ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Making choices about patient-care interventions pervades critical care nursing practice. Research utilization activities provide the reasoning by which assessment parameters arc established, preventative actions are identified, and interventions are evaluated in the clinical setting for positive effects on patient outcomes. For research results to be directly applicable, they must be transformed into clinical innovations specific to a patient population, clinical situation, or institutional setting. A brief summary of using research findings to design clinical innovations is provided. Examples of selected clinical innovations are included to illustrate the steps of the research utilization process. Clinical innovations are intended to improve or validate patient outcomes and are considered the key to quality patient care.

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The utilization of research findings in the practice of critical care nursing is essential to obtain optimal patient outcomes. However, the speed and extent to which new research-based findings are applied to clinical practice falls short of expectations. The authors identify obstacles to the timely utilization of research. Strategies to overcome the obstacles to research-based clinical practice are presented

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The authors describe the process and outcome of implementing a research-based pain management protocol in four adult critical care units at a large, Midwestern tertiary care center. The project was initiated and directed by members of the divisional research committee. Strategies used to change practice included determining if pain management was a problem via quality assessment monitors, surveying nurses regarding their knowledge and attitude toward pain management, educating staff members about the research base for the practice change, using change champions in each unit, and developing a core group of nurses in each unit to facilitate the change. Outcomes of this research utilization project include a 41% decline in the number of patients in pain, a 44% decline in pain intensity, and improvement in nurses knowledge about pain

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Research-based practice is necessary for the consistent achievement of cost-effective, quality patient outcomes. Several organizational strategies can be implemented to facilitate research-based practice. These strategies, divided into six major categories and further organized at the individual, unit, and institutional levels, are believed to be most effective when comprehensively addressed and implemented

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Endotracheal suctioning (ETS) is a common procedure done in the critical care environment. There are many different practices related to ETS. With the proliferation of research studies about ETS, a change in practice is needed to incorporate these research findings. The authors present a creative teaching strategy that was used to implement a research-based ETS protocol.

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Promoting the quiet and relaxation necessary for sleep in a busy, noisy critical care environment is a problem critical care nurses face daily. Descriptive studies have defined and increased understanding of this problem, but few interventional studies have been accomplished. Interventions that have demonstrated significant improvements in sleep quality in the critical care environment are an audiotape of the sounds of the ocean or rain, a masking signal, and a back massage.

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Pain management in the critically ill is a challenge and a problem of great concern for critical care nurses. The authors review research on pain in the areas of pain assessment, nurses' knowledge and attitudes, pharmacologie interventions, and nonpharmacologic interventions for the management of pain. Although the research base is not completely developed in the critically ill population, implications for practice arc provided, based upon the findings in populations akin to the critically ill. Strategies arc outlined for achieving improved pain control in critical care units through education, adoption of standards on pain management, and quality improvement activities

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The insertion of arterial lines has become a routine procedure for the critically ill. Valuable patient data can be obtained from the arterial line, nursing and laboratory personnel time can be saved, and patient discomfort can be minimized. However, increased blood loss is incurred and may result in nosocomial anemia. This blood loss can be sharply reduced by heightened staff awareness, use of tubing that eliminates the need for discard, and drawing only the volume necessary for laboratory testing. Bedside microchemistry and protocols for obtaining a laboratory test may further decrease blood loss and eliminate the need for blood transfusions to replace iatrogenic blood loss.

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

One of the areas of clinical management where nurses have the most diagnostic influence is cardiac rhythm monitoring and dysrhythmia detection. The critical care nurse must recognize that continuous monitoring is a nursing responsibility, and competence in this skill must be assured. It is essential that nurses understand the significance of accurate electrode placement in obtaining a specific monitoring lead. In addition, the nurse must use current research in determining which monitoring lead is most appropriate for the patient requiring cardiac monitoring in the critical care environment. The author reviews the current research on continuous bedside monitoring and lead selection, examines why nurses continue to make less than optimal lead selection decisions, and offers recommendations to improve the consistency with which patients are accurately monitored

ISSN:1046-7467    

出版商:OVID    

年代:1994

数据来源: OVID