摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The concept of patient-focused care continues to gain popularity in health care delivery throughout the United States. In an effort to compete more effectively in today's market, health care institutions have adopted strategies from industry to control rising costs. WOC nurses in every practice setting are feeling the effects of one such strategy, patient-focused care. The purpose of this article is to describe basic concepts of patient-focused care, a redesign technique that was born out of continuous quality improvement, and to present strategies tailored to strengthen WOC nursing practice in this changing and challenging environment.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The case of a young man with a chronic, resistant, and unpredictable wound is described. The wound is believed to have been caused by the bite of a brown recluse spider. This article presents a brief overview of the potential sequelae of brown recluse spider bite and a pictorial review of this young man's wound during a 22-month period.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

PurposeThe application of sterile and clean procedure to the practice of wound care nursing was examined.DesignThis prospective, descriptive study surveyed staff nurses regarding glove use.Subjects and SettingSeven hundred forty-three staff nurses from five health care agencies in the San Francisco Bay Area responded to the survey.InstrumentsA self-report wound care survey instrument was developed by Nursing Consortium for Research and Practice members from information adapted from the wound care literature. The questionnaire comprised 31 questions and required approximately 10 minutes to complete.MethodsNursing Consortium for Research and Practice members obtained approval from their respective institutional human subjects committees and distributed questionnaires among all nurses engaged in direct care. Some agency representatives personally handed the survey instruments to subjects, but most distributed them through their agencies' personnel mailing systems.ResultsSeven hundred twenty-three (38%) of 1900 questionnaires were completed and returned to the five site coordinators. Differences were found between acute care and home health nurses. Acute care nurses were more likely than home care nurses to use sterile gloves in all wound care situations.ConclusionGreater variation was found with regard to sterile technique in wound care practice than in previously reported studies. Although patient risk factors and wound type significantly influenced the choice of sterile or clean gloves, additional environmental and personal factors exerted considerable influence. These included health care setting, degree of professional education, and nurses' experiential background. Attempts to modify practice through policy change alone may not be sufficient to overcome resistance to change. Instead, it may be necessary for nurses to “unlearn” lessons from basic nursing education before they can adapt to new practices and clinical policies.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

ObjectiveThe pregnancy, labor, and delivery experiences of women with ostomies are described.DesignPatient survey.Settings and subjectsDistribution of surveys to women with these experiences: patients of the Cleveland Clinic Foundation, referrals by networking of ET nurses, and distribution of surveys at a national conference of the United Ostomy Association and through local ostomy associations.InstrumentA 12-point questionnaire was adapted for each type of diversion: ileostomy, urostomy, continent ileostomy, colostomy, and pelvic reservoir.MethodThe survey was distributed to attendees at a national United Ostomy Association conference and local United Ostomy Association meetings. Surveys were distributed to other ET nurses in the mideastern United States region and to qualified patients at Cleveland Clinic Foundation.Main outcome measureThe subjective experiences of pregnancy, labor, and delivery of women with ostomies are described.ResultsSeventy-five questionnaires were distributed and 54 women responded. Eight women (15%) had fertility problems. Stoma-related problems during the second or third trimester were reported by 68.5%. Most problems were corrected without medical intervention.ConclusionsThe presence of an ostomy should not be a deterrent to successful pregnancy and delivery.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

ObjectiveThe participation of older rural women and their caregivers in a pilot research study on behavioral management interventions for urinary incontinence is described.DesignA quasiexperimental design was used.Setting and SubjectsWomen 55 years old and older and living in a rural county in North Florida who had episodes of urinary incontinence twice or more per week were included. Outreach was directed at two groups of elders with incontinence, those who were functioning independently and those who were frail and dependent on caregivers for assistance with activities of daily living.MethodsBehavioral management of continence comprised three techniques for the management of urinary incontinence: self-monitoring, scheduling regimens, and pelvic muscle exercise with biofeedback.Main Outcome MeasuresThe main outcome measures were episodes of urine loss and amount (in grams) of urine loss with time, determined with a weighed pad test.ResultsBehavioral management of continence resulted in significant decrease in urinary incontinence; decreases in frequency and volume of urine loss were found among all study participants when data were analyzed.ConclusionsAlthough behavioral management of continence was effective in reducing incontinence among independent, community-dwelling elderly women, there was a marked lack of response to this project by frail elders and their caregivers. The same barriers to implementing time-intensive behavioral management interventions among frail elders in long-term care facilities may operate in the home setting.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Options in Practice presents different management approaches to the same clinical situation. You are invited to submit a brief case description, including the specialty nursing care provided, and several glossy, color photographs of the clinical situation. The case material will then be sent to another wound, skin, ostomy, or continence care clinician, who will also address management concerns. Alternative solutions to difficult wound, skin, ostomy, or incontinence clinical situations will be published.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1997

数据来源: OVID