderspank-Wright

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Review Jul 2026

Canadian Critical Care Nursing Standards Revision Part 1: A Scoping Review

Background & Purpose: Critical care nursing demands high professional standards to safeguard patient outcomes. The Canadian Association of Critical Care Nurses (CACCN) publishes national standards to define and guide the practice of Canadian critical care nurses (CCNs). To ensure credibility, transparency, and methodological rigor in revising these standards, this scoping review was conducted as the first phase of a standardized protocol to inform the sixth edition of CACCN’s Standards for Critical Care Nursing Practice. Methods & Procedures: Guided by the JBI methodology for scoping reviews, the research protocol was developed a priori and executed across Medline, CINAHL, and Nursing & Allied Health databases. Peer-reviewed articles and grey literature from 2017–2022 were screened using Covidence software in a two-stage process by independent reviewers. Grey literature was sourced through targeted searches of critical care associations globally. Inclusion criteria required documents to contain published or public-facing standards related to critical care nursing practice. Results: The review included 15 sources: 5 peer-reviewed studies and 10 grey literature documents. Standards were identified from 12 countries and federations. Key topics varied widely, encompassing educational requirements, ethical practice, clinical competencies, advocacy, leadership, communication, staffing, and safety. Most sources described the frameworks used to develop their standards. Discussion: Results revealed variation across regions, highlighting the lack of a universal framework. This variation underscores the need for standardized methodologies to ensure consistency in CCN practice. Conclusion: This review lays the foundation for evidence-based revision of CACCN’s standards and supports the development of a structured approach to future updates. Keywords: critical care nursing, practice standards, scoping review, evidence-based practice

Sarah Crowe, Brandi Vanderspank-Wright, A. Ross‐White · 0 citations
Review Jul 2026

Revising the Canadian Standards of Critical Care Nursing Practice 6th Edition: Part 2 – A Modified Delphi Process

Background: The Canadian Association of Critical Care Nurses (CACCN) establishes the national standards of practice, to guide safe, competent, and evidence-informed critical care nursing practice, which are reviewed regularly to ensure they remain current and responsive to emerging evidence. Previous revisions lacked a standardized methodology, prompting this study to employ a Modified Delphi process to revise the Standards for Critical Care Nursing Practice (6th edition). Methods: An expert panel of Canadian critical care nurses (≥5 years’ experience) was recruited to ensure representation across provinces, care settings, and patient populations. Three Delphi rounds, with a fourth for peer review, were conducted using secure online surveys. The overarching standard of practice statements along with sub-standard statements included were generated from a previously conducted scoping review. Standards and sub-statements were rated on a 5-point Likert scale, with consensus defined a priori as ≥75%. Results: Attrition occurred across rounds, but consensus was achieved on eight overarching standards and 42 sub-statements, emphasizing accountability, evidence-informed practice, ethical care, leadership, collaboration, specialized education, and high-quality care across the illness trajectory. Protocol deviations, including stricter inclusion criteria for later rounds, were implemented to maintain rigour. Conclusion: This structured, reproducible approach strengthens the validity of the revised standards and provides a framework for future updates. The findings underscore the importance of systematic, collaborative processes in defining national practice standards for critical care nursing in Canada.

Brandi Vanderspank-Wright, Sarah Crowe · 0 citations

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