ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Credentialing and privileging are increasingly common administrative processes that advanced practice nurses must complete. With the intention of assuring the public of safe health care provided by qualified personnel, several federal end slate organizalions have developed criteria that licensed practitioners must meet. Managed care organizations are also creating credentialing and privileging guidelines for practitioners who are applying to their provider panels. Understanding the requirements of these processes is essential to advanced practice nurses establishing themselves in practice. This article explains tho guidelines from federal, state, and Institutional agencies and offers recornrnendations to practitioners as they prepare for the credentialing process. Also included are sample forms for establishing a practice agreement and a privilege- delineation request.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Advanced practice nurses (APNs) seeking employment are often presented with employment practice agreements, A collaborative practice agreement Is a written statement that defines the joint practice ol a physician and an APN In a collaborative and complementary working relationship. It provides a, mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved. All APNs, regardless of practice setting, should be knowledgeable about aspects of a collaborative practice agreement before they sign one. The purposes of this article are to delineate basic guidelines for evaluating and developing a collaborative practice agreement and to identify areas of special concern for APNs.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

In most States, the role of an advanced practice nurse is dependent on practice protocols that provide art organized method for analyzing and managing a disease or major symptom. They are also used tn control the process of medical care and to specify steps in the delivery of that care. Creating appropriate practice protocols is one of the most important precursors to implementing the advanced practice role, because they virtually drive the clinician's ability to treat or manage clinical situations or disease states.This article outlines the steps involved in developing practice protocols and discusses the content that should be included in a protocol providing an example of narrative and algorithm format protocols. Pros and cons, as well as legal issues related to practice protocols, are also presented.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The measurement of outcomes has become an important component of evaluating health care. Although it is clear that measuring outcomes is necessary to establish the effectiveness of advanced practicing nursing, which outcome measures to use and how to conduct an effective outcomes assessment remain unclear. The purpose af this article is to present an overview of advanced practice nursing outcomes research, review outcome measures important to advanced practice nurses (APNs), and discuss sources of outcome measures and instruments that can be used by APNs to establish the effectiveness of the role.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Thoracic electrical bioimpedance is a technology that converts changes in thoracic impadance to changes in volume over time. In this manner, it is used to track volumetric changes such as those occurring during the cardiac cycle. These measurement, which are gathered noninvasively and continuously, have become more sophisticated and more accurate with the development of data signal processing and improved mathematical algorithms. This technology, first used in the 1960s, has benefited from the advent of the microprocessor and the better understanding of the cardiac cycle, thanks to technology such as echocardiography end magnetic resonance imaging. Today, noninvasive methods of measuring of cardiac output are coming into clinical use on of larger scale than ever before and are compared with other methods such as thermodilution and the direct and indirect Fick methods.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Thoracic electrical bioimpedance (TEB) is a harmless, noninvasive, user-friendly technology with wide patient acceptance. Stroke volume (SV) determination is important because it helps to define oxygen transport. Measurement of SV by TEB la rooted in concrete, basic electrical theory, as well as in theoretical models of electrical behavior of the human thorax and great thoracic vessels. This article is concerned with basic electrical theory as applied lo TEB, signal acquisition, and the origin of the thoracic cardiogenie impedance pulse (Z).The appendix or the chapter features a more extensive overview of alternating current theory as applied to electrical bioimpedance.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Because of clinical utility, immediate feedback, absence of risk to the patient, portability, and use in virtually any practice setting, facilities using thoracic electrical bioimpedance monitoring are increasing throughout the world. Specialized centers treating patients with heart failure have shown remarkable benefits, both in health care costs and patient morbidity, attributable to the careful monitoring and management of patients with heart failure. The ability of thoracic bioimpedance monitoring to provide objective data in the management of congestive heart failure provides practitioners with the clinical reassurance to optimize pharmacologic therapy safely.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Intermittent and continuous outpatient and home inotrope infusions have contributed to a decreased mortality rate and improved quality of life in the patient with end-stage congestive hea failure. Before the advent of noninvasive hemodynamic monitoring, available with thoracic electrical bioimpedance, initial dosage and titration were determined solely with invasively acquired data requiring hospital admission or with patients' subjective data. Thoracic electrical bioimpedance monitoring of patients receiving inotrope therapy provides objective documentation of drug efficacy, developing tolerance, and optimal dosage.

ISSN:1079-0713    

出版商:OVID    

年代:1999

数据来源: OVID