Clinical Pearls is designed to help implement evidence-based care at the bedside by summarizing some of the most clinically useful material from select articles in each issue. Readers are encouraged to photocopy this ready-to-post page and share it with colleagues. Please be advised, however, that any substantive change in patient care protocols should be carefully reviewed and approved by the policy-setting authorities at your institution.Can psychological empowerment ameliorate moral distress for critical care nurses caring for patients at end of life (EOL)? Browning examined the relationship between moral distress and empowerment by conducting a cross-sectional survey of 277 critical care nurses. Moral distress results from internal conflict related to ethical dilemmas, preventing the course of action believed to be right. Psychological empowerment is gaining mastery of a person’s affairs and believing you are empowered to create change. Her results indicated the following:—Alethea Sment, RN, BSN, CCRN-CSCStroke is a leading cause of death in the United States. Newer anticoagulation agents have been developed, and dabigatran is one of the newest direct thrombin inhibitors being used to prevent stroke in patients with nonvalvular atrial fibrillation. Javedani and colleagues review issues in caring for a patient who had an acute ischemic stroke while taking dabigatran. They highlight the following:—Helen Miley, RN, PhD, CCRN, ANCP, GNPChest physiotherapy (CPT) or high-frequency chest wall oscillation (HFCWO) may be recommended to facilitate clearance of secretions for patients who have received a lung transplant. Esguerra-Gonzalez and colleagues examined patient preference and pain perception of these 2 therapies in 45 lung transplant recipients (both single [SLT] and bilateral [BLT]) at 10 AM and 6 PM. Overall, they found the following:Clinicians should recognize the importance of including patient preferences in the evaluation of methods for secretions clearance.—Elisabeth George, RN, PhDHospitals continue to fight against hospital-acquired infections, including the most common, catheter-associated urinary tract infections (CAUTIs). In a clinical trial done by Chen and colleagues, patients with urinary catheters were randomized for use of a criteria-based reminder for catheter removal or to have no reminder. They found the following:—Karen A. McQuillan, RN, MS, CNS-BC, CCRN, CNRN