ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The use of physical restraints in the nursing care of older persons is a controversial intervention. Consumer groups and regulatory bodies have issued statements and guidelines that call into question the use of restraints in all but the most extreme situations. This article reviews the changing perspectives on restraint use, including the growing body of research that documents the untoward effects of physical restraints. Alternatives to restraint use are discussed in relation to three broad areas: changing entrenched attitudes and beliefs, conducting thorough and frequent patient assessments, and planning interventions that anticipate events and behaviors and avoid problems that may lead to restraint use.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Older patients are at high risk for developing acute confusion while hospitalized with an associated increased risk of morbidity and mortality. Causes for acute confusion include physiologic, psychosocial, and environmental alterations. Often not recognized by nurses, acute confusion needs to be differentiated from depression and dementia. Nursing assessment of acute confusion should include baseline data on cognition, behavior, and functional status. Standard, routine, and systematic assessments of cognition, behavior, and functional status need to be ongoing during hospitalization if nurses are to identify and manage acute confusion in hospitalized older patients.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Research has been an integral component of the mission of the National Association of Orthopaedic Nurses. Operationalization of this component of the mission has included a national research committee, funding of research grants, offering of educational sessions that highlight research methodology as well as research findings, and the formalization of a research editor position within Orthopaedic Nursing. The National Center for Nursing Research has recognized that the individual specialty nursing organizations have a role to play in determining priorities for that specialty. Consequently, NAON has been queried as to its research emphasis. This article presents the study conducted by NAON's Research Committee to determine research priorities within orthopaedic nursing.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

In October 1991, I visited Russia, Hungary, and Czechoslovakia as a member of a delegation of orthopaedic nurses. The 30 delegates were assembled under the Citizen Ambassador Program of People to People International. Our focus was a sharing of information about orthopaedic nursing practice and the cultural influences related to health care practice. This article reflects my experiences and observations in St. Petersburg and Moscow as far as the facilities visited, patient population, nursing management, treatment modalities, equipment, ancillary departments, nurses' educational preparation, and the nurses' roles within the health care system.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

This comparative descriptive study, an extension of previous research on adult males with chronic low back pain, investigated perceived body space (PBS) and self esteem in adult females with chronic low back pain (CLBP). Findings were compared to adult males with CLBP and adult female populations without acute or chronic health conditions. Results indicated that no significant difference existed between adult females and males with CLBP regarding PBS and self-esteem. Additional analyses indicated that PBS in adult females with CLBP was significantly different from several groups of "healthy" adult females. Ancillary findings indicated that adult females with CLBP were significantly more depressed than adult males with CLBP.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The last decade of health care in America has been characterized by elements that converged to mandate the need for restructuring health care delivery, which included rising costs, the prospective payment system, consumer expectations, patient care monitoring, the quality movement, and the nursing shortage. This changing environment has resulted in an array of nursing care delivery models to restructure care to assure quality of care, patient satisfaction, and cost containment. Some of the models include paired practice, case management, patient-focused care, cross-training, and product line management. To meet the challenges of future health care delivery, nurses need to be aware of predicted future trends: decreasing specialization of health care personnel, flexibility of the traditional nursing role, increased community- based care, and expanded roles for nurses.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Traction is a treatment modality used for the reduction or immobilization of fractures or dislocations. It is used to maintain alignment, decrease muscle spasms, relieve pain, correct, lessen or prevent deformities, expand joint spaces prior to surgery, promote rest to diseased or injured body parts and to promote exercise. Nurses need a working knowledge of the various types of traction along with its rationale, correct setup, and maintenance. They must become familiar with potential complications and use nursing diagnoses to work with patients to strive to achieve expected patient outcomes.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Patients are asked to give informed consent for both treatment and research protocols. Yet, is their consent really informed? This article focuses on the information component of informed consent. The author discusses informed consent as it relates to the ethical principle of respect for autonomy, presents nurses' perceptions of informed consent, and makes several recommendations that nurses can use to ensure that consent is informed.

ISSN:0744-6020    

出版商:OVID    

年代:1994

数据来源: OVID