摘要:

Interest in purchasing and installing a perinatal computerized patient record (CPR) and archiving system is growing in the United States as a result of increased patient satisfaction demands, cost containment, and quality improvement. Perinatal nurses are commonly charged with researching available computer software and hardware, making purchasing decisions, developing menus and forms, orienting users, and maintaining and upgrading systems. The decision to chart and archive by computer as well as installation and maintenance issues mandate that nurses increase their computer-related knowledge. The article reviews information related to CPR capabilities and rationales for purchase decisions, implementation and staff development issues, ergonomic and maintenance considerations, and realistic expectations of a CPR to provide perinatal nurses who are involved in purchasing, implementing, and maintaining these systems with a timely understanding of important elements that they need to know to make this effort successful.

ISSN:0893-2190    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The article provides practical guidelines on how to access and search for information resources on topics related to perinatal nursing on the World Wide Web. Categorized listings of key information sites include major relevant databases and bibliographies, electronic journals, sites relevant to perinatal nursing, and community health resources. The Web provides an excellent information resource for health care professionals and the public to gain practical clinical knowledge and to access research resources. Internet technology has altered the way data are perceived and presented because of the speed with which complex data manipulations are now possible and on account of the vast quantities of data involved.

ISSN:0893-2190    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The article describes how electronic connectivity facilitates professional communication. A brief background in computer communication networks, telecommunications and Internet access, email, and electronic discussion lists prepares the reader to participate in this technology. Directions for subscribing to an online discussion list and guidelines for professional behavior on the Internet are outlined. The article concludes with a description of the Perinatal Nursing Discussion List, an established networking tool. Printed and electronic resources for locating additional lists and a glossary of online abbreviations and terms are included.

ISSN:0893-2190    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The availability of health information over the Internet has exploded in recent years. Nurses can use the Internet to access information to support professional and clinical interests and join in dialogues with colleagues around the world. The Internet can also be used to identify resources for clients and their families. As with any other information resource, Internet sites must be evaluated for accuracy, currency, and objectivity. The article describes examples of Internet resources and discussion forums for neonatal nurses, use of search engines to find and retrieve information about specific topics, and evaluation of World Wide Web sites.

ISSN:0893-2190    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Necrotizing enterocolitis (NEC) is the most serious and frequently acquired gastrointestinal disorder in neonates. The pathogenesis of NEC is unknown, but it may result from a disturbance of the delicate balance among gastrointestinal perfusion, enteric organisms, and enteral feeding. Risk factors for NEC include prematurity, hypoxic-ischemic insult, and formula or breast milk feedings. The clinical spectrum of NEC is multifactoral and ranges from temperature instability, apnea, lethargy, abdominal distention, bilious residuals, and guaiac-positive stools to septic shock, disseminated intravascular coagulation, and death. Medical management is usually adequate treatment for NEC. Surgical treatment is considered if medical management is inadequate to control the spread of the disease. Health care team members must be constantly alert to the presentation of NEC. Expeditious treatment will positively influence the outcome of the disease. Key words:

ISSN:0893-2190    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Recognizing cyanotic and other critical congenital cardiac defects and providing appropriate supportive care before transport to a cardiac center or unit are crucial in promoting the survival and positive outcome of affected newborns. The article discusses basic pathophysiology, signs, symptoms, and supportive care required for the following defects: transposition of the great arteries, tetralogy of Fallot, tricuspid atresia, truncus arteriosus, total anomalous pulmonary venous return, hypoplastic left heart syndrome, critical aortic stenosis, coarctation of the aorta, and pulmonary atresia with intact ventricular septum. Also discussed are the normal transition from fetal to neonatal circulation, diagnosis, preparation for transport, and treatment of these defects. The information is designed for health care providers in a number of settings.

ISSN:0893-2190    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1999

数据来源: OVID