ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A qualitative study of the career mobllity of ET nurses in the United States was conducted. Self-report questionnaires and demographic data sheets were mailed to a sample of 117 ET nurses, and the return response was 54.3%. Members of the study sample ranged in age from 29 to SB years, and the range of duration of practice as an ET nurse was 1.5 to 18 years. The current positions of the respondents varied from staff nurse in a non-ET nurse role to director of marketing or education for manufacturers of wound, ostomy, and Incontinence products. Practice sites were evenly distributed between Industry and clinical. Analysis of self-report questionnaires and telephone Interviews identified 30 themes, which were reassessed for similarities and condensed to eight themes. These Include consequences of the experience of being an ET nurse, precipitating event that resulted in a career change, ET nursing as a demarcation in practice, perception as currently practicing as an ET nurse, career mobility, feelings regarding ET nursing experiences, self-directedness in professional growth, and trajectory from clinical nursing to the business world

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The 1980s were a time of growth and opportunity for hospital-based specialty programs. ET nurses developed a variety of highly valued clinics and services. Because of current trends toward downsizing, otherwise strong programs and services are undergoing unusual scrutiny. The purpose of this article is to offer the ET nurse ideas for strengthening hospital-based specialty programs through a marketing approach.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Skin care for the high-risk neonate requires both knowledge of the unique aspects of the physiology of the integument of the neonate and awareness of potential complications. Practices that are useful in the prevention and treatment of skin complications among adults may be harmful when applied to neonates or young children. Although the focus of this article is on the neonate, iatrogenic complications have been reported in older children as well. Because a definitive age at which percutaneous absorption is no longer a risk is not known, it is best to err on the side of conservatism and apply these principles of neonatal skin care to the pediatric population at large.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Critical pathways are effective tools to coordinate care, decrease length of stay, and Increase communication among health careglvers. This article presents a critical pathway for pressure ulcer management. The pathway Is designed for use In a variety of settings, Including acute care, home care, and extended care, to monitor and describe wound status and treatment regimens.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Soap and water and a no-rinse cleanser, with and without a moisture barrier, were examined for their effects as cleansing regimens on the perineal skin of 10 older female residents of an extended care facility. Each cleansing regimen was used for 3 weeks, with two weekly measurements obtained for erythema, pH, and transepidermal water loss. Results indicated that soap and water was the least efficacious regimen unless used with a moisture barrier. The norinse cleanser was better than soap and water in terms of skin effects and cost savings. The findings suggest that a norinse cleanser in conjunction with a moisture barrier is a more skin-preserving and cost-effective incontinence care cleansing regimen than soap and water for older female nursing home residents with Incontinence.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The three aims of the study were (1) to assess the Impact and cost of urinary Incontinence In long-term care, (2) to determine whether 24-hour Incontinence monitoring provides Information that Improves management, and (3) to ascertain whether costs (nursing time and laundry) could be reduced. The setting was two 24-bed long-term care units in an urban hospital. The research was conducted in three stages. During the initial stage, the Impact of Incontinence was measured on each unit. Impact was defined as total number of incontinent episodes, nursing time spent changing these patients, and laundry costs, measured during a 7-day period on each unit. After this phase of the investigation, individualized 24-hour incontinence monitoring, followed by recommendations and implementation of care plan, was carried out on one unit. No monitoring or recommendations for care were completed on the other unit, which served as a control. During the third phase of the study, the number of incontinent episodes, nursing time, and laundry costs were again measured on both units. Initially (58%) of residents (24/48) were Incontinent, representing 859 episodes of urinary leakage each week that required 45 hours of nursing time to change cloth- Ing, containment devices, and bed linens. The direct costs of the nursing time and laundry, expressed in Canadian dollars were $8.60/day per incontinent resident. After 24-hour monitoring of 10 residents on one unit, suggestions were made for various incontinence management programs. An unexpected but simple recommendation was a change to a better containment system for urinary leakage. When impact was measured, a 13% reduction In the number of incontinent episodes was found. Despite additional costs related to the change In incontinent briefs for containment, overall savings were found because of reduced laundry expenses. The residents' quality of life was improved by containment of urinary leakage without an increase in costs.

ISSN:1071-5754    

出版商:OVID    

年代:1995

数据来源: OVID