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Results: 1 to 8 of 8

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Environmental noise sources and interventions to minimize them: a tale of 2 hospitals.
Dube JA, Barth MM, Cmiel CA, Cutshall SM, Olson SM, Sulla SJ, Nesbitt JC, Sobczak SC, Holland DE
(2008) J Nurs Care Qual 23: 216-24; quiz 225-6
MeSH Terms: Attitude of Health Personnel, Attitude to Health, Data Collection, Environmental Monitoring, Health Facility Environment, Hospital Communication Systems, Humans, Inpatients, Minnesota, Needs Assessment, Noise, Nursing Evaluation Research, Nursing Methodology Research, Nursing Staff, Hospital, Outcome and Process Assessment, Health Care, Program Evaluation, Qualitative Research, Risk Assessment, Risk Factors, Sound Spectrography, Time Factors, Total Quality Management
Show Abstract · Added March 5, 2014
Noise has been shown to interfere with the healing process and can disrupt the patient's experience. This study assessed patients' and staff's perceptions of noise levels and sources in the hospital environment and identified interventions to reduce the noise level. The interventions significantly reduced noise as perceived by patients and staff. Identification of a structured process to identify noise sources and standardization of noise measurement methods can improve the patient hospital experience.
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22 MeSH Terms
The who and why's of side rail use.
Minnick AF, Mion LC, Johnson ME, Catrambone C, Leipzig R
(2008) Nurs Manage 39: 36-44
MeSH Terms: Attitude of Health Personnel, Beds, Benchmarking, Confusion, Equipment Design, Equipment Failure, Humans, Motivation, Nurse Administrators, Nurse's Role, Nursing Evaluation Research, Nursing Methodology Research, Nursing Staff, Hospital, Organizational Policy, Restraint, Physical, Risk Factors, Safety Management, Surveys and Questionnaires, Total Quality Management, United States, Wounds and Injuries
Added January 20, 2015
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21 MeSH Terms
Prevalence and variation of physical restraint use in acute care settings in the US.
Minnick AF, Mion LC, Johnson ME, Catrambone C, Leipzig R
(2007) J Nurs Scholarsh 39: 30-7
MeSH Terms: Acute Disease, Attitude of Health Personnel, Benchmarking, Forecasting, Health Knowledge, Attitudes, Practice, Health Policy, Health Services Needs and Demand, Health Services Research, Hospitals, Urban, Humans, Length of Stay, Motivation, Nursing Assessment, Nursing Evaluation Research, Nursing Staff, Hospital, Prevalence, Restraint, Physical, Risk Assessment, Risk Factors, Time Factors, Total Quality Management, United States
Show Abstract · Added January 20, 2015
PURPOSE - To describe physical restraint (PR) rates and contexts in U.S. hospitals.
DESIGN - This 2003-2005 descriptive study was done to measure PR prevalence and contexts (census, gender, age, ventilation status, PR type, and rationale) at 40 randomly selected acute care hospitals in six U.S. metropolitan areas. All units except psychiatric, emergency, operative, obstetric, and long-term care were included.
METHODS - On 18 randomly selected days between 0500 and 0700 (5:00 am and 7:00 am), data collectors determined PR use and contexts via observation and nurse report.
FINDINGS - PR prevalence was 50 per 1,000 patient days (based on 155,412 patient days). Preventing disruption of therapy was the chief reason cited. PR rates varied by unit type, with adult ICU rates the highest obtained. Intra- and interinstitutional variation was as high as 10-fold. Ventilator use was strongly associated with PR use. Elderly patients were over-represented among the physically restrained on some units (e.g., medical) but on many unit types (including most ICUs) their PR use was consistent with those of other adults.
CONCLUSIONS - Wide rate variation indicates the need to examine administratively mediated variables and the promotion of unit-based improvement efforts. Anesthetic and sedation practices have contributed to high variation in ICU PR rates. Determining the types of units to target to achieve improvements in care of older adults requires study of PR sequelae rate by unit type.
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22 MeSH Terms
Examination of factors that lead to complications for new home parenteral nutrition patients.
de Burgoa LJ, Seidner D, Hamilton C, Stafford J, Steiger E
(2006) J Infus Nurs 29: 74-80
MeSH Terms: Adult, Clinical Competence, Equipment Failure, Female, Health Services Needs and Demand, Humans, Male, Medical Errors, Middle Aged, Nursing Evaluation Research, Ohio, Outcome Assessment, Health Care, Parenteral Nutrition, Home, Patient Care Team, Patient Education as Topic, Patient Readmission, Patient Selection, Prevalence, Prospective Studies, Risk Factors, Severity of Illness Index, Total Quality Management, Treatment Refusal
Show Abstract · Added September 30, 2015
Home parenteral nutrition carries a risk of infectious, metabolic, and mechanical complications that cause significant morbidity and mortality. This study investigated the incidence and the causative factors of these complications that occur within the first 90 days after discharge from the hospital to home. Data were prospectively collected and analyzed for 97 adult patients. A complication developed in one third of the patients, and the majority required rehospitalization. Infectious complications were the most prevalent, followed by mechanical and then metabolic complications. The authors describe their methods of collecting data in a quantifiable manner with the ultimate goal of improving patient outcomes.
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23 MeSH Terms
Chronic blood transfusion therapy practices to treat strokes in children with sickle cell disease.
Lindsey T, Watts-Tate N, Southwood E, Routhieaux J, Beatty J, Diane C, Phillips M, Lea G, Brown E, DeBaun MR
(2005) J Am Acad Nurse Pract 17: 277-82
MeSH Terms: Anemia, Sickle Cell, Attitude of Health Personnel, Blood Transfusion, Child, Chronic Disease, Cytapheresis, Evidence-Based Medicine, Exchange Transfusion, Whole Blood, Health Services Needs and Demand, Humans, Long-Term Care, Nurse Practitioners, Nursing Evaluation Research, Nursing Methodology Research, Nursing Staff, Hospital, Pediatric Nursing, Practice Guidelines as Topic, Stroke, Surveys and Questionnaires, Time Factors, Total Quality Management, Transfusion Reaction, Washington
Show Abstract · Added November 27, 2013
PURPOSE - To identify variations in practices used by nurses for pediatric patients with sickle cell disease (SCD) receiving chronic blood transfusion therapy for strokes.
DATA SOURCES - Descriptive study of a convenience sample of 11 nurses who care for children with SCD from nine institutions completed a closed-ended questionnaire consisting of 37 items. Responses reflected practice experience with a total of 189 transfused patients with SCD.
CONCLUSIONS - A wide range of nursing practices exists for blood transfusion therapy for children with SCD and strokes. Manual partial exchange transfusion (66%) was the most commonly used method for blood transfusion in children with strokes reported among the nurses surveyed. Simple transfusions and erythrocytapheresis account for 21% and 13% of the practices reported. Opportunities exist to establish evidence-based nursing care guidelines to improve the care of children with strokes receiving blood transfusion therapy.
IMPLICATIONS FOR PRACTICE - A wide range of local standard care guidelines for blood transfusion therapy exists. The results of this survey indicate that partial manual exchange transfusion is the most commonly used method of chronic blood transfusion therapy in children with SCD and stroke despite the fact that the magnitude of benefit in comparison with simple transfusion has not been established. Factors such as peripheral venous access, compliance with current chelation regimen, and the presence of antibodies are important considerations in the choice of method.
1 Communities
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23 MeSH Terms
A comparison of two methods of assessing disease activity in the joints.
Dwyer KA, Coty MB, Smith CA, Dulemba S, Wallston KA
(2001) Nurs Res 50: 214-21
MeSH Terms: Activities of Daily Living, Arthritis, Rheumatoid, Female, Humans, Male, Middle Aged, Nursing Assessment, Nursing Evaluation Research, Pain, Pain Measurement, Physical Examination, Predictive Value of Tests, Severity of Illness Index, Surveys and Questionnaires
Show Abstract · Added July 28, 2015
BACKGROUND - Considerable debate has occurred concerning the utility of different methods of obtaining joint counts and their usefulness in predicting outcomes in persons with rheumatoid arthritis.
OBJECTIVE - The purpose of this study was to compare two methods of assessing disease activity in the joints (clinician joint count, self-reported joint count), and to compare their relative utility in predicting two methods of assessing outcomes (self-reported ratings of impairment and pain, objective performance index) with and without controlling for negative affectivity.
METHOD - Data for this study were obtained during home visits from 185 persons diagnosed with rheumatoid arthritis. Individuals completed a series of self-report measures including the joint count. Trained research assistants completed a 28-joint count and timed participants on a series of measured performance activities (e.g., grip strength, pinch strength, walk time).
RESULTS - The self-report joint count was highly correlated with the clinician joint count and also accounted for as much, if not more, variance in the subjective outcome measures than did clinician assessments. Both types of indicators predicted unique variance in the objective performance index.
CONCLUSIONS - For most research purposes, measures such as self-report joint counts have sufficient validity to be used in place of more costly clinician assessment of joint counts.
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14 MeSH Terms
The impact of computerized documentation on nurses' use of time.
Pabst MK, Scherubel JC, Minnick AF
(1996) Comput Nurs 14: 25-30
MeSH Terms: Efficiency, Organizational, Humans, Nursing Evaluation Research, Nursing Records, Point-of-Care Systems, Task Performance and Analysis, Time Management, Time and Motion Studies, Workload
Show Abstract · Added January 20, 2015
With increased consideration being given to technological supports as a way to increase productivity, much attention is being paid to automated documentation systems. The purpose of this study was to determine (A) if bedside documentation technology decreased the time nurses spent in documentation activities and (B) if time of day, location, and quality of documentation differed between automated and nonautomated units. Nurses on the automated unit were able to decrease time spent in documentation activities and they were able to increase time spent in direct patient care. Some increase in standby time also was reported. Nurses were not able to increase patient loads as a result of this technology alone. Managers must consider ways to maximize use of time saved as a result of technology. Nurses on the automated unit were able to update care plans more easily and, along with other professionals, reported both positive and negative aspects of the printed output.
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9 MeSH Terms
Intravenous immunoglobulin administration: an evaluation of vital sign monitoring.
Camp-Sorrell D, Wujcik D
(1994) Oncol Nurs Forum 21: 531-5
MeSH Terms: Adolescent, Adult, Bone Marrow Transplantation, Clinical Protocols, Drug Hypersensitivity, Female, Humans, Immunoglobulins, Intravenous, Male, Middle Aged, Monitoring, Physiologic, Nursing Assessment, Nursing Audit, Nursing Evaluation Research, Retrospective Studies, Time Factors, Workload
Show Abstract · Added March 27, 2014
PURPOSE/OBJECTIVES - To determine if adverse reactions to IV immunoglobulin G (IVIG) were being detected by nurses and frequent vital sign monitoring.
DESIGN - Retrospective chart review.
SETTING - Bone marrow transplant (BMT), medical oncology, and pediatric units and the outpatient clinic of a 720-bed hospital in middle Tennessee.
SAMPLE - 62 charts of patients undergoing BMT who had received IVIG. METHODS/MAIN RESEARCH VARIABLES: Charts were reviewed for patient demographics, number and type of IVIG infusion, incidence of adverse reactions, and related information.
FINDINGS - Nine reactions were documented out of 731 separate infusions. Only three reactions could be linked directly to IVIG infusion. Of the nine reactions, only four were detected by nursing personnel during vital sign monitoring.
CONCLUSIONS - Nursing time devoted to frequent vital sign assessment does not seem to be warranted. Protocol for administration and monitoring of IVIG at this institution was changed to reflect these findings.
IMPLICATIONS FOR NURSING PRACTICE - Frequent vital sign monitoring is advised for the initial IVIG dose. If no adverse reactions occur, only baseline vital sign monitoring is advised for subsequent infusions. Patients are taught to recognize and report symptoms of adverse reactions.
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17 MeSH Terms