摘要:

&NA;A comprehensive study of nurse practitioners was undertaken by the University of Virginia Schools of Medicine and Nursing in the summer of 1974 to evaluate nurse practitioner training programs of the University of Virginia and to determine the effectiveness and responsibilities of nurse practitioners in various practice settings. Data on nurse practitioners in a number of locations in Virginia and in the Philadelphia metropolitan area were collected and analyzed to determine the way in which the nurse practitioners' time was allocated among various duties and to evaluate nurse practitioner performance by physicians and patients. Nurse practitioners performed a wide variety of clinical and nonclinical tasks. Most physicians were satisfied with the practitioner's performance, although there was some inconsistency between physicians and nurse practitioners regarding actual duties performed. A high percentage of physicians stated they would hire a nurse practitioner to replace one who left their employ. Physicians' reasons for hiring a nurse practitioner, as well as their previous contact with such personnel, were examined. Regarding patient attitudes toward nurse practitioners, data indicated that patients were satisfied with nurse practitioners and felt comfortable being treated by them.

ISSN:0029-6562    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;Nurses, among other professionals, have been tested extensively using the Edwards Personal Preference Schedule. High scoring needs found in previous studies were order, deference, and endurance. In this study, questions focused on whether these needs remained prominent in a group of nurses, whether there were shifts in the need patterns over time, and how the nurses' needs compared with the needs of physicians. In this study 127 graduate nurses enrolled in a medical nurse practitioner program and 31 physician colleagues completed the EPPS. The rank order of needs among nurses was strikingly different from those collected in previous samples. Need for heterosexuality, dominance, intraception, change, and achievement consistently appeared highest since 1973, whereas need for deference, order, and endurance scored consistently among the lowest six needs. The rank‐order correlation between nurses and physicians in this sample, all of whom were working in primary care settings, was high (r = .9). Only one of the 15 needs, intraception, differed significantly between the nurse and the physician groups, the nurses scoring higher. The shift in needs of the nurses and the high similarity of needs of the nurse and physician groups suggest an emerging assertiveness on the part of the nurses and a trend toward similarity of need patterns with physicians practicing in primary care.

ISSN:0029-6562    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;To test the effect of different negative pressures on tracheobronchial trauma in the presence of simulated mucus, measured amounts of simulated mucus were injected into the trachea of two anesthetized mongrel dogs. Suctioning was performed using a different negative pressure for each animal. To identify the effects of negative pressure alone, endotracheal tube size, suction catheter type, suction duration, and suction procedure were identical for both dogs and were selected on the basis of current practices at the hospital with which the investigator was affiliated. Arterial pressure and electrocardiogram were monitored throughout each experiment. The trachea was excised and examined for pathologic changes. Tracheobronchial trauma occurred with suctioning at negative pressures of 100 mm Hg and 200 mm Hg; damage was greater, however, at 200 mg Hg. Results were consistent with postulates made by other investigators in that the extent of tracheobronchial trauma was directly related to the magnitude of negative pressure applied. Comparison of this study with studies which omitted mucus simulation suggests that the amount of damage is not related to the amount of mucus in the trachea. In addition, aspiration efficiency proved to be the same regardless of the negative pressure used. Suctioning at 200 mg Hg recovered approximately the same amount of mucus as suctioning at 100 mm Hg.

ISSN:0029-6562    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;This column is devoted to discussions on various aspects of research. The Editor invites questions from readers to be answered by experts on the subject.

ISSN:0029-6562    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1978

数据来源: OVID